Written Report Group 4
Written Report Group 4
Prepared by Group 4:
Abacan, Nicole A.
Bicasan, Jessa Marie
Carbo, Richard James S.
Ebreo, Juliene L.
Millamena, Rica Iris
Monserrat, Joshua I.
Sepe, Karen
Umayan, Krislynne L.
Wagan, Rica Beatrice L.
REPUBLIC ACT NO. 11148
KALUSUGAN AT NUTRISYON NG MAG-NANAY ACT
This report provides a detailed overview of Republic Act No. 11148, officially known as the
"Kalusugan at Nutrisyon ng Mag-Nanay Act." Signed into law on November 29, 2018, this act
aims to scale up national and local health and nutrition programs through an integrated strategy
for maternal, neonatal, and child health and nutrition during the first 1,000 days of life.
The law is grounded in the constitutional principle that the State shall protect and promote the
right to health. It specifically guarantees the right to adequate food, care, and nutrition for
pregnant and lactating mothers, as well as children from zero to two years old. The Act aligns
with international human rights instruments and the Sustainable Development Goals (SDGs),
particularly aiming to eliminate hunger and reduce all forms of malnutrition.
The core of this law is its focus on the "first 1,000 days of life," a critical period spanning from
conception to a child's second birthday. The Act mandates a comprehensive and sustainable
strategy to address health and nutrition problems within this window.
The program components are divided by life stage, ensuring continuous care:
● Prenatal Period (270 days): Services include pregnancy tracking, regular check-ups,
maternal immunizations, and counseling on nutrition and breastfeeding. It also focuses
on the early identification and management of nutritionally-at-risk pregnant women.
● Women About to Give Birth and Immediate Postpartum Period: The law requires
adherence to birth and breastfeeding plans, and the provision of mother-friendly
practices in health facilities. This includes lactation management services to support
breastfeeding initiation and exclusive breastfeeding for the first six months.
● Postpartum and Lactating Women: Continued support is provided through follow-up
visits, lactation support and counseling, and nutrition assessments. The Act also ensures
the availability of lactation breaks and stations in workplaces, as stipulated by R.A. No.
10028.
● Newborn Period (28 days): This phase emphasizes essential newborn care protocols,
continuous skin-to-skin contact, newborn screening, and early referral for complications.
It also mandates the availability of human milk pasteurizers in strategic health facilities to
ensure breastmilk supply.
● Infants (1 to 24 months): The program includes providing continuous support for
exclusive breastfeeding for the first six months, followed by the introduction of safe and
nutrient-dense complementary foods. It also covers routine immunizations, growth
monitoring, and management of childhood illnesses.
The Act extends its coverage to adolescent females aged 10 to 18 to address the cyclical nature
of malnutrition. It includes services like health and nutrition status assessment, provision of
micronutrient supplements, and counseling on nutrition and health.
In times of natural disasters and calamities, the law mandates the prioritization of health,
nutrition, and psychosocial services. Donations of milk formula and breastmilk substitutes are
strictly prohibited without approval from the Inter-Agency Committee to protect the health of
mothers and children in emergency situations.
The DOH, in coordination with the NNC, the Department of Agriculture (DA), and LGUs, is
responsible for the implementation of this Act. The law also institutionalizes the composition of
the NNC Governing Board, ensuring a multi-sectoral approach to policy-making and
coordination.
The initial funding for the Act will be charged against the appropriations of the DOH, DA, and
NNC, with subsequent funding to be included in the annual General Appropriations Act. The
DOH, in coordination with the NNC, is responsible for formulating the necessary implementing
rules and regulations (IRR) to carry out the provisions of the law.
REPUBLIC ACT NO. 10028
EXPANDED BREASTFEEDING PROMOTION ACT OF 2009
Upon application to, and determination by, the Secretary of the Department of Labor and
Employment for the private sector, and the Chairperson of the Civil Service Commission for the
public sector, all health and non-health facilities, establishments and institutions may be
exempted for a renewable period of two (2) years from Section 6 of this Act where the
establishment of lactation stations is not feasible or necessary due to the peculiar
circumstances of the workplace or public place taking into consideration, among others, number
of women employees, physical size of the establishment, and the average number of women
who visit.
All health and non-health facilities, establishments or institutions which are exempted in
complying with the provisions of this Act but nevertheless opted to comply are entitled to the
benefits herein stated: Provided, That they give their employees the privilege of using the same.
III. Lactation Stations (Section 11)
1. The Department of Health with the assistance of other government agencies,
professional and nongovernmental organizations shall conduct continuing information,
education, re-education, and training programs for physicians, nurses, midwives,
nutritionist-dietitians, community health workers and traditional birth attendants (TBAs)
and other health workers on current and updated lactation management.
Information materials shall be given to all health workers involved in maternal and infant
care health institutions."
2. During the prenatal, perinatal and postnatal consultations and/or confinements of the
mothers or pregnant women in a health institution and the health worker to immediately
and continuously teach, train and support the women on current and updated lactation
management and infant care, through participatory strategies such as organization of
mothers' clubs and breastfeeding support groups and to distribute written information
materials on such matters free of charge.
To equip women of reproductive age with accurate information on maternal nutrition and
proper nourishment in preparation for successful and sustainable breastfeeding, the
Department of Health is likewise mandated to produce and make available relevant
information and programs which should be disseminated to all city, municipal and
barangay health centers.
Any private non-health facility, establishment and institution which unjustifiably refuses or
fails to comply with Sections 6 and 7 of this Act shall be imposed a fine
First offense- not less than Fifty thousand pesos (Php50,000.00) but not more than Two
hundred thousand pesos (Php200,000.00)
Second offense- a fine of not less than Two hundred thousand pesos (Php200,000.00) but not
more than Five hundred thousand pesos (Php500,000.00).
Third offense- a fine of not less than Five hundred thousand pesos (Php500,000.00) but not
more than One million pesos (Php1,000,000.00) and the cancellation or revocation of the
business permits or licenses to operate.
Heads, officials and employees of government health and non-health facilities, establishments
and institutions who violate this Act shall further be subject to the following administrative
penalties:
"Second offense - Suspension for one (1) to thirty (30) days; and
Government agencies, including their subdivisions and instrumentalities, shall use their
respective budget for gender and development or their budgets for repairs, maintenance and
materials acquisition to comply with Section 6 hereof.
EXECUTIVE ORDER NO. 51
NATIONAL CODE OF MARKETING OF BREASTMILK SUBSTITUTES,
BREASTMILK SUPPLEMENTS AND OTHER RELATED PRODUCTS
Executive Order No. 51, also known as the "National Code of Marketing of Breastmilk
Substitutes, Breastmilk Supplements and Other Related Products," is a crucial piece of
legislation aimed at protecting and promoting breastfeeding in the Philippines. It was issued on
October 20, 1986, by President Corazon C. Aquino.
Aim and Purpose: The primary aim of EO 51 is to contribute to the provision of safe and
adequate nutrition for infants [3, Section 2]. It achieves this by protecting and promoting
breastfeeding and by ensuring that breastmilk substitutes and breastmilk supplements, when
necessary, are used properly, based on adequate information, and through appropriate
marketing and distribution [3, Section 2]. This is consistent with Article 11 of the International
Code of Marketing of Breast-milk Substitutes.
Scope of Application: The Code applies broadly to the marketing and related practices of
various products:
Key Definitions for Clarity: The Executive Order provides specific definitions to ensure clear
understanding and application:
Strict Prohibitions on Marketing to the General Public and Mothers (Section 6): This is a
cornerstone of the Code, directly regulating promotional activities:
The Ministry of Health (MOH) is responsible for promoting breastfeeding and providing objective
information to health workers [4, Section 7(a)].
○ No health care facility shall be used for promoting infant formula or other covered
products, and display of such products, placards, or posters is prohibited [4,
Section 7(b), 7(c)].
○ The use of "professional service" representatives or "mothercraft nurses" paid by
manufacturers/distributors is not permitted [4, Section 7(d)].
○ Health workers must emphasize the hazards of improper use of breastmilk
substitutes, and formula demonstration is allowed only for mothers who cannot
breastfeed for medical or legitimate reasons [4, Section 7(e)].
○ Information provided by manufacturers to health professionals must be scientific
and factual, and must not imply superiority or equivalence to breastfeeding [4,
Section 8(b)].
○ No financial or material inducements are to be offered by
manufacturers/distributors to health workers or their families, nor accepted by
them [4, Section 8(c)].
○ Samples of infant formula are not to be provided to health workers except for
professional evaluation or research under MOH rules, and health workers are
explicitly prohibited from giving samples to pregnant women or mothers [4,
Section 8(d)].
○ Personnel whose job involves marketing covered products shall not perform
educational functions in relation to pregnant women or mothers of infants [4,
Section 9].
○ Any person violating the Code or its rules can face a penalty of two (2) months to
one (1) year imprisonment or a fine of not less than P1,000.00 nor more than
P30,000.00, or both [4, Section 13(a)].
○ For juridical persons, the responsible officers (Chairman, President, General
Manager, partners) will be penalized [4, Section 13(a)].
○ Licenses, permits, or authorities of health workers, distributors, manufacturers, or
marketing firms/personnel can be suspended or revoked for repeated violations
upon MOH recommendation [4, Section 13(b)].
Enacted by the Senate and House of Representatives of the Philippines Congress and
approved on December 05, 2000.
Declaration of Policy
● The State's policy is to promote the rights of children to survival, development, and
special protection while recognizing the nature of childhood and its special needs.
● It also aims to support parents as primary caregivers and their children's first teachers.
● The Act institutionalizes a National System for Early Childhood Care and Development
(ECCD) that is comprehensive, integrative, sustainable, and involves multi-sectoral and
inter-agency collaboration.
● This System promotes the inclusion of children with special needs and advocates for
cultural diversity.
● It is anchored on complementary strategies including service delivery for children from
conception to age six, educating parents and caregivers, active parent and community
involvement, raising awareness, and promoting community development for young
children and families.
● refers to the full range of health, nutrition, early education and social services programs
that provide for the basic holistic needs of young children from birth to age six (6), to
promote their optimum growth and development. These programs include:
(1) Center-based programs, such as the day care service established under Republic
Act No. 6972, public and private pre-schools, kindergarten or school-based programs,
community or church-based early childhood education programs initiated by
nongovernment organizations or people's organizations, workplace-related child care
and education programs, child-minding centers, health centers and stations; and
(2) Home-based programs, such as the neighborhood-based play groups, family day
care programs, parent education and home visiting programs.
Coordinating Bodies
A. Provincial ECCD Coordinating Committee: Created in every province, chaired by the
Governor24.
● Functions: Under the Provincial Development Council, performs similar
functions to the National Council, coordinates services, supports
municipalities/barangays, and is responsible for registration of ECCD
programs and service providers.
Republic Act No. 10410, titled "An Act Recognizing the Age from Zero (0) to Eight (8) Years as
the First Crucial Stage of Educational Development and Strengthening the Early Childhood
Care and Development System, Appropriating Funds Therefor and for Other Purposes," was
approved on March 26, 2013. This Act officially repeals Republic Act No. 8980.
The Act declares the State's commitment to promoting the rights of children to survival,
development, and special protection, recognizing the crucial nature of early childhood. A
key policy is to support parents in their roles as primary caregivers and their children's
first teachers. A fundamental aspect of this Act is the recognition of the age from zero (0)
to eight (8) years as the first crucial stage of educational development. Responsibilities
are clearly delineated:
● The Early Childhood Care and Development (ECCD) Council is responsible for
children aged zero (0) to four (4) years.
● The Department of Education (DepED) is responsible for children aged five (5) to
eight (8) years.
The National ECCD System aims to achieve several vital objectives for young children,
including:
● Improving infant and child survival rates through accessible health and nutrition
programs from the prenatal period throughout early childhood.
● Enhancing the holistic development of young children across physical-motor,
socio-emotional, cognitive, language, psychological, and spiritual domains.
● Facilitating a smooth transition from home-based care and education to
community or school-based settings and into kindergarten.
● Ensuring that young children are adequately prepared for the formal learning
system that commences at kindergarten.
● Establishing an efficient system for early identification, prevention, referral, and
intervention for children with special needs from age zero (0) to four (4) years.
● Upgrading and updating the capabilities of ECCD service providers and their
supervisors to meet quality standards.
● Reinforcing the critical role of parents and other caregivers as primary educators,
particularly for children aged zero (0) to four (4) years.
● Enhancing community efforts to promote ECCD programs, with special support
for poor, disadvantaged, and linguistic minority communities.
● Improving quality standards of public and private ECCD programs through
mechanisms such as a registration and credential system for service providers
and facilities.
● Ensuring the education of blind, deaf, or deafblind persons is conducted in the
most appropriate languages, modes, and means of communication.
● Employing qualified teachers, including those with disabilities, proficient in sign
language and/or braille.
The ECCD System is designed to ensure the National ECCD Program adheres to quality
standards, with a National ECCD Monitoring and Evaluation Framework in place. Its key
components include:
The ECCD Council is primarily responsible for the implementation of the National ECCD
System. Its responsibilities include establishing national standards, developing policies
and programs, ensuring compliance, and providing technical assistance to ECCD
service providers.
The Council collaborates with the DepED, the Department of Social Welfare and
Development (DSWD), the Department of Health (DOH), the National Nutrition Council
(NNC), and the Union of Local Authorities of the Philippines (ULAP) through annual
workshops to coordinate technical assistance and support.
The DepED recognizes the National ECCD Program as the foundation of the learning
continuum for all children from zero (0) to four (4) years. These agencies also provide
ongoing professional development support, learning materials, and health services.
Local Government Units (LGUs) are mandated to allocate funds from their Special
Education Fund (SEF) and Gender and Development (GAD) Fund to support ECCD
programs, organize parent cooperatives, fund professional development for public
service providers, and provide necessary facilities. Families and communities are also
expected to support local ECCD programs through participation in community-based
projects.
V. Strengthening and Organization of the ECCD Council The ECCD Council is
strengthened to maintain focus on building a strong foundation for children's
development from ages zero (0) to four (4) years and ensuring sustained interagency
and multisectoral collaboration. The Council is attached to the DepED.
The initial implementation of the Act is funded by the current appropriations of the
DepED, DSWD, DOH, and NNC. Subsequent funding will be included in the annual
General Appropriations Act (GAA).
ECCD programs are financed through a combination of public and private funds, with a
priority for children from needy families who can least afford private programs. DepED,
DSWD, and DOH provide financial and technical support. LGUs are encouraged to
support public ECCD programs, and additional funds may be generated from donors and
financial institutions.
The ECCD Council is required to submit annual physical and financial reports to
Congress. These reports must provide a detailed account of the Council's proceedings
and accomplishments, along with recommendations to improve the National ECCD
System and ensure the achievement of universal coverage of ECCD benefits for all
children from age zero (0) to four (4) years within a period of five (5) years.
VIII. Summary
In summary, Republic Act No. 10410, or the Early Years Act of 2013, establishes that the
age range from zero to eight years is the most crucial stage in a child's educational and
developmental growth. It strengthens the Early Childhood Care and Development
(ECCD) System by institutionalizing a comprehensive, multi-agency framework to
provide health, nutrition, early education, and social services for children, particularly
from birth to four years old. The law assigns responsibilities to various government
agencies, local government units, and communities to ensure quality early childhood
programs, with the ECCD Council as the central coordinating body. Ultimately, it aims to
ensure that every Filipino child receives the care and foundational education necessary
to thrive in school and in life.