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Baseline Editedd
Baseline Editedd
Baseline Editedd
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for Weight for Height for Weight Weight for Height for
Name Middle Initial) Mos (kg) Undernouris Mos (cm) (kg) Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Apiado, Marian Nicole D. F 8/7/2022 40 94 15 N N N 0
2 Austria, Ariyalyn L. F 8/7/2022 52 102 15 N N N 0
3 Calantoc, Ayesha Kate m. F 8/7/2022 47 100 14 N N N 0
4 Esmeres, Rachelle Mae A. F 8/7/2022 55 99.5 15 N N N 0
5 Lubiano, Daisy Mae A. F 8/7/2022 53 105 19 N N N 0
6 Nemis, Salma Esrahaline L. F 8/7/2022 44 95 15 N N N 0
7 Palcat, Lelous A. F 8/7/2022 40 74 9 N N N 0
8 Pasamonte, Haily Jillian B. F 8/7/2022 36 96 15 N N N 0
9 Pelleglorio, Nesha A. F 8/7/2022 42 99 26 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSEMAR G. CALANTOC,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
FO1-SFP-002
REV 00 / 02-12-2020
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summary Rema
Name of Children (Surname, Given Age in Weight Summary of Age in Height Weight of rks
No. Sex Weighing Height (cm) Weight for Weighing
Name Middle Initial) Mos (kg) Weight for
Height for Age Undernourish Mos (cm) (kg) Weight Weight for Height for Undernou
(m/d/y) Age Height
ed Children (m/d/y) for Age Height Age rished
Children
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Banaga, Mecaela D. F 7/8/2022 32 90 15 N N N 0
2 Ballesca, Ziarra Ynaris F 7/8/2022 43 92 15 N N N 0
3 Batalla, Rose Ann G. F 7/8/2022 51 100 26 OW N N 0
4 Batalla, Princess Madeline G. F 7/8/2022 56 105 20 N Ob N 1
5 Callejo, Graziela Florayne P. F 7/8/2022 53 111 27 OW Ob N 1
6 Canoza, Princess Maeica C. F 7/8/2022 53 97 14 N N N 0
7 Cabanayan, Sarah Jane F 7/8/2022 54 98 14 N N N 0
8 Delo Santos, Raglyn Yeshas F 7/8/2022 46 100 19 N OW N 1
9 Garcia, Angela Bless B. F 7/8/2022 54 105 16 N N N 0
10 Ginez, Nhoriline R. F 7/8/2022 55 98 21 N N N 0
11 Ginez Maureen M. F 7/8/2022 34 90 14n N N N 0
Total Number of Undernourished Children 3
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARY ANN G. BATALLA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Altar, Jesicca A. F 8/7/2022 43 91 11 N N N 0
2 Angelo, Althea Cassey Q. F 8/7/2022 41 89 13 N N N 0
3 Apiado, Sohia Lorraine A F 8/7/2022 48 103 16 N N N 0
4 Aquino, Rachelle C. F 8/7/2022 45 93 17 N N N 0
5 Bale, Aleliah Mae L. F 8/7/2022 48 94 13 N N N 0
6 Canaveral Alannah Jessica M. F 8/7/2022 53 104 15 N N N 0
7 Concepcion, Nathale Jean P. F 8/7/2022 43 91 15 N N N 0
8 Corpuz, Princess Zia R. F 8/7/2022 48 96 14 N N N 0
9 Daranciang, Cassey M. F 8/7/2022 36 86 10 UW N N 1
10 Green, Alexdra D. F 8/7/2022 34 92 13 OW Ob St 1
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight FLORENCE C. EDRADA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Laureano, Mariella L. F 8/7/2022 43 95 12 N N N 0
2 Lustina, Althea Gem C. F 8/7/2022 44 101 14 N N N 0
3 Pascua, Empress A. F 8/7/2022 52 100 16 N N N 0
4 Robina, Barbie France L. F 8/7/2022 54 100 15 N N N 0
5
6
7
8
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight FLORENCE C. EDRADA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
FO1-SFP-002
Department of Social Welfare and Development REV 00 / 02-12-2020
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
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Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Abad, Urijah S. F 8/7/2022 52 98.5 15.5 N N N 0
2 Aboga, Emerates Kisses M. F 8/7/2022 51 101 16 N N N 0
3 Agosto, Deane Katherine Celeste R. F 8/7/2022 49 100 15 N N N 0
4 Arreola, Thalia Bein P. F 8/7/2022 29 85 13 N N N 0
5 Bergonia, Ysabelle Louise V. F 8/7/2022 43 97.5 16 N N N 0
6 Castillo, Princess Arriane P. F 8/7/2022 29 85 14 N OW N 0
7 Castillo, Sofia Althea T. F 8/7/2022 54 102 17 N N N 0
8 Dayola, Carmela M. F 8/7/2022 50 100.5 16.5 N N N 0
9 Doldol, Hasmin G. F 8/7/2022 42 96 16 N N N 0
10 Francisco, Natalie Khate N. F 8/7/2022 39 97 14 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARIBEL M. CARIŇO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Age in Height Weight Nutritional Status y of rks
No. Sex Weighing Height (cm) Weight for Weighing
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Arciosa, Jzeus M. M 8/7/2022 48 100 16 N N N hed Children
0 urished
Children
2 Castillo, Niño S. M 8/7/2022 54 101 17.5 N N N 0
3 Corpuz, Zande Jhon O. M 8/7/2022 53 101 16 N N N 0
4 Dopale, Charles Kian Edric V. M 8/7/2022 47 99.5 16 N N N 0
5 Felipe, Mark Caleb G. M 8/7/2022 44 98 15.5 N N N 0
6 Molina, Kurt Liam Drew R. M 8/7/2022 52 101 17 N N N 0
7 Pascua, Edwill Jade E. M 8/7/2022 54 103 18 N N N 0
8 San Joaquin, Ethan Riel R. M 8/7/2022 47 100 17.5 N N N 0
9 Sebuco, Renz Aldrich L. M 8/7/2022 53 104.5 18 N N N 0
10 Servanda, Prince Jacob S. M 8/7/2022 36 90 15 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARIBEL M. CARIÑO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Ob - Obese
FO1-SFP-002
REV 00 / 02-12-2020
Baseline Endline
Nutritional Status Nutritional Status
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Nutritional Status Nutritional Status
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Nutritional Status Nutritional Status
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Nutritional Status Nutritional Status
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Nutritional Status Nutritional Status
1
2
3
4
5
6
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Height for Age
N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall
FO1-SFP-002
REV 00 / 02-12-2020
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500
Baseline Endline
Nutritional Status Nutritional Status
1
2
3
4
5
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Conde Alasha Ali C. F 8/7/2022 52 96 13 N N St 1
2 Davin Cristal D. F 07/082022 55 101.8 17.9 N N N 0
3 Frado Maricar Faith F 8/7/2022 48 90 12.4 N N St 1
4 Hernandez, Viarah Junice D. F 8/7/2022 54 93 13 N N St 1
5 Lopez, Nathalie S. F 8/7/2022 40 81 11.3 N N Sst 1
6 Lustina Erica Jayrie M F 8/7/2022 49 91.5 13 N N St 1
7 Monte, Alliyah A. F 8/7/2022 54 92 13.1 N N Sst 1
8 RayRay Lhiane Joy M. F 8/7/2022 51 88 12.8 N N Sst 1
9 Ramos, Jhe-Ann P. F 8/7/2022 35 89 10.8 N N N 0
10 Ursolon, Mizpha Joy F. F 8/7/2022 42 96 19.7 N Ob N 1
Total Number of Undernourished Children 8
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight RICHEL D. CALPO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position City/Municipal Social Welfare and Development Officer
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
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Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Weighing Age in Height Weight Nutritional Status y of
No. Sex Weighing Height (cm) Weight for rks
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Florentino, Alexa Jade F 8/7/2022 45 99 16 N N N hed Children
0 urished
Children
2 Gastardo, Lorna F 8/7/2022 53 101 16.7 N N N 0
3 Gotgotao, Janela Joy F 8/7/2022 48 100 15.1 N N N 0
4 Gumangan, Rhian M. F 8/7/2022 36 99 16 N N N 0
5 Hizo, Jana Lee M. F 8/7/2022 48 101 17 N N N 0
6 Jaravata, Jolina F 8/7/2022 48 101 17 N N N 0
7 Javier, Arceli Tiara M. F 8/7/2022 53 104 17.5 N N N 0
8 Lapitan, Khayla Ronet F 8/7/2022 45 102 16 N N N 0
Lebaste, April F 8/7/2022 38 100 15.3 N N N 0
Maling, Kristine Rose P. F 8/7/2022 48 102 16 N N N 0
Total Number of Undernourished Children 0 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LIEZEL C. TORRES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
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Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Weighing Age in Height Weight Nutritional Status y of
No. Sex Weighing Height (cm) Weight for rks
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Gadiaza, Gabby G. M 8/7/2022 54 102.5 15.5 N N N hed Children
0 urished
Children
2 Ginez, France Noah A. M 8/7/2022 49 102.5 15.5 N N N 0
3 Ginez, Jordan Mikhael S. M 8/7/2022 54 102 15.5 N N N 0
4 Gomez, Mark Allen B. M 8/7/2022 26 104 14 N N N 0
5 Montero, Xian Rhemy S. M 8/7/2022 39 103 15.5 N N N 0
6 Salvador, Sky Jeiel R. M 8/7/2022 34 104 14 N N N 0
7 Sanchez, Ethan A. M 8/7/2022 43 104.5 16.5 N N N 0
8 Sison, Zyrus T. M 8/7/2022 54 95 13.5 N N N 0
9 Soriano, Joe Vince A. M 8/7/2022 54 103 14.5 N N N 0
10 Tadeo, Jacob M 8/7/2022 42 97 16 N N N 0
11 Tadeo, Matthew Zayn M 8/7/2022 46 97 16 N N N 0
12 Tibunsay, Andrie E. M 8/7/2022 40 103 15.8 N N N 0
13 Revita, Shoune Zyrone T. M 8/7/2022 59 108 16.2 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSE ANGEL B. ESPERANZA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Baseline Endline
Nutritional Status Nutritional Status
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1 Caracas,Joana H. F 8/7/2022 55 93 12 UW N St 1
2 Cudiamat,Joella M. F 8/7/2022 41 92 11.5 N N N 0
3 Guillermo,Cara S. F 8/7/2022 39 90 11.5 N N N 0
4 Guillermo,Mita S. F 8/7/2022 39 89 11.8 N N St 1
5 Niones,Kiel Kasher C. F 8/7/2022 33 94.5 14.5 N N N 0
6 Niones,Margaux Lhalene G. F 8/7/2022 54 101 13 N N N 0
7 Niones,Sabina Rey M. F 070/08/2022 46 98 13 N N N 0
8 Orenza,Princess Jean G. F 8/7/2022 32 83 9 SU W St 1
9 Orpano,Jasmine Rose L. F 8/7/2022 53 93.2 11.3 SU N St 1
10 Piala,Rica Mae L. F 8/7/2022 44 88.5 12.3 N N St 1
11 Sabiano,Thania Sherlyne N. F 8/7/2022 54 109 20.5 N N N 0
12 Segismar,Jade Ayesha C. F 8/7/2022 53 105 14.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight VILMA C. MEJIA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
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Nutritional Status Nutritional Status
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1 8/7/2022
2 8/7/2022
3 8/7/2022
4 8/7/2022
5 8/7/2022
6 8/7/2022
7 8/7/2022
8 8/7/2022
9 8/7/2022
10 8/7/2022
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ELENA J. DE LEON,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
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OW - Overweight
Ob - Obese
Baseline Endline
Nutritional Status Nutritional Status
1
2
3
4
5
6
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ABEGAIL L. ESPERANZA,CDT MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight