MUNICIPAL NUTRITION

ACTION PLAN
2023-2025
MUNICIPALITY OF LUPON
PROVINCE OF DAVAO ORIENTAL
PREPARED BY:

DAISY AVANCE GUIAO,RN

MNAO-DESIGNATE

NOTED BY:

BELEN P. LARROBIS
MUNICIPAL HEALTH OFFICER II

APPROVED BY:

ERLINDA D.LIM
MUNICIPAL MAYOR
TABLE OF CONTENTS
 ACRONYMS

BNS - Barangay Nutrition Scholar

DILG - Department of the Interior and Local Government

DOH - Department of Health

FHSI - Field Health Service Information System

S
FNRI - Food and Nutrition Research Institute

F1K - First 1,000 Days

GIDA - Geographically Isolated and Disadvantaged Area

IFA - Iron Folic Acid

IP - Indigenous People

LGU - Local Government Unit

LNAP - Local Nutrition Action Plan

NDH - National Demographic and Health Survey

S
NED - National Economic and Development Authority
A
NGO - Non-government Organizations

NIE - Nutrition in Emergencies

NAO - Nutrition Action Officer

NNC - National Nutrition Council

NNS - National Nutrition Survey

PDP - Philippine Development Plan

PNC - Provincial Nutrition Committee

PPA - Philippine Plan of Action for Nutrition

N
RPA - Regional Plan of Action for Nutrition
N
Dear Community Members,

As we strive for a healthier and more prosperous community, I want to emphasize the
importance of nutrition in our daily lives. Proper nutrition is the foundation of well-being, and
it's essential for our children's growth, our families' health, and our community's progress.
As your Mayor, I am committed to addressing malnutrition and promoting healthy eating habits.
Our administration is working tirelessly to:
 Strengthen nutrition programs and services
 Support sustainable agriculture and food systems
 Enhance nutrition education and awareness
 Foster partnerships for better health outcomes
I urge everyone to join us in this effort. Let's work together to:
 Make informed food choices
 Promote healthy lifestyles
 Support local nutrition initiatives
Healthy citizens, healthy community, healthy future!

Sincerely,

ERLINDA D.LIM
MUNICIPAL MAYOR
Dear Community Members,

As your Municipal Health Officer, I am excited to share our commitment towards improving the
nutritional health of our community through the newly developed Municipal Nutrition Action
Plan. This initiative reflects our dedication to fostering a healthier environment for all residents,
especially our children and vulnerable populations who are most affected by poor nutrition.
Malnutrition, whether in the form of undernutrition or overnutrition, poses significant risks to
our community’s health and well-being. It can lead to a multitude of health issues, including
chronic diseases, impaired growth in children, and decreased overall productivity.
We believe that a well-nourished community is a thriving community. Each one of us has a role
to play in this endeavor, from making mindful food choices to supporting local health initiatives.
Your participation is crucial in making this action plan a success.
Together, let’s pave the way for a healthier tomorrow. I invite you all to be actively involved in
these efforts as we work hand in hand towards a brighter and healthier community.

Thank you for your continuous support and cooperation.

Sincerely,

Belen P. Larrobis
Municipal Health Officer II
Dear Community Members,

I am honored to address you as your Municipal Nutrition Action Officer and to share our vision
for a healthier community through the implementation of the Municipal Nutrition Action Plan
(MNAP). This plan is a collective effort to address the pressing nutritional needs of our residents
and to foster an environment where everyone can achieve optimal health through proper
nutrition.

The MNAP is built on the foundation that good nutrition is a right for every individual. We
recognize that many of our community members face challenges related to food security and
dietary choices, and it is our mission to overcome these barriers together.

I encourage every member of our community to get involved and take advantage of the
resources and programs that will be made available through the MNAP. Together, we have the
power to create lasting change in our community’s nutritional health.

Thank you for your commitment to a healthier future. Let us work together to ensure that every
individual in our municipality has access to the nutrition they need to thrive.

Warm regards,

Daisy A. Guiao, RN
Municipal Nutrition Action Officer
INTRODUCTION
Malnutrition remains one of the most pressing public health challenges globally, significantly
impacting the health, development, and future productivity of communities. In the Municipality
of Lupon, the burden of malnutrition manifests in various forms, stunting, wasting, and
overweight and obesity. These issues pose serious threats to the well-being of our most
vulnerable populations, particularly children under five and pregnant and lactating women.
To effectively address these challenges, the Municipality of Lupon has developed the Municipal
Nutrition Action Plan (MNAP). This comprehensive and multi-sectoral initiative aims to provide
a coordinated response to malnutrition within the community. The MNAP outlines strategic
objectives and interventions tailored to improve the nutritional status of residents, enhance
food security, and promote healthy dietary practices.
The MNAP emphasizes the importance of community engagement and participation,
recognizing that sustainable solutions to malnutrition must involve the active collaboration of
local stakeholders, including government entities, non-governmental organizations, health
professionals, schools, and families. By fostering a supportive environment for nutrition-related
initiatives, the MNAP seeks to create a culture of health that prioritizes nutrition as a
fundamental component of overall well-being.

Key components of the MNAP includes:

1. Situational Assessment
o Conducting a thorough analysis of the local nutritional status, identifying
prevalent forms of malnutrition (undernutrition, overnutrition, micronutrient
deficiencies), and understanding the underlying social, economic, and
environmental factors.
2. Vision, Mission, Goals and Objectives
o Establishing clear, measurable goals and specific objectives that the plan aims to
achieve within a designated timeframe. These should align with national policies
and international nutrition goals.
3. Target Population
o Identifying specific groups within the community that are most at risk of
malnutrition, such as children, pregnant and lactating women, the elderly, and
low-income families, to tailor interventions accordingly.
4. Interventions and Strategies
o Outlining targeted programs designed to address the identified forms of
malnutrition. These may include:
 Nutrition Education and Promotion: Programs to enhance knowledge
about healthy eating habits, food preparation, and dietary diversity.
 Feeding Programs: Implementing school feeding initiatives, community
feeding programs, and supplementary feeding for malnourished
individuals.
 Micronutrient Supplementation: Providing vitamins and minerals to
prevent deficiencies, particularly in vulnerable populations.
  Behavioral Change Communication (BCC): Using campaigns to promote
positive behaviors related to nutrition and health.
5. Capacity Building
o Planning for training and capacity enhancement of local health workers,
community volunteers, and stakeholders to improve the delivery of nutrition
services and interventions.
6. Collaboration and Partnerships
o Engaging with various sectors and stakeholders, including government units, non-
governmental organizations (NGOs), community-based organizations, and private
sector partners, to create a collaborative approach to nutrition.
7. Monitoring and Evaluation (M&E)
o Developing a framework for regular monitoring and evaluation of the plan’s
activities and impacts. This includes defining key performance indicators (KPIs) to
assess progress and effectiveness, as well as mechanisms for reporting and
accountability.
8. Resource Mobilization
o Identifying the financial and human resources necessary to implement the plan,
including potential funding sources, such as government budgets, international
aid, and grants.
9. Policy Advocacy
o Promoting the formulation and adoption of supportive policies at the municipal
and local levels that enhance nutrition initiatives and create an environment
conducive to improving nutritional status.

By effectively addressing malnutrition through the MNAP, the Municipality of Lupon aims to
improve health outcomes, enhance the quality of life for its residents, and contribute to the
overall development of the community. The successful implementation of this plan will not only
reduce the prevalence of malnutrition but will also empower families with the knowledge and
resources necessary to lead healthier lives, fostering a sustainable future for the Municipality of
Lupon.
 VISION
Municipal Nutrition Council of Municipality of Lupon
envisions to achieve nutrition-related goals through
multi-sectoral coordination and proper implementation
of initiatives thus providing baseline support for its
mission; to provide an adequate and proper nutrition
throughout the Municipality for the many years to
come.

MISSION
To provide quality service to its stakeholders, Municipal
Nutrition Council of Lupon continuously aims to
improve in all nutrition-related aspects by formulating
plans and bridging programs to ensure adequate
nutrition for its constituents.
MUNICIPAL PROFILE

The Municipality of Lupon is

a first-class municipality
situated in the 2nd District
of Davao Oriental. It is
closest to the Municipality
of Banaybanay and furthest
from the Municipality of
Boston within the province.
As of 2017, Lupon had a
population of 68,240
people, comprising
15,579 households.

Founded on August 8, 1948,

Lupon is believed to have
derived its name from the
native term "naluponan," which refers to a landmass formed at the mouth of the Sumlog River,
eventually shortened to Lupon by locals.

The area saw a significant influx of both Muslim and Christian migrants. Lupon officially became
a regular barrio of Pantukan in 1919. Two years later, by Executive Order No. 8, issued by
Governor General Francis Burton Harrison, it was established as a Municipal District,
encompassing eight barrios: (1) Poblacion, (2) Sumlog, (3) Cocoron, (4) Tagugpo, (5) Piso, (6)
Maputi, (7) Langka, and (8) Banay-Banay.

Today, Lupon is made up of 21 barangays, listed in alphabetical order: Bagumbayan,

Cabadiangan, Calapagan, Cocornon, Corporacion, Don Mariano Marcos, Ilangay, Langka,
Lantawan, Limbahan, Macangao, Magsaysay, Mahayahay, Maragatas, Marayag, New Visayas,
Poblacion, San Jose, San Isidro, Tagboa, and Tagugpo. The most populous barangay is Poblacion,
which has a population of 17,033.

Additionally, there are eight Geographically Isolated and Disadvantaged Areas (GIDA) within the
municipality: Barangays Don Mariano Marcos, Calapagan, Marayag, Maragatas, Tagugpo,
Lantawan, New Visayas, and San Isidro.

Currently, the stewardship of the Municipal Government is under the newly elected Mayor
Erlinda D. Lim, who has pledged to prioritize the interests and general welfare of the
Municipality while seeking to maintain the support of the leadership.
GEOGRAPHIC LOCATION

Lupon is situated 128 kilometers

from Davao City, which serves
as the regional center of
Southeastern Mindanao (Region
XI). It is also 136 kilometers
away from the Provincial
Capitol, with a travel time of
about 45 minutes by bus. The
municipality is located in the
southwestern part of Davao
Oriental, positioned between
the latitudes of 6º 52’ and 7º
10’ north and the longitudes of
126º 15’ east. It is bordered to
the north by the Municipality of
Pantukan in Compostela Valley
Province, to the south by the
Municipality of San Isidro, to the east by the Municipalities of Manay, Tarragona, and the City of
Mati, and to the west by the Municipality of Banaybanay and the Davao Gulf.

DEMOGRAPHICS

POPULATION AND LAND AREA

Lupon’s total land area of 88,639 hectares as provided and certified by the Land
Management Bureau, National Office in 1997 is classified into alienable/disposable and
forestlands wherein Barangay Marayag has the biggest land area wit 12,928.70 has. While the
least is Barangay Corporacion with only 743 has.

Lupon is composed of 21 barangays of which three barangays namely: Don Mariano

Marcos, Calapagan, and Marayag which can be reached only by passing the other 2
municipalities namely San Isidro and City of Mati. Some of the barangays have a mountainous
and hilly terrain. One fourth of the population reside in the Brgy. Poblacion while the rest are
scattered among the 20 other barangays.

Name of Barangay ACTUAL HOUSEHO ACTUAL HOUSEHO Land Area

POPULATIO LD POPULATIO LD 2021
N 2020 N
2020 2021
1. BAGUMBAYAN 6261 1409 6205 1478 1,826
2. CABADIANGAN 1536 352 1608 391 1,751
3. CALAPAGAN 4136 1021 4538 941 10,571.70
4. COCORNON 2398 530 2403 562 1328.25
5. CORPORACION 3358 747 4393 826 743.00
6. DMM 4078 970 4183 1034 9,078.70
7. ILANGAY 5975 1403 6299 1645 2,115.75
8. LANGKA 2048 454 2064 462 1,993.00
 9. LANTAWAN 422 89 428 108 1,378.25
10. LIMBAHAN 1987 443 1944 481 890.95
11. MACANGAO 2220 536 2312 590 1,298.25
12. MAGSAYSAY 907 216 945 228 1,156.00
13. MAHAYAHAY 1051 231 1109 260 1,769.00
14. MARAGATAS 3157 729 3306 826 9,057.70
15. MARAYAG 5597 1230 5849 1398 12,928.70
16. NEW VISAYAS 667 168 691 168 7,719.00
17. POBLACION 17255 4027 17866 4322 2747.30
18. SAN ISIDRO 1764 402 1905 459 9,013.00
19. SAN JOSE 787 166 798 187 885.00
20. TAGBOA 1950 463 1911 464 6846.45
21. TAGUGPO 2593 658 2830 644 3,542.00
TOTAL 70,147 16,244 72,633 17,474 88,639.00

Distance of Barangay to Town Center

NO. Name of Barangay Distance from Brgy. Poblacion
(Kilometers)
1 BRGY. POBLACION (Point of Origin) ---------
2 BRGY. BAGUMBAYAN 2.8
3 BRGY. ILANGAY 3.2
4 BRGY. LANGKA 4.6
5 BRGY. CABADIANGAN 6.0
6 BRGY. TAGUGPO 9.6
7 BRGY. MAHAYAHAY 11.6
8 BRGY. MARAGATAS 12.4
9 BRGY. COCORNON 5.0
10 BRGY. CORPORACION 2.5
11 BRGY. TAGBOA 13.0
12 BRGY. MAGSAYSAY 12.0
13 BRGY. SAN JOSE 9.8
14 BRGY. LANTAWAN 17.0
15 BRGY. LIMBAHAN 6.0
16 BRGY. MACANGAO 8.2
17 BRGY. SAN ISIDRO 32.2
18 BRGY. NEW VISAYAS 21.0
19 BRGY. DON MARIANO MARCOS 52.20
20 BRGY. CALAPAGAN 55.5
21 BRGY. MARAYAG 63.0
Source: Municipal Planning & Development Office
Lupon, Davao Oriental

GEO-HAZARD MAPPING

The Municipality of Lupon faces significant environmental challenges, particularly in

flood-prone barangays. The following areas are identified as vulnerable to flooding:
 Marayag
 Calapagan
 DMM
  Macangao
 Limbahan
 Poblacion
 Ilangay
 Langka
 Corporacion
 Cabadiangan
Given the impacts of global climate change, it is essential to prioritize disaster preparedness in
these barangays. Strategies should include enhancing early warning systems, improving
drainage infrastructure, and implementing community education programs on flood response.
In addition to flooding, the municipality also grapples with erosion and landslide issues,
particularly affecting residents in upland barangays, especially those in Geographically Isolated
and Disadvantaged Areas (GIDAs).
Hazard Inventory Matrix, Municipality of Lupon

Barangay Flood Rain Induced Landslide Storm Surge

Bagumbayan x x
Cabadiangan x
Calapagan X
Cocornon
Corporacion x
Don Mariano Marcos x X
Ilangay x x
Langka x
Lantawan X
Limbahan x

Macangao x x

Magsaysay
Mahayahay
Maragatas X
Marayag x X
New Visayas X
Poblacion x x
San Isidro x X
San Jose x

Tagboa
Tagugpo x X
SOIL CAPABILITY AND SUITABILITY
The land resources of Lupon are classified based on their capability, reflecting the
predominantly hilly and mountainous terrain in the northern part of the municipality. The
following are the categorized land areas suitable for various uses:

Land suitability for Cultivation 32,986.00 has

Land Limited to Pasture 100.00 has
Land Limited to Forest 47,732.10 has
Land Limited to wildlife and recreation 7,820.90 has

BASIC SOIL TYPE

SOIL TYPE LAND AREA (Has.) % of Total Land Area

Camansa Sandy Clay Loam 36,102.66 40.73
Malalag Loam 31,466.85 35.50
San Manuel / Sitty Clay Loam 21,069.49 23.77
Source: Municipal Agriculture Office – Lupon, Davao Oriental
Lupon is characterized by three primary types of soil:
1. Camansa Sandy Clay Loam: This soil type occupies approximately 36,102.66 hectares. It
is known for its good drainage and fertility, making it suitable for a variety of crops.
2. Malalag Loam: Covering around 52,536.34 hectares, this loam is rich in nutrients and
provides excellent conditions for crop growth.
3. San Manuel Silty Clay Loam: Predominantly found in the western portion of Lupon, this
soil type contributes to the agricultural diversity of the area.
In the northern region of Lupon, there is a combination of Camansa Sandy Clay Loam and
Malalag Loam, while the western area is primarily characterized by San Manuel Silty Clay Loam.
These soil types are conducive to the cultivation of essential crops such as coconut, rice, and
corn, supporting the local agricultural economy
ECONOMIC OVERVIEW
Agricultural Sector
Crop Production

Area Planted ( In Total Production ( MT )

Hectares )
a. Rice 1,150.47 11,072.41
b. Corn 2,355 7,140.0
c. Coconut, Incl. Copra 11,826.0 17,438.27
d. Coffee 737.5 120.0
e. Banana 1,500 18,000.0
f. Rubber 460.4 6.0
g. Mango 353.5 5,302.5
h. Vegetables 165.8 1,293.2
i. Cacao 64.5 19.4
j. Lanzones 35.0 273.0
k. Durian 35.0 409.5
 l. Other Crops 15,880.40

Table 4.2 Livestock and Poultry Production

TYPE PRODUCTION (Backyard)

VOLUME (kg) Value (PHP)
*Livestock
1. Swine 167,100 28,407.00
2. Cattle 52,350 20,940.00
3. Carabao 38,400 13,440,000.00
4. Goat 18,975 4,743,750.00
*Poultry
1. Chicken 22,800 5,700,000.00
2. Duck 852 153,360.00
Source: Municipal Agriculture Office, 2022
FISHERY SERVICES

Profile:
No. of Coastal Barangays : 4 Barangays
Coastal Habitat:
Mangrove Area : 8 has
Sea Grass Area : 4 has
Coral Reef Area : 86 has
Fish Pond Area :
Freshwater : 16,712
Brackishwater : 274.24
No. of Fishermen : 1,456
No. of fishing boats
Motorized : 731
Non-motorized : 178

INFRASTRUCTURE

Table 5. Day Care Centers in the City/Municipality

YEAR NUMBER OF BARANGAYS PERCENT DAY CARE DAY CARE

BARANGAYS WITH Day Care COVERED CENTERS WORKERS
Centers
2019 21 21 100% 57 59
2020 21 21 100% 57 60
2021 21 21 100% 58 61
2022 21 21 100% 60 67
Source: MSWD Office

Over the past four years, the Municipal Nutrition Council of Lupon has successfully maintained
a robust network of day care centers across all barangays, achieving a remarkable 100%
coverage rate. This accomplishment highlights the council's commitment to ensuring that every
child has access to essential early childhood education and care.
In 2019, there were 57 day care centers operating within the 21 barangays, supported by a
dedicated workforce of 59 day care workers. As the years progressed, the number of day care
centers steadily increased, reaching 60 in 2022. This growth not only demonstrates an
expanding capacity to serve the community’s youngest members but also reflects the council’s
proactive approach in responding to the needs of families.

The workforce behind these centers also grew in tandem, with the number of day care workers
rising from 59 in 2019 to 67 by 2022. This increase indicates a commitment to providing quality
care and education, ensuring that each child receives the attention and support they need
during these formative years.

Through continuous investment in day care services, the Municipal Nutrition Council of Lupon is
not just enhancing access to education but also contributing to the overall well-being of the
community. By fostering a nurturing environment for early childhood development, the council
is laying the groundwork for a healthier, more educated future generation.

WATER SUPPLY

Percentage of Households with Access to Improved or Safe Water Supply Lupon, Davao

The data reveals trends in household access to safe water supply over the past three years. In
2019, 95.5% of households reported having access to safe water. This figure increased to 98.5%
in 2020, indicating significant progress in improving water supply accessibility. However, there
was a notable decline in 2021, with the percentage dropping to 91.8%, which falls below the
National Objective for Health (NOH) target of 95%.

This decrease may be attributed to several factors, particularly the rising number of individuals
establishing their own families while continuing to live with their parents. This situation is
especially prevalent among indigent families who lack the means or capacity to secure a reliable
water supply for their households.

Addressing these challenges is crucial to ensure that all households can access safe water
consistently. Continued efforts in improving infrastructure and support for vulnerable
populations will be essential to meet health standards and enhance overall community well-
being.
HEALTH FACILITIES

The Municipality of Lupon offers a range of health facilities aimed at addressing the medical
needs of its residents. These facilities include hospitals, health centers, and community clinics,
each playing a crucial role in providing healthcare services. Here’s an overview of the key health
facilities in Lupon:

1. DOPH-LUPON

 Type: Public Hospital

 Services Offered: Inpatient and outpatient services, emergency care, maternity services,
minor surgical procedures, and laboratory services.
 Capacity: Medium-sized facility with several beds, serving as the primary referral center
for more complex medical cases within the municipality.

2. Municipal Health Office

 Type: Government Health Office

 Functions: Oversees public health programs, maternal and child health services,
immunization, and health education initiatives.
 Programs: Implements various health campaigns and community outreach programs to
promote wellness and disease prevention.

3. Barangay Health Stations

 Number: 30 reporting stations

 Services Offered: Basic healthcare services, maternal and child health care, family
planning, and immunization.
 Role: Acts as the first point of contact for residents seeking medical attention, providing
essential services in a community setting.

4. Rural Health Units (RHUs)

 Function: Provide primary healthcare services to rural communities, focusing on

preventive care, nutrition, and health education.
 Services: Regular check-ups, health monitoring, and treatment for minor illnesses.

5. Private Clinics and Pharmacies

 Availability: Several private clinics and pharmacies operate within Lupon, offering a
range of medical services, consultations, and medications.
 Role: Complement public health services by providing additional healthcare options for
residents.

6. Specialized Health Services

 Availability: Occasionally, specialized medical services may be offered through visiting

healthcare providers or outreach programs, focusing on areas such as dental health,
nutrition, and mental health.
HEALTH STATUS

Ten (10) Leading Causes of Morbidity 2019-2021, Lupon, Davao Oriental

Year Morbidity Male Female Total

1. ACUTE UPPER RESPIRATORY TRACT INFECTION 1,398 1,793 3,191
2. ACUTE LOWER RESPIRATORY INFECTION 1,098 1,254 2,352
3. INFLUENZA LIKE ILLNESS 624 695 1,319
4. WOUNDS 448 263 711
5. HYPERTENSION 271 390 661
2019 6. DIARRHEA AND AGE 328 294 622
7. DERMATOLOGIC DISEASES 251 310 561
8. DISEASES OF THE URINARY SYSTEM 118 262 380
9. PNEUMONIA 186 190 376
10. MUSCULOSKELETAL AILMENT 138 237 375

1. ACUTE UPPER RESPIRATORY TRACT ILLNESS 1,039 1,157 2,196

2. ACUTE LOWER RESPIRATORY TRACT ILLNESS 461 536 997
3. INFLUENZA LIKE ILLNESS 460 517 977
4. HYPERTENSION 361 447 808
2020 5. WOUNDS 512 268 780
6. DERMATOLOGIC DISEASES 294 325 619
7. DISEASES OF URINARY SYSTEM 89 233 322
8. DIARRHEA AND AGE 245 221 466
9. PNEUMONIA 152 138 290
10. MUSCULOSKELETAL AILMENT 61 111 172

1. ACUTE UPPER RESPIRATORY TRACT INFECTION 946 701 1,647

2. INFLUENZA LIKE ILLNESS 472 396 868
3. WOUNDS (ALL FORMS) 296 382 678
2021 4. HYPERTENSIVE DISEASES 288 261 549
5. ACUTE LOWER RESPIRATORY TRACT INFECTION 248 287 535
6. INFECTION OF THE SKIN AND SUBCUTANEOUS 226 206 432
TISSUE
7. OTHER DISEASES OF THE URINARY SYSTEM 98 106 204
8. PULMONARY TUBERCULOSIS 89 33 122
9. CHRONIC LOWER RESPIRATORY INFECTION 49 51 100
10. ANIMAL BITES 39 58 97

The morbidity data from 2019 to 2021 highlights significant trends in health issues affecting the
population. Each year, the Municipal Health Office has collected data to identify the most
prevalent conditions and to allocate resources effectively.

2019 Overview
In 2019, the most common health issues included acute upper respiratory tract infections, with
a total of 3,191 cases (1,398 males and 1,793 females), followed closely by acute lower
respiratory infections, which accounted for 2,352 cases. Influenza-like illnesses also posed a
notable concern, impacting 1,319 individuals. Other significant health issues included
hypertension (661 cases) and diarrhea (622 cases).

2020 Trends

The following year, 2020, saw a shift in the morbidity landscape. Acute upper respiratory tract
illnesses remained prevalent but decreased to 2,196 cases. Acute lower respiratory tract
illnesses also significantly dropped to 997 cases. Notably, hypertension cases increased to 808,
indicating a growing concern for cardiovascular health. Wounds saw an increase as well,
totaling 780 cases. The emergence of dermatologic diseases persisted, with 619 cases reported.

2021 Patterns

By 2021, acute upper respiratory tract infections continued to decline, with 1,647 reported
cases. Influenza-like illnesses remained prevalent, affecting 868 individuals. There was a notable
increase in reported cases of wounds (678) and hypertensive diseases (549). New conditions
emerged, such as pulmonary tuberculosis, which, while fewer in number (122 cases),
highlighted ongoing public health challenges.

The data from these three years indicates shifting health priorities within the community.
Respiratory illnesses dominated the morbidity statistics, although there were fluctuations over
time. The rise in hypertension and skin infections emphasizes the need for targeted health
interventions and community awareness programs. Continued monitoring and responsive
health strategies will be essential in addressing these prevalent health issues effectively.

Health Human Resource

The delivery of quality health services to the clientele of Lupon depends on the competency of
the health personnel and adequacy of human resource ratio to population.

Human Resources for Health (HRH)

Municipality / Projected
Component Population
City 2021 Sanitary
Pharma Nutri-
Physicians Nurse Dentist Med Tech Midwife Inspec-
cist tionist tor

LUPON 71,539 LGU DOH LGU DOH LGU DOH LGU DOH LGU DOH LGU LGU LGU

1 1 6 18 1 0 1 1 26 3 0 0 1

Table outlines the current distribution of health workers hired under the Local Government
Unit (LGU) of Lupon. While the ideal health worker-to-population ratios for nurses (1 nurse per
10,000 people) and midwives (1 midwife per 5,000 people) have been met, the municipality still
falls short in the ratios for doctors, medical technologists, sanitary inspectors, and dentists.

Data Sources: FHSIS-RHIS RHU Summary Tables

Current Staffing Needs: To adequately serve the growing population and enhance the
functionality of the Rural Health Unit (RHU), there is a pressing need to create additional
plantilla positions for:
 Nurses: Additional staff for birthing facilities
 Midwives: To support maternal health services
 1 Dentist
 2 Medical Technologists
 2 Sanitary Inspectors
 1 Pharmacist
 1 Health Education and Promotion Officer (HEPO)
 1 Encoder
The LGU has successfully created a plantilla position for 1 physician and plans to hire another
physician in 2023.
Context of Health Care Needs
With the Philippine population increasing annually and the implementation of Universal Health
Care (UHC), it is crucial to ensure that adequate human resources are available to meet the
rising health demands in Lupon.
Current Deployment of Health Workers
The Department of Health (DOH) has deployed the following human resources to health
centers, with contracts expiring in December 2022:
 1 Doctor to the Barrio
 18 Nurses deployed in barangays
 3 Midwives deployed in barangays
 1 Medical Technologist at the main RHU
The presence of these health workers has significantly improved access to basic health services,
especially for residents in remote sitios, puroks, and Geographically Isolated and Disadvantaged
Areas (GIDAs). This has fostered better health-seeking behaviors among the populace.
Challenges Ahead
With the devolution of health services in 2022, the LGU will now be responsible for hiring
additional health workers, as the DOH will discontinue its deployment. Although there has been
an increase in the National Tax Allotment (NTA) to LGUs, hiring additional health care workers
remains a challenge. Concerns about exceeding the Personnel Services (PS) limitations set by
the Department of Budget and Management (DBM) complicate the situation. Moreover, the
prioritization of health personnel hiring will depend on the local government's commitment and
the mayor's support.
To adequately address the health needs of the growing population in Lupon, it is essential to
strengthen the health workforce by hiring more health care professionals. This will ensure the
continuity and effectiveness of health services, particularly in underserved areas.

Population & Number of Households with number of BNS.

Actual Pupolation Number

Number of Existing
BARANGAY Households
of
Families BNS
Male Female Total

1 BAGUMBAYAN 1 1,874 1,709 3,556 827 931 2

2 BAGUMBAYAN 2 1,429 1,374 2,847 706 769 1
3 CABADIANGAN 818 715 1569 402 448 1
4 CALAPAGAN 1 2096 1988 4048 990 1120 1
5 CALAPAGAN 2 250 203 453 101 112
6 COCORNON 1320 1233 2553 624 716 2
7 CORPORACION 1814 1747 3561 853 974 1
8 DMM 1 1868 1588 3456 846 909 1
DMM 2 425 376 801 197 207

9 ILANGAY 1 1147
2216 2116 4332 1242 2
ILANGAY 2 1070 1068 2138 491 570
11 LANGKA 1083 1040 2123 482 583 2
12 LANTAWAN 248 210 458 97 120 1
13 LIMBAHAN 1052 1022 2047 526 575 2
14 MACANGAO 1113 1116 2229 568 650 1
15 MAGSAYSAY 502 454 956 234 249 1
16 MAHAYAHAY 568 527 1095 267 289 1
17 MARAGATAS 1776 1542 3318 831 883 2
18 MARAYAG 1 1283 1086 2369 536 599
19 MARAYAG 2 574 2
1452 1220 2645 667
MARAYAG 3 513 487 1019 328 328
20 NEW VISAYAS 393 347 740 207 218 1
21 POBLACION 1A 2261 2565 5186 1317 1427
22 POBLACION 1B 1032 2
2114 2059 4173 1126
22 POBLACION 2A 1121
2211 2113 4324 1256 2
23 POBLACION 2B 2285 2184 4543 1070 1208
24 SAN ISIDRO 919 880 1799 446 465 1
25 SAN JOSE 397 376 773 187 201 1
 26 TAGBOA 1042 978 2020 521 564 1
27 TAGUGPO 1519 1438 3002 812 828 2

TOTAL 37,820 35,466 73,286 18,153 20,033 33

2022 Annual Survey

According to the 2022 Annual Survey, the Local Government Unit (LGU) of Lupon encompasses
a total population of 73,286 across 21 barangays, with 18,153 households reported. The data
indicates that there are currently 33 Barangay Nutrition Scholars (BNS) serving these
communities, highlighting a significant gap in the workforce dedicated to nutrition programs.

Workforce Challenges
The distribution of BNS indicates that some barangays, particularly those classified as
Geographically Isolated and Disadvantaged Areas (GIDA), face unique challenges. For example,
Barangay Calapagan and Barangay DMM serve larger populations while only having one or two
BNS assigned to them. This limited workforce may hinder effective nutrition program
implementation, especially in communities where access to resources is critical

Expanded Program on Immunization

Figure 4 : Percentage Fully Immunized Children

2019-2021
100

80 77.8
72.6 72.4
60

40

20

0
2019 2020 2021

The Fully Immunized Child (FIC) coverage has shown a declining trend, which is concerning. One
significant factor contributing to this decrease is the challenging terrain of some Geographically
Isolated and Disadvantaged Areas (GIDA) barangays. Health workers can only deliver health
services once every quarter due to the high costs of travel allowances, compounded by
occasional peace and order issues that hinder access.
To improve FIC coverage and reach the target of 95%, it is essential to intensify efforts in several
areas:
1. Increased Mobilization Assistance: Greater support is needed to facilitate health
workers’ access to remote areas. This could include enhanced transportation resources
or logistical support to ensure health services can be delivered more frequently.
2. Regular Monitoring and Follow-Up: Implementing a robust system for monitoring and
following up with families that miss vaccinations is crucial. This proactive approach will
help ensure that no child is overlooked in the immunization program.
 3. Community Engagement: Engaging local communities to raise awareness about the
importance of immunization can improve participation rates. Educational campaigns can
empower families to seek out vaccination services.
4. Collaboration with Local Leaders: Partnering with barangay officials and local leaders can
help facilitate access to remote areas and address any community-specific challenges
that may arise.
By addressing these challenges and focusing on targeted interventions, we can work towards
reversing the downward trend in FIC coverage and ensuring that all children receive the
necessary immunizations to protect their health.

EXCLUSIVE BREASTFEEDING

Figure 5: Percentage of Exclusive Breastfeeding

2019-2021

99
National Target: 70%
98
98
97 97.2
96

95

94
94
93

92
2019 2020 2021

The data indicates a positive trend in exclusive breastfeeding rates among newborns, rising
from 94% in 2019 to 97% in 2020, and reaching 98% in 2021. This achievement significantly
exceeds the National Objective for Health (NOH) target of 70%.
Several factors have contributed to this increase:
1. Pandemic Impact: The COVID-19 pandemic necessitated that many mothers stay at
home, creating an environment that encouraged breastfeeding. With limited access to
outside activities, mothers had more time to focus on nurturing their infants.
2. Health Worker Efforts: The dedication of health care workers (HCWs) has been
instrumental in promoting breastfeeding. Their comprehensive information, education,
and communication (IEC) campaigns have effectively raised awareness about the
importance and benefits of exclusive breastfeeding for infants’ health and development.

The rising rates of exclusive breastfeeding are a commendable achievement, demonstrating

the effectiveness of community health initiatives and the resilience of families during
challenging times. Continued efforts to support and educate mothers about breastfeeding
will be essential in maintaining and further improving these rates.
 MATERNAL HEALTH SERVICES:

QUALITY PRENATAL CARE

Figure 6: Percentage of Quality Prenatal care

2019-2021
National Target: 90% The data on quality prenatal
94
92 92 care reveals a fluctuating
90 trend from 2019 to 2021.
Coverage increased from 84%
88
in 2019 to 92% in 2020.
86
However, in 2021, it dropped
84 84
to 81.6%, falling below the
82 81.6 National Objective for Health
80 (NOH) target of 90%.
78
76
2019 2020 2021

Several factors contributed to this decline:

1. Health-Seeking Behavior: Many pregnant women tend to seek antenatal care only
during their second and third trimesters, resulting in missed opportunities for early
interventions that could improve maternal and fetal health.
2. Geographically Isolated and Disadvantaged Areas (GIDAs): The presence of GIDAs
poses significant challenges for health care workers (HCWs). Irregular visits to these
areas due to difficult terrain and high transportation costs hinder access to prenatal
services.
3. Cultural Barriers: Some communities, particularly those with religious minorities, may
resist modern medical practices, impacting the utilization of prenatal care services.
4. Impact of the COVID-19 Pandemic: The ongoing pandemic has further complicated
access to healthcare, with many women hesitant to seek care due to concerns about
exposure to the virus.

Addressing these challenges is critical to improving maternal health outcomes. Strategies to

enhance health-seeking behavior, increase HCW outreach in GIDAs, and engage with
communities to promote the importance of early and consistent prenatal care will be essential
in reversing the downward trend in service utilization.
FACILITY BASED DELIVERY

Figure 7: Percentage of Facility Base Delivery

2019-2021
National Target: 90%
94.5
94 94
93.5
93 93
92.5
92 92
91.5
91
2019 2020 2021

The data indicates a slight increase in facility-based deliveries, rising from 93% in 2019 to 94%
in 2020. However, there was a small decline in 2021, with the percentage dropping to 92%.
Despite this decrease, the rate remains high and exceeds the National Objective for Health
(NOH) target of 90%.
One significant factor contributing to this achievement is the implementation of the Maternal,
Neonatal, Child Health and Nutrition (MNCHN) ordinance, which has effectively encouraged
mothers to deliver in designated birthing facilities. This ordinance has reinforced the
importance of safe delivery practices and provided a framework for improving maternal health
services in the community.
While there has been a slight fluctuation in the rates of facility-based deliveries, the overall
figures remain encouraging. Continued support for the MNCHN ordinance and ongoing efforts
to promote the benefits of facility-based deliveries will be essential in maintaining high rates of
safe childbirth in the community.
QUALITY POST PARTUM CARE
 Figure 8: Percentage of Quality post partum care
2019-2021
National Target: 90%
93
92 91.7 91.8
91
90
89
88
87 87
86
85
84
2019 2020 2021
Data Sources: FHSIS-RHIS RHU Summary Tables

The data demonstrates a

positive trend in the quality of post-partum care, with rates increasing from 87% in 2019 to
91.7% in 2020, and slightly rising to 91.8% in 2021. These figures surpass the National Objective
for Health (NOH) target of 90%, reflecting a strong commitment to maternal care.
The success in post-partum care can be attributed to the dedication of health care workers
(HCWs), who have been proactive in following up with post-partum women. Their efforts ensure
that new mothers receive the necessary support and guidance during this critical period,
contributing to improved health outcomes for both mothers and infants.

The consistent increase in quality post-partum care is a commendable achievement, highlighting

the effectiveness of HCW engagement and follow-up practices. Continued focus on this area will
be essential to sustain high standards of maternal care and support for new families in the
community.

ADOLESCENT SEXUAL & REPRODUCTIVE HEALTH

Figure 9: Percentage of Teenage Pregnancy 2019-2021

18

17.5
NOH target: 14%
17.4
17

16.5
16.4
16

15.5
15.5
15

14.5
2019 2020 2021

Data Sources: FHSIS-RHIS RHU Summary Tables

The data shows a decrease in the percentage of teenage pregnancies over a three-year period,
declining from 17.4% in 2019 to 16.4% in 2020, and further to 15.5% in 2021. While this trend is
encouraging, the rates remain above the National Objective for Health (NOH) target of 14%.
Several factors contribute to the ongoing prevalence of teenage pregnancies:
1. Influence of Social Media: Increased access to social media can impact adolescents'
understanding of sexual health, often leading to misinformation or risky behaviors.
2. Lack of Awareness and Education: Many teenagers may lack sufficient knowledge and
understanding of reproductive health and fertility, which can contribute to unintended
pregnancies.
3. Absence of Adolescent Health Services: The lack of established adolescent centers in
health facilities and schools limits access to essential health services and counseling that
respect the privacy and confidentiality of young people. This gap is partly due to budget
constraints preventing the construction of dedicated adolescent centers.
4. Training Deficiencies: Teachers, nurses, and midwives may not have received adequate
training in adolescent health education and counseling, which is crucial for providing
appropriate support to this age group.
5. Regulatory Framework: The absence of local ordinances specifically addressing
adolescent health needs further hinders the implementation of effective programs and
services.
On a positive note, the gradual decrease in teenage pregnancies may also be attributed to the
COVID-19 pandemic, which restricted adolescents' movements and shifted education to online
formats. This likely reduced opportunities for social interactions that could lead to early
pregnancies.
While the reduction in teenage pregnancy rates is a step in the right direction, continued efforts
are needed to address the underlying factors contributing to these high rates. Establishing
adolescent health centers, improving education and awareness programs, and providing
training for health educators are essential steps to better support young people in making
informed choices about their reproductive health.

NUTRITION SITUATION ANALYSIS

The development of the Municipality of Lupon continues to be challenged by the serious

malnutrition situation prevailing among the population. In particular, the municipality continues
to face persistent problems of malnutrition such as stunting, undernutrition, overnutrition and
wasting that seriously affect children and mothers.
The municipal government and concerned provincial and national authorities continue to
assess, monitor, and to seek adequate responses to the alarming situation.
Definitions of Undernutrition, Stunting, Wasting, Overnutrition
Undernutrition is a condition which captures both past and present nutritional status. It is the
result of eating an inadequate quantity 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/Underheight is a condition in which the child’s height is less than expected for
his/her age (underheight-for-age). It reflects chronic undernutrition or past nutritional status
caused by prolonged inadequate intake, recurrence of illness, or improper feeding practices.
Wasting/thinness 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.
Overnutrition is an imbalanced nutritional status resulting from excessive intake of nutrients.
Generally, overnutrition generates an energy imbalance between food consumption and energy
expenditure leading to disorders such as obesity.

STATUS OF MALNUTRIITON

3 YEAR COMPARISON
12.00%

10.00% 9.69%

9.15%
8.00%

6.00%

4.00% 7.50% 2.99%

3.16%
2.00%
0.83% 2.78%
1.12% 0.90%
0.00%
STUNTING WASTING OVERWEIGHT AND OBESITY

2020 2021 2022

The child nutrition indicators for Lupon over the years 2020 to 2022 reveal a concerning trend in
malnutrition among children aged 0 to 59 months. Despite ongoing efforts to assess and
improve child health, significant issues persist that threaten the well-being and development of
this vulnerable population.
1. High Prevalence of Underweight and Stunting:
o The data shows a consistent prevalence of underweight and stunted children,
with 0.83% underweight in 2020, slightly decreasing to 0.93% in 2022. However,
stunting remains a critical concern, with rates dropping only marginally from
9.6% to 7.5% over the same period. This indicates that a considerable number of
children are not achieving adequate growth, which can have long-term
implications for their health and cognitive development.
2. Increasing Cases of Wasting:
o Notably, the prevalence of wasting has increased from 1.2% in 2020 to 2.3% in
2022, indicating a worrying trend of acute malnutrition. This shift suggests that
while efforts to address chronic malnutrition (stunting) may be showing some
 progress, acute malnutrition (wasting) is becoming a more pressing issue that
requires immediate attention.
3. Declining Coverage of Nutritional Programs:
o The Opt Plus coverage rates declined from 78% in 2020 to 71.6% in 2021 before
recovering slightly to 73.8% in 2022. The drop in coverage indicates potential
barriers to accessing health services, such as logistical challenges, lack of
awareness, or socio-economic factors. Lower coverage reduces the effectiveness
of nutrition interventions and may contribute to the observed increases in
malnutrition rates.
4. Inconsistent Measurement and Participation:
o The number of children measured fluctuated significantly, from 6,445 in 2020 to
5,879 in 2021, then rising to 6,064 in 2022. This inconsistency can lead to gaps in
data, making it difficult to accurately assess the nutritional status of the
population and implement effective interventions.

The data highlights critical challenges in addressing child malnutrition in Lupon. The persistent
rates of underweight and stunting, the concerning rise in wasting, declining program coverage,
and inconsistencies in data collection all signal the need for comprehensive strategies to
enhance nutritional health among children. Addressing these issues is essential for fostering a
healthier future for the children of Lupon and ensuring that they can thrive physically and
mentally.

Consequences and Causes of Malnutrition

The United Nations International Children’s Emergency Fund (UNICEF) and ASEAN
frameworks for maternal and child undernutrition were used as bases in analyzing malnutrition.
The Provincial Nutrition Council affirmed in the conceptual framework presented. The
framework includes the immediate, underlying and basic determinants of child undernutrition
and outlines that all these factors are interlinked and influence each other. As reflected in the
conceptual framework poor dietary intake, physical activity, and disease constitute the
immediate cause of malnutrition. At the household or family level, insufficient access to healthy
foods, inadequate health services and sedentary lifestyles and behaviors constitute the
underlying causes of malnutrition. Basic causes of malnutrition can also be identified at the
societal level, such as inadequate access food supply, low income, poverty, inadequate
maternal education, lack of investment in health services, poor infrastructure roads and water
supply) and inadequate social protection schemes. The conceptual framework provides the
background for analyzing the specific determinants of the different forms of malnutrition in a
given context which may vary significantly and articulating which needs to underpin strategies
for addressing malnutrition. These conceptual frameworks will serve as a normative framework
that can help conceptualize what measures are necessary for achieving good nutrition. The
underlying conditions are clustered under food security, adequate care and proper healthy
environment which also constitutes the necessary components of nutrition security.
Figure No. 3. UNICEF Framework for Maternal and Child Undernutrition

Figure No. 4. ASEAN Conceptual Framework of Malnutrition

The First 1000 Days of Life
The First 1000 Days of Life (F1KD) initiative is a crucial program aimed at enhancing nutrition
and health for vulnerable populations, including pregnant women, infants, young children, and
female adolescents. This period is recognized as vital for growth, development, and cognitive
function, as a child’s brain develops rapidly, forming up to 1000 neural connections per second.
Such development is intricately linked to proper nutrition; deficiencies during this period can
lead to long-term issues like stunting.
Importance of the First 1000 Days
The F1KD framework emphasizes a multisectoral approach to combat health and nutrition
challenges faced by the target populations. Specifically, it focuses on:
 Pregnant Women and Adolescents: Ensuring that pregnant women, including
adolescents, receive adequate nutrition and health care to support both maternal and
fetal health.
 Children Aged 0-59 Months: Providing essential services to ensure optimal growth and
development during these formative years.
 Female Adolescents: Addressing their unique health and nutritional needs to prepare
them for motherhood.
Effective interventions during the F1KD are critical to ensuring that children not only survive but
also thrive and develop fully. Poor nutrition during this stage can lead to stunted growth, which
has lifelong consequences on physical and cognitive development.
Goals and Strategies
The Municipality of Lupon is committed to ending malnutrition and improving the quality of life
for its residents through targeted health strategies for mothers and young children. The
common goal is to ensure that every child has the opportunity for healthy growth, which is
achievable through:
 Comprehensive maternal and child health programs.
 Education on nutrition and health practices for families.
 Regular monitoring and support for pregnant and lactating women.
Current Challenges
Despite these commitments, the coverage of services and care for mothers and infants in Lupon
still falls short of the standards set by the F1KD program as outlined by the Department of
Health. Data from the Regional Health Information System (RHIS) and the National Demographic
and Health Survey (NDHS) indicates gaps in service provision that need to be addressed to
enhance the effectiveness of the F1KD initiative.
The table below highlights the inadequate coverage of essential services for mothers and infants
relative to F1KD standards. Addressing these gaps is essential for successful implementation and
to ensure that Lupon’s children have a strong start in life.
First 1,000 Days Indicators of Compliance and Results of Interventions
Lupon, Davao Oriental

Source of
Selected Indicators of Services and Care during the FIK Lupon Data

Proportion of pregnant women with four or more 77% FHSIS 2022

prenatal visits (percent)

Proportion of pregnant women given complete iron 55% FHSIS 2022

with folic acid supplements

Percentage of women receiving two or more tetanus 39.3% FHSIS 2022

toxoid injections during last pregnancy

Percentage of births delivered in a health facility 95% FHSIS 2022

Percent of livebirths with birthweight <2,500 grams 4% FHSIS 2022

(i.e. low birth weight)

Percent of infants 0-5 months old who are exclusively 96.9% FHSIS 2022
breastfed

Percentage Distribution of Infants Seen and 96.9% FHSIS 2022

Exclusively Breastfed until 6 months

Percentage Distribution of Infants 6-11 months old FHSIS 2022

1%
given Iron

Percentage Distribution of children Aged 12-59 GP 2022

0
months given iron

Percentage Distribution of Infants Aged 6-11 mos. GP 2022

82%
given Vitamin A

Percentage of children aged 12-59 months given GP 2022

83%
Vitamin A

Percentage of Infants 6-11 months old who received FHSIS 2022

0
micronutrient powder (MNP)

Percentage of Children 12-23 months old who FHSIS 2022

0
received micronutrient powder (MNP)

Mean duration of exclusive breastfeeding NO NNS 2015

MUNICIPAL
DATA

Mean duration of breastfeeding NO NNS 2015

MUNICIPAL
DATA

Breastfeeding with complementary Feeding of 6-11 96% FHSIS 2022

months

Breastfeeding with complementary Feeding of 12-23 NO NNS 2015

months MUNICIPAL
 DATA

Percentage of children 6-23 months meeting NO NNS 2015

Minimum Dietary Diversity (MDD) MUNICIPAL
DATA

Percentage of children 6-23 months meeting the NO NNS 2015

Minimum Meal Frequency (MMF) MUNICIPAL
DATA

Percentage of children 6-23 months meeting the NO NNS, 2015

Minimum Acceptable Diet (MAD) MUNICIPAL
DATA

Under the First 1,000 Days, interventions start with ensuring that a pregnant woman is ready
for motherhood and able to give birth to a healthy child.
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.
The following scenario of stunting merits consideration:
 Stunting (or normal growth) in children occur 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 reduce.

To be successful, the following areas along Early Childhood Care and Development (ECCD) must
be supported:

• Maternal, Neonatal, Child Health and Nutrition (MNCHN)

• Adolescent health and nutrition
• Responsive caregiving and early stimulation
• Integrated Management of Childhood Illness (IMCI)
• Water, Sanitation and Hygeine (WASH)
• Child protection and security
 PROBLEM TREE

IMMEDIATE CAUSES

Inadequate food intake

In the Municipality of Lupon, the issue of stunting among children has emerged as a critical
public health concern, deeply rooted in inadequate food intake. This situation is not merely a
reflection of food scarcity but rather a complex interplay of various factors that prevent families
from providing their children with the nutrition they need for healthy growth.

Inadequate food intake manifests in several ways. Many families in Lupon struggle with limited
access to a diverse array of foods, which is essential for a balanced diet. This often results in
children relying heavily on staple foods that, while filling, lack the necessary vitamins and
minerals required for optimal growth. Economic constraints further exacerbate this problem, as
families may prioritize affordability over nutritional value, leading to diets that are insufficient
in both calories and essential nutrients.

Cultural beliefs and practices also play a significant role. In some cases, caregivers may lack
awareness of the importance of a varied diet or may adhere to traditional feeding practices that
do not meet contemporary nutritional standards. For instance, the delayed introduction of
complementary foods or inadequate breastfeeding practices can significantly impact a child's
nutritional intake during crucial growth periods.
Seasonal fluctuations in food availability present another challenge. During certain times of the
year, particularly in agricultural communities like Lupon, families may face food shortages due
to poor harvests or limited access to fresh produce. This seasonal food scarcity can lead to
periods of undernutrition, which, when compounded over time, contribute to the prevalence of
stunting.

The implications of inadequate food intake are profound. Stunting not only affects a child’s
physical health but also has lasting effects on cognitive development, school performance, and
overall quality of life. Children who are stunted are at a higher risk of illness and are less likely
to thrive in their educational and social environments, perpetuating the cycle of poverty and
malnutrition.

Addressing inadequate food intake as a cause of stunting in Lupon requires a multi-faceted

approach. It involves enhancing food security through improved agricultural practices,
promoting nutrition education among caregivers, and ensuring access to diverse food sources.
Community programs that focus on maternal and child nutrition can also play a vital role in
empowering families to make informed dietary choices.

In conclusion, the issue of inadequate food intake in Lupon is a critical driver of stunting among
children. By tackling the underlying causes and fostering a culture of nutrition awareness, the
community can pave the way for healthier futures, ensuring that every child has the
opportunity to grow and thrive.

Poor health status/presence of illness

In the vibrant Municipality of Lupon, nestled amidst lush landscapes, a pressing issue looms:
stunting among children. At the heart of this challenge lies a critical immediate cause—poor
health status and the prevalence of illness.

In many households, children grapple with various health conditions that hinder their growth
and development. Frequent illnesses, whether due to infections, malnutrition, or inadequate
healthcare access, disrupt their ability to absorb essential nutrients. This leads to a vicious cycle
where poor health diminishes appetite, causing children to miss out on vital vitamins and
minerals necessary for their physical and cognitive development.

Furthermore, the community faces challenges such as limited access to clean water, sanitation,
and healthcare services. These factors contribute to a higher incidence of preventable diseases,
further exacerbating the health struggles of children. As a result, the dream of a healthy,
thriving generation in Lupon becomes increasingly difficult to attain.

Understanding the immediate causes of stunting, particularly the poor health status and the
presence of illness, is essential for developing effective interventions. By addressing these
underlying health issues, we can pave the way for healthier futures for the children of Lupon,
ensuring that they not only grow in height but also in strength, resilience, and potential.

UNDERLYING CAUSES

Food insecurity

In the Municipality of Lupon, the issue of malnutrition stands as a significant barrier to the well-
being of its children and families. At the core of this problem lies food insecurity, a critical
underlying cause that perpetuates the cycle of poor health and nutrition.
Food insecurity manifests in various forms, with limited access to sufficient, safe, and nutritious
food being the most prominent. Families in Lupon often face economic challenges, which
restrict their ability to purchase or grow the food necessary for a balanced diet. This lack of
access leads to inadequate nutrient intake, leaving children vulnerable to stunting, wasting, and
other health complications.

Moreover, food insecurity is intertwined with several contributing factors, such as fluctuating
market prices, climate change impacts on agriculture, and insufficient local food production.
When farmers struggle to cultivate crops due to erratic weather patterns or lack of resources,
the availability of fresh produce diminishes, further exacerbating the food crisis in the
community.

As this problem tree expands, we see its roots delve deeper into systemic issues—such as
poverty, inadequate infrastructure, and limited education about nutrition—which collectively
hinder efforts to combat malnutrition. Without addressing food insecurity, the cycle of
malnutrition will continue to thrive, affecting not only physical growth but also cognitive
development and overall quality of life for the residents of Lupon.

Understanding food insecurity as an underlying cause of malnutrition is crucial for developing

comprehensive strategies. By fostering community resilience, enhancing agricultural practices,
and improving access to nutritious foods, Lupon can cultivate a healthier future for its children
and families, breaking the chains of malnutrition once and for all.

INADEQUATE CARE FOR MOTHERS AND CHILDREN

In the Municipality of Lupon, malnutrition casts a long shadow over the health of its youngest
citizens. At the heart of this issue lies inadequate care for mothers and children, a significant
underlying cause that exacerbates the cycle of poor nutrition and health outcomes.

In many households, mothers face numerous challenges that hinder their ability to provide
optimal care. Limited access to healthcare services, lack of education on nutrition, and
insufficient support systems all contribute to a landscape where mothers struggle to meet the
dietary and developmental needs of their children. This inadequate care often results in
children not receiving essential nutrients during critical growth periods, leading to stunting and
other forms of malnutrition.

Furthermore, the emotional and psychological well-being of mothers plays a crucial role in their
ability to care for their children. Stressors such as poverty, social isolation, and the demands of
daily life can overwhelm mothers, making it difficult for them to focus on health and nutrition.
This can lead to neglect in feeding practices and a lack of attention to regular health check-ups,
compounding the problem.

As we delve deeper into this problem tree, we uncover interconnected issues such as cultural
beliefs surrounding child-rearing and the lack of community resources that support maternal
and child health. These factors create an environment where inadequate care becomes not just
a personal struggle but a community challenge.

Addressing the inadequate care for mothers and children is essential in tackling malnutrition in
Lupon. By investing in maternal health programs, enhancing education about nutrition, and
providing support networks, we can empower mothers to nourish their children effectively. This
holistic approach will lay the foundation for healthier families and, ultimately, a thriving
community where every child can reach their full potential.
Insufficient health services/unhealthy environment and poor personal hygiene

In the Municipality of Lupon, the prevalence of malnutrition is intricately linked to a web of

underlying causes, including insufficient health services, an unhealthy environment, and poor
personal hygiene. These factors not only contribute to the malnutrition crisis but also create a
cycle that perpetuates health challenges within the community.

Firstly, insufficient health services present a formidable barrier. Limited access to healthcare
facilities, inadequate maternal and child health programs, and a shortage of trained health
professionals impede timely interventions for families in need. Without regular check-ups,
vaccinations, and nutrition counseling, many children miss critical opportunities for growth and
development. This lack of support can lead to unaddressed health issues, compounding the risk
of malnutrition.

Moreover, the unhealthy environment in which families live further exacerbates these
challenges. Factors such as poor sanitation, contaminated water sources, and exposure to
pollutants significantly impact the health of both mothers and children. An unhealthy
environment increases the risk of infections and diseases, which, in turn, reduce appetite and
nutrient absorption. Children growing up in such conditions are more susceptible to illnesses
that impede their growth, creating a vicious cycle of poor health.

Additionally, poor personal hygiene practices contribute to malnutrition. Inadequate knowledge

about hygiene, combined with limited resources for maintaining cleanliness, can lead to
increased incidences of gastrointestinal infections and other health issues. When families are
unable to practice good hygiene, it not only affects individual health but also has a broader
impact on community well-being.

By understanding these underlying causes—insufficient health services, an unhealthy

environment, and poor personal hygiene—we can begin to formulate effective strategies to
combat malnutrition in Lupon. Strengthening health systems, improving sanitation
infrastructure, and promoting hygiene education are vital steps toward creating a healthier
community. By addressing these foundational issues, we can pave the way for better nutrition
and health outcomes for all families in Lupon, fostering a brighter future for the next
generation.

CONCLUSION

Stunting in the Municipality of Lupon is a significant issue that is closely linked to the region's
overall development. Focusing on programs that target the critical first 1,000 days of life
appears to be the most logical and effective use of additional resources, especially since there
are existing programs to build upon. Additionally, making incremental adjustments to preschool
and school nutrition programs is a feasible option, requiring relatively small local investments.

A recent study titled “Assessment of the Nutrition Governance for Maternal and Young Child
Nutrition Security” highlighted that many Local Nutrition Action Plans are not incorporated into
the Annual Investment Plans of local government unit (LGU). To strengthen the supportive
environment for nutrition initiatives, it is crucial to obtain closer collaboration and resources
from the Municipal Nutrition Committee, particularly in mobilizing local government efforts.
Integrating nutrition-sensitive components into existing economic and livelihood initiatives, as

well as infrastructure projects, is essential to effectively address the poverty linked to

malnutrition, rather than relying solely on a trickle-down approach.

In the short to medium term, a range of malnutrition forms in the municipality can be tackled
through nutrition-specific programs, many of which focus on health and nutrition support. For

us to address both (1) the enabling factors that significantly influence the planning, resourcing,
and management of nutrition programs and (2) the root causes of malnutrition.

2025 OUTCOME TARGETS

The Municipal Nutrition Action Plan 2023-2025 of Lupon is aligned with the over-all vision of
the Province of Davao Oriental . The Plan likewise supports the goals of the Regional Plan of
Action for Nutrition for Region XI and the Philippine Plan of Action for Nutrition 2023-2028.
LUPON MNAP 2023-2025 OUTCOME TARGETS

Data
Baselin Targeted change
Indicator source and
e (%)
year 2023 2024 2025
A. To reduce undernutrition among infants, young
children, school-age children, and pregnant women
2022
Prevalence of low birth weight (LBW) infants 3 RHIS 3.0 2.9 2.9

Prevalence of stunted children under five years old 7.48 2022 OPT 7.0 6.5 6.0

Prevalence of wasted children under five years old 2.3 2022 OPT 2.2 2.1 2.1

Prevalence of wasted children 5-10 years old 9.27% DEPED2022 9.0 8.7 8.3

Prevalence of nutritionally-at-risk pregnant women 2.2 2022 RHIS 2.2 2.2 2.1
B. To manage/address overweight among children,
adolescents, and adults
Prevalence of overweight children under five years
old 1.37 2022 OPT 1.4 1.4 1.4

Prevalence of overweight/obese children 5-10 years

old 2.9 DEPED2022 2.9 2.9 2.9

Prevalence of overweight/obese adults 52 2022 RHIS 52.0 52.0 52.0

C. To reduce levels of micronutrient deficiencies to

accepted levels (as may be applicable to the LGU)

Prevalence of anemia among pregnant women 5 2022 RHIS 5.0 5.0 5.0
D. To improve infant and young child feeding
practices

Percentage of exclusively breastfed infants at 5

months 96.9 2022 RHIS 96.9 96.9 96.9
Key Strategies to Achieve LNAP 2023-2025 Targets
To achieve the 2024 outcome targets, the following key strategies will be implemented:
1. Focus on the first 1000 days of life. The first 1000 days of life refer to the period of
pregnancy up to the first two years of the child. The LNAP will ensure that key health,
nutrition, early education and related services are delivered to ensure the optimum
physical and mental development of the child during this period.

2. Complementation of nutrition-specific and nutrition-sensitive programs. The regional

planners ensured that there is a good mix of nutrition-specific and nutrition-sensitive
interventions in the LNAP. Nutrition-specific interventions “address the immediate
determinants of fetal and child nutrition and development”. Nutrition-sensitive
interventions, on the other hand, were identified in order to address the underlying
determinants of malnutrition (inadequate access to food, inadequate care for women
and children, and insufficient health services and unhealthy environment).

3. Intensified mobilization of local government units. Mobilization of LGUs will aim to

transform low-intensity nutrition programs to those that will deliver targeted nutritional
outcomes.

4. Reaching geographically isolated and disadvantaged areas (GIDAs) and communities of

indigenous peoples. Efforts to ensure that LNAP programs are designed and
implemented to reach out to GIDAs and communities of indigenous peoples will be
pursued.

5. Complementation of actions of national, sub-national and local governments. As LGUs

are charged with the delivery of services, including those related to nutrition, the
national and sub-national government creates the enabling environment through
appropriate policies and continuous capacity building of various stakeholders. This
twinning of various reinforcing projects in the LNAP will provide a cushion for securing
outcomes in case of a shortfall/ gaps in the implementation of one of the programs.

MUNICIPAL LNAP 2023-2025 PROJECTS

The LNAP of the Municipality of Lupon embodies the 12 programs of the Philippine Plan
of Action for Nutrition. The 12 programs were grouped under five key headings namely:

1) Philippine Integrated Management of Acute Malnutrition,

2) First 1000 Days Program,
3) National government agency funded programs,
4) Nutrition-sensitive Programs, and
5) Enabling programs

The LNAP provides the necessary focus on the First 1000 days as a banner program given
its huge potential in addressing the major nutritional issues at local and national levels.
 12 PPAN Programs

Nutrition-specific programs

1. Integrated Management of Acute Malnutrition

2. First 1000 Days of Life Program

3. Micronutrient supplementation

4. National Nutrition Promotion Program for Behavior Change

5. National Dietary Supplementation Program

6. Overweight and Obesity Management and Prevention

Program

7. Mandatory food fortification

8. Nutrition in emergencies

Nutrition-sensitive programs

9. Nutrition-sensitive programs

Enabling programs

10. Mobilization of local government units for nutrition

outcomes

11. Policy development for food and nutrition

12. Strengthened management support to the PPAN

The above programs are consolidated for ease of preparing PPAs required in the PDPFP and CDP
documents, as well as ensuring the prospect of these five programs to be fully considered in
both the plans (PDPFP and CDP) and their corresponding budgets; the Local Development
Investment Program and the Annual Investment Program. The First 1000 Days Program
consolidates existing interventions in the health sector as well as new initiatives of the local
government units and other partners and increases the coverage of key interventions to 90%, as
required to achieve stunting outcomes.
 NGA-mandated or
Agency /
other
committee /
sectoral/thematic
Coverage unit / individual
Program Programs / projects to be included in plan / General Fund /
of responsible for
Short the LNAP and integrated to the sources where the
Projects / project
Title PDPFP, CDP, LDIP, and AIP project can be
Activities implementatio
integrated to secure
n and
local investments, as
monitoring
applicable
PREGNANT AND LACTATING WOMEN
NUTRITION SPECIFIC
1. Dietary Supplementation
Pregnant
women at
1.1. Dietary Supplementation for
1st
Nutritionally at-risk Pregnant and MNAO CDP/LDIP/AIP
Trimester
Lactating Women
with low
BMI
2. Micronutrient Supplementation
Pregnant
2.1 Iron and Folic (IFA)
and
supplementation to pregnant and MNAO, MHO CDP/LDIP/AIP
Lactating
women of reproductive age (WRA)
women
Pregnant
2.2 Provision of zinc to lactating and
MNAO, MHO CDP/LDIP/AIP
mothers Lactating
women
Pregnant
and
3. Conduct of Nutrition Education MHO CDP/LDIP/AIP
Lactating
women
Pregnant
4. Provision of pre-natal and post-natal and
MHO CDP/LDIP/AIP
care Lactating
women
Pregnant
and
5. Maternal Mental Health MHO CDP/LDIP/AIP
Lactating
women
NUTRITION SENSITIVE
Pregnant
1. Strengthening Service Delivery
and
Network and provision of Maternal, NAO, MHO CDP/LDIP/AIP
Lactating
Child & Nutrition Packages
women
Pregnant
2. Provision of vegetable seeds to and
MAGRO CDP/LDIP/AIP
Pregnant and Lactating woman Lactating
women
INFANT AND YOUNG CHILD ( 0-23 MONTHS
OLD)
NUTRITION SPECIFIC
Infant and
1.Routine Immunization Young MHO CDP/ LDIP, AIP
Child
2. Integrated Management of Acute
Malnutrition
2.1 Provision of RUTF to identified SAM Infant and MNAO, BNS CDP/LDIP/AIP
 NGA-mandated or
Agency /
other
committee /
sectoral/thematic
Coverage unit / individual
Program Programs / projects to be included in plan / General Fund /
of responsible for
Short the LNAP and integrated to the sources where the
Projects / project
Title PDPFP, CDP, LDIP, and AIP project can be
Activities implementatio
integrated to secure
n and
local investments, as
monitoring
applicable
Young
Child
Infant and
2.2 Provision of RUSF to identified
Young MNAO, BNS CDP/LDIP/AIP
MAM
Child
BNS, BHW,
Infant and
2.3 Active Case Finding of MAM and MIDWIFE,
Young CDP/LDIP/AIP
SAM cases DOCTOR,
Child
NURSE
3.Infant and Young Child Feeding
3.1 Exclusive Breastfeeding Promotion Infant and
and Establishment of Breastfeeding Young NAO, MHO CDP/LDIP/AIP
corners Child
Infant and
3.2 Complementary feeding with
Young NAO, MHO CDP/LDIP/AIP
continued breastfeeding
Child
4. Dietary Supplementation
Infant and
4.1 Dietary supplementation for children
Young NAO, MHO CDP/LDIP/AIP
6 to 23 months old
Child
5. Micronutrient Supplementation
5.1 Micronutrient powder (MNP) Infant and
supplementation for children 6 to 23 Young NAO, MHO CDP/LDIP/AIP
months old Child
Infant and
5.2 Vitamin A supplementation for
Young NAO, MHO CDP/LDIP/AIP
children 6 to 23 months old
Child
NUTRITION SENSITIVE
Infant and
1. Mother- Baby Friendly Hospital HOSPITAL,
Young CDP/LDIP/AIP
Initiatives MHO, NAO
Child
PRESCHOOL CHILDREN (<5 years old)
NUTRITION SPECIFIC
1. Dietary Supplementation
2.1. Dietary supplementation in Child Preschool
MSWD0 CDP/LDIP/AIP
Development Centers (Day Care) Children
NUTRITION SENSITIVE
1. Early Childhood Care and Preschool
MSWDO CDP/LDIP/AIP
Development (ECCD) Children
Preschool
2. Child Protection MSWDO CDP/LDIP/AIP
Children
SCHOOL-AGED CHILDREN (5-10 years old)
Preschool
NUTRITION SPECIFIC
Children
1. School-based Feeding Program Preschool
DepEd CDP/LDIP/AIP
(SBFP) Children
2. Conduct of Expanded National Preschool
DepEd CDP/ LDIP, AIP
Nutrition Survey Children
NUTRITION SENSITIVE
Preschool
1. Monitoring of WASH in schools DepEd, MHO CDP/ LDIP, AIP
Children
 NGA-mandated or
Agency /
other
committee /
sectoral/thematic
Coverage unit / individual
Program Programs / projects to be included in plan / General Fund /
of responsible for
Short the LNAP and integrated to the sources where the
Projects / project
Title PDPFP, CDP, LDIP, and AIP project can be
Activities implementatio
integrated to secure
n and
local investments, as
monitoring
applicable
Preschool DepEd,
2. Gulayan sa Paaralan Program CDP/ LDIP, AIP
Children MAGRO, NAO
3. Strengthening the
Preschool
Implementation of Proper Waste DepEd, MENRO CDP/ LDIP, AIP
Children
Disposal in School
ADOLESCENTS (10-19 years old)
NUTRITION SPECIFIC
10-19 years
1. Nutrition Counseling NAO, MHO CDP/ LDIP, AIP
Olds
2. Healthy and Family Planning 10-19 years
NAO, MHO CDP/ LDIP, AIP
Services Olds
NUTRITION SENSITIVE
1. Conduct of HIV Symposium / 10-19 years
NAO, MHO CDP/ LDIP, AIP
Awareness Olds
10-19 years
2. Mental Health Program NAO, MHO CDP/ LDIP, AIP
Olds
ADULTS (20-59 years old)
NUTRITION SPECIFIC
1. Provision of Family Planning ADULTS
services to WRA and couples of (20-59 NAO, MHO CDP/ LDIP, AIP
reproductive ages years old)
ADULTS
2. Nutrition Counseling (20-59 NAO, MHO CDP/ LDIP, AIP
years old)
3. Nutrition Support to Chronic ADULTS
Energy Deficiency (CED) - Iron (20-59 NAO, MHO CDP/ LDIP, AIP
Supplementation to WRA years old)
ADULTS
4. Healthy and Family Planning
(20-59 NAO, MHO CDP/ LDIP, AIP
Services
years old)
NUTRITION SENSITIVE
ADULTS
1. Livelihood and skills LGU, PESO,
(20-59 CDP/ LDIP, AIP
Development MSWDO
years old)
ADULTS
LGU, PESO,
3. Food / Cash for work (20-59 CDP/ LDIP, AIP
MSWDO, DOLE
years old)
OLDER ADULTS (60 years old and above)
NUTRITION SPECIFIC
Senior
1.Nutrition Counseling NAO, MHO CDP/ LDIP, AIP
Citizens
NUTRITION SENSITIVE
1. Socioeconomic Programs for Senior
CDP/ LDIP, AIP
Older Adults Citizens
Senior
1.2. Senior Citizen social Pension LGU, MSWDO CDP/ LDIP, AIP
Citizens
Senior
LGU, MSWDO CDP/ LDIP, AIP
1.3. Senior Citizen Social services Citizens
ALL POPULATION GROUPS (Families,
Individual)
NUTRITION SPECIFIC
 NGA-mandated or
Agency /
other
committee /
sectoral/thematic
Coverage unit / individual
Program Programs / projects to be included in plan / General Fund /
of responsible for
Short the LNAP and integrated to the sources where the
Projects / project
Title PDPFP, CDP, LDIP, and AIP project can be
Activities implementatio
integrated to secure
n and
local investments, as
monitoring
applicable
All
1. Individual Nutrition Assessment Populations NAO, MHO CDP/ LDIP, AIP
Groups
NUTRITION SENSITIVE
1. Agriculture and Food Security
1.1 Distribution of Seedlings and
Farmers MAGRO CDP/ LDIP, AIP
subsidy to farmers
2. Farmers Training Program Farmers MAGRO CDP/ LDIP, AIP
3. Water, Sanitation and Hygiene
Programs
3.1 Provision of Sanitary Toilet with Indigent
MHO CDP/ LDIP, AIP
Sanitary Facilities Households
3.2 Construction/ Rehabilitation/ All
MEO, DSWD,
improvement or expansion of level III Populations CDP/ LDIP, AIP
NIA
water supply system Groups
All
4.Disease Prevention and Control
Populations MHO CDP/ LDIP, AIP
Programs
Groups
All
5.Environmental Health Programs Populations MHO CDP/ LDIP, AIP
Groups
NUTRITION IN EMERGENCIES
Preparation
1.Conduct Training on Nutrition in MNC MHO, NNC,
CDP/ LDIP, AIP
Emergencies Members PHO
2. Conduct of Nutrition Cluster MNC
NAO, MHO CDP/ LDIP, AIP
Meetings Members
3. Stockpiling of Goods
All
MDRRMO,
3.1. Vitamins and Micronutrients Populations CDP/ LDIP, AIP
MHO, NAO
Groups
All
MDRRMO,
3.2. Food Packs Stockpiling Populations CDP/ LDIP, AIP
MHO, NAO
Groups
4. Availability of weighing scales, height
boards, MUAC Tapes, IYCF MHO, NAO,
BNS CDP/ LDIP, AIP
Counselling cards, PIMAM MDRRMO
Commodities
Response
1. Provision of Minimum Service
Package
All
MHO, NAO,
1.1. Nutrition Assessment Populations CDP/ LDIP, AIP
BNS, BHW
Groups
1.2. Infant and Young Child Feeding in MHO, NAO,
Children CDP/ LDIP, AIP
Emergencies (IYCF-E) BNS, BHW
MHO, NAO,
1.3. Dietary Supplementation Children CDP/ LDIP, AIP
BNS, BHW
1.4 Micronutrient Supplementation Children, MHO, NAO, CDP/ LDIP, AIP
pregnant BNS, BHW
and
 NGA-mandated or
Agency /
other
committee /
sectoral/thematic
Coverage unit / individual
Program Programs / projects to be included in plan / General Fund /
of responsible for
Short the LNAP and integrated to the sources where the
Projects / project
Title PDPFP, CDP, LDIP, and AIP project can be
Activities implementatio
integrated to secure
n and
local investments, as
monitoring
applicable
Lactating
All
2. Establishment of Breastfeeding LGU, MHO,
Populations CDP/ LDIP, AIP
areas and community kitchen MEO
Groups
Recovery
1.LNC Planning Coordination for MNC
MHO, NAO CDP/ LDIP, AIP
recovery Activities Members
2. Monitoring and evaluation of Dietary
Recipients MHO, NAO CDP/ LDIP, AIP
Supplementation
All
NAO, MHO,
3. Nutrition Surveillance activities Populations CDP/ LDIP, AIP
BHW, BNS
Groups
ENABLING PROGRAMS
1. Establishment of Municipal Nutrition
MNC LGU CDP/ LDIP, AIP
Office
2. Establishment of Municipal Nutrition MMO, MHO,
MNC CDP/ LDIP, AIP
Council NAO
3. Municipal Nutrition Council Quarterly MMO, MHO,
MNC CDP/ LDIP, AIP
Coordination Meetings NAO
4. Advocacy Activities and Nutrition
Promotion
All
4.1. Nutrition Month Activities /
Populations MHO, NAO CDP/ LDIP, AIP
Celebration
Groups
All
4.2. Nutrition Advocacy for a Populations MHO, NAO CDP/ LDIP, AIP
Groups
5. Monitoring and Evaluation
0-59
5.1. Conduct of OPT Plus BNS, NAO CDP/ LDIP, AIP
Months old
5.2. Conduct of MELLPI Pro BNC/ MNC NNC, PHO CDP/ LDIP, AIP
5.3. Program Implementation MNC
NAO, MHO CDP/ LDIP, AIP
Review Members
5.4. LNC Functionality MNC
PHO, NAO CDP/ LDIP, AIP
Assessment Members
6. Policy Formulation
All
6.1. Adoption of RA 11148 “Kalusugan
Populations SBO CDP/ LDIP, AIP
at Nutrisyon ng Magnanay Act”
Groups
All
6.2. Adoption of PPAN 2023-2028 Populations SBO CDP/ LDIP, AIP
Groups
All
6.3. Adoption of LNAP 2023-2025 Populations SBO CDP/ LDIP, AIP
Groups
7. Capacity Building for Nutrition
Stakeholders (Implementers,
beneficiaries, and other partners)
Health and
7.1. Attend Training on PIMAM for
Nutrition NNC / PHO CDP/ LDIP, AIP
Health and Nutrition Workers
Workers
 NGA-mandated or
Agency /
other
committee /
sectoral/thematic
Coverage unit / individual
Program Programs / projects to be included in plan / General Fund /
of responsible for
Short the LNAP and integrated to the sources where the
Projects / project
Title PDPFP, CDP, LDIP, and AIP project can be
Activities implementatio
integrated to secure
n and
local investments, as
monitoring
applicable
Health and
7.2. Attend Training on IYCF Nutrition NNC / PHO CDP/ LDIP, AIP
Workers
Health and
7.3. Attend Training on NIE Nutrition NNC / PHO CDP/ LDIP, AIP
Workers
Health and
7.4. Attend Training on Nutrition
Nutrition NNC / PHO CDP/ LDIP, AIP
Management
Workers
8. Planning and Budgeting
Health and
8.1. Updating of Implementation Plan Nutrition LNC CDP/ LDIP, AIP
workers
Health and
8.2. Annual Preparation of AIP and
Nutrition LNC CDP/ LDIP, AIP
Nutrition Budget
workers
 XIII. WORKPLAN TO IMPLEMENT PROGRAMS, PROJECTS, AND ACTIVITIES

Table 24. Municipal Implementation Plan

AGENCY /
COMMITTEE/ BASELI TARGET
BUDGETARY
PROGRAM/ PROJECT / UNIT / NE / FUNDING
REQUIREME
ACTIVITY INDIVIDUAL COVER SOURCE
GROUPS 2023 2024 2025 LOCATION NTS
RESPONSIBL AGE
E
PREGNANT AND LACTATING WOMEN
NUTRITION SPECIFIC
1. Dietary Supplementation
1.1. Dietary Supplementation Pregnant women at GIDA
for Nutritionally at-risk Pregnant MNAO 100 1st Trimester with 70 80 100 Areas/ 100,000.00 LGU, PHO
and Lactating Women low BMI Barangays
2. Micronutrient
Supplementation
GIDA
2.1 Iron and Folic (IFA) Areas/
supplementation to pregnant and All pregnant Barangays LGU,
MNAO, MHO 750 500 600 750 1,500,000.00
women of reproductive age women and WRA with high DOH
(WRA) cases of
Anemia
2.2 Provision of zinc to lactating LGU,
MNAO, MHO 700 Lactating Mothers 450 500 700 300,000.00
mothers Municipal- DOH
3. Conduct of Nutrition Pregnant and wide
MHO 750 400 500 750 50,000.00 LGU
Education Lactating Mothers
4. Provision of pre-natal and Pregnant and
MHO 750 550 650 750 - LGU
post-natal care Lactating Mothers
5. Maternal Mental Health MHO 200 Pregnant and 50 150 200 30,000.00 LGU
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
RESPONSIBL Lactating Mothers
NUTRITION SENSITIVE

1. Strengthening Service
Municipal- LGU,
Delivery Network and provision of Pregnant and
NAO, MHO 700 500 650 700 wide 400,000.00 PHO,
Maternal, Child & Nutrition Lactating Mothers
DOH
Packages
2. Provision of vegetable Municipal-
Pregnant and
seeds to Pregnant and Lactating MAGRO 300 200 250 300 wide 70,000.00 LGU, DA
Lactating Mothers
woman
INFANT AND YOUNG CHILD
NUTRITION SPECIFIC
Infant and Young Municipal-
1. Routine Immunization MHO 908 850 890 908 9,600,000.00 DOH
child wide
2. Integrated Management
of Acute Malnutrition
2.1 Provision of RUTF to 6-59 months old Municipal- DOH,
MNAO, BNS 20 20 20 20 500,000.00
identified SAM children wide NNC
2.2 Provision of RUSF to 6-59 months old Municipal- DOH,
MNAO, BNS 30 20 25 30 600,000.00
identified MAM children wide NNC
BNS, BHW,
2.3 Active Case Finding of MAM MIDWIFE, Infant and Young Municipal-
30 20 25 30 -
and SAM cases DOCTOR, child wide
NURSE
3. Infant and Young Child
Feeding
(Infancy 0 to 6 months or 180
days)
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
3.1 Exclusive RESPONSIBL
Breastfeeding Promotion and Infant and Young All Public
NAO, MHO 20 15 17 20 800,000.00 MHO
Establishment of Breastfeeding child Offices
corners
3.2 Complementary feeding with Infant and Young Municipal-
NAO, MHO 600 400 500 600 100 ,000.00 MHO
continued breastfeeding child wide
4. Dietary supplementation
4.1 Dietary
6-23 months old Municipal-
supplementation for children 6 to NAO, MHO 1,400 1,000 1,200 1,400 500,000.00 MHO
children wide
23 months old
5. Micronutrient
Supplementation
5.1 Micronutrient powder (MNP)
supplementation for children 6 to NAO, MHO 1,400 6-23 months old 1,000 1200 700,000.00 DOH
1400
23 months old Municipal-
wide DOH,
5.2 Vitamin A supplementation
NAO, MHO 1,400 6-23 months old 1,000 1,200
1400 700,000.00 PHO,
for children 6 to 23 months old
LGU
NUTRITION SENSITIVE
Certified Mother-
1. Mother- Baby Friendly Hospital HOSPITAL, DOPH- PLGU,
0 baby Friendly 0 0 1 1,000,000.00
Initiatives MHO, NAO CATEEL DOH
Hospital
PRESCHOOL CHILDREN (<5 years old)

NUTRITION SPECIFIC
1. Dietary Supplementation
2.1. Dietary supplementation in MSWD0 1379 Preschool children 1400 1400 1400 Municipal- 2,000,000.00 DSWD
Child Development Centers (Day wide
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
Care) RESPONSIBL

NUTRITION SENSITIVE

1. Early Childhood Care and Municipal- DSWD,

MSWDO Preschool children 1400 1400 1400 2,700,000.00
Development (ECCD) wide LGU

44 Child
Developme
nt Centers
and 1
2. Child Protection MSWDO Day Care Children 1400 1400 1400 2,500,000.00 DSWD
National
Child
Developme
nt Center
SCHOOL-AGED CHILDREN (5-
10 years old)
NUTRITION SPECIFIC
1. School-based Feeding School-aged Municipal-
DEPED 940 427 500 2,460,000.00 DEPED
Program (SBFP) Children wide
2. Conduct of Expanded School-aged Municipal-
DEPED 3200 3300 3300 - DEPED
National Nutrition Survey Children wide
NUTRITION SENSITIVE
1. Monitoring of WASH in School-aged Municipal-
DEPED, MHO 3200 3300 3300 - DEPED
schools Children wide
2. Gulayan sa Paaralan DEPED, School-aged
3200 Municipal- 120,000.00 DEPED
Program MAGRO, NAO Children 3300 3300
wide
3. Strengthening the DEPED, School-aged 3200 - DEPED
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
Implementation of Proper Waste RESPONSIBL Municipal-
MENRO Children 3300 3300
Disposal in School wide
ADOLESCENTS (10-19 years old)
NUTRITION SPECIFIC
Adolescents (10-19 Municipal-
1. Nutrition Counseling NAO, MHO 100 100 150 20,000.00 MHO
years old) wide
2. Healthy and Family Adolescents (10-19 Municipal-
NAO, MHO 200 200 200 100,000.00 MHO
Planning Services years old) wide
NUTRITION SENSITIVE
1. Conduct of HIV Symposium Adolescents (10-19 Municipal-
NAO, MHO 50 50 50 30,000.00 MHO
/ Awareness years old) wide
Adolescents (10-19 Municipal-
2. Mental Health Program NAO, MHO 20 20 20 20,000.00 MHO
years old) wide
ADULTS (20-59 years old)

NUTRITION SPECIFIC
1. Provision of Family Municipal-
Adults (20-59 years
Planning services to WRA and NAO, MHO 200 200 200 wide 100,000.00 MHO
old)
couples of reproductive ages
Adults (20-59 years Municipal-
2. Nutrition Counseling NAO, MHO 200 200 200 20,000.00 MHO
old) wide
3. Nutrition Support to Chronic Municipal-
Adults (20-59 years
Energy Deficiency (CED) - Iron NAO, MHO 200 200 200 wide 100,000.00 MHO
old)
Supplementation to WRA
4. Healthy and Family Adults (20-59 years Municipal-
NAO, MHO 100,000.00 MHO
Planning Services old) wide
NUTRITION SENSITIVE
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
RESPONSIBL Mothers with
1. Livelihood and skills LGU, PESO, Municipal- DTI /
malnourished 100 100 100 100,000.00
Development MSWDO wide TESDA
children
LGU, PESO,
20–59-Year-Old Municipal-
3. Food / Cash for work MSWDO, 200 200 200 400,000.00 DSWD
Adults wide
DOLE
OLDER ADULTS (60 years old and above)

NUTRITION SPECIFIC
Older Adults (60
Municipal-
2.Nutrition Counseling NAO, MHO years old and 100 100 100 10,000.00 MHO
wide
above
NUTRITION SENSITIVE
1. Socioeconomic Programs for
Older Adults
Municipal-
1.2. Senior Citizen social Pension LGU, MSWDO 3,441 Senior Citizens 3441 41,292,000.00 DSWD
3441 3441 wide
Older Adults (60
Municipal-
1.3. Senior Citizen Social services LGU, MSWDO 3,441 years old and 3441 400,000.00 MSWDO
3441 3441 wide
above
ALL POPULATION GROUPS (Families, Individual)

NUTRITION SPECIFIC
All Population
1. Individual Nutrition Municipal-
NAO, MHO 200 Groups (Families, 300 400 500 -
Assessment wide
Individual)
NUTRITION SENSITIVE
1. Agriculture and Food
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
Security RESPONSIBL
1.1 Distribution of Seedlings Municipal-
MAGRO Families 5000 5000 5000 1,000,000.00 MAGRO
and subsidy to farmers wide
All Population
100 Municipal- DA,
2. Farmers Training Program MAGRO Groups (Families, 1000 1000 500,000.00
0 wide MAGRO
Individual)
3. Water, Sanitation and
Hygiene Programs
3.1 Provision of Sanitary Toilet Municipal-
MHO 140 Households 100 130 150 120,000.00 MHO
with Sanitary Facilities wide
3.2 Construction/ Rehabilitation/ All Population Municipal-
MEO, DSWD, wide
improvement or expansion of Groups (Families, 2 2 2 26,000,000 DILG
NIA
level II water supply system Individual)
All Population Municipal-
4.Disease Prevention and Control
MHO Groups (Families, 300 300 300 wide 60,000.00 MHO
Programs
Individual)
All Population Municipal-
5.Environmental Health Programs MHO Groups (Families, 5000 5000 5000 wide 500,000.00 MHO
Individual)
NUTRITION IN EMERGENCIES

Preparation
1. Conduct Training on MHO, NNC, Health and MHO/
100 100 100 - 70,000.00
Nutrition in Emergencies PHO Nutrition workers LDRRMF
2. Conduct of Nutrition Cluster MHO /
NAO, MHO LNC Members 4 4 4 - 40,000.00
Meetings LDRRMF
3. Stockpiling of Goods
3.1. Vitamins and Micronutrients MDRRMO, Pregnant, lactating, 100 100 100 Disaster 100,000.00 LDRRMF
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
RESPONSIBL children and senior affected
MHO, NAO
citizens areas
Pregnant, Disaster
MDRRMO,
3.2. Food Packs Stockpiling lactating, children 500 500 500 affected 500,000.00 LDRRMF
MHO, NAO
and senior citizens areas
4. Availability of weighing
Pregnant, lactating, Disaster
scales, height boards, MUAC MHO, NAO, MHO /
children and senior 500 500 500 affected 150,000.00
Tapes, IYCF Counselling cards, MDRRMO LDRRMF
citizens areas
PIMAM Commodities
Response
1. Provision of Minimum
Service Package
0-59 months old Disaster
MHO, NAO,
1.1. Nutrition Assessment children, NAR 500 500 500 Affected - -
BNS, BHW
Pregnant areas
MHO, NAO, Disaster
1.2. Infant and Young Child 0-59 months old LGU,
BNS, BHW 100 100 100 Affected 100,000.00
Feeding in Emergencies (IYCF-E) children LDRRMF
areas
MHO, NAO, 0-59 months old Disaster
LGU,
1.3. Dietary Supplementation BNS, BHW children, NAR 50 100 150 Affected 100,000.00
LDRRMF
Pregnant areas
MHO, NAO, 0-59 months old Disaster
1.4 Micronutrient DOH,
BNS, BHW - children, NAR 100 300 500 Affected 500,000.00
Supplementation LGU
Pregnant areas
2. Establishment of
LGU, MHO, Evacuation LGU /
Breastfeeding areas and 1 Evacuees 1 3 5
MEO Areas LDRRMF
community kitchen
Recovery
1. LNC Planning Coordination MHO, NAO - LNC Members 1 1 1 - 20,000.00 LGU,
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
for recovery Activities RESPONSIBL MDRRMO
Recipient
2. Monitoring and evaluation
MHO, NAO - 0-59 months old 1 1 1 Area / - -
of Dietary Supplementation
children, NAR Individual
3. Nutrition Surveillance NAO, MHO, Pregnant
- 1 1 1 - - -
activities BHW, BNS
ENABLING PROGRAMS

1. Establishment of Municipal Nutrition Office and

LGU - - - 1 - 1,500,000.00 LGU
Nutrition Office Staff
2. Establishment of Municipal MMO, MHO,
- LNC Members - 1 1 - - -
Nutrition Council NAO
3. Municipal Nutrition Council MMO, MHO,
- LNC Members 4 4 4 - 40,000.00 LGU
Quarterly Coordination Meetings NAO
4. Advocacy Activities and
Nutrition Promotion
4.1. Nutrition Month Activities / NAO,MHO, BNS,
MHO, NAO - 1 1 1 - 70,000.00 LGU
Celebration BHW
Nutritionally at-risk Municipal-
4.2. Nutrition Advocacy for a MHO, NAO - - 100 200 - -
Groups wide
5. Monitoring and Evaluation
5.1. Conduct of OPT 0-59 Months old 4,30 Municipal-
BNS, NAO 4,001 4,200 4,40 - -
Plus children 0 wide
5.2. Conduct of MELLPI Municipal-
NNC, PHO 1 NAO, BNS, LGU 1 1 20,000.00 LGU
Pro wide
5.3. Program Brgy.
NAO, MHO 1 BNS 1 1 30,000.00 LGU
Implementation Review Poblacion
5.4. LNC Functionality
PHO, NAO 1 LNC 1 1 - 10,000.00 LGU
Assessment
 AGENCY / BASELI
COMMITTEE/ TARGET BUDGETARY
PROGRAM/ PROJECT / NE / FUNDING
UNIT / REQUIREME
ACTIVITY COVER SOURCE
INDIVIDUAL GROUPS 2023 2024 2025 LOCATION NTS
AGE
RESPONSIBL
6. Policy Formulation
6.1. Adoption of RA 11148
“Kalusugan at Nutrisyon ng SBO - - 1 - -
Magnanay Act”
6.2. Adoption of PPAN
SBO - - 1 - -
2023-2028
6.3. doption of LNAP 2023-2025 SBO - - 1 - -
7. Capacity Building for
Nutrition Stakeholders
(Implementers, beneficiaries,
and other partners)
Nurse, Midwife,
7.1. Attend Training on PIMAM for
NNC / PHO 40 Doctor, MNAO, 10 10 10 60,000.00 LGU
Health and Nutrition Workers
BNS, BHW
Nurse, Midwife,
7.2. Attend Training on IYCF NNC / PHO 5 Doctor, MNAO, 5 7 10 40,000.00 LGU
BNS, BHW
Nurse, Midwife,
7.3. Attend Training on NIE NNC / PHO 1 Doctor, MNAO, 4 5 6 50,000.00 LGU
BNS, BHW
Nurse, Midwife,
7.4. Attend Training on Nutrition
NNC / PHO 1 Doctor, MNAO, 4 4 4 50,000.00 LGU
Management
BNS, BHW
8. Planning and Budgeting
8.1. Updating of Implementation
LNC LNC Members 1 1 1 30,000.00 LGU
Plan
8.2. Annual Preparation of AIP
LNC LNC Members 1 1 1 30,000.00 LGU
and Nutrition Budget
XIV. ESTIMATES OF BUDGETARY REQUIREMENTS FOR LUPON LNAP 2023-2025

Table 25 presents the budget estimates for the projects included in the MNAP as well indicates both funded and unfunded components of the budgetary
requirements as the respective budget share of each program to the total MNAP budget. The budget estimated for 2023-2025 programs amounting to Php
94,657,000.00. The funded portion of the Nutrition Action Plan is Php 1,905,000.00 for LGU and Php 61,072,000.00 for NGA and other Agency. representing
66.5 percent of total budgetary requirements, while the unfunded portion amounts to Php 31,680,000.00 representing 33.5 percent. Table 25 shows the
estimates of budgetary requirements by program and projects for the Plan period while Table 14 reflects the funded and unfunded projects and indicates the
source of funds for the funded projects.
Financing comes mostly from General Appropriations and Local Budgets from the IRA, now termed as National Tax Allotment (NTA). These budgets will require
annual review and adjustments in line with the regional and national processes for the preparation of investment plans.
Table 25. Summary of Budgetary Requirements

Total Cost Funded Portion by

Program Funded Portion by
Program Title Estimate 2020- NGA and other Unfunded Portion
No. the LGU
2022 (PhP) Agency
PREGNANT AND
LACTATING WOMEN
Dietary Supplementation
for Nutritionally at-risk 60
1
Pregnant and Lactating 60,000.00 ,000.00
Women
Iron and Folic (IFA)
supplementation to 8 80,
2
pregnant and women of 0,000.00 000.00
reproductive age (WRA)
Provision of zinc to 50
3
lactating mothers 50,000.00 ,000.00
Conduct of Mothers 20
4
Class 20,000.00 ,000.00
20
5 Maternal Mental Health
20,000.00 ,000.00
Strengthening Service 2 200
6
Delivery Network and 00,000.00 ,000.00
 Total Cost Funded Portion by
Program Funded Portion by
Program Title Estimate 2020- NGA and other Unfunded Portion
No. the LGU
2022 (PhP) Agency
provision of Maternal,
Child & Nutrition
Packages
Provision of vegetable
10
7 seeds to Pregnant and
20,000.00 ,000.00
Lactating woman
INFANT AND YOUNG
CHILD
7,6 7,600
8 Routine Immunization
00,000.00 ,000.00
Provision of RUTF to 5 500
9
identified SAM 00,000.00 ,000.00
Provision of RUSF to 5 500
10
identified MAM 00,000.00 ,000.00
Establishment of In-
1,0 1,000
11 patient Therapeutic Care
00,000.00 ,000.00
(ITC)
Establishment of Out-
1
12 patient Therapeutic Care
00,000.00
(OTC)
Exclusive Breastfeeding
Promotion and 5
13 500,000.00
Establishment of 00,000.00
Breastfeeding corners
Complementary feeding
14 with continued
25,000.00
breastfeeding
Dietary supplementation
50
15 for children 6 to 23
50,000.00 ,000.00
months old
Micronutrient powder
50
16 (MNP) supplementation
50,000.00 ,000.00
for children 6 to 23
 Total Cost Funded Portion by
Program Funded Portion by
Program Title Estimate 2020- NGA and other Unfunded Portion
No. the LGU
2022 (PhP) Agency
months old
Vitamin A
supplementation for 50
17
children 6 to 23 months 50,000.00 ,000.00
old
Mother- Baby Friendly 1,0 1,000
18
Hospital Initiatives 00,000.00 ,000.00
PRESCHOOL
CHILDREN (<5 years
old)
Dietary supplementation
2,0 2,000
19 in Child Development
00,000.00 ,000.00
Centers (Day Care)
Early Childhood Care
2,7 2,700
20 and Development
00,000.00 ,000.00
(ECCD)
2,5 2,500
21 Child Protection
00,000.00 ,000.00
School-based Feeding 2,4 2,460
22
Program (SBFP) 60,000.00 ,000.00
Gulayan sa Paaralan 1 120
23
Program 20,000.00 ,000.00
ADOLESCENTS (10-19
years old)
20
24 Nutrition Counseling
20,000.00 ,000.00
Healthy and Family 1 100
25
Planning Services 00,000.00 ,000.00
Conduct of HIV 40
26
Symposium / Awareness 40,000.00 ,000.00
20
27 Mental Health Program
20,000.00 ,000.00
 Total Cost Funded Portion by
Program Funded Portion by
Program Title Estimate 2020- NGA and other Unfunded Portion
No. the LGU
2022 (PhP) Agency
ADULTS (20-59 years
old)
Provision of Family
Planning services to 1 100
28
WRA and couples of 00,000.00 ,000.00
reproductive ages
20
29 Nutrition Counseling
20,000.00 ,000.00
Nutrition Support to
Chronic Energy 1 100
30
Deficiency (CED) - Iron 00,000.00 ,000.00
Supplementation to WRA
Livelihood and skills 1 100
31
Development 00,000.00 ,000.00
4 400
32 Food / Cash for work
00,000.00 ,000.00
OLDER ADULTS (60
years old and above)
1
33 Nutrition Counseling
00,000.00
Senior Citizen social 41,2 41,292
34
Pension 92,000.00 ,000.00
Senior Citizen Social 4 400
35
services 00,000.00 ,000.00
ALL POPULATION
GROUPS (Families,
Individual)
Distribution of Seedlings 1 100
36
and subsidy to farmers 00,000.00 ,000.00
Farmers Training 50
37
Program 50,000.00 ,000.00
Provision of Sanitary 1 120
38
Toilet with Sanitary 20,000.00 ,000.00
 Total Cost Funded Portion by
Program Funded Portion by
Program Title Estimate 2020- NGA and other Unfunded Portion
No. the LGU
2022 (PhP) Agency
Facilities
Construction/
Rehabilitation/
26
39 improvement or
26,000,0000.00 ,000,000.00
expansion of level II
water supply system
Disease Prevention and 60
40
Control Programs 60,000.00 ,000.00
Environmental Health 5
41
Programs 00,000.00
NUTRITION IN
EMERGENCIES
Conduct Training on 70
42
Nutrition in Emergencies 70,000.00 ,000.00
Conduct of Nutrition 40
43
Cluster Meetings 40,000.00 ,000.00
Vitamins and 1 100
44
Micronutrients 00,000.00 ,000.00
5 500
45 Food Packs Stockpiling
00,000.00 ,000.00
Availability of weighing
scales, height boards,
1 150
46 MUAC Tapes, IYCF
Counselling cards, PIMAM 50,000.00 ,000.00
Commodities
Infant and Young Child
1 100
47 Feeding in Emergencies
00,000.00 ,000.00
(IYCF-E)
1 100
48 Dietary Supplementation
00,000.00 ,000.00
Micronutrient 5 500
49
Supplementation 00,000.00 ,000.00
 Total Cost Funded Portion by
Program Funded Portion by
Program Title Estimate 2020- NGA and other Unfunded Portion
No. the LGU
2022 (PhP) Agency
LNC Planning Coordination 20
50 for recovery Activities 20,000.00 ,000.00
ENABLING
PROGRAMS
Establishment of 1,5 1,500
51
Municipal Nutrition Office 00,000.00 ,000.00
Municipal Nutrition
42
52 Council Quarterly
40,000.00 ,000.00
Coordination Meetings
Nutrition Month 70
53
Activities / Celebration 70,000.00 ,000.00
20
54 Conduct of MELLPI Pro
20,000.00 ,000.00
Program Implementation 15
55
Review 30,000.00 ,000.00
LNC Functionality
56
Assessment 10,000.00
Attend Training on
57 PIMAM for Health and
60,000.00
Nutrition Workers
40
58 Attend Training on IYCF
40,000.00 ,000.00
50
59 Attend Training on NIE
50,000.00 ,000.00
Attend Training on 50
60
Nutrition Management 50,000.00 ,000.00
Updating of 30
61
Implementation Plan 30,000.00 ,000.00
Annual Preparation of 30
62
AIP and Nutrition Budget 30,000.00 ,000.00
TOTAL COST
XV. RESOURCE MOBILIZATION STRATEGIES FOR POSSIBLY UNFUNDED PPAN-BASED
PROJECTS/ACTIVITIES OF LNAP
Table below shows the funding shortfalls of the MNAP amounting to Php 31, 680.00. The funding gap can be addressed in the various resource mobilization
strategies outlined below requiring the leadership within the Local Nutrition Committee.

Table 26. Resource Mobilization Strategies

Agency to lead the actions to
Projects/activities with no Describe possible sources of Important information relevant mobilize the resources, specifying
secure funding additional resources to secure funding timelines and support needed from
other stakeholders
INFANT AND YOUNG CHILD
Establishment of In-patient Project Proposal, Program of
DOH, PHO, LGU MHO, MNAO
Therapeutic Care (ITC) Works
Exclusive Breastfeeding Promotion Master list of Lactating Mothers,
and Establishment of NNC, DOH, LGU Inventory of Breast-Feeding MNAO
Breastfeeding corners Corners, Project Proposal
Mother- Baby Friendly Hospital Provincial Government Office, Hospital data relevant to Infant
DOPH, MNAO
Initiatives DOH and Young Child
ALL POPULATION GROUPS (Families, Individual)
OPT Results, Growth Monitoring
Distribution of Seedlings and Results, FHSIS, Master list of
PLGU, MLGU-MAGRO MAGRO, MNAO
subsidy to farmers Farmers with 0-59 months
children
OPT Results, Growth Monitoring
Results, FHSIS, Master list of
Farmers Training Program PLGU, MLGU-MAGRO MAGRO
Farmers with 0-59 months
children
Construction/ Rehabilitation/ Environmental Health and
DILG, DPWH MLGU
improvement or expansion of level Sanitation Office Data on
 Agency to lead the actions to
Projects/activities with no Describe possible sources of Important information relevant mobilize the resources, specifying
secure funding additional resources to secure funding timelines and support needed from
other stakeholders
Number of Households with
II water supply system access to safely managed water
source, Project Proposal
NUTRITION IN EMERGENCIES
Project Proposal, Master list of
Conduct Training on Nutrition in Health and Nutrition Workers
LGU-MDRRMO MHO, MNAO, MDRRMO
Emergencies trained on Nutrition in
Emergencies
Conduct of Nutrition Cluster Executive Order on the Creation
MHO, MDRRMO MHO, MNAO, MDRRMO
Meetings of NIE Cluster
Vitamins and Micronutrients MHO, MDRRMO Project Proposal MHO, MNAO, MDRRMO
Food Packs Stockpiling MHO, MDRRMO Project Proposal MHO, MNAO, MDRRMO
Availability of weighing scales,
height boards, MUAC Tapes, IYCF
MHO, MDRRMO Project Proposal MHO, MNAO, MDRRMO
Counselling cards, PIMAM
Commodities
Project Proposal, Master list of
Infant and Young Child Feeding in
MHO, MDRRMO Health and Nutrition Workers MHO, MNAO, MDRRMO
Emergencies (IYCF-E)
trained on IYCF
Dietary Supplementation MHO, MDRRMO Project Proposal MHO, MNAO, MDRRMO
Micronutrient Supplementation MHO, MDRRMO Project Proposal MHO, MNAO, MDRRMO
ENABLING PROGRAM/S
Existing Manpower and
Resources Available on
Establishment of Municipal
LGU Nutrition, Supporting guidelines MLGU, SB
Nutrition Office
and policies on the Creation of
Nutrition Office
ARRANGEMENTS FOR ORGANIZATION AND COORDINATION

The Implementation Plan of the Municipal Nutrition Action Plan (MNAP) defines the specific
institutional responsibilities for each project, along with shared accountabilities concerning
outcome targets. The MNAP establishes both individual and collective accountabilities for
achieving outputs and outcomes, with the ultimate responsibility for delivering these
outcomes and outputs resting with the accountable agencies, which provide the necessary
institutional resources.

Institutional responsibilities also include coordinating the Local Nutrition Action Plan (LNAP).
The Municipal Nutrition Committee (MNC), as the counterpart to the Regional Nutrition
Committee (RNC) of Region XI and the NNC Governing Board, will primarily serve as the
body responsible for overseeing the progressive implementation of the LNAP. This role
involves integrating and aligning actions to improve nutrition at the municipal level. The
MNC will include the same agencies as the NNC Governing Board and the RNC, with
additional agencies added as necessary and appropriate for the municipality. The Local
Nutrition Committee (LNC) will continue to coordinate nutrition-related activities at both
the provincial and municipal levels.

The key functions of the LNC include: formulating, coordinating, monitoring, and evaluating
the municipal nutrition action plan; providing technical assistance to lower-level local
nutrition committees; and supporting nutrition program management. The LNC's
membership may be expanded to include relevant stakeholders or partners whose
contributions are essential for the effective implementation of the LNAP and for achieving
the desired nutrition outcomes, supported by appropriate policy guidance. The LNC may
also establish technical working groups and other inter-agency groups to address specific
issues and strengthen coordination across agencies.

To support the local coordination and delivery of the LNAP, existing processes will continue
to be used. The MNC will facilitate the following actions: 1) formulation of the Annual
Municipal Operational or Work and Financial Plan to support LNAP implementation; 2)
convening of quarterly LNC meetings; and 3) conducting an annual review of the LNAP's
program implementation.

MONITORING AND EVALUATION

The effectiveness of the Municipal Nutrition Action Plan (MNAP) in the Municipality of
Lupon is supported by a comprehensive monitoring and evaluation (M&E) framework. This
framework is essential for tracking progress, identifying challenges, and ensuring that
nutrition programs meet community needs. Key components of the M&E scheme include
the conduct of Operation Timbang Plus, regular meetings of the Municipal Nutrition Council
(MNC), Program Implementation Reviews (PIR), and field monitoring activities.

1. Operation Timbang Plus

Operation Timbang Plus (OPT Plus) is a critical initiative aimed at assessing and improving
the nutritional status of children under five years old and other vulnerable populations. Key
elements of OPT Plus monitoring and evaluation include:

 Nutritional Assessment: Regular weighing and measuring of children to determine

their growth status, enabling the identification of malnutrition cases (stunting,
wasting, and underweight).
 Data Collection: Gathering data to create a comprehensive overview of the
nutritional status within the community, which informs the planning and
implementation of targeted interventions.
 Community Engagement: Involving community members in the assessment process
to raise awareness about nutrition and encourage families to prioritize healthy
practices.

2. Municipal Nutrition Council (MNC) Meetings

The Municipal Nutrition Council serves as the guiding body for the implementation of the
MNAP. Regular MNC meetings are essential for:

 Progress Evaluation: MNC members meet to review the implementation status of

various nutrition initiatives, discussing achievements and addressing challenges
encountered.
 Data Sharing: These meetings provide a platform for stakeholders to present and
discuss data from various programs, ensuring transparency and collective
understanding of nutritional trends.
 Strategic Planning: Insights gained during MNC meetings facilitate informed
decision-making regarding resource allocation, program modifications, and new
initiatives that align with community needs.

3. Program Implementation Reviews (PIR)

Program Implementation Reviews are crucial for assessing the effectiveness of nutrition
programs under the MNAP. The PIR process involves:

 Indicator Monitoring: The council examines key performance indicators related to

malnutrition, such as the prevalence of stunting, wasting, and underweight among
children, as well as maternal health indicators.
 Identifying Gaps and Challenges: The review process helps to pinpoint areas
requiring additional focus or resources, ensuring that interventions are appropriately
targeted.
 Recognizing Best Practices: The PIR provides an opportunity to identify successful
strategies and initiatives that can be shared and scaled across the municipality.

4. Field Monitoring Activities

Field monitoring is an integral part of the M&E framework, offering valuable insights into
the practical implementation of nutrition programs. Key activities include:
  Site Visits: MNC members and health workers conduct visits to health facilities and
community programs to observe service delivery and assess the quality of nutrition
interventions.
 Community Interaction: Engaging with community members during field visits helps
gather qualitative feedback on the effectiveness of nutrition initiatives and identifies
local challenges.
 Capacity Building: Field monitoring activities also serve as opportunities for training
and support for health workers, enhancing their skills in delivering nutrition services
and collecting data.

The monitoring and evaluation scheme for the Municipal Nutrition Action Plan in the
Municipality of Lupon is designed to be comprehensive and participatory. By incorporating
the conduct of Operation Timbang Plus, regular Municipal Nutrition Council meetings,
Program Implementation Reviews, and field monitoring activities, stakeholders can
collaboratively assess the effectiveness of nutrition initiatives, identify challenges, and
implement necessary adjustments. This structured approach promotes accountability and
continuous improvement, ultimately contributing to better health outcomes for mothers
and children in the community.
ANNEXES
 Directory
Local Nutrition Committee

CHAIRPERSON Municipal Mayor

CO - CHAIRPERSON Municipal Counselor on Health

MEMBERS

Liga ng mga Punong Barangay

President

Municipal Health Officer

Municipal Nutrition Action Officer-

Designate

Municipal Planning and

Development Coordinator

MLGOO

Municipal Social Welfare and

Development Officer

Municipal Agriculturist

DepEd East District Supervisor

Lupon Central Elementary School

DepEd West District Supervisor

Central Elementary School

Municipal Budget Officer

Municipal Dentist

Municipal Engineer

Municipal Treasurer
 DepEd East and West Districts

Members of the Planning Team

Ms. - Municipal Planning and Development

Coordinator ( MPDC )

Ms. Belen P. Larrobis, M.D. - Municipal Health Officer II

Ms. Daisy A. Guiao, RN - ( Municipal Nutrition Action Officer-

Designate )

Ms. - Administrative Assistant II, Budget Office