The prevention of malnutrition and IDA in the Philippines
A significant proportion of the Philippines suffers from malnutrition, and more than 18% of the population lives below the poverty line. Iron deficiency anemia (IDA) is one of the most prominent micronutrient deficiencies among infants and young children in the Philippines, and it can be easily prevented via the consumption of fortified and iron-rich foods. IDA causes significant health care costs and can result in disability and loss of productivity.
The Impact of Cost
Fortification provides a better solution to IDA and other nutrient deficiencies than supplementation or treatment and would be effective in treating malnutrition in the Philippines. However, many individuals from lower-income backgrounds experience IDA or malnutrition because most nutrient-rich foods are not affordable.
Infants and Children
Infants aged 6-11 months have the highest prevalence of nutrient deficiency in the Philippines, with approximately 56.5% suffering from IDA. This is followed by approximately 41% of children aged 12-23 months also suffering from IDA. Increasing iron uptake would improve overall health and provide a positive impact on both physical and cognitive ability. As a result, these infants and children could grow up to have a more positive contribution to society, both socially and economically, a step toward ending malnutrition in the Philippines.
Women
An additional group of individuals who benefit from food fortification is women of reproductive age. IDA can be caused by an increased demand for iron in the body, as a result of menstruation or pregnancy. Consuming enough iron to prevent IDA is much easier than curing it during pregnancy. Iron needs to be readily available, alongside education that promotes the necessity of an iron-rich diet.
The Philippines Multisectoral Nutrition Project
In 2022, the government of the Philippines launched the Philippines Multisectoral Nutrition Project, “To increase the utilization of a package of nutrition-specific and nutrition-sensitive interventions and improve key behaviors and practices known to reduce stunting in targeted local government units.” Financed by the World Bank, the plan aims to significantly reduce malnutrition in the Philippines within four years, thereby increasing the number of the population able to contribute to the country’s financial success.
One goal is to increase the amount of pregnant women receiving prescribed antenatal care and iron-folic supplementation for IDA by 50%. It also aims to increase the number of infants aged 6-23 months who are consuming an age-appropriate adequate diet by more than 50%. It additionally aims to introduce nutrition-specific and nutrition-sensitive interventions to help educate communities on the importance of a balanced diet and nutrients such as iron.
This program targets 235 towns in the Philippines, with the aim of providing children and pregnant women with nutritional support and essential health care. Strategies that are part of the plan include providing fortified food and access to clean sanitation to families with infants and young children, and providing supplements and health care support to pregnant women suffering from IDA and other nutrient deficiencies.
Looking Ahead
The Philippines is making great efforts toward reducing and preventing malnutrition and nutrient deficiencies among poorer communities. Using supplementation to provide support for those already suffering, especially vulnerable individuals such as pregnant women, alongside making fortified foods accessible to the poorer communities, provides great hope for a healthier, more productive country.
– Charlotte Campion
Photo: Flickr