DS 121 – DevTalk on Wasting and Poverty

DS 121 – DevTalk on Wasting and Poverty


So hi guys! I’m Hannah, and I’m Gene. And we’re here to bring you DEVTALK! πŸ™‚ HANNAH: So our DevTalk topic is about wasting
in correlation with poverty. Wasting is defined as a low weight-for-height
due to a recent and severe process of weight loss, often associated with insufficient food
intake, and chronic illnesses. GENE: The prevalence of wasting is that there’s
an increased morbidity and mortality rate, most commonly observed among the impoverished
and for those who are unable to access medical care. HANNAH: So wasting due to food insecurity. Syempre naman wasting is usually accompanied
with several illnesses, pero in terms of poverty, there is food insecurity* As said earlier, wasting is often associated
with insufficient food intake. And these become evident among children through
the form of undernutrition. Sila yung mga mapapayat na bata, yung – they’re
short for their age, yung parang sinasabi nila na 7 years old na sila pero mukha pa
rin silang 4 years old so parang ganun. According to specific research kasi, the main
cause of wasting is due to food insecurity wherein there is a limited supply of food
and/or disruption of food intake or eating patterns among a group of individuals, because
of lack of money and other resources. It’s most common amongst the least developed
countries who have little food allocation, improper food allocation. Statistics from World Health Organization
show that 51 million children are wasted globally wherein 17 million of these are severely wasted
and at high risk of mortality. 69% of this population are children who lived
in Asia while 23% lived in Africa. It is also estimated that around 45% of deaths
among children under 5 years of age are linked to undernutrition. These mostly occur among
the Third world countries, yun nga, the underdeveloped countries with low and middle income. GENE: So nasabi rin kanina na ang wasting
hindi lang siya dahil sa lack of nutrition from food. Actually wasting – nakukuha rin sya from chronic
illnesses and kapag ganito, ang tawag sa kanya is Cachexia and it is often observed in patients
with cancer and HIV. So, pareho lang yung case of Cachexia in cancer
and HIV. Both are associated with depletion of both fat and skeletal muscle mass. So ang symptoms ng Cachexia is: involuntary
weight loss, muscle wasting, loss of appetite or anorexia, reduced functional ability, and
swelling or edema which is yung abnormal accumulation of fluid sa certain tissues sa body. Now the risk of mortality from wasting is
ultimately related to the magnitude of tissue depletion and restoration of body cell mass
that may enhance survival. Pero alam naman natin na kakabit talaga ng
kahirapan ang kakulangan sa access sa healthcare. So dahil dito, high costs and lack of health
services, pinoprohibit niya yung mga pasyente na mula sa poverty-stricken life style, na
nagsusuffer from Cachexia, na makakuha ng treatment, and in turn, this worsens their
condition and could sometimes lead to premature death. HANNAH: Now the Philippines is sadly one of
those underdeveloped countries. In 2015, there was a staggering 31.4% of children
who were living below the basic needs poverty line 18 with poverty rates actually increasing
for children in ARMM. So from 52% in 2006, to 63.1% in 2015. So tumaas na nga. Childhood wasting is estimated to affect around
7% of children under 5 years in the Philippines tapos sa ARMM 8.2% considering mas malala
dun, falling short of national and international targets of 5 percent. Ang children most likely na tamaan ng wasting
dito sa Pilipinas ay yung mga girls and boys from rural communities, low-educated households
and yung mga malalaking pamilya. Bonus pa dun yung tatlo – if they are either
of the three or pinakamalala if they are all three: kapag street children sila, indigenous
or with disabilities. The Philippines has been struggling with immunization
for a while, with low rates resulting in a rise of diseases that otherwise could have
been prevented with vaccines. The Filipino poor could not afford proper
healthcare services and vaccinations, prioritizing food over such. But even then, the food they can afford is
limited and/or lacks nutritional value, inadvertently and unintentionally lowering their defense
against wasting. GENE: Furthermore, a UNAIDS Report on the
global HIV epidemic states that the number of new infections in the Philippines has more
than doubled in the past six years. From an estimated 4,300 in 2010 to an estimated 10,500
in 2016. The Philippines has become the country with
the fastest growing HIV epidemic in Asia and the Pacific, and has become one of eight the
countries that account for more than 85% of new HIV infections in the region. So nakalagay sa site ng DOH na ang government
daw, one of the top health priorities nila yung HIV. Pero, base nga sa data na sinabi natin kanina,
prevalent pa rin yung HIV, lalo na sa mga teenagers. And yung mga infected with HIV, sa panahon
ngayon, mas bumabata na nang bumabata. In fact, meron na ngang mga 13 years old na
may HIV infection na rin. Sa tingin ko, ito ay dahil patuloy pa rin
na nagiging taboo ang usapin ng sex education sa bansa natin dahil nga our conservative
views are getting in the way of development in terms of reducing yung cases of HIV dito
sa Pilipinas. HANNAH: So siguro may ginagawa naman yung
government natin tungkol doon, right? Possibly treatment of wasting? Food insecurity and illnesses na rin related
to that? So last year, President Duterte signed into
law the establishment of a national feeding program for undernourished children in public
day care centers, kindergarten, and elementary schools. The law orders national government agencies
to implement a program with 3 components. Yung una is yung Supplemental Feeding Program
for Daycare Children. So yun nga, most likely para sa mga bata yun
na iniiwan ng mga magulang sa mga daycare because they don’t have time to watch over
the children during the day, busy sila sa trabaho so babalikan nila sa hapon. So proprovidan na rin sila dun. Pangalawa, School-based Feeding Program, so
like siguro more appropriate to the diet of a growing child sa schools. Tapos yung pangatlo* is Milk Feeding Program
which provides fresh milk sa mga aforementioned establishments and also more proper breastfeeding
for infants. The UNICEF has also pledged to provide their
services for malnutrition intervention programs in the Philippines, seeing as recorded malnutrition
rates here are considered one of the highest in the world. GENE: So in the case of treating Cachexia
in Cancer and HIV patients, treatment is often given through varying pharmacologic approaches
and therapy depending sa intensity ng kundisyon. Pero and gobyerno natin meron ding implementing
laws na tinutulungan ang ating Cancer and HIV patients for easy access to healthcare. In fact, ngayong noong 2018 nga, pinasa ang
batas na RA 11166, also known as the Philippine HIV and AIDS Policy Act of 2018. At nitong taon lang din, ipinasa rin ang RA 11215 or the National Integrated Cancer Control Act. Both laws seek to adopt an integrated and
comprehensive approach to combat Cancer and HIV through control policies, programs, systems,
interventions and services at all levels of the existing healthcare delivery system…. AND THAT’S IT FOR OUR DEVTALK ON WASTING
AND POVERTY. SEE YOU AGAIN NEXT TIME!!! πŸ™‚

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