Worksheet 2.
Problem tree analysis of the nutrition situation
Questions Answers
1. What forms of malnutrition exist? The following malnutrition issues exist in the LGU:
Stunting? Wasting? Overweight/obesity? among children 0 - 1. Stunting
<5 years old and school children 2. Wasting
Nutritional status of pregnant and lactating women, 3. Overweight
adolescents, and older persons? 4. Obesity
Infants with low birth weight. 5.
Cases of deficiencies in Vitamin A, iron, and iodine?
2. How many are malnourished?
Actual number of the forms of malnutrition identified On pre-school children (0-5 years old)
Prevalence (%) e.g., number of 0 - <5-year-old children/total Total Number of PS weighed: 4,016
number of 0 - <5-year-old children OPT Plus Coverage: 79%
Compute the prevalence of stunting, wasting, and Form of malnutrition Prevalence Actual Number
underweight among preschool and school children by age 1. Stunting 18.42% 584
group 2. Wasting 7.09% 235
Prevalence of deficiencies in Vitamin A, iron, and iodine (if 3. Overweight 1.42% 45
data are available) 4. Obesity 1.20% 38
Prevalence of infants with low birth weight 5.
On low-birthweight infants
Prevalence of low birth weight infants: _____
Actual number of low birth weight infants: ______
Other data available:
3. Who are malnourished?
Is the prevalence of stunting, wasting, or underweight Stunting is highest among: 24-35 months (age group) and in Boys
children higher in boys? or in girls? At what age and age (boys / girls)
group is it high? Wasting is highest among: 24-35 months (age group) and in Boys
What is their age group/physiological classification? i.e., (boys / girls)
infants, preschool, school children, pregnant, lactating, Overweight/obesity is highest among: 0-5 months (age group) and
Questions Answers
adolescents, older persons in Boys (boys / girls)
What type of households do they belong to?
4. WHERE are the malnourished? Underweight – Alibijaban 21.79% (39)
Identify the specific areas (purok/sitio, barangays, Stunting – Camflora 29.96% (204)
municipalities, cities) or type of ecologic zone (upland, inland, Wasting – Poblacion 22.26% (65)
lowland, coastal, rural or urban) that have the most number Overweght/Obese – Camflora 4.55% (31)
of malnourished children, adolescents, pregnant, lactating,
and older persons
Malnutrition clusters in certain areas can be determined by
the spot map
5. WHAT are the causes of malnutrition? Identified causes of malnutrition in the LGU:
The LNC including the NAO should discuss the causes that
lead to malnutrition. They should arrive at a list of causes and
agree on how these factors interact with each other. These
should be validated with actual data by comparing with
higher level data or comparing across barangays.
Immediate – inadequate food intake
Underlying – food insecurity, poor care, inadequate health
services
Basic – education, economic condition
Morbidity cases according to illness
Morbidity rate for diarrhea, measles and acute respiratory
tract infections
Low wages
Increase in population
Variety of diet
Caring practices for women and children
Low literacy rate
Female highest educational attainment
Other factors as identified by the LGU
Questions Answers
6. What have been done to address malnutrition? How Existing nutrition interventions within the LGU:
effective have these been?
Check the nutrition programs implemented in the community
and the extent to which programs have reached and
improved the lives of the malnourished and nutritionally-
at-risk
Successes can be determined by looking into the
accomplishment of targets based on reports, reaching out to
the truly needy population, mobilizing community
participation, among others
Depending on the results of the review, the LNC can decide
whether to CONTINUE, STOP, or MODIFY the nutrition
programs/projects/activities
7. What are the resources available to address malnutrition? Human Resources:
Resources in the LNAP can be in terms of:
human, e.g., staff, volunteer workers, and technical experts
material/equipment or physical, e.g., food commodities, Material Resources:
health stations, growth monitoring tools
financial, e.g., funding from LGU or other partners
natural, e.g., water, fuel, and land Financial Resources:
In assessing resources, be guided by: Allotted budget for nutrition in the LGU: _______ (Year: _____ )
What kind of resources is available?
How much resources are available?
How adequate are the resources? Other resources identified:
8. What constraints could affect the effective implementation Constraints:
of interventions?
Constraints are factors that can affect the implementation of
nutrition programs/projects/ activities (socio-economic,
political, cultural, ecological/environmental)
Learning or difficulties may also be along inadequate funds,
uncooperative community and lack of coordination among
LNC members
Questions Answers
Developing the modified problem tree
The LGU team shall identify the major nutrition problem to be addressed and come up with a modified problem tree based on their discussion
and answers in the above questions. The LGU may opt to place their existing nutrition problem tree and modify, if available
