Chapter 6: Nutrition and Nutrition-Related Interventions (2) Flashcards
1
Q
important aspect of garantisadong pambata
A
micronutrient supplementation
2
Q
declared to be held in october or araw ng sangkap pinoy
A
national macronutrient day
3
Q
was created by NNC governing board in 1993 and was tasked to recommend policies and overall directions to the national micronutrient malnutrition program
A
National Micronutrient Action Team (NMAT)
4
Q
a global initiative to help prevent blindness by providing vitamin a supplementation to children between 6 months to 5 y/o
A
seeing is believing
5
Q
food fortification
an act of salt iodization nationwide - mandatory iodization of food-grade salt
ASIN Law
A
ra 8172
6
Q
food fortification
food fortification law
A
ra 8976
7
Q
fortify rice with
A
iron
8
Q
fortify flour with
A
iron and vitamin a
9
Q
fortify sugar with
A
vitamin a
10
Q
fortify cooking oil with
A
vitamin a
11
Q
voluntary fortification of foods thru
A
sangkap pinoy seal program
12
Q
iodine fortification of water developed by FNR
A
tubig talino
13
Q
nut in essential maternal and child health services - children
infant prevention of growth and mental retardation brought about by inborn error of metabolism
A
newborn screening
14
Q
nut in essential maternal and child health services - children
a package of intervention to improve health and nutrition in the first 2 years of life
A
infant and young child nutrition
15
Q
nut in essential maternal and child health services - children
one of the DOH programs aiming to reduce infant mortality and morbidity through decreasing the prevalence of 6 immunizable diseases (TB, diphtheria, pertussis, tetanus, polio, and measles)
A
immunization through expanded program on immunization (EPI)
16
Q
nut in essential maternal and child health services - children
after weighing, assessing the nutritional status of 0-5 y/o child, and recording it on the growth chart, the BNS or BHW informs the mother/caretaker of the child’s nutritional status and the approaches to improve or maintain nutritional status of the child
A
growth monitoring and promotion (GMP)
17
Q
nut in essential maternal and child health services - children
an integrated approach to child health that focuses on the well-being of the child
aims to reduce death, illness, and disability, and promote improved growth and development among 5 y/o children
A
integrated management of childhood illnesses (IMCI)
18
Q
full range of health, nutrition, early education, and social services programs that provide for the basic holistic needs of young children from birth to 6 y/o
A
early childhood care and development program (ECCD)
19
Q
package of health services and relevant information is delivered throughout the year to under-5 children
A
garantisadong pambata
20
Q
a strategy to reorganize local health bureaucracy to mainstream MNCHN activities, provide adequate facilities, finance service delivery, and supervise and monitor program implementation
A
maternal, newborn, and child health nutrition (MNCHN)
21
Q
maternal health program designed to improve the delivery of much-needed iron supplements to pregnant women through increased prenatal visits
A
kalusugan para umunlad si mare (KUMARE)
22
Q
those registered at DZMM public service center will get free seminars on the safe motherhood and maternal care and be able to participate in raffle draws and other activities
A
buntis congress
23
Q
a strategic effort for improving the role of maternity services to enable mothers to breastfeed babies for the best start in life
aims to improve the care of pregnant women, mothers, and newborns at health facilities that provide maternity services for protecting, promoting, and supporting breastfeeding
A
mother and baby friendly hospital initiative
24
Q
livelihood assistance program/poverty-reduction programs
poverty reduction strategy that provides grants to extremely poor households to improve their health, nutrition, and education
children 0-14 y/o
A
pantawid pamilyang pilipino program nationwide
25
livelihood assistance program/poverty-reduction programs
focuses on enhancing the access to credit livelihood of vulnerable households with underweight children thru coordination with existing livelihood programs
livelihood assistance program
26
livelihood assistance program/poverty-reduction programs
comprehensive and integrated delivery of social services empowers communities thru enhanced participation in community projects that reduce poverty
kapit-bisig laban sa kahirapan
27
livelihood assistance program/poverty-reduction programs
a program to deliver medical assistance, livelihood, socialized housing, potable water supply, food subsidy, and protective programs or services to the 100 poorest families in every city and province nationwide
lingap sa mahihirap program
28
livelihood assistance program/poverty-reduction programs
a strategy to alleviate poverty and malnutrition in the most depressed areas of the country thru livelihood assistance and feeding programs
aksiyon para sa nutrisyon/lalakas ang katawang sapat sa sustansiya
29
nutrition in integrated programs
implemented by the international institute for rural reconstruction (IIRR) in partnership with deped and fnri
uses model of gardening, supplementary feeding, and nutrition education using school as the platform
integrated school nutrition model
30
nutrition in integrated programs
a full range of health, nutrition, early education, and social service programs that provide for the basic holistic needs of young children from birth to 6 y/o
-pre and post-natal care
-promotion of breastfeeding and complementary feeding
-nutrition education counseling
-micronutrient supplementation
-food assistance
-psychosocial stimulation and early education
-parent effectiveness training
-home and community food production
early childhood care and development program
31
nutrition in integrated programs
involves the delivery of one brand package of interventions for children which include food and nutrition, health, early education, and psychosocial stimulation
bright child program
32
nutrition in integrated programs
aims to strengthen capability to implement the convention on the rights of the child by:
-fostering health and nutrition care seeking behaviors
-addressing undernutrition and micronutrient deficiencies
-improving access to safe drinking water and sanitation
-building alliances to improve health care delivery system
-focusing on community-based intervention
country programme for children
33
nutrition in integrated programs
led by the philippine coalition on the prevention of control of non-communicable diseases in the promotion of healthy diets and wt control
national healthy lifestyle program
34
government's program to improve the lifestyle of filipinos
7 key messages of the healthy lifestyle (HL) to the mac program of the DOH:
-dont smoke
-regular exercise
-eat a healthy diet everyday
-watch your weight/weight control
mag-HL tayo
35
nutrition in integrated programs
achieves improvement of family health in communities in the autonomous religion of muslim mindanao by creating communities that are empowered, mobilized, and organized to adopt and sustain optimal health behaviors
sustainable health improvement through empowerment and local development (SHIELD)
36
nutrition in integrated programs
a nutrition development extension program of state universities and colleges (SUCs) which train local leaders on development planning with nutrition as a goal and objective, indicator, and component program
barangay integrated development approach for nutrition improvement (BIDANI)
37
nutrition in integrated programs
feeds 6 month-12 year old undernourished children and underweight pregnant and lactating women in the community once a day, 5 days a week for 6 months with vitameal from feed the children (FTC and mannapack food supplements from feed my starving children)
HAPAG-ASA
38
hunger mitigation program (during arroyo admin)
provision of 1 kg of rice to hungry families thru children in day care centers and grade 1 every school day; implemented in metro manila and 49 provinces with varying degrees of vulnerability to food insecurity
food for school program
39
hunger mitigation program (during arroyo admin)
an integrated backyard gardening in rural communities through the provision of seeds and seeding materials and distribution of small animals and fingerlings
gulayan ng masa (vegetable gardening for healthy population)
40
hunger mitigation program (during arroyo admin)
provision of trading post of fruits and vegetables and meat products; foods are sold at low prices by limiting the effect of middlemen in food trading
barangay food terminal
41
hunger mitigation program (during arroyo admin)
poverty programs implemented in 10 poorest provinces
-improving access to human development services
-increasing employment and livelihood opportunities
-enhancing participation in governance and institution building
-increasing social protection and security from violence
-asset forms
nutrition in poverty reduction programs
42
nutrition in integrated programs
based on the Lancet Series on Maternal and Child Undernutrition, after a systematic review of efficacy and effectiveness of 45 possible interventions that affect maternal and child undernutrition and nutrition-related outcomes
evidence-based nutrition intervention
43
nutrition in integrated programs
there may be an increase in the number of children with SAM because of many factors including the food crisis, global financial crisis, poor feeding practices
requires immediate intervention and not simply regular supplementary feeding
tole of health and nutrition workers is to locate and identify children with SAM and prevent SAM thru the promotion of appropriate infant and young child feeding practices
management of severe acute malnutrition (SAM)
44
consideration in SAM mgmt
SAM w/ or w/o medical complications
children 6-59 months w/ SAM w/o medical complications treated in Outpatient Care with ??
ready to use therapeutic food and presumptive antibiotics
45
consideration in SAM mgmt
SAM w/ or w/o medical complications
children 6-59 months w/ SAM w/o medical complications treated in Inpatient Care, and referred to Outpatient Care after stabilisation to continue treatment at ???
at home
46
consideration in SAM mgmt
-identify children at highest risk of death
-measures muscle mass (nutrient store)
-a transparent and understandable measurement
-easy-to-use tool; can be used by all health care providers, community-based outreach workers after being trained
MUAC
47
SAM with poor appetite or medical complication
mgmt of SAM in?
inpatient care
48
SAM with good appetite and w/o medical complication
mgmt of SAM in?
outpatient care
49
MAM acute malnutrition
management of MAM
50
CMAM meaning
community-based management of acute malnutrition
51
a community-based approach for the management of SAM in children under 5 y/o
CMAM
52
CMAM
most children with SAM have good appetite and are w/o medical complications (>80%) and can be treated as _____ at accessible, decentralized sites
outpatients
53
CMAM
children with SAM and poor appetite or medical complications (<20%) are treated as _____ at centralized sites
inpatients
54
children with MAM are treated at
decentralized sites
55
CMAM principles
decentralized care with improved treatment (those who need treatment are treated)
maximum access
56
CMAM principles
early and active detection and referral before onset of disease
timely access to treatment
57
CMAM principles
specialized care adapted to severity of illness
appropriate medical and nutrition care
58
CMAM component
to increase access and service uptake (improved treatment coverage)
community outreach
59
CMAM component
strategy for outreach activities builds on existing formal and informal community systems and structures
community assessment
60
CMAM component
involves the community, raising awareness
community mobilization
61
CMAM component
early and active detection and referral of children with SAM before the onset of medical complications; home visits for problem cases; health and nutrition education
community outreach workers or volunteers
62
MAM mgmt w/ special food supplement following specifications for the mgmt of MAM
targeted supplementary feeding for children with MAM 6-59 months
individual
63
MAM mgmt w/ special food supplement following specifications for the mgmt of MAM
blanket feeding for all children 6-24 months
population
64
nutrition in emergency
refers to the activities of providing food or meals to victims of calamities, whether man-made or natural, until such time that such emergency persists
act of providing to those who have no food and to those with no facilities to prepare their own meals
disaster feeding operation
65
feeding operation means providing both
water and food
66
according to the _____, to exercise extreme caution when planning, implementing, or supporting relief operations by protecting, promoting, and supporting EBF for infants
47th World Health Assembly
67
donation of infant formula is/is not allowed
the use of infant formula will require clean and safe water, which, in times of emergencies, may not be available
not allowed
68
nutrition in emergency
if infant's mother cannot breastfeed, look for _____ who can give expressed breast milk, to be fed into a clean cup
mothers
69
types of feeding for children during emergency
the giving of foods in addition to what is available at the evacuation center, usually given to young children, pregnant and lactating women, and older persons
foods include cereals and milk
complementary feeding
70
types of feeding for children during emergency
given to improve the nutritional status of undernourished/severely malnourished children
therapeutic feeding
71
types of feeding for children during emergency
consists of feeding at 3-hourly intervals of high-energy liquid (ex. soup, juice, and nutritious diets)
therapeutic feeding
72
types of feeding for children during emergency
usually done for 3-5 weeks of intensive feeding
therapeutic feeding
73
types of feeding for children during emergency
recovery is best assured if the mother or other mature relatives stay with the malnourished child
therapeutic feeding
74
types of feeding for children during emergency
in emergencies. breastfeeding remains the optimal and safest feeding methods for infants
infant and child feeding
75
types of feeding for children during emergency
in bottle-feeding and use of breastmilk substitute (BMS) in crisis-afflicted areas, health risks are increased
infant and child feeding
76
feeding for vulnerable groups - young children (2-5 y/o)
similar to family food, containing high energy, vitamins, and minerals
-
77
# chon/day
feeding for vulnerable groups - young children (2-5 y/o)
for malnourished children, the rations shall be increased with snack
kcal and chon per day
350 kcal, 15 g chon per day
78
feeding for vulnerable groups - pregnant and lactating mothers
adequate energy, chon, vitamins, minerals
-
79
feeding for vulnerable groups - pregnant and lactating mothers
additional # kcal for pregnant and # kcal for lactating mothers
chon g for both are required
300 for pregnant
500 for lactating
17 g chon for both
80
feeding for vulnerable groups - pregnant and lactating mothers
daily _____ for pregnant and # dose of high vitamin a capsules for postpartum mothers
iron tablets
2 dose of high vit. a
81
feeding for vulnerable groups - elderly
needs high nutrient density food to meet vitamins and minerals
-
82
existing places that require very little alterations
ex: schools, churches, lodges, community halls
indoor feeding
83
provides for disaster workers and victims at or near the disaster site and in out-of-the way places;
may provide snack-type meals for a short period of a disaster period or periodic meal for an indefinite period until permanent feeding services are available
mobile feeding
84
mobile feeding
one-vehicle, self-contained transportable unit equipped to prepare and serve food at any location, capable of operating independently; carries its own storage of water, food, and food supplies
mobile kitchen
85
mobile feeding
one-vehicle unit equipped only for transporting and serving already prepared food; have limited use and may have to be replenished frequently
mobile canteen
86
existing sites
ex: picnic and bbq areas in forests, parks, and playgrounds may be selected and improvised
outdoor feeding
87
special food packages are prepared and dropped to isolated victims by helicopter or small plane, or by boat
food drops
88
should be given during the first day of disaster when people are confused and numbed by tragedy
cooked rations
89
encourages self-sufficiency by enabling the people to prepare their own food
dry rations
90
-adequacy is not so vital
-calories derived from cho to provide energy to keep body processes going are of particular importance at this stage
early emergency
91
-infants 6 months and below who are not breastfed may use recommendations for older infants
-recommendations include only daily allowances for chon and kcal
-milk is given to pregnant and lactating women
intermediate emergency
92
meals should include foods that will meet the recommended nutrient allowances to make up an adequate meal
extended emergency
93
food examples provided during emergency
refers to a range of fortified, lipid-based products, including products like ready-to-use therapeutic foods, as well as high concentrated supplements (1-4 tsp/day, providing <100 kcal/day) to be used for point-of-use fortification
ex: nutributter
lipid-based nutrient supplements
94
food examples provided during emergency
the available RUTF mostly are for large daily ration with low _____ concentration which have been successfully used for the management of severe acute malnutrition among children in emergency settings
ex: plumpynut
micronutrient
95
food examples provided during emergency
a ready-to-eat-cereal-legume-based nutritious food with milk, vegetable fat, and sugar; light, compact, convenient to handle and store, and easy to distribute; can be prepared into porridge by just adding hot water
1 pack (30 g) will provide 16% chon and 8% energy of the RDA for 4-6 y/o
compressed food
96
food examples provided during emergency
made from combinations of expanded cereals, flour from legumes, and oilseeds; ready-to-eat, appealing, and nutritious; light, easy to handle and transport; comes in chocolate-coated, peanut flavored, and tropical fruit variants
rice crispy bars
97
WFP meaning
world food programme
98
WHO, WFP, UNICEF joint statement
re: micronutrient in emergencies
-provide fortified foods
-provide micronutrient supplement
-continue high dose vitamin a for children
-continue EBF for children
-
99
schedule for giving multi-micronutrient
target group: pregnant and lactating
fortified food rations are NOT being used: ??
1 RNI each day
100
schedule for giving multi-micronutrient
target group: children 6-59 months
fortified food rations are NOT being used: ??
1 RNI each day
101
schedule for giving multi-micronutrient
target group: pregnant and lactating
fortified food rations are being used: ??
1 RNI each day
102
schedule for giving multi-micronutrient
target group: children 6-59 months
fortified food rations are being used: ??
2 RNI each week
103
enabling mechanicm
develop competencies of frontline workers, program planners, and managers
national govt to lead training activities
human resource management
104
enabling mechanicm
are community-based volunteers who deliver nutrition and related services in villages
barangay nutrition scholar (BNS)
105
enabling mechanicm
strategy for providing each barangay with a trained community worker to deliver basic nutrition and related health service as mandated by PD 1569
bns program
106
enabling mechanicm
multi-level training on basic course and continuing education of BNS
strengthening of the barangay nutrition scholars project
107
enabling mechanicm
convincing individuals, groups, or organizations to assist or share resources for nutrition improvement and targets legislators, non-govt orgs, academe, business community, local govt, and media
nutrition advocacy
108
enabling mechanicm
to provide bases for food and nutrition policy and program recommendations
research and development
109
enabling mechanicm
provides policies and guidelines that will govern, direct, and facilitate delivery of services
policy and standards formulation
110
extended maternity leave (# of months and days)
4 months/105 days
120 days for single mothers
111
mgmt information system/monitoring and eval system
data gathered are used for local nutrition program planning, describing situation of the community, quantifying the number of underweight, stunted and wasted children, and identifying who will be given priority in terms of specific interventions to be implemented
operation timbang plus (OPT Plus)
112
mgmt information system/monitoring and eval system
the new CHO child growth standards (CGS) for children 0-5 y/o was adopted for use thru NNC governing board resolution no. 2 s. 2008 (june 27, 2008)
doh, dswd, dilg
OPT plus
113
mgmt information system/monitoring and eval system
-regular weighing and height measurement of children under-five
-locating and identifying malnourished children
-identifying impending malnutrition
-providing preventive and curative interventions
OPT plus
114
mgmt information system/monitoring and eval system
conceptualized in 1997
composed of the barangay integrated development approach for nutrition improvement (BIDANI) program
barangay mgmt information system (BMIS)
115
BIDANI meaning
barangay integrated development approach for nutrition improvement program
116
mgmt information system/monitoring and eval system
provides updated information about the condition of the community needed for planning barangay development activities, serve as the only data base/data source about brgy
barangay mgmt information system (BMIS)
117
mgmt information system/monitoring and eval system
facilitates identification of barangay needs vital for nutrition and development planning, project implementation, and monitoring and evalutation
promotes capacity development of bmis
barnagay mgmt information system (BMIS)
118
mgmt information system/monitoring and eval system
consists of a set of sequenced and continuous steps that allows health care providers to identify eligible target clients who do not avail or access the appropriate health services in a circumscribed area and determine and undertake alternative service delivery interventions
cbmis: community-based monitoring and information system
119
mgmt information system/monitoring and eval system
helps identify women, children, and other individuals with unmeet needs who do not visit the health facility and keep tract of these clients until they are provided the necessary health services
cbmis: community-based monitoring and information system
120
mgmt information system/monitoring and eval system
an organized process of data collection and processing at the local level and of integration of data in local planning, program implementation, and impact monitoring
community-based monitoring system (cbms)
121
mgmt information system/monitoring and eval system
a system that promotes evidence-based policymaking and program implementation while empowering communities to participate in the process
community-based monitoring system (cbms)
122
mgmt information system/monitoring and eval system
developed in the early 1990s under the micro implants of macroeconomic adjustments policies (MIMAP) project-philippines to provide policymakers and program implementers with a good info base for tracking the impacts of macroeconomics reforms and various policy shocks
community-based monitoring system (cbms)
123
mgmt information system/monitoring and eval system
an open source of electronic medical record designed to run in public health centers and rural health centers
community health information tracking system (CHITS-EMR)
124
mgmt information system/monitoring and eval system
has built-in modules for general patient consultations, consultation scheduling, maternal care services, childcare, family planning, and reporting features for the doh field health service info system (FHIS)
community health information tracking system (CHITS-EMR)
125
mgmt information system/monitoring and eval system
runs over a local area of network (LAN) installed inside the health center and accessible to computers installed within the health center
community health information tracking system (CHITS-EMR)
126
mgmt information system/monitoring and eval system
goal is to provide a general set of guidelines for establishing an integrated information system at the national level of food insecurity and vulnerability
food insecurity and vulnerability information management system (FIVIMS)
127
other nutrition-related programs
aims to deliver and implement critical health programs and services with speed, precision, and effective coordination at all vital links in the health chain system, including: health service delivery, health regulations, health financing, and good governance
FOURmula one for health (F1)
128
other nutrition-related programs
recognizes and certifies govt health facilities that meet national quality standards to provide quality health service
sentrong sigla
129
other nutrition-related programs
the govt's program for the promotion of natural family planning methods in health centers, orientation of parents on ideal family size, and the promotion to plan one's family
responsible parenthood program
130
other nutrition-related programs
sets standards which shall protect the welfare of working women and minors, improve their working conditions, increase their efficiency, secure opportunities for their profitable employment, and find ways for their economic, social, and cultural advancement
family welfare program
131
other nutrition-related programs
is the focal govt agency for the promotion and protection of working women and children
bureau of women and young workers (BWYW)
132
other nutrition-related programs
responsible for setting standards and formulating programs relating to the working conditions and welfare of women and young workers and for monitoring and evaluating the enforcement of these standards
bureau of women and young workers (BWYW)
133
other nutrition-related programs
committed to provide effective health and nutrition services and to utilize these services as fertile avenues for the inculcation of positive health values and behavior
school health and nutrition center
134
other nutrition-related programs
conducted for development of a healthier and more productive school populace in a clean, healthy, and drug-free school and community environment
school health and nutrition center
135
other nutrition-related programs
mandate is to develop safe, nutritious, and affordable food products and transfer these innovations to entrepreneurs for commercial distribution and production
technology transfer and commercialization of fnri food technologies
