Abstract

Global reports have attributed nearly 50% of deaths in children under the age of 5, are due to malnutrition. Childhood hunger and malnutrition continues to remain a national emergency in several countries around the world.

The ”nutribun” was introduced by USAID to combat early childhood hunger and malnutrition in the Philippines in the 1970s. This bread product, engineered at Virginia Polytechnic University by scientists and nutritionists, enriched with micronutrients and iodine, was designed to be a “ready to eat” complete meal. The implementation of the nutribun breakfast coupled with milk distribution in elementary schools led to a decrease of childhood malnutrition rates from 5% to 1% by the end of the 1970s. The nutribun and milk distribution program eventually phased out in 1997, but reintroduced in 2014 as a response to increasing rates of malnutrition in children. Currently, to address the country’s increasing food poverty rates due to their changing environmental and economic climate post COVID pandemic, an enhanced nutribun was introduced. A similar program has been implemented in Jamaica, as a response to increasing rates of malnutrition of children in the country.

This global advocacy plan addresses the United Nations’ Sustainable Development Goal of ending hunger, achieving food security and improved nutrition and promoting sustainable agriculture. Modeling the plan of the nutribun creation and implementation’s initial success in the 1970s in eradicating childhood hunger and malnutrition in the Philippines, is a potential solution in other countries facing similar rates of food poverty, childhood hunger, and malnutrition. This presentation provides an overview that strategizes the necessity of the identification of natural food resources by country, with cultural and religious considerations; the need for collaboration with non-governmental organizations (NGOs); and the continued need to increase global public awareness and education of the negative effects of early childhood hunger and malnutrition.

Description

Dr. Reyes was a participant in the Sigma Virtual Mini-Academy: Global Advocacy April 28-June 2, 2026

Author Details

Author: Sofia Marie Reyes, DNP, RN, ANP-BC, CCRN, CNEcl, CHSE

Sigma Membership

Mu Chi

Type

Presentation

Format Type

Text-based Document, Video Recording

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Childhood Malnutrition, Malnutrition in Children, Malnutrition, Hunger, Nutribun, UN Sustainable Development Goal 2, Sustainability, Sustainable Development Goals (United Nations)

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Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty/Mentor Approved: Sigma Academy Participant Poster

Acquisition

Self-submission

Date of Issue

2026-07-07

Full Text of Presentation

wf_yes

Slides.pdf (953 kB)
References.pdf (61 kB)
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Additional Files

Slides.pdf (953 kB)

References.pdf (61 kB)

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