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  • Pioduran Rural Health Unit: Republic of The Philippines Province of Albay Municipality of Pioduran

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    Feb
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    The document is a case finding form from the Pioduran Rural Health Unit in Albay Province, Philippines. It collects profile and nutritional status information for severely acute malnourished children under 5 years old in specific barangays, including the child's name, date of birth, sex, height/length, weight, mid-upper arm circumference, edema, and nutritional status. The form is prepared by the Barangay Nutrition Scholar and checked by a midwife or nurse.

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    Severely Acute Malnourished Children Evaluation Form

    Original Title

    Sam Evaluation Form

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    The document is a case finding form from the Pioduran Rural Health Unit in Albay Province, Philippines. It collects profile and nutritional status information for severely acute malnourished children under 5 years old in specific barangays, including the child's name, date of birth, sex, height/length, weight, mid-upper arm circumference, edema, and nutritional status. The form is prepared by the Barangay Nutrition Scholar and checked by a midwife or nurse.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    8 views1 page

    Pioduran Rural Health Unit: Republic of The Philippines Province of Albay Municipality of Pioduran

    Uploaded by

    Feb
    The document is a case finding form from the Pioduran Rural Health Unit in Albay Province, Philippines. It collects profile and nutritional status information for severely acute malnourished children under 5 years old in specific barangays, including the child's name, date of birth, sex, height/length, weight, mid-upper arm circumference, edema, and nutritional status. The form is prepared by the Barangay Nutrition Scholar and checked by a midwife or nurse.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines

    Province of Albay
    Municipality of Pioduran
    PIODURAN RURAL HEALTH UNIT

    CASE FINDING FORM FOR SEVERE ACUTE MALNOURISH CHILDREN UNDER 5


    BARANGAY ________________________
    Quarter _________ CY ___________

    PROFILE NUTRITIONAL STATUS


    Height/ Weight for Edema
    Sitio/ Age In Weight SAM/
    Name Date of Birth Sex Length MUAC Height/Length Z-Score (Y/N)
    Purok Months (Kg) Status MAM
    (M) + ++ +++

    Prepared by: ________________________________________ Checked by: __________________________________


    Barangay Nutrition Scholar (BNS) Midwife/ Nurse

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