2015 Updating of the Nutritional Status of Filipino Children and...

2016 Regional dissemination forum

2015 Updating of the Nutritional Status of Filipino Children and

Other Population Groups

Regional Dissemination (CALABARZON)


Government Programs

HOUSEHOLD INDIVIDUAL

Pantawid Pamilyang Pilipino Program (4Ps) 0 to 71 months- Newborn Screening- Expanded Program on Immunization- Micronutrient Powder- Deworming- Vitamin A Supplementation- Incidence of Diarrhea

6 to 12 years old- Deworming


Pantawid Pamilyang Pilipino Program (4Ps)

A human development measure of the national

government that provides conditional cash grants

to the poorest of the poor, to improve the health,

nutrition, and the education of children aged 0-18

years old.



Program Conditions:

For parents/Guardians/Pregnant Women

1.Pregnant women must avail pre- and post-natal care, and be

attended during childbirth by a trained professional;

2.Parents or guardians must attend the Family Development

Sessions (FDS), which include topics on responsible

parenting, health, and nutrition.



For Children

1.Children-beneficiaries aged 0-5 years old must receive regular

preventive health check-ups and vaccines;

2.Children-beneficiaries aged 6-14 years old must receive

deworming pills twice a year and;

3.Children-beneficiaries aged 3-18 years old must enroll in

school, and maintain an attendance of at least 85% of class

days every month.


Proportion of households who are aware of the Pantawid Pamilyang Pilipino Program (4Ps) by region: Philippines, 2015

90.8

86.3

92.9

89.5

92.7

90.1

92.2

87.3

91.5

91.2

90.3

79.5

82.5

83.7

85.7

84.0

73.6

85.3

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

84.7 85.9

71.8 75.4

81.6 86.2

83.9 87.4

80.9 86.1

80.5 84.3

77.3 81.6

88.0 92.2

89.3 92.9

89.0 93.4

85.5 88.9

90.3 93.8

87.6 92.2

91.3 94.0

87.0 91.5

90.2 94.9

83.0 89.0

88.5 92.7


Percent of households who are aware of the PantawidPamilyang Pilipino Program (4Ps) in CALABARZON:

Philippines, 2015

REGION/

PROVINCE

95% Confidence Interval

LL UL

Philippines 84.7 85.9

CALABARZON 77.3 81.6

Batangas 75.4 84.9

Cavite 74.1 82.1

Laguna 75.7 83.0

Quezon 82.2 91.2

Rizal 68.8 77.0 73.1

87.4

79.6

78.4

80.6

79.5

85.3

PERCENT (%)


Percent of household’s participation in Pantawid PamilyangPilipino Program (4Ps) by place of residence and wealth

quintile: Philippines, 2015

2.0

8.4

18.5

30.8

40.3

29.4

70.6

26.1

1.2

6.9

17.5

29.1

45.2

29.0

71.0

22.3

0 20 40 60 80 100

Richest

Rich

Middle

Poor

Poorest

Urban

Rural

Philippines

2013

2015


Percent of household’s participation in Pantawid PamilyangPilipino Program (4Ps) by region: Philippines, 2013 & 2015

37.535.4

26.622.8

29.643.9

34.322.825.3

36.932.1

14.013.614.7

21.321.2

11.8

22.3

0 20 40 60 80 100

CARAGAARMM

SOCCSKSARGENDavao

Northern MindanaoZamboanga Peninsula

Eastern VisayasCentral Visayas

Western VisayasBicol

MIMAROPACALABARZONCentral Luzon

Cagayan ValleyIlocos

CARNCR

Philippines

Region 2013 2015

38.544.6

29.727.2

34.845.3

39.319.3

29.442.5

35.115.815.1

18.325.825.7

14.7

26.1

0 20 40 60 80 100


REGION/

PROVINCE


LL UL



Batangas 17.7 25.2

Cavite 7.6 18.5

Laguna 9.3 14.2

Quezon 21.8 29.2

Rizal 8.9 17.4 12.6

25.3

11.6

12.0

21.2

15.8

26.1

PERCENT (%)

Percent of households’ participation in PantawidPamilyang Pilipino Program (4Ps) in CALABARZON:

Philippines, 2015


Newborn Screening


Newborn Screening

It is a procedure intended for early identification of infants

who are affected by certain genetic, metabolic, or

infectious conditions that may lead to mental retardation

or morbidity if left untreated.


Newborn Screening

Newborn screening program in the Philippines includes

screening of six disorders:

Congenital Hypothyroidism

Congenital Adrenal Hyperplasia

Phenylketonuria

Glucose-6-phosphate Dehydrogenase (G6PD)

Galactosemia

Maple Syrup Urine Disease


Percent of children, 0-71 months old, who underwent Newborn Screening: Philippines, 2011-2015

32.138.1

52.2

0

10

20

30

40

50

60

70

80

90

100

2011 2013 2015

Perc

en

tag

e


46.3

13.5

42.4

59.7

49.7

42.1

48.1

53.9

60.3

40.6

44.7

54.0

50.7

55.4

63.5

74.9

74.6

52.2

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

50.9 53.5

71.4 77.6

71.3 78.2

59.2 67.6

51.1 59.7

47.1 54.3

49.5 58.4

39.4 50.2

36.1 45.3

54.2 66.1

49.5 58.2

43.6 52.5

37.2 47.2

43.6 55.8

55.3 63.9

36.0 49.1

10.7 17.0

40.6 52.2

Percent of children, 0-71 months old, who underwent Newborn Screening by region: Philippines, 2015


REGION/

PROVINCE


LL UL



Batangas 56.1 74.0

Cavite 51.7 63.8

Laguna 45.1 62.3

Quezon 30.7 54.5

Rizal 38.7 57.4 48.0

42.1

53.8

57.9

65.6

54.0

52.2

PERCENT (%)

Percent of children, 0-71 months old, who underwent Newborn Screening in CALABARZON: Philippines, 2015


Expanded Program on

Immunization


Expanded Program on Immunization (EPI)

One of the programs of the Department of Health (DOH)

established in 1976 to ensure that infants/children and mothers

have access to routinely recommended infant/childhood

vaccines.

A child is considered fully immunized (FULLY IMMUNIZED

CHILD) if he/she had BCG, measles, and three doses each of

DPT, OPV and Hepa-B vaccines before the first birthday.


50.6

46.0

58.6

59.5

75.7

65.0

69.2

61.4

59.1

68.9

74.2

66.8

71.3

64.2

58.3

62.1

52.1

61.9

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

59.9 64.0

45.9 58.3

50.8 73.4

48.7 67.9

55.5 72.9

65.4 77.3

60.5 73.1

63.9 84.5

61.2 76.6

50.5 67.8

51.9 70.8

60.9 77.4

55.7 74.4

67.7 83.8

51.4 67.5

50.5 66.6

35.5 56.5

42.3 58.9

Percent of fully immunized children, 12-23 months old, by region: Philippines, 2015


REGION/

PROVINCE


LL UL



Batangas 42.5 57.3

Cavite 63.1 75.1

Laguna 46.4 63.7

Quezon 58.4 75.5

Rizal 47.0 60.8 54.0

67.6

55.2

69.4

49.9

66.8

61.9

PERCENT (%)

Percent of fully immunized children, 0-71 months old, in CALABARZON: Philippines, 2015


Vitamin ASupplementation


Vitamin A Supplementation

One of the programs under Garantisadong Pambata (GP)

Campaign which aims to promote equity of health

coverage in support of the Universal Health Care (UHC)

for all Filipinos and to contribute to the achievement of the

Millenium Development Goals (MDGs), particularly in

reducing child morbidity and mortality.


72.7

51.1

76.4

72.8

83.0

77.0

87.4

80.6

84.9

70.9

74.8

64.4

68.3

77.1

66.3

75.4

57.0

70.6

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

69.2 72.0

51.9 62.0

69.7 80.4

60.0 72.0

72.6 81.0

64.3 72.1

60.1 68.6

70.2 78.9

67.5 74.2

80.4 88.5

74.6 85.5

84.3 90.0

70.8 82.2

78.3 86.9

66.8 78.0

71.4 80.7

41.2 60.8

66.5 78.2

Percent of children 12-71 months who participated in Vitamin A supplementation by region: Philippines, 2015


REGION/

PROVINCE


LL UL



Batangas 25.8 47.1

Cavite 28.1 48.9

Laguna 26.3 43.0

Quezon 19.3 31.6

Rizal 33.9 51.7 42.6

25.0

34.2

38.0

35.8

64.4

70.6

PERCENT (%)

Percent of children, 12-71 months who participated in Vitamin A Supplementation in CALABARZON:

Philippines, 2015


MicronutrientSupplementation


Micronutrient Supplementation

Micronutrient Powder (MNP) is a premix of vitamins and

minerals in powder form which may be sprinkled once

daily into any semi-liquid foods without changing the color,

taste or texture of the food.


41.4

65.5

52.0

63.6

77.6

62.7

44.4

48.0

58.5

49.1

61.8

30.6

33.1

45.9

28.4

47.8

34.6

47.9

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

42.7 53.2

20.5 52.2

33.4 62.6

8.7 62.3

28.5 64.2

24.6 42.9

22.2 40.7

46.7 74.8

33.1 65.2

41.5 73.7

17.6 80.0

21.5 69.9

46.2 76.7

59.6 89.0

48.3 76.6

26.8 76.3

34.2 87.4

34.1 49.0

Proportion of children 6 to 23 months who tried Micronutrient Powder (MNP) among mothers who are aware by region: Philippines, 2015


Incidence of Diarrhea


Diarrhea

It is the abnormal frequent discharge of three or more

semisolid or fluid fecal matter/stools per day lasting for no

longer than 14 days.

Giving Zinc in addition to the reformulated Oral

Rehydration Salt (ORS) Solution has been shown to

significantly reduce the duration and severity of diarrhea

compared to ORS alone.


Percent of children 0-59 months who experienced diarrhea*

by single age: Philippines, 2015

11.9

5.8

17.1 17.3

13.2

9.3 8.9

0

2

4

6

8

10

12

14

16

18

20

All 0-5months

6-11months

12-23months

24-35months

36-47months

48-59months *past 2 weeks


Percent of children 0-59 months who experienced diarrhea* by wealth quintile, and place of residence: Philippines, 2015

9.9

10.6

13.0

12.6

12.7

12.8

11.2

11.9

0 20 40 60 80 100

Richest

Rich

Middle

Poor

Poorest

Urban

Rural

Philippines

*past 2 weeks


12.2

12.3

11.3

13.4

9.2

11.9

8.6

11.0

8.7

12.0

13.7

10.3

13.3

10.5

12.5

8.6

16.5

11.9

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

11.3 12.6

14.5 18.7

6.2 11.9

10.0 15.4

9.0 12.2

11.2 15.7

8.9 11.9

11.1 16.8

9.6 14.9

6.0 12.4

8.3 14.5

6.7 11.1

9.1 15.5

7.3 11.5

10.9 16.5

9.0 14.0

9.5 15.7

10.1 14.7

Percent of children 0-59 months who experienced diarrhea* byregion: Philippines, 2015


REGION/

PROVINCE


LL UL


CALABARZON 8.9 11.9

Batangas 6.8 13.5

Cavite 7.8 13.5

Laguna 6.7 10.9

Quezon 3.3 9.3

Rizal 8.6 17.1 12.2

5.6

8.5

10.3

9.6

10.3

11.9

PERCENT (%)

Percent of children 0-59 months who experienced diarrhea*

in CALABARZON: Philippines, 2015


Deworming


Deworming Mass Deworming – giving of antihelminthic or deworming drugs

to an entire group of people without prior diagnosis of current

infection to get rid of intestinal parasites which include

hookworm, ascaris, and trichuris.

For preschoolers(1-4 years old), deworming is done during the

nationwide Garantisadong Pambata (GP) campaign in April and

October. For the school children (5-12 years old), deworming is

scheduled every January and July


Deworming(12 to 71 months old)


71.2

42.9

59.8

70.9

72.5

65.2

75.9

70.6

65.4

58.1

69.9

44.3

45.2

72.0

67.1

77.3

44.8

58.2

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

57.0 59.4

41.3 48.3

73.1 81.1

61.7 72.1

68.7 75.0

42.2 48.2

40.3 48.4

64.5 74.8

54.0 62.1

60.3 70.1

64.3 76.2

71.8 79.6

60.1 69.9

68.4 76.3

66.7 74.8

55.1 64.3

34.7 51.6

67.1 75.1

Percent participation of children 12-71 months old in deworming program by region: Philippines, 2015


REGION/

PROVINCE


LL UL



Batangas 48.1 58.4

Cavite 45.5 61.9

Laguna 27.3 38.0

Quezon 37.8 57.1

Rizal 26.8 47.0 36.3

47.4

32.4

53.8

53.3

44.3

58.2

PERCENT (%)

Percent participation of children 12-71 months old in deworming program in CALABARZON: Philippines, 2015


Frequency of participation of children 12-71 months old in deworming by region: Philippines, 2015

45.461.6

54.040.6

37.655.0

44.243.3

37.053.652.1

59.463.0

49.746.3

36.272.5

51.7

0 20 40 60 80 100

CaragaARMM

SOCCSKSARGENDavao






CARNCR

Philippines

Region Once a year Twice a year

51.835.8

42.855.9

60.440.3

54.255.3

60.141.6

46.037.1

34.147.5

51.162.0

24.2

45.4

0 20 40 60 80 100

CaragaARMM

SOCCSKSARGENDavao






CARNCR

Philippines


Deworming(6 to 12 years old)


Proportion of children 6-12 years old participating in deworming program: Philippines, 2008 to 2015

64.1

74.9

63.4

89.0

0

10

20

30

40

50

60

70

80

90

100

2008 2011 2013 2015


96.1

72.6

90.8

93.9

93.9

91.6

95.3

96.7

96.6

90.4

93.8

83.4

85.6

94.6

92.0

96.4

80.3

89.0

0 20 40 60 80 100

Caraga

ARMM

SOCCSKSARGEN

Davao

Northern Mindanao

Zamboanga Peninsula

Eastern Visayas

Central Visayas

Western Visayas

Bicol

MIMAROPA

CALABARZON

Central Luzon

Cagayan Valley

Ilocos

CAR

NCR

Philippines

LL UL

88.3 89.6

77.9 82.6

94.0 97.8

89.8 93.7

92.6 96.0

83.2 87.8

81.2 85.4

91.5 95.5

88.7 91.9

95.4 97.5

95.4 97.6

93.5 96.7

88.3 94.1

91.6 95.6

92.0 95.4

88.4 92.8

66.0 78.3

94.5 97.3

Proportion of children 6-12 years old participating in deworming program by region: Philippines, 2015


88.251.8

77.984.4

93.891.9

84.184.8

90.482.8

77.778.2

71.185.48888.9

82.9

81.7

0 20 40 60 80 100

CaragaARMM

SOCCSKSARGENDavao






CARNCR

Philippines

Region 2013 2015

Proportion of children 6-12 years old participating in deworming program by region: Philippines, 2013 & 2015

96.172.6

90.893.993.9

91.695.396.796.6

90.493.8

83.485.6

94.692.0

96.480.3

89.0

0 20 40 60 80 100


REGION/

PROVINCE


LL UL



Batangas 83.7 91.5

Cavite 83.9 91.3

Laguna 75.8 84.7

Quezon 82.3 88.9

Rizal 65.1 79.4 72.9

85.9

80.7

88.1

88.1

83.4

89.0

PERCENT (%)

Proportion of children, 6-12 years old participating in deworming program in CALABARZON: Philippines, 2015


Frequency of participation of children 6-12 years old in deworming by region: Philippines, 2015

39.941.8

46.240.4

44.952.7

45.041.0

32.748.5

42.753.9

51.745.5

42.432.3

56.9

46.2

0 20 40 60 80 100

CaragaARMM

SOCCSKSARGENDavao






CARNCR

Philippines

59.052.8

48.255.6

51.742.8

51.956.7

62.246.3

54.139.0

41.948.5

52.164.3

30.7

48.2

0 20 40 60 80 100

Region Once a year Twice a year


Frequency of participation of children 6-12 years old in deworming in CALABARZON: Philippines, 2015

54.2

54.7

50.7

55.9

53.9

53.9

46.2

0 20 40 60 80 100

Rizal

Quezon

Laguna

Cavite

Batangas

CALABARZON

Philippines

37.2

41.6

43.0

33.7

40.4

39.0

48.2

0 20 40 60 80 100

Region Once a year Twice a yearLL UL

45.0 47.4

50.2 57.5

45.6 61.9

47.3 64.1

42.8 58.5

46.8 62.4

47.7 60.7

LL UL

47.0 49.5

35.3 42.8

32.6 48.7

25.6 43.0

35.1 51.4

34.4 49.1

30.6 44.4


Proportion of children 6-12 years old who participated ONCEin deworming due to following reasons: Philippines, 2015

10.2

1.5

2.1

3.4

2.5

6.0

3.8

54.4

4.0

6.8

0 20 40 60 80 100

Others

Child is not re-visited by health worker

Health center is far/residence is far from the health center

Mother/Caregiver is busy/no time to accompany child to health center

Mother/Caregiver's belief that child is worm-free and healthy

Mother/Caregiver did not agree to sign the consent form for deworming

Child is absent during deworming

Provision of deworming tablets in school is done once a year

Child is afraid because he/she had experienced adverse effect/s

Child did not want to take deworming tablet


Summary


8 out of 10 households are aware of Pantawid Pamilyang Pilipino Program (4Ps) for the whole Philippines.

In CALABARZON, awareness was highest in Quezon. Among the eligible households, about one-fifth (26%) were beneficiaries. From 2013 to 2015, beneficiaries of 4Ps increased and the difference between

the two survey periods was statistically significant.


Summary

Newborn Screening

There was an increase of children, 0-71 months old, who underwent newborn screening from 2013 to 2015 and the increase was statistically significant.

In CALABARZON, children who underwent newborn screening was higher in Batangas and lower in Quezon.


Summary

Expanded Program on Immunization

In general, 6 out of 10 children, 12-23 months of ages were fully immunized. In CALABARZON, higher percentage of children who are fully immunized was

noted in Cavite and Quezon, and lower in Rizal.

Vitamin A Supplementation

7 out of 10 children participated in Vitamin A Supplementation. In CALABARZON, higher percentage was observed in Rizal and lower in Quezon.


Summary Micronutrient Supplementation

4 out 0f 10 children have tried the Micronutrient Powder (MNP) among those mothers who are aware of MNP.

Diarrhea

Among children aged 0-59 months, about 12% experienced diarrhea during the past 2 weeks prior to date of collection.

By single age, high percentage who had diarrhea was observed among 6-11 months and 12-23 months old children.


Summary Diarrhea

By provincial statistics, children in Rizal had higher episodes of diarrhea while Quezon had the lowest.

Deworming

12 to 71 months For the entire Philippines, 5 out of 10 children were dewormed. In CALABARZON, Batangas and Cavite had the most number of dewormed

children.


Summary Deworming

6 to 12 years old A significant increase of dewormed children was noted between 2013 to 2015

survey period. A good picture of participation in deworming program was noted for the

whole Philippines. In CALABARZON, more than 80% of participants was noted in most of the

provinces except in Rizal.


Thank You!

2015 Updating of the Nutritional Status of Filipino Children and...

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