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Metropolitan Arrangements - Philippine Institute for Development ...

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398 ManagingUrbanizationUndera DecentralizedGoverna_<br />

Use of fresh<br />

milk<br />

Butuan City uses milk instead of Nutripak <strong>for</strong> feeding. According<br />

to the city nutrition officer, milk is more convenient since it is ready<br />

to drink and can be taken on-site. In contrast, Nutripak, which contains<br />

mongo and d//_ (anchovies), has to be cooked at home. It is also<br />

hard to monitor if Nutripak was fed to the malnourished child only<br />

or served as food <strong>for</strong> the whole family.<br />

Malnourished children are weighed every month and fed milk<br />

everyday until the normal weights are achieved. The BNSs distribute<br />

to pur0h leaders a specified quantity of milk based on the number of<br />

malnourished children. As a control measure, the parents' signatures<br />

are required to certify that their children drank the milk.<br />

Butuan City began to use fresh milk <strong>for</strong> feeding in 1993 after<br />

the phase out of the United States' food commodity provision under<br />

Public Law 480. Initially, it sourced fresh milk from a farmers'<br />

cooperative in another city. However, there were problems<br />

encountered in this arrangement. The milk had to be consumed<br />

immediately to avoid spoilage. Storing it in the freezer extended its<br />

shelf life but many complained that it was too cold to drink. Children<br />

also got diarrhea from drinking the milk. The city nutrition office<br />

was able to solve this problem by shifting to liquid milk from Australia.<br />

Such milk can be stored up to nine months and was cheaper than<br />

local milk by 10 percent.<br />

The city spent P1.4 million <strong>for</strong> milk in 1997. For 1998, its<br />

approved budget <strong>for</strong> milk was P1.5 million. But since milk provision<br />

was a temporary project, the BNSs told mothers not to depend on it.<br />

Rather, the mothers were reminded to apply what they have learned<br />

from nutrition seminars on the right kind of food to feed their<br />

children.<br />

Barangay Nutrition Committee program planning seminars<br />

Butuan City Nutrition personnel and DILG staff conduct<br />

nutrition program planning seminars with barangay leaders. They<br />

compare the nutritional status of the purok in the barangay and guide<br />

the leaders in making their own plans <strong>for</strong> each quarter by asking them<br />

to identify problems, think of solutions, look <strong>for</strong> funding sources if<br />

needed, assign people to handle problems, and make a timetable of<br />

activities.

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