Securing aHealthy and NutritionConscious Young Generation
through the School andCommunity Education Systemfor Society 5.0
Jesus C. Fernandez, PhD
Deputy Director for Program
SEAMEO RECFONA Brief on SEAMEO RECFON• One of the 26 specialist centres of
the Southeast Asian Ministers ofEducation Organization (SEAMEO)•Vision: Be the center of excellencein human resource developmentin the area of food and nutrition inSoutheast Asia

• Mission: To conduct education,
capacity building, research andinformation dissemination in foodand nutrition through partnershipfor sustainable human resourcesdevelopment

Malnutrition is global & multisectoral
Underweight
IndividualsHouseholds
Communities
Overweight

Nutrient
Deficiencies

Triple Burden of Malnutrition

Target 2.2. “End malnutrition in all its
forms”
2016-2025 as the Decade of Action onNutrition

Malnutrition FrameworkMalnutrition in Southeast Asia

Source : Global Nutrition Report 2018

Most Vulnerable Sector to Malnutrition:
Under-Five and School-Aged Children
Malnourished children:• slow or poor brain
development• poor school performance• limited opportunities tofind a decent job during
adulthood• affects the country’s
economic growth.

Malnutrition Overlapping in Indonesia among under-five children
with high prevalence of stunting (Global Nutrition Report,2014)

PROFILE OF INDONESIA
34 provinces
17.504 islands (BPS 2015)
514 districts
Population 237.641.326 (BPS 2010)
NUTRITION PROFILE OF UNDERFIVE(Riskesdas, 2018)
30.8% stunting, 12.1% wasting, 10.2%
underweight, 8% overweight

Province with Percentage of Poverty 12.02% - 30.05% (Source: BPS, 2014)

Stunting prevalence among under-five children
in Indonesian, by province (2018)

stunted toddler <20 %stunted toddler 20 s/d <30 %stunted toddler 30 s/d <40 %stunted toddler ≥40 %Malnutrition Framework

SEAMEO RECFON’s Approach to Combat
Malnutrition in SEA Countries
ProblemApproachMalnutrition

MITIGATIONPREVENTION

Target

Early Childhood

School-aged
children andadolescents

Objective

Prevent later
effects ofmalnutrition

Prevent child born (nextgeneration) from being
malnourishedBrief Overview of SEAMEO RECFON’sFlagship Programs• A school-based multisectoral
program emphasizing therole of schools as effective
media for character building
education that is centered
toward good nutritional
practices both in school andat home
• Aimed at improving
students’ learning outcomes
and active participation inschool activities by acquiringproper nutrition▪ A community-based
multisectoralintervention aimed atproviding a model ofintegrated
implementation ofessential components
of childcare andparenting to optimize
child growth anddevelopment

NGTS & ECCNE Program Components

Nutrition Education

School Environment

AWESOME
School Children(Active, WellNourished, andSmart Of Me)

Extra Curricular

In-Curricular

Policy & Management Support

School Environment• Nutrition
Education within
and outside theclassroom brings
about AWESOME
School Children
together with theproper policy &managementsupport, andconducive school
environment• a “house” which either
represents a family, ahousehold, a learningspace, or a community
wherein thesecomponents could andshould operate.
• serves as a nurturing
environment for a childto have optimal growthand development.
• symbolizes theprotection and security
needed by children.

Brief Overview of SEAMEO RECFON’sFlagship Programs
Target groups: Elementary,Junior, Senior High, &vocational school students,
teachers & principals

Target groups: Kindergarten,
nursery, daycare children,
parents, community healthworkers

Coordinated with Ministry ofEducation and Culture ofIndonesia

Coordinated with Ministry of
Education and Culture ofIndonesia

Other Partner Institutions:
Mininstry of Health, Ministryof Religious Affairs, SEAMEO
BIOTROP, GIZ, UNICEF, Learning
Institutions

Other Partner Institutions:
Ministry of Health, Ministry ofReligious Affairs, SEAMEOCECCEP & TROPMED Network,
ECE Teacher Professional
Association, Learning
Institutions

Year Launched: 2017

Year Launched: 2018

Where we are working at present• Malang, East Java
• Sambas, West Kalimantan• Klaten, Jogjakarta• Cimahi, West Java• Bogor, West Java• Cirebon, West Java• Timor Leste• Malang, East Java
• Sambas, West Kalimantan• Jambi, Central Sumatra• East Lombok, West Nusa Tenggara• Cambodia• Lao PDR
• Myanmar• Food Supplementation

Nutrition Sensitive• Generation and implementationof food-based recommendations
for from locally available
nutrient-dense food sources

Nutrition Specific

NGTS & ECCNE Types of Interventions & Activities• Mapping of Teachers’ Competencies
and School Readiness• Learning Module Development• Capacity building of stakeholders• Advocacy on program
mainstreaming thru partnerships• Establishment of School Garden• Establishment of Health School• School-based Nutrition Promotion
Working Group Formation andFunctioning

77.80%22.20%

Accomplishments
Thus Far

Not ReadyReady• Trained 396 teachers from 114 partner-schools atall levels from all Program sites on nutrition,
hygiene and sanitation education via face-to-facemode• Trained 993 teachers from 105 schools via online
mode on the same topics• Conducted 8 research projects on food and nutritionat school settings• Produced 5 modules

Accomplishments
thus far• Established the Indonesian • Recognized 83 school teachers forSchool-based Nutrition
Promotion (SBNP)
Working Group

implementing their lesson plans on
incorporating NGTS components intheir classroom and extra curricularactivities

Mapping of EC
Educators’ Competencies
on ECCNE

ACCOMPLISHMENTS
THUS FAR• Only 22.7% received
health & nutrition training• Median score of 25 (max40) on knowledge aboutchild nutrition• Trained 8 nutritionists, 101 community healthworkers, 114 ECE teachers, and 480 mothers in all
the Program sites• Established 3 ECCNE Models:- Health Centre-based ECCNE Model for Stunting
Prevention- ECE Centre-based ECCNE Model for Stunting Prevention- ECCNE Model for Post-Disaster Recovery• Produced 4 modules for the 3 ECCNEmodels in 2019

ACCOMPLISHMENTS
THUS FAR• Finalized the drafts of 8 new modules on Holisticand Integrative Early Childhood Care andParenting for printing in 2020

ACCOMPLISHMENTS
THUS FAR• Formulated and promoted local specific foodbased recommendations for stunting prevention
in 2 Program sites for 2 different age groups
Nutrition
education session
by Nutritionist inCommunity HealthCenters (CHC)(1 CHC = 4 Villages)

Monitoring of FBR
implementation byCadres twice amonth(1x home visit and 1xduring the nutrition
education session)

Assistance by Local Academe(POLTEKKES and District Health Office)Community
Nutritionist
compiles themonitoring resultsfrom Cadres once amonthACCOMPLISHMENTS
THUS FAR• Produced a policy brief in 2019 fromthe results of the local FBR formulationand promotion in 2 Program sites

Optimized CFR developed using LP approach for Malang and Sambas (Figure1) has shown positive benefit in terms of improved dietary diversity score dannutrient intakes. Additionally, the positive and significant benefit of CFR in termsof anemia and linear growth was observed in Sambas district (West Kalimantan)
where the ratio of animal protein from animal source foods (ASF) to plant protein
is 3:1 as compared to Malang where the ratio is 0.9:1. At the end of 6mopromotion of optimized CFRs in Sambas, significant differences were foundamong children under control (C) and intervention (I) groups in terms of stunting
cases (C=33.5%, I=23.9%) and anemia cases (C=43.5%, I=23.9%).

ABCDFigure 1. (A) Local-based CFR for 6-11mo children in Malang District which have iron, zinc, calcium, vitamin B1, B3, and B6 as problem nutrients. (B) Local-based
CFR for 12-23mo children in Malang District which have iron, zinc, calcium, folic acid, vitamin B1, B3, and B6 as problem nutrients. (C) Local-based CFR for 611mo children in Sambas District which have iron, zinc, calcium, vitamin B3, and B6 as problem nutrients. (D) Local-based CFR for 12-23mo children in Sambas
District which have zinc, calcium, vitamin B1, B3, and B6 as problem nutrients.

ACCOMPLISHMENTSTHUS FAR• Formed and formulated the road map of the Indonesian
ECCNE Working Group composed of representatives
from the Ministries of Education, Health, and SocialServices, local government units, academe, civil societyorganizations, regional organizations

Impacts Thus Far• Directorate General of Early Childhood andCommunity Education of MOEC Indonesia endorsed
the 8 new modules on Holistic & Integrative ECE andParenting developed by ECCNE Program Team• MoH Indonesia requested SEAMEO RECFON to develop
3 guidelines on stunting prevention for District/CityGovernments, Community Health Centers, & Integrated
Family Planning and Health Service Centers• ECCNE policy brief accepted, in principle, by MoHIndonesia

Impacts Thus Far• Two district governments to formalize partnershipwith SEAMEO RECFON to implement ECCNE model on
stunting prevention• MoH Indonesia requested SEAMEO RECFON to train
local academe from 37 priority districts for stunting
prevention on formulating local specific FBRs for theirrespective localities• Ministry of Religious Affairs Indonesia and SEAMEORECFON agreed to train teachers of Islamic schools on
holistic and integrative ECCNE implementation via
online modeImpacts Thus Far• Nutrition concepts and principles integrated in lessonplans for classroom and extra curricular activities anddocumented by at least 83 schools that received NGTS
trainings throughout Indonesia• Universitas Muhammadiyah of Indonesia sought thepartnership of SEAMEO RECFON to initiate NGTS
program to Madrasah schools in Jakarta City in March2020• At least 7 partner-schools in 2 Program sites became
finalists for the Healthy School Award at district/city,
provincial and national levels in Indonesia

Some lessons learned

Painting the bigger
picture for stakeholders’buy-inClearer roles & MoU
signing heighten ownershipResearch for better
evidence/ informed-based
decision making

Continuous technicalassistance using social
media sustains interest

Recognizing efforts of school teachers/
EC educators deepens their personalcommitment and advocacy

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www.seameo-recfon.org@SeameoRecfon

Thank you

Seameo Recfon
Seameo Recfon@SeameoRecfon
Address
SEAMEO RECFON Building
Jl. Salemba Raya 6, Jakarta 10430
Indonesia“Excellence in Food and Nutrition for Quality Human Resources”