MELLPI Pro Form For CityMun 2 - OK

WELCOME
LOCAL GOVERNMENT NUTRITION

MONITORING AND EVALUATION
MELLPI PRO FORM CM 1: CITY/ MUNICIPALITY NUTRITION MONITORING
City/Municipality Province
Date of Monitoring Period Covered
PERFORMANCE LEVEL REMARKS/

ELEMENTS DOCUMENT SOURCE RATING
1 2 3 4 5 EVIDENCE
1. VISION AND MISSION
1a Presence and A vision statement A vision statement A vision statement A vision statement A vision statement Local Nutrition
knowledge of vision for nutrition was for nutrition was for nutrition for nutrition for nutrition Action Plan
statement formulated but not formulated and program exists and program exists and program exists and
reflected in the reflected in the known by all stakeholders are stakeholders are
Local Nutrition Local Nutrition stakeholders aware of their aware of their and
Action Plan Action Plan contribution to the other stakeholders’
vision contribution to the
vision
1b Presence and A vision statement A vision statement A mission statement A mission statement A mission statement Local Nutrition
knowledge of mission for nutrition was for nutrition was for nutrition for nutrition for nutrition Action Plan
statement formulated but not formulated and program exists and program exists and program exists and
reflected in the reflected in the known by all stakeholders are stakeholders are
Local Nutrition Local Nutrition stakeholders aware of their aware of their and
Action Plan Action Plan contribution to the other stakeholders’
mission contribution to the
mission
1 2 3 4 5 EVIDENCE
1c Presence of nutrition The ELA and/or AIP The ELA and/or AIP The ELA and/AIP The ELA and/AIP The ELA and/AIP Comprehensive
concerns in the includes includes includes includes for includes for Development Plan
Executive Legislative nutrition-specific nutrition-specific nutrition-specific nutrition-specific nutrition-specific
Agenda (ELA) and/or programs of one programs of two programs of programs and programs and Executive Legislative
Annual Investment office only offices only nutrition unit and operating expenses operating expenses Agenda
Plan (AIP) on nutrition-specific of nutrition unit of nutrition unit
nutrition programs of at and and Annual Investment
least two offices nutrition-specific nutrition-specific Plan
programs of at and
more than two nutrition-sensitive Approved Annual
offices programs of more Budget
than two offices

1 2 3 4 5 EVIDENCE
2. NUTRITION POLICIES AND LAWS
2a Adoption, The LGU is aware The LGU has a The LGU allocated The LNC monitors The LNC processes Resolutions
implementation and that a Local resolution, budget for the implementation result of monitoring Ordinances
monitoring of local Nutrition Action ordinance and/or implementation of of the Local and make Executive Order
nutrition plan Plan was agreement the Local Nutrition Nutrition Action adjustments based Approved Annual
formulated adopting the local Action Plan Plan and provides on the results Budget
nutrition plan feedback Local Nutrition
Action Plan
Quarterly
Accomplishment
Report
Minutes of meeting
2b Adoption, The LGU is aware The LGU has a The LGU has The LGU has The LGU has Resolutions
implementation and of the provisions of resolution, activity(ies) to activity(ies) to activity(ies) to Ordinances
monitoring of EO 51 ordinance, implement and implement and implement and Executive Order
national/ regional Executive Order monitor monitor monitor
nutrition and/or agreement compliance to the compliance to the compliance to the Approved Annual
Executive and/or a line local ordinance, local ordinance/ local ordinance, Budget
Order 51: National budget item in the resolution or resolution or resolution or
Code of Marketing Approved Annual Executive Order Executive Order Executive Order Local Nutrition
Breastmilk Budget on EO 51 or and maintains a list and provides Action Plan
Substitutes, related concern of masterlist of feedback and
Breastmilk facilities monitored penalties to
Supplements, and violators as
Other Related applicable
Products
2c Republic Act 10028: The LGU is aware The LGU has a The LGU has Budgeted activities The LGU has Resolutions
Expanded of the provisions of resolution, activity(ies) to are fully institutionalized Ordinances
Breastfeeding RA 10028 and/or ordinance, implement and implemented compliance to the Executive Order
Promotion Act of DILG MC 2011-54 Executive Order monitor pursuant to the law through Approved Annual
2009 and/or agreement compliance to the laws issuance of local Budget
and/or a line local ordinance/ implementation policy, budget Local Nutrition
DILG Memorandum budget item in the resolution allocation and Action Plan
Circular 2011-54 Approved Annual relevant facilities Accomplishment/
Implementation and Budget on RA documentation
Monitoring of the 10028 or related report
National concern Masterlist of
Breastfeeding Policy establishments/
offices with
lactation stations
2d Republic Act 8172: An The LGU is aware The LGU has a The LGU has The LGU allocates The LGU has Resolutions
Act for Salt Iodization of the provisions of resolution, activities to budget for sustained Ordinances
Nationwide (ASIN RA 8172 ordinance, promote year-round implementation of Executive Order
Law) Executive Order compliance with activities relevant activities Approved Annual
and/or agreement the law and regularly Budget
and/or a line item monitors the Local Nutrition
budget in the implementation Action Plan
Approved Annual including having Minutes of meeting
Budget which relevant discussions Accomplishment/
supports R.A. 8172 during C/MNC documentation
meetings and report
adjustments
2e Republic Act 8976: The LGU is aware The LGU has a The LGU has The LGU allocates The LGU has Resolutions
Philippine Food of the provisions of resolution, activities to budget for sustained Ordinances
Fortification Act RA 8976 ordinance, promote year-round implementation of Executive Order
Executive Order compliance with activities relevant activities Approved Annual
supports R.A. 8976 during C/MNC documentation
meetings and report
adjustments
2f Republic Act 11148 The LGU is aware The LGU has a The LGU has The LGU allocates The LGU has Resolutions
First 1000 Days Law of the provisions of resolution, activities to budget for sustained Ordinances
RA 11148 ordinance, promote year-round implementation of Executive Order
Executive Order compliance with activities relevant activities Approved Annual
supports R.A. during C/MNC documentation
11148 meetings and report
adjustments
2g DOH Administrative The LGU is aware The LGU has a The LGU has The LGU allocates The LGU has Resolutions
Orders: of provisions in resolution, activities to budget for sustained Ordinances
1. 2010-0010: either of the DOH ordinance, promote year-round implementation of Executive Order
Revised Policy on Administrative Executive Order compliance with activities relevant activities Approved Annual
Micronutrient Orders and/or agreement the law and regularly Budget
Supplementation and/or a line item monitors the Local Nutrition
2. 2008-029: budget in the implementation Action Plan
Implementing Health Approved Annual including having Minutes of meeting
Reforms for Rapid Budget which relevant discussions Accomplishment/
Reduction of supports either during C/MNC documentation
Maternal and DOH-AO 2010-0010 meetings and report
Neonatal Mortality or 2008-0029 adjustments
2h DepED Orders: The LGU is aware The LGU has a The LGU has The LGU allocates The LGU has Resolutions
1. 59-2 S. 2017 of provisions in resolution, activities to budget for sustained Ordinances
Weekly Folic Acid either of the DepED ordinance, promote year-round implementation of Executive Order
Supplementation for Issuances Executive Order compliance with activities relevant activities Approved Annual
Female Adolescents and/or agreement the law and regularly Budget
2. 39 S. 2017 and/or a line item monitors the Local Nutrition
Operational budget in the implementation Action Plan
Guidelines for Approved Annual including having Minutes of meeting
School-based Feeding Budget which relevant discussions DepED Reports
Program 3. 13 S. supports either of during C/MNC
2017 Policy and the issuances meetings and
Guidelines on Healthy adjustments
Food Choices in
Schools 4. 10-1 S.
2016 Policy
Guidelines for
Comprehensive
WASH in Schools
DepED Memo No.
223 S. 2016
Strengthening
Implementation of
Gulayan sa Paaralan
Project
2i NNC Governing The LGU is aware The LGU procured LGU uses height LGU uses verified LGU uses verified Resolutions
Board Resolutions of either NNC GB any type of height and length height and length height and length Ordinances
Nos. 1) 3 S.2012: Resolution No. 3 and length measuring tools of measuring tools of measuring tools of Executive Order
Approving the S.2018 or No. 3. measuring tools wooden/ wooden/ wooden/ Approved Annual
Guidelines on the S.2012 non-wood material non-wood material non-wood material Budget
Fabrication, as prescribed in the as prescribed in the as prescribed in the Local Nutrition
Verification, and guidelines guidelines and guidelines and Action Plan
Maintenance of available in at least available in all Minutes of meeting
Wooden Height 50% of the barangays Accomplishment/
Boards 2) 3 S.2018: barangays documentation
Approving the report
Guidelines on the
Selection of
Non-Wood Height
and Length
Measuring Tool
2j Salt Iodization The LGU is aware The LGU Relevant activities Relevant activities Sustained Resolutions
Advisory Board of the law and implements a are implemented at are implemented implementation of Ordinances
Resolution No.1 activities to one-time activity in least once a year year-round activities across Executive Order
series of 2018: implement the law support of the NSIP resulting to years with Approved Annual
Adopting the Strategic Plan increased increased Budget
Strategic Plan of the awareness of awareness and Local Nutrition
National Salt people actual use of Action Plan
Iodization Program iodized salt in Minutes of meeting
2018-2022 households and Accomplishment/
establishments documentation
report
2k NNC Governing The LGU is aware The LGU has a Nutrition Nutrition is in the The LGU monitors Resolutions
Board Resolution of the provisions on resolution, perspective is ELA, LDP and the implementation Ordinances
No.1 series of 2017: either NNC GB ordinance, evident in the ELA activities are of nutrition Executive Order
Approving and Resolution or DILG Executive Order and local budgeted activities funded by Approved Annual
Adopting the MC and/or agreement development plan responsive to the the LGU, through Budget
Philippine Plan of and/or a line and nutrition local nutrition regular C/MNC Local Nutrition
Action for Nutrition budget item in the activities are committee’s meetings, program Action Plan
2017-2022 Approved Annual funded through the assessment of the reviews with Minutes of meeting
Budget of agencies various offices situation activities Accomplishment/
DILG MC 2018-42 and nutrition office throughout the documentation
Adoption and which supports year by majority of report
Implementation of NNC GB res.1 s the members
PPAN 2017-2022 2017. And/or DILG
MC 2018-42
2l NNC Governing The LGU is not The LGU aware of The LGU has The updated LNAP The updated LNAP Resolutions
Board Resolution aware of the the provisions of formulated/ has been approved, has been approved, Ordinances
No.3 series of 2014: provisions in the the resolution updated their LNAP budgeted and being budgeted, Executive Order
Approving and resolution organized for the guided by the implemented implemented with a Approved Annual
Adopting the C/MNC provisions of the C/MNC review Budget
Guidelines on Local NNC Guidelines conducted Local Nutrition
Nutrition Planning Action Plan
Minutes of meeting
Accomplishment/
documentation
report
2m NNC Governing The LGU is aware The LGU has a The LGU has The LGU has The LGU has Resolutions
Board Resolution No. of the provisions of resolution, implemented implemented more implemented more Ordinances
6 series of 2012: the resolution ordinance, activities in support than 1 activity in than 2 activities in Executive Order
Adoption of the 2012 Executive Order of NNC GB res.6 s support of NNC GB support of NNC GB Approved Annual
Nutritional Guidelines and/or agreement 2012 res.6 s 2012 with res.6 s 2012 with Budget
for Filipinos in support to NNC multi-stakeholder multi-stakeholder Local Nutrition
GB res.6 s 2012 participation participation Action Plan
with a Minutes of meeting
corresponding plan Accomplishment/
for implementation documentation
report
2n NNC Governing The LGU is not The LGU provided The LGU conducts OPT Plus maintains The LGU maintains Resolutions
Board Resolution aware of provisions orientation to OPT Plus and uses a master list of an inventory of Ordinances
No.2 series of 2012: of NNC GB res.2 s nutrition workers weight and height children who are weight and height Executive Order
Approving the 2012. involved in OPT plus measuring wasted, stunted measuring Local Nutrition
Revised equipment and overweight and equipment and Action Plan
Implementing prescribed in the prevalence of allocates budget Approved Annual
Guidelines on OPT Plus various nutrition for maintenance Budget
Operation Timbang Implementing problems and and/or OPT Plus Report
Plus (OPT Plus) Guidelines utilizes data for replacement Masterlist of
planning and Beneficiaries
targeting of Inventory of
programs measuring
equipment
2o NNC Governing The LGU does not The LGU designated The LGU has issued Nutrition Cluster Nutrition Cluster Resolutions
Board Resolution No. have a resolution, the lead or focal a resolution has been formed has been formed Ordinances
2 series of 2009: ordinance, point for organizing the and NIEm Plan with clarified Executive Order
Adopting the Executive Order Nutrition-in- nutrition cluster in formulation relational link with Local Nutrition
National Policy on and/or agreement Emergencies the area or its initiated/completed the local DRRMC Action Plan
Nutrition on NNC GB res.2 s equivalent body during emergencies, NIEM Plan
Management in 2009. NIEm Plan Minutes of meeting
Emergencies and formulated and Accomplishment
Disasters clear fund source report/
documentation
report
1 2 3 4 5 EVIDENCE
3. GOVERNANCE AND ORGANIZATIONAL STRUCTURE
3a Presence of Local The LNC is The LNC is The LNC is The LNC is The LNC is Local Nutrition
Nutrition Committee organized but organized but does organized with the organized with the organized with full Action Plan
(LNC)* membership is not include all Local Chief Local Chief representation as Resolutions
limited to 3-4 member agencies Executive as Executive as stated in level 3 and Executive Order
agencies only of the NNC chairperson and is chairperson and is supported by a Organizational
Governing Board composed of LGU composed of LGU resolution Chart
(pursuant to PPAN counterparts of the counterparts of the indicating the
IG S.1981 and EO NNC Governing NNC Governing functions of each
234 S.1987) with Board member Board member member
LGU counterparts agencies agencies and
1. Office of the non-government
LCE organizations/
2. Health private sector/
3. Interior and people’s
Local Government organization
4. Agriculture
5. Social Welfare
and Development
6. Education
7. Planning and
Development
Budget
3b Functionality of the The LNC has met The LNC has met The LNC met at The LNC met at The LNC conducted Resolutions
Local Nutrition only once. twice for the year. least three times least three times quarterly meetings Ordinances
Committee and formulated and which included the Executive Order
LNAP is available funded the LNAP, following agenda: Local Nutrition
but no joint with updating on 1. OPT Plus results Action Plan
discussion on various nutrition 2. Local nutrition Approved Budget
progress and results projects during LNC planning and Minutes of meeting
of various meetings budgeting Functionality
programs 4. Resource checklist
generation PIR Documentation
5. Program report
Implementation
Review
3c Presence of Nutrition The LGU has There is a NAO The LGU has a The LGU has an The LGU has an Resolution
Office and Personnel designated a designate from one fulltime designate established established Executive Order
Nutrition Action of LGU offices, NAO working under separate nutrition nutrition office Local Nutrition
Officer (NAO) assisted by at least one of the LGU office with full time with full time NAO, Action Plan
without any staff to one staff offices with at least designate NAO, one more than one Organizational
provide assistance two support staff technical support technical staff and Chart
staff and one one support staff Approved Annual
support staff with with modest to full Budget
modest resource resource
complement for complement for
nutrition programs nutrition programs
3d Decision-making and The LNC is The LNC is The LNC meetings The LNC meetings LNC decisions are Minutes of meeting
Leadership of the convened only convened when are used to decide are used to decide made jointly by
Local Nutrition once for important important decisions on decisions and monitor members and LNC
Committee key program regarding the regarding planned progress on serves as clearing
decisions nutrition program activities with duly planned activities house for all
and other concerns signed with duly signed nutrition-related
on an adhoc basis documentation documentation matters including
emerging concerns

1 2 3 4 5 EVIDENCE
4. LOCAL NUTRITION COMMITTEE MANAGEMENT FUNCTIONS
4a Planning Local Nutrition LNAP exists in the LNAP is formulated LNAP is formulated A LNAP is Comprehensive
Action Plan is LGU and is by the members of by the members of formulated by the Development Plan
formulated but not formulated by the the LNC en banc the LNC en banc members of the Local Nutrition
signed nutrition action and updated at and updated once a LNC en banc and Action Plan
officer only least once within year updated twice a Minutes Meeting
the past three (3) year Accomplishment
years Report
Resolutions
Executive Order
4b LNC Mobilization Only 1-2 members Only 3-4 members All members of the All members of the All members of the Resolutions
of the LNC perform of the LNC LNC performs LNC performs LNC performs Executive Order
nutrition and performs nutrition nutrition and nutrition and nutrition and MOA with
nutrition-related and nutrition-related nutrition-related nutrition-related stakeholders
functions including nutrition-related functions and functions with functions with Documentation
attendance to LNC functions contributes support from the support from the report
activities resources to local peoples’ local peoples’ Minutes of the
activities organization who organization who Meeting
are non-LNC are non-LNC
members members and other
external partners
such as socio-civic
organizations,
international
organizations,
academic
institution
4c Advocacy for The LNC does not The LNC conducts The LNC regularly The LNC regularly The LNC regularly Local Nutrition
Nutrition Program conduct advocacy advocacy activities conducts advocacy conducts advocacy conducts advocacy Action Plan
and Nutrition activities for for nutrition and activities for activities for activities for Accomplishment
Workers nutrition and local local nutrition nutrition and local nutrition and local nutrition and local Report
nutrition workers workers to local nutrition workers nutrition workers nutrition workers Project/ Activity
decision makers to local decision to local and to local and Documentation
and legislators, but makers and national decision national decision Reports
on an ad hoc basis. legislators. makers and makers and
legislators./eij legislators and
external partners
4d Fund Source Not all LNAP The LNAP is funded The LNAP fund in The LNAP fund in The LNAP fund in Local Nutrition
activities are in the approved the approved the approved the approved Action Plan
funded annual LGU budget annual LGU budget annual LGU budget annual LGU budget Annual Investment
but limited to includes personnel includes personnel includes personnel Plan/ Approved
program budgets services, MOOE and services, MOOE and services, MOOE and Annual LGU Budget
program program with program with MOA with partners
additional support additional support Resolutions
in cash, kind or in cash, kind or
services from services from
community external partners
4e Interagency Progress of Monitoring and The LNC monitors The LNC monitors The LNC monitors Local Nutrition
Monitoring and implementation is evaluation of and evaluates the and evaluates the and evaluates the Action Plan
Evaluation only conducted at nutrition programs nutrition programs nutrition programs nutrition programs Monitoring/
midterm of the is conducted at least once a year at least once a year at least once a feedback report
PPAN period biannually and provides year, provides Documentation
feedback to the feedback and Report
city/ municipality or follows through the Minutes of Meeting
barangay recommendation in
monitored the succeeding
monitoring

1 2 3 4 5 EVIDENCE
5. NUTRITION INTERVENTION/ SERVICES
5a Infant and Young Child Feeding
Community-based health and nutrition support strengthening
1. Training on No nutrition Less than 70% of At least 70% of At least 85% of 100% of nutrition Local Nutrition
breastfeeding, counselor was nutrition workers nutrition workers nutrition workers workers trained on Action Plan
complementary trained on trained on trained on trained on breastfeeding, Accomplishment
feeding, relief breastfeeding, breastfeeding, breastfeeding, breastfeeding, complementary report
feeding, etc. complementary complementary complementary complementary feeding, relief Training report
feeding, relief feeding, relief feeding, relief feeding, relief feeding, etc. with Capacity map
feeding etc. feeding, etc. feeding, etc. feeding, etc. refresher as needed
2. Pool of trained Pool of trained Pool of trained Pool of trained Pool of trained Pool of trained Training report
mother -support nutrition counselor nutrition counselor nutrition counselor nutrition counselor nutrition counselor Capacity map
groups and established in less established in less established in at established in at established in all
counsellors for than 50% of than 70% of least 70% of least 85% of barangays and
lactating barangays barangays barangays barangays provided with
management, refresher course as
kangaroo mother necessary
care, growth
monitoring and
promotion,
complementary
feeding, early child
development and
acute malnutrition
for every barangay
established
Establishment of breastfeeding places in non-health establishments
3. Lactation stations The LGU does not The LGU has The LGU has The LGU has The LGU has (By ocular
established in have a lactation lactation stations in lactation station in lactation stations in lactation stations in inspection)
government facilities station in any of 1 or 2 of the the government several government any of the Documentation
such as major the areas government facility and public facilities and public government report
airports, sea ports, facilities places but not places, managed by facilities and public
public utility maintained personnel places, maintained,
passenger terminals, managed by
local government personnel and
offices and public accessible to the
places such as town public
plazas, public
markets, small shops
and multi-purpose
centers
Enforcement of Milk Code
4. 4th, 5th and 6th The LGU did not The LGU The LGU The LGU The LGU Resolution
class municipalities, establish a established a established and established and established and
independent monitoring and monitoring and implemented an implemented an implemented an Monitoring Report
chartered and reporting reporting integrated integrated integrated
component cities mechanisms of EO mechanisms of EO monitoring and monitoring and monitoring and
with established 51, RA 10028 and 51, RA 10028 and reporting reporting reporting
integrated other related other related mechanisms of EO mechanisms of EO mechanisms of EO
monitoring and issuances on IYCF issuances on IYCF 51, RA 10028 and 51, RA 10028 and 51, RA 10028 and
reporting other related other related other related
mechanisms of EO issuances on IYCF in issuances on IYCF in issuances on IYCF in
51, RA 10028 and 60% - 79% of the 80% - 99% of the 100% of the
other related barangays barangays barangays
issuances on IYCF in
every barangay
council for the
protection of
children
5b Philippine Integrated Management of Acute Malnutrition
Provision of services for SAM
5. Support to families The LGU provides The LGU provides The LGU provides The LGU provides The LGU provides Accomplishment/
with severely acute one-time support in intermittent periodic support in periodic support in periodic support in Documentation
malnourished cash or kind to support in cash or cash or kind to cash or kind for cash or kind for reports
children accessing families with kind to families families with medical needs of medical and other Masterlist of
Inpatient Therapeutic severely acute with severely acute severely acute severely acute needs of severely children with SAM
Care (ITC) and malnourished malnourished malnourished malnourished acute malnourished
Outpatient children accessing children accessing children accessing children accessing children accessing
Therapeutic Care ITC or OTC in any ITC or OTC in any ITC or OTC in any ITC or OTC in any ITC or OTC in any
(OTC) in hospitals and of the facilities of the facilities of the facilities of the facilities of the facilities
field health facilities
Building capacity of local implementers
6. Hospital and field The LGU have only The LGU have only The LGU have more The LGU have at The LGU have at Capacity map
health and nutrition one or hospital two hospital and/or than two hospital least 10% buffer of least 10% buffer of Training report
staff trained on the and/or field health field health and and field health and commodities and commodities and Documentation
appropriate and nutrition staff nutrition staff nutrition staff supplies and supplies and report
competencies to trained on the trained on the trained on the hospital and more hospital and more
identify, treat and management of management of management of than two field than two field
manage all forms of malnutrition and malnutrition and malnutrition and health and nutrition health and nutrition
malnutrition and delivery of nutrition delivery of nutrition delivery of nutrition staff trained on the staff including a
deliver quality services under services under services under management of physician trained
services both under routine health routine health routine health malnutrition and on the
routine health program and during program and during program and during delivery of nutrition management of
program and during emergencies emergencies emergencies services under malnutrition and
emergencies routine health delivery of nutrition
program and during services under
emergencies routine health
program and during
emergencies
7. Functional The LGU maintains The LGU has a The LGU has a The LGU has a The LGU has a Masterlist of
two-way referral a master list of two-way referral functional two-way functional two-way functional two-way children with SAM
system adopted children with system but caters referral system and referral system in referral system in Referral forms
severe acute to less than 50% of caters to at least at least 80% of more than 80% of
malnutrition but barangays with 50% of barangays barangays with barangays with
does not have a severe acute with severe acute severe acute severe acute
two-way referral malnutrition cases malnutrition cases malnutrition cases malnutrition cases
system
5c National Dietary Supplementation Program
Dietary supplementation of pregnant and lactating women
8. Nutritionally-at- The LGU does not The LGU has a The LGU has a The LGU has a The LGU has a NDSP Reports
risk pregnant women have a dietary dietary dietary dietary dietary
enrolled/ covered in supplementation supplementation supplementation supplementation supplementation
the dietary program for program for program for program for program for
supplementation pregnant and pregnant and pregnant and pregnant and pregnant and
program lactating women lactating women lactating women lactating women lactating women
but covers less than and covers at least and covers at least and covers more
80% of the target 80% of the target 80% of the target than 80% of the
for 90 days for 90 days target for 90 days
9. Health and The LGU provided The LGU provided The LGU provided The LGU provided The LGU provided Local Nutrition Action Plan
nutrition workers training on the training on the training on the training on the training on the Training report
capacitated on the management of management of management of management of management of Capacity map
management of dietary dietary dietary dietary dietary
dietary supplementation of supplementation of supplementation of supplementation of supplementation of
supplementation of pregnant women to pregnant women to pregnant women to pregnant women to pregnant women to
pregnant women less than 50% of less than 50% of at least 80% of at least 80% of more than 80% of
target health and target health and target health and target health and target health and
nutrition workers nutrition workers nutrition workers nutrition workers nutrition workers
but less than 80% and at least 80% and more than 80%
completed the completed the completed the
training training training
Dietary supplementation of infants and young children 6-23 months
10. Infants and young The LGU has a The LGU has a The LGU has a The LGU has a The LGU has a Local Nutrition
children 6-23 months dietary dietary dietary dietary dietary Action Plan
old enrolled in the supplementation supplementation supplementation supplementation supplementation Accomplishment/
dietary program for infants program for infants program for infants program for infants program for infants documentation
supplementation and young children and young children and young children and young children and young children report
program regardless 6-23 months old 6-23 months old 6-23 months old 6-23 months old 6-23 months old Masterlist of
of nutritional status but covers less than but covers less than and covers at least and covers at least and covers more children 6-23
50% of the target 80% of the target 80% of the target 80% of the target than 80% of the months
for less than 132 for 132 days target for 132 days
days
11. Health and The LGU provided The LGU provided The LGU provided The LGU provided The LGU provided Local Nutrition
nutrition workers training on the training on the training on the training on the training on the Action Plan
capacitated on the management of management of management of management of management of Training report
management of dietary dietary dietary dietary dietary Capacity map
dietary supplementation of supplementation of supplementation of supplementation of supplementation of
supplementation of infants and young infants and young infants and young infants and young infants and young
infants and young children 6-23 children 6-23 children 6-23 children 6-23 children 6-23
children 6-23 months months old to less months old to less months old to at months old to at months old to more
old including linkages than 80% of target than 80% of target least 80% of target least 80% of target than 80% of target
with services of other health and nutrition health and nutrition health and nutrition health and nutrition health and nutrition
programs e.g. workers workers workers but less workers and at workers and more
promotion of infant than 80% least 80% than 80%
and young child completed the completed the completed the
feeding, training training training
micronutrient
supplementation
Dietary supplementation of children in child development centers and supervised neighborhood play
12. Children in child The LGU is aware The LGU is aware The LGU provides The LGU provides The LGU provides Supplementary
development centers of the dietary of the dietary assistance in cash, assistance for the assistance for the feeding program
and supervised supplementation supplementation kind or services for dietary dietary report
neighborhood play program for program for the dietary supplementation supplementation Documentation
provided with dietary children in child children in child supplementation program for program for report
supplementation development development program for children in child children in child Minutes of LNC
centers and centers and children in child development development meeting
supervised supervised development centers and centers and Local Nutrition
neighborhood play neighborhood play centers and supervised supervised Action Plan
but does not and assists in supervised neighborhood play neighborhood play,
provide any form of disseminating neighborhood play and utilizes data in utilizes data in
assistance information about formulating program
the program programs for formulation and
preschool children monitors progress
of implementation
during Local
Nutrition
Committee meetings
Dietary supplementation of wasted school children
13. Support to the The LGU is aware The LGU is aware The LGU provides The LGU provides The LGU provides School-based
School-based Feeding of the of the support in cash, support to the support to the feeding program
Program (SBFP) School-based School-based kind or services to School-based School-based report
targeting children Feeding Program Feeding Program the School-based Feeding Program Feeding Program Documentation
from Kinder to Grade (SBFP) targeting (SBFP) targeting Feeding Program (SBFP) and utilizes (SBFP), utilizes data report
VI who are wasted children from children from (SBFP) data for for programs Minutes of LNC
Kinder to Grade VI Kinder to Grade VI formulation of formulation and meeting
who are wasted but who are wasted programs for monitors progress Local Nutrition
does not provide and provides school age children of program during Action Plan
any support assistance in Local Nutrition
disseminating Committee
information about meetings
the program
5d National Nutrition Promotion Program for Behavior Change*
5e Micronutrient Supplementation
14. Pregnant women Pregnant women Pregnant women Pregnant women Pregnant women Pregnant women FHSIS Report
provided with were provided with were provided with were provided with were provided with were provided with Master list of
iron-folic acid iron-folic acid iron-folic acid iron-folic acid iron-folic acid iron-folic acid pregnant women
covering less than covering less than covering at least covering more than covering more than receiving iron-folic
50% of the target 80% of the target 80% of the 80% of the target 90% of the target acid
target
15. Pregnant and Pregnant and Pregnant and Pregnant and Pregnant and Pregnant and FHSIS Report
lactating women in lactating women in lactating women in lactating women in lactating women in lactating women in Master list of
areas endemic to areas endemic to areas endemic to areas endemic to areas endemic to areas endemic to pregnant and
iodine deficiency iodine deficiency iodine deficiency iodine deficiency iodine deficiency iodine deficiency lactating women
provided with iodized were provided with were provided with were provided with were provided with were provided with receiving iodized oil
oil capsules* iodized oil capsules iodized oil capsules iodized oil capsules iodized oil capsules iodized oil capsules capsules
but covers less than but covers less than but covers at least and covers more and covers more
50% of the target 80% of the target than 80% of the than 80% of the than 90% of the
target target target
16. Vitamin A Vitamin A capsules Vitamin A capsules Vitamin A capsules Vitamin A capsules Vitamin A capsules FHSIS Report
capsules provided to were provided to were provided to were provided to were provided to were provided to Master list of
children 6 mos -5 children 6 mos -5 children 6 mos -5 children 6 mos -5 children 6 mos -5 children 6 mos -5 children 6 mos. to 5
years old years old but years old but years old twice in years old twice in years old twice in years receiving
averaging less than average coverage is the previous year the previous year the previous year vitamin A
60% for the two at least 60% of the and covers at least and covers 91% to and covers 100% of
supplementation target for the 90% of the target 99% of the target the target
periods supplementation
period
17. Micronutrient Micronutrient Micronutrient Micronutrient Micronutrient Micronutrient FHSIS Report

powder provided to powder provided to powder provided to powder provided to powder provided to powder provided to Master list of
young children 6-23 young children 6-23 young children 6-23 young children 6-23 young children 6-23 young children 6-23 children 6-23
months old months old but months old but months old and months old and months old and months receiving
covers less than covers less than covers at least 80% covers more than covers at more MNP
50% of the target 80% of the target of the target 80% of the target than 80% of the
with at least 80% target with more
compliance than 80%
compliance
18. Weekly provision Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid School-based
of iron-folic acid tablets provided to tablets provided tablets provided tablets provided tablets provided Weekly Iron Folic
tablets to adolescent less than 80% weekly to less than weekly to 100% of weekly to 100% of weekly to 100% of Acid
female learners in adolescent female 100% of adolescent adolescent female adolescent female adolescent female Supplementation
public schools learners in public female learners in learners in public learners in public learners in public Report
through Weekly Iron schools public schools schools for two schools for two schools for two LNC minutes of
Folic Acid (WIFA) cycles cycles and cycles, information meeting
Supplementation information on the on the benefits of
Program benefits of WIFA WIFA disseminated
disseminated among parents and
among parents Local Nutrition
Committee
provided updates
during LNC
meetings
19. Weekly Iron Folic Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid FHSIS Report
Acid (WIFA) provided tablets not tablets provided tablets provided tablets provided tablets provided Master list of
to adolescent provided to less weekly to less than weekly to at least weekly to more weekly to 100% of adolescents
females in Grade 7 to than 50% of 80% of adolescent 80% of adolescent than 80% of adolescent females receiving WIFA
10 from private adolescent females females through females through adolescent females through Barangay
schools, through Barangay Barangay Health Barangay Health through Barangay Health Stations for
out-of-school Health Stations Stations Stations for two Health Stations for two cycles
adolescent females cycles two cycles for two
and women aged cycles
10-49 years not
covered by WIFA in
public schools
5f Mandatory Food Fortification
20. Retail outlets Less than 50% of Less than 75% of At least 75% of the More than 75% of Consistently above Local Nutrition
selling iodized salt retail outlets not retail outlets selling retail outlets selling retail stores selling 90% of retail stores Action Plan
selling iodized salt iodized salt iodized salt adequately iodized selling adequately Master list of retail
salt iodized salt outlets selling
iodized salt
21. Bakery owners Less than 50% of Less than 75% of At least 75% of the More than 75% of Consistently above Local Nutrition
using vitamin A the bakery owners the bakery owners bakery owners are bakery owners are 90% of bakery Action Plan
fortified flour are using vitamin A are using vitamin A using vitamin A using vitamin A owners are using Master list of
fortified flour in fortified flour in fortified flour in fortified flour in vitamin A fortified bakeries using
baked products baked products baked products/eij baked products flour in baked fortified flour
products
22. Establishments Less than 50% of Less than 75% of At least 75% of More than 75% of Consistently above Local Nutrition
selling vitamin A selling vitamin A vitamin A fortified establishments establishments 90% of the Action Plan
fortified cooking oil fortified cooking oil cooking oil selling vitamin A selling vitamin A establishments Master list of
fortified cooking oil fortified cooking oil selling vitamin A markets selling
fortified cooking oil vitamin A fortified
cooking oil
5g Nutrition in Emergencies Program
23. NiEm Plan NiEm Plan NiEm Plan was NiEm Plan was NiEm Plan was NiEm Plan was Local Nutrition
integration in the developed but not developed and developed and developed, developed, Action Plan
DRRM-H plan and integrated in the integrated to the integrated to the integrated to the integrated to the Local DRRM Plan
Local DRRM Plan Local Nutrition Local Nutrition Local Nutrition Local Nutrition Local Nutrition Comprehensive
Action Plan Action Plan but not Action Plan, Action Plan, Action Plan, Development Plan
integrated to the DRRM-H plan and DRRM-H plan and DRRM-H plan and
DRRM-H plan and Local DRRM Plan Local DRRM Plan Local DRRM Plan,
Local DRRM Plan and implemented implemented and
reviewed
24. Staff trained and Personnel provided Less than 80% of At least 80% of Personnel trained Personnel trained Local Nutrition
capacitated on NiEm with NiEM target number of target number of on NiEm and on NiEm and Action Plan
and information materials but not personnel trained personnel trained information information Training report
management trained on NiEm on NiEm and on NiEm and management management Capacity Map
and information information information deployed and deployed and
management management management covered at least covered at more
80% of target 80% of target
25. Key supplies Key supplies Key supplies Key supplies Key supplies Key supplies NIEM Plan
stockpiled, available but not stockpiled or stockpiled or stockpiled or stockpiled or Inventory of
pre-positioned and pre-positioned pre-positioned but pre-positioned and pre-positioned and pre-positioned and nutrition supplies
mobilized per NIEM when needed less than the 10% within the required within the required within the required and commodities
Strategic Plan buffer stock of the 10% buffer stock of 10% buffer stock of 10% buffer stock of
2017-2022 when total quantity of the total quantity the total quantity the total quantity
needed commodities of commodities of commodities of commodities
a. Tents available at the available at the available at the available at the
b. Vitamin A RHU (Vitamin A, RHU (Vitamin A, RHU (Vitamin A, RHU (Vitamin A,
(100,000) and Micronutrient Micronutrient Micronutrient Micronutrient
200,000 IU) Powder, Iron-Folic Powder, Iron-Folic Powder, Iron-Folic Powder, Iron-Folic
c. Micronutrient Acid) Acid) Acid). Nutrition Acid). Nutrition
Powders assessment tools assessment tools,
d. Iron-Folic Acid and equipment also equipment and
e. Nutrition IEC available breastfeeding kit
materials also available
f. MUAC Tapes
g. Weighing scales
h. CGS reference
tables
i. Height boards
j. Ready-to-Use
Therapeutic Food
k. Ready-to-Use
Supplementary Food
l. Antibiotics,
deworming tablets
Breastfeeding kits
(bag, feeding cup
with cover, food
container with spoon
and fork, 1L glass
tumbler with cover,
IEC materials, birth
registration form
5h Overweight and Obesity Management and Prevention Program
26. Activities on the LGU conducted LGU conducted LGU conducted LGU conducted LGU conducted Local Nutrition
promotion of healthy only one activity on more than one more than one more than one more than one Action Plan
lifestyle (physical the promotion of activity on the activity on the activity on the activity on the Approved Annual
activity and healthy healthy lifestyle promotion of promotion of promotion of promotion of budget
eating) included in and not included in healthy lifestyle healthy lifestyle healthy lifestyle healthy lifestyle Accomplishment
the LGU budget the approved LGU and not included in included in the including including report/
budget the approved LGU approved LGU monitoring and monitoring and documentation
budget budget with allocation in with allocation in report
the approved LGU the approved LGU
budget budget and budget
from external
partners
27. IEC materials on IEC materials on LGU developed/ LGU developed/ LGU developed/ LGU developed/ Local Nutrition
healthy lifestyle healthy lifestyle distributed IEC distributed IEC distributed IEC distributed IEC Action Plan
developed and/or available at the materials on materials on materials on materials on Accomplishment
distributed LGU but not healthy lifestyle to healthy lifestyle to healthy lifestyle to healthy lifestyle to report
distributed to less than 80% of at least 80% of the more than 80% of 100% of the target Inventory of IEC
target population the target target the target materials
IEC materials
5i Nutrition-Sensitive Programs
NS Programs to increase income and improve economic access to food
28. Households with LGU does not LGU provides less LGU provides at LGU provides more LGU provides 100% Local Nutrition
nutritionally provide households than 80% of least 80% of than 80% of of households with Action Plan
vulnerable or with nutritionally households with households with households with nutritionally Accomplishment/
affected provided vulnerable or nutritionally nutritionally nutritionally vulnerable or Documentation
with livelihood affected with vulnerable or vulnerable or vulnerable or affected with report
opportunities livelihood affected with affected with affected with livelihood Master list of
opportunities livelihood livelihood livelihood opportunities beneficiaries
opportunities opportunities opportunities
NS Programs to improve physical access to food
29. Gulayan sa Less than 80% of At least 80% of 100% of schools 100% of the 100% of the Local Nutrition
Paaralan established the schools schools maintain a established a schools maintain a schools maintain a Action Plan
and maintained in maintain a Gulayan Gulayan sa Gulayan sa Gulayan sa Gulayan sa GPP reports
schools sa Paaralan Paaralan Paaralan with Paaralan with Paaralan during
produce used for produced used for school days and
the School-based School-based during summer with
feeding Program feeding Program produced used for
School-based
feeding Program
30. Households with LGU provide inputs LGU provide inputs LGU provide inputs LGU provide inputs LGU provide inputs Local Nutrition
nutritionally for home gardening for home gardening for home gardening for home gardening including seeds Action Plan
vulnerable or to less than 80% of to at least 80% of to more than 80% to 100% of contributing to any Accomplishment/
affected provided households with households with of households with households with two of the documentation
with inputs for home nutritionally nutritionally nutritionally nutritionally nutrients: reports
gardening vulnerable or vulnerable or vulnerable or vulnerable or carbohydrates, Master list of
affected affected affected affected protein and vitamin beneficiaries
A or iron to 100%
of households with
nutritionally
vulnerable or
affected
NS Programs to improve access to safe drinking water and sanitary toilet facilities
31. Households with LGU ensures that LGU ensures that LGU ensures that at LGU ensures that LGU ensures that Local Nutrition
nutritionally less than 50% of less than 75% of least 75% more than 75% of 100% of Action Plan
vulnerable or the households households households households households Accomplishment
affected provided with nutritionally especially those especially those especially those especially those report
with access to safe vulnerable or with nutritionally with nutritionally with nutritionally with nutritionally OPT Plus Family
drinking water affected are vulnerable or vulnerable or vulnerable or vulnerable or Profile
provided with affected are affected are affected are affected are
access to safe provided with provided with provided with provided with
drinking water access to safe access to safe access to safe access to safe
drinking water drinking water drinking water drinking water
32. Households with LGU ensures that LGU ensures that LGU ensures that at LGU ensures more LGU ensures that Local Nutrition
nutritionally less than 50% of less than 75% of least 75% of than 75% 100% of Action Plan
vulnerable or households households households households households Accomplishment
affected provided especially those especially those especially those especially those especially those report
with access to with nutritionally with nutritionally with nutritionally with nutritionally with nutritionally OPT Plus Family
sanitary toilet vulnerable or vulnerable or vulnerable or vulnerable or vulnerable or Profile
facilities affected provided affected provided affected provided affected provided affected provided Master list of
with access to with access to with access to with access to with access to household with
sanitary toilet sanitary toilet sanitary toilet sanitary toilet sanitary toilet access to sanitary
facilities facilities facilities facilities facilities toilets
33. Schools provided Schools implement Schools implement Schools Schools Schools DepED WinS
with access to safe less than 5 of the at least the 5 implementing the implementing the implementing the Reports
water, adequate crucial indicators crucial indicators WinS was given a WinS was given a WinS was given a
toilets, handwashing for the for the one-star rating two-star rating three-star rating
facilities through the implementation of implementation of based on the based on the based on the
WASH in Schools the WinS program the WinS program DepED WinS Three DepED WinS Three DepED WinS Three
(WinS) program/eij 1. Safe drinking Star Approach Star Approach Star Approach
water
2. At least one set
of gender
segregated toilets
3. Group
handwashing
facility with soap
4. Group
handwashing
activities
5. Access to
sanitary pads within
the school
NS Programs to prevent teen-age pregnancy
34. Adolescent LGU does not LGU implements LGU implements LGU implements LGU implements
Health Development implement the the Adolescent the Adolescent the Adolescent the Adolescent
Program Adolescent Health Health Health Health Health
implemented Development Development Development Development Development
Program Program but covers Program and covers Program and covers Program and covers
less than 80% of at least 80% of the more than 80% of 100% of the targets
the targets only targets the targets
5j Local Initiatives (e.g. The LGU does not The LGU The LGU The LGU The LGU Local Nutrition
Research, have a local implements at least implements more implements and implements, Action Plan
Development of initiative one (1) local than one local monitors more monitors and Project/ Activity
learning sites) initiative initiative than one local sustains more than Documentation
initiative one local initiative Reports
35. Local initiative 1

MELLPI PRO FORM CM: CITY/MUNICIPALITY PROFILE SHEET
City/Municipality Province Income Class
TOTAL POPULATION NO. OF HOUSEHOLDS NO. OF BARANGAYS
2022 Population 0-59 mos Pregnant Lactating

No. of households with Estimated
access to safe water Actual
No. of households with Nutritional Status of Preschool Children (0 - 59 months)

sanitary toilets <yr> <yr> <yr>
Normal
No. of Day Care Centers Underweight
Severely Underweight
No. of public elementary Overweight
schools
Normal
No. of public secondary Wasted
schools Severely Wasted
Overweight
No. of Barangay Health Obese
Stations
Normal
No. of retail outlets/ Stunted
sari-sari stores Severely Stunted
Tall
No. of bakeries
Nutritional Status of School Children
No. of public markets Normal
Wasted
No. of transport Severely Wasted
terminals Overweight
Obese
Percent of nutritionally at-risk
pregnant women Nutritional Status of Pregnant Women
Normal
Percent of lactating mothers Nutritionally at-risk
exclusively breastfeeding Overweight
until the 5th month Obese
18 IDD Prevalence Pregnant Total No. of Barangay

Nutrition Scholars New Existing
IDD Prevalence Lactating
Terrain
Hazards (Type/ Month) LGU/ Households affected Land Use Classification Land Area Bgy Covered Remarks
Residential
Commercial
Industrial
Agricultural
Forest land, Mineral land, National Park
INTERVENTIONS WITH ACTION LINES FROM NGA/ NEW STANDARDS
Intervention Type Source Available Date No./ Volume Remarks

NGA/LGU/NGO/Private Received Y/N No. of Pax
I. Philippine Integrated
Managements of Acute
Malnutrition
6,7 1. Capacity building of local Training

implementors
5 2. Outpatient Therapeutic Facility
Center
II. National Dietary

Suppplementation Program
8,9 1. Pregnant Women Dietary Supplementation only
10,11 2. Children 6-23 months Dietary Supplementation only
III. Micronutrient Supplementation
1. Iron-Folic Acid
17 Supplementation for Commodity
Pregnant Women
2. Vitamin A
children 6-11 months
3. Vitamin A
children 12-59 months
21 4. Micronutrient Powder
for children 6-23 months Commodity
MELLPI Pro C/M 24 of 83

22 5. Weekly Iron-Folic Acid
Supplementation for Commodity
female adolescents in
public schools Parent's Consent
23 6. Weekly Iron-Folic Acid

Supplementation for
female adolescents in Commodity
outside the public school
system
IV. Mandatory Food Fortification

24 1. Retail outlets selling Saktong Iodine sa Asin (SISA) Seal
adequately iodized salt
27,28,29 V. Nutrition-in-Emergencies
1. NiEM Plan integrated in Training

the Local Disaster Risk
Reduction Management Plan

MELLPI PRO FORM CM 1a: CITY/ MUNICIPALITY NUTRITION MONITORING
PERFORMANCE LEVEL DOCUMENT REMARKS/

ELEMENTS RATING
1 2 3 4 5 SOURCE EVIDENCE
1a Presence and A vision mission A vision mission The vision mission The vision mission The vision mission Local Nutrition
knowledge of vision statement for statement for statement for statement for statement for Action Plan
mission statement nutrition was nutrition was nutrition program nutrition program nutrition program Minutes of Meeting
formulated but not formulated and exists and exists and exists and Documentation of
reflected in the reflected in the disseminated to disseminated to disseminated to dissemination
Local Nutrition Local Nutrition LNC members LNC members and LNC members,
Action Plan Action Plan other stakeholders stakeholders and
to the barangays

ELEMENTS RATING
1b Presence of Nutrition-related Nutrition-related PPAN-related PPAN-related Nutrition outcomes Comprehensive
nutrition-related PAP is integrated in PAP are PAP are integrated objectives are included in the Development Plan
concerns in the one of the sectoral integrated in at least three of included in more overall success
Comprehensive plans in the in at least two of the sectoral plans than indicators of the
Development Plan Comprehensive the sectoral plans three of the Comprehensive
Development Plan in the sectoral plans Development Plan
Comprehensive
Development
Plan
1c Presence of At least one At least two At least three At least four More than four Annual Investment
nutrition-related nutrition-related nutrition-related PPAN-related PPAN-related PPAN-related Program
concerns in the PAP integrated in PAP integrated in PAP integrated in PAP and/or PS for PAP and PS for
Annual Investment the Annual the Annual the Annual nutrition integrated nutrition integrated
Program Investment Investment Investment Program in in
Program Program the Annual the Annual
Investment Investment
Program Program


1 2 3 4 5 EVIDENCE
2a Adoption, Local Nutrition Action The LGU passed a The LGU passed a The PAPs in the Local The PAPs in the Local Resolutions
implementation and Plan formulated resolution adopting the resolution adopting Nutrition Action Plan Nutrition Action Plan are Local Nutrition
monitoring of Local Nutrition Action the Local Nutrition are implemented and implemented and Action Plan
Local Nutrition Plan Action Plans and accomplishments are accomplishments are Approved Annual
Action Plan allocating funds reported during LNC reported during LNC Budget
thereof meetings once a year meetings at least twice a PPAN
year Accomplishment
Report
Minutes of meeting
2b Adoption of newly The LNC maintains a The law was discussed in The LNC The LNC implemented The LGU passed a Minutes of meetings
passed national/ printed/ electronic one of the Local implemented activities to resolution/ordinance Resolution
sectoral policies copy of RA 11148 Nutrition Committee activities to disseminate related to RA 11148 Documentation of
meetings during the year disseminate provisions of the law dissemination
Republic Act 11148 evaluated provisions of the to the Barangay activities
Kalusugan at law to the Nutrition
Nutrisyon ng Barangay Nutrition Committees
Mag-Nanay Act of Scholars
2019

1 2 3 4 5 EVIDENCE
2c Republic Act 11037 The LNC maintains a The law was discussed in The LNC The LNC implemented The LGU passed a Copy of the law
Masustansyang printed/ electronic one of the Local implemented activities to resolution/ordinance Minutes of meetings
Pagkain Para sa copy of RA 11037 Nutrition Committee activities to disseminate related to RA 11037 Resolution
Batang Pilipino meetings during the year disseminate provisions of the law Documentation of
evaluated provisions of the to the Barangay dissemination
law to the Nutrition activities
Barangay Nutrition Committees
Scholars
2d Adoption, The LNC maintains a The LGU has a The LGU conducted The LGU conducted The LGU conducted Copy of the law
implementation and printed/ electronic resolution/ ordinance/ activities to activities to monitor activities to promote Resolution/
monitoring of copy of EO 51 Executive Order and/or a promote compliance to EO 51 and monitor compliance Ordinance
national/ sectoral line item in the compliance to EO to EO 51 and follow Local Nutrition
nutrition policies Approved Annual Budget 51 through activities for Action Plan
on EO 51 - related facilities not compliant Approved Annual
Executive Order 51: concerns with EO 51 Budget
National Code of Documentation of
Marketing Breastmilk promotion,
Substitutes, monitoring and
Breastmilk follow through
Supplements and activities conducted
Other Related for EO 51
Products

1 2 3 4 5 EVIDENCE
2e Republic Act 10028: The LNC maintains a The LGU has a The LGU conducted The LGU has The LGU conducted Copy of the law
Expanded printed/ electronic resolution/ ordinance/ activities to institutionalized activities to monitor Resolution/
Breastfeeding copy of RA 10028 and Executive Order and/or a promote compliance to the law compliance of Ordinance
Promotion Act of DILG MC 2011-54 line item in the compliance to RA through issuance of establishments to RA Local Nutrition
2009 Approved Annual Budget 10028 local policy, budget 10028 Action Plan
on RA 10028 - related allocation and Approved Annual
DILG Memorandum concerns relevant facilities Budget
Circular 2011-54 Documentation of
Implementation and promotion and
Monitoring of the monitoring
National Masterlist of
Breastfeeding Policy establishments/
offices with
lactation stations
2f Republic Act 8172: An The LNC maintains a The LNC has a The LNC The LNC conducted The LNC conducted Copy of the law
Act for Salt Iodization printed/ electronic resolution/ ordinance conducted activities activities to monitor activities to monitor Resolution/
Nationwide (ASIN copy of RA 8172 and/or a line item in the to promote compliance to RA compliance to RA 8172 Ordinance
Law) Approved Annual Budget compliance to the 8172 and maintains an Local Nutrition
on RA 8172 - related law updated masterlist of Action Plan
concerns retail stores selling Documentation of
iodized salt promotion and
monitoring
Masterlist of
retail stores selling
iodized salt

1 2 3 4 5 EVIDENCE
2g Republic Act 8976: The LNC maintains a The LNC has a The LGU has The LNC conducted The LNC conducted Copy of the law
Philippine Food printed/ electronic resolution/ ordinance activities to activities to monitor activities to monitor Resolution/
Fortification Act copy of RA 8976 and/or a line item in the promote compliance to RA compliance to RA 8976 Ordinance
Approved Annual Budget compliance with the 8976 and maintains an Local Nutrition
on RA 8976 - related law updated masterlist of Action Plan
concerns retail stores selling Approved Annual
fortified food Budget
Documentation of
promotion and
monitoring
Masterlist of
retail stores selling
fortified foods
2h NNC Governing The LNC maintains a The activities in the The activities in the The LNC monitors The LNC discuss the Resolutions
Board Resolution printed/ electronic Local Nutrition Action Local Nutrition implementation of the result of monitoring and Ordinances
No.1 series of 2017: copy of NNC GB Plan are aligned with the Action Plan aligned activities aligned with identify action lines to Local Nutrition
Approving and Resolution No. 1 priorities of the PPAN with the priorities the PPAN priorities in improve Action Plan
Adopting the S.2017 and/or DILG 2017-2022 of the PPAN 2017- the Local Nutrition implementation of the Approved Annual
Philippine Plan of MC 2018-42 2022 are allocated Action Plan activities aligned with Budget
Action for Nutrition with budget based PPAN priorities Minutes of meeting
2017-2022 on the approved Minutes of meeting
annual budget Accomplishment/
DILG MC 2018-42 Documentation
Adoption and reports
Implementation of
PPAN 2017-2022

1 2 3 4 5 EVIDENCE
2i NNC Governing The LNC maintains a The LNAP was The LGU has The updated LNAP The updated LNAP Local Nutrition
Board Resolution printed/ electronic formulated but not in formulated/ has been approved, has been approved, Action Plan
No.3 series of 2014: copy of NNC GB accordance to guidelines updated their LNAP budgeted and being budgeted, Approved Annual
Approving and Resolution No. 3 guided by the implemented implemented and Budget
Adopting the S.2014 provisions of the monitored by the LNC Accomplishment
Guidelines on Local NNC Guidelines Report
Nutrition Planning
2j NNC Governing The LNC maintains a The LGU has available LGU uses height LGU uses verified LGU uses verified Local Nutrition
Board Resolutions printed/ electronic height and length and length height and length height and length Action Plan
Nos. 1) 3 S.2012: copy of NNC NNC GB measuring tools of any measuring tools of measuring tools of measuring tools of Inventory of height
Approving the Resolutions No.3 type wooden/ non-wood wooden/ non-wood wooden/ non-wood boards per barangay
Guidelines on the S.2012 and No.3 S. material as material as prescribed material as prescribed in
Fabrication, 2018 prescribed in the in the the guidelines and
Verification, and guidelines guidelines and available in all
Maintenance of available in at least barangays
Wooden Height 50% of the barangays
Boards 2) 3 S.2018:
Approving the
Guidelines on the
Selection of
Non-Wood Height
and Length
Measuring Tool
2k NNC Governing The LNC maintains a The LNC through the The LNC through The LNC through the In addition to the OPT Plus Report
Board Resolution printed/ electronic health and/or nutrition the health and/or health and/or parameters in Level 4, Minutes of Meeting
No.2 series of 2012: copy of NNC NNC GB office provides nutrition office nutrition office OPT Plus data is utilized Local Nutrition
Approving the Resolution No. 2 orientation to Barangay provide orientation, provide orientation, in the formulation of the Action Plan
Revised S.2012 Nutrition Scholars on monitors and monitors and local nutrition action Documentation of
Implementing Operation Timbang supervises the supervises the plan condut of orientation
Guidelines on (OPT) Plus before the conduct of OPT Plus conduct of OPT Plus and OPT Plus
Operation Timbang conduct of OPT Plus and prepares the
Plus (OPT Plus) consolidated OPT Plus
data of the LGU

1 2 3 4 5 EVIDENCE
2l NNC Governing The LNC maintains a PAPs to implement the The LGU The LGU implemented The LGU implemented Local Nutrition
Board Resolution No. printed/ electronic resolution included in implemented at more than one activity more than one activity Action Plan
6 series of 2012: copy of NNC NNC GB the Local Nutrition least one activity with multi- with multi-stakeholder Accomplishment
Adoption of the 2012 Resolution No. 6 Action Plan with stakeholder participation to promote Report
Nutritional Guidelines S.2012 multi-stakeholder participation to the NGF and used more Documentation of
for Filipinos participation to promote the NGF and than one type of media activities
promote the NGF used at least one type as platform
of media as platform
2m NNC Governing The LNC maintains a The LGU designated The LGU has issued Nutrition Cluster Nutrition Cluster has Resolution
Board Resolution No. printed/ electronic the lead or focal a resolution has been formed been formed and Nutrition-in-
2 series of 2009: copy of NNC NNC GB point for Nutrition-in- organizing the and NIEm Plan integrated in the Local Emergencies Plan
Adopting the National Resolution No. 2 Emergencies nutrition cluster in formulation Disaster Risk Reduction Approved budget
Policy on Nutrition S.2009 the area initiated/completed and Management
Management in Council with budget
Emergencies and allocation
Disasters


ELEMENTS RATING
3a Presence of Local The LNC is The LNC is The LNC is The LNC is The LNC is Local Nutrition LCE,INTERAGENCY
Nutrition Committee organized but organized but does organized with the organized with the organized with full Action Plan AND Private
(LNC) membership is not include all Local Chief Local Chief representation as Resolutions organizations
limited to 3-4 member agencies Executive as Executive as stated in level 4 Organizational included.Roles and
agencies only of the NNC chairperson and is chairperson and is and supported by a Chart Functions available.
Governing Board composed of LGU composed of LGU resolution (*RESOLUTION-
with LGU counterparts of the counterparts of the indicating the E.O #45 S. 2022-
counterparts NNC Governing NNC Governing functions of each REORGANIZING
1. Office of the LCE Board member Board member member THE CITY
2. Health agencies agencies and non- NUTRITION
3. Interior and government COMMITTEE)
Local Government organizations/
4. Agriculture private sector/
5. Social Welfare people’s 5
6. Education organization
7. Planning and
Development
8. Budget

ELEMENTS RATING
3b Presence of Nutrition The LGU has The LGU has a The LGU The LGU The LGU Resolution (*Complied but no
Office and Personnel designated a designate established established a established a Local Nutrition document to
Nutrition Action NAO working a nutrition nutrition office nutrition office Action Plan support criteria)
Officer (NAO) under one of the office with a with a designate with designate full Organizational
without staff LGU offices with at designate NAO, NAO, more time NAO, more Chart
complement least two support one technical than one technical than one technical Approved Annual
staff support staff and staff and one staff and one Budget
one support staff support staff with support staff with
with modest modest to full modest to full
resource resource resource
complement for complement for complement for
nutrition programs nutrition programs nutrition programs
3c Decision-making and The LNC is The LNC is The LNC The LNC are The LNC are Minutes of MoM, CNAP and
Leadership of the convened only convened more are convened at convened at least convened at least meeting Accomplishment
Local Nutrition once for the than once to least twice to: three times to four times to Local Nutrition Report Available
Committee conduct of one disseminate 1. Disseminate discuss the PAPs in accomplish Action Plan
nutrition- nutrition-related nutrition-related the local nutrition activites in level 4 Accomplishment
related information information action plan and discuss Report
activity 2. Formulate the progress of 5
Local Nutrition implementation
Action Plan


ELEMENTS RATING
4a Nutrition Assessment Operation Operation OPT Plus reports in OPT Plus and Nutrition situation Consolidated OPT
Timbang Plus Timbang Plus Level 2 and school school weighing prepared and used Plus reports
reports for the year reports for the year weighing reports reports in Level 3 in the formulation School weighing
evaluated available evaluated available available used to prepare of the Local reports
but not and consolidated nutrition situation Nutrition Action Nutrition Situation
consolidated using using the e-OPT report Plan Local Nutrition
the e-OPT tool tool Action Plan
4b Planning Local Nutrition LNAP is formulated LNAP formulated LNAP formulated PPAN priorities in Local Nutrition
Action Plan is and adopted and adopted in Level 3 is the three year LNAP Action Plan
formulated but not through a through a reviewed and is integrated in the Resolutions
adopted through a resolution with resolution with updated at least Comprehensive Minutes of Meeting
resolution allocation of funds allocation of fund once a year Development Plan Comprehensive
adopts a three year Development Plan
format

ELEMENTS RATING
4c Resource Generation The budget for the The PAPs in the The budget for The LNAP fund in The LNAP fund in Local Nutrition
and Mobilization LNAP is limited to LNAP are LNAP in the the approved LGU the approved LGU Action Plan
sectoral budgets in integrated in the approved LGU budget includes budget includes Annual Investment
the approved LGU Annual Investment budget includes personnel services, personnel services, Program
budget Program personnel services, MOOE and program MOOE and program Approved Annual
MOOE and with additional with additional LGU Budget
program resources from at resources from Summary of
least one partner more than one Income and
organizations/ partner Expenditures
institutions organizations/
institutions
LNAP budget LNAP budget LNAP budget LNAP budget LNAP budget
integrated in the integrated in the integrated in the integrated in the AIP integrated in the AIP
AIP is less than 1% AIP is at least 1% of AIP is more than is at least 5% of the is more than 5% of
of the LGU budget the LGU budget 1% but less than LGU budget the LGU budget
5% of the LGU
budget
Less than 70% of At least 70% of the At least 90% of the More than 90% of 100% of the LNAP
LNAP budget in the LNAP budget in the LNAP budget in the the LNAP budget in budget in the AIP
AIP utilized AIP utilized AIP utilized the AIP utilized utilized
4d Service Delivery Less than 50% of More than 50% of At least 80% of the More than 80% of 100% of the Local Nutrition
the malnourished the malnourished malnourished are the malnourished malnourished are Action Plan
are targeted in are targeted in targeted in delivery are targeted in targeted in delivery Masterlist of
delivery of delivery of of applicable locally delivery of applicable locally malnourished
applicable locally applicable locally funded nutrition of applicable locally funded children
funded nutrition funded nutrition programs funded nutrition programs Masterlist of
programs programs nutrition programs beneficiaries

ELEMENTS RATING
4e Monitoring and Progress of Monitoring Interagency Interagency Monitoring Local Nutrition

Evaluation implementation is conducted and monitoring monitoring conducted as in Action Plan
only conducted at documented but conducted and conducted, Level 4 and PIR Accomplishment
midterm of the not interagency at documented at documented and conducted at least Report
PPAN period least once a year least once a year semestral once a year Monitoring report
monitoring reports PIR Documentation
disseminated to LNC Report
members at Minutes of Meeting
least once a year
4f Capacity building Local Nutrition Local NAO trained Local NAO and at Local NAO and at Local NAO and at Training
Action Officer on NPM and least one member/ least one member/ least one member/ Certificates
1. Local Nutrition oriented on Training of Trainors secretariat of the secretariat of the secretariat of the Documentation
Action Officers and Nutrition Program on the Basic Course Local Nutrition LNC trained on LNC trained on report
Local Nutrition Management for BNS Committee trained NPM, TOT Basic NPM, TOT Basic
Committee members (NPM) on NPM and TOT Course for BNS and Course for BNS and
Basic Course local NAO provided local NAO provided
with at least one with more than one
nutrition-related nutrition-related
training/ conference training/conference
for continuing for continuing
education at least education at least
once a year once a year

ELEMENTS RATING
2. Barangay Nutrition Local Nutrition LNC conducts/ LNC conducts/ Local Nutrition Local Nutrition
Scholars and Committee facilitates training facilitates training Committee Committee
Barangay Nutrition conducts on Basic Course for in Level 2 and conducts/ conducts/ facilitates
Committees orientation BNS for new BNSs Barangay Nutrition facilitates trainings trainings in Level 3
program for BNS at least once in two Action Plan in Level 3 and and supports more
years Formulation supports at least than one nutrition-
Training for new one nutrition- related training/
BNSs and new related training/ fora for continuing
members of the fora for continuing education of BNSs
Barangay Nutrition education of BNSs at least once a year
Committee at least at least once a year
once in two years

PERFORMANCE LEVEL
ELEMENTS DOCUMENT SOURCE RATING REMARKS/ EVIDENCE
1 2 3 4 5
5a Infant and Young Child Feeding
0
Community-based health and nutrition support strengthening ###
1. Training on Less than three At least three pax More than three Trained health and Trained health and Local Nutrition Action Plan
breastfeeding, health or nutrition health or nutrition pax health or nutrition workers nutrition workers Accomplishment
complementary worker trained on worker trained nutrition worker conducted roll out conducted roll out report
feeding breastfeeding, on breastfeeding, trained trainings trainings and Training report
complementary complementary on breastfeeding, provided with Capacity map
feeding (e.g. Idol feeding (e.g. Idol Ko complementary refresher course
Ko si Nanay) si Nanay) feeding (e.g. Idol Ko every three years
si Nanay)
0
0
2. Percent of Less than 50% of More than 50% of At least 80% of At least 90% of At least 100% of Local Nutrition Action Plan
barangays trained on target barangays target barangays target barangays target barangays target barangays Accomplishment
breastfeeding, covered in the covered in the covered in the covered in the covered in the report
complementary training on training on training on training on training on Training report
feeding breastfeeding and breastfeeding and breastfeeding and breastfeeding and breastfeeding and Capacity map
complementary complementary complementary complementary complementary
feeding in the least feeding in the least feeding in the least feeding in the last feeding in the last
three years three years three years three years three years

PERFORMANCE LEVEL
1 2 3 4 5
3. Pool of trained Number of trained Pool of trained Pool of trained Pool of trained Pool of trained Training report
mother -support nutrition counselor nutrition counselor nutrition counselor nutrition counselor nutrition counselor Capacity map
groups and per barangay established in less established in at established in more established in all
counsellors for available than 80% of least 80% of than 80% of barangays
lactating barangays barangays barangays
management,
kangaroo mother
care, growth
monitoring and
promotion,
complementary
feeding, early child
development and
acute malnutrition
for every barangay
established
Establishment of breastfeeding places in non-health establishments
4. Lactation stations At least one At least one The LGU has at The LGU has at The LGU has more (By ocular Will change in 2023
established in lactation station lactation station least one least one than one inspection using RA 10028
government facilities within the LGU within the LGU lactation station DOH-certified DOH-certified specs)
such as major but not based on based on the based on the lactation station lactation station DOH certification
airports, sea ports, the specification in specification in specifications in located in located in Records of maintenance
public utility RA 10028 RA 10028 RA 111028 located government government facilities Records of use
passenger terminals, in government facilities and/or and/or public place
local government facilities and/or public place and and maintained and
offices and public public place and maintained and accessible to the
places such as town maintained and accessible to the public
plazas, public accessible to the public
markets, and multi- public
purpose centers
Enforcement of Milk Code

PERFORMANCE LEVEL
1 2 3 4 5
5. City/ Municipality City/ Municipal EO 51 Monitoring EO 51 Monitoring EO 51 Monitoring EO 51 Monitoring Resolution

with established staff mobilized for team organized team organized team organized team organized EO 51 Monitoring Report
monitoring and monitoring supported by a supported by a supported by a Documentation report
reporting compliance to EO resolution or resolution or resolution or Minutes of meeting
mechanisms of EO 51 51 Exectuive Order Exectuive Order Exectuive Order with
with reporting reporting mechanism
mechanism and actions taken on
violations reported as
necessary
5b Philippine Integrated Management of Acute Malnutrition

0.00
Provision of services for Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM)
Building capacity of local implementers

PERFORMANCE LEVEL
1 2 3 4 5
1 6. Hospital and field The LGU have only The LGU have two The LGU have three The LGU have four The LGU have more Capacity map
health and nutrition one or hospital hospital and/or hospital and/or hospital staff than four hospital Training report
staff trained on the and/or field health field health and field health and and/or field health staff and/or field Documentation
appropriate and nutrition staff nutrition staff nutrition staff nutrition staff health nutrition staff report
competencies to trained on the trained on the trained on the trained on the trained on the
identify, treat and management of management of management of management of management of
manage all forms of malnutrition and malnutrition and malnutrition and malnutrition and malnutrition and
malnutrition and delivery of nutrition delivery of nutrition delivery of nutrition delivery of nutrition delivery of nutrition
deliver quality services under services under services under services under services under
services both under routine health routine health routine health routine health routine health
routine health program and program and program and program and program and during
program and during during emergencies during emergencies during emergencies during emergencies emergencies
emergencies
1 7. Functional The LGU only The LGU conducts The LGU conducts The LGU conducts The LGU conducts Masterlist of Will change in 2023
service delivery maintains a active case finding active case finding active case finding active case finding of children with SAM
network (SDN) master list of of SAM and MAM of SAM and MAM of SAM and MAM SAM and MAM cases, Referral forms
system adopted children with cases cases and refers cases, refers cases refers cases to the
severe and cases to the to the appropriate appropriate facility
moderate acute appropriate facility facility for PIMAM for PIMAM and
malnutrition for PIMAM and monitors the monitors the
progress of the progress of the SAM
SAM and MAM and MAM cases
cases enrolled but enrolled and reports
not reported monthly
monthly

PERFORMANCE LEVEL
1 2 3 4 5
5c National Dietary Supplementation Program
0
Dietary supplementation of pregnant and lactating women
1 8. Nutritionally-at- The LGU monitors The LGU The LGU The LGU The LGU implements Local Nutrition Action Plan
risk pregnant women the nutritional implements the implements the implements the the dietary Accomplishment report
enrolled/ covered in status of all dietary dietary dietary supplementation Documentation report
the dietary pregnant women supplementation supplementation supplementation program and covers Report on nutritional status
supplementation program and program and program and 100% of the target of pregnant women
program covers less than covers at least 90% covers more than pregnant women for
90% of the target of the target 90% of the target 90 days
pregnant women pregnant women pregnant women
for 90 days for 90 days
0
0

PERFORMANCE LEVEL
1 2 3 4 5
Dietary supplementation of infants and young children 6-23 months
1 9. Infants and young The LGU monitors The LGU The LGU The LGU The LGU implements Local Nutrition Action Plan
children 6-23 months the nutritional implements the implements the implements the the dietary Accomplishment report
old enrolled in the status of all infants dietary dietary dietary supplementation Documentation report
dietary and young children supplementation supplementation supplementation program and covers Report on nutritional status
supplementation 6-23 months old program and program and program and 100% of the target 6- of children 6-23 months old
program covers less than covers at least 90% covers more than 23 months old
90% of the target of the target 6-23 90% of the target children for 90-120
6-23 months old months old 6-23 months old days
children children for 90-120 children for 90-120
days days

PERFORMANCE LEVEL
1 2 3 4 5
Dietary supplementation of children in child development centers
0 10. Children in child Children in child Children in child Children in child Children in child Children in child Minutes of meeting Not included in the
development centers development development development development development centers Nutrition Situation proposed revisions but
and supervised centers provided centers provided centers provided centers provided provided with dietary Local Nutrition Action Plan cited the parameters as
neighborhood play with dietary with dietary with dietary with dietary supplementation and Supplementary Feeding reason for low
provided with dietary supplementation supplementation supplementation supplementation at least 95% of Report performance since the
supplementation and less than 80% and at least 80% of and at least 90% of wasted children in Plan Implementation parameters are not
of wasted children wasted children in wasted children in child development Report reflected in reports
in child child development child development centers with
development centers with centers with improved nutritional
centers with improved improved status
improved nutritional status nutritional status
nutritional status

PERFORMANCE LEVEL
1 2 3 4 5
Dietary supplementation of wasted school children
0 11. Children in public Children in public Children in public Children in public Children in public Children in public Minutes of meeting Not included in the
schools with wasted schools with schools with schools with schools with schools with wasted Nutrition Situation proposed revisions but
nutritional status wasted nutritional wasted nutritional wasted nutritional wasted nutritional nutritional status Local Nutrition Action Plan cited the parameters as
(Kinder to Grade VI) status (Kinder to status (Kinder to status (Kinder to status (Kinder to (Kinder to Grade VI) School-based Feeding reason for low
provided with dietary Grade VI) provided Grade VI) provided Grade VI) provided Grade VI) provided provided with dietary Report performance since the
supplementation with dietary with dietary with dietary with dietary supplementation Plan Implementation parameters are not
through the School- supplementation supplementation supplementation supplementation through the School- Review Report reflected in reports
based Feeding through the School- through the School- through the School- through the School- based Feeding with
Program (SBFP) based Feeding based Feeding with based Feeding with based Feeding with at least 95% of the
Program (SBFP) less than 80% of at least 80% of the at least 90% of the wasted school
the wasted school wasted school wasted school children with
children with children with children with improved nutritional
improved improved improved status
nutritional status nutritional status nutritional status

PERFORMANCE LEVEL
1 2 3 4 5
5d National Nutrition Promotion Program for Behavior Change
0.00
12. Nutrition Nutrition Nutrition Nutrition Nutrition Nutrition Local Nutrition Action Plan Parameters organized
promotion activities promotion promotion promotion promotion promotion Documentation reports by target population
for behavior change activities targeting activities targeting activities targeting activities targeting activities targeting Nutrition learning modules
conducted for children conducted children and children and children and children and Sectoral accomplishments
population groups adolescents adolescents and adolescents, adolescents,
conducted pregnant and pregnant and pregnant and
lactating women lactating women lactating women,
conducted and senior citizens senior citizens and
and PWDs PWDs and other
conducted population groups/
sectors conducted
13. Nutrition Nutrition Nutrition Nutrition Nutrition Nutrition Local Nutrition Action Plan Parameters organized
promotion activities promotion promotion promotion promotion promotion Documentation reports by nutrition promotion
for behavior change activities integrated activities activities activities activities conducted Nutrition learning modules activities conducted
conducted and IEC in at least one conducted and conducted and conducted and and integrated in Sectoral accomplishments
materials sectoral activities integrated in at integrated in at integrated in more more than two
disseminated least one sectoral least two sectoral than two sectoral sectoral activities and
activity activities and at activities and at at least three types of
least one type of least two types of IEC materials
IEC materials IEC materials disseminated
disseminated disseminated

PERFORMANCE LEVEL
1 2 3 4 5
14. Nutrition Activities in Activities in Activities in Activities in Activities in Local Nutrition Action Plan
promotion for celebration of the celebration of celebration of celebration of celebration of Documentation reports
behavior change National Nutrition National Nutrition National Nutrition National Nutrition National Nutrition IEC materials
activities for the Month conducted Month conducted Month conducted Month conducted Month conducted by
public conducted by the LGU by the LGU and by the LGU, public by the LGU, public the LGU, public
schools schools and child schools and child schools and child
development development development centers
centers centers and and other
activities to organizations,
promote the activities to promote
Nutritional the Nutritional
Guidelines for Guidelines for
Filipinos conducted Filipinos and in
by the LGU celebration of
Breastfeeding
Awareness Month
and/or Food
Fortification Day
conducted by the
LGU
5e Micronutrient Supplementation
0.00
1 15. Pregnant women Iron-folic acid was Pregnant women Pregnant women Pregnant women Pregnant women FHSIS Report
provided with iron- prescribed to were provided with were provided with were provided with were provided with Iron-folic acid
folic acid pregnant women iron-folic acid iron-folic acid iron-folic acid iron-folic acid supplementation coverage
but not provided covering less than covering at least covering more than covering 100% of the by barangay
90% of the target 90% of the target 90% of the target target for 180 days
for 180 days for 180 days
0
0

PERFORMANCE LEVEL
1 2 3 4 5
1 16. Vitamin A Vitamin A was One dose of One dose of One dose of One dose of vitamin FHSIS Report
provided to children prescribed to vitamin A provided vitamin A provided vitamin A provided A provided to 100% Vitamin A supplementation
6-11 months old children 6-11 to less than 90% of to at least 90% of to more than 90% of children 6-11 coverage by barangay
months but not children 6-11 children 6-11 of children 6-11 months old
provided months old months old months old
1 17. Vitamin A Vitamin A was Two doses of Two doses of Two doses of Two doses of vitamin FHSIS Report
capsules provided to prescribed to vitamin A provided vitamin A provided vitamin A provided A provided 100% of Vitamin A supplementation
children 12-59 children 12-59 to less than 90% of to at least 90% of more than 90% of children 12-59 coverage by barangay
months old months old but not children 12-59 children 12-59 children 12-59 months old
provided months old months old months old
1 18. Micronutrient Micronutrient Micronutrient Micronutrient Micronutrient Micronutrient FHSIS Report

powder provided to powder was powder provided to powder provided to powder provided to powder provided to MNP coverage by barangay
young children 6-23 prescribed to young children 6-23 young children 6-23 young children 6-23 young children 6-23
months old young months old but months old and months old and months old and
children 6-23 covers less than covers at least 90% covers more than covers 100% of the
months old but not 90% of the target of the target 90% of the target target
provided

PERFORMANCE LEVEL
1 2 3 4 5
0 19. Weekly provision Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid School-based
of iron-folic acid tablets prescribed tablets provided tablets provided tablets provided tablets provided Weekly Iron Folic
tablets to adolescent to adolescent weekly to less than weekly to 100% of weekly to 100% of weekly to 100% of Acid
female learners in female learners in 100% of adolescent adolescent female adolescent female adolescent female Supplementation
public schools public schools but female learners in learners in public learners in public learners in public Report
through Weekly Iron not provided public schools with schools with schools with schools for two LNC minutes of
Folic Acid (WIFA) parents consent parents consent for parents consent for cycles, information meeting
Supplementation two cycles two cycles and on the benefits of
Program information on the WIFA disseminated
benefits of WIFA among parents and
disseminated updates shared to
among parents Local Nutrition
Committee
...IF('LGU Profile
1 20. Weekly Iron Folic Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid Iron-folic acid FHSIS Report
Acid (WIFA) provided tablets prescribed tablets provided tablets provided tablets provided tablets provided WIFA coverage by barangay
to adolescent to adolescent weekly to less than weekly to at least weekly to more weekly to 100% of
females in Grade 7 to females outside the 90% of target 90% of target than 90% of target target adolescent
10 from private public school adolescent females adolescent females adolescent females females through
schools, out-of- system but not through Barangay through Barangay through Barangay Barangay Health
school adolescent provided Health Stations Health Stations Health Stations Stations
females and women
aged 10-49 years not
covered by WIFA in
public schools

PERFORMANCE LEVEL
1 2 3 4 5
5f Mandatory Food Fortification
0.00
1 21. Retail outlets The LGU monitors Less than 90% of At least 90% of the At least 90% of the More than 90% of Local Nutrition
selling iodized salt retail outlets selling retail outlets selling retail outlets selling retail stores selling retail stores selling Action Plan
table salt iodized salt iodized salt adequately iodized adequately iodized Master list of retail
salt salt outlets selling
iodized salt
0
0
1 22. Bakery owners The LGU monitors Less than 90% of At least 90% of the More than 90% of 100% of bakery Local Nutrition
using vitamin A the type of flour the bakery owners bakery owners are bakery owners are owners are using Action Plan
fortified flour the bakeries use are using vitamin A using vitamin A using vitamin A vitamin A fortified Master list of
fortified flour in fortified flour in fortified flour flour in baked bakeries using
baked products baked products inbaked products products fortified flour
1 26. Retail stores The LGU monitors Less than 90% of At least 90% of More than 90% of 100% of the retail Local Nutrition
selling vitamin A retail stores selling the retail stores the retail stores the retail stores stores selling vitamin Action Plan
fortified cooking oil cooking oil selling vitamin A selling vitamin A selling vitamin A A fortified cooking oil Master list of
fortified cooking oil fortified cooking oil fortified cooking oil markets selling
vitamin A fortified
cooking oil

PERFORMANCE LEVEL
1 2 3 4 5
5g Nutrition in Emergencies Program
0.00
1 23. NiEm Plan NiEm Plan NiEm Plan NiEm Plan NiEm Plan NiEm Plan NiEm Plan
integration in the developed but not developed and developed and developed, developed, developed,
DRRM-H plan and/or integrated in the integrated to the integrated to the integrated to the integrated to the integrated to the
Local DRRM Plan Local Nutrition Local Nutrition Local Nutrition Local Nutrition Local Nutrition Local Nutrition
Action Plan Action Plan but not Action Plan, Action Plan, Action Plan, Action Plan,
integrated to the DRRM-H plan DRRM-H plan DRRM-H plan and/or DRRM-H plan and/or
DRRM-H plan and/or Local DRRM and/or Local DRRM Local DRRM Plan, Local DRRM Plan,
and/or Local DRRM Plan Plan and implemented and implemented and
Plan implemented reviewed reviewed
0
0
1 24. Staff trained and Personnel provided Less than 50% of At least 50% of More than 50% of NiEm trained Local Nutrition
capacitated on NiEm with NiEM target number of target number of the target number personnel provided Action Plan
and information materials but not personnel trained personnel trained of personnel with updates every Training report
management trained on NiEm on NiEm on NiEm personnel trained three years or as Capacity Map
on NiEm and necessary
deployed, as
necessary

PERFORMANCE LEVEL
1 2 3 4 5
1 25. Key supplies Key supplies Key supplies Key supplies Key supplies Key supplies Key supplies
stockpiled, available but not stockpiled or stockpiled or stockpiled or stockpiled or stockpiled or
pre-positioned and pre-positioned pre-positioned but pre-positioned and pre-positioned and pre-positioned and pre-positioned and
mobilized per NIEM when needed less than the within the required within the required within the required within the required
Strategic Plan 2017- required buffer buffer stock of the buffer stock of the buffer stock of the buffer stock of
2022 when needed: stock of the total total quantity of total quantity of total quantity of the total quantity
a. Vitamin A quantity of commodities commodities commodities of commodities
(100,000) and commodities available at the available at the available at the RHU available at the
200,000 IU) available at the RHU (Vitamin A, RHU (Vitamin A, (Vitamin A, RHU (Vitamin A,
b. Micronutrient RHU (Vitamin A, Micronutrient Micronutrient Micronutrient Micronutrient
Powders Micronutrient Powder, Iron-Folic Powder, Iron-Folic Powder, Iron-Folic Powder, Iron-Folic
c. Iron-Folic Acid Powder, Iron-Folic Acid) Acid). Prescribed Acid). Prescribed Acid). Prescribed
d. Nutrition IEC Acid) nutrition nutrition assessment nutrition
materials assessment tools tools, equipment and assessment tools,
e. MUAC Tapes (as and equipment also breastfeeding kits equipment, breastfeeding
available) available also available kits and nutrition IEC
f. Weighing scales materials also available
g. CGS reference also available
tables
h. Height boards
i. Ready-to-Use
Therapeutic Food (As
necessary)
j. Ready-to-Use
Supplementary Food
(As necessary)
k. Breastfeeding kits
(nursing cover, bag,
feeding cup with
cover, food container
with spoon and fork,
1L glass tumbler with
cover)
and fork, 1L glass
tumbler with cover,
IEC materials, birth
registration form

PERFORMANCE LEVEL
1 2 3 4 5
5h Overweight and Obesity Management and Prevention Program
0.00
26. Activities Information Information Information Information In addition to the Documentation report
promoting healthy dissemination on dissemination on dissemination, dissemination, parameters in Level IEC materials
diets and active Pinggang Pinoy and Pinggan Pinoy and distribution of IEC distribution of IEC 4, the LGU Resolution
lifestyle for healthy diet for active lifestyle materials and other materials and formulated policies in Ocular inspection of safe,
preschool children preschool children conducted and IEC activities conduct of other support of promotion open spaces and play
conducted conducted materials for conducted to activities to of healthy diets and areas for children
Pinggang Pinoy for promote Pinggang promote Pinggang active lifestyle and
preschool children Pinoy and active Pinoy and active built/ maintains safe
reproduced and lifestyle lifestyle open spaces and play
distributed implemented and implemented and areas for children
covered at least covered more than
50% of preschool 50% of preschool
#REF!

PERFORMANCE LEVEL
1 2 3 4 5
27. Activities Information Information Information Information In addition to the Documentation report
promoting healthy dissemination on dissemination on dissemination, dissemination, parameters in Level IEC materials
diets and active Pinggang Pinoy and Pinggan Pinoy and distribution of IEC distribution of IEC 4, the LGU Resolution
lifestyle for healthy diet for active lifestyle materials and other materials and formulated policies in Ocular inspection of safe,
school children school children conducted and IEC activities conduct of other support of promotion open spaces and play
conducted conducted materials for conducted to activities to of healthy diets and areas for children
Pinggang Pinoy for promote Pinggang promote Pinggang active lifestyle and
school children Pinoy and active Pinoy and active built/ maintains safe
reproduced and lifestyle lifestyle open spaces and play
distributed implemented and implemented and areas for children
covered at least covered more than
50% of school 50% of school
children children
28. Activities Information Information Information In addition to the In addition to the Documentation report
promoting proper dissemination on dissemination on dissemination, parameters in parameters in Level IEC materials
diet and healthy Pinggan Pinoy and Pinggan Pinoy and distribution of IEC Level 3, promotion 4, the LGU built/ Resolution
lifestyle among healthy lifestyle healthy lifestyle materials and other of proper diet and maintains safe open Ocular inspection of safe,
adolescents among adolescents conducted and IEC activities healthy lifestyle is spaces for outdoor open spaces for outdoor
conducted conducted materials for conducted to supported by a physical activities physical activities
Pinggang Pinoy for promote Pinggang policy
adolescents Pinoy and active
reproduced and lifestyle among
distributed adolescents

PERFORMANCE LEVEL
1 2 3 4 5
29. Activities Information Information Information In addition to the In addition to the Documentation report
promoting proper dissemination on dissemination on dissemination, parameters in parameters in Level IEC materials
diet and healthy Pinggan Pinoy and Pinggan Pinoy and distribution of IEC Level 3, promotion 4, the LGU built/ Resolution
lifestyle for the healthy lifestyle for healthy lifestyle materials and other of proper diet and maintains safe open Ocular inspection of safe
general public the general public conducted and IEC activities healthy lifestyle is indoor/outdoor spaces for indoor/outdoor
conducted conducted materials for conducted to supported by a physical activities physical activities
Pinggang Pinoy for promote Pinggang policy
general public Pinoy and active
reproduced and lifestyle
distributed
5i Nutrition-Sensitive Programs
0.00
NS Programs to increase income and improve economic access to food
30. Eligible LGU provides less LGU provides less LGU provides at LGU provides more LGU provides more Local Nutrition Action Plan
households with than 30% of eligible than 50% of eligible least 50% of than 50% of eligible than 80% of eligible Documentation Report
nutritionally households with households with eligible households households with households with Masterlist of beneficiaries
vulnerable or nutritionally nutritionally with nutritionally nutritionally nutritionally
affected provided vulnerable or vulnerable or vulnerable or vulnerable or vulnerable or
with seed capital affected provided affected provided affected provided affected provided affected provided
assistance for with seed capital/ with seed capital/ with seed capital/ with seed capital/ with seed capital/
livelihood material assistance material assistance material assistance material assistance material assistance
for livelihood for livelihood and market- and market- and market-linkages
linkages linkages

PERFORMANCE LEVEL
1 2 3 4 5
31. Eligible LGU provides less LGU provides less LGU provides at LGU provides more LGU provides more Local Nutrition Action Plan
households with than 30% of eligible than 50% of eligible least 50% of than 50% of eligible than 80% of eligible Documentation Report
nutritionally households with households with eligible households households with households with Masterlist of beneficiaries
vulnerable or nutritionally nutritionally with nutritionally nutritionally nutritionally
affected provided vulnerable or vulnerable or vulnerable or vulnerable or vulnerable or
with livelihood affected with affected with affected provided affected provided affected provided
training livelihood training livelihood training with livelihood with livelihood with livelihood
training and training and training and industry-
industry-linkages industry-linkages linkages
0
0
NS Programs to improve physical access to food
32. Gulayan sa Member of the Member of the C/MNC uses the C/MNC conducts C/MNC participates Minutes of meeting
Paaralan established local nutrition local nutrition data in data monitoring of in the monitoring of Nutrition Situation
and maintained in committee from committee from identification of the Gulayan sa the Gulayan sa Local Nutrition Action Plan
schools DepED provides DepED shares data PAPs in the local Paaralan Project to Paaralan Project and Documentation Report
updates on the to the local nutrition action monitor the provides
Gulayan sa nutrition plan to sustainability and recommendations to
Paaralan Project committee and complement the utility of the project the school officials
during local used in the Gulayan sa in improving the based on the
nutrition preparation of the Paaralan Project nutritional status of monitoring results
committee nutrition situation school children
meeting/s

PERFORMANCE LEVEL
1 2 3 4 5
33. Households with LGU provides LGU provides LGU provides LGU provides LGU provides Local Nutrition
nutritionally technical assistance technical assistance technical assistance technical assistance technical assistance Action Plan
vulnerable or on vegetable and inputs for and inputs for and inputs for and inputs for Accomplishment Reports
affected provided gardening to vegetable vegetable vegetable vegetable Masterlist of beneficiaries
with inputs for households with gardening to at less gardening to at gardening to more gardening to 100% of
vegetable gardening nutritionally than 80% of least 80% of than 80% of households with
vulnerable or households with households with households with nutritionally
affected nutritionally nutritionally nutritionally vulnerable or
vulnerable or vulnerable or vulnerable or affected
affected affected affected
NS Programs to improve access to safe drinking water and sanitary toilet facilities
34. Households have The LGU Less than 90% of At least 90% of More than 90% of 100% of households Local Nutrition Action Plan
access to safe conducts data households have households have households have have access to Documentation report
drinking water monitoring of the access to safe access to safe access to safe safe drinking water Monitoring report
percent of drinking water drinking water and drinking water and and LGU conducts OPT Plus Family Profile
households in LGU conducts LGU conducts water-testing of Sanitary Inspector Testing
municipalities/ water-testing of water-testing of vulnerable areas as Report
cities with access to vulnerable areas as vulnerable areas as prescribed Report of no. of
safe drinking water prescribed prescribed households with access to
safe drinking water by
barangay
35. Households have The LGU Less than 90% of At least 90% of More than 90% of 100% of households Local Nutrition Action Plan
access to conducts data households have households have households have households have Documentation report
sanitary toilet monitoring of the access to sanitary access to sanitary access to sanitary access to sanitary Monitoring report
facilities percent of toilet facilities toilet facilities toilet facilities toilet facilities OPT Plus Family Profile
households in Report of no. of
municipalities/ households with access to
cities with access to sanitary toilet facilities by
safe drinking water barangay
facilities List of barangays with ZOD
certification

PERFORMANCE LEVEL
1 2 3 4 5
36. Schools provided Member of the Member of the C/MNC uses the C/MNC conducts C/MNC conducts Minutes of meeting
with access to safe local nutrition local nutrition data in data monitoring of data monitoring of Nutrition Situation
water, adequate committee from committee from identification of the access to safe WASH in Schools or Local Nutrition Action Plan
toilets, handwashing DepED provides DepED shares data PAPs in the local drinking water, participates in Documentation Report
facilities through the updates on the to the local nutrition action access to functional monitoring schools
WASH in Schools WASH in Schools nutrition plan to toilets and access for the WinS Program
(WinS) program Program during committee and complement the to handwashing and provides
local nutrition used in the WASH in Schools facilities in relation recommendations to
committee preparation of the Program to the nutritional the school officials
meeting/s nutrition situation status of school based on the
children monitoring results
NS Programs to prevent teen-age pregnancy
37. Reproductive The LGU conducts The LGU conducts The LGU conducts In addition to the In addition to the Provincial Nutrition Action
health programs for information information information parameters in Level parameters in Level Plan
adolescents dissemination dissemination dissemination 3, the LGU also 4, the LGU also Documentation Report
implemented activities on activities on activities, data provides policy provides established/ Resolution
teenage pregnancy teenage pregnancy monitoring by support for the maintains/ operates Ocular inspection of Teen
for adolescents and conducts data barangay and Adolescent Health the facilities for Center
monitoring on assists in the Development adolescents (Teen Certificate of Operation of
teenage pregnancy provision of Program Centers) Teen Center
by barangay services for
adolescents (e.g.
counseling)

MELLPI Pro FORM CM 1b: SUMMARY OF CITY/ MUNICIPALITY NUTRITION MONITORING
DIMENSION 1: VISION AND MISSION
ELEMENTS PERFORMANCE LEVEL CURRENT RATING
1a. Presence and knowledge

0.00 0.00
of vision-mission statement
1b. Presence of nutrition-related concerns in the Comprehensive

0.00 0.00
Development Plan
1c. Presence of nutrition-related concerns in the Annual

0.00 0.00
Investment Program
PERFORMANCE RATING 0.00
DIMENSION 2: NUTRITION LAWS AND POLICIES
2a. Adoption, implementation and monitoring of local

0.00 0.00
nutrition action plan
2b. Republic Act 11148 Kalusugan at Nutrisyon ng Mag-Nanay

0.00 0.00
Act 2019
2c. Republic Act 11037 Masustansyang Pagkain para sa Batang

0.00 0.00
Pilipino
2d. Executive Order 51 Marketing of Breastmilk Substitutes

0.00 0.00
2e. Republic Act 10028 Expanded Breastfeeding Promotion Act

0.00 0.00
of 2009
2f. Republic Act 8172 An Act for Salt Iodization Nationwide

0.00 0.00
2g. Republic Act 8676 Philippine Food Fortification Act of 2003

0.00 0.00
2h. NNC Governing Board Resolution No. 1 S. 2017 Approving

and Adopting the Philippine Plan of Action for Nutrition 2017 - 0.00 0.00
2022
2i. NNC Governing Board Resolution No. 3 S. 2014 Approving and

0.00 0.00
Adopting the Guidelines on Local Nutrition Planning
2j. NNC Governing Board Resolutions Nos. 1)

3 S.2012: Approving the Guidelines on the Fabrication,
Verification, and Maintenance of Wooden Height Boards 0.00 0.00
2) 3 S.2018: Approving the Guidelines on the Selection of Non-

Wood Height and Length Measuring Tool
2k. NNC Governing Board Resolution No. 2 S. 2012 Approving the

0.00 0.00
Revised Implementing Guidelines on Operation Timbang Plus
2l. NNC Governing Board Resolution No.6 series of 2012:

0.00 0.00
Adoption of the 2012 Nutritional Guidelines for Filipinos
2m. NNC Governing Board Resolution No. 2 series of 2009:

Adopting the National Policy on Nutrition Management in 0.00 0.00
Emergencies and Disasters

DIMENSION 3: GOVERNANCE AND ORGANIZATIONAL STRUCTURE
3a. Presence of Local Nutrition

5.00 100.00
Committee (LNC)
3b. Presence of Nutrition Office

0.00 0.00
and Personnel
3c. Decision-making and Leadership

5.00 100.00
of the Local Nutrition Committee
DIMENSION 4: LOCAL NUTRITION COMMITTEE MANAGEMENT FUNCTIONS
4a. Nutrition Assessment 0.00 0.00
4b. Planning 0.00 0.00
4c. Resource Generation and Mobilization 0.00 0.00
4d. Service Delivery 0.00 0.00
4e. Monitoring and Evaluation 0.00 0.00
4f. Capacity building 0.00 0.00
DIMENSION 5: NUTRITION INTERVENTIONS/SERVICES
1
5a. Infant and Young Child Feeding 0.00 0.00
5b. Philippine Integrated Management of Acute Malnutrition 1

0.00 0.00
1
5c. National Dietary Supplementation Program 0.00 0.00
5d. National Nutrition Promotion for Behavior Change 1

0.00 0.00
5e. Micronutrient Supplementation 1

0.00 0.00
5f. Mandatory Food Fortification 1

0.00 0.00
5g. Nutrition in Emergencies Program 1

0.00 0.00
5h. Overweight and Obesity Management and Prevention 1

0.00 0.00
Program
5i. Nutrition-Sensitive Programs 1

0.00 0.00

0.00
CM-1c Diagram for City/ Municipality Nutrition Monitoring
1. Vision and Mission

100.0
50.0
5. Nutrition Intervention/Services 2. Nutrition Laws and Policies
0.0
4. Local Nutrition Committee Management Functions 3. Governance and Organizational Structure
TARGET RATING
PERFORMANCE RATING
TARGET
DIMENSION RATING PERFORMANCE RATING
1. Vision and Mission 100.0 0.00
2. Nutrition Laws and Policies 100.0 0.00
3. Governance and Organizational Structure 100.0 66.67
4. Local Nutrition Committee Management Functions 100.0 0.00
5. Nutrition Intervention/Services 100.0 0.00
TOTAL RATING 100.0 13.33
REMARKS

MELLPI Pro FORM CM 2a: CHANGES IN THE NUTRITIONAL STATUS
City/Municipality
Date of Monitoring
PERFORMANCE LEVEL
ELEMENTS
0 1 2
1 Prevalence of Prevalence is Prevalence is Prevalence is
underweight within very high within high level within the middle
children level of public of public health to upper limit of
0-59 months health significance significance (10 to medium level of
(>15%) in the year <15%) in the year public health
evaluated evaluated significance (7.5 to
<10%) in the year
evaluated

stunted children within very high within high level within the middle
0-59 months level of public of public health to upper limit of
health significance significance (20 to medium level of
evaluated evaluated significance (15 to
<20%) in the year
evaluated

wasted children within very high within high level within the middle
0-59 months level of public of public health to upper limit of
health significance significance (10 to medium level of
<10%) in the year
evaluated
overweight and within very high within high level within the middle
obese children level of public of public health to upper limit of
0-59 months health significance significance (10 to medium level of
<10%) in the year
evaluated
5 Prevalence of Increased No change in Decreased

wasted school prevalence from prevalence from prevalence from
children the year evaluated the year the year evaluated
and the year prior evaluated and the and the year prior
to it year prior to it to it

overweight and prevalence from prevalence from prevalence from
obese school the year evaluated the year the year evaluated
children and the year prior evaluated and the and the year prior

nutritionally at-risk prevalence from prevalence from prevalence from
pregnant women the year evaluated the year the year evaluated
and the year prior evaluated and the and the year prior
8 Operation Timbang Operation Timbang Operation Operation Timbang

Plus coverage Plus coverage is Timbang Plus Plus coverage is at
<60% in the year coverage is <80% least 80% in the
evaluated or >110% in the year evaluated
year evaluated
N THE NUTRITIONAL STATUS IN THE LOCAL GOVERNMENT UNIT
Province
Period Covered
MANCE LEVEL
DOCUMENT SOURCE RATING REMARKS/ EVIDENCE
3 4
Prevalence is within Prevalence is Local Nutrition Prevalence:
the lower limit of within the low Action Plan
medium public level of public Operation Timbang
health significance health significance Report (Previous
(5 to <7.5%) in the (<5%) in the year and current years)
year evaluated evaluated

(10 to <15%) in the (<10%) in the year and current years)

Sustained decrease Maintenance of Local Nutrition Prevalence:

or prevalence the prevalence of Action Plan
maintained within malnutrition to School weighing
medium public lower than public reports
health significance health significance
(<10%) from two (<5%) from two
years prior to the years prior to the
year evaluated year evaluated

maintained within malnutrition to School weighing
medium public lower than public reports

maintained within malnutrition to Preatal records
medium public lower than public Health office reports
Operation Timbang Operation Timbang Local Nutrition Prevalence:

Plus coverage is at Plus coverage is at Action Plan
least 90% in the 100 - 110% in the OPT Plus
year evaluated year evaluated Reports
MELLPI Pro FORM CM 2b: SUMMARY OF CHANGES IN THE NUTRITIONAL STATUS IN THE LOCAL GOVERNMENT UNIT
CHANGES IN THE NUTRITIONAL STATUS IN THE LGU
1. Prevalence of underweight 0-59 months children 0.00 0.00
2. Prevalence of stunted 0-59 months children 0.00 0.00
3. Prevalence of wasted 0-59 months children 0.00 0.00
4. Prevalence of overweight and obesity among children 0-59 months children 0.00 0.00
5. Prevalence of wasted school-age children
6. Prevalence of overweight and obesity school-age children
7. Prevalence of nutritionally at-risk pregnant women
8. Operation Timbang Plus Coverage 0.00 0.00
CM-2c Diagram for Changes in Nutritional Status
100.0 1. Prevalence of underweight 0-59 months children
50.0
8. Operation Timbang Plus Coverage 0.0 2. Prevalence of stunted 0-59 months children
4. Prevalence of overweight and obesity among children 0-59 months children

TARGET RATING 3. Prevalence of wasted 0-59 months children
PERFORMANCE RATING
ELEMENTS TARGET RATING PERFORMANCE RATING
1. Prevalence of underweight 0-59 months children 100.0 0.0
2. Prevalence of stunted 0-59 months children 100.0 0.0
3. Prevalence of wasted 0-59 months children 100.0 0.0
4. Prevalence of overweight and obesity among children 0-59 100.0 0.0

months children
5. Prevalence of wasted school-age children
6. Prevalence of overweight and obesity school-age children
7. Prevalence of nutritionally at-risk pregnant women
8. Operation Timbang Plus Coverage 100.0 0.0
TOTAL RATING 100.0 0.00
REMARKS

MELLPI PRO FORM CM-3: DISCUSSION QUESTIONS FOR LEARNING AND ACTION
Dimensions What are the good practices What are the issues and problems What local initiatives have been What are the immediate actions
done/initiated? and why? done? for improvement?
1 Vision and Mission

2 Nutrition Laws and Policies
3 Governance and Organizational

Structure
4 Local Nutrition Committee

Management Functions

5 Nutrition Interventions/ Services
6 Changes in Nutritional Status in

the Local Government Unit

MELLPI PRO FORM CM-4: SUMMARY OF EVALUATION FINDINGS AND RECOMMENDATIONS
CM-1c Diagram for City/ Municipality Nutrition Monitoring CM-2c Diagram for Changes in Nutritional Status `
1. Vision and Mission

100.0 1. Prevalence of underweight 0-59 months children
100.0
50.0
5. Nutrition Intervention/Services 2. Nutrition Laws and Policies 50.0
0.0 8. Operation Timbang Plus Coverage 0.0 2. Prevalence of stunted 0-59 months children
4. Local Nutrition Committee Management Functions 3. Governance and Organizational Structure

4. Prevalence of overweight and obesity among children 0-59 months children 3. Prevalence of wasted 0-59 months children
TARGET RATING
TARGET RATING
PERFORMANCE RATING
PERFORMANCE RATING

TOTAL SCORE: [( D1 + D2 + 66.67 + D4 + D5 )/5] *60 + ( D6 ) * .40 =
Major Findings (Use extra sheets if necessary)
Recommendations (Use extra sheets if necessary)

Name of Team Member Designation and Office Signature Date Signed
Received: Date: _____________________________

CY _______ Annual Investment Program (AIP)
By Program/Project/Activity by Sector
LGU
Sector : Social Services
AIP Ref. Schedule of Implementation Amount (P'000)

Implementing
Program/Project/Activity Description Expected Output Sources of Funds
Agency Personal
Code Start Date Completion Date MOOE Capital Outlay Total
Services
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
-- Please select one -- -
GRAND TOTAL (Local) - - - -
GRAND TOTAL (Provincial Government) - - - -
GRAND TOTAL ( National) - - - -
GRAND TOTAL (External) - - - -
TOTAL SOCIAL SERVICES SECTOR - - - -
Sector : Economic Services

Implementing
Agency Personal
Services
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
TOTAL ECONOMIC SERVICES SECTOR - - - -
Sector : Others

Implementing
Agency Personal
Services
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
TOTAL ______________ SECTOR - - - -
Breakdown of funds
MOOE PERSONNEL SERVICES CAPITAL OUTLAY
LGU funds ₱ - ₱ - ₱ -
Provincial Funds ₱ - ₱ - ₱ -
National Government Funds ₱ - ₱ - ₱ -
External funds ₱ - ₱ - ₱ -
NUTRITION BUDGET SUMMARY

Total Annual LGU Budget excluding Infrastructure Php
Total Budget Approved by Sanggunian for Nutrition Php Percent of budget alloted for Nutrition
Total Funds Released for Nutrition Php Percent of approved budget released for Nutrition
Total Funds Expended for Nutrition Php Percent of approved budget expended for Nutrition
AMOUNT of Nurition Program Budget
(in thousand pesos)
Nutrition
Nutrition- Typology Code
Nutrition- Enabling
sensitive
specific (Direct) Mechanisms
(Indirect)
(12) (13) (14)

- - -
- - -
- - -
- - -
- -

(in thousand pesos)
Nutrition
Nutrition- Enabling
sensitive
(Indirect)
(12) (13) (14)

- - -
- - -
- - -
- - -
- - -

(in thousand pesos)
Nutrition
Nutrition- Enabling
sensitive
(Indirect)
(12) (13) (14)
- - -
- - -
- - -
- - -
- - -
ion %
sed for Nutrition %
nded for Nutrition %

MELLPI Pro Form For CityMun 2 - OK

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WELCOME

LOCAL GOVERNMENT NUTRITION

Date of Monitoring Period Covered

PERFORMANCE LEVEL REMARKS/

PERFORMANCE LEVEL REMARKS/

PERFORMANCE LEVEL REMARKS/

PERFORMANCE LEVEL REMARKS/

Enforcement of Milk Code

Building capacity of local implementers

Dietary supplementation of infants and young children 6-23 months

5d National Nutrition Promotion Program for Behavior Change*

17. Micronutrient Micronutrient Micronutrient Micronutrient Micronutrient Micronutrient FHSIS Report

5f Mandatory Food Fortification

5g Nutrition in Emergencies Program

NS Programs to improve physical access to food

NS Programs to prevent teen-age pregnancy

35. Local initiative 1

36. Local initiative 2

37. Local initiative 3

City/Municipality Province Income Class

Date of Monitoring Period Covered

TOTAL POPULATION NO. OF HOUSEHOLDS NO. OF BARANGAYS

2022 Population 0-59 mos Pregnant Lactating

No. of households with Nutritional Status of Preschool Children (0 - 59 months)

18 IDD Prevalence Pregnant Total No. of Barangay

INTERVENTIONS WITH ACTION LINES FROM NGA/ NEW STANDARDS

Intervention Type Source Available Date No./ Volume Remarks

6,7 1. Capacity building of local Training

II. National Dietary

8,9 1. Pregnant Women Dietary Supplementation only

10,11 2. Children 6-23 months Dietary Supplementation only

III. Micronutrient Supplementation

MELLPI Pro C/M 24 of 83

23 6. Weekly Iron-Folic Acid

IV. Mandatory Food Fortification

1. NiEM Plan integrated in Training

MELLPI Pro C/M 25 of 83

Date of Monitoring Period Covered

PERFORMANCE LEVEL DOCUMENT REMARKS/

MELLPI Pro C/M 26 of 83

MELLPI Pro C/M 27 of 83

Date of Monitoring Period Covered

PERFORMANCE LEVEL REMARKS/

MELLPI Pro C/M 28 of 83

MELLPI Pro C/M 29 of 83

MELLPI Pro C/M 30 of 83

MELLPI Pro C/M 31 of 83

MELLPI Pro C/M 32 of 83

MELLPI Pro C/M 33 of 83

Date of Monitoring Period Covered

MELLPI Pro C/M 34 of 83

MELLPI Pro C/M 35 of 83

MELLPI Pro C/M 36 of 83

Date of Monitoring Period Covered

PERFORMANCE LEVEL DOCUMENT REMARKS/

MELLPI Pro C/M 37 of 83

MELLPI Pro C/M 38 of 83

4e Monitoring and Progress of Monitoring Interagency Interagency Monitoring Local Nutrition

MELLPI Pro C/M 39 of 83

MELLPI Pro C/M 40 of 83

Date of Monitoring Period Covered

MELLPI Pro C/M 41 of 83