The National Nutrition Survey

The National Nutrition Survey

MARIO V. CAPANZANA, Ph.D.Director

DOST-FNRI

The Department of Science and Technology -Food and Nutrition Research Institute (DOST-FNRI) is the premier

Research and Development Institute of the government in food, and nutrition and other S & T services.

Executive Order 128 Section 22

LEGAL BASIS

The FNRI is mandated to undertake research that defines the

citizenry’s nutritional status, with reference particularly to the

malnutrition problem, its causes and effects, and identify alternative

solutions to them;

The national nutrition survey is a designated statistical activity that

will generate critical data for decision-making of the

government and the private sector

Executive Order 352

• 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.

Designated Statistical Activities

HISTORICAL BACKGROUND

1978 1982 1987 1990 1993 1995 1998

1st NNS 2nd NNS 3rd NNS 1st

Updating

Survey

4th NNS 2nd

Updating

Survey

5th NNS

2001 2003 2005 2008 2011 2013 2015 2018-2020

3rd

Updating

Survey

6th NNS 4th

Updating

Survey

7th NNS 5th

Updating

Survey

8th NNS 6th

Updating

Survey

ExpandedNNS

SURVEY COMPONENTS

DIETARYANTHROPOMETRY BIOCHEMICAL

3 Components in 1978 NNS

CLINICAL & HEALTH

SOCIO-ECONOMIC GOVERNMENT PROGRAM

FOOD SECURITYMATERNAL IYCF

10 Components in 2013 NNS

SURVEY COMPONENTSSURVEY PERIOD

1978 1982 1987 1990 1993 1996 1998 2001 2003 2005 2008 2011 2013 2015

Anthropometry

Biochemical - - - - - -

Clinical and Health - - HDL Study - NNHeS - NNHeS -

Dietary: Household

Individual

-

-

--

--

-

--

-

-

-

-

-

-

Socio-Economic

Food Insecurity - - - --

Government Program Participation - - - - -

Government Program Participation:

Households & Individuals- - - - -

Infant and Young Child Feeding - - - - - -

Maternal Health and Nutritional Status - - - - - - - - - - -

MDG Outcomes

Updating SurveyNational Nutrition Survey

HISTORICAL BACKGROUND

SAMPLE SIZE

1978 NNS2,800 Households17,667 Individuals

2013 NNS42,310 Households181,384 Individuals

METHOD OF DATA COLLECTION

RESULTS DISSEMINATION

The Expanded National

Nutrition Survey or ENNS

Rationale:Generation of National Nutrition Data

• There is a need to generate Nutrition and Health Data Annually at the National Level to cover key health and nutrition indicators and serve as basis for monitoring national programs

• 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 local data estimates to be used for their development plan.

• There is a need to generate nutrition and health data for all provinces and Highly Urbanized Cities (HUCs)

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 and

2015 surveys, thus could not conduct the survey in a year.

• In 2018, FNRI initiated a 3-year survey called the rolling survey and termed as ENNS (2018-2020)

Rationale:

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.

General Objective:

What and how are the

data collected

AnthropometryMeasurement of physical growth (weight and

height) and body composition (mid upper arm,

waist and hip circumferences)

METHOD: Actual data collection

Measures the prevalence of underweight, underheight, thinness, overweight and obesity

BiochemicalAssesses prevalence of Vitamin A

Deficiency, Iron Deficiency Anemia and

other nutrient deficiencies.


Collection of blood and urine samples

Clinical and

Health

Assesses the prevalence of elevated blood pressure,

high fasting blood glucose and dyslipidemia, as well as

behavioral risk factors such as smoking, alcohol

consumption, physical inactivity and unhealthy diet.


Measurement of blood pressure, collection of blood and face-to-face interview

DietaryDetermines the quality and quantity of food

and nutrient intakes of households and

individual member of the sample

households.


One-day food weighing (household) and 24-hour food recall (individual)

Food SecurityAssesses food security at the

household and individual level as well

as coping mechanisms and strategies.

Government

Program

Participation

Assesses household’s and member’s

participation in selected nutrition and

related government programs.

Socio-Economic

Characteristics of

Households/

Individuals

Includes the education and occupation

of the household members, their type

of housing unit, type of wall, roof and

ownership of different types

appliances.Face-to-face

interview


Infant and Young Child

Feeding

Updates information on the feeding practices of

Filipino Children 0-23 months old and other related

factors affecting feeding practices.

Maternal Health and

Nutrition

Determines health and nutrition of mothers with

children 0-3 years old, their health-seeking

behaviors and care giving practices.

Face-to-face interview


Who collects the data

Trained professionals:

Nutritionist-dietitians

Medical technologist

Nurses

Other allied health professionals

How are the survey

results used

USES OF SURVEY RESULTS

To address nutrition problems

by crafting policies and interventions

For planning, targeting and implementing nutrition and

related intervention

programs, goals and commitment

For monitoring and evaluation of impact of nutrition

intervention programs

As tool in advocacy for

policy development/

directions


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 LawNational Policies on Infant and Young Children

(A.O.No.2005-0014)

To address nutrition

problems by crafting policies and interventions

Sustainable Development Goal (SDG)

Philippine Development Plan (PDP)

Philippine Plan of Action (PPAN)

The Food Fortification Program


For planning, targeting and implementing nutrition and

related intervention

programs, goals and commitment

4. To monitor/ track progress of the achievement of the Sustainable 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);

Specific Objectives:

Goals/Targets/IndicatorsBaseline

Data Source AgencyData Year

target 2.1By 2030, end hunger and ensure access by all people, in particular the poor and people in

vulnerable situations, including infants, to safe, nutritious and sufficient food all year round

2.1.1.p1Proportion of households meeting

100% recommended energy intake31.0 2015

Updating of Nutritional Status of Filipino

Children and Other Population Groups,

FNRI-DOST

target 2.2

By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed

targets on stunting and wasting in children under 5 years of age, and address the nutritional

needs of adolescent girls, pregnant and lactating women and older persons

2.2.1

Prevalence of stunting (height for

age <-2 standard deviation from the

median of the World Health

Organization (WHO) Child Growth

Standards) among children under 5

years of age

33.4 2015

Updating of Nutritional Status of

Filipino Children and Other

Population Groups, FNRI-DOST



target

2.2




2.2.2

Prevalence of malnutrition (weight for height >+2 or <-2 standard deviation from the median of

the WHO Child Growth Standards) among children under 5 years of age, by type (wasting and

overweight)

2.2.2.1

Prevalence of malnutrition for

children under 5 years <-2 SD from

the median of the WHO CGS

(wasting)

7.1 2015




2.2.2.2

Prevalence of malnutrition for

children under 5 years <+2 SD from

the median of the WHO CGS

(overweight)

3.9 2015



target

2.2




2.2.s1 Prevalance of micronutrient deficiencies (Vitamin A, Iron)

2.2.s1.1 Vitamin A Deficient

6 months to 5 years old 20.4 2013 National Nutrition Survey, FNRI-DOST

Pregnant 9.0 2013 National Nutrition Survey, FNRI-DOST

Lactating 5.0 2013 National Nutrition Survey, FNRI-DOST

60 years old and up 3.0 2013 National Nutrition Survey, FNRI-DOST



target

2.2




2.2.s1.2 Anemia

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.s2Prevalence of exclusively breastfed

children 0 to 5 months old48.8 2015



FNRI-DOST



target

3.a

Strengthen the implementation of the World Health Organization Framework Convention on

Tobacco Control in all countries, as appropriate.

3.a.1

Age-standardized prevalence of

current tobacco use among persons

aged 15 years and older

23.6 2015




3.a.s1 Prevalence of current tobacco use

Prevalence of current tobacco use of

10-19.9 years old5.5 2015



NNS, FNRI-DOST

Prevalence of current tobacco use of

20 years old and over23.3 2015



NNS, FNRI-DOST

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) 837-2934

E-mail: [email protected] │ Website: http://www.fnri.dost.gov.ph│ E-nutrition: http://enutrition.fnri.dost.gov.ph

Department of Science and Technology - Food and Nutrition Research Institute

Thank You!

The National Nutrition Survey

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Transcript of The National Nutrition Survey