Nutrition Program

Introduction
Malnutrition continues to be the public
health concerns in the country.
Common Nutritional Deficiencies
Citamin
Iron and,
Iodine
Lead to a serious physical, mental, social
and economic condition among children
and women.
Goal of the Nutrition Program
To improve quality of life of Filipinos
through better nutrition, improved health
and increased productivity.
Objectives
1. Reduction in the proportion of Filipino households with
intake below 100% of the dietary energy requirement
from 53.2% to 44.0%
2. Reduction in:
a. Underweight among pre school children
b. Stunting among pre school children
c. Chronic energy deficiency among pregnant women
d. Iron deficiency among children 6 months to 5 years old,
pregnant and lactating mothers
e. Prevalence of overweight, obesity and non-communicable
diseases
f. Reduction in the prevalence of iron deficiency disorder among
lactating mothers
g. Elimination of moderate and severe IDD among school children
and pregnant women
h. Reduction in the prevalence of low birth weight
Strategies
Food based interventions for sustained
improvements in nutritional status
Life-cycle approach with strategies
attention to 0-3 years old children,
adolescent females and pregnant/lactating
women
Effective complementation of nutrition
interventions with other services
Geographical focus to needier areas
Programs and Projects
1. Micronutrient Supplementation
2. Food Fortification
3. Essential Maternal and Child Health
Service Package
4. Nutrition Information, Communication and
Education
5. Home, School and Community Food
Production
6. Food Assistance
7. Livelihood Assistance
Nutritional Guidelines for
Micronutrient Supplementation
TARGET PREPARATION DOSE/DURATION REMARKS
Infants 6-11
months
100,00 IU 1 dose only One capsule is
given anytime
during the 6-11
months but
usually given at 9
months during the
measles
immunization
Children 21-
71 months
200,000 IU 1 capsule every six
months
1. Table 1. Universal Supplementation of Vitamin A
Nutritional Guidelines for
Micronutrient Supplementation
TARGET/ILLNESS PREPARATIONS DOSE/DURATION
Measles
Infants
(6 mos. 11 mos.)
Pre-school Children
(12 mos. 71 mos.)

Severe pneumonia
Persistent Diarrhea
Malnutrition
Infants
(6 mos. 11 mos.)

Severe pneumonia
Persistent Diarrhea
Malnutrition
(12 mos. 71 mos.)

Malnutrition
(6 yrs to 12 yrs old
children)

100,000 IU

200,000 IU


100,000 IU
100,000 IU
100,000 IU



100,000 IU
100,000 IU
100,000 IU


200,000 IU
One capsule given upon diagnosis,
regardless of when the last dose of
VAC was given



One capsule given upon diagnosis,
except when the child was given VAC
less than 4 weeks before diagnosis



One capsule given upon diagnosis,
except when the child was given VAS
less than 4 weeks before diagnosis


One capsule given upon diagnosis,
except when the child was given VAC
less than 4 weeks before diagnosis
2. Table 2. Supplementation to high risk children
Nutritional Guidelines for
Micronutrient Supplementation
TARGET PREPARATION DOSE DURATION REMARKS
Pregnant
women
10,000 IU 1 capsule/
tablet of
10,000 IU
twice a week
Start from the 4
th

month of pregnancy
until delivery
Vitamin A 10,000
IU should NOT be
given to preg- nant
women who are
already taking pre-
natal vitamins or
mul-tiple
micronutri-ent
tablets that also
contain Vitamin A
Post-partum
women
200,000 IU 1 capsule
200,000 IU
One dose only within
4 weeks after
delivery
Vitamin A of
200,000 IU should
NOT be given to
preg-nant women
3. Table 3. Supplementation for pregnant women and post partum women
Nutritional Guidelines for
Micronutrient Supplementation
TARGET PREPARATION DOSE/DURATION
6-11 months

12-59 months
100,000 IU

200,000 IU
Should be given immediately
upon diagnosis, 1 capsule given
the next day & 1 capsule 2 weeks
after
4. Table 4. Treatment schedule for xerophthalmia for all age group
Nutritional Guidelines for
Micronutrient Supplementation
TARGETS PREPARATION DOSE/DURATION REMARKS
Pregnant Women
with
Nightblindness
10,000 IU One capsule/tablet once
a day for 4 weeks upon
diagnosis
Do not give Vitamin A
10,000 IU if pre natal
vitamins or multiple
micronutrient tablets
containing vitamin A are
to be given. Vitamin A
can be given regardless
of age of gestation if
pregnant woman has
nightblindness.
5. Table 5. Treatment schedule for xerophthalmia for pregnant women
Nutritional Guidelines for
Micronutrient Supplementation
TARGETS PREPARATION DOSE/DURATION REMARKS
Pregnant Women Tablet (preferably
coated) containing 60
mg elemental iron (El)
with 400 mg Folic acid
1 tablet once a day for 6
months or 180 days
during the pregnancy
period
OR
2 tablets per day (120
mg. EL) if prenatal
consultation are done
during the 2
nd
and 3
rd

trimester


A does of 800 mcg of
folic acid is still safe to
pregnant women
Lactating women Tablet (preferably
coated) containing
60mg. Elemental iron
with 400 mcg. Folic
acid
1 tablet once a day for 3
months or 90 days
6. Table 6. Iron supplementation for pregnant and lactating women
Nutritional Guidelines for
Micronutrient Supplementation
TARGETS PREPARATION DOSE/DURATION
Low birth weight



Infants 6-11 months
Drops: 15 mg. elemental
iron/0.6ml


Drops containing 15 mg.
elemental iron/0.6 ml
0.3 ml once a day to start at two
months of age until 6 months when
complementary foods are given.

0.6 ml once a day for 3 months
7. Table 7. Iron supplementation of infant 6-11 months of age
Nutritional Guidelines for
Micronutrient Supplementation
TARGETS PREPARATION DOSE/DURATION
Children 1-5 years old



Children 6-11 years old
anemic and underweight
Syrup containing 30 mg.
elemental iron/5ml


Syrup containing 30 mg.
elemental iron/5 ml
1 tbsp. once a day for 3 months or
30 mg once a week for 6 months
with supervised administration

2 tbsp. once a day for 6 months
8. Table 8. Iron supplementation to pre school and school children
Nutritional Guidelines for
Micronutrient Supplementation
TARGETS PREPARATION DOSE/DURATION
Adolescent Girls (10 19
yrs.)


Older Persons
Tablet containing 60 mg.
elemental iron with 400 mcg folic
acid (coated)

Tablet containing 60 mg.
elemental iron with 400 mcg folic
acid (coated)
One tablet once a day



Once tablet once a day
9. Table 9. Iron supplementation to other population groups
Nutritional Guidelines for
Micronutrient Supplementation
TARGETS PREPARATION DOSE/DURATION
Women 15-45 yrs. Old


Children of school age


Adult Males
Iodized oil capsule with 200 mg.
iodine

Iodized oil capsule with 200 mg.
iodine

Iodized oil capsule with 200 mg.
iodine

1 capsule for 1 year


1 capsule for 1 year


1 capsule for 1 year
10. Table 10. Iodine supplementation to specific population groups
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