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Nutrition Cluster Guidelines on LGU Nutrition Actions Relative to COVID-19


LGUs can use the guidelines as a reference in promoting healthy nutrition among its constituents.

- Promote good nutrition by emphasizing the importance of eating a variety of nutritious food consistent with the Ten Kumainments.
- Prioritize cities/municipalities/barangays with high rates of undernutrition. Within these areas: prioritize household with special needs (e.g. infants, children, pregnant women, breastfeeding mothers, older persons, PWDs, indigenous people and those with debilitating illnesses.
- Promote exclusive breastfeeding only for infants 0-6 months old. Breastmilk substitutes are not allowed and should not be included in the general distribution of food packs.
 a) Advise mothers in at-risk areas with symptoms of fever, cough or difficulty of breathing to seek medical care
  b) Instruct caregivers to seek medical care early if they or their child develops COVID-19 symptoms
  c) Infants of mothers who are too unwell to breastfeed or orphaned infants may require replacement feeding with a nutritionally adequate diet
  d) Recommend caregivers of infants and children with suspected or confirmed COVID-19 infection to practice measures to prevent transmission
  e) Advise symptomatic breastfeeding mothers to wear a mask when near her infant/child, wash hands regularly, and disinfect contaminated surfaces. For mothers too ill to breastfeed, recommend feeding breastmilk through a clean cup or spoon

- Ensure family food packs contain age- and culturally appropriate, clean and nutritious food items. Food packs should ideally be for a family of five (5) good for three (3) days.
- Provide nutritious and safe foods for complementary feeding of infants 6 months and above, while breastfeeding continues up to two (2) years of age
- Advise households to minimize consumption of processed foods that are high in salt, sugar, fats and low in essential nutrients
- LGU Community Kitchens must be supervised by trained and medically cleared volunteers and must ensure sanitation and social distancing. This is for rationing only to priority households and medical institutions.
- LGUs may consider local pasteurized dairy milk from nearby local dairy cooperatives
- LGUs must ensure availability of mother and baby-friendly safe spaces in setting up tents and quarantine centers
- Through LGU’s health office, conduct an inventory of prepositioned nutrition commodities (e.g. nutrient and micronutrient supplements). Identified cases of malnutrition and children with borderline weight-for-length status should be prioritized to receive nutrition commodities.
- LGUs must promote a) proper personal hygiene, b) overall sanitation, c) safe and proper disposal of solid waste
- LGUs must advise people to ensure adequate sleep (6-8 hours), engage in functional movement at home, and prevent being inactive
- Advise all health and nutrition workers to practice standard hygiene measures and physical distancing when handling clients.
- Provide additional support to frontline health and nutrition program officers, workers and volunteers (e.g. personal protection equipment (PPE), surgical mask, transportation)
- Coordinate with Local Social Welfare and Development Officers to identify and support indigent households who may need financial assistance
- Coordinate and work with Child Development Workers to identify adequate play and early learning activities for children while at home quarantine
- Activate local nutrition clusters, formulate and implement Nutrition in Emergency Response Plan and provide a daily update to the regional Nutrition Cluster using the Nutrition Information Management tools
- Maximize media platforms to share evidence-based information on COVID-19
- Get COVID-19-related updates and information from DOH and WHO websites

Nutrition Cluster Advisory No. 01
This project is supported by The Asia Foundation in cooperation with the Department of the Interior and Local Government.
Experience designed by Limitless Lab.