--- in broad strokes

Maria Lourdes A. Vega

Nutrition Officer V and OIC
Nutrition Policy and Planning Division
Objective of the guidelines
To set standards for supplementary feeding in
the Philippines that would ensure sustained
improvement in nutritional status and the best
use of available resources

Target users of the guidelines
Program managers whether in local government
units or non-government organizations, who
formulate programs and projects that involve
supplementary feeding

Implementors of supplementary feeding programs
or those who carry out the day-to-day operations of
a supplementary feeding program.


Objectives of supplementary
feeding
General objective: To improve the nutritional
status of the targeted undernourished

Specific objectives
1. To provide food, including locally processed
foods, equivalent to 1/3 of the recommended
energy intake, and 1/3 of the recommended
intake for protein, iron, and vitamin A.

Objectives of supplementary feeding
Specific objectives
2. To improve knowledge, attitudes and practices
of mothers/child caregivers as well as of other
family members along key nutritional practices

3. To monitor the growth of beneficiaries regularly

4. To refer beneficiaries to health care facilities as
may be needed
Priority targets
1. Wasted infants 6 months to 24 months old, or those
with MUAC<115 mm
2. Underweight pregnant women
3. Wasted preschool children 36-71 months old, or those
with MUAC<115 mm are the third priority
Priority targets
4. Underweight school-age children

5. Malnourished children discharged from health facility

OPT results could be used to identify first the
underweight-for-age, who then are further screened for
eligibility using the weight-for-height index or MUAC
Level, frequency, and duration of
supplementation

of recommended intake of energy, protein, vitamin
A, and iron daily for 5 days a week for 90 120 days
for moderately malnourished children, and by at the
least the last trimester for pregnant women.
Exit criterion
Preschool children
Attainment of normal weight-for-height status,
ideally after 90 days.
If normal weight-for-height not achieved after 90
days of supplementation, continue supplementation
for another 30 days.
If after 120 days normal weight-for-height is not
attained, STOP and investigate why
Exit criterion
School-age children
Attainment of normal weight-for-age status, ideally
after 90 days.
If normal weight-for-height not achieved after 90
days of supplementation, continue supplementation
for another 30 days.
If after 120 days normal weight-for-height is not
attained, STOP and investigate why
Exit criterion
Pregnant women
Upon delivery
Foods to use
Locally produced unprocessed food

Locally processed food like insumix or nutripak or
equivalent; preferably fortified with iron and vitamin A

Commercially-processed food, preferably with the
Sangkap Pinoy Seal

Locally produced milk only for pregnant women and
children 3 years and above

Donated blended food
Modes of feeding

Wet or center-based

Home-based give rations at specified time; need to
provide for allowance sharing in the family

Mandatory complementary
activities
Health check-up upon enrolment in SF to determine
presence of infections, and if yes, refer to health
professional for intervention

Deworming if beneficiary has not been dewormed in
the past 6 months

One-on-one nutritional counselling
Mandatory complementary
activities
Participation in nutrition classes

Growth monitoring

Referral to health professional as needed

Community mobilization

Additional complementary
activities

Home or community kitchen gardening

Livelihood


Monitoring and evaluation

Weight gain
Health condition presence of disease, especially
diarrhea and ARI
Consumption of the food supplement
Participation in complementary activities


Discussion points

Are these broad strokes enough?
Are they doable?
Are more details needed? What details?
Should there be separate provisions for
supplementary feeding for severe acute malnutrition
without complications?

Thank you