Republic of the Philippines

Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1A. Barangay Tally and Summary of Preschoolers with Weight - Height Measurement by Age Group, Sex and Nutritional Status
Series of 2012 Page 1 of 3
Barangay: 9 BARANGAYS Estimated Number of Preschoolers 0-59 months old: _____, 0-78 months old: _____ Year Period of Measurement MARCH CY2013 Prev*_______
Municipality: CANDONI Actual Number of Preschoolers Weighed 0-59 months old: _____, 0-78 months old: _____ Indigenous Group (specify if applicable):_________________
Province: NEGROS OCCIDENTAL Percent OPT Plus Coverage 0-59 months old: _____, 0-78 months old: _____
Number of Indigenous PS Measured: 0-59 months old ________, 0-78 months old __________

Age Severely Underweight Total by Age Group

Normal [N] Underweight [UW] Overweight [OW] TOTAL
Group [SUW] Total N Total UW Total SUW Total OW
Boys Girls Boys Girls Boys Girls Boys Girls BOYS GIRLS TOTAL No. Prev. No. Prev. No. Prev. No. Prev.
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] [28]
0-5 months
[R1]

6-11 months
[R2]
12-23 months
[R3]

24-35 months
[R4]

36-47 months
[R5]

48-59 months
[R6]

60-71 months
[R7]
Total [R8]
0-59 months
0-71
months
Prev [R9]
0-59 months
0-71
months
Note: a) E1 means Row No.1, R2 means Row No.2, etc. b) Total [R8] - refers to the sum of the preschoolers by nutritional status and by age group c) Prev. [R9] - refers to the prevalence rate by sex, by nutritional status fro age group 0-59 months and 0-71 months
d) Prev. [C21, 23, 25, 27] - refers to the prevalence rate by total by age group. *refers to previous year prevalence rate of the area.
OVERWEIGHT IS MORE CORRECTLY DETERMINED USING WEIGHT-FOR-LENGTH OR WEIGHT-FOR-HEIGHT.

Prepared by: Approved by: Noted by:

JILL C. SARIL - Nurse I ANABELLE N. GUARDIARIIO, M.D. __________________________________

Name and Signature Name and Signature of Municipal Health Officer Name and SIgnature of Mayor
Municipal Nutrition Committee

Date: ________________ Date: ________________ Date: ________________