nutrition education activities done in methods …...grade level math araling panlipunan edukasyon...
TRANSCRIPT
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• Nutrition education activities done in the 55 Lighthouse schools were documented to identify platforms and methods feasible with the resources of public elementary schools.
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0 10 20 30 40 50
41 (74.55%)
37 (67.27%)
36 (65.45%)
25 (45.45%)
# of Lighthouse schools
Platform
Nutrition education duringfeeding time
Nutrition integration inlessons
Garden‐based nutritioneducation
Nutrition school‐home link
Common platforms of nutrition education for children among 55 Lighthouse schools
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Frequency of nutrition education during feeding proper in 55 Lighthouse schools.
0
5
10
15
20
25
Oct‐16 Nov‐16 Dec‐16 Jan‐17 Feb‐17 Mar‐17
Freq
uency
Month & Year
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Nutrition‐related messages are already present in Science, Health, and Technology and Livelihood Education (TLE) in the current curriculum.
Of the 55 lighthouse schools, 37 (67.27 %) were able to integrate nutrition and related themes in learning areas aside from the above‐mentioned.
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More than 50 % integrate it in Math (70.27%), Araling Panlipunan(56.76%), Edukasyon sa Pagpapakatao (54.05%), English (51.35%), and Filipino (51.35%).
0
10
20
30
40
50
60
K Gr 1 Gr 2 Gr 3 Gr 4 Gr 5 Gr 6
# of Lightho
use Scho
ols
Grade level
Math
AralingPanlipunanEdukasyon saPagpapakataoEnglish
Filipino
Integration of nutrition and related themes in class lessons.
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School gardens served as venue of nutrition education for students, guardians & community members in 49 (89.09%) lighthouse schools
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Common platforms of nutrition education for parents & community members among 55 Lighthouse schools
020
4060
46 (83.64%)
37 (67.27%)
27 (49.09%)
4 (7.27%)
# of Lighthouse schools
Platform
s
Participatory NE activities forcommunity & parents
NE during Parent‐TeacherAssociationmeetings/conferences(PTA/PTC)School nutrition bulletin board
Nutrition learning resourcecenter
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Participatory nutrition education activities for parents & community members is done among 34 (73.91%) lighthouse schools in July, the mandated nutrition awareness month. Other platforms include learning action cell meetings, parents’
gardening sessions and garden tours
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Number of lighthouse schools conducting nutrition education during PTA/PTC meetings
Month & Year
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Number of lighthouse schools with updated nutrition information materials.
Updated nutrition information material
# of Lighthouse Schools (%)
(N= 55)
PinggangPinoy 50 (90.91)
10 Kumainments 52 (94.55)
More than 90% of the 55 lighthouse schools displayed updated nutrition information materials, distributed by the project, in various areas in the school.
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The three Sentinel schools received intensive supervision and monitoring, and provision of technical and operational assistance to maximize their potential in conducting nutrition education activities.
Conduct of various nutrition education activities became more consistent in sentinel schools upon provision of regular technical assistance, nutrition reference materials, and designation of Nutri‐Ed Coordinator
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1 1
5
1
10
5
7
4
0
2
4
6
8
10
12
Sep‐16 Oct‐16 Nov‐16 Dec‐16 Sep‐17 Oct‐17 Nov‐17 Dec‐17
SY 2016‐2017 SY 2017‐2018
Julugan ES Sunny Brooke ES Tinabunan ES AVERAGE
Comparison of frequency of nutrition education during feeding in sentinel schools (SY 2016‐17 and 2017‐18).
School 1 School 2 School 3
Nutrition Education for children
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Subject areas with nutrition integration in sentinel schools (SY 2016‐17 and 2017‐18).
012345678
Julugan ES SunnybrookeES
TinabunanES
Julugan ES SunnybrookeES
TinabunanES
SY 2016‐17 SY 2017‐18
# of Sub
jects
AP ENGLISH ESP FILIPINO Kinder Lesson MATH MTB
School 1 School 2 School 3 School 1 School 2 School 3
Nutrition Education for children
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Nutrition Education for parents & community
0
3
0 0 01 0
22
5
01
0
2
4
6
8
10
12
June July
Augu
st
Septem
ber
Octob
er
Nov
embe
r
June July
Augu
st
Septem
ber
Octob
er
Nov
embe
r
SY 2016‐17 SY 2017‐18
Freq
uency
Julugan ES Sunnybrooke ES Tinabunan ES Average
Participatory nutrition education activities done in the three sentinel schools
School 1 School 2 School 3
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Nutrition education during PTA/PTC in sentinel schools in SY 2016‐17 and 2017‐18.
0
1
2
3
June July Aug Sept Oct Nov June July Aug Sept Oct Nov
SY 2016‐17 SY 2016‐17
# of Sen
tinel Schoo
ls
Month & Year
Julugan ES Sunny Brooke ES Tinabunan ESSchool 3School 1 School 2
Nutrition Education for parents & community
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Nutrition Learning Resource Center (LRC)
Sentinel schools each put up a Nutrition LRC, a library of nutrition and health‐related informational materials open to students, teachers, and the general community, according to their resources.
It was observed that the Schools Division Office was instrumental in generating material/ financial support from stakeholders & government agencies.
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Issues & Concerns
Availability of sufficient human resources to coordinate, prepare for and implement nutrition education activities affected successful program implementation in 30.91% of the 55 lighthouse schools. Nutrition education coordinators are also the SBFP coordinatorsTasks Average time spent (in min)Feeding activities 224Teaching load 248Total 472 (7 hours, 52 minutes)
Plus 2 or more side duties)
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Issues & Concerns
18.18% of 55 lighthouse schools expressed that insufficient access to updated and credible nutrition information/ reference materials is a concern
60.00% of the lighthouse schools experienced low turnout among parents (due to their own commitment at work) hindering successful implementation of nutrition education activities
Nutrition education coordinators and implementers also need capacity building to develop nutrition knowledge and relevant skills
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Conclusions
Nutrition education can be integrated in existing school activities to enhance opportunities for nutrition learning
A mandate on nutrition education, including formal integration in the curriculum, can help ensure sustainability and allocation of resources
School gardens are useful learning venues of nutrition education for children and parents
Institutionalization of providing nutrition information materials and trainings to program implementers are necessary investments
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Month of fund release BaselineJune 2016
S/Y 2016 – 2017% (N=55)
EndlineNovember 2017S/Y 2017‐2018
% (N=55)
August 0 0September 12.06 70.7October 63.80 22.41
November 18.96 5.2Non SBFP recipient/NA 3.4 1.7
Month of SBFP fund release to 58 Lighthouse schools
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With designated feeding facility
BaselineJune 2016
S/Y 2016 – 2017(%)
EndlineNovember 2017S/Y 2017‐2018
(%)Number of
Lighthouse schools32 (55%) 38 (66%)
Lighthouse schools with designated feeding facilities
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Tool (weight) BaselineJune 2016
S/Y 2016 – 2017%
EndlineNovember 2017S/Y 2017‐2018
%
Bathroom scale (BRS) 74.1 52
Beam balance (BB)/Detecto
17.2 31
Seca 0 1.7Electric 0 6.9
Beam balance/Dial 6.9 8.4
Both BB and BRS 1.7 0
Anthropometric tools used in schools
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Anthropometric tools used in schools
Tool (height)BaselineJune 2016
S/Y 2016 – 2017%
EndlineNovember 2017S/Y 2017‐2018
%Tape measure (TM) 69 65.5
From beam balance (BB)
20.7 29.3
Height chart 5.2 3.4
Meter stick 3.4 0
Both TM and BB 1.7 1.7
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Recipe source Number of recipes adoptedN=58 Baseline
June 2016S/Y 2016 – 2017
EndlineNovember 2017S/Y 2017‐2018
FNRI recipes 7 10Malunggay‐based 13 10
Average number of recipes used and adapted in the 58 Lighthouse schools
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6
10
3
20
2
6
1201103535
0001030
5
122303130200
5210
31
5430
5
022
0
5
10
024
0
12
0
5
10
15
20
25
LH01
‐R
LH04
LH07
‐S
LH10
LH13
LH16
LH19
LH22
LH25
‐R
LH28
LH31
LH34
‐S
LH37
LH40
LH43
LH46
LH49
LH52
LH55
LH58
Number of parent volunteers with SBFP recipient pupils per lighthouse school, SY
2016‐2017
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002
12
00
4
12100
1233
0
322
00001232000
6
200000000
1
5
210200
2023
0000002468
101214
LH01
‐RLH
03LH
05LH
07‐S
LH09
LH11
LH13
LH15
LH17
LH19
LH21
LH23
LH25
‐RLH
27LH
29LH
31LH
33LH
35LH
37LH
39LH
41LH
43LH
45LH
47LH
49LH
51LH
53LH
55LH
57
Number of volunteers without SBFP recipient pupils per lighthouse school
SY 2016‐2017
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Issues & Concerns
Delay in release of SBFP funds also leads to delay in program implementation
Need for allocation of designated feeding facility per school remains
Need for appropriate & calibrated anthropometric tools in schools, and need for capacity building of teacher/coordinator
Good engagement with the community & strong leadership of school heads are necessary to encourage more parent volunteers in the feeding program
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Conclusions Strong level of support from school heads and
school division offices (SDOs) has allowed efficient implementation and has produced better practices in schools.
Good community or barangay relations have increased school capacity and mechanisms to gather further support and parent participation.
Continued technical assistance, monitoring and evaluation have significantly improved SBFP implementation. It is a key driver of sustainability of the program.
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Conclusions
Availability of calibrated anthropometric tools in schools has enhanced system compliance.
Appropriate training to respective personnel involved in the implementation and aligned capacity building have enhanced the integration of the three components.
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Nutritional Status
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SENTINEL SCHOOLS
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Child Profile
5.1 to 10 y.o. 10.1 to 19 y.o.
65 (54.62%) 75 (47.47%)
54 (45.38%) 83 (52.53%)
8 y.o. 12 y.o.Mean Age
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≤5 y.o.n (%)
5.1‐10 y.o.n (%)
10.1‐19 y.o.n (%)
Totaln (%)
Complete Data 119 (22.00) 158 (29.21) 277 (51.20)
Incomplete Data(Drop out)
6 (1.11) 159 (29.39) 99 (18.30) 264 (48.80)
Distribution of students in sentinel school included in the feeding program with complete and incomplete data per age group
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18.68
19.8920.41
18.34
19.5
20.29
17
18
19
20
21
Base Mid End
Male (n=54) Female (n=65)
Mean weight of children aged 5.1 to 10 yrs.
25.32
26.53
27.71
24.57
26.23
27.44
23
24
25
26
27
28
Base Mid End
Male (n=83) Female (n=75)
Mean weight of children aged 10.1 to 19 yrs.
120.4
122.39
123.9
120.55
122.61
124.3
119
120
121
122
123
124
125
Base Mid End
Male (n=54) Female (n=65)
Mean height of children aged 5.1 to 10 yrs.
120.4
122.39
123.9
120.55
122.61
124.3
119
120
121
122
123
124
125
Base Mid End
Male (n=54) Female (n=65)
Mean height of children aged 10.1 to 19 yrs.
Results of 120 feeding days
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Comparison of mean height increase of the students aged5.1‐19 yrs. old during the 120 feeding days and normal average
increase in height (WHO, 2007)Children 5.1 to 10 yrs. old
2.21
1.32
1.991.51
118.00
120.00
122.00
124.00
126.00
128.00
130.00
132.00
134.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
2.48
1.51
2.051.70
118.00120.00122.00124.00126.00128.00130.00132.00134.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
2.671.69
2.211.68
125.00
130.00
135.00
140.00
145.00
150.00
155.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
2.561.46
2.441.83
125.00
130.00
135.00
140.00
145.00
150.00
155.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
Children 10.1 to 19 yrs. old
Male
Female
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Children aged 5.1 to 10 years
Children aged 10.1 to 19 years
4 out of 10undernourished students attained normal status
After 120 feeding days….
3 out of 10undernourished students attained normal status
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Results of additional 80 feeding days
There was a further significant increase in themean weight of students at the end of the 80feeding days in both age groups and gender.
Also, significant increase was observed in themean height of students in both age groups andgender.
High compliance of daily feeding in school wasbetween 50 and 60 days and only 12% hadcompleted the 80 days.
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LIGHTHOUSE SCHOOLS
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Distribution of students in sentinel school included in the feeding program with complete and incomplete data per age group
≤5 yrs. oldn (%)
5.1‐10 yrs. oldn (%)
10.1‐19 yrs. oldn (%)
Totaln (%)
Complete Data111 (33.04) 113 (33.63)
224 (66.67)
Incomplete Data(Drop out) 2 (0.60) 63 (18.75) 47 (13.98)
112 (33.33)
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Child Profile
5.1 to 10 y.o. 10.1 to 19 y.o.
59 (53.15%) 48 (42.48%)
52 (46.85%) 65 (57.52%)
8 y.o. 12 y.o.Mean Age
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17.9
18.9519.48
18.14
19.15
19.89
17
18
19
20
21
Base Mid End
Male (n = 52) Female (n = 59)
Mean weight of children aged 5.1 to 10 yrs.
25.04
26.46
27.3725.53
27.04
28.23
23
24
25
26
27
28
29
Base Mid End
Male (n = 65) Female (n = 48)
Mean weight of children aged 10.1 to 19 yrs.
117.64
119.15
120.55119.48
121.18
122.87
114
116
118
120
122
124
Base Mid End
Male (n = 52) Female (n = 59)
Mean height of children aged 5.1 to 10 yrs.
134.17
135.82
137.6136.21
138.16
139.94
130
132
134
136
138
140
142
Base Mid End
Male (n = 65) Female (n = 48)
Mean height of children aged 10.1 to 19 yrs.
Results of 120 feeding days
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Comparison of mean height increase of the students aged 5.1‐19 yrs. old during the 120 feeding days and normal
average increase in height (WHO, 2007)Children 5.1 to 10 yrs. old Children 10.1 to 19 yrs. old
Male
Female
2.211.32
1.511.40
110.00
115.00
120.00
125.00
130.00
135.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
2.481.51
1.701.69
110.00
115.00
120.00
125.00
130.00
135.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
2.671.69
1.65 1.78130.00
135.00
140.00
145.00
150.00
155.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
2.501.40
1.951.78
130.00
135.00
140.00
145.00
150.00
155.00
Baseline(Jul 2016)
Midline(Dec 2016)
Endpoint(Mar 2017)
Normal Average Height Mean Height
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Children aged 5.1 to 10 years
Children aged 10.1 to 19 years
4 out of 10undernourished students attained normal status
After 120 feeding days….
3 out of 10undernourished students attained normal status
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Conclusions
The SBFP implemented through the integrated model (GarNESup) resulted to significant increase in mean weight and height among schoolchildren.
Further improvement in mean weight and height was observed during the additional 80 days feeding period.
The implementation of different nutrition modalities have mended the disconnect of the SBFP and GPP resulting to improved implementation of the SBSP with improved nutritional status of children as visible outcome.
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Implications
The SBFP s effective increasing weight and height after 120 feeding days.
Effective measures to sustain the improved nutritional status during school days should be installed during vacation breaks at the community setting.
Gardens should be extended at the community level.