To decrease the number of malnourished children ages 0-59 months from 16% to 0% in Barangay Manguiles, Zamboanga del Sur by the end of year 2020.
UPDATES EVERY EXPOSURE
Specific Objective 1
To increase the awareness of the community on malnutrition
Specific Objective 2
To empower MamaManguiles on ways of eradication and prevention of malnutrition
Specific Objective 3
To reinforce existing practices and knowledge in the barangay that promote proper nutrition and prevent malnutrition
Specific Objective 4
To improve the nutritional status of the malnourished children
Specific Objective 5
To establish sustainability of the programs implemented on malnutrition
The figure bellow follows the course of nutritional status among ages 0-59 months from January 2018 to November 2019. The group identified 23 underweight children and over the years this number was noted to decrease due to the existing feeding program at the day care center.
By the implementation of the 30-Day Dietary Supplementation Program, there were 10 identified underweight children; 4 of them categoried as severely underweight and the rest, moderately underweight. 3 out of the 4 severly underweight were currently enrolled in the day care center hence, only 7 children were enrolled into the 30-Day Dietary Supplementation Program. This was conducted from November 16 to December 15, 2019.
The following figure illustrates the outcome of each child after the 30-day program. As illustrated, children A, B and D have improved from underweight to normal weight-for-age post-30-Day Dietary Supplementation Program. Meanwhile, Children C, and E had steadied at underweight category but had gained an average of 0.6 kg. Notably, Child F had decreased 0.2 kg; attributed due to (1) incomplete attendance, and (2) decrease food intake at home, since meals at the program were regarded as one of the main meals of the day. Child G was categorized as severely underweight and had gained 0.8 kg, making his weight normal for his age.
The table below shows the monitoring and evaluation of the children enrolled in the 30-day supplementation program. This revealed that four had remained underweight, two became underweight from having normal weight for age the previous month, and one child remained normal.
The failure in maintaining the weight gain was attributed to lack of financial capability to provide the needed nutrients of the children, as verbalized by most mothers on a focused-group discussion (FGD) last January 2020. The FGD provided them suggested solutions such as livelihood programs, but commitment was in question and that being a full-time mother made them hesitant for approval. However, backyard vegetable gardening was favored by all mothers.
Throughout the four-year long immersion, the residents along with the team were able to decrease the trend of malnutrition rate at Barangay Manguiles. Unfortunately, the general objective to achieve 0% malnourished children was not met.
Numerous factors like the lack of sufficient resources of the households to provide for their children’s necessities, the lack of motivation of mothers to continue feeding the child nutritious foods after the program, and the coronavirus pandemic that prevented the team from going back to the community to implement the remaining activities of the community health plan were among the factors that hindered the community health plan from being successful.
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