Republic of the Philippines

Province of Masbate
City of Masbate
Barangay Cawayan Interior

OFFICE OF THE SANGGUNIANG BARANGAY

EXCERPTS FROM THE MINUTES OF THE REGULAR SESSION OF THE SANGGUNIANG

BARANGAY OF CAWAYAN INTERIOR, MASBATE CITY, HELD AT THE SESSION HALL. ON JULY
28, 2022 AT 1: 00 IN THE AFTERNOON

PRESENT:
Hon. Evelyn L. Dalanon - - - - - - - Barangay Chairman
Hon. Jacinto R. Magbujos - - - - - - - Barangay Kagawad
Hon. Domingo S. Brioso - - - - - - - Barangay Kagawad
Hon. Elisa D. Torres ------- Barangay Kagawad
Hon. Lydia Z. Gamueda - - - - - - - Barangay Kagawad
Hon. Justiniano M. Briol - - - - - - - Barangay Kagawad
Hon. Lani C. Gutierrez ------- Barangay Kagawad
Hon. David G. Hatulan Jr. - - - - - - - Barangay Kagawad
Hon. Riza T. Buncaras ------- S.K Chairperson

OTHER PRESENT:
Mr. Michael E. Cos ------- Barangay Secretary
Ms. Michelle A. Cabato ------- Barangay Treasurer

ORDINANCE NO. ______ -2022

AN ORDINANCE ADAPTING THE CITY ORDINACE NO. 2030-19 OR AN ORDINANCE

PRESCRIBING GUIDELINES ON INFANT AND YOUNG CHILD FEEDING (IYCF) IN THE CITY OF
MASBATE

SECTION 1. TITLE. This Ordinance shall be Known as the, “GUIDELINES ON INFANT AND YOUNG
CHILD FEEDING ORDINANCE”

SECTION 2. DECLARATION 0F POLICY, lt is the declared policy of the City of Masbate to improve the
survival of infants and young children by improving their nutritional status, growth and
development through optimal feeding.

SECTION 3. COVERAGE AND SCOPE. This ordinance is applicable within the territorial jurisdiction of the
City of Masbate, including but not limited to the health sector and/or professional groups, whether
government or private; and all stakeholder concerned.

SECTION 4, DEFINITION OF TERMS. For the purpose of this Ordinance, the following terms shall mean:

1. Breast milk substitute – any food marketed or otherwise represented as a partial or

total replacement for breast milk to include infant formula,
water foods;
2. Xerophthalmia - abnormal dryness of the conjunctiva and cornea of the eye
with inflammation and ridge formation, typically associated
with Vitamin A deficiency;
3. Complementary feeding - giving of foods at six months in order to meet the evolving
nutritional requirement of the infant;
4. Complementary food - any food, whether manufactured or locally prepared,
suitable as a complement to breast milk or to infant formula
which either become insufficient to satisfy the nutritional
requirement of the infant. Also called weaning food for breast
milk supplement;
5. Food Fortification - the addition of nutrients to processed foods or food products
at level above in a natural state. It is an addition of
micronutrients deficient in a diet to a food which is widely
consumed by specific at risk group like malnourished
children, pregnant and lactating women:
 6. Exclusive breastfeeding - giving breast milk alone and no other foods or drink not even
water with the o exception of vitamins and medicine drops;
7. Health Care System - governmental or non-governmental or private institutions or
organizations engaged directly or indirectly, in health care for
mothers, infants and pregnant women; nurseries or child
institutions;
8. Health Worker - a person working in a component of such health system
whether professional or nonprofessional, including volunteer
workers,
9. Galactosemia - a rare genetic metabolic disorder that affects an individual's
ability to metabolize the sugar galactose properly
10. Infant - a person falling within the age bracket of 0-12 months
11. Infant formula - breast milk substitute formulated industrially or may refer
also to that which is prepared at hornet
12. Maple Syrup Urine Disease (MSUD) - an autosomal recessive metabolic disorder affecting
branchedchain amino acids, It is one type of organic acidemiat
The condition gets its name from the distinctive sweet odor of
affected infant's urine. particularly prior to a diagnosis, and
during times of acute illness;
13. Optimal Feeding - feeding the right amount of nutrients on a proper schedule to
achieve the best performance and the longest possible lifetime
in good health;
14.Phenylketonuria - an inborn error of metabolism that results in decreased
metabolism of the amino acid phenylalanine. If remained
untreated, can lead to intellectual disability, seizures,
behavioural problems, and mental disorders. It may also result
in a musty smell and lighter skin;
15. Sample - single or small quantities of a product provided without a
cost;
16. Supplies - quantities of a product provided for use over an extended
period, free at a low price, for social purposes, including those
provided to families in need;
17. Young Children - persons falling within the age of 1-3 years old; and
18. Codex Alimentarius Standards - a home-prepared formula with micronutrient supplements,
SECTION 5. Policy Guidelines. in the enforcement of this ordinance) the following policy guidelines shall be
observed.

A. Target Beneficiaries- the following are the target beneficiaries:

a. Infants - 0-12 months; and
b Young children -1 year up to 3 years old

B. Breastfeeding Practices

1. Early Initiation of Breastfeeding

- Breastfeeding is an unequalled way of providing ideal food for the healthy
growth and development of infants. It is also an integral part of the
reproductive process with important implications for the health of mothers.
Infants shall be initiated to breastfeeding within one hour after birth to
stimulate early onset of cfull milk production and promote bonding of
mother and child. All medically trained personnel including, doctors,
nurses, and midwives and other birth attendants shall ensure that newborns
are supported to their early initiation to breastfeeding, The health care
delivery system in all facilities shall ensure that the newborns are initiated
to breastfeeding within an hour after delivery.

2. Exclusive Breastfeeding
- Infants shall be exclusively breastfeed for the first six months of life to
achieve optimum growth and development Exclusive breastfeeding from birth is
possible except for a few medical conditions, and unrestricted exclusive
breastfeeding results in ample milk production.

3. Breastfeeding up to two years of age and beyond

- Breastfeeding shall be continued as frequent and on demand for up to
two years of age and beyond, although volume of breast-milk consumed
declines as complementary foods are added, breast-milk contributes
significantly as it provides one-third (1/3) to two-thirds (2/3) of average total
energy intake towards the end of first year,
 C. Complementary Feeding Practices,

1. Appropriate Complementary Feeding

-infants shall be given appropriate complementary foods at age six months in
order to meet their evolving nutritional requirements.

Appropriate complementary feeding means

a. Timely - introduced when the need for energy and nutrients
exceeds what can be provided through exclusive and frequent
breastfeeding;
b. Adequate - provide sufficient energy, protein and micronutrients to
meet a growing child's nutritional needs:
c. Safe - hygienically stored and prepared, and fed with clean hands using
clean utensils and not bottles and teats or artificial nipples;
d. Properly fed - given consistent with a child's signals of appetite and
satiety, and that meal frequency and feeding method actively
encouraging the child even during illness to consume sufficient food
using fingers, spoon or self feeding - are suitable for age.
2. Ensure access to appropriate complimentary foods.
-Appropriate complementary feeding interventions shall encourage diversified
approaches to ensure access to foods that will adequately meet energy and
nutrient needs of growing children, such as use of home- and community- based
technologies to enhance nutrientdensity, bio-availability and the micronutrient
content of local foods.
3. Use of locally-available and culturally acceptable foods.
- Appropriate complementary food shall include locally available and
culturally acceptable foods that meet the energy and nutrient need of young
children, Mothers particularly of infants and young children, shall be provided
with sound and culture-specific nutrition counselling and recommendations of a
widest array of indigenous foodstuffs.
4. Low-Cost Complementary Foods, Industrially Processed Foods.
Low-cost complementary foods, prepared with locally available ingredients using suitable small-
scale production technologies in community settings, shall be encourage to meet the nutritional
needs of older infants and young children.
Industrially processed complementary foods also provide and option for some mothers who have
the means to buy them and the knowledge and facilities to prepare and feed them safely.
Processed-food products for infants and young children shall, when sold or otherwise distributed,
meet applicable standards recommended by the Codex Alimentarius Commission and also the
Codex Code of Hygienic Practice for Foods for infants and children.
D. Micronutrient Supplementation. The following are the priority targets for micronutrient
supplementation.
1 Universal Vitamin A supplementation for infants and children 6-71 months of age.
-Vitamin A supplementation shall be given to children at risk, particularly those wth measles,
persistent diarrhea, severe pneumonia and malnutrition to help re-establish body reserves of
Vitamin A and protect against severity of subsequent infections and or prevent complications,
Postpartum women shall be given Vitamin A capsule within one month after delivery to increase
Vitamin A concentration of her breas&rnilk as well as Vitamin A status of their breastfed
children, Children with xerophthalmia although rare shall be treated Chitdren during emergencies
shall be a priority for Vitamin A supplementation following schedule for universal
supplementation and for high-risk children.
2 Iron supplementation for pregnant and lactating women and low birth weight babies and
children 6-1 1 months of age/
-Shall be provided to pregnant and lactating women and low birth weight babies and children 6-1
1 months of age, In addition, anemic and underweight children years of age shall also be provided
with iron supplements.
3. Iodine supplementation for women of reproductive age group, school age children and adult.
 -Shall be provided to women of reproductive age group, school age children and adult in areas
when the urinary iodine excretion of less that 50ug/L in more than 20% of the population, goiter
prevalence among school children is greater that 5% and high prevalence of goiter among males.
E. Universal salt iodization (USL)
-Families shall be encouraged and educated to use iodized salt in the preparation of food for older
infants and young children.
F. Food Fortification
-Food fortification of staple foods will help ensure that older infants and young children receive
adequate amounts of micronutrients, Staple foods, such as rice with iron, wheat flour with o
Vitamin A and iron, refined sugar and cooking oil with Vitamin A.
G. Exercising other feeding options,
1. Breastfeeding not possible -
-The choice of the best alternative - expressed breast-mik from an infants own mother,
breast milk from a healthy wet-nurse or a human-milk bank, or a breast-milk substitute
fed with a cup, which is a safer method than a feeding bottle and teat - depends on
individual circumstances may be allowed.

2. Exceptional Circumstances -
-The following are the three metabolic disorders that may interfere with breastfeeding:
a) Galactosemia;
b) Phenylketonuria; and
c) Maple syrup urine disease (MSUD).
3. Suitable breast-milk substitute.
-For infants who do not receive breast milk, feeding with a suitable breast-milk substitute shall be
demonstrated only by health workers, or other community workers if necessary and only to the
mothers and other family members who need to use it, and the information given shall include
adequate instructions for appropriate preparation and the health hazards of inappropriate
preparation and use. Infants who are not breastfed for whatever reason, shall receive special
attention from the health and social welfare system since they constitute a risk group
H. Feeding in exceptionally difficult circumstances.
1. Range of feeding options
-As a general rulej the following is the range of feeding options for infants and young
children in certain circumstances and during times of crisis:
a) Breastfeeding is the first and best feeding option for infants
b) Expressed breast-milk, fed by cup
c) Breastfeeding from healthy wet nurse
d) Human milk from milk bank, fed by cup infant generically labeled), fed by
cup
2. Families in difficult situation
-Families in difficult situations including but not limited to natural or human-induced
calamities, shall require special attention and practical support to be able to feed their
children adequately, wherever possible, mothers and babies shall remain together and be
provided the support they need to exercise the most appropriate feeding option under the
circumstances.
3. Protection of Breastfeeding -
-Health workers shall ensure the protection, promotion and support on breastfeeding and
timely, safe and appropriate complementary feeding. In exceptional cases, when a small
number of o infants have to be fed on breast-milk substitutes and milk supplements,
ensure that substitutes/suppiements, such as infants formula is safe, suitable and prepared
in accordance with applicable Codex Alimentarius standards, or a home prepared formula
with micron nutrient supplements.
4. Artificial Feeding
 -To minimize the risks of artificial feeding and avoid commercial exploitation of crises,
the following procedures are recommended.
a) Donations of breast-milk substitutes, feeding bottles, teats and
commercial baby foods should be limited, if not refused,
b) if needed, breast-milk substitutes should never be part of a general
distribution. Distribution should only be to infants with a clear need,
and for as long as the infant need them (until a maximum of 1 year or
until breastfeeding is re-established);
c) Bottles and teats should never be distributed, and their use should be
discouraged Cup feeding should be encouraged instead;
d) Information on adequate preparation and the hazards of inappropriate
preparation of breast-milk substitutes or milk supplements should be
given; and
e) Uncontrolled distribution of infant formula or milk supplements during
difficult o situations can lead to early and unnecessary cessation of
breastfeeding, More detailed guidelines shall be developed in
collaboration with the national disaster coordinating body and health
teams and provided to local government units and others concerned.
5. Recurrence of chronic malnutrition -
-To prevent a recurrence and to overcome the effects of chronic malnutrition, children
need extra attention both during the early rehabilitation phase and over the longer term,
Continued frequent breastfeeding and, when necessary, relaxation are important
preventive steps since rnalnutrition often has its origin in inadequate or disrupted
breastfeeding.
6. Low Birth Weight -
-The proportion of infants with low birth weight is about 13%, Most are born at or near
term and can breastfeed within the first hour after birth. Breast milk is particularly
important for preterm infants and the small proportion of term infants with very low birth
weight, they are at increased risk of infection, long-tem ill health and death.
I. Feeding options for HIV positive mothers.
-All HIV-infected mothers shall received counseling, which includes provision of general
information about meeting their own nutritional requirements and about the risks and benefits of
various feeding options, and specific guidance in selecting the option most likely to be suitable for
their situation. Feeding options for HIV positive mothers incli,rde exclusive breastfeeding, wet-
nursing, expressing and heat-treating breast-milk, breast-milk from banks, commercial infant
formula and home modified animal milk, Mothers shall be supported in their feeding options,
J. Children living in special circumstances,
-Children living in special circumstances also require extra attention for example orphans and
children in foster care, and children born to adolescent mothers) mothers suffering from physical
or mental disabilities, drug - or alcohol-dependence, or mothers who are imprisoned or part of
disadvantaged or otherwise marginalized populations.
K. Support Systems.
1. Mothers, fathers and other caregivers shall need to know about the recommended period of
early initiation exclusive and continued breastfeeding; the timing of the introduction of
complementary foods; what types of food to give the quantity, frequency, and how to feed these
foods safely; and
2. Mothers shall have access to skilled support to help the initiate and sustain appropriated
feeding practices, and to prevent difficulties and overcome them when they occur. Health workers
shall be a routine part not only of regular prenatal, delivery and postnatal care but also of services
provided for the well baby and sick child.
L. Infant and Young Child Feeding Specialist.
-To respond to common problems of mothers to initiate and sustain exclusive and continued
breastfeeding practices and other feeding difficulties shall be accessible to mothers, This specialist
can be a doctor, nurse, midwife or an effective community health volunteer who have undergone
an appropriate training.
 M. Community-based Network offering Mother-to-Mother Support
-Community-based Network offering Mother-to-Mother Support and trained breastfeeding
counselors working within. or closely with, the health care system, also have an important role to
play in this regard.
Communication and marketing plan shall be developed to generate high political support at all
levels including communities and families.
N. The Mother Baby Friendly Hospital initiative (MBH!)
- MBHI shall be reviewed, accelerated and sustained. Efforts shall focus on the sustenance of
certified MBF hospitals in the country to comply with the ten (10) steps to Successful
Breastfeeding Expansion of the initiatives to other hospitals, health centers and clinics shall be
part of the acceleration strategy.
O. Roaming-in and Breastfeeding Act (RA7600)
- Shall be strictly enforced in all hospitals in the City to ensure the fulfilment of the right of
mothers to breastfeed and right of children to be breastfed.
P. Provision of Supportive Environment to Infant and Young Feeding practices -
-All health facilities, public or private, in the city shall provide a supportive environment to infant
and Young Feeding practices through compliance to the Philippine Code of Marketing of
Breastmilk Substitutes. The facility shall not display any breast-milk substitutes or any poster or
sampling of such but instead provide an enabling environment to improve and promote
breastfeeding and appropriate complementary feeding practices for infants and health and nutrition
of mothers,
Q. Hospital supports for enabling environment by mothers
- Hospitals shall support and provide an enabling environment for mothers to ensure continued
breastfeeding and adequate complementary feeding to their hospitalized sick children, Whenever
feasible mothers shall be allowed their breastfed children to stay with their hospitalized sick
mother
R. Continuing training programs -
- continuing training programs for promoting, protecting, supporting and improving Infant and
Young Feeding shall be institutionalized for pre-service and in-service health providers.
S. Enabling environment for Breastfeeding Mothers -
-All work places, whether private or public, shall provide an enabling environment for
breastfeeding mothers who return to work. This can include breastfeeding rooms, refrigerators for
storage of breast milk, creches and breaks for breastfeeding or expressing milk among others.
T. Continued Breastfeeding:
- All mothers shall also be able to continue breastfeeding and caring for their children after they
return to paid employment by implementing maternity protection legislation and related measures
day-care facilities and paid breastfeeding breaks shall be available for all women employed
outside the home.
U. Terminals and Public Workplaces -
-such terminals and public places, the land, sea and airports shall provide an enabling
environment for breastfeeding mothers who returned to work after maternity leave,
SECTION 6, IMPLEMENTING MECHANISM,
A. Creation of Infant and Young Chi/d Feeding {CIYCF} Task Force -An Infant and Young-Child Feeding
(IYCF) task force shall be created at the city level composed of the following:
a. City Health Office (CHO) representatives;
b. Department of Health (DOH) representatives; and
c. Representatives from other Government Offices (COs) and Non- Government Offices
(NCOs). The members may designate their duly authorized representatives to every
meeting of the task force,
B Functions of CIYCF Task Force.
1. Periodic monitoring & evaluation of the progress of the implementation of IYCF strategy
established) institutionalized and integrated with City Nutrition Council reviews:
2. Ensure strict compliance to existing laws. rules and regulations in support to IYCF:
 3. Incentives and reward system shall be planned to sustain efforts on promoting. protecting and
improving IYCF
4. Document and disseminate models of good practices to all stakeholders and local leaders:
5. Perform all other functions necessary for the implementation of this Ordinance.
SECTION 7. The City Health Office shall be empowered to spearhead the implementation of the program.

SECTION 8. Effective upon the approval of this ordinance, the Local Chief Executive shall issue an executive
order creating a task force that will formulate the implementing Rules and Regulations of this
Ordinance.
SECTION 9. PROHIBITED ACTS: All guidelines under Section 5 hereof shall be fully implemented. Failure to
follow any and/or all the guidelines is considered as a violation of this Ordinance.

SECTION 10. PENALTIES: The following fines and penalties shall be imposed for violation of this ordinance.
1st Offense - warning and lor educational health class
2nd Offense - a fine of One Thousand Pesos (Php 1,000.00); and.
3rd Offense - a fine of Three Thousand Pesos (Php 3,000.00) and or
imprisonment at the discretion of the court.
SECTION 11. REPEALING CLAUSE. Any provision/s of an ordinance, rules and regulations and/ or any parts
thereof inconsistent with the provision/s of this ordinance are hereby repealed and/or modified
accordingly.
SECTION 12. SEPARABILITY CLAUSE, If any provision or part thereof is held invalid or
unconstitutional, the other parts of this ordinance not otherwise affected shall remain in full force
and effect
SECTION 13. EFFECTIVITY CLAUSE. This ordinance shall take effect immediately upon approval and
publication in newspaper of general circulation.
ADOPTED. July 28, 2022
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We hereby certify to the correctness of the foregoing ordinance which was duly enacted by the Sangguniang
Barangay its regular session on July 28, 2022.

MICHAEL E. COS
Barangay Secretary
HON. ELISA D. TORRES
Barangay Kagawad/Sponsor

ATTESTED AND CERTIFIED TO BE

DULY ADOPTED

HON. EVELYN L. DALANON

Punong Barangay