From 2019 to 2022, Sarangani Province made significant improvements in the nutritional status of pregnant women, infants, and children due to strong political commitment, substantial health system investments, and active convergence programs, though challenges remain in the coherence and integration of nutrition-specific and nutrition-sensitive programs, necessitating local legislation and enhanced convergence mechanisms.

This case study analyzes the factors that contributed to the improvement of Sarangani Province’s nutritional outcomes from 2018 to 2022, describing changes in nutritional outcomes, identifying effective strategies and mechanisms, and examining the influence of leadership and governance interventions as well as lessons learned in planning, implementing, and monitoring nutrition programs.

This baseline assessment report evaluates the existing governance measures related to the implementation of first 1,000 days (F1KD) services in Samar, Northern Samar, and Zamboanga del Norte, providing a detailed analysis of current nutrition and governance landscapes and offering strategic recommendations for improvement.