To Improve Performance

To Improve Quality of Life

To Minimize Healthcare
Expenses

To Prevent Absenteeism

To Decrease Mortality

To Increase Confidence in
Healthcare Service

To Decrease Morbidity

To Reduce Vulnerability
to Illness

OBJECTIVE TREE

TO REDUCE THE PREVALENCE OF MALNUTRITION AMONG CHILDREN AGES 0 6 Y.O. IN

SITIO CENTRO, SITIO BAGONG POOK AND SITIO HILERANG KAWAYAN ESCRIBANO, SAN
JUAN, BATANGAS
To improve Diet
To provide management
for diagnosed cases

To Improve Practices

To improve case finding

To increase knowledge
on Malnutrition

To provide additional data

on nutritional status of
Barangay

To develop an
IEC
campaign

To introduce additional
Basis for Malnutrition
Assessment

and
Food Intake
To provide more access
To Food Supply

To alleviate Poverty

To provide cemented
roads

To improve
knowledge on
Nutrition
Management

To help initiate
improvement
on Nutrition
Status
To formulate
Nutrition Interventions

To formulate an Effective Nutrition Program

To allocate funds for Nutritional Projects

To convince the
LGU
to prioritize
Nutrition Programs

To Improve Performance

To Improve Quality of Life

To Minimize Healthcare
Expenses

To Prevent Absenteeism

To Decrease Mortality

To Increase Confidence in
Healthcare Service

To Decrease Morbidity

To Reduce Vulnerability
to Illness

ALTERNATIVE TREE

TO REDUCE THE PREVALENCE OF MALNUTRITION AMONG CHILDREN AGES 0 6 Y.O. IN

SITIO CENTRO, SITIO BAGONG POOK AND SITIO HILERANG KAWAYAN ESCRIBANO, SAN
JUAN, BATANGAS
To provide management
for diagnosed cases

To Improve Practices

To improve case finding

To increase knowledge
on Malnutrition

To provide additional data

on nutritional status of
Barangay

To develop an
IEC
campaign

To introduce additional
Basis for Malnutrition
Assessment

To improve Diet
and
Food Intake

To provide more access

To Food Supply

To alleviate Poverty

To provide cemented
roads

To improve
knowledge on
Nutrition
Management

To help initiate
improvement
on Nutrition Status

To formulate
Nutrition Interventions

To formulate an Effective Nutrition Program

To allocate funds for Nutritional Projects

To convince the
LGU
to prioritize
Nutrition Programs

FORM 1: LFA SUMMARY

Narrative Summary

Goal:
To reduce the prevalence of
malnutrition by 50% within 3 years
among children ages 0 to 6 years old
in Sitio Centro and Sitio Bagong
Silang, Brgy. Escribano, San Juan,
Batangas

Purpose:
To formulate an effective nutrition
program that will be immediately
implemented and sustained for the
next 3 years

Objectively Verifiable Indicators

(OVI)

After 3 years, the number of

malnourished children will be reduced
by 50%.

Means of Verification (MOV)

BNS Report

Risks and Assumptions

Assumptions:

Dedicated LGU
Data are available,

comprehensive and reliable

Risks:
LGU is unable to adapt to the

introduction of the new program

for nutrition.

After 3 years, 80% of all children

aged 0 to 6 years old will be included
in the nutrition program.

Component Objectives:
1. To establish a more comprehensive nutritional assessment
2. To develop IEC campaigns
3. To improve diet and food intake
4. To formulate nutrition interventions

Health Survey Reports

Program Members Listing

Assumptions:
Sufficient funs are allocated for

the program.
LGU is willing to encourage the

community to join the program.

LGU is willing to sustain and

support the program.

FORM 2 and 3: OUTPUT SUMMARY (2) and PROJECT PLANNING

FORM (3)
Component Objective
Output
Objectively Verifiable
Means of
Risks and Assumptions
Indicators (OVI)
Component Objective #1:

Output 1.1

To establish a more
comprehensive nutritional
assessment

New nutritional
anthropometric assessment
for malnutrition:
1. Underweight
2. Stunting
3. Wasting

BHWs will perform the

new nutritional
assessment for
malnutrition (weight-forage, height-for-age and
weight-for-height)
throughout the
implementation of the
program.

Activities

Verification (MOV)
BNS reports

Assumptions:

All BHWs are

available for training
and seminars.
Materials needed for

the assessment are

available.

Assessments will be
done accurately and
correctly.
Risks:
BHWs are not willing

to be trained or are
not willing to practice
the new assessment.
Assessment will not

be done consistently
and continuously.
Materials are

insufficient, defective
or unavailable.

Activity 1.1.1
Training seminar for
BHWs on
anthropometry

Emphasis on
the use of
growth charts
by the DOH
and latest
WHO standard
tables

Activity 1.1.2
Conducting an
actual
anthropometric
survey of all
children aged 0 - 6
yrs.

Component Objective

Output
Output 1.2
Description of factors that
differentiates mothers with
well-nourished children from
mothers with malnourished
children.

Objectively Verifiable
Indicators (OVI)
Possible factors that may
contribute to malnutrition
would be identified by the
end of the survey.

Means of Verification
(MOV)

Risks and
Assumptions

Summary of the results

of the qualitative survey
on:

Food frequency and

feeding habits
survey
Food preparation

survey

Assumptions:

Mothers are
available for the
survey.
Mothers will answer

completely and
comprehensively.
Risks:
Mothers are not

willing to participate.
Mothers will exhibit

Hawthorne effect.

Component Objective
#2:
To develop IEC
campaigns

Output 2.1
Information dissemination
program

Campaign materials would

be available before the end
of the first quarter and
remain throughout the
entire implementation of
the program.

Ocular inspection of
posting sites
(posters)
Records of
distribution (leaflets
and flyers)
Inventory of
materials

Assumptions:
All materials have

been pre-tested and

revised as needed.

All materials will be

informative and
understandable.
There is sufficient

funding for the

IECS.
Risks:
IECs will be ignored
or neglected.
IECs will not be
updated or sustained.

Activities
Activity 1.2.1
Conducting a
qualitative survey on
the food frequency
and feeding habits of
children aged 0 - 6
yrs.
Activity 1.2.2
Conducting food
preparation practices
assessment of
mothers.
Activity 2.1.1
Develop informative
posters, flyers/leaflets
etc. regarding
malnutrition

Component Objective
Component Objective
#3:
To improve diet and food
intake

Output
Output 3.1
Provide more access to food
supply

Objectively Verifiable
Indicators (OVI)

Means of Verification
(MOV)

Risks and
Assumptions

Activities

The barangay will have a

community vegetable
garden after planting
season of the first year of
program implementation
and remain throughout the
entire program.

Presence of community
vegetable garden in the
barangay.

Assumptions:
Sufficient funds
allocated for the
vegetable garden.
Full participation and
cooperation of all the
barangay officials and
residents.

Planning the
vegetable garden with
the barangay and the
Department of
Agriculture officials.

Risks:
Insufficient funds
Improper
maintenance of the
vegetable garden

Component Objective
#4:
To formulate nutrition
interventions

Output 4.1
Increased knowledge on
nutrition management

BHWs are able to perform

scheduled training
seminars for mothers on
the different concepts
regarding nutrition and
nutrition management
throughout the entire
implementation of the
program.

BHW results of
knowledge assessment
questionnaire regarding
points and nutrition and
nutrition management.
Results of post-seminar
assessment activities of
mothers.

Assumptions:
BHWs are willing to
undergo seminars
and evaluations.
Mothers are willing to
attend seminars,
Risks:
BHWs are not willing
to perform constant
training.
Mothers are unwilling
to participate or
follow.

Activity 4.1.1
Training seminar on
BHWs for nutrition
education
Activity 4.1.2
Training seminars on
BHWs for mothers
seminar regarding:
1. Importance of
mother
involvement
2. Value of nutrition
(food and vitamins)

Component Objective

Output

Objectively Verifiable
Indicators (OVI)

Means of Verification
(MOV)

Risks and
Assumptions

Activities
3. Value of food
preparation in nutrition
4. Alternative food
sources and easy
recipes for readily
available food sources
5. Seedling projects (if
possible)

Output 4.2
Recommendation on
developing projects that will
improve nutritional status

Recommendations will b
taken intro consideration
during the development of
nutrition projects
throughout the entire
implementation of the
program.

Project planning reports

Feasibility and
practicability reports
(based on RRLs)

Assumptions:
Program committee
are willing to accept
and consider the
recommendations.
Recommendations
are applicable
throughout the entire
duration of the
program.
Budget is readily
available for the
projects.
Risks:
Nutrition programs
will not be sustained
or prioritized.
Recommendations
will be ignored or
neglected by the
program committee.

Activity 4.2.1
Feasibility and
practicability
assessment of feeding
programs and food
supplementation
based on:
1.
2.
3.
4.

Duration
Coverage
Involvement
Alternative
Sources
5. Selection

FORM 10: MONITORING

PROJECT COMPONENT

END USER

Utilization of the new

anthropometric
measurements for nutrition
status assessment

BHWs

All BHWs would have

acquired the length/height
of all children included in
the program.

Results of the
Anthropometric Survey

Quarterly (together with

the quarterly nutrition
assessment)

Residents

All IEC materials are used

Ocular visits and spot

mapping of posting
location sites (posters)

A week after posting

(initial) and quarterly
visits (for maintenance)

Distribution listing and

inventory of stocks
(leaflets/flyers)

As distributed
(distribution) and
quarterly (inventory)

Inventory listing and

demo running
(audiovisuals)

Two days before use

(training seminars) and
monthly (maintenance)

Training Seminar
Attendance Listing

After every session

Distribution of IEC
materials

Mother Training Seminars

Mothers of children
ages 0 6 y.o.

MONITORING INDICTORS

At least 80% of the mothers

attended the seminars

MEANS OF
VERIFICATION (MOV)

MONITORING
FREQUENCY

DATA ANALYSIS

Checking for
completion of the
data submitted by
the BHWs

Percentage of
attendees (no. of
attendees over the
number of
mothers with
children 0 6 y.o.
multiplied by 100)

FORM 11: EVALUATION

PURPOSE OF
EVALUATION
To determine whether the
desired change in
prevalence was achieved

EVALUATION
OBJECTIVES
To determine
whether the
prevalence of
malnourished
children in Sitio
Centro and Sitio
Bagong Slang,
Escribano, San
Juan was
decreased by at
least 50%

PROJECT COMPONNTS
TO BE EVALUATED
Training of the BHWs on
the new nutritional
assessment procedures

INDICATORS

100% of the BHWs

are performing the
new nutritional
assessment
procedures
80% of the mothers
attended the Mother
Training Seminars

MEANS OF
VERIFICATION (MOV)
Training Attendance
Listing of BHWs
Training Seminar
Attendance Listing of
Mothers

IEC materials distributed

Mother Training
Seminars were
conducted

50% of the formerly

diagnosed as
malnourished are
already considered
normal/nourished

BHW Reports (Height

and Weight)
BNS Reports
(Nutritional Status)

DATA ANALYSIS

Change in the
prevalence of
malnourished
children
(Prevalence
computed by no.
of cases over total
no. population
aged 0 6
multiplied by 100;
change computed
by previous no. of
cases minus
present no. of
cases, divided by
previous number
of cases multiplied
by 100.)