TABLE OF CONTENTS

TABLE OF CONTENTS………………………………………………………………………………………………………………………i
LIST OF TABLES………………………………………………………………………………………………………………………………ii
LIST OF FIGURES……………………………………………………………………………………………………………………………iii
ACRONYMS…………………………………………………………………………………………………………………………………..iv
MESSAGE FROM THE BARANGAY CAPTAIN…………………………………………………………………………………...v
RESOLUTION APPROVING THE BNAP 2023-2025……………………………………………………………………………vi
BARANGAY NUTRITION COMMITTEE……………………………………………………………………………………………vii
BNC ORGANIZATIONAL STRUCTURE………………………………………………………………..………………………….viii
I. INTRODUCTION …………………………………………………………………………………………………………………………1
II. NUTRITION SITUATION ANALYSIS………………………………………………………………………………………………2
 BARANGAY
PROFILE…………………………………………………………………………………………………………………2
a. Historical Background………………………………………………………………………………………………………..2
b. Geographical Location & Topography………………………………………………………………………………..3
c. Demographic Profile………………………………………………………………………………………………………….3
d. Vulnerable Population…………………………………………………..………………………………………………….4
e. Climate and Disaster Profile………………………………………………………………………………………………4
f. Hazard Information……………………………………………………………………………………………………………5
NUTRITION SITUATION AND CHALLENGES……………………………………………………………………………….6
Status of Malnutrition……………………………………………………………………………………………………………..7
Consequences and Causes of Malnutrition………………………………………………………………………………9
The First 1,000 Days…………………………………………………………………………………………………….…………11
Conclusion………………………………………………………………………………………………………………….………….14
III. VISION, MISSION, GOALS AND TARGETS……………………………………………………………………………………15
IV. BARANGAY IMPLEMENTATION PLAN………………………………………………………………………………………..17
V. IMPLEMENTATION AND COORDINATION ARRANGEMENTS………………………………………………………25
VI. MONITORING AND EVALUATION……………………………………………………………………………………………..27
 ACRONYMS

BHW – Barangay Health Worker

BNC – Barangay Nutrition Committee
BNS – Barangay Nutrition Scholar
BNAP – Barangay Nutrition Action Plan
BNSAP – Barangay Nutrition Scholar Action Plan
DILG – Department of the Interior and Local Government
DOH – Department of Health
FHSIS – Field Health Service Information System
FNRI – Food and Nutrition Research Institute
F1K – First 1,000 Days
GIDA – Geographically Isolated and Disadvantaged Areas
IFA – Iron Folic Acid
IP – Indigenous People
LGU – Local Government Unit
LNAP – Local Nutrition Action Plan
LNC – Local Nutrition Committee
MNAO – Municipal Nutrition Committee
MNC _ Municipal Nutrition Committee
NDHS – National Demographic and Health Survey
NEDA – National Economic and Development Authority
NGO – Non-government Organizations
NiEm – Nutrition in Emergencies
NAO – Nutrition Action Officer
NNC – National Nutrition Council
NNS – National Nutrition Survey
PDP – Philippine Development Plan
PNC – Provincial Nutrition Committee
PPAN – Philippine Plan of Action for Nutrition
RPAN – Regional Plan of Action for Nutrition
 MESSAGE FROM THE BARANGAY CAPTAIN

Malnutrition, or undernourishment, has been a problem that has continually affected

a number of families over the years. It is unfortunate that even up to the present,
such remains a concern for families in this technologically advance world we live in.

Many factors are attributed as to why undernourishment of our children still exists.
Understanding these factors is imperative to all of us working to protect the interest
of our children. More importantly, working on opportunities to aid to answer the
concern is of utmost priority.

Barangay Mintal has continually improved and continues to seek opportunities to

help our undernourished children and their parents to become response-able
individuals to this concern. For several years now, in the month of June, Barangay
Mintal has implemented a supplemental feeding program bringing free lunch to every
household with children affected by undernourishment. This free lunch varies in
composition everyday - rice, viand, soup, and fruit. This free lunch is able to serve
two to three persons, and is served and delivered Monday to Friday. This year, the
barangay aims to create and implement the Household Food Garden Ordinance.
This ordinance will ensure and encourage families to have their own food garden at
home which will consequently impact the the concern of undernourishment in our
barangay.

Barangay Mintal will continue to look for opportunities that will fill the gaps in our
community, and put an end to undernourishment in our children. A progressive
barangay is a barangay devoid of children affected by undernourishment or, much
worse, hunger. A healthy community is our key to helping children become the
remarkable persons God created them to be.
 BARANGAY NUTRITION COMMITTEE

Brgy. Captain _HON._REY AMADOR M. BARGAMENTO – Chairperson

MEMBERS:
a. Councilor on Health and Nutrition
b. President of the Rural Improvement Club (RIC)
c. President, Parents and Teachers Association (PTA)
d. Head/President, local organizations
e. SK Chairperson
f. Barangay Nutrition Scholar
g. Day Care Worker
h. Barangay Nutrition Action Officer (BNAO)
i. School Principal
j. Agriculture Technician
k. Rural Health Midwife (RHM)
l. Others as may be identified (may be other Brgy. Councilors and Purok
Presidents)
  . INTRODUCTION
Malnutrition is associated with half of child mortality in the Philippines and more than half of
child morbidity.

Stunting in particular affects 4.6 million under five-year-old children equivalent to every one
in three Filipino children today. The negative impact of stunting on the brain development of the
child is well established. The brain of stunted children is 40 percent smaller than those of the
normal child. And the frontal lobe responsible for analysis, communication and memory are severely
degraded in the brains of stunted children. On the other hand, individuals with reduced functioning
of the ventral prefrontal cortex of the brain, especially during childhood, tend to have severe
antisocial behavior and impaired moral judgment.

All told, the children who survived but had stunting when they were 0-24 months old have
finished less schooling years, less Income from work and have less healthy families. The cost of
malnutrition in the Philippines is about 4B US dollars every year roughly about 3 percent of our GDP.
The cost is like having a Yolanda every year devastating the country’s precious assets – our young
people and future citizens.

Stunting is not the only form of malnutrition affecting our country. Wasting also affects
about 1 million children equivalent to 7.8 percent of children under five. The Philippines is second
to shortest in ASEAN, 9 in the global burden in stunting and 10 in wasting. Overweight and obesity
th th

is on the rise among children 0-5 years old and several micronutrient deficiencies are above public
health norms of the WHO including Vitamin A, iron deficiency and iodine.

The war against stunting and malnutrition cannot be won without the LGUs in the Philippines
joining hands and taking action in their respective locality.

Thus, the Barangay Nutrition Action Plan for 2023-2025 is formulated by the leadership of
the Barangay Captain with the Barangay Nutrition Committee members to contribute the desired
outcomes of the Sustainable Development Goals (SDG).
 II. NUTRITION SITUATION ANALYSIS

BARANGAY PROFILE

a. Historical Background
Many accounts have been written about Mintal, mostly from oral history
for its surviving pioneers. They tell mostly of stories from the Japanese
occupation, as we have read earlier. Mintal, indeed is a locality filled with rich
culture coming from roots of its profound history.

The barangay was once part of a vast land peopled by the Bagobo under
the leadership of DatuIntal, the Bagobo chieftain who died in [Link] datu left
behind the legacy of his name Intal, which was subsequently changed to Mintal.

The early Japanese migrants referred to it as Mintaro. Given thus, the

name Mintal can be considered as a symbol of the social transformation of
Mindanao with migrants, both foreign and local, taking over the island
numerically, politically, economically, and culturally.

A familiar landmark of Mintal is the Ohta Monument, a monolith in honor of

OhtaKyosaburo, considered by local historians as the "Father of Davao
Development." Currently, this landmark can still be seen at Mintal Elementary
Grounds.

Other markers and obelisks of Japanese nationals who died as barangay

residents during the war can be seen in and around Mintal, Toril, and Calinan.

(The Ohta Monument, constructed from the contributions of the

multinational inhabitant of Davao was completed in 1927 following the death of
KS Ohta in 1917 in his place of origin, Kobe, Japan. The monument has not only
become a tourist attraction but also a reminder of the founder and developer of
"Little Tokyo" in the midst of vast abaca plantings undertaken by the Ohta
Development Company (from Japan in Davao: Ventures in Partnership by Ernesto
Corcino)

Prewar Mintal was a place people by the Japanese and their Filipino
employees. Some people even thought that there were no Filipinos in Mintal
before the war. Allegedly, the only Filipinos allowed to stay in Mintal were
workers and employees of the Japanese. The Japanese reportedly built their own
houses, usually two story of narra or apitong wood. A distinguishing feature of a
Japanese corporation, such as the Ohta, was its paternal attitude towards its
workers. Villejo, as narrated to the historian and anthropologist Heidi Gloria
(1979), mentioned free housing, medical services, movies and other
entertainment, and most importantly, provision for food and other household
needs through a credit line in the company store. The store was said be located
at the present Mintal gymnasium.

The hospital in prewar Mintal was an important feature of the place. Here,
workers enjoyed free medicines and service. Doctors and nurses, on the other
hand, accessed free housing near the hospital. Irene Peñano, now 87 years old
and a former nursing aide in a Talomo dispensary, confirmed this when she said
that serious cases they could not attend to were sent to the Japanese hospital in
Mintal.

Due to a government policy prohibiting Japanese doctors to practice their

profession other than as assistants to Filipino doctors even when attending to
Japanese patients (Jose 1992) the hospital became a service unit of the Ohta
Corporation headed by a Filipino rather than a Japanese.

Unlike other barangays in Davao, Mintal had its own electricity powered by
the dam the company built. Also, there were the roads leading to the plantations
in Mintal, BagoOshiroCalinan. The Philippine government paved these dirt roads
after the war.

HilariaCalacar of Loay, Bohol, a sister of two employees of the ice plant of

the Ohta Corporation, mentioned that the Japanese expected industry and hard
work from their employees. In exchange, the company provided for the latter's
needs. This company's service to its employees extended well into the beginning
of the war. Calacar recalled that they were provided provisions, such as rice,
sugar, clothing, and a 6 x 6 transport vehicle as they evacuated to Miral,
Bansalan, Davao del Sur with the impending arrival of the Japanese occupying
force in Mindanao.

The Japanese opened Japanese schools in places where a great number of

Japanese resided. The prewar Japanese school, MintalKokominga Ku, was where
the elementary school of Mintal now stands

Barangay Mintal Today

In 1941, with the collaborative effort of groups of Cebuanos and

Boholanos, who were pioneers, Mintal rose anew from the ashes of World War Il.
Barangay Mintal from then on steadily grew as a community. It has already won
several awards. Known as a community of lowers as it won first place in the 1968
most beautiful park in Davao (Barangay Hall of Mintal), it bagged first place in
the PACD SEATO tilt as a model community, first prize winner in the National
Beautification and Cleanliness Contest in 1968, among others.

Private and government offices soon were housed in the barangay, such
as HEDCOR, TRANSCO, and NAPOCOR. It became the center of the whole Tugbok
District with the District Postal Offices, District Library, District Cooperative
Office, District Treasurer's Office, District Fire Office, District Building
Administrator's Office, District DILG Office, District Health Center, Barangay Hall,
the City Economic Enterprise Office (Mintal Public Market), and Davao City Police
Station 9, located at its premises.

When it comes to educational institutions, the Barangay will never be left

out, being home to two prestigious state universities, the University of the
Philippines (Mindanao Campus) and the University of Southeastern Philippines
College of Governance, Business, an Economics. The Regional Training School of
the Philippine National Police - Philippine Public Safety College.

Moreover, Mintal has other private and public early/basic education

institutions such Mintal Day Care Centers, UCCP Agape Learning Center, Mintal
Elementary School, Holy Cross of Mintal, and Mintal Comprehensive High School.
It also has a technical-vocational school such as the Technical Education and
Skills Development Authority (TESDA).

It is also becoming more and more commercialized with the establishment

of Astro Shoppers Plaza, Convenience Store, NCCC HB1, gasoline stations such
as Petron, Shell and Phoenix, and various pharmaceutical outlets. Credit
institutions such as One Network Bank, El Grande Cooperative, Tagum
Cooperative, Panabo Cooperative and other micro lending institutions, are also
present at the barangay.

Mintal boast of its complete three cellular sites for Sun Cellular, Smart and
Globe. And finally Mintal has been officially declared as the Japanese Heritage
Site of Davao City, focus of Davao-Japan Tourism Council (2013), which promises
the future construction of a Japanese Theme Park and the reconstruction of the
Japanese Relics sites. This will certainly make Barangay Mintal a new tourist
destination in the near future, giving it the highest potential of having vast and
relentless growth, be it socio-culturally and economically.

b. Geographical Location and Topography

1. Location and Boundaries:

Barangay Mintal has a total land area of 600 hectares, where 30 (hectare)
used in agriculture, 278 (hectares) in residential, 24 (hectare) is timberland, 24
(hectare) in rivers and creeks, and 247 (hectares) for area reservation or
government land.

The barangay is located in the West part of Davao City, Davao del Sur. It is
12 kilometers away from cityhall and it takes 1 hour to reach the barangay hall.
It is accessible by jeepney or private vehicle. It is bounded on the north by
Barangay Tugbok Proper, on the east Barangay Sto. Niño, on the west Barangay
Manambulan and on the south Barangay Bago Oshiro.

2. Land and Water Forms:

Land Forms Check (√) if Name and Location

present
(X) if not
present in the
barangay
Mountains Range/Hills x
Mountain x
Volcano x
Cliff (Bangin) x
Archipelago x
Islands x
Plains √ The whole Barangay Mintal
Valley x

Water Forms Check (√) if Name and Location

 present
(X) if not
present in the
barangay
Sea/Dagat x
River/Sapa √ Talomo River - purok 11, 14, 18
Gulf, Inlet x
Lake/Lawa x
Spring/Bukal x
Falls/Talon x
Creek/Sapa √ Purok 15, 10, 4, 20

c. Demographic Profile

Socio-Economic and Community Information

BARANGAY POPULATION Number

Number of Individual 18,010
Number of Household 3,400
Number of Families 4,251

1. Population According to Sex:

SEX Number
Male 9,024
Female 8,986
TOTAL 18,010

2. Population According to Age:

AGE BRACKET FEMALE MALE TOTAL

(YEAR)
0-11 mos. 152 134 286

1-2 307 185 492

3-5 369 424 793

6-12 492 567 1,059

13-17 1,265 1,335 2,600

18-59 5,428 5,644 11,072

60 and Above 973 735 1,708

 TOTAL 8,986 9,024 18,010

[Link] of Households according to the type of Materials used in Construction:

TYPE OF MATERIALS USED TOTAL

Concrete 2,060
Semi or Half Concrete 1,193
Made up of Light Materials 470
Salvaged House 29
TOTAL 3,752

4. Total Households by Type of Ownership:

TYPE OF OWNERSHIP TOTAL

Owned 2,492
Rented 347
Shared with Owner 155
Shared with Renter) 45
Informal Settler Families (ISF) 120
TOTAL 3,159

d. Vulnerable Population

e. Climate and Disaster Profile

Barangay Mintal is situated at approximately 7.0905, 123.5019, on the

island of Mindanao and has an elevation estimated at 111.2 meters, or 364.8
feet, above mean sea level. Some disasters can affect Barangay Mintal with a lot
of damage, and some do not. There are places in Barangay Mintal that are flood-
prone areas due to our geographical elevation, which can cause moderate
damage to some houses that are affected. Due to informal settlers and blighted
areas, fire can be the most dangerous disaster that will occur to these particular
houses, especially if they are made of light materials and semi-concrete.
Barangay Mintal also has an active fault line called the "Dacudao and Lacson
Fault," which can be dangerous to all the people of Barangay Mintal due to the
position of the fault line. However, with these kinds of disasters, such as floods,
fires, and earthquakes, Barangay Mintal is doing its best to be disaster-ready so
that it can provide assistance and support to people in times of need.

Disaster or emergency historical events in the community.

 Type of Emergency/ Disaster FLOOD EMERGING AND
Event: RE-EMERGING
INFECTIOUS
DISEASE
Year: 2021 2020
EFFECTS/IMPACTS
POPULATION
Dead - 15
Injured - -
Missing - -
Separated from the family - -
Lost Houses 1 -
LIVELIHOOD
Partially Damaged - -
Totally Damaged - -
HOUSEHOLD PROPERTY
Damaged - -
Missing - -
INFRASTRUCTURE
Slightly Damaged - -
Moderately Damaged - -
Totally Damaged - -
HOUSEHOLD
Slightly Damaged - -
Moderately Damaged - -
Totally Damaged 1 -
COMMUNICATION
Damaged - -
Lost Communication - -
ELECTRICITY
Lost Power Supply - -
WATER
Damaged - -
Lost Water - -
HEALTH CENTER
Partially Damaged - -
Totally Damaged - -
SCHOOL
Partially Damaged - -
Totally Damaged - -

f. Hazard Information
Hazards Probabilit Impact Remarks Ranking
y
Earthquake 5 5 The barangay has 2 5
fault lines
Fault Line 4 4 Fault Lines traverse 2
the barangay
Flood 2 3 Only 2 puroks are 2.5
affected
 Fire 3 3 40% of the household 3
are made of light
materials
Volcanic Eruption/ 1 1 The possibility of 1
Ashfall Mount Apo to erupt is
low because it is a
dormant
stratovolcano
Emerging and Re- 5 5 If there will be 5
Emerging another outbreak, all
Infectious Disease of us are affected
(EREID)

Probability Impact
1 – Most Unlikely 1 – Negligible
2 – Low Probability 2 – Low Impact
3 – Perhaps 3 – Maintain Impact
4 – High Probability 4 – High Impact
5 – Almost Certain 5 – Devastating

NUTRITION SITUATION AND CHALLENGES

The nutrition situation of Barangay __Mintal_____ entails continued support to strengthen

nutrition program to address issues of undernutrition (such as stunting, wasting, and underweight),
overweight/obesity and the specific micronutrient deficiencies (lack of important vitamins and
minerals specifically vit. A, and iron) that seriously affect children and mothers.

The LGUs and other concerned authorities continue to assess, monitor, and to seek adequate
responses to this nutrition situation.

Children aged 0-59 months old nutritional status were determined based on the 3 indicators
classified under Child Growth Standards by the World Health Organization, as follows:

Under-nutrition is a condition which captures both past and present nutritional status. It is
the result of eating an inadequate quantity and quality of food over an extended period of time.
Undernutrition impairs the physical function of an individual to the point where he or she can no
longer maintain an adequate level of growth. Most vulnerable to undernutrition are the young
children and pregnant mothers.

Stunting/Low height-for-age is a condition in which the child’s height is less than expected
for his/her age (under height-for-age). It reflects chronic undernutrition or past nutritional status
caused by prolonged inadequate intake, recurrence of illness, or improper feeding practices.

Wasting/thinness or low weight-for-height is a condition in which the weight of the child is

less than expected for his/her height (underweight-for-height). Wasting occurs with acute food
deprivation or presence of illness such as infection, or a combination of food lack and illness in the
immediate past nutritional status.

Over-nutrition is an imbalanced nutritional status resulting from excessive intake of

nutrients. Generally, over-nutrition generates an energy imbalance between food consumption and
energy expenditure leading to disorders such as obesity.

 Status of Malnutrition (Answers of question no. 1-4)

The nutrition profile of Barangay __Mintal____ indicated by the Operation Timbang (OPT)
Plus results showed cases of undernutrition and overnutrition among children in the
barangay. As shown in Figure ___ , from CY 2020-2022, the trend of malnutrition prevalence
is decreasing (decreasing, increasing, fluctuating) which manifests a positive outcome of the
interventions being implemented by the different sectors involved in nutrition program in
the barangay such as dietary supplementation, management of acute malnutrition,
micronutrient supplementation, promotion on infant and young child feeding and promotion
on proper hygiene. Further, the strong support of the Barangay Captain greatly affects the
improvement of nutrition situation.

Figure ___. Trend of Malnutrition Prevalence among 0-59 months old of Barangay
__Mintal_____

However, issues on malnutrition still remain especially on stunting. As reflected in 2023 OPT
Plus result in Table , out of 1632 0-59 months old children measured, 84 or 5.1 %
were stunted, 73 or 4.4 % were underweight and 21 or 1.3 % were wasted. Overweight and
obesity affects 26 or 1.6% children under-five. Among the puroks in the barangay, Purok
17 has the highest prevalence of stunted 0-59 months old children at 13.9% followed by
Purok 22 at 11.1%, Purok 15 ranked 3rd with incidence of 9.6% while Purok 1,9, and 12 has
the least percentage of stunted children at 0%.

Table ____. 2023 Prevalence of Malnutrition among Puroks of Barangay

__Mintal_____
 Puroks OPT Plus Stunting Underweight Wasting Overweight
Coverage & Obese
No. % No. % No. % No. % No. %
1 20 71.4 0 0 0 0 0 0 2 10
2 92 115 6 6.5 8 8.7 2 2.1 1 1.1
2A 114 114 6 5.2 7 6.1 2 1.7 4 3.5
3 34 126 2 5.9 2 5.9 1 3.0 1 3.0
4 271 110.6 5 1.8 7 2.6 3 1.1 3 1.1
5 47 127 1 2.1 1 2.1 1 2.1 0 0
6 25 100 1 4.0 1 4.0 0 0 0 0
7 41 124.2 1 2.4 1 2.4 0 0 1 2.4
8 45 128.5 1 2.2 1 2.2 1 2.2 0 0
9 25 100 0 0 0 0 0 0 1 4.0
10 117 90 1 .8 7 6.0 0 0 2 1.7
11 45 69.2 1 2.2 1 2.2 1 2.2 1 2.2
12 25 92.5 0 0 0 0 0 0 0 0
13 40 64.5 3 7.5 3 7.5 0 0 2 5.0
14 124 55.3 1 .8 3 2.4 0 0 1 .8
15 52 61.1 5 9.6 4 7.7 2 3.8 0 0
17 36 85.7 5 13.9 1 2.7 0 0 1 2.7
18 100 84 2 2.0 2 2.0 1 1 2 2
19 74 88.1 4 5.4 4 5.4 0 0 2 2.7
20 184 91.5 9 4.9 11 6 5 2.7 1 .5
21 118 112.3 6 5.1 7 6 1 .8 0 0
22 45 47.3 5 11.1 2 4.4 0 0 1 2.2
Barangay ___Mintal__ has low public health significance on stunting as shown in Table
____. It was observed that there are puroks with increased prevalence rate of stunting from
CY 2021 to 2022 that resulted to increase level of public health significance like _____ and
______.

Table ____. Public Health Significance Assessment of Stunting per Purok based on WHO
cut-off values

INDICATO Brgy. PREVALENCE RATE WHO CUT OFF VALUES

R
202 Public 202 Public INDICATO Cut-off Public
Stunting 1 Health 2 Health R Value Health
Significanc Significanc Significanc
e e e
Minta 3.5 low 3.5 low Stunting <2.5% Very Low
l 2.5%to<10 Low
% Medium
10%to<20% High
20%to<30% Very High
_>30%

Data revealed that prevalence of wasting in school children for the 3 succeeding school
years, SY 2017-2018, 2018-2019, and 2019-2020 were worse as shown in Figure ____ with
______ percent, ______ percent, and _____ percent respectively. Noticeably, there was
a reduction of wasted school children in SY 2018-2019 by ____ percent as to SY 2017-2018,
the impact of Feeding Program in schools could be the contributing factor. However,
reduction on prevalence on wasting among school children was not sustained since an
increase was observed by _____ percent for SY 2019-2020.
Figure _____. 3-Year Trend of Malnutrition among School Children in Barangay _____ (BMI)

Another aspect to poor nutrition and cause for concern is the prevalence of
overweight/obesity in school children population. SY 2019-2020 figures indicated that cases
for obesity reached at ____ percent among school children in the barangay including those
under SPED education.

For SY 2019-2020, Figure ____ shows that the prevalence of malnutrition among school
children by grade level wherein incidence of wasted was noticeably higher in Kindergarten
(children below 5 years of age) at _____percent, Grade 1 (children of 6 years of age and
above) has the second highest prevalence at ____ percent and _____ percent under SPED
program. About _____ percent among Grade 3 (children 8 years old and above) has the
least percentage of wasting. However, high prevalence on obesity was noted among
children under the SPED program. Aside from wasting and obesity, prevalence of stunting
was also recorded in school children including those under SPED.

Figure ___. Prevalence of Malnutrition among School Children in Davao del Sur by
Grade Level for SY 2019-2020
 Consequences and Causes of Malnutrition (answers of question no. 5)

Barangay _______ recognizes the multi-dimensional and multi-sectoral nature of the

malnutrition problem as reflected in Figure ____. This situation analysis note that
malnutrition is caused by the immediate factors of inadequate dietary intake and disease and
by the underlying causes of food insecurity, poor caring and feeding practices, unhealthy
household environment and poor health services. (please expound the detailed underlying
causes of malnutrition with 2022 data if available)

These immediate and underlying causes are, in turn, linked to basic causes that relate to the
distribution of resources, as well as to sociocultural, economic and political factors, among
others.

(Please explain the consequences of malnutrition)

Figure ____. Causes and Consequences of Malnutrition in Barangay Mintal.

Poor quality of life
Increased
mortality/morbidityyy
y
Poor resistance to Poor learners in Low functional Unemployment and
Death Illness infection school literacy underemployment

Stunted Children, 0-59 months old

Inadequate food intake Poor health

status/Presence of illness
The First 1,000 Days (answers of question no. 6-8)
Malnutrition and its causes in the barangay may be best understood by focusing on the first
one thousand (1000) days of life or the period of pregnancy to the first two years of life.
Studies reveal that proper care and services for mothers and children, such as ante-natal
care, safe delivery, postnatal care, breastfeeding, and the adequate feeding and care for 6-
23 month-old children are critical to the prevention and reduction of stunting and other forms
of malnutrition. Table ____ presents selected indicators of care and services considered
vital for proper health and nutrition of pregnant/lactating mothers and their newborns/ infants
during this most critical period from gestation to first twenty-four months of life. The table
further shows the gaps in coverage of services and care for mothers and infants relative to
the standards of the First One Thousand Days Program (F1K) of the Department of Health
(FHSIS and NDHS data).

Table _____. Selected Indicators of Services and Care during the F1K

Barangay
Selected Indicators of Services and Care Davao City Source of
Mintal
during the First 1000 Days Data
_______
Proportion of pregnant women with four or 84.8 RHIS 2022
more prenatal visits (percent) 99.6

Proportion of pregnant women given 73.6 78.0 RHIS 2022

complete iron with folic acid supplements
Proportion of pregnant women with Body 3.8 0.3 RHIS 2022
Mass Index (BMI) Below Normal or
nutritionally-at-risk
Percentage of women receiving two or more 38.9 73.8 RHIS 2022
tetanus toxoid injections during last
pregnancy
Percentage of births delivered in a health 99.2 RHIS 2022
93.7
facility
Percent of livebirths with birthweight <2,500 6.1 0.0 RHIS 2022
grams (i.e. low birth weight)
Percentage of newborns initiated on 91.9 105.8 RHIS 2022
breastfeeding immediately after birth
Percentage of infants exclusively breastfed 89.8 100 RHIS 2022
until 5th month and 29 days
Percentage of infants who continued 123.4 153.9 RHIS 2022
breastfeeding and were introduced to
complementary feeding
Percentage of Infants 6-11 months old who 9.0 RHIS 2022
0.0
received micronutrient powder (MNP)
Percentage of Children 12-23 months old 18.1 RHIS 2022
0.7
who received micronutrient powder (MNP)
Percentage Distribution of Infants Aged 6- 143.1 RHIS 2022
118.4
11 mos. given Vitamin A
Percentage of children aged 12-59 mos 107.5 RHIS 2022
207.4
given Vitamin A

Under the First 1,000 Days Program, interventions start with ensuring that a pregnant
woman is ready for motherhood and able to give birth to a healthy child. The RHIS report
showed that ____ percent of pregnant women were nutritionally-at risk and _____ percent
went for four or more prenatal visits. Gaps in service coverage among pregnant women
remain as evidenced by only _____ percent given iron folic acid supplements and only ____
percent receiving two or more tetanus toxoid shots.
Although almost ____ percent gave birth in a health facility, this may show that there are still
birth deliveries at home by traditional birth attendants – which may put both mother and child
at risk of infection and other complications. Weight at birth determines survivability of a
newborn; low-birth-weight babies (i.e., weighing less than 2,500 grams) occurred in _____
percent of deliveries in the barangay.

The next crucial stage in a child’s nutritional care is its first two years of life. It is at this stage
that stunting can be prevented and mitigated, as thereafter it becomes irreversible. Various
interventions and health programs for the newborn and the young child are made available
and accessible. These include exclusive breastfeeding, infant immunization, complementary
feeding, micronutrient supplementation, and proper hygiene. Again, F1K program
implementation gaps and constraints remain.

The data showed that only ____ out of _____ infants were exclusively breastfed until 5 th
month and 29 days while _____ percent of infants received complementary feeding and
continue breastfeeding. This is a reflection of poor knowledge on infant and young child
feeding practices.

Lack of capacities in managing nutrition programs, non-availability of barangay nutrition

action plan, lack of budget, lack of monitoring and evaluation activities, and non-functional
barangay nutrition committee are other contributory factor that affects the achievement of
F1K nutritional outcome.

The sad nutritional situation continues to impact on the people and the barangay. Persistent
stunting and wasting among young children impede their survival, overall health and
development, and learning potential. These, in turn, will affect their ability to lead healthy and
productive lives as adults, and to ensure the overall well-being of future families in the
barangay.

Unless the major gaps in the compliance of the standards of F1K are addressed
immediately, the municipal, provincial, and regional outcomes in stunting and other
outcomes will prove elusive at the end of the PPAN period 2028.

Figure _____. Trends in the Prevalence of Stunting from Birth up to 2 Years of Age

Year 0-5 mos. old 6-11 mos. Old 1 year old 2 years old 3 years old
2020 .5 1.8 3.2 4.2 4.8
2021 2.8 4.3 7.2 8.3 9.5
2022 2.6 3.5 6.9 7.5 7.7
 STUNTING
12
10.9
10
9.6 9.5
8.7
8.3
8
7.5 7.7
7.2
6.9
6
5.2
4.3
4
3.3 3.5
2.8
2
2.6

0
0-5 mos. Old 6-11 mos. Old 1 year old 2 years old 3 years old

2020 2021 2022

Source: OPT Plus report

Figure ____ shows the trend of stunting in the province for the years 2020-2022 covering
children 0-35 months old. Provincial data are used since it reflects the consolidated data
from LGUs and the pattern might be very similar to the conclusions in the table. There are
three evident conclusions from Figure ____ , as follows:

 At age 0-5 months, the stunting level among children is already at the staggering level of 2.6
percent. This is not surprising given the gaps of critical services and inadequacies of
commodities and dietary intake during pregnancy, and the coverage of exclusive
breastfeeding in the first six months of the child.
 From 2.6 percent at the age 0-5, there is sharp rise reaching 7.5 percent at the end
of 24th month of the child ascribable to the inadequate provision of nutrient dense
complementary food and continued breastfeeding from 6 months to 24 months.

 The stunting level of 7.7 percent plateaus at three years old showing stunting is
irreversible beyond the first 24 months.

The following scenario of stunting merits consideration:

 Stunted (or normal) children are produced during the first 1000 days of life (period
from pregnancy up to the first two years of the child). After 2 years of age stunting
is irreversible
 The brain of a stunted child has 40 percent less brain matter than that of a normal,
never-ever stunted child. The temporal lobe is affected significantly in the brain of
 the stunted child. The temporal lobe which is responsible for perception and
comprehension, memory and language, is compromised.

 When stunting is not prevented in the first one thousand days, it persists/continues
to pre-school and school age, manifesting in other forms of malnutrition that follow,
such as wasting, underweight, overweight and obesity in later years.

 Stunted growth in early life increases the risk of overweight later in life. By
preventing stunting and promoting linear growth and preventing excessive weight
gain in young children, the risk of excessive weight gain and non-communicable
diseases in adulthood can be reduced.

In conclusion,

 Good nutrition early in life (particularly in the first 1,000 days) builds the foundation
for a child’s ability to grow, learn, and earn in the future. Children who get the right
health and nutrition in their first 1,000 days:
o are 10 times more likely to overcome life threatening diseases
o complete 4.6 more grades of school
o grow up to earn 21% more in wages as adults
o are more likely as adults to have healthier families
Global scientific evidence on the consequences of stunting and the impact of interventions
offer sound reasons for nutrition as a sound investment for poverty reduction and
sustainable social and economic development.

Well-nourished children become the healthy, educated, productive citizens of tomorrow.

Investing in their health and nutrition is investing in their future and in the future of the
barangay.

Conclusion

Improving programs around the first 1000 days seems most logical and intelligent use of
additional resources given already existing programs to work from; adjustments in the
preschool and school nutrition program is also feasible as they require relatively incremental
local investments. Strengthening of the enabling environment will require closer support and
resources from the LGUs especially in local government mobilization. The introduction of
nutrition sensitive programs in existing economic and livelihood as well as infrastructure
projects to short-cut the trickle-down approach is a must, given the poverty linked to
malnutrition.

The short term and medium-term landscape of all forms of malnutrition in the barangay can
be addressed by nutrition specific programs, majority of which are related to the health and
nutrition supportive programs. The long-term prospect of improving the barangay’s
performance in nutrition can be achieved by addressing both the (1) enabling factors that
play a huge role in the planning, resourcing and management of nutrition programs and (2)
basic causes of malnutrition.

III. VISION, MISSION, GOALS AND TARGETS

The Barangay Nutrition Action Plan 2023-2025 is aligned with the over-all vision of the
barangay of ___Mintal_____. It also supports the goals of the Municipal Nutrition Action Plan
of Matanao, Provincial Nutrition Action Plan of Davao del Sur, Action for Nutrition for Region
XI and the Philippine Plan of Action for Nutrition to improve the nutrition situation of the
country as a contribution to: (1) the achievement of Ambisyon Natin 2040, (2) reducing
inequality in human development outcomes, and (3) reducing child and maternal mortality.

VISION: We envision a livable and progressive community to enjoy a better quality of life.

MISSION:
- We firmly believe that cooperation and unity of the people are the keys to
development and growth. We are particularly committed to:
 1. Establish an effective governance system to meet the needs of the community;
 2. Strengthen community organizations to become more functional;
 3. Establish a sustainable environmental resource management;
 4. Promote entrepreneurship on the household and community level; and
 5. Strengthen family and social values for productivity and spiritual being.

GOALS: Higher quality of life from improving the nutritional situation of individuals.

Table __. 2023-2025 BNAP Outcome Targets

Baseline (%)/year Targeted change
Indicators and source
2023 2024 2025

Targets for Undernutrition

Prevalence of low birth weight (LBW) 5% (2022 RHIS) 4.8% 4.6% 4.4%
infants

Prevalence of stunted children 6-23 8.4% 7.5% 6%

months old

Prevalence of stunted children 0-59 5.1% 5% 4.%

months old

Prevalence of wasted children 0-59 1.3% 1.1% 1.0%

months old

Prevalence of wasted school children

Prevalence of nutritionally at-risk

(NAR)/ low BMI pregnant women

Targets for Overnutrition

Prevalence of overweight children 1.6% 1.5% 1.4%

under five years old
 Prevalence of overweight/obese
school children

Targets for Micronutrient Deficiencies

Prevalence of anemia among

pregnant women

Prevalence of anemic children 6-59 0 0 0

months

Targets for Infants and Young Child Feeding Practices

Prevalence of exclusively breastfed 85% 90% 98%

infants at 5 months

Prevalence of infants who continued 86% 91% 95%

breastfeeding and were introduced to
complementary feeding

V. IMPLEMENTATION AND COORDINATION ARRANGEMENTS

The Implementation Plan of BNAP defines the individual, organizational, and institutional
accountability for each of the projects, programs and common accountabilities with respect
to programs and outcome targets. The BNAP then consists of individual and shared
accountabilities to deliver outputs and outcomes. The delivery of outcomes and outputs
which entail institutional resources and are ultimately the responsibility of the accountable
agencies.

Institutional accountabilities also include accountability for coordination of the BNAP. The
Barangay Nutrition Committee (BNC), as the counterpart body of the Provincial Nutrition
Committee and Municipal Nutrition Committee at the barangay level, shall primarily serve as
the mechanism to oversee the progressive implementation of the BNAP. This function
covers integrating and harmonizing actions for nutrition improvement at the barangay level.

The functions of the Barangay Nutrition Committee are: to formulate, coordinate, monitor,
and evaluate the barangay nutrition action plan. It may create technical working groups and
other similar inter-agency groups to address particular issues and strengthen interagency
coordination.

In the discharge of each local coordination function, processes have been instituted in the
past and will continue to be harnessed for the delivery of the BNAP. The BNC shall facilitate
the following: 1) formulation of the Annual Investment Program to support the
implementation of BNAP; 2) convening of the BNC quarterly meetings; and 3) annual
program implementation review of the BNAP.
 VI. MONITORING AND EVALUATION

The overall implementation plan is the reference document for designing the monitoring
system including annual program implementation reviews, mid-term reviews and the end-of-
plan evaluation.

As a management tool, the management meetings and quarterly reporting of the Barangay
Nutrition Committee will be used as a platform for LGU monitoring of the BNAP. While the
report is important, it is the discussion at the BNC that is more vital in terms of ensuring that
corrections/revisions/improvements/enhancement are undertaken by the individual,
organizations, agencies and the BNC as a whole in response to the emerging issues and
problems in implementation. The management decision in the quarterly meetings will guide
the Municipal Nutrition Committee and the Provincial Nutrition Committee in following up
BNAP implementation.

At the end of each year, the BNC will convene an annual Program Implementation Review
(PIR) which is conducted every last quarter of the year. This will allow BNC members to
integrate revisions to the program/s for the coming budget year. The PIR, benefiting from
initial annual progress reports from the members of the BNC, undertakes a rigorous and
reflective analysis of the experience in the implementation for the year to design
improvements in the plan for the following year. In the course of the implementation year,
the secretariat will collect important nuggets of lessons that can guide the planning for the
coming year in addition to what will be brought by the BNC members in the PIR.