MUNICIPALITY OF SAN JOSE

Worksheet 2. Problem tree analysis of the nutrition situation

Questions Answers
1. What forms of malnutrition exist?
Actual Number: 2023
● Nutritional status (height-for-age, weight-for-age, weight-for-
height) of children 0 - <5 years old and school children STUNTED 516 12.13%
● Nutritional status (weight and height) of pregnant and SEVERELY STUNTED 174 4.09%
UNDERWEIGHT 236 5.55%
lactating women, adolescents, and older persons
SEVERE UNDERWEIGHT 63 1.48%
● Infants with low birth weight WASTED 62 1.46%
SEVERELY WASTED 26 0.61%
● Cases of deficiencies in Vitamin A, iron, and iodine OVERWEIGHT 116 2.73%
OBESE 51 1.20%
● Compare it with previous years and identify the most
prevalent form Prevalence:
● Get the average, then rank STUNTED AND SEVERELY STUNTED 690 16.22%
UNDERWEIGHT & SEVERELY
293 7.03%
UNDERWEIGHT
WASTED AND SEVERELY WASTED 88 2.07%
OVERWEIGHT & OBESE 167 3.93%

NUTRITIONALLY-AT-RISK PREGNANT 2021 (FHSIS)

ASSES LOW %
SES
NUTRITIONALLY-AT-RISK PREGNANT
LOW BIRTHWEIGHT INFANTS

Nutritionally-at-risk pregnant 2022 (FHSIS)

ASSESSE LOW %
S
NUTRITIONALLY-AT-RISK PREGNANT 274 22 2%
LOW BIRTHWEIGHT INFANTS 321 23 7%
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2. How many are malnourished?

Actual Number: 2024
● Actual number

● Prevalence (%) e.g., number of 0 - <5-year-old children/total STUNTED 378 9.77%

SEVERELY STUNTED 129 3.34%
number of 0 - <5-year-old children
UNDERWEIGHT 165 4.27%
● Compute the prevalence of stunting, wasting, and SEVERE UNDERWEIGHT 57 1.47%
underweight among preschool and school children by age WASTED 54 1.40%
group and sex SEVERELY WASTED 10 0.26%
OVERWEIGHT 73 1.89%
● Prevalence of underweight and overweight pregnant and OBESE 40 1.03%
lactating women, adolescents, and older persons
Prevalence:
● Prevalence of deficiencies in Vitamin A, iron, and iodine (if
STUNTED AND SEVERELY STUNTED 507 13.11%
data are available) UNDERWEIGHT & SEVERELY 222 5.74%
UNDERWEIGHT
● Prevalence of infants with low birth weight
WASTED AND SEVERELY WASTED 64 1.66%
OVERWEIGHT & OBESE 113 2.92%

NUTRITIONALLY-AT-RISK PREGNANT 2022 (FHSIS)

ASSES LOW %
SES
NUTRITIONALLY-AT-RISK PREGNANT 274 22 2%
LOW BIRTHWEIGHT INFANTS 321 23 7%

Nutritionally-at-risk pregnant 2023 (FHSIS)

ASSESSE LOW %
S
NUTRITIONALLY-AT-RISK PREGNANT 342 42 4%
LOW BIRTHWEIGHT INFANTS 246 22 9%
MUNICIPALITY OF SAN JOSE

Prevalence:
Underweight & Severely underweight
Age group Boys Prevalence Girls Prevalence
0-5 months 4 0.10 0 0
6-11
4 0.10 5 0.13
months
12-23
16 0.41 20 0.52
months
24-35
28 0.72 18 0.47
months
36-47
33 0.85 27 0.70
months
48-59
25 0.65 42 1.09
months

Stunted & Severely Stunted

Age group Boys Prevalence Girls Prevalence
0-5 months 9 0.23 1 0.03
6-11
7 0.18 12 0.31
months
12-23
54 1.40 41 1.05
months
24-35
77 1.99 53 1.37
months
36-47
69 1.78 56 1.45
months
MUNICIPALITY OF SAN JOSE

48-59
61 1.58 67 1.73
months

Wasted & Severely Wasted

Age group Boys Prevalence Girls Prevalence

0-5 months 4 0.10 1 0.03
6-11
2 0.05 2 0.05
months
12-23
7 0.18 5 0.13
months
24-35
9 0.23 5 0.13
months
36-47
6 0.16 3 0.08
months
48-59
8 0.21 12 0.31
months

Overweight and obesity

Age group Boys Prevalence Girls Prevalence

0-5 months 16 0.41 3 0.34
6-11
5 0.13 3 0.08
months
12-23
5 0.13 8 0.21
months
24-35 13 0.34 4 0.10
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months
36-47
10 0.26 9 0.23
months
48-59
11 0.28 16 0.41
months
3. Who are malnourished?
● Is the prevalence of stunting, wasting, or underweight ● Stunting – higher in Boys at age group – 24-45mos at 1.99% (77
children higher in boys? or in girls? At what age and age children)
group is it high? ● Wasting – Boys in Almost All The Age Group

● Underweight – Boys in 3 Age Groups 0-5MOS 24-35 months 36-

● What is their age group/physiological classification? i.e.,
47 months
infants, preschool, school children, pregnant, lactating,
adolescents, older persons
● What type of households do they belong to?
4. Where are the malnourished?
● Identify the specific areas (purok/sitio, barangays, ● STUNTING – crossroad, majority in Poblacion Sector Calawit
municipalities, cities) or type of ecologic zone (upland, inland, 36.90%; Bahay 33.33%; Sta Cruz 33.33%; Soledad 25.66% and
lowland, coastal, rural or urban) that have the most number Manzana 25%
of malnourished children, adolescents, pregnant, lactating, ● WASTING – Poblacion Sector – Calawit 14.29%; Kinalansan
and older persons
6.70%; Adiangao 5.45%; San Antonio 5.13%; Soledad 4.42%
● Malnutrition clusters in certain areas can be determined by
● UNDERWEIGHT – All Barangays, but with highest underweight
the spot map
areas Calawit 28.57%, Sta Cruz 14.94%; Manzana 13.46%;
Soledad 13.27; Telegrafo 12.57%
● OVERWEIGHT/OBESE -Población Sector; San Antonio (Pob.)
 MUNICIPALITY OF SAN JOSE

11.54%; Catalotoan10.99%; Mampirao 8.70%; Palale8.33%;

Danlog 8.11%

5. What are the causes of malnutrition? IMMEDIATE CAUSES:

● The LNC including the NAO should discuss the causes that ● Food insecurity
lead to malnutrition. They should arrive at a list of causes and ● Insufficient family income/Low wages
agree on how these factors interact with each other. These
should be validated with actual data by comparing with ● Inadequate
higher level data or comparing across barangays.
● Lack of Knowledge about balance diet
● Immediate – inadequate food intake
UNDERLYING CAUSES:
● Underlying – food insecurity, poor care, inadequate health ● Poverty and limited resources
services
● Limited Availability oof affordable nutritious options
● Basic – education, economic condition
● Lack of Education Awareness About Nutrition
● Morbidity cases according to illness
● Uncooperative parents/ lack of appreciation of parents on
● Morbidity rate for diarrhea, measles and acute respiratory
feeding program
tract infections
● Lack Of Health Plan at The Brgys
● Low wages
● Limited Health and Nutrition Commodities
● Increase in population
● Inadequate Budget for Health and Nutrition
● Variety of diet
● Lack Of Fund to Implement Health Services
● Caring practices for women and children
● Lack Knowledge on Proper Child Care
● Low literacy rate
● Preoccupation Of Caregivers to Vices
 MUNICIPALITY OF SAN JOSE

● Female highest educational attainment ● Beliefs Detrimental to Health

● Other factors as identified by the LGU ● Poor environmental sanitation

● 27% hh do not have sanitary toilets.

● Cases of teenage pregnancy

● Fast turnover of BNS - Replacement of BNS

● Low OPT coverage

● Lack of office equipment for nutrition (computer, printer,

etc) in the brgys
● Some BNS are not computer literate

● Low/ inadequate incentive of BNS

● Poor awareness on first 1000 days program and services of

the barangay officials
● Low prioritization of nutrition of some barangays

● Low level of knowledge on importance of nutrition of adults

● Inconsistent of monitoring of nutrition program

● Inconsistent documentation of nutrition program

implementation
 MUNICIPALITY OF SAN JOSE

6. What have been done to address malnutrition? How ● NIE

effective have these been?
● IYCF
● Check the nutrition programs implemented in the community
and the extent to which programs have reached and ● BNAP FORMUALTION FOR BARANGAY LEVEL
improved the lives of the malnourished and nutritionally-
● LMT TRAINING HEALTH STAFF
at-risk
● Successes can be determined by looking into the ● ESTABLISHMENT OF SAN JOSE HUMAN MILK DEPOT
accomplishment of targets based on reports, reaching out to ● REESTABLISHMEMT OF BREASTFEEDING AREA
the truly needy population, mobilizing community
participation, among others ● Functional Bf area in workplace
● Depending on the results of the review, the LNC can decide ● DSP (LGU and Barangay)
whether to CONTINUE, STOP, or MODIFY the nutrition
programs/projects/activities ● Mothers Class incorporating IDOL SI NANAY BARANGAY
LEVEL
● BARANGAY MELLPI PRO Validation

● Adoption of Nutrition Laws and Policies (LGU and Barangay

Level)

7. What are the resources available to address malnutrition? ● HUMAN RESOURCES - Hired ND (plantilla position)
Resources in the LNAP can be in terms of:
● Office for MNAO
● human, e.g., volunteer workers and technical experts
● FINANCIAL RESOURCES Budget for nutrition allocated and
● material/equipment or physical, e.g., food commodities
utilized
● financial, e.g., funding from LGU or other partners
● HUMAN BREASTMILK DEPOT
 MUNICIPALITY OF SAN JOSE

● natural, e.g., water, fuel, and land ● STRENGTHENING GULAYAN SA BARANGAY AND PAARALAN
In assessing resources, be guided by:
● NATURAL RESOURCES INCLUDE ACCESS TO POTABLE
● What kind of resources is available? WATER AND SANITATION
● How much resources are available?

● How adequate are the resources?

8. What constraints could affect the effective implementation ● Compliance of parents
of interventions?
● Inadequate support from the barangay level to nutrition
● Constraints are factors that can affect the implementation of
program
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
 MUNICIPALITY OF SAN JOSE

VISION:

To create a healthy and nourished community by promoting and providing access to nutritious
food choices and education for all residents of the Municipality of San Jose and to reduce the
prevalence of stunting amomg 0-59 months old to 10% by the year 2025.

MISSION:

The Nutrition Program of the Municipality of San Jose is dedicated to improving the overall
health and well-being of our community by implementing effective and sustainable initiatives.

GOAL:

The Municipal Nutrition Action Plan of San Jose is to improve the overall health and well-being
of the community by promoting and supporting healthy eating habits and behavioral change
among all life stages.

OBJECTIVES:

● To Promote healthy eating habits: We strive to educate and empower individuals to make
informed food choices that support their overall health and well-being. By providing access to
nutritional information, cooking workshops, and community gardens, we aim to promote the
importance of a balanced and healthy diet.
 MUNICIPALITY OF SAN JOSE

● To Enhance food accessibility: We are committed to ensuring that all residents have access to
affordable and nutritious food options. Through partnerships with local farmers, businesses, and
community organizations, we will work towards reducing food deserts and increasing the
availability of fresh and locally sourced produce.
● To Foster community engagement: We believe that community involvement is essential for the
success of our program. We will actively engage residents, schools, healthcare providers, and
other stakeholders to create a supportive environment that promotes healthy lifestyles. Through
community events, workshops, and partnerships, we will encourage active participation and
collaboration.
 MUNICIPALITY OF SAN JOSE

STUNTING 0-59MONTHS OLD

(13.11%)

LOW EXCLUSIVE
INADEQUATE BREASTFEEDING POOR HEALTH SEEKING
FOOD INTAKE RATE BEHAVIOUR

POOR INFANT AND LACK OF AWARENESS ON

FOOD INSECURITY YOUNG CHILD FEEDING PROPER NUTRITION
PRACTICES

Inadequate food
production/poor Limited knowledge on child care Lack of knowledge on
knowledge on bio Vices of parents nutrition practices, and proper
intensive gardening Poor attendance of mothers on food preparation and sanitation
No land for cultivation health & nutrition classes Limited Health Supply
Limited money to buy Poor antenatal /post natal check up Poor Sanitation
food Poor dental care Lack of Potable Water
Unemployment/under- Lack of support from males Supply
employment at the household Poor Personal Hygiene
Large Family Size
OBJECTIVE TREE
Natural calamities
Lack of access to nuritious
 MUNICIPALITY OF SAN JOSE

Reduced number of stunted children 0-59 months

old from 13.11% to 10.11%

Developing the modified problem tree INCREASED

ADEQUATE FOOD EXCLUSIVE GOOD/ EFFECTIVE HEALTH
INTAKE BREASTFEEDING SEEKING BEHAVIOUR
RATE
GOOD INFANT AND AWARENESS ON PROPER
FOOD SECURITY YOUNG CHILD FEEDING NUTRITION
PRACTICES

Adequate food Ample knowledge on child care

production/ more services Have knowledge on
knowledge on bio Parents Promoting healthy Habits nutrition practices, and proper
intensive gardening Poor attendance of mothers on food preparation and sanitation
Presence of land for health & nutrition classes With enough Health Supply
cultivation Complete Antenatal /post natal Access to Sanitation
Financial stability check up Access of Potable Water
Increased Good dental care Supply
employment rate Lack of support from Good Personal Hygiene
Presence Family males at the household
Planning Awareness
Inplace disaster risk
management plan