PROJECT PROPOSAL

Identifying Information
Title of the Activity: School Health and Nutrition Program
Target Participants: Moderately Acute malnourished school children of grade 1-3
Activity venue/Scope: Top 13 Nutritionally Depressed Municipalities in 2017
Duration: 120 days

Rationale:
Worldwide, malnutrition among children under five to eleven years of age is considered
as the most prevalent public health issue of South East Asian countries.. As the effects of
malnutrition are highly visible on the physical, mental, social, and intellectual development of
young children, therefore, importance of effective nutrition cannot be denied during early years.
The environment in which we live greatly affects our health. Household, workplace, outdoor and
transportation environments all pose risks to health in a number of ways from the poor quality of
air that many people breathe, to hazards related to unsafe water, poor sanitation and hygiene. It is
estimated that 24% of the global disease burden and 23% of all deaths can be attributed to
environmental factors. About 36% of this burden affects children from 0 to 14 years of age.

According to the data presented by the Provincial Nutrition Council, Over the past five
years,the rate of malnutrition has declined from 8.52% in 2010 to 6.21% in 2014. Still,
malnutrition among young children remains a major problem especially in areas where there is
high magnitude and prevalence of poverty. Iloilo has been identified as one of the provinces with
high magnitude.

Based on the 2014 Operation Timbang results, Iloilo is 2nd to Antique with 6.95% in the
ranking of provinces with high prevalence of underweight children (0-17 mos). Top 10 priority
municipalities were identified to provide intervention to create impact in Iloilo Province. In
2015, our prevalence has reduced to 5.16% 4th to Antique, Negros Occidental, and Aklan in the
ranking of provinces with high prevalence of malnutrition. In 2016 OPT result continued to
reduce to 4.70%. We need to accelerate and scale up our nutrition activities to further reduce our
prevalence to prevent deaths and stop the cycle of intergenerational growth failure.

As children are the most vulnerable group, who need adequate measures for their health
promotion and disease preventions, therefore, lack of access to quality health care services
affects the nutritional status of young children by depriving them of primary health care
interventions like immunization, supplementation, etc. The physical environment, socio-
economic status, diet, parental education and infections determine a child’s growth.

Child health has become a key indicator of economic development. The health and well
being of children is a fundamental issue in education. Indeed, active promotion in health is now
seen as a priority for school children’s. School going children are the important segment of our
society. Their growth, development and body weight is of utmost significance and presents
general health status of a community and nation as a whole. Mostly children are adopting more
 PROJECT PROPOSAL

and more unhealthy life style. Physical activity is constantly decreasing among school children.
A trend away from active leisure pursuits and recreational sports has been evident, and reliance
on sedentary entertainment, including television, computer and video games has
increased. Illiterate mothers are more prone to end up into unhealthy child. Maternal illiteracy
compounds multiple problems and contributes towards malnutrition. Mothers’ lack of knowledge
about the nutritional requirements of children often results in unhealthy child feeding practices
and causes malnutrition among young children. Among environmental factors water, air and
sanitary conditions are the strongest determinants of health among children. In many localities in
the province lack of access to clean water and proper sanitation facilities is a persistent issue that
adversely affects the nutritional status of young children in many ways.

Improving child health and nutritional status to prevent underweight and stunting has
become very important. Therefore, improving the health and nutritional status of children 5-11
years of age deserves high priority. Understanding the factors that affect growth during these
critical periods is essential for determining appropriate intervention strategies to address the
problem. Height-for-age is an indicator and is considered as a proxy for the health of a
population. BMI is a screening tool used to identify individuals who are underweight or
overweight. But for this project we will not only identify and gauge through school children’s
BMI but also their mental health capacity which enables them to attend school and continuing to
high school level.

General Objectives:
To be able to build, educate and strengthen the capability of primary stakeholder in
cooperation with the local government units and Department of Education to address
malnutrition and educational proficiency of school children among poverty groups through
School Health and Nutrition Program by giving those appropriate measures and guidelines on
how to improve the well-being and mental development by the end of 2018.

Specific Objectives
 To determine the relationship between environmental conditions and health of
children’s.
 To investigate the differences in childhood underweight and normal weight.
 To study the impact of the environment on the health of children.
 To determine the factors that correlates the health of the children to their academic status.
 To organize and train the parents of malnourished school children in participatory
sessions to enhance their knowledge in properly feeding and caring for their children.
 To identify strategies that enhance adoption of nutritious foods and ingredients to help
children to be healthy
 To educate parents about the basic needs of a child towards their own mental
development this includes balanced diet and exercise.
 To monitor the growth and development of children on a monthly basis to determine
changes in their nutritional status
 PROJECT PROPOSAL

Strategies for Implementation

A. School Mobilization and Social Preparation
B. School based supplementary feeding
C. School based training and seminar program about health and wellness
D. Participatory involvement in the process of food preparation and guidance
E. Participatory Growth Monitoring and Promotion
F. Monitoring and Evaluation

1. PROPOSED APPROACH & METHOD(S)

Project Means of Risks/

Summary Indicators Verification Assumptions
Goal
To be able to build Percentage of Comparison of Partnership-building
and strengthen the decrease in recorded weight and school alliance
capability of malnutrition from the has been established.
elementary schools incidence in grades commencement to
and primary 1 to 3 on the Top 13 the termination of
stakeholders to municipalities with the program.
address malnutrition highest malnutrition
by the end of 2018 incidence

10% decrease in the

number of
malnourished
children from grades
1 to 3 within one
and a half.

Outcomes
Lower the Malnutrition Weekly monitoring Information were
malnutrition rate incidence among of weights of the from Iloilo Provincial
from 4.7% to 3.89% children in grades 1- children based on Health Office.
with average 3 calibrated weighing Percentage was
reduction rate of scale provided by determined through
17.34% from 2014 the program. the trend of
to 2016 by the end malnutrition
of 2017 incidence.
 PROJECT PROPOSAL

Outputs
1. Top 13 Number of Actual feeding Children and
Municipalities with elementary schools program in parents/guardians
with high in the 13 elementary schools apply what they learnt
malnutrition municipalities in the school-based
incidence received a determined to have nutrition program
school-based high malnutrition
nutrition program incidence received a
school-based
nutrition program

2. 2845 Level of awareness Assessment of the

malnourished of beneficiaries beneficiaries
children plus their about health and awareness through
parents or guardians nutrition FGD
as beneficiaries
gained awareness
about health and
nutrition

3. Monitored and Number of Weekly Assessment

assessed weights of malnourished Records
2845 malnourished children monitored
children. and assessed

Activities 1. Orientation of
Program Attendance of Attendance sheet Program
Implementers program properly signed by implementers has
implementers program experienced in doing
implementers such activities
2. Choosing of The core group has Meal plan for the The core group has
foods/meals to established an duration of the specialization on the
be served to agreement on program said activity
malnourished choosing of preferably a
children. foods/meals to be nutritionist
served
3. Procurement Actual delivery of Inspection and There is designated
and delivery of foods/ingredients acceptance of program implementer
foods/meals to foods/ingredients for the procurement
elementary and delivery of foods
schools and ingredients
4. Feeding proper Actual performance Documented The malnourished
of feeding program activities done by children participates
the program with the feeding
implementers program
5. Storage of foods Presence of excess Inventory of foods School heads allocate
and ingredients foods and and ingredients a space in school for
after the feeding ingredients purchase storing foods.
proper for feeding program
 PROJECT PROPOSAL

6. Monitoring and Attendance of Attendance sheet The daily feeding

evaluation of the determined provided by the activities and
program malnourished program program
children implementers implementation has
been executed
properly

2. EXPECTED OUTCOME

 Improve the proficiency of school children by the help of parents active participation
towards nutritional health.
 Encourage the development and support of community-level initiatives to reduce
environmental health threats to children.
 Continue to raise awareness and provide education about children's environmental
health issues.
 Promote the recognition, assessment, and study of environmental factors that affect
children's health and development.
 Reduce children's exposure to pollutants through education, regulation, use of cleaner
fuels, and reduction of environmental tobacco smoke.
 Much attention will be paid to mitigate environmental and other threats to children in all
of these spheres, particularly at hazardous workplaces.

Operating Details:

Venue: Elementary Schools of depressed Municipalities in the Province of Iloilo

Date: June 1, 2018 to September 30, 2018

Total No. of Feeding Days: 120 Days, five times a week (with classes)

Target Number of Children for Supplementary Feeding: 2485 Underweight Children from Grade
1 to Grade 3.

Municipality* No. of Underweight Children**

th
Estancia- 5 Congressional District 230
Calinog- 3rd Congressional District 306
Batad- 5th Congressional District 134
San Enrique- 4th Congressional District 161
Maasin- 3rd Congressional District 237
Zarraga- 2nd Congressional District 196
San Miguel- 2nd Congressional District 167
Sara- 5th Congressional District 264
Badiangan- 3rd Congressional District 146
Igbaras- 1st Congressional District 169
Concepcion- 5th Congressional District 142
 PROJECT PROPOSAL

Balasan- 5th Congressional District 138

Carles- 5th Congressional District 195
Total 2,485
*The Municipalities included were based on the Provincial Health Office-Iloilo data on the highest number of Moderately Acute
Malnourished Children 7 months – 36 months old and only deemed to be an assumption.
** The No. of Underweight Children was only hypothetical based on the highest number of Moderately Acute Malnourished Children 7
months – 36 months old for academic purposes only.

Budgetary Requirements

Strategy/Activity Items Cost (Php)

1. Orientation of Program Supplies and material @ Php 6,500.00
Implementers 500 x 13 municipalities
Traveling expenses to the 8,000.00
venue of program
implementers, 200x 40
composed of a team leader
and 2 members for 13
municipalities and a head of
the program.
Lunch and snacks, 175 x 40 7,000.00
participants
2. Choosing of Lunch and snacks, 250 x 10 2,500.00
foods/meals to be composed of core group
served to malnourished
children.
3. Procurement and Food/ingredients @ 100/pax 4,224,500.00
delivery of foods/meals per week for 17 weeks
to elementary schools 1. Estancia
230x100=23,000.00
2. Calinog
306x100=30,600.00
3. Batad
134x100=13,400.00
4. San Enrique
161x100=16,100.00
5. Maasin
237x100=23,700.00
6. Zarraga
196x100=19,600.00
7. San Miguel
167x100=16,700.00
8. Sara
264x100=26,400.00
9. Badiangan
146x100=14,600.00
 PROJECT PROPOSAL

10. Igbaras
169x100=16,900.00
11. Concepcion
142x100=14,200.00
12. Balasan
138x100=13,800.00
13. Carles
195x100=19,500.00

Cooking utensils @ 2,500.00 32,500.00

per municipality x 13
4. Feeding proper 3 additional assistant for every 374,400.00
municipalities @ 100x 39
(3x13) for 96 days
5. Storage of foods and 1 personnel for each 468,000.00
ingredients after the municipality @ 300x13 for
feeding proper 120 days
6. Monitoring and Weekly monitoring of 2 153,600.00
evaluation of the personnel @800 for 96 days as
program scheduled per municipalities
from Monday to Friday
Total Cost 5,277,000.00

References
) Young Children and Nature: Outdoor Play and Development, Experiences Fostering
Environmental Consciousness, And the Implications on Playground Design.
 URL: http://www.childrenandnature.org/downloads/C&NNHealthBenefits.pdf
 URL:http://www.emro.who.int/pak/programmes/environmental-health.html