Food In Emergencies The Philippine Experience

10th One Asia Breastfeeding
Partners Forum
Bandar Seri Begawan, Brunei
October 27 – 30, 2014
FOOD IN EMERGENCIES
THE PHILIPPINE EXPERIENCE
Romelei Camiling-Alfonso, MD
Philippine Islands devastated by storm surge
Typhoon Yolanda/Haiyan
Government
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Philippines government activated the National
Nutrition Cluster, led by the Department of Health
through the National Nutrition Council (NNC)
The National Nutrition Cluster in turn has established
an IYCF-E Technical Working Group for the Typhoon
Yolanda (Haiyan) emergency.
Mothers Helping Mothers
“Nanay Bayanihan”
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Background: There was a strong
call for formula donations
Establishment of
spaces to support
mothers with small
infants
Volunteer medical
and mother support
groups, breastmilk
donation drive
Mothers Helping Mothers
“Nanay Bayanihan”
Proof of concept IYCFE missions
Proof of concept IYCFE missions
Development
of IYCFE
Modules
through WHO
support:
~ 1000 health
managers
trained in
priority areas
(WHO/UNICEF
support,
others)
~ medical
schools,
medical
societies, ocal
government
units
IYCFE National Guideline Development
EMPHASIS






Recognize the dangers or formula milk
Babies > 6 months do not need milk
Wet nursing, Relactation are options
Milk sharing is possible
Tandem Nursing
Prioritize mothers with small children
for provisions and support
Maternal and Child Health Systems
Rehabilitation in Post-Yolanda Areas
MILK CODE VIOLATION ?!
Food in Emergency GAPS

NO interventions for Pregnant and Lactating
Women
 Growing

trend towards milk for mothers
Trainings conducted may not address practical
skills in breastfeeding management and
complementary foods
 Ready
to use “therapeutic foods”
ARUGAAN BREASTFEEDING
EMERGENCY RESPONSE
“Doing it together with the mothers”
Direct action/service to the moms.
Gather them, do hands-on demonstration.
Risks of formula milk feeding emphasized
Arugaan Breastfeeding Tent
Astrodome, Tacloban
Arugaan Services: Counseling and Hot Meals, Breastfeeding Tent
Astrodome, Tacloban
Home visits and Breastfeeding counseling
Lactation Massage to enhance confidence &
lactation supply
Relactation from bottle to breast
and cross nursing the fast way
Mother to Mother Support, an empowering action
for MIYCF in Emergency
Orphan siblings. The missing Mom engulfed by the Typhoon waves.
Donor breastmilk from another Mom given to the baby. The baby was breastfeeding before.
Expressed breastmilk cup feeding technique and
Indigenous foods for babies above 6 months old
Indigenous Food sourcing, preparation
and sanitation in post calamity intervention
Indigenous Food
Lugaw/Congee as energy food during calamity
Kalabasa, Kamote, Bigas, Malunggay mix & boiled
(squash, sweet potato, rice, moringga)
Indigenous Food mix : saba/banana, kamote/sweet potato, kalabasa/squash, onions, garlic.
Banana Sandwich makes mind, body & soul strong full of calcium & potassium etc.
Indigenous Herbal Drink during typhoon :
1. Tanglad/lemongrass mix with kalamansi/lemon & brown sugar
2. Kamote talbos/sweet potato leaves mix with kalamansi/lemon & brown sugar
Keeps the body warm and immune booster on windy & rainy weather.
Indigenous Food Fusion : kamote, kalabasa, onions, garlic, noodles, tomato sauce
Soft food favorite of moms, babes & tots
Tinaogan, Basey, Samar
Indigenous Food mix :
Bola – Bola (ball shape)
Kamote/sweet potato
Kalabasa/squash
Good for digestion &
Cleanses toxins
Indigenous Food mix :
Saba/banana raw as binder (alternative flour)
Sauteed squash, sweet potato, garlic, onion
Fried balls & patties as viand with rice
Makes a complete meal
Tingib, Basey, Samar
Indigenous Food mix :
Fried kamote/sweet potato, saba/banana, kalabasa/squash and sauteed tomatoes, onions, garlic
Pochero delicious as one dish meal for moms with babes and tots
Indigenous food mix:
Raw salad, eaten raw
Kamote/sweet potato leaves
Pinya/pineapple, Sayote
Kalamansi/lemon
Refined the taste buds, rich in
nutrients, aids in digestion &
excretion process
Cambayan, Basey, Samar
Foods that heal, Foods that nourish Education for Survivors
Powerful Food in Emergency
are healing foods replete with natural nutrients & has longer storage lifespan
Based on :
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Culture
Climate
Country
That is :
• Appropriate
• Affordable
• Sustainable
Food source must come from unaffected neighboring towns & provinces within the country