Republic of the Philippines

Department of Health
NATIONAL NUTRITION COUNCIL

OPT Plus Form 1A. Barangay Tally and Summary Sheet of Preschoolers with Weight & Height Measurement by Age Group, Sex and Nutritional Status
Series 2011 Page 1 of 3

Barangay: 0 Actual/Estimated Number of Preschoolers: 0-59 months old _________ 0-71 months old: 0
City/Municipality Actual Number of Preschoolers Weighed: 0-59 months old _________ 0-71 months old: 16
Province: Percent OPT Plus Coverage: 0-59 months old ___________________ 0-71 months old: 0.00%

Age Weight for Age Status

Group Normal (N) Underweight (UW) Severely Underweight (SUW) Overweight (OW) TOTAL
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
0-5
months 0 0 0 0 0 0 0 0 0 0
(R1)
6-11
months 0 0 0 0 0 0 0 0 0 0
(R2)
12-23
months 0 0 0 0 0 0 0 0 0 0
(R3)
24-35
months 3 1 0 0 0 0 0 0 3 1
(R4)
36-47
months 2 1 0 1 1 0 0 1 3 3
(R5)
48-59
months 3 2 1 0 0 0 0 0 4 2
(R6)
60-71
months 0 0 0 0 0 0 0 0 0 0
(R7)
Total (R8) 16
0-59 mos 8 4 1 1 1 0 0 1 10 6
0-71 mos 8 4 1 1 1 0 0 1 10 6
Prev (R9) 16
0-59 mos 50.0% 25.0% 6.3% 6.3% 6.3% 0.0% 0.0% 6.3% 62.5% 37.5%
0-71 mos 50.0% 25.0% 6.3% 6.3% 6.3% 0.0% 0.0% 6.3% 62.5% 37.5%
Note: a) R1 means Row No. 1, R2 means Row 2, etc. b)Total (R8) - refers to the sum of preschoolers by nutritional status and by age group c) Prev (R9)- refers to the prevalence rate by sex,
by nutritional status for 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
OVERWEIGHT IS MORE CORRECTLY DETERMINED USING WEIGHT-FOR-LENGTH OR WEIGHT-FOR-HEIGHT.

Prepared by: ________________________________________ Checked: ___________________________________________

Name & Signature of Barangay Nutrition Scholar Name & Signature of Midwife/Nurse
Date: Date: __________________________________________
 Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL

OPT Plus Form 1A. Barangay Tally and Summary Sheet of Preschoolers with Weight & Height Measurement by Age Group, Sex and Nutritional Status
Series 2011 Page 2 of 3

Barangay: 0 Actual/Estimated Number of Preschoolers: 0-59 months old _________ 0-71 months old: 0
City/Municipality Actual Number of Preschoolers Weighed: 0-59 months old _________ 0-71 months old: 16
Province: Percent OPT Plus Coverage: 0-59 months old ___________________ 0-71 months old: 0.00%

Age Length/Height for Age Status

Group Normal (N) Stunted /Short (St) Severely Stunted (SSt) Tall (T) TOTAL
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
0-5
months 0 0 0 0 0 0 0 0 0 0
(R1)
6-11
months 0 0 0 0 0 0 0 0 0 0
(R2)
12-23
months 0 0 0 0 0 0 0 0 0 0
(R3)
24-35
months 1 0 0 0 1 1 1 0 3 1
(R4)
36-47
months 1 2 0 0 0 0 2 1 3 3
(R5)
48-59
months 2 1 2 1 0 0 0 0 4 2
(R6)
60-71
months 0 0 0 0 0 0 0 0 0 0
(R7)
Total (R8) 16
0-59 mos 4 3 2 1 1 1 3 1 10 6
0-71 mos 4 3 2 1 1 1 3 1 10 6
Prev (R9) 16
0-59 mos 25.0% 18.8% 12.5% 6.3% 6.3% 6.3% 18.8% 6.3% 62.5% 37.5%
0-71 mos 25.0% 18.8% 12.5% 6.3% 6.3% 6.3% 18.8% 6.3% 62.5% 37.5%
Note: a) R1 means Row No. 1, R2 means Row 2, etc. b)Total (R8) - refers to the sum of preschoolers by nutritional status and by age group c) Prev (R9)- refers to the prevalence rate by sex,
by nutritional status for 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
OVERWEIGHT IS MORE CORRECTLY DETERMINED USING WEIGHT-FOR-LENGTH OR WEIGHT-FOR-HEIGHT.

Prepared by: ________________________________________ Checked: ___________________________________________

Name & Signature of Barangay Nutrition Scholar Name & Signature of Midwife/Nurse
Date: Date: __________________________________________
 Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL

OPT Plus Form 1A. Barangay Tally and Summary Sheet of Preschoolers with Weight & Height Measurement by Age Group, Sex and Nutritional Status
Series 2011 Page 3 of 3

Barangay: 0 Actual/Estimated Number of Preschoolers 0-71 months old: 0

City/Municipality Actual Number of Preschoolers Weighed 0-71 months old: 16
Province: Percent OPT Plus Coverage: 0-71 months old: 0.00%

Age Weight for Length/Height Status

Group Normal (N) Wasted (W) Severely Wasted (SW) Overweight (OW) Obese (Ob) TOTAL
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
0-5
months 0 0 0 0 0 0 0 0 0 0 0 0
(R1)
6-11
months 0 0 0 0 0 0 0 0 0 0 0 0
(R2)
12-23
months 0 0 0 0 0 0 0 0 0 0 0 0
(R3)
24-35
months 1 0 0 0 0 0 1 1 1 0 3 1
(R4)
36-47
months 2 2 1 0 0 1 0 0 0 0 3 3
(R5)
48-59
months 1 2 0 0 1 0 1 0 1 0 4 2
(R6)
60-71
months 0 0 0 0 0 0 0 0 0 0 0 0
(R7)
Total (R8) 16
0-59 mos 4 4 1 0 1 1 2 1 2 0 10 6
0-71 mos 4 4 1 0 1 1 2 1 2 0 10 6
Prev (R9) 16
0-59 mos 25.0% 25.0% 6.3% 0.0% 6.3% 6.3% 12.5% 6.3% 12.5% 0.0% 62.5% 37.5%
0-71 mos 25.0% 25.0% 6.3% 0.0% 6.3% 6.3% 12.5% 6.3% 12.5% 0.0% 62.5% 37.5%
Note: a) R1 means Row No. 1, R2 means Row 2, etc. b)Total (R8) - refers to the sum of preschoolers by nutritional status and by age group c) Prev (R9)- refers to the prevalence rate by sex,
by nutritional status for 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
OVERWEIGHT IS MORE CORRECTLY DETERMINED USING WEIGHT-FOR-LENGTH OR WEIGHT-FOR-HEIGHT.

Prepared by: ________________________________________ Checked: ___________________________________________

Name & Signature of Barangay Nutrition Scholar Name & Signature of Midwife/Nurse
Date: Date: __________________________________________