ZFF Spotlights Governance-Driven Solutions to Address Malnutrition
Delegates from the Zuellig Family Foundation (ZFF) showcased nutrition-focused governance solutions at the 18th Association of Pacific Rim Universities (APRU) Global Health Conference held at Universiti Malaya, Kuala Lumpur, Malaysia, on October 28–31, 2025. Three representatives from the ZFF Nutrition team presented lessons from ZFF’s governance-focused approach to strengthening local nutrition systems during the Global Health Nutrition Parallel Sessions.
Dr. Joyce Viar, Nutrition Director at ZFF, demonstrated nutrition leadership in practice through a governance approach, highlighting how the Pook Malusog Nutrition Governance Program strengthens local leadership and builds resilient nutrition systems. Jennifer Nandu, ZFF Nutrition Project Expert, illustrated how improved governance in Basilan transformed peace gains into better nutrition outcomes, showing how nutrition can serve as a dividend of peace. Rio Fe del Valle, ZFF Nutrition Monitoring, Evaluation and Learning Expert, showcased how ZFF’s First 1,000 Days (F1KD) Nutrition Roadmap helps local government units (LGUs) build more coherent, accountable, and functional nutrition systems.
View the presentations:
- Nutrition Leadership in Practice: A Governance Approach through the Pook Malusog Nutrition Governance Program
- From Conflict to Care: Nutrition as a Dividend of Peace through Good Governance in Basilan
- Strengthening Local Nutrition Systems through Governance: Implementation of the F1KD Nutrition Roadmap by the Zuellig Family Foundation
- More knowledge products

These presentations emphasized that nutrition governance relies on building leadership, systems, and structures that drive sustainable change. Strong governance enables LGUs to integrate sectors, use data effectively, safeguard programs across political cycles, and design solutions tailored to local realities. The presenters stressed that sustained improvements in child and maternal nutrition occur only when governance is strong, coordinated, and people-centered.
The ZFF delegates’ contributions complemented broader conference discussions on how interconnected factors—health systems, maternal health, education, mental well-being, climate risks, and community conditions—shape nutrition. Presenters showed how school environments, caregiving practices, and exposure to environmental hazards affect children’s growth and learning. They also highlighted the needs of vulnerable groups and the expanding role of digital tools in promoting food literacy and healthier behaviors among youth.

Overall, the sessions reinforced a key insight: governments and development partners must address malnutrition through a multisectoral, systems-oriented approach that goes beyond feeding programs and accounts for the social, environmental, and health-related factors influencing the well-being of children and families, not only across the Asia-Pacific region, but also globally.
Author: Rio Fe Del Valle, ZFF Nutrition Monitoring, Evaluation and Learning Expert
Benchmarking ZFF city and municipal sites with the Seal of Good Local Governance health performance assessment, 2022 to 2024
This technical paper looks at how Zuellig Family Foundation (ZFF)-supported cities and municipalities performed in the Seal of Good Local Governance (SGLG) Health Compliance and Responsiveness (HCR) assessments from 2022 to 2024, and compares these results with national performance.
Building on the provincial benchmarking study released in May 2025, this follow-up analysis helps ZFF better understand where its partner local governments are progressing and where more support is needed. The findings will guide future program strategies, strengthen collaboration with local government units, and support more responsive capacity development aligned with national priorities for Universal Health Care.
Benchmarking of ZFF Cities and Municipalities with SGLG HCR_Sept2025_FINALBridging Evidence and Action: Lessons in Implementation Science and Early Childhood Development
At the Evidence and Implementation Summit (EIS) 2025, I represented the Zuellig Family Foundation (ZFF) among global leaders in research, policy, and practice. Held in partnership with the Implementation Science Health Conference Australia (ISHCA), the Summit reminded us that in health, nutrition, and early childhood development, having evidence is not enough—how we translate it into action is what truly makes a difference.
Implementation Science: Turning Knowledge into Practice
Implementation science studies how practitioners can turn evidence-based interventions into routine practice. Its goal is simple but profound: to improve lives by ensuring proven programs reach people, adapt to their needs, and remain effective over time. At ZFF, we live this every day. Our First 1,000 Days (F1KD) Nutrition Roadmap serves as a laboratory of learning. We track what works, address challenges, and translate lessons into actionable guidance for local implementers, policymakers, and partner organizations.
The Summit highlighted that scaling up programs never works perfectly from the start. As Cillian Nolan of J-PAL Europe noted, “Scaling up may open more challenges and problems. Having a model doesn’t mean there’s no room for refinement.” Even for our Nutrition Leadership and Equity Acceleration Program (NutriLEAP), a successful pilot requires continuous adaptation to succeed in different contexts. Challenges do not signal failure, but rather they spark creativity, innovation, and learning.

Early Childhood Care and Development: The Power of Early Stimulation
The Summit also featured the power of early childhood care and development (ECCD). Research shows that the earliest years critically shape brain development, language acquisition, and social-emotional growth. In New Zealand, children as young as 1.5 years old engage in structured learning routines, sound play, storytelling, and early mathematical exercises. These activities improve brain development, language skills, and self-regulation, even for children from low-income families. Singapore’s programs highlight social-emotional skill building, showing that strong early foundations help children thrive academically and socially. For the Philippines, these examples underscore both guidance and urgency: investing in early childhood strengthens the nation’s future.
Engaging Local Government: Context is Everything
During a Special Interest Group session on international development, participants discussed how varying government support affects program implementation. I shared ZFF’s experience collaborating with local government units to strengthen health and nutrition systems. The Philippines’ devolved governance structure offers opportunities for local innovation, but outcomes depend on leaders’ capacity and commitment. This session reinforced a key principle of implementation science: context shapes success. Evidence-based programs succeed only when implementers understand local realities, build strong relationships, and exercise effective leadership.
EIS 2025 reminded me that progress requires persistence, learning, and continuous adaptation—not perfect models. Implementation science provides the framework to bridge evidence and action, while ECCD demonstrates why early, evidence-informed interventions shape healthier, more equitable communities. At ZFF, we implement strategies thoughtfully, document lessons rigorously, and share knowledge widely—ensuring every child, regardless of background, can thrive.
Author: Dr. Joyce Viar, ZFF Nutrition Director
From Evidence to Action: Strengthening Nutrition Governance through the First 1,000 Days Roadmap
The Zuellig Family Foundation (ZFF) joined the Evidence and Implementation Summit (EIS) 2025, a global event that brought together experts from different regions to share how they use evidence to guide better decisions in public health, social development, and community welfare. ZFF presented its abstract and poster on the First 1,000 Days Roadmap, becoming the only Filipino organization featured in its category.
Turning Evidence into Action

ZFF shared how it applies implementation science to address malnutrition and stunting in the Philippines—challenges that continue to affect children’s growth and development. Through the First 1,000 Days Roadmap, ZFF showed how leadership development, systems thinking, and intersectoral collaboration among local governments and partners strengthen health and nutrition services for families.
ZFF Nutrition Director Dr. Joyce Viar explained that turning evidence into action requires more than technical skills. She noted that collaboration, trust, and a shared understanding of how research improves people’s lives make implementation truly effective.
Sharing the ZFF Pook Malusog Experience
ZFF presented its Nutrition Governance approach through the Pook Malusog Program, which helps local governments strengthen their health and nutrition systems. The program demonstrates how good governance and evidence-based action work together to create lasting change.
Through ZFF’s Pook Malusog Dashboard, local leaders can detect malnutrition early through its automatic calculation of inputted health indicators. The dashboard can be used offline and includes a geo-tagging feature that helps track families needing nutrition support. By consolidating health and nutrition data, it enables timely and informed decisions at the local level.
Inspiration from Global Leaders
New Zealand Prime Minister Christopher Luxon captured the spirit of the event with his message to “make things happen.” He described the summit as truly inspiring, offering practical lessons that can guide continued innovation in health and development.
Several key insights from the sessions resonated with ZFF’s work:
- Balancing speed and strategy in implementing programs recognizing when to move quickly and when to pause for reflection to avoid counterproductive results.
- Ensuring both the quality of evidence and the quality of its use focusing not only on whether research informs policy but also on how effectively it is applied.
- Combining data with compelling storytelling showing that evidence paired with a strong narrative can inspire reforms and motivate stakeholders to act.

Together with organizations from Asia, Africa, Europe, and the Americas, ZFF contributed to discussions on how countries adapt and scale solutions that fit their own contexts. By engaging with a global community of practice, ZFF continues to “make things happen” for better health and nutrition outcomes in the Philippines. Addressing stunting and wasting among children must remain a national priority, requiring sustained investments in proven interventions that can be replicated and scaled to maximize impact for future generations.
Author: Samantha Morales, ZFF Nutrition Knowledge Management and Communications Associate; Krizzia Esperanza, ZFF Corporate Communications Associate
Putting People First: Data Spurs Local Governments to Rethink Priorities
Tacloban City — Local leaders from Samar and Southern Leyte closed a three-day workshop on September 19, 2025, with a firm pledge to put people at the center of their development plans. The release of the 2022 Community-Based Monitoring System (CBMS) data prompted the workshop, revealing serious gaps in education, food security, jobs, and health across eight municipalities in Eastern Visayas.
Participants admitted that despite years of government investments, fragmented programs and infrastructure-heavy spending left many services underfunded. During the workshop, they treated the CBMS data not only as a report but as a wake-up call.
Troubling Gaps in Human Development
| Municipality | No Elementary Education (%) | Food Insecurity (%) | Not in Labor Force (%) | Sick in Past Year (%) | PhilHealth Coverage (%) |
|---|---|---|---|---|---|
| San Jose de Buan, Samar | 50.7 | 45.13 | 46.8 | 43 | 1.75 |
| Calbiga, Samar | 31.68 | 56.88 | 44.67 | 41.6 | 8.28 |
| Maasin City | 14.8 | 41.26 | 50.85 | 36.24 | 9.35 |
| Catbalogan City | 20.05 | 48.44 | 47.53 | 32.85 | 10.36 |
| Limasawa, Southern Leyte | 10.9 | 34.87 | 50.69 | 20.46 | 6.86 |
| Tomas Oppus, Southern Leyte | 16.3 | 55.08 | 50.82 | 62.2 | 6.6 |
| Padre Burgos, Southern Leyte | 12.45 | 36.84 | 51 | 30.48 | 9.09 |
| Macrohon, Southern Leyte | 13.13 | 55.65 | 52.67 | 13.86 | 11.86 |
Source: Community-Based Monitoring System, Philippine Statistics Authority, 2022.
The CBMS numbers highlighted urgent challenges which contribute to local human capital development:
- Education: In San Jose de Buan, half of adults in unions had not completed elementary school. Calbiga, Catbalogan, and Maasin also showed large education gaps that continue to trap families in poverty.
- Food Security: Hunger persists in many areas. Calbiga reported the highest food insecurity at 56.88%, with Macrohon, Tomas Oppus, and Catbalogan also recording alarming rates.
- Health: Illness rates reached 62.2% in Tomas Oppus and 43% in San Jose de Buan. Yet PhilHealth coverage stayed critically low, with no municipality surpassing 12% and San Jose de Buan reporting only 1.75%.
Related articles:
- Learning and Working Together: Insights from the Youth Leadership Colloquiums in Southern Leyte and Samar
- Youth and Local Leaders Join Forces to Prevent Teen Pregnancies in Samar
- Southern Leyte Shows Progress in Reducing Teen Pregnancies
Turning Data Into Action
The Zuellig Family Foundation (ZFF) organized the workshop under the Joint Programme on Accelerating the Reduction of Adolescent Pregnancy (JPARAP) with support from the United Nations Population Fund (UNFPA). ZFF guided participants in aligning their development priorities with the Philippine Population and Development Plan of Action (PPD-POA) and measuring their success thru a developed local human development index
Health, planning, budget, nutrition, and population officers reviewed their draft Municipal Population and Development Plans of Action through focused sessions. Participants committed to carry forward people-centered priorities in their respective local government unit (LGU)’s planning cycles.
A Call for People-Centered Governance
By the end of the workshop, participants were united in one message: CBMS data must not gather dust in filing cabinets. It should serve as a mirror, reflecting the real needs of communities. Progress, they said, should no longer be measured by the number of buildings or roads completed, but by how many lives are improved.
The challenge now lies with LGUs: to show that governance is not about scattered projects or token budgets, but about truly putting people first.
Author: Floro Acaba Jr., ZFF EYLGP Provincial Account Officer for Samar
Building Momentum for Health, Nutrition, and Early Education in Basilan
The Zuellig Family Foundation (ZFF), together with the Knowledge Channel Foundation Inc. (KCFI) and Ayala Foundation Inc. (AFI), is working closely with local leaders in Basilan to strengthen child health, nutrition, and early education. Recent meetings in Lamitan City and Isabela City highlighted not just enthusiasm for the program, but also important insights on what it will take to make lasting change.
Both cities already have Child Development Centers (CDCs), Child Development Workers (CDWs), and Child Development Teachers (CDTs). But leaders themselves acknowledged key questions:
- Are these structures enough to reach all families? Is there a strong system that ensures these programs truly work together?
- And are health, nutrition, and education efforts moving in harmony?
These reflections signal that the groundwork exists, but gaps remain that need to be understood through the upcoming baselining activities.
Related articles:
- Mayor Oric Furigay of Lamitan City, Basilan: Conquering obstacles to achieve nutrition goals
- Mayor Sitti Djalia Turabin-Hataman of Isabela de Basilan: Strengthening nutrition programs with an empowered leadership
A meaningful insight came from Lamitan City Mayor Oric Furigay, who underscored the rising need to support children with special needs. He asked for help in creating a program for Special Education (SPED) services for children as young as three to five years old. His request reflects not only the reality of increasing cases but also his personal commitment to inclusive child development.
Both mayors pointed out that aligning health, nutrition, and education is essential. They see the value of an integrated approach that supports families from pregnancy to early schooling, ensuring children receive consistent care throughout their early years.
These conversations show that Basilan is not starting from scratch—it already has important resources, leaders who are engaged, and a willingness to collaborate. With ZFF, KCFI, and AFI working alongside local governments, the momentum is growing to transform these insights into action for the benefit of families and children in Basilan.
Author: Joyce Viar, ZFF Nutrition Director
Investing in a Healthier Future: Local Nutrition Planning for Basilan Towns
From July 28 to 30, 2025, Planning, Budget, Health, and Nutrition Officers from Lamitan City, and from the second batch of the Municipal Nutrition Governance Program (MNGP) representing five Basilan municipalities of Al-Barka, Hadji Muhtamad, Hadji Mohammad Ajul, Tabuan Lasa, and Ungkaya Pukan gathered in Zamboanga City for a three-day Local Nutrition Action Planning Workshop.
The workshop focused on one goal: helping each municipality invest in its people’s health, especially children. The theme, Investing for my Municipality’s Future, guided participants in shaping practical and evidence-based Local Nutrition Action Plans (LNAPs).
With support from the Zuellig Family Foundation, the sessions covered nutrition data analysis, problem tree exercises, target-setting, activity planning, and funding strategies. By the end of the workshop, LGUs were on track to finalize strong, multisectoral plans that tackle malnutrition and promote child development.
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This aims to support the Basilan HELPS program, the flagship initiative of Governor Mujiv Hataman. HELPS stands for Health, Education and Environmental Protection, Livelihood and Economic Development, Public Safety and Security, and Social Cohesion—key pillars of inclusive development in the province.
Throughout the workshop, Nadzwa Sabandal, Provincial Nutrition Action Officer, and Minsara Muarip, OIC-Provincial Planning and Development Officer, provided guidance grounded in local experience. Their involvement helped ensure that the plans were realistic, responsive, and aligned with provincial goals.
The workshop sent a strong message: nutrition is not just a health agenda, but a key part of local development. It is a shared responsibility across all levels of government.
Author: Rio Fe Del Valle, ZFF Nutrition Monitoring, Evaluation and Learning Expert
The State of Nutrition in the Philippines: 2023 Findings and Next Steps
The Department of Science and Technology–Food and Nutrition Research Institute (DOST-FNRI) held the 2025 National Nutrition Summit on June 5, 2025 at Dusit Thani Manila, unveiling the results of the 2023 Expanded National Nutrition Survey. Covering 36,703 households and 115,651 individuals nationwide, the survey provides updated, evidence-based insights into the country’s nutrition landscape.
The findings serve as a critical resource for policymakers, program planners, and implementers, offering timely data to guide national and regional efforts. They highlight both the progress made and the persistent challenges in achieving the Philippines’ health and nutrition goals, reaffirming the urgency of sustained, evidence-based, and locally driven action.
The 2023 Expanded National Nutrition Survey reports that stunting among children under five has declined from 26.7% in 2021 to 23.6% in 2023. However, the burden remains significant, with one in five children still affected. Wasting, an indicator of acute malnutrition, continues to be a concern at 5.6% among children under five and 6.8% among those under two.
These figures point to persistent nutrition gaps, particularly during the critical First 1,000 Days (F1KD) of life. Only 50.4% of infants less than 6 months old are exclusively breastfed, and just 13.9% of children aged 6–23 months receive a minimum acceptable diet. Vitamin A deficiency remains a moderate public health concern, particularly among preschool children aged 6 months to 5 years. Additionally, only 26.6% of infants and preschoolers in this age group meet the recommended energy intake, highlighting significant nutritional gaps in early childhood.
The proportion of nutritionally-at-risk pregnant women has risen to 19.1%, signaling growing concern. While prenatal care coverage is improving, only 22.7% complete the WHO-recommended eight visits for comprehensive care. Alarmingly, just 13.7% of pregnant women meet their recommended daily energy intake.
In addition, three in every ten households experience moderate to severe food insecurity, often forced to reduce meal quality or skip meals altogether. Dietary diversity remains low, particularly among low-income families reliant on staple foods like rice, while food waste is rising, with households discarding an average of 130 grams daily, mostly rice, vegetables, and fish.
These findings call for urgent and coordinated actions. Local Government Units (LGUs) are in a strong position to improve community nutrition. Efforts should focus on the following areas:
- Prioritize the F1KD and sustain nutrition through the next 1,000 days (up to age five) by strengthening maternal and child nutrition programs, breastfeeding support, complementary feeding services, and timely micronutrient supplementation.
- Improve access to quality maternal care by ensuring timely and consistent prenatal visits, comprehensive nutrition counseling, and access to essential supplements such as iron, folic acid, and calcium.
- Invest in local food systems by promoting household food production, improving access to affordable nutritious food, and regulating local food environments. LGUs should integrate nutrition-sensitive agriculture and livelihood programs to enhance dietary diversity and food security, especially in vulnerable communities.
- Promote data-driven, multisectoral governance by strengthening local nutrition committees, utilizing data for planning and accountability, and coordinating across health, agriculture, and social services to effectively sustain and scale nutrition interventions at the community level.
Meeting our national and global nutrition targets by 2030 demands empowered local leadership, evidence-based decision-making, and integrated, multisectoral action that begins with coordinated efforts at the community level today.
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The Zuellig Family Foundation (ZFF)’s Pook Malusog program helps communities support children’s nutrition. Learn more: https://zuelligfoundation.com/programs/nutrition/
Author: Rio Fe Del Valle, ZFF Nutrition Monitoring, Evaluation and Learning Expert
Digital Tool in Pilar, Siargao Improves Nutrition Tracking
“Gusto kong gumanda ‘yung buhay ng mga kababayan ko. Kung puro sila masakitin, how can they farm, fish, or study?” says Liza Resurreccion, former Mayor and current Vice Mayor of the municipality of Pilar in Siargao Island, Surigao del Norte.
This 4th class municipality at the center of the beach and surfing island of Siargao is often caught in the push to modernize and develop for tourism, but Vice Mayor Resurreccion chose to prioritize the health and well-being of Pilar, especially its youngest residents. With 163 cases of stunting in the municipality in 2024, malnutrition tops Pilar’s health priorities.
In 2024, the Zuellig Family Foundation (ZFF) introduced the Pook Malusog Dashboard to Pilar. By 2025, this digital health and nutrition information system was used in all 15 barangays of Pilar to record the height and weight measurements of children under the nationwide Operation Timbang (OPT) program. Then Mayor Resurreccion procured 15 tablet computers for each barangay to support the use of the Dashboard.
The Dashboard detects malnutrition early through its automatic calculation of inputted health indicators. It can be used without internet connection, and has a geo-tagging feature that helps in the tracking of families that need nutrition support.
“With the Dashboard, we want to improve the way [health and nutrition] data is gathered, analyzed, and utilized,” says Dr. Joyce Ann Viar, Nutrition Director at ZFF. Since the old pen-and-paper data gathering approach exposes data to human errors, Dr. Viar adds, “It is better na meron talaga tayong application or tool wherein hindi na kailangang isulat. It can be automatically encoded into a system that can then automatically process the information and give you more real-time analysis.”
Related articles:
- Real-Time Health Data: How Pilar, Siargao is Using the ZFF Pook Malusog Dashboard
- Empowering Barangays and Communities through Nutrition Governance: Pilar’s Journey
Ginaflor Minguita, Database Manager for Pilar, shares, “Sa [Pook Malusog Dashboard], madaling ma-identify kung ‘yung bata ay malnourished. Kasi pag-[enter] mo ng data, malalaman mo agad ‘yung result.” This allows them to provide intervention as soon as malnutrition is detected, compared to the process before the Dashboard was introduced and used. John Mar Virtudazo, Public Health Nurse of Pilar, notes, “After OPT, ma-receive namin ‘yung final output one month after pa. Kung may ma-identify na MAM/SAM (moderate/severe acute malnourished), it’s late na talaga para magbigay ng intervention.”
ZFF provides hands-on one-on-one sessions and coaching on the use of the Dashboard for the foot soldiers of OPT, the Barangay Nutrition Scholars (BNSs). Dr. Viar considers user acceptability—BNSs’ reluctance to use digital tools—as the primary challenge of the Dashboard rollout. “They have to understand why we need to go digital, why we need to use this application.
“No’ng una [mahirap], no’ng nagte-training pa kami, pero ngayon okay na,” says Joela Balunan, the BNS for Barangay Pilaring, Pilar. She shares that each of the 15 barangays of Pilar has at least one designated BNS, and they would work as a team, in small groups, to make their OPT work easier. “Dito [sa Dashboard], automatic na. Mas nakagaan po ito sa trabaho namin,” adds Ruth Coñado, BNS for Barangay Maasin, Pilar.
The ZFF Pook Malusog Dashboard, after its successful pilot implementation in Pilar, alongside Tipo-Tipo and Lamitan in Basilan, is set to be introduced in Del Carmen, another Siargao Island municipality, and other Basilan cities and municipalities within the year. “We saw a positive effect of using the tool, and positive feedback, not only from the users, but from the communities,” Dr. Viar says.
“We want more people to experience this. Having accurate data, [we get] higher chances our communities will be able to respond to malnutrition better and faster.”



