NNC GB Reso No. 3 s2014 - LNP PDF
NNC GB Reso No. 3 s2014 - LNP PDF
NNC GB Reso No. 3 s2014 - LNP PDF
Department of Health
NATIONAL NUTRITION COUNCIL
Background
Thus, there is a need for strategic and purposive action to address this twin
nutritional problem. With devolution, local government units play a pivotal role in
reversing the trend in both under and overnutrition and in ensuring good nutrition
among the population.
Based on the aforementioned premises, the following guidelines for local nutrition
planning are being adopted to help ensure that nutrition action at the local level is
strategic and purposive. The guidelines update those adopted in the 1980s.
Guidelines objectives
Local nutrition planning is deciding in advance actions that would be taken to address
prevailing nutritional problems. Its output is a three-year (coinciding with the term of
local elective officials) local nutrition action plan, i.e. Provincial/City/Municipal Nutrition
Action Plan (P/C/MNAP). It also outputs an annual investment plan for nutrition to help
ensure that the plan is funded and implemented.
The three-year plan should contain various sections that will include an assessment of
the situation; the objectives; workplan for programs, projects and activities to be
implemented, monitoring and evaluation scheme, budgetary requirements and
arrangements for organization and coordination. Panel A shows a sample outline for a
local nutrition action plan.
LGU: ____________________
1. Introduction
2. The nutrition situation
a. What forms of malnutrition exist?
b. How many are malnourished?
c. Who are malnourished?
d. Where are the malnourished?
e. What are the causes of malnutrition?
f. What have been done to address malnutrition? How
effective have these been?
g. What are the resources available to address
malnutrition?
h. What constraints could affect the effective
implementation of interventions?
3. Goals and objectives
4. Workplan to implement programs, projects and activities
5. Monitoring and evaluation scheme
6. Budgetary Requirements
7. Arrangements for organization and coordination
The annual investment plan should provide information on specific activities and targets
for the year as well as funding requirements for the implementation of these activities.
Guidelines on local nutrition planning
8. Provides the local nutrition committee (LNC) with a guide for implementing
nutrition projects, assessing and evaluating efforts and generating resources
The LNAP is best prepared in the first semester of an election year. This will help
ensure that the nutrition agenda is integrated in the Executive Legislative Agenda of
the local government unit. It is to be noted that per guidelines on harmonized local
development planning, the ELA for a term of local elective officials should be
completed by 31 July of the election year and is the basis for the local development
plan that is in turn the basis of the annual investment plan used for local budgeting.
If for some reason or another, the local government unit has been unable to
formulate its LNAP before the formulation of the ELA, such can still be formulated
covering the remaining period of the current administration. However, the local
nutrition action officer should coordinate with the local planning and development
office to ensure that the LNAP can still be considered in formulating the annual
investment plan.
On the other hand, the annual investment plan for nutrition should be formulated
within the first semester of the year prior to the year of implementation since heads
of offices or department heads of LGUs are required to submit budget proposals by
15 July. Preparing the annual investment plan for nutrition early in the year will help
facilitate the inclusion of budgetary requirements in the overall local budget
proposal, either as part of sectoral (or department) budget proposals or as a distinct
nutrition budget.
Guidelines on local nutrition planning
Once the annual budget has been approved, the annual investment plan for
nutrition could be reviewed and adjusted depending on budgets approved for
specific activities.
Local nutrition planning involves several activities (Table 1) that are undertaken by
the local nutrition committee under the leadership of the local chief executive, with
the nutrition action officer as overall coordinator. It is to be noted that while these
activities are listed sequentially, the process is iterative with the local nutrition
committee or its planning core group going back and forth to certain activities as the
plan is being formulated.
Activity Description
1. Mobilization of local Activate core group composed of NAO and representatives
nutrition committee or from planning office, agriculture, health, social welfare, DepED,
local nutrition planning DILG, NGOs and budget office
core group
2. Assessment of nutrition Answers the guide questions (below) in conducting nutrition
situation situation assessment
1. What forms of malnutrition exist?
2. How many are malnourished?
3. Who are the malnourished?
4. Where are the malnourished?
5. What are the causes of malnutrition? (prepare a problem
tree)
6. What have been done to address malnutrition? How
effective have these been?
7. What resources are available to address malnutrition?
8. What constraints could affect the implementation of
nutrition interventions?
3. Setting of goals and Determining expected reduction in malnutrition based on
objectives modified problem tree, trends and higher level goals
1. Define and agree on goals and objectives
2. Identify priority nutrition problem
3. Identify areas for complementation and integration of the
goals and objectives contributing to higher level PPAN and
other comprehensive plans
Guidelines on local nutrition planning
Activity Description
4. Identification and Identification and prioritization of interventions
prioritization of nutrition 1. Identification of intervention based on nutrition problem
interventions and causes
2. Setting of prioritization criteria
3. Rating of projects
4. Ranking of projects
5. Selection of intervention or group of interventions
5. Preparation of work plan Prepare the details of the work and financial plan including
or operational plan targets, interventions, duration, resources needed
6. Designing of monitoring Preparing of monitoring and evaluation plan as part of the
and evaluation operation plan
7. Plan packaging Packaging of LNAP for submission to different stakeholders;
preparing the write-up
8. Legislation/adoption and Includes strategies for adoption of LNAP at local level as well as
resource allocation financing; submission to the planning office for integration in
the CLDP and AIP
Activity Outputs
1. LNC planning meeting a. Decisions and agreements on the planning process, i.e.,
No.1 activities to be done and by whom, timetable of
activities, resources needed and source
b. Organization of planning core group
c. Organization of planning secretariat
Activity Outputs
4. Series of meetings of Draft plan (includes targets, scheme for monitoring and
LNC/LPCG to be evaluation, budget, local agency or NGO in charge) for each
complemented by of the programs and projects initially agreed upon by the
individual assignments LNC
or consultation with
key
personalities/actors
5. LNC planning meeting a. Approval of draft plan
Nos. 3 and 4 b. Additional task to be done, if any
6. Integration of all Finalized LNAP (write-up with supporting tables and figures,
comments of P/C/MNC if needed)
planning meetings,
usually by the P/C/M
Nutrition Action
Officer
7. LNC planning meeting a. Approval of the LNAP by way of LNC resolution
No. 5 b. Plans for presentation to the P/C/M Development
Council, and Sangguniang Panlalawigan or Panlungsod
or Sangguniang Bayan
Mobilization
Mobilization means bringing the members of the LNC together, under the
leadership of the LCE, to formulate the LNAP. If the LGU has no organized or
active LNC, the nutrition planning process provides an opportunity to
reactivate or organize the LNC. It is to be noted that the LNC also serves as
the local nutrition cluster.
If the LNC has many members, a local planning core group (LPCG) could be
organized to make the planning process manageable.
Guidelines on local nutrition planning
It could also undertake the planning activities to develop a draft plan that should be
presented, deliberated on and eventually approved by the local nutrition committee.
Situational analysis
In this phase the LNC or LPCG, using data available, endeavors to answer the following
questions:
1. What forms of malnutrition exist?
2. How many are malnourished?
3. Who are the malnourished?
4. Where are the malnourished?
5. What are the causes of malnutrition?
6. What have been done to address malnutrition? How effective have these been?
7. What resources are available to address malnutrition?
8. What constraints could affect the implementation of nutrition interventions?
To answer these questions, the LNC or LPCG could collect and analyze data from various
sources (Table 3). It could also conduct focus group discussions with various groups
especially the intended targets to also generate their inputs on problem identification as
well as on measures to undertake to address identified problems.
Guidelines on local nutrition planning
Who are the 12. Is the prevalence of underweight Local Health Office,
malnourished children higher in boys? or in girls? In Local Nutrition Office,
what age and age group is it high? DepED
13. What is their age group/physiological
classification?, i.e., infants, preschool,
school children, pregnant, lactating,
elderly, adolescents
14. What type of households do they
belong to?
Where are the 15. Identify the specific areas (purok/sitio, Local Health Office,
malnourished barangays, municipalities, cities) or Local Nutrition Office
type of ecologic zone ( upland, inland,
lowland, coastal, rural or urban) that
Guidelines on local nutrition planning
The situational analysis should also involve the development of a problem tree (one for
each identified nutrition problem) that will show the linkage of the chain of factors that
Guidelines on local nutrition planning
affect the nutritional problem as well as the consequence of not addressing the
nutritional problem. The problem tree is a useful tool to understand how various factors
affect malnutrition.
In constructing a problem tree, the specific nutrition problem should be identified and
agreed on by the local nutrition committee. This can be followed by a brainstorming
session on the possible causes of the problem. These causes are then arranged and
organized in to a tree.
As a rule, the topmost part of the tree contains the consequences of not attending to
the chosen nutritional problem. The layer under the box of the problem being
considered is the immediate cause of the problem. A series of whys can be answered to
identify causes. For instance, “why are children malnourished? Because they have no
food in the home. Why is there no food in the home? Because food production is low.
Why is food production low? Because good seeds are inadequate”, etc.
In constructing the problem tree, the LNC may consider using the local dialect. This
could allow a better understanding and appreciation of the causality of the problem.
Figures 1 and 2 show sample problem trees. However, it is a modified problem tree and
all potential causes at the lower part of the tree are all listed in a box. Since this is a
sample tree, the LNC should review the causes in the list, and identify which ones are
applicable in the LNC’s unique situation. Those that are not applicable should be taken
out of the list. Causes in addition to those in the list may also be identified.
The results of the situational analysis should be used in prioritizing nutritional problems
to be addressed, areas and population groups to be targeted. It should also guide the
selection and design of nutrition interventions.
Guidelines on local nutrition planning
Underweight
children, <5 years old
-
Guidelines on local nutrition planning
Figure 2. A sample modified problem tree for iodine deficiency among pregnant
women
High unemployment/
Underemployment
Poor school
performance
Iodine deficiency,
pregnant women
The next step is on setting the plan’s goal and outcome objectives.
The goal is a statement of what the LNC wants to achieve when the main problem is
solved and the consequences of the problem are lessened. An example of a goal is
“Improved quality of life through improved nutritional well-being”
The outcome objective(s) is a quantified statement of the desired change in the main
problem identified. In nutrition planning, improving the topmost box of the problem
tree is selected as the outcome objective.
In setting targets, the LNC can look at trends (percent decrease or increase) in the
indicator in the past three to five years and apply the trend in projecting the
targeted prevalence. In some instances, the trend in percentage decrease could be
assumed to move faster as a result of the planned interventions.
Guidelines on local nutrition planning
Based on the situational analysis and the set goal and objectives, the LNC or LPCG
should identify what interventions will be implemented. Attachment 1 lists a range
of interventions that can be implemented to achieve certain objectives.
The LNC or LCPG could also prioritize the interventions using processes described in
the nutrition program management manual.
After the prioritization exercise, the LNC or LPCG should then develop the workplan
for the selected interventions using the matrix below.
However, in most instances, monitoring and evaluation are forgotten in the planning
stage. Thus, the LNC or LCPG should ensure that the LNAP includes plans for
monitoring and evaluation. The matrix below can be used for the purpose.
Guidelines on local nutrition planning
Province/City/Municipality: ___________________________________
The following table lists sample indicators that can be considered for the monitoring
and evaluation system.
Plan packaging
At this stage the write-up of the plan is prepared following the outline on page 25.
The matrices form part of the plan and are integrated in the appropriate section with
the appropriate write-up that should provide more information on the contents of
the matrices.
The plan should be approved by LNC through a resolution that indicates such
approval as well as a commitment to translate the plan into action. All members of
the LNC should sign the resolution as an indication of ownership and commitment to
operationalize the plan.
The plan can then be presented to the incoming local chief executive and the
Sanggunian for approval as well.
Guidelines on local nutrition planning
To ensure that the LNAP is implemented, it should get the appropriate funding from
the local government. Along these lines, the Annual Investment Plan for Nutrition
should be developed using the form on the next page. Its entries should be based
on the LNAP.
Province/City/Municipality: _________________________________
Performance Area: __________________________________________
The LNAP and AIP should be submitted to the LPDO for inclusion in the overall local
development plan, ELA, and AIP.
The plan should then be implemented by the LGU departments or offices, national
agencies or entities concerned. It may be adjusted in response to the evolving
situation.
The plan should also be used as a tool for advocacy in engaging partners in its
implementation.
Guidelines on local nutrition planning
Attachment 1
Attachment 2
Workshop Forms
General or outcome
objective
Guidelines on local nutrition planning
Target Sector/
Program/ Expected
Person Estimated Source of
Project/ Objective Baseline 2014 2015 2016 Location Schedule Result/
In fund reqt. Fund
Activity/ Grp. No. Grp. No. Grp. No. Output
Charge
Guidelines on local nutrition planning
Target
Intervention/ Program/ Output Baseline
Project/Activity objectives (2013) 2014 2015 2016
Guidelines on local nutrition planning
Frequency
How to collect Person
Objective/Indicator Data Source of data
data (Method) in-charge
collection
General Objective
Specific/ Output
Objective 1
Guidelines on local nutrition planning
RE-ENTRY PLAN
Budgetary
Activity In-charge Schedule Remarks
requirements