Barangay Nutrition Scholars of Region VII to converge for Annual Congress

The Barangay Nutrition Scholars will converge in the CCP of the South (Luce Auditorium, Silliman University) on 07-08 November 2011 for their 7th Regional BNS Congress.

The Barangay Nutrition Scholars (BNS) coming from the provinces of Bohol, Cebu, Negros Oriental and Siquijor will converge at the magnificent Claire Isabel Luce Auditorium of Silliman University. Considered as the Cultural Center of the South, the Luce Auditorium will be the venue of the 7th Regional Barangay Nutrition Scholar (BNS) Congress on 07 – 08 November 2011. The Congress which is now in its 7^th year is organized by the National Nutrition Council Region VII thru the Federation of Barangay Nutrition Scholars’ Association of Region VII (FeBaNuSA 7).  This year’s event will have an inspiring theme “Developing Capacities of BNS to Overcome Challenges".  Congresswoman Jocelyn S. Limkaichong of the 1st District of Negros Oriental was invited to grace the event as the Keynote speaker.

This annual gathering of front-line nutrition workers is done to update BNSs with new information vital to their professional growth in carrying out health and nutrition services in the grassroots level and promote camaraderie among BNSs. Topics lined up include: How Safe is Your Food? to be tackled by Silliman University’s Michelle A. Naranjo, Community Health Team and the Role of BNS by Dr. Ma. Socorro M. Entera of DOH-CHD 7 and Strengthening the Capacities of BNSs, the Cebu Province Experience by Ms. Dhaianne S. Laborte. The participants will also discuss matters affecting their association including the proposed Magna Carta for BNS.

Aside from the congress proper, the Mutya ng BNS 2011 would also highlight the 2 days event. The different cities and provinces of Region 7 would have their representatives who would be vying for the Mutya ng BNS 2011 Crown. Ms. Rowena Bautista Dilao of Cebu City, the 2010 reigning Mutya ng BNS will turn over the crown to the next Mutya who will continue the role as Ambassador of Goodwill for BNSs region-wide. The Mutya ng BNS is done to showcase the talents and develop the versatility of BNSs.

The Congress is co-sponsored by Silliman University thru the Nutrition and Dietetics Department and City of Dumaguete.

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2011 NUTRITION AWARDS Region7 PH results

2011 NUTRITION AWARDS Region7 PH results are shown below with a briefer of each project/program implemented by municipalities, LGUs and the like across region 7 in the Philippines. These were duely recognized by the National Nutrition Council Region 7 recently, in its culminating activities as part of the Nutrition Month 2011:


Good Nutrition Project/Practices in the Region
*Cebu Province – Ensuring Capacity of Nutrition Workers thru Policy Issuance

*Tagbilaran City – “Micronutrient Supplementation in the Workplace”
The Tagbilaran City Government under the leadership of its City Nutrition Committee Chairperson, Mayor Dan N. Lim initiated the “Micronutrient in the Workplace Project” in Bohol Quality Corporation. The project aims to contribute to the overall health and nutritional well-being of women of reproductive age and their children thru increased micronutrient supplementation coverage and contribute to the efficiency and productivity of employees. BQ Mothers were given initial doses of iron with folic acid supplements from CHO and DOH/PHO. The rest of the supplies can be purchased from BQ Pharmacy thru salary deduction scheme. Counseling with prenatal check up with Company Midwife and seminars on micronutrient supplementation were regularly conducted. A2Z, PRISM, IMAP Bohol Chapter, Bohol PHO and DOH-CHD7 also supported the project.

Basing on their initial results, 85.7% of the women employees had improved hemogolbin status to normal level resulting to less tardiness, less absence, more efficient and more productive BQ Workers.

*BAIS City – “Free Ozonized Water for Indigent People”
Due to the rising population leading to congestion and urban pollution, diarrheal cases loom over the City’s economic progress and social development. Saddened by the report that most of those afflicted with diarrhea are the indigent class and burdened with insurmountable expenses of the city to purchase medicines for diarrhea, the local government led by its City Nutrition Committee Chairperson, Mayor Karen F. Villanueva formulated a strategy to address the present health problem. The Php2 Million project called the “Free Ozonized Water for Indigent People of Bais City” provides free distilled drinking water to senior citizens and indigent household as assessed by the City Social Welfare and Development Office with the City Health Office as the managing department.

Study showed that an ozonizer machine processes a safer water by reducing bacterial contamination. The City Health Office also launched a massive education campaign to better implement this project by means of lectures regarding proper hand washing, waste disposal and good hygiene.

After a year of implementing this project, diarrheal cases dramatically dropped from 265 in 2009 to 180 in 2010.

*CEBU CITY – “Accelerated Social Amlioration Program (ASAP) for Nutrition”
The Accelerated Social Amilioration Program (ASAP) for Nutrition of the City of Cebu is a form of taxation that targets patrons of business establishments that are identified as potential contributors to a social malady in one form or another. The project aims to correct this imbalance in priorities while at the same time give a golden opportunity to patrons of said establishments to contribute to the amelioration and alleviation of a deteriorating social condition such as hunger and homelessness besetting the City.

These Patrons include business establishments of night clubs, casinos and other gaming establishments, fighting cockpits, karaoke clubs, massage parlors, beerhouses, motels and drive-ins and discotheques. With a measly sum of (10) Ten pesos, each patron contributes to a trust fund that would go to feeding programs, Halfway Houses, School-based food production and Gardening, skills development and Empowerment and medical and Health Missions.

This program greatly helped in decreasing the malnutrition rate of the City from 5.68% in 2009 to 4.37% in 2010.

*Mandaue City – “Nutrisyon, Sugilanon og Segregasyon”
The Mandaue City Nutrition Committee (CNC) under the able leadership of its Chairperson, Mayor Jonas Cortes continues to find means to improve the nutritional status of the children in the City. Committed in promoting vegetables, fruits and other nutritious food in every part of the menu of the family, a resolution was passed by the Mandaue City Council declaring February of every year as Vegetable Awareness Month. Not stopping there, the CNC Continues all year round in promoting the consumption of vegetables, fruits and other nutritious foods.

In 2010, the Community and Garden Backyard Contest, which was started in 2009, attracted more households and almost all barangays participants. The LGU thru the efforts and almost all barangays participated. The LGU thru the efforts of the City Mayor increased the incentive for this food production activity. The CNC promoted the planting and consumption of camote as snacks in day care centers. Mothers of the day care children are involved in the preparation of these nutritious snacks which include camote patties and camote juice.

Alongside the promotion of fruit, vegetable and camote consumption, garbage segregation and composting was done as well. The organic waste collected from the city was used to make organic soil that could be used as compost for the backyard gardening. On top of this, a wellness awareness caravan was done to disseminate health and nutrition information in a form community assembly done in schools and communities. The caravan includes Pabasa or Story Telling with the children.

All of these efforts contributed to Mandaue City’s malnutrition rate reduction of 3.32% in 2008 to 2.88% in 2009 and 2.7% in 2-010.

Outstanding Province in the Region – Bohol Province – “Valuing Nutrition Structures to sustain Nutrition Improvement”
The Provincial Nutrition Council (PNC) headed by Hon.Edgar M. Chato, the provincial governor continuously strengthened the PNC, as well as the Municipal & Barangay Nutrition Committees to sustain nutrition program implementation for nutrition improvement down to the purok level. In addition to regular nutrition related activities conducted by PNC member agencies, other activities include the Infant Young Child Feeding (80% of the barangays conducted), development of height board for the 47 LGUs, Bahay Kubo – FAITH, Gulayan sa Paaralan, RAPID (Rice Assistance Program for Institutionalized Development), & Organic Agriculture implemented province wide.

The designation of Municipal Nutrition Coordinators as additional nutrition workers in each LGU was institutionalized in 2010. In the same year, the Provincial government provided MNAO honorarium every month. In every barangay there is one Barangay Nutrition Scholar that works hand-in-hand with other barangay-based volunteer workers, the BHW & BALA.

The concerted efforts of the PNC of Bohol brought a reduction in the prevalence of malnutrition from 9.01% in 2008 to 8.12% in 2009 (IRS). The downward trend was sustained in 2010 at 6.73% (CGS).

Outstanding City in the Region – TOLEDO CITY – “Holistic Approach to Eradicate Hunger and Malnutrition”
With the partnership and linkages with the private sector and people’s organization, DepEd, DENR and other government agencies, Toledo City led by its City Nutrition Committee Chair, Mayor Aurelio P. Espinosa has provided a more meaningful and holistic approach in eradicating hunger and malnutrition. The launching of the Kabilin Project is a mayor milestone that solidify the city’s position to improve the status of less-fortunate Toledanos. It promoted food and fiber production, nurtured the fragile environment and at the same time provided livelihood opportunities that enhance dignity and honor of the community.

Indeed, this project contributed to the reduction of the prevalence of malnutrition in Toledo City from 3.42% in 2008 to 2.29% in 2009 and 2.09% in 2010.

Outstanding Municipality in the Region – Jagna Bohol – “Sustainable Programs for Malnutrition Reduction”
Home of the Best “Kalamay”, the municipality of Jagna, Bohol led by its Municipal Nutrition Committee chairperson Mayor Fortunato R. Abrenila is also becoming known for its Nutrimix production. A mixture of grounded rice, mongo, native chocolate, powdered milk and sugar, the mixture is used in their supplementary feeding programs. What used to be a production for their own local consumption, the project is slowly becoming an economic enterprise that it now funds other nutrition activities of the municipality. The Municipal and Barangay Nutrition Gardens also ensured that every family have food to eat in their tables.

These efforts contributed to the decreasing malnutrition rate of the municipality from 8.54% in 2009 (IRS) to 4.35% in 2010 (CGS).

LAPU LAPU CITY – 2nd Year (2010) CROWN Maintenance Nominee
TUBIGON, BOHOL – 1st Year (2010) CROWN Maintenance Nominee
INABANGA, BOHOL – Nutrition Honor Maintenance Award
TALIBON, BOHOL – Nutrition Honor Maintenance Award
CALAPE, BOHOL – Nutrition Honor Maintenance Award
DUMAGUETE CITY – Most Promising City in the Region
ZAMBOANGUITA, NEGROS ORIENTAL – Most Promising Municipality in Negros Oriental
VALENCIA, BOHOL – Most Promising Municipality in Bohol
MS. LIDIA I. GABAISEN – Regional Outstanding Barangay Nutrition Scholar

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Nutrition Month Culminating Activities

In pursuit of excellence and recognition to its constituents, the National Nutrition Council recently initiated the Presentation of 2011 Regional Nutrition Awardees w/c is part of the culminating activities of the 37th Nutrition Month celebration which include 7th Regional Nutrition Action Officers’ Congress and 2011 Grand Nutrition Awards at Cebu Parklane Hotel.

Through this event, they recognized and gave credit to the best nutrition efforts to our unsung heroes, the barangay health workers, scholars, action planners, government officials and volunteers as well.

A lot of these programs were and still are being implemented by various local government units last year. The evaluation covered four provinces, 15 cities, 16 municipalities and 102 barangays within and across the Region VII of the Philippines.

It was not only a day of recognition, but also that of fellowship amongst Nutrition Advocates across the Region. The 2011 Regional Nutrition Awardees was also witnessed by Media, Media Information Network on Nutrition 7 (MIND7) and Bloggers, as well as mayors, governors, public officials, and nutrition officers of the four provinces in the region.

Congratulations and Thank you for sharing your Best Practices!

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Carrot Crazy!

Although this Nutrition Month's theme is on Breastfeeding, it doesn't mean that we no longer practice eating healthy as well. Instead of grabbing junk food when you’re feeling hungry, think twice and analyze if the food you picked is good for your body. How about talking about this particular food called CARROT.

One thing our bodies need to keep healthy is Vitamin A, which makes sure your eyesight stays sharp. Having a healthy dose of Vitamin A ensures you won’t go blind at a young age and you’ll be able to do a lot of cool things in the future. Carrots are a rich source of beta-carotene, which our bodies convert into Vitamin A.

Carrots Fun Facts:

• There is a carrot museum in the United Kingdom.
• Towns in California, Canada, France, New Zealand and Turkey actually hold annual carrot festivals.
• There are actually other colors of Carrot/s (They come in yellow, red, purple, white and black, although we rarely see them in the vegetable sections of the grocery stores).

Nutritional Benefits:
Carrots makes sure your bones are stronger and that the cells that develop in your body grow to be healthy. Carrots are also anti-oxidants that fight against heart diseases. It strengthens your immune system, which means you won’t get sick easily when you’re next to someone who is and that you don’t easily get infections that can be caught from public areas.

This vegetable does not just rely on beta-carotene for its source of nutrients. It also has alpha-carotene, which Japanese researchers learned was powerful in stopping tumors from growing. Like most vegetables, carrots are also packed with phytochemicals, compounds that protect against disease. They reduce photosensitivity, which means they protect our skin from the harsh sun. Having enough carrots in the diet also make sure minor wounds and injuries you get from playing games heal faster.

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Breastfeeding Best Practices for Filipinos

See below for some of the Breastfeeding Best Practices for Filipinos that we have collated:

Why is early initiation of breastfeeding very important?
Some babies die after birth because they were not breastfed immediately. Breastfeeding should be initiated at once – about 30 minutes after normal delivery and about 3-4 hours after delivery by caesarian section. Providing breastmilk within the first hour after delivery can save up to 22% of infants from death and about 16% when they are breastfed within the first day thus, decreasing the rate of infant mortality significantly. Infants who were given early breastfeeding will have the opportunity to be more successful and sustain exclusive breastfeeding.

In addition, babies who are breastfed immediately can help avoid the risj of hypothermia as the warmth of the mother’s breast helps regulate the baby’s body temperature and avoiding the risj of death due to cold. Also, babies that were placed on the mother’s chest will be calmer as it reduces stress and stabilizesx the heartbeat and breathing.

On the other hand, the baby’s touch and suckle can help stimulate the production of oxytocin by the mother which causes uterine contractions that help reduce bleeding; stimulates other hormones, which makes the mother calm and relaxed and stimulates the production of breastmilk.

Early initiation of breastfeeding is part of the Essential Newborn Care Protocol adopted by the Department of Health. The four key elements of the protocol are:
• Immediate and thorough drying up of the newborn for 30 seconds to one minute warms the newborn and stimulates breathing.
• Early skin-to-skin contact between newborn and mother and delayed washing for at least 6 hours prevents hypothermia, infection and hypoglycemia.
• Properly timed cord clamping and cutting prevents the newborn from having anemia and protects against brain hemorrhage in premature newborns.
• Continuous non-separation of newborn and mother for early breastfeeding protects newborns from dying due to infections.

What are the disadvantages of exclusive breastfeeding for the mother?
a. Physiological benefits
• Breastfeeding promotes uterine involution, decreases risk of postpartum hemorrhage and increases period of postpartum anovulation (having periods without ovulating)
• Mothers can also practice natural child spacing since breastfeeding delays ovulation. This is called Lactation Amenorrhea Method (LAM). A lactating woman has at least 98% protection from pregnancy for six (6) months when she remains without her period (ammenorrheic) and fully or nearly fully breastfeeds/
• Breastfeeding also decreases the risk of breast cancer, ovarian cancer and hip and bone fractures.
• Breastfeeding also makes it easier for night feeds.
b. Psychological benefit
• Breastfeeding promotes attachment between the mother and child, increases self-esteem to mothers and allows daily rests for mothers. It is important for the optimal health and development of the baby. Breastmilk provides every single essential nutrient in the development of the baby, and the bonding element (mother’s thoughts, emotions and vibrations) that helps mother and baby to bond for life.
c. Financial benefit
• Breastfeeding can save as much as Php2,000.00 a month when compared to using other milks.
• Reduces time lost from work. Mothers do not have to absent themselves from work because breastfed babies are less likely to get sick.
• Reduces cost for medicines for sick baby because breastfed infants do not get sick easily.

What are the advantages of exclusive breastfeeding for the baby?
a. The human milk is naturally designed for human consumption. It is nutritionally superior to any alternatives, bacteriologically safe and always fresh. Breastfeeding promotes proper jaw, teeth and speech development. Suckling at the breast is comforting to fussy, overtired, ill or hurt baby. It also promotes bonding. Some of the other benefits of breastfeeding babies are:
b. Provides protection against infection. Breastmilk reduces the risk of acute infections such as diarrhea, pneumonia, ear infection, influenza, meningtitis and urinary tract infections.
c. Protects against illnesses. It protects against chronic disease in children such as allergies, diabetes, ulcerative colitis and chron’s disease. Breastfeeding promotes child development and is associated with lower risk factors for cardiovascular diseases including high blood pressure and obesity in later life.
d. Protects from allergies. Breastfed babies are exposed to fewer allergens in the first hour of life and the first feedings of colostrums literally ‘seal the gut’ (the porous lining of the intestine), providing a barrier to the absorption of allergy-producing agents. Both colostrums and mother’s mature milk are rich in antibodies, providing the baby the benefit of being immune for about 6 months of age.
e. Enhances intelligence. Human breast milk enhances brain development and improves cognitive development. According to the study by the American Academy of Pediatricians among the extremely low birth weight infants that a 10/ml per day increase in breast milk intake of infants increased the mental development index by 0.59 points, the psychomotor developmental index by 0.56pts and total behavior percentile score by 0.99 points using the Bayley Mental Developmental Score. The risk of rehospitalization of babies from discharge to 30 months decreased by 5%. World Alliance for Breastfeeding Action (WABA) says that the average I.Q. oif 7 and 8 year old children who were breastfed as infants was 10 points higher than their bottle-fed counterparts.

Why do exclusively breastfed babies need no additional water?
Healthy infants need about 80-100ml of water per kilogram of body weight in the first week of life and increases to 140-160 ml per kilogram between 3-6 months of age. The water requirements of the infant are all available from breast milk.

Eighty-eight (88) percent of breastmilk is made-up of water. Even though a newborn gets little water in colostrum, no additional water is needed because a baby is born with extra water. The breastmilk with higher water content is usually available in mothers about the third or fourth day from birth.

Beast milk is also low in solutes or dissolved substances such sodium, potassium, nitrogen and chloride. Thus, less water is needed to flush out these solutes. With less solutes, the baby’s kidneys which are still immature are not overworked.

How can a pregnant woman prepare for breastfeeding?
a. During pregnancy, women should eat an extra meal a day for adequate weight gain to support fetal growth and future lactation; and take iron/folate supplements.
b. During lactation, women should eat the equivalent of an additional nutritionally-balanced meal a day. She needs also high-dose vitamin A supplements within one month after delivery to build stores and to improve the vitamin A content of breastmilk.
c. Pregnant women should prepare their breast and nipples for breastfeeding. For those with inverted nipples, use the Hoffman’s maneuver. This is a simple stretching exercise that pulls the skin back and away from the nipple with fingertips. For those with no nipple problems, the expectant mother can prepare her breasts during the last six weeks of pregnancy. She can pull the nipple gently in all directions; grasp the nipples with two fingers and pull and roll them back and forth; and gently massage her breasts.

What are some breastfeeding techniques?
There are some techniques that make breastfeeding more effective:
a. Put the baby to the breast immediately after birth and allow baby to remain with the mother.
b. Mother could either sit down or lie down when breastfeeding. The position while breastfeeding should not make the mother feel tired.
c. Mothers should hold the baby close enough to her body, supporting the baby’s neck and shoulder.
d. Mothers could place the nipple on the baby’s cheek. This will make the baby turn and look for the nipple and grasp it by the mouth.
e. Mother could help the baby get enough milk by placing the baby’s lower lip toward the base of the areola. This assures that the nipple is at the center of the baby’s mouth.
f. Mothers should offer both breasts to the baby one after the other at each feeding time, allowing the baby to suckle on each breast for about 5-15 minutes. For the next feeding time, mother should start feeding on the breast last used by the baby. If the baby is satisfied after feeding from only one breast, mother should express the milk from the other breast. She should start feeding on this breast at the next feeding. This will ensure equal suckling and emptying of both breasts.
g. Breastfeed frequently, as often as the baby wants, day and night. The signs when the baby is hungry are: when baby turns towards the breast and searches for the nipple, licking movements, flexing arms, clenching fists, tensing body and kicking legs. Crying is the last sign of hunger.
h. Continue breastfeeding even if the mother or the baby becomes ill. Mothers suffering from headaches, backaches, colds, diarrhea or any other common illness, should continue to breastfeed her baby. Sick mothers need to rest and drink plenty of fluids to help her recover. If the mother does not get better, she should consult a health worker and say that she is breastfeeding. If the baby has diarrhea or fever, the mother should continue to exclusively breastfeed and frequently to avoid dehydration and malnutrition. Breastmilk contains water, sugar, and salts in adequate quantities to help the baby recover quickly. In cases of severe diarrhea, the mother should continue to breastfeed and provide oral rehydration solution using a spoon or a cup. Medical help should be sought.
i. Avoid using bottles, pacifiers (dummies), or other artificial nipples.

How can working mothers continue to breastfeed their baby?
Mothers can continue breastfeeding even when they have to return to work. Working mothers can breastfeed their baby before leaving work, after returning from work, at night and day-off or on weekends. While at work, mothers can express their milk to relieve pain due to full breasts, to ensure continuous milk production and prevent breasts from drying up. While the mother is away, the expressed breastmilk can be fed to the baby using a clean cup.

What are the policies and programs that promote, protect and support breastfeeding?
• Executive order 51 or the “National Code of Marketing of Breastmilk substitutes, Breastmilk supplements and other related products, penalizing violation thereof, and for other purposes”, otherwise known as the Milk Code. It aims to promote, protect and support breastfeeding through intensified dissemination of information on breastfeeding and the regulation of advertising, marketing and distribution of breastmilk substitute and other related products, including bottles and teats.
• RA 7600 or “The Rooming-In and Breastfeeding Act of 1992”. This law aims to create an environment where basic physical, emotional and psychological needs of mothers and infants are fulfilled after birth through the practice of rooming-in and breastfeeding. Health institutions must provide facilities or rooming-in and breastfeeding expenses incurred, in this regard, it shall be deductible expenses for income tax purposes.
• RA 10028 or “Expanded Breastfeeding Promotion Act of 2009”. The law provides for the necessary support services to enable breastfeeding mothers to combine family obligations with work responsibilities. The law provides for the establishment of lactation stations in workplaces, provision of breastfeeding breaks for working breastfeeding mothers, establishment of human milk banks in health institutions, inclusion of breastfeeding in curriculums of schools and declaring August of each year as Breastfeeding Awareness Month.
• DOH Administrative Order (AO) 2005-0014- “National Policies on Infant and Young Child Feeding”. The policy provides the guidelines for improving the survival of infants and young children by improving their nutritional status, growth and development through optimal feeding anchored on exclusive breastfeeding, early initiation within one hour after birth, provision of timely adequate and safe complementary food at six months while continuing breastfeeding up to two years and beyond. The AO is supported with the National Plan of Action for Infant and Young Child Feeding.
• DOH AO 2007-0026 or the “Revitalization of Mother-Baby Friendly Hospital Initiative in Health Facilities with maternity and Newborn Care services”. The AO aims to transform these health institutions into facilities that protect, promote and support rooming-In, breastfeeding and mother-baby friendly practices.
• DOH AO 2009-0025 or “Adopting New Policies and Protocol on Essential Newborn Care”. It provides guidelines on evidence-based essential newborn care for health workers and medical practitioners. The protocol entails four key elements including: 1) immediate and thorough drying of the newborn; 2) early skin-to-skin contact of the newborn to mother’s skin 3) properly-timed cord clamping and cutting; and 4) non-separation of the newborn from the mother for early breastfeeding initiation and rooming-In.
• Philippine Plan of Action for Nutrition. The country’s framework for nutrition identifies as priority action the promotion, protection and support of breastfeeding and complementary feeding and the other necessary conditions to promote infant and young child feeding practices.

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How to celebrate Nutrition Month 2011 & promote BREASTFEEDING TSEK

So it's Nutrition Month but do you have any idea as to how to celebrate it? Do you tell your friends about it? Or email them some FAQs? Anyway, seen below are some ways to celebrate Nutrition Month 2011 and promote BREASTFEEDING TSEK?

The promotion, protection and support to breastfeeding to ensure TSEK can be done in various settings:
a. Families/Communities
• Report violations of the Milk Code to the Department of Health to prevent unregulated marketing of formula milk which threatens to undermine the practice of breastfeeding. Health and nutrition workers and health facilities must not be used to promoting breastfeeding. There must be no milk company-supported activities. Remove marketing materials of formula milk in health facilities.
• Create local media watch monitor Milk Code violations and report to the Department of Health.
• Volunteer as breastfeeding peer counselor. Help other mothers to become successful in breastfeeding and in giving appropriate complementary feedings after 6 months. Peer counselors are mothers who have had successful breastfeeding experiences and provide peer-to-peer counseling to other mothers with difficulties in breastfeeding and complementary feeding practices. In some areas, there are male volunteers who help advocate for breastfeeding as well provide counseling to mothers, fathers, and other family members to create a supportive family environment for appropriate infant and young child feeding practices. Ask your midwife, nutrition action officer and other health and nutrition personnel in your community.
• From support groups in communities. Mother-to-mother support groups are women, and men too, who want to share their experiences in infant and young child feeding, mutually support each other through their own experiences, strengthen or modify certain attitudes and practices and learn from each other.
• Protect breastfeeding even during emergencies and disasters. Young infants are especially vulnerable during emergencies and disasters particularly to diarrhea, acute respiratory tract infections and malnutrition, breastfeeding reduces the risk of death up to six times during emergencies. The Milk Code does not allow donation of formula milk increases the risk to death and disease. There are many dangers of using formula milk – by itself formula milk is not sterile; unsafe when there is not enough clean water to sterilize feeding bottles and prepare the formula; water used may be contaminated; there may be no equipment, fuel, cooking pots, and water to sterilize feeding bottles; incorrect proportion of formula milk with water which can result to over or under-diluted formula; and formula milk does not protect against infections unlike breast milk. It is therefore best to be prepared during emergencies by having trained personnel on infant and young child feeding to be able to assist, support and counsel mothers to continue breastfeeding even during emergencies.
• Disseminate correct information about breastfeeding. Conducting seminars and other for a to discuss breastfeeding among mothers and also gathers together with the experts on breastfeeding. Many misconceptions about breastfeeding still exist which prevent mothers and their families to practice breastfeeding. Help correct these misconceptions by increasing awareness on correct breastfeeding practices.
• Family members can support breastfeeding mothers by building her confidence that she can and is able to breastfeed, help care for the baby so the mother can have enough rest; provide nutritious and balance meals; and give practical help. A supportive family and community environment increases the likelihood that the mother will initiate and continue to breastfeed.
• Pass local resolutions and ordinances that enforce the Milk Code, promote infant and young child feeding, establish lactation stations in barangay halls, markets and other places, providing budget for breastfeeding promotion, peer counseling and support groups.

b. Working Places
• Establish lactation stations in accordance with the Expanded Breastfeeding Promotion Act (RA 10028) wherein the lactations centers shall be adequately provided with the necessary equipment and facilities, such as: lavatory for handwashing, unless there is an easily-accessible lavatory nearby; refrigeration or appropriate cooling facilities for storing expressed breastmilk; electrical outlets for breast pumps; a small table; comfortable seats; and other items, the standards of which are defined by the Department of Health.
• Provide breastfeeding breaks for working mothers in addition to their regular breaks. The breastfeeding breaks should not be less than 40 minutes for every 8 hours of work.
• Enforce the two-month maternity leave or allow work-from-home scheme to enable the mother to continue exclusive breastfeeding.
• Do not allow any direct or indirect marketing, promotion or sales of infant formula or breastmilk substitutes within the workplace.
c. Health Facility
• Be certified as a Mother-Baby Friendly Hospital (MBFH). Follow the Ten Steps to Successful Breastfeeding. Implement the Essential Newborn Care Protocol. Train Health Facility staff on lactation management. Contact the center for Health Development in your region for details on the MBFH certification.
• Provide pre-and post-natal services for pregnant and lactating women to support mothers top breastfeed their child.
• Set-up milk banks or milk storage and pasteurization facilities for breastmilk donated by mothers. The milk shall be given to infants in the neonatal intensive care unit whose own mothers are seriously ill.
• Provide continuing education, re-education and training of health workers including doctors, nurses, midwives, nutritionist-dietitians on current and updated lactation management. Health workers must be able to provide correct information and support for breastfeeding.
• Produce and distribute information materials on breastfeeding for distribution to mothers in addition to breastfeeding counseling.
• Refer breastfeeding mothers prior to discharge from the health facility, to breastfeeding support groups in the community to help them continue breastfeeding when they return home.
d. Schools
• Integration of infant and young child feeding in the curriculum. The Department of Education, the Commission on Higher Education and the Technical Education and Skills Development Authority are tasked to integrate in the relevant subjects in the elementary, high school and college levels, especially in the medical and education, the importance, benefits, methods or techniques of breastfeeding and change of societal attitudes towards breastfeeding.
• Enforcement of Milk Code in schools. Schools must not allow any marketing including sponsorship from milk companies within the school. Schools must not also accept donations of formula milk and breastmilk substitutes as this is against the Milk Code.
• Place posters, brochures and other information about breastfeeding in school-based health centers.
• Establish lactation stations in the school to enable teaching and non-teaching personnel to breastfeed or express and store breastmilk. Schools are also considered workplaces and therefore must comply with the provisions of RA 10028.
e. Industries/manufacturers
• Compliance to the milk code by milk companies. Strictly no marketing of products within the scope of the Milk Code.
• Fortify food that are mandated by RA8976 or the Food Fortification Law and Volunteer to fortify other food products.
Compliance to the Code Hygienic Practice for food for infants and Children of manufacturers in accordance to the proper handling of foods in the food chain. This will ensure that food products intended for infants and children are safe.

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Breastfeeding Tips for Filipina Mothers part2

Ulirang ina, bigyan ng prutas at gulay ang inyong pamilya araw-araw. Iwas sait na, menos gastos pa!
Iminumungkahi ang pagkain ng prutas at gulay ng hindi kukulangin sa limang dulot oservings araw-araw. Ang kalahating tasang lutong madahong gulay ay katumbas ng humigit-kumulang sa isang serving, at ang isang pirasong maliit na prutas o isang katamtamang slice ng prutas ay katumbas ng isang serving. Itago, iluto, iimbak at ipreserve ang gulay ng buong ingat upang mapanatili ang taglay nitong sustansiya, lasa at kulay. Maraming pag-aaral ang nagsasabi na ang pagkain ng maraming prutas at gulay au nakakatulong sa pag-iwas sa mga sakit katulad ng cancer, diabetes at hypertension.

Maging responsableng magulang. Kalusugan ng ina at ng bata ang isaisip sa tamang pag-aagwat ng pabubuntis.
Batay sa pag-aaral, malaki ang kinalaman ng tamang pag-aagwat ng pagbubuntis sa kalusugan ng mga bata. Napatunayan sa nasabing pag-aaral, na lumalaking mas malusog at mataas ang tsansang mabuhay ang mga batang isinilang na may tamang agwat na tatlo hanggang limang taong sa pagitan ng panganganak ng isang babae. Malaki rin ang posibilidad na maging premature at mababa ang timbang ng sanggol sa isinilang ng wala sa tamang pagitan ng panganganak. Nakakatulong din ang birth spacing para sa kaligtasan at kalusugan ng mga anak.

Gatas ng ina lamang para kay baby. Kaunti lamang ngunit sapat na gatas katumbas ay kalusugan at kaayusan sa kanyang paglaki.
Sa unang anim na buwan ng buhay ni baby, gatas ng ina lang ay sapat nang niyang pagkain.. Ito ang unang pagkain ng sanggol na mahalaga upang matiyak ang kanyang kalusugan. Kaunti ngunit sapat ang gatas para msa kailangan ni baby habang siya ay lumalaki. Ang gatas ng ina ay siksik sa sustansiya, may panlaban sa impeksyon, madaling tunawin, available at laging fresh. Hindi dapat mag-alala ang isang ina kung sapat o kulang ang kanyang gatas dahil siya ay nagkakaroon ng gatas na ayon lang sa kailangan ni baby. Laging pasusuhin ang bagong silang na sanggol kapag nakikita na siya ay nagugutom.

“Labanan ang kahirapan at malnutrisyon…Wastong Nutrisyon: alamin, gawin, at palaganapin!

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