📘 Study Notes (Reviewer Format)

Infant and Young Child Feeding (IYCF) Program

Primary Focus: Promotes appropriate infant and young child feeding practices, especially
during the First 1,000 Days.

Legislation Supporting Barangay Nutrition

 Republic Act No. 11148 (Kalusugan at Nutrisyon ng Mag-Nanay Act)

Aims to strengthen the Barangay Nutrition Program and address malnutrition during
the First 1,000 Days of life.
 NNC Memorandum No. 2017-011
Provides updated guidelines for implementing the Barangay Nutrition Program.
 Rooming-in and Breastfeeding Act (RA 7600)
Encourages early initiation and exclusive breastfeeding by rooming-in newborns
with mothers in health facilities.
 Presidential Decree 1569
Mandates the deployment of Barangay Nutrition Scholars (BNSs) to assist in
community nutrition programs.

Barangay Nutrition Scholar (BNS) Program

 Main Purpose: Enhance nutritional status of children and mothers in communities.

 Role: Implement nutrition-related programs and activities at the barangay level.
 Qualifications:
o Bona fide resident of the barangay
o Aged 18–40 years old
o At least a high school graduate
 Requirements:
o Physically and mentally fit
o Willing to be trained and render nutrition services
 Benefits: Monthly stipends or allowances provided by the LGU or the National
Nutrition Council (NNC)

National Nutrition Programs and Interventions

 Philippine Plan of Action for Nutrition (PPAN)

The national blueprint to reduce malnutrition, aligned with global SDGs and DOH
health targets.
 Operation Timbang Plus (OPT Plus)
Annual weighing and height measurement of 0–59 month-old children to monitor
nutritional status.
  Food Fortification Program
Mandated under RA 8976 (Food Fortification Law), requiring fortification of staple
foods (e.g., rice with iron, salt with iodine, oil with vitamin A) to address
micronutrient deficiencies.
 Pinggang Pinoy
A visual food guide using a plate model to promote healthy food portions based on
food groups (Go, Grow, Glow).
 Food Pyramid
Nutritional guide presenting food groups arranged in levels to represent
recommended proportions in daily diet.
 Vitamin A Supplementation
Aimed at preventing blindness and infection; administered during Garantisadong
Pambata campaigns or routine services.
 Micronutrient Powder (MNP) Supplementation
Provided to 6–23 month-old children to combat iron deficiency anemia and
stunting.
 Weekly Iron-Folic Acid (WIFA)
Administered to adolescent girls and pregnant women to prevent anemia.
 Severe Acute Malnutrition (SAM)
Managed with Ready-to-Use Therapeutic Food (RUTF) in health facilities for
children with visible severe wasting.
 Moderate Acute Malnutrition (MAM)
Managed through Supplementary Feeding Programs (SFP) or Ready-to-Use
Supplementary Food (RUSF) for children with moderate wasting.

🧠 Flashcards (for Practice or Quizzes)

Topic Flashcard Question Answer
What is the focus of the IYCF Improving nutrition during the
IYCF Program Focus
program? First 1,000 Days
Barangay Nutrition What law strengthens the RA 11148 (Kalusugan at
Program Support Barangay Nutrition Program? Nutrisyon ng Mag-Nanay Act)
What is the purpose of NNC Updated guidelines on Barangay
NNC Memo 2017-011
Memo No. 2017-011? Nutrition Program
What does the Rooming-in and
RA 7600 Breastfeeding
Breastfeeding Act promote?
What is the purpose of the BNS Improve child and maternal
BNS Program
program? nutrition
Implement nutrition programs in
BNS Community Care What is the role of a BNS?
the barangay
Deployment of BNS in rural
PD 1569 Mandate What did PD 1569 mandate?
areas
What are expected BNS Resident, 18–40 years old, high
BNS Qualifications
qualifications? school graduate
BNS Education What is one requirement to
At least a high school graduate
Requirement become a BNS?
 Topic Flashcard Question Answer
What’s the IYCF’s focus in the
IYCF & 1000 Days Improving child nutrition
First 1,000 Days?
BNS Benefit What benefit is given to BNSs? Monthly allowance
What is the age requirement for a
BNS Age Requirement 18–40 years old
BNS?
Philippine Plan of Action for
PPAN What does PPAN stand for?
Nutrition
Monitoring weight and height of
OPT Plus What is the purpose of OPT Plus?
children under 5
What law mandates food
Food Fortification RA 8976
fortification in the Philippines?
Proper food proportions using a
Pinggang Pinoy What does Pinggang Pinoy teach?
plate guide
What is the Food Pyramid used To show recommended food
Food Pyramid
for? intake by category
Why is Vitamin A given to To prevent blindness and boost
Vitamin A
children? immunity
Iron deficiency anemia and
Micronutrient Powder What does MNP prevent?
stunting
Who is WIFA supplementation Adolescent girls and pregnant
WIFA
for? women
Ready-to-Use Therapeutic Food
SAM What is SAM treated with?
(RUTF)
Through Supplementary Feeding
MAM How is MAM managed?
or RUSF

🧼 Handwashing and Nutrition

 Importance: Prevents foodborne illnesses and malnutrition by reducing infections.

 When to Wash Hands:
o Before preparing or eating food
o After using the toilet
o After handling a child or cleaning a child
o Before breastfeeding or preparing infant formula
 Link to Nutrition: Poor hygiene can lead to diarrhea, which causes malabsorption
of nutrients and weight loss in children.

🆘 Nutrition in Disaster and Emergencies

 Key Focus Areas:

o Immediate assessment of nutritional status of affected population (especially
pregnant/lactating women and children)
 o Provision of ready-to-eat or fortified food
o Safe water supply and WASH (Water, Sanitation, and Hygiene)
o Continuation of IYCF-E (Infant and Young Child Feeding in Emergencies)
 Role of Barangay Nutrition Scholars:
o Conduct rapid nutrition assessment
o Ensure feeding programs continue during displacement

🧠 Flashcards (for Practice or Quizzes)

Topic Flashcard Question Answer
What activity is conducted January–
Nutrition Calendar OPT Plus
March in all barangays?
When is Vitamin A supplementation April and October
Vitamin A Schedule
typically given? (Garantisadong Pambata)
Nutrition Month When is Nutrition Month celebrated? July
Deworming When is deworming done for school-
January and July
Schedule age children?
WIFA What months are for intensified
February and August
Supplementation WIFA supplementation?
Why is handwashing important in Prevents diarrhea and
Handwashing
nutrition? malnutrition
Handwashing When should one wash hands before
Before food prep or breastfeeding
Timing eating or feeding?
Hygiene and What does poor hygiene lead to in
Diarrhea and nutrient loss
Nutrition children?
What are key interventions in Assessment, food aid, hygiene,
Nutrition in Disaster
nutrition during emergencies? and IYCF support
BNS Role in What is the BNS's role during Nutrition assessment and feeding
Disaster calamities? continuity
How is handwashing linked to Reduces infection risk that affects
Food Safety
nutrition? nutrient absorption

📘 Nutrition Program Reviewer (Comprehensive Edition)

🔑 Overview of the National Nutrition Program

The Nutrition Program is composed of sub-programs that address the nutritional needs of
Filipinos at all life stages. It aligns with the Philippine Plan of Action for Nutrition (PPAN) to
reduce all forms of malnutrition and contribute to nation-building.
📂 Major Sub-Programs

1. Operation Timbang Plus (OPT Plus)

 Target: Children 0–59 months

 Purpose: Annual measurement of weight and height to determine nutritional status
 Schedule: January–March

2. Infant and Young Child Feeding (IYCF)

 Focus: First 1,000 Days

 Promotes:
o Exclusive breastfeeding for 6 months
o Complementary feeding starting 6 months with continued breastfeeding

3. Philippine Integrated Management of Acute Malnutrition (PIMAM)

 Addresses Severe and Moderate Acute Malnutrition

 Uses therapeutic feeding and outpatient/inpatient protocols

4. Micronutrient Supplementation

 Vitamin A: April & October

 Iron + Folic Acid (WIFA): For adolescent girls and pregnant women
 Micronutrient Powder (MNP): For 6–23-month-old children

5. Deworming

 Targets: Children 1–12 years old

 Schedule: Twice a year (January & July)

📘 Nutrition-Sensitive Components

⚖️Pinggang Pinoy

 A visual guide promoting healthy food plate:

o ½ vegetables and fruits
o ¼ rice or carbohydrates
o ¼ protein-rich food
o Plus: water, physical activity, and portion control
 Available versions: For children, adults, elderly, and pregnant/lactating women

🧂 Iodized Salt Law

RA 8172 – ASIN Law (Act for Salt Iodization Nationwide)

 Mandates the universal iodization of salt

 Objective: Eliminate Iodine Deficiency Disorders (IDDs)
 Enforced through DOH and BFAD inspections and public education

🧪 Food Fortification

RA 8976 – Food Fortification Act of 2000

 Mandates fortification of:

o Rice with iron
o Flour with vitamin A and iron
o Cooking oil with vitamin A
o Sugar with vitamin A
 Implemented through the Mandatory Food Fortification Program

🎉 Nutrition Month

 Celebrated every July

 Increases awareness on key nutrition issues with annual themes

📊 Monitoring & Evaluation

MELLPI Pro

 Monitors local nutrition program implementation

 Evaluates:
o Barangay Nutrition Scholars (BNS)
o Local Government Units (LGUs)
o Local Nutrition Committees

🧼 Handwashing in Nutrition

 Integrated in WASH in Nutrition

 Prevents diarrhea and infections that worsen malnutrition
 Essential before:
o Eating
o Preparing food
o Breastfeeding or feeding children
🌪 Nutrition in Emergencies

 Part of Nutrition Cluster response during disasters

 Includes:
o Rapid nutrition assessments
o Distribution of RUTF, micronutrients, and complementary feeding kits
o Support for IYCF in evacuation centers

🇵🇭 National Policy & Legal Framework

Law/Policy Description
PPAN (Philippine Plan of Action for Strategic framework for reducing malnutrition and
Nutrition) improving health
RA 11148 (Kalusugan at Nutrisyon ng Supports First 1,000 Days and barangay-based
Mag-Nanay Act) nutrition efforts
RA 7600 (Rooming-In and Breastfeeding Encourages breastfeeding through hospital-based
Act) policies
RA 10028 (Expanded Breastfeeding Requires lactation stations and paid breastfeeding
Promotion Act) breaks
EO 51 (Milk Code) Regulates marketing of breastmilk substitutes
RA 8172 (ASIN Law) Requires iodization of all salt
RA 8976 (Food Fortification Act) Mandates nutrient fortification of staple foods
Establishes Barangay Nutrition Scholars in rural
Presidential Decree 1569
areas

📆 Nutrition Program Calendar Summary

Activity Timeline
OPT Plus January–March
Deworming January & July
Vitamin A Supplementation April & October
WIFA Weekly, year-round
Nutrition Month July
MELLPI Pro Annually

🧠 Flashcards for Practice

Topic Question Answer

PPAN What is the goal of PPAN? Reduce malnutrition & maternal/child
 Topic Question Answer
mortality
RA 8172 What law mandates salt iodization? ASIN Law (RA 8172)
What does the Food Fortification Act
RA 8976 Fortification of staple foods
require?
Pinggang
What does Pinggang Pinoy promote? Balanced meal proportions
Pinoy
RA 7600 What is RA 7600 known for? Rooming-in and breastfeeding
What support does RA 10028
RA 10028 Lactation breaks and stations
provide?
EO 51 What is the Milk Code? Regulation of infant milk marketing
Deworming When are national deworming days? January & July
OPT Plus What is the target group for OPT? Children 0–59 months
MELLPI What does MELLPI Pro evaluate? Nutrition program implementation

📘 Anthropometry & Growth Monitoring Reviewer

🧰 Essential Anthropometric Tools

Tool Description Use

Wall-mounted measuring tape with Measures standing height (≥24
Microtoise
headpiece months)
Wooden/metal board with movable Measures length (lying down) for
Height Board
headpiece <24 months
Salter Scale Hanging scale with sling Weighs infants 0–24 months
Weighs children ≥24 months and
Weighing Scale Platform or beam scale
adults
BMI Tape (or
Used to calculate BMI-for-age Classifies nutritional status
Chart)

📏 Proper Height/Length Measurement

For Children ≥24 Months (Standing Height)

 Use: Microtoise or stadiometer

 Procedure:
o Remove shoes/hair ornaments
o Child stands straight, heels together
o Heels, buttocks, shoulders, head touching the board
 o Eyes level (Frankfurt Plane)
o Lower headpiece to scalp
o Record to nearest 0.1 cm

For Infants <24 Months (Recumbent Length)

 Use: Length board

 Procedure:
o Child lies flat on back
o Head touches fixed headboard
o Assistant holds knees straight
o Move foot piece to soles
o Record to nearest 0.1 cm

⚖️Proper Weight Measurement

For Infants

 Use: Salter scale

 Procedure:
o Ensure scale is zeroed
o Infant placed in sling
o Suspend and wait for scale to settle
o Record to nearest 0.1 kg

For Children & Adults

 Use: Weighing scale

 Procedure:
o Place on flat, hard surface
o Ask individual to remove shoes, heavy clothing
o Stand at center, arms at side
o Wait for reading to settle
o Record to nearest 0.1 kg

📈 BMI-for-Age Classification (Children 5–19 y/o)

(Based on WHO Growth Standards)

Classification Z-score
Severely Wasted < –3 SD
Wasted –3 to < –2 SD
Normal –2 to +1 SD
 Classification Z-score
Overweight > +1 to +2 SD
Obese > +2 SD

🧒 Weight-for-Age Classification (0–5 years)

Classification Description
Underweight Low weight-for-age
Normal Within standard range
Overweight High weight-for-age

📊 Height-for-Age Classification (0–5 years)

Classification Description
Stunted Low height-for-age
Severely Stunted Very low height-for-age
Tall Height-for-age > +2 SD

🧩 Other Key Terms

Term Meaning
Wasted Thin for height (acute malnutrition)
Stunted Short for age (chronic malnutrition)
Underweight Low weight for age (general malnutrition)
Overweight/Obese Excessive body fat for height
BNAP (Barangay Nutrition Action Plan) Localized annual plan outlining nutrition programs

🧠 Flashcards for Practice

Topic Question Answer

Microtoise What does a microtoise measure? Standing height
Salter scale What does the Salter scale measure? Infant weight
What age group needs length
Recumbent length <24 months
measurement?
BMI Classification What is the Z-score for obesity? > +2 SD
Stunting What does low height-for-age indicate? Chronic malnutrition
Wasting What does thinness-for-height indicate? Acute malnutrition
Barangay Nutrition Action
BNAP What is BNAP?
Plan