The National Nutrition Survey
TheNational Nutrition SurveyMARIO V. CAPANZANA, Ph.D.DirectorDOST-FNRI
The Department of Science and Technology -Food andNutrition Research Institute (DOST-FNRI) is the premierResearch and Development Institute of the government in food,and nutrition and other S & T services.
LEGAL BASISExecutive Order 128 Section 22The FNRI is mandated to undertake research that defines thecitizenry’s nutritional status, with reference particularly to themalnutrition problem, its causes and effects, and identify alternativesolutions to them;Executive Order 352The national nutrition survey is a designated statistical activity thatwill generate critical data for decision-making of thegovernment and the private sector
Designated Statistical Activities The National Nutrition Survey (NNS) is acomprehensive survey conducted every five years since1978 and the latest of which is in 2013. In-between the five-year period, the Updating Survey ofNutritional Status of Children and Other PopulationGroups is conducted every 2 to 3 years to rapidly assess thenutrition situation of Filipinos.
HISTORICAL BACKGROUND19781982198719901993199519981st NNS2nd NNS3rd NNS1stUpdatingSurvey4th NNS2ndUpdatingSurvey5th NNS2001 20032005 20082011 2013 2015 tingSurvey6th NNS7th NNS8th NNS6thUpdatingSurveyExpandedNNS
SURVEY COMPONENTSANTHROPOMETRYBIOCHEMICALDIETARYCLINICAL &HEALTHSOCIO-ECONOMICGOVERNMENTPROGRAM3 Components in 1978 NNS10 Components in 2013 NNSFOOD SECURITYMATERNALIYCF
HISTORICAL BACKGROUNDSURVEY COMPONENTSSURVEY PERIOD1978 198219871990 1993 199619982001200320052008201120132015Anthropometry Biochemical - - - - - -Clinical and Health - -HDL Study-NNHeS-NNHeS- Dietary: HouseholdIndividual - - -- ---- -- - -Socio-Economic Food Insecurity---- Government Program Participation---- - Government Program Participation:Households & Individuals----- Infant and Young Child Feeding-- - - - - Maternal Health and Nutritional Status----------- - MDG OutcomesNational Nutrition SurveyUpdating Survey
SAMPLE SIZE1978 NNS2,800 Households17,667 Individuals2013 NNS42,310 Households181,384 Individuals
METHOD OF DATA COLLECTION
METHOD OF DATA COLLECTION
RESULTS DISSEMINATION
The Expanded NationalNutrition Survey or ENNS
Rationale:Generation of National Nutrition Data There is a need to generate Nutrition andHealth Data Annually at the National Level tocover key health and nutrition indicators andserve as basis for monitoring nationalprograms Global commitment on health and nutrition
Rationale:Generation of local level data There is a clamor from the local government units(LGUs), Congress, and other stakeholders for a localdata estimates to be used for their development plan. There is a need to generate nutrition and health datafor all provinces and Highly Urbanized Cities (HUCs)
Rationale:Adoption of New Master Sample Adopted the new Master Sample (MS) of the PhilippineStatistics Authority (PSA) which will cover all 117 provincesand HUCs. the sample households increased to fourfold from the 2013 and2015 surveys, thus could not conduct the survey in a year. In 2018, FNRI initiated a 3-year survey called the rollingsurvey and termed as ENNS (2018-2020)
General Objective:To provide empirical data on the nutritional andhealth status of Filipinos for planning nutrition anddevelopment programs, and for timely policydecisions at the national and provincial/HUC levels.
What and how are thedata collected
METHOD: Actual data collectionAnthropometryMeasurement of physical growth (weight andheight) and body composition (mid upper arm,waist and hip circumferences)Measures the prevalence of underweight, underheight,thinness, overweight and obesity
METHOD: Actual data collectionBiochemicalAssesses prevalence of Vitamin ADeficiency, Iron Deficiency Anemia andother nutrient deficiencies.Collection of blood and urine samples
METHOD: Actual data collectionClinical andHealthAssesses the prevalence of elevated blood pressure,high fasting blood glucose and dyslipidemia, as well asbehavioral risk factors such as smoking, alcoholconsumption, physical inactivity and unhealthy diet.Measurement of blood pressure, collection of bloodand face-to-face interview
METHOD: Actual data collectionDietaryDetermines the quality and quantity of foodand nutrient intakes of households andindividualmemberofthesamplehouseholds.One-day food weighing (household) and 24-hour food recall (individual)
METHOD: Actual data collectionFood SecurityAssesses food security at thehousehold and individual level as wellas coping mechanisms and strategies.GovernmentProgramParticipationAssesses household’s and member’sparticipation in selected nutrition andrelated government programs.Socio-EconomicCharacteristics ofHouseholds/IndividualsIncludes the education and occupationof the household members, their typeof housing unit, type of wall, roof einterview
METHOD: Actual data collectionInfant and Young ChildFeedingUpdates information on the feeding practices ofFilipino Children 0-23 months old and other relatedfactors affecting feeding practices.Maternal Health andNutritionDetermines health and nutrition of mothers withchildren 0-3 years old, their health-seekingbehaviors and care giving practices.Face-to-face interview
Who collects the data
Trained professionals:Nutritionist-dietitiansMedical technologistNursesOther allied health professionals
How are the surveyresults used
USES OF SURVEY RESULTSTo addressnutrition problemsby craftingpolicies andinterventionsFor planning,targeting andimplementingnutrition andrelatedinterventionprograms, goalsand commitmentFor monitoringand evaluation ofimpact of nutritioninterventionprogramsAs tool inadvocacy forpolicydevelopment/directions
USES OF SURVEY RESULTSTo addressnutritionproblems bycrafting policiesand interventions Micronutrient Supplementation Philippine Food Fortification Act of 2000 (R.A.8976) Asin Law (R.A. 8172) Republic Act No. 10351 (Sin Tax Law) School Feeding Law The First 100 days Law National Policies on Infant and Young Children(A.O.No.2005-0014)
USES OF SURVEY RESULTSFor planning,targeting andimplementingnutrition andrelatedinterventionprograms, goalsand commitment Sustainable Development Goal (SDG) Philippine Development Plan (PDP) Philippine Plan of Action (PPAN) The Food Fortification Program
Specific Objectives:4. To monitor/ track progress of the achievement of theSustainable Development Goals (SDGs) such as:SDG 2 (Zero Hunger)SDG 3 (Good Health and Wealth Being)SDG 5 (Gender Equality)SDG 6 (Clean Water and Sanitation)SDG 11(Sustainable Cities and Communities)SDG 12 (Responsible Consumption and Production) andSDG 13 (Climate Action);
Goals/Targets/IndicatorsBaselineData YearData Source AgencyBy 2030, end hunger and ensure access by all people, in particular the poor and people intarget 2.1vulnerable situations, including infants, to safe, nutritious and sufficient food all year round2.1.1.p1Proportion of households meeting31.0 2015100% recommended energy intakeUpdating of Nutritional Status of FilipinoChildren and Other Population Groups,FNRI-DOSTBy 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreedtarget 2.2 targets on stunting and wasting in children under 5 years of age, and address the nutritionalneeds of adolescent girls, pregnant and lactating women and older persons2.2.1Prevalence of stunting (height forage -2 standard deviation from themedianoftheWorldHealth33.4 2015Organization (WHO) Child GrowthStandards) among children under 5years of ageUpdating of Nutritional Status ofFilipino Children and OtherPopulation Groups, FNRI-DOST
Goals/Targets/IndicatorsBaselineDataYearData Source Agencytarget2.2By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreedtargets on stunting and wasting in children under 5 years of age, and address the nutritionalneeds of adolescent girls, pregnant and lactating women and older persons2.2.2Prevalence of malnutrition (weight for height 2 or -2 standard deviation from the median ofthe WHO Child Growth Standards) among children under 5 years of age, by type (wasting andoverweight)2.2.2.12.2.2.2Prevalence of malnutrition forchildren under 5 years -2 SD fromthe median of the WHO CGS(wasting)7.1Prevalence of malnutrition forchildren under 5 years 2 SD fromthe median of the WHO CGS(overweight)3.92015Updating of Nutritional Status ofFilipino Children and OtherPopulation Groups, FNRI-DOST2015
BaselineGoals/Targets/IndicatorsDataData Source AgencyYearBy 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreedtargettargets on stunting and wasting in children under 5 years of age, and address the nutritional2.2needs of adolescent girls, pregnant and lactating women and older persons2.2.s1 Prevalance of micronutrient deficiencies (Vitamin A, Iron)2.2.s1.1Vitamin A Deficient6 months to 5 years old20.42013National Nutrition Survey, FNRI-DOSTPregnant9.02013National Nutrition Survey, FNRI-DOSTLactating5.02013National Nutrition Survey, FNRI-DOST60 years old and up3.02013National Nutrition Survey, FNRI-DOST
Goals/Targets/IndicatorsBaselineDataYearData Source AgencyBy 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreedtargettargets on stunting and wasting in children under 5 years of age, and address the nutritional2.2needs of adolescent girls, pregnant and lactating women and older persons2.2.s1.2Anemia6 months to 5 years old13.82013National Nutrition Survey, FNRI-DOSTPregnant24.62013National Nutrition Survey, FNRI-DOSTLactating16.72013National Nutrition Survey, FNRI-DOST60 years old and up20.82013National Nutrition Survey, FNRI-DOST48.8Updating of Nutritional Status of Filipino2015 Children and Other Population Groups,FNRI-DOSTPrevalence of exclusively breastfed2.2.s2children 0 to 5 months old
ata Source AgencyStrengthen the implementation of the World Health Organization Framework Convention onTobacco Control in all countries, as appropriate.Age-standardized prevalence of3.a.1 current tobacco use among personsaged 15 years and older23.62015Updating of Nutritional Status ofFilipino Children and OtherPopulation Groups, FNRI-DOST2015Updating of Nutritional Status of FilipinoChildren and Other Population Groups,NNS, FNRI-DOST2015Updating of Nutritional Status of FilipinoChildren and Other Population Groups,NNS, FNRI-DOST3.a.s1 Prevalence of current tobacco usePrevalence of current tobacco use of10-19.9 years oldPrevalence of current tobacco use of20 years old and over5.523.3
Department of Science and Technology - Food and Nutrition Research InstituteThank You!DOST Compound, Gen. Santos Ave., Bicutan, Taguig City, Metro Manila, PhilippinesTel Nos.: (632) 837-2071 to 81 local 2296; 839-1843; 839-1846 Telefax No.: (632) 837-2934E-mail: mvc@fnri.dost.gov.ph Website: http://www.fnri.dost.gov.ph E-nutrition: http://enutrition.fnri.dost.gov.ph
6 months to 5 years old 13.8 2013 National Nutrition Survey, FNRI-DOST Pregnant 24.6 2013 National Nutrition Survey, FNRI-DOST Lactating 16.7 2013 National Nutrition Survey, FNRI-DOST 60 years old and up 20.8 2013 National Nutrition Survey, FNRI-DOST 2.2.s2 Prevalence of exclusively breastfed children 0 to 5 months old 48.8 2015
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
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