THE PHILIPPINE NUTRITION CLUSTER’S BATTLE FOR THE BEST: THE BREAST

1. THE PHILIPPINE NUTRITION CLUSTER’S BATTLE FOR THE BEST: THE BREAST Enforcing EO 51 RIRR through Safeguarding Donations

2. OUTLINE • Background • Challenges • Enabling Factors • Policy Content • Next Steps (Plan)

3. 2006 TYPHOONS(Philippines) SUMMARY OF EFFECTS

4. DONATIONS IN KIND COURSED THRU THE DSWD FOR VICTIMS OF TYPHOON "REMING" As of 30 April 2007

5. OTHER PRACTICES IN DISASTER • Evacuation Camps provided no space promotive to breastfeeding • 40% of all donations which arrived in the 1st three days, mostly from foreign sources, were not monitored • Fragmented, independent, and donor driven assistance of NGOs

6. Summary of Post-disaster Evaluation Workshops The lack of guidelines and a clear-cut scheme on managing the flood of donations post-disaster resulted in issues of lack of local capacity in handling aids as well as inappropriateness and inequity in distribution of donations.

7. Call for Action Development of a national policy for managing humanitarian aids and strengthening of local capacities to prepare for and manage relief supplies is warranted.

8. Objectives • Increase public awareness • Sustain public support • Promote breastfeeding practices especially in the evacuation centers/camps • Establish a better relationship with donors • Set standards and procedures on management of donations • Enhance local capacities in handling donations

9. Enabling Factors A. Existing Guidelines • Guidelines on the Processing & Clearance of Importation Through Donations by the DOH • Guidelines for Drug Donations Handbook on Emergency Field Operations, WHO • Guidelines for Assistance/Sponsorship by Manufacturers of Products Covered by Executive Order 51 • Draft Guidelines for the Domestic Facilitation and Regulation of International Relief and Initial assistance • National Policies on Infant and Young Child Feeding • Inter-agency Contingency Planning Guidelines for Humanitarian Assistance

10. B. Organizational Support • Organization of the Health Sector in December 2001 by MOA signing • Establishment of the Health Cluster- 2006 under NDCC Circular No. 5 s. 2007 • The good news is that the Health Department’s budget for breastfeeding promotion for 2008 has been increased to $818,000. • Chain of malls are tapped to welcome breastfeeding in their stores (Shoemart & NCC Malls) • DOH-UNICEF collaborative protest actions against milk companies

11. UNICEF supported a mass breastfeeding event that earned a Guinness World Record for simultaneous breastfeeding.

12. Support from other sectors • Catholic Church • Environment groups • Legislators • Private sector • International donors

13. Extensive Media Coverage • Print = 249 • TV = 81

14. C. Institutionalization of the Cluster Approach in the Philippine Disaster Management (NDCC Circular # 5) The DOH was designated as Cluster Lead in Health, Nutrition, and WASH with well-defined roles and responsibilities.

15. LEAD: DOH-HEMS Assistant Lead: DOH-NNC IASC Focal Point: UNICEF Members: DOH-NCDPC DOST-FNRI PNRC WHO Save the Children Nutrition Cluster Members • Plan International • HKI • DSWD • DILG • Department of Education • UNFPA

16. D. Technical Working Committee for Policy Development Lead: Bureau of International Health Cooperation Members: Health Emergency Management Staff Bureau of Health Devices & Technology Bureau of Food & Drug Administration Material Management Division

17. Back to Office Critiquing Critiquing by other relevant agencies TWG E. Process (Drafting to dissemination) Critiquing/ Clearance by DOH Legal & Policy Planning Approval & Signing by the Secretary of Health Dissemination

18. E. Major Venues for Dissemination • HEMS Convention • HEMS National Consultative Planning Workshop • Health Cluster & Sector Meetings • Donor’s Conference • BIHC communication to the Philippine embassies in different countries through DFA • IYCF Training Course • Training in Public Health and Emergency Management

19. F. HEM Preparedness Program focused on IEC Materials for Dissemination Compendium of Health Messages

20. Pocket Emergency Tool (2nd edition)

21. Research and Evidence Based Management (HEMS Kit)

22. E. Major IEC Materials for Dissemination • Over 500 copies distributed • Translated into Italian and Khmer • Distributed in UK, Australia and US • Exhibited in Mother and Baby Film Fest POPULARITY OF “FORMULA FOR DISASTER”

23. POLICY CONTENT Administrative Order 2007 – 0017 “Guidelines on the Acceptance and Processing of Foreign and Local Donations During Emergency and Disaster Situations

24. Objective This shall provide a rational and systematic procedure for the acceptance, processing, and distribution of foreign and local donations that are exclusively for unforeseen, impending, occurring, and experienced emergency/disaster situations.

25. Definition of Terms DOH Package List for Emergencies and Disasters – shall refer to a listing of items for donation, such as, drugs/medicines, medical supplies, medical equipment, processed foodstuff, micronutrients, environmental supplies, and others. Such list shall be issued by the DOH, in consultation with other government agencies, NGOs, GOs, and other concerned entities.

26. General Guidelines Items for donation may be in any form, such as drugs/medicines, medical supplies, medical equipment, processed foodstuff, micronutrients, environmental supplies, and others that may be substantial in addressing emergencies and disaster situations.

27. Guidelines for Acceptance Infant formula, breast-milk substitute, feeding bottles, artificial nipples, and teats shall not be items for donation. No acceptance of donations shall be issued for any of the enumerated items.

28. Next Step • Finalize the crafting of Nutrition Policy & Guidelines. • Sustain agency/organizational support. • Work with AdBoard and Association of Broadcasters • Intensify dissemination of RIRR especially in the health emergency management system • Scale up IEC campaign • Conduct market research • Go to scale with other partners

29. Thank you