BNS Form No.

1C
Barangay Nutrition Profile
*BARANGAY SITUATIONAL ANALYSIS, CY _______

Barangay: ___________________ City/Municipality: ___________________ Province: ______________

Indicators Number
1. Total population
2. Number of households
3. Households surveyed during Family Profile Survey
4. Total number of households with large family size (more than 5 family members)
5. Total number of families
6. Total number of women who are:
a. Pregnant
b. Lactating
7. Total number of households with preschool children aged 0-59 months old
8. Actual population of preschool children 0-59 months old
9. Total number of preschool children 0-59 months old measured during OPT Plus
a. Percent (%) measured coverage (OPT Plus)
b. Number and Percent (%) of preschool children according to Nutritional Status No. %
1) Severely underweight
2) Underweight
3) Normal weight
4) Severely Wasted
5) Wasted
6) Overweight**
7) Obese
8) Severely Stunted
9) Stunted
10. Total number of infants 0-5 months old
11. Total number of infants 6-11 months old
12. Total number of preschoolers 0-23 months old
13. Total number of preschool children aged 12-59 months old
14. Total number of preschoolers 24-59 months old
15. Total number of families with severely wasted and wasted preschool children
16. Total number of families with stunted and severely stunted preschool children
17. Total number of Educational Institutions Public Private
a. Number of Child Development Centers
b. Number of Elementary Schools
18. Total number of children enrolled in Kindergarten (DepED-supervised)
19. Total number of school children (grades 1-6)
20. Total number of school children weighed at the start of the school year (K-Gr. 6)
21. Percent (%) coverage of school children measured
22. Number and percent (%) of school children according to Nutritional Status No. %
 a. Severely wasted
b. Wasted
c. Normal
d. Overweight
e. Obese
23. 0-5 month old infants who are exclusively breastfeed
24. Households with severely wasted and wasted school children
25. School children dewormed at the start of the school year
26. Fully immunized children (FIC)
27. Households, by type toilet facility: No. %
a. Water-sealed toilet
b. Open pit
c. Other types, specify: _________________
d. No toilet
28. Households, by type of garbage disposal: No. %
a. Barangay or municipal garbage collection
b. Own compost pit
c. Others, specify: ___________________
29. Households, by source of drinking water: No. %
a. Piped water system (level III)
b. Communal source piped water system
c. Mineral water/water dispensing stores
d. Others, specify: ___________________
30. Households with: No. %
a. Vegetable garden
b. Livestock/poultry
c. Combination Vegetable garden, Livestock/poultry
d. Fishpond
e. No garden
31. Households according to type of dwelling unit: No. %
a. Concrete
b. Semi-concrete
c. Wood
d. Makeshift/barong-barong
32. Total number of households using iodized salt
33. Total number of eateries/carinderia
34. Total number of sari-sari stores
35. Total number of sari-sari stores selling fortified oil
36. Total number of bakery using fortified flour
37. Number of health and nutrition workers:
a. Barangay Nutrition Scholar
b. Barangay Health Worker
38. Total number of household beneficiaries of Pantawid Pamilya Pilipino Program
39. Number of 0-59 mos. Children with disabilities No. %
a. Epilepsy
 b. Orthopedic disability
c. Cancer
d. Diabetes Mellitus
e. Visual Disability
f. Hearing Disability
g. Down Syndrome
f. Speech Impairment
h. Others
*Referred as "Barangay Nutrition Profile" in the BNS Handbook
**Refers to weight-for-length/height