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Halfway to 2030 and falling behind
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Halfway to 2030 and falling behind

Juana Yupangco

The Philippines is not short on targets. The Philippine Plan of Action for Nutrition (PPAN) 2023–2028—the government’s 11th nutrition blueprint since 1974—sets a clear objective: cut child stunting to no more than 17.9 percent by 2028, down from a baseline of about 26.7 percent in 2021. In magnitude, that means shrinking the number of stunted children from roughly four million to about two million.

And that national target sits inside an even more ambitious web of commitments.

The country has signed on to the United Nations Sustainable Development Goal of ending all forms of malnutrition by 2030, and to the World Health Assembly’s global nutrition targets, which call for a 40 percent cut in stunting, a halving of anemia in women of reproductive age, a 30 percent reduction in low birth weight, keeping wasting below five percent, no increase in childhood overweight, and halting the rise in obesity and diabetes.

Stunting: The wrong direction

Stunting—when a child is too short for their age because of chronic undernutrition—is the number nutritionists watch most closely because its damage to the brain and body is largely permanent.

It is also the target the Philippines is furthest from meeting. I’ve been doing work for a feeding program, and the software I use to check the children’s nutritional status constantly tells me to remeasure because even the software can’t believe how stunted the children really are.

The 2023 National Nutrition Survey (NNS) by the DOST–Food and Nutrition Research Institute (DOST-FNRI) put under-five stunting at 23.6 percent. Then came the more alarming update: the 2025 updating survey found stunting had climbed to 25.3 percent—roughly one in four children under five. It was a 1.7-percentage-point jump from 2023, and the first increase in the country’s stunting rate since 2015. Officials classified it as a “high public health concern.”

Set that against the 2028 target of 17.9 percent, and the distance is stark: The country needs to fall more than seven percentage points in about three years, at a time when the trend has just reversed and started rising.

And this is the crux of the problem. The Philippines is no longer merely behind schedule—it has begun moving away from the finish line.

“Improving but very slowly and at very low levels”

It would be easy to treat these as abstract percentages. They are not. Stunting in the early years quietly caps what a person can become—weaker immunity, poorer performance in school, lower earnings for life. The World Bank puts the country’s Human Capital Index at 0.52, meaning a child born today is likely to reach only about half of their potential productivity as an adult.

The bill lands on the whole nation. The National Nutrition Council has warned that ignoring malnutrition could cost the Philippines as much as P2.3 trillion by 2030, and that low birth weight alone drains the equivalent of millions of IQ points from the population every year.

When the government’s own experts describe the progress as “improving, but very slowly and at very low levels,” the gap between ambition and reality comes into focus.

The honest reckoning

At the DOST-FNRI’s own 2024 summit, the theme was blunt: Halfway Point to 2030. The verdict at that midpoint is that the Philippines is off pace on nearly every commitment it has made—and, on childhood stunting, has just recorded its first backward step in a decade.

The root of the problem is threefold. Poverty, lack of education, and bad nutrition. It’s a cycle that is really hard to break. Education is the point where the cycle can be broken; yet when one looks at the master list of school feeding programs, teachers have told me, it’s the same kids year after year who are still on the feeding program.

That said, the trends in stunting show that most of it is in rural areas, but it exists in urban areas, too.

More often than not, these children come from families that are nearer to the poverty line—parents with no stable income. This translates into the same children having low attendance, low participation in class, the lowest grades, and parents who are not very present at school. When these kids grow up, they do not reach their potential in terms of comprehension or ability to perform well in school or at work, and end up with low-paying jobs.

It’s the same cycle their parents most likely went through.

Problems in implementation

The Philippines has some of the best nutrition plans I have seen, down to the macros and micronutrients. The problem always lies in implementation.

Those preparing meals, in many places, do not know how to weigh and measure food, which is paramount to receiving the correct nutrition. Training is lacking in food preparation and food and nutrition education. Many times, as long as a ‘feeding,’ weighing, and measuring are conducted, the boxes are ticked.

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But I always check the fine print, and rarely is it done properly. Even simple things like doing the correct measuring need to be double-checked because, again, those tasked with the program are not only doing that. It’s one of several duties they are not getting compensated for.

The root cause for many families is painfully simple: They cannot afford enough good food. The 2023 survey found that 31.4 percent of households—three in 10—still experience moderate to severe food insecurity, and severe food insecurity actually rose compared with previous years.

A nutrition plan, however well designed, struggles against a grocery bill families cannot pay. It is a really tough and frustrating place to be as a country. The amount of red tape there is to get through in the Philippines is paralyzing.

The problem isn’t the actual lack of food that is costing us the future of our children; it’s so much more than that. Several agencies—education, health, and nutrition—have stepped in to try and break the cycle.

Yet the solution—better living wages, affordable and accessible food—is out of their hands.

Charity and handouts only go so far. Creating a stable environment for people where they can focus on nutrition and not worry about having a roof over their heads and bills they can’t pay is the first step to breaking the cycle.

Note on data: figures come from the DOST-FNRI 2023 National Nutrition Survey and its 2025 updating survey, the Philippine Plan of Action for Nutrition (PPAN) 2023–2028, World Health Assembly global nutrition targets, the World Bank, and the World Obesity Atlas 2025. Survey rounds (for example, the 2021 ENNS versus the 2023 NNS) use different sampling scales, so year-to-year figures are best read as indicative of trend and magnitude rather than exact point comparisons.

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