Tambuling Batangas Publication January 16-22, 2019 issue | Page 5

OPINYON January 9-15, 2019 Gun Ban, checkpoint, hudyat ng pagsisimula sa checkpoint sina Oriental lugar at maging sa loob ng ng halalan Mindoro Police Provincial Office pribadong sasakyan maliban LUNGSOD NG QUEZON -- Ang pagkakatatag ng mga Comelec checkpoint sa mga kalsada ang katunayang umarangkada na ang election period sa buong bansa. Sa Oriental Mindoro, mismong si Police Regional Office– Mimaropa Director Tomas Colet Apolinario Jr. nangasiwa at nag- inspeksyon sa check operations noong hatinggabi ng Enero 13. Kasama ni Director Apolinario Director Thomas Rojo Frias Jr., 203rd Army Brigade Deputy Commander Antonio Lastimado at mga opisyal ng Comelec. Bawat bayan ay kinakailangang may isa man lang Comelec Checkpoint na naglalayong ipatupad ang firearms ban. Sa ilalim ng firearms o gun ban, bawal magdala ng baril sa mga pampublikong kung ang nagdadala ay may dokumentadong awtorisasyon mula sa Comelec Bukod sa baril at iba pang uri ng armas, ipinagbabawal din ang pagdadala ng mga pampasabog o explosives at ang mga spare part nito. Tanging mga regular na miyembro ng PNP, Sandatahang Lakas at iba pang law- enforcement agency na deputized Law on ‘first 1000 days of life’ to boost with assessment of breastfeeding country’s health status practice, growth monitoring By Lucia F. Broño MALNUTRITION is a perennial problem of the country. It is true that prevalence of under nutrition has diminished over the years but the problem still persists. Health and nutrition workers, despite the meager salary, have been working hard to implement the programs set by the local government units (LGUs) to uplift the health and nutrition condition of people in their respective areas of assignment. Thus, when President Rodrigo Duterte signed Republic Act 11148 or the “Kalusugan at Nutrisyon ng Mag-Nanay Act”, the health sector rejoiced saying that the law will complement the much-awaited Universal Health Care Law and will further boost the country’s health status. RA 11148 involves the scaling up the National and Local Health and Nutrition Programs through a Strengthened Integrated Strategy for Maternal, Neonatal, Child Health and Nutrition in the First One Thousand (1,000) Days of Life” or otherwise known as the “Kalusugan at Nutrisyon ng Mag-Nanay Act),” the national and local health programs for pregnant and lactating women, adolescent girls, infants and young children. Assistant Secretary of Health and Executive Director IV Maria-Bernardita T. Flores, CESO II said that the First 1000 Days Act is an integration of all existing services of health, nutrition, social welfare, and education that aims to provide the basic holistic needs of young children. The law seeks to refocus interventions for addressing malnutrition among the most nutritionally at risk, prioritizing women of reproductive age, especially adolescent girls, teen-age mothers, pregnant and lactating women and children from birth up to 24 months, to address the health and nutrition problems of these vulnerable groups. The law tasked the Department of Health, the National Nutrition Council (NNC) and its Governing Board members to formulate a strategy that is comprehensive and sustainable. The law provides for the delivery of the following nutrition and health services and interventions: First 270 days of conception and pregnancy: prenatal services at the rural health units and barangay health stations, identification and management of nutritionally-at-risk pregnant women and pregnant adolescents and provision of ready-to-use supplementary food in addition to dietary supplementation, provision of anthelminthic drugs deworming and assessment of risk for parasites; for pregnant women and immediate postpartum period, care at the time of admission at the facility, and monitoring of progress of labor and conditions of both the mother and the fetus, among others; and for postpartum and lactating women, the services include follow-up preventive care visits to health facilities where they gave birth, and home visits for women in difficult to reach communities particularly geographically isolated and disadvantaged areas (GIDA). For the next 180 days (0-6 months of the child): provision of continuous support for mother and infants to initiate and complete exclusive breastfeeding for the first 6 months, including referral to trained health workers on lactation management and treatment of breast conditions; counselling household members on handwashing, environmental sanitation and hygiene; appropriate and timely immunization services integrated promotion; infant and young child feeding (IYCF) counselling; and provision of routine newborn care services such as eye prophylaxis and vitamin K, birth doses of Hepatitis B and BCG vaccines after completion of the first breastfeeding. For the last 550 days (6 months up to 2 years of the child): health and nutrition services at the community level shall be provided, such as integrated management of childhood illnesses, including the management of moderate and severe acute malnutrition; deworming for children one to two years old; oral health services, including application of fluoride varnish to prevent dental carries; and livelihood assistance for parents of families belonging to the poorest of the poor. Under the law, the DOH, the National Nutrition Council (NNC), in coordination with other national government agencies, local government units (LGUs), civil society organizations and other stakeholders, will develop a comprehensive and sustainable strategy for the first 1,000 days of life to address the health, nutrition, and developmental problems affecting infants, young children, pregnant and lactating women, and adolescent girls. It also mandated LGUs to institutionalize the maternal, neonatal, child health and nutrition program and integrate it in the local nutrition action plans and investment plans for health. Implementation will be at the barangay level through the rural health units and barangay health centers. Health and nutrition services and interventions will be provided at the different life stages--prenatal period, women about to give birth and immediate postpartum period, postpartum and lactating women, birth and newborn period, first six months o hinirang ng Comelec para pagserbisyo sa buong election period at sa mismong araw ng halalan ang papayagan magdala ng armas. Mayroon silang hawak na dokumentadong awtorisasyon mula sa komisyon. Bukod dito, ang deputized law enforcer na pinayagang magdala ng armas ay kinakailangan naka-uniporme kung saan mababasa ang kanyang pangalan, rango at serial number. Hindi pinapayagan ng Comelec ang mga kandidato, nakaposisyon man o hindi, na humirang ng security forces. Ano naman ang maasahan sa isang Comelec Checkpoint? Ayon kay James Jimenez ng Comelec, sisilipin lang ng unipormadong pulis o sundalo ang lahat ng daraan sa Comelec Checkpoint na nakaposisyon sa mga istratehikong lokasyon. Ang mga motorista naman ay hindi kailangang magbukas ng pinto o compartment o kaya ay bumaba habang sinisilip ng mga awtoridad ang looban ng saksakyan. Hindi kakapkapan ang mga taong daraan sa check point. Sinabi ni Jimenez na madaling makilala ang lehitimong Comelec Checkpoint: nakaposisyon sa maliwanag na lugar, binabantayan ng mga unipormadong pulis o sundalo na mayroon name plate ID at iba pang pagkakakilanlan. Mayroon karatula ang isang Comelec Checkpoint kung saan mababasa ang pangalan at numeero ng mga telepono o cellphone ng Comelec official, opisyal na pulis o sundalong nakakasakop sa lugar. (LP) of infancy, and infants six months up to two years of age. The First 1000 Days strategy will prioritize urban and rural populations who reside in disaster-prone, geographically isolated and disadvantaged areas, areas with high prevalence of undernutrition, hazard/conflict- prone areas, and with poor families identified by the National Household Targeting System. Senator Loren Legarda, co-author of the Senate Bill No. 1537, also known as “The Healthy Nanay and Bulilit Act”, said “the first 1,000 days of a baby’s life, which covers the nine months of a mother’s pregnancy until a child’s second birthday, is the foundation of a person’s future health, intellectual development, and motor and social skills. Good nutrition for mothers and babies at pregnancy and infancy stage is crucial to sustain a sturdy foundation for a child’s well- being.” Senator Grace Poe, co- author and co-sponsor of the measure in the Senate, called on her colleagues to support moves to increase the budget of the First 1,000 Days Law in its maiden year of implementation next year. “Just like an infant, the future of this new law, whether or not it fulfills its mandate, lies in the first 1,000 days of its implementation. Without sufficient funding, the law cannot fulfill the program’s objectives of scaling down undernutrition and improving the health of mothers and infants,” said Poe. She added that some P6 billion is needed to fulfill the mandates of the program. UNICEF Philippine Deputy Representative Rees congratulated the Philippine government for making the great step of prioritizing interventions and investments for children and their mothers during their first 1000 days through the passage of the bill”. She added that UNICEF is committed to continue supporting the Government as it defines the package of interventions and accountabilities of all Government Agencies to operationalize and scale up effective nutrition services in the country. “With this law, we hope that the much-needed investments for evidence-based interventions can finally move the needle towards taller, brighter, and healthier and more productive Filipino Children,” Rees said. “Everyone should work together to achieve good nutrition because it is the foundation of a child’s survival, health and development,” Rees added. Based on the latest National Nutrition Survey or the 8th NNS conducted by the Food and Nutrition Research Institute (FNRI) in 2013 bared the following condition of malnutrition among Filipino children 0-5 years old: 2 out of 10 or 19.9% children among 0-5 years old were underweight; 3 out of 10 or 30.3% children were stunted; 1 out of 10 or 7.9% children were wasted; 5 out of 100 or 5.0% children among 0-5 years old were overweight. The survey also revealed that one in four pregnant women in the country were recorded as “nutritionally at risk”. A study undertaken by the United Nations International Children’s Emergency Fund (UNICEF) disclosed that children who are stunted have life-long damaging consequences on their cognitive and intellectual capacities while children who have severe wasting—also known as severe acute malnutrition— have at least nine to 12 times increased risk of death. Malnutrition also affects the nation’s economy as proven by two studies conducted in January 2018 by UNICEF, in partnership with the DOH and NNC. The first study, “The Economic Consequences of Undernutrition in the Philippines: A Damage Assessment Report (DAR),” shows that the Philippines is losing and will continue to lose around $4.5 billion per year if current rates of undernutrition are not addressed. The second study, “Business Case for Nutrition Investment in the Philippines,” shows how effective implementation of affordable and equity-focused nutrition interventions can significantly decrease the annual economic burden of undernutrition. It also presents that for every $1 invested to address undernutrition, there will be a $12 return to the overall economy. (PIA-NCR)