3.Recipe Trials to Improve Complementary Feeding: The Philippine Experience
Maria Theresa M Talavera, Melanie H Narciso & Angelina dR Felix
Malaysian Journal of Nutrition 2014;20(2):183-195
Introduction: An effective participatory community nutrition programme to improve poor food intake and sub-optimal complementary feeding practices in the Philippines is wanting. The use of the recipe trial as an approach was explored. Methods: The protocol was conducted nine times in three communities in the provinces of Camarines Sur, Iloilo, and Zamboanga del Sur among 83 caregivers
of children 6-8, 9-11, and 12-23 months old. The protocol implemented followed these steps: (1) Preparatory activities; (2) Recipe Trial 1 (RT1); ( 3) Recipe Trial 2
(RT2); and (4) Follow-up visit. Results: The use of the modified RT to improve complementary feeding was evaluated in terms of the quality of the improved recipes and the overall feasibility of the RT technique. The RT1s identified rice porridge as complementary food usually prepared in the three areas across age groups, followed by cooked rice mixed with broth from the family pot. The
RT2s facilitated the caregivers’ modification of the 12 complementary foods from the three communities. Nutrient content was improved while maintaining acceptability among caregivers and their children. The follow-up visits showed
that the adoption of the recipes at the households was limited to a few caregivers. Conclusions: The modified RT protocol has good potential to help alleviate poor nutrition among infants and young children in the Philippines. Minor improvements, characterised by an increase in local adoption and provision of enabling mechanisms from the local government units should contribute to the success of its implementation.
Caregivers
;
Infant Nutritional Physiological Phenomena
;
Philippines
7.Impact of COVID-19 in the participation of Filipino children 0-12 years old to nutrition-specific programs and their mothers' knowledge based on a Rapid Nutrition Assessment Survey
Imelda Angeles-Agdeppa ; Eva A. Goyena ; Maria Stephanie N. Parani ; Ma. Lynell V. Maniego
Philippine Journal of Health Research and Development 2021;25(COVID-19 Supplement):53-64
Background:
As the SARS-CoV-2 virus (COVID-19) continues to affect the capacity of the health system to deliver essential nutrition and health services, many countries, especially the low- and middle-income
countries, including the Philippines, are beset with addressing undernutrition and micronutrient deficiencies
among children.
Objective:
The rapid nutrition assessment survey (RNAS) was conducted in selected areas in the Philippines to provide evidence of the effect of the COVID-19 pandemic on children's participation in the nutrition services and their mothers' knowledge level on nutrition.
Methodology:
The RNAS was a cross-sectional survey conducted through phone interviews in nine (9)
selected areas in the Philippines. A total of 7,092 children aged 0 to 12 years were included in the survey, of which 5,239 mothers and caregivers were interviewed regarding nutrition program participation of their children, and their knowledge on nutrition.
Results:
A significant decline in children's participation in the Operation Timbang (OPT) Plus (83.0% vs. 51.1%), Vitamin A supplementation (65.4% vs. 54.9%), supplementary feeding (21.6% vs. 11.9%), and deworming (60.4% vs. 11.9%) was recorded during the COVID-19 pandemic based on RNAS as compared to the pre-pandemic period using the 2019 Expanded National Nutrition Survey (ENNS). The most commonly cited reasons for health service disruptions include: child did not visit health centers due to fear of infection, community health workers did not visit the child at home, and no available health workers in the facility. Stunting among children was more likely to be perceived by food insecure (19.7% vs 14.4%; p <0.001) and poor (22.1% vs 16.6%; p<0.000) mothers or caregivers than their counterpart mothers from food secure and rich households.
Conclusion
With prolonged limited access to health and nutrition services, children, particularly those from poor households, are at risk of hunger, malnutrition, and consequently, of not developing their full potential. Findings can guide efforts to ensure the continuity of essential health and nutrition services towards improving maternal knowledge and promotion of child health and nutrition during the COVID-19 outbreak and crisis recovery period.
COVID-19
;
Infant Nutritional Physiological Phenomena
;
Community Health Workers
8.Attention to nutrition and health of preterm infants: interpretation of The Global Consensus for Feeding the Preterm Infant.
Chinese Journal of Contemporary Pediatrics 2014;16(7):664-669
The Global Consensus for Feeding the Preterm Infant was published in the Journal of Pediatrics 3 supplement, 2013. The content of the consensus includes recommended nutrient intake for different gestational age preterm infants, identifying appropriate growth curves, the use of breast milk, nutritional recommendations for the late-preterm infant and the preterm infant after hospital discharge, nutritional requirements and feeding recommendations for small gestation age infants, reconsideration of the importance of vitamin A and vitamin D for immature infants, recommendations for immunonutrients, and the association of feeding of preterm infants with later metabolic and cardiovascular outcomes. The main characteristics of the consensus: (1) aimed to improve prognosis; (2) individualized nutritional strategy based on gestational ages; (3) coexistence of consensus and controversy in feeding of preterm infants.
Gestational Age
;
Humans
;
Infant Nutritional Physiological Phenomena
;
Infant Welfare
;
Infant, Newborn
;
Infant, Premature
;
Nutritional Requirements
Result Analysis
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