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CITY/MUNICIPAL NUTRITION ACTION PLAN

CITY/MUNICIPALITY OF _________________
CY 20____
Organizational Chart of C/MNC
 Mission and Vision of
City/Municipal Nutrition Committee
Narrative on LGU
Nutrition Situation
 FORMAT A-1
HEALTH AND NUTRITION PROFILE
(PRESCHOOL CHILDREN)
Region : IV – A Province : BATANGAS Total No. of 0-11 month old infants : _______
City/Municipality : ______________ Total No. of 6-11 month old infants :_______
Total Population : ________________ Total No. of 12-59 month old Preschool
Source : ______ Children : ___________
Reference Year :_______ Total No. of Pregnant and Lactating Women : ___________
Total No. of Barangays : ______ Total No. of Mothers with Underweight and Severely Underweight
Total No. of Households : __________ Preschool Children : ________
Period of OPT among Preschool : _____________
Total Preschool Children Weighed (0-59 mos.): ________
% OPT Coverage : ________

NUMBER OF CASES OF NUTRITIONAL

NUTRITIONAL STATUS
DEFICIENCY CASES
Total No. of Severely Underweight &
Under Total Anemia
Barangays Preschool Under Over % OPT Severely Underweight Night
Normal weight Preschool Goiter
(1) Children weight weight Coverage blindness
No. No. Children Rank (all ages)
(2) No. No. PS PS P/N
(3) (4) Weighed No. % (15)
(5) (6) (8) (9) (10) (12) (13) (14)
(7)
 FORMAT A-1
HEALTH AND NUTRITION PROFILE
(PRESCHOOL CHILDREN)

NUTRITIONAL STATUS
Total No. of Severely Stunted & Severely Stunted
Stunted Total Preschool % OPT
Barangays Preschool Normal Stunted Tall
No. Children Coverage
(1) Children No. No. No. Rank
(4) Weighed No. %
(2) (3) (5) (6)
(7) (8) (9) (10)
 NUTRITIONAL STATUS
Total No. of Severely Total Preschool Wasted and Severely
Wasted % OPT Overweight & Obese
Barangays Preschool Normal Wasted Overweight Obese Children Wasted
No. Coverage Rank
(1) Children No. No. No. No. Weighed
(4) No. % (W+SW)
(2) (3) (5) (6) (7) (8) No. %
(9) (10) (11)
(12) (13)

FORMAT A-1
HEALTH AND NUTRITION PROFILE
(PRESCHOOL CHILDREN)
 FORMAT A-2
HEALTH AND NUTRITION PROFILE
(ELEMENTARY SCHOOL CHILDREN)

Region : IV- A Province : BATANGAS Total School Children Weighed : ___________

City/Municipality : ______________ % School Children Weighed : _________
No. of Schools : _____
Period of Weighing : ______________________

NUTRITIONAL STATUS

Wasted
Total No. of Wasted
(Wasted + Severely Wasted)
Municipality Enrolled Overweight + Total School % School Children
Normal Rank
Schoolchildren Obese Children Weighed Weighed
Severely
Wasted No. %
Wasted
 FORMAT A-2
HEALTH AND NUTRITION PROFILE
(ELEMENTARY SCHOOL CHILDREN)

NUTRITIONAL STATUS

Wasted
Total No. of Wasted
(Wasted + Severely Wasted)
Municipality Enrolled Overweight + Total School % School Children
Normal Rank
Schoolchildren Obese Children Weighed Weighed
Severely
Wasted No. %
Wasted
 FORMAT A-3
SITUATIONAL ANALYSIS
3. SOCIO-ECONOMIC PROFILE
Region : IV- A Province : BATANGAS
City/Municipality : ______________________

Most Common Most Common Most Common Proportion of FOOD PRODUCTION

Average Type of Dwelling Source of Drinking Garbage Disposal Households with Most
Barangays Common
(1) Household Size Unit Water Supply System Sanitary Toilets
Occupation Fruits and
(2) (3) (4) (5) (6) Vegetables Cereals Rootcrops Fish/Livestock Others
Size Rank Type Rank Source Rank Type Rank % Rank (7) (8) (9) (10) (11) (12)
 FORMAT A-3
SITUATIONAL ANALYSIS
3. SOCIO-ECONOMIC PROFILE

Most Common Most Common Most Common Proportion of FOOD PRODUCTION

Average Type of Dwelling Source of Drinking Garbage Disposal Households with Most
Barangays Common
(1) Household Size Unit Water Supply System Sanitary Toilets
Occupation Fruits and
(2) (3) (4) (5) (6) Vegetables Cereals Rootcrops Fish/Livestock Others
Size Rank Type Rank Source Rank Type Rank % Rank (7) (8) (9) (10) (11) (12)
 FORMAT A-4
SITUATIONAL ANALYSIS
RANKING OF BARANGAYS
(SUMMARY SHEET)

Region : IV- A
Province : BATANGAS
City/Municipality : ____________________

Wasted &
Severely Severely Garbage
Wasted Wasted & Average Type of Source of Proportion with Disposal Total Rank Computed
Barangays (PS) Wasted (SC) Household Size Dwelling Unit Water Supply Sanitary Toilets System Score Average Rank Final Rank
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
 FORMAT A-4
SITUATIONAL ANALYSIS
RANKING OF BARANGAYS
(SUMMARY SHEET)

Wasted &
Severely Severely Garbage
Wasted Wasted & Average Type of Source of Proportion with Disposal Total Rank Computed
Barangays (PS) Wasted (SC) Household Size Dwelling Unit Water Supply Sanitary Toilets System Score Average Rank Final Rank
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
GENERAL OBJECTIVE :

PRESCHOOL CHILDREN –

SCHOOL CHILDREN –

SPECIFIC OBJECTIVE :

PRESCHOOL CHILDREN –

SCHOOL CHILDREN –
 FORMAT B
PROGRAMS AND PROJECTS

REGION: 4A_
PROVINCE: BATANGAS
City/Municipality : ____________________

PROGRAM/PROJECT LOCATION IMPLEMENTORS ANNUAL TARGETS FREQUENCY TIMETABLE TOTAL POSSIBLE

LEAD AGENCY COOPERATING GROUP NO. DURATION (SPECIFY) BUDGETARY SOURCE
(2) AGENCY REQUIREMENT
(1) (3) (4) (5) (6) (7) (8) (9) (10)

NUTRITION SPECIFIC PROGRAMS

I.INFANT and YOUNG CHILD FEEDING PROGRAM
a. Establishment of Breastfeeding
Station/ Lactation Rooms
b. Breastfeeding Counseling
c. Breastfeeding Awareness

d. Post Partum initiated

breastfeeding
e. Infants Exclusively Breastfed
f. Preschool children who
received solid food
g. Organization of Breastfeeding
Support Groups

II. MICRONUTRIENT SUPPLEMENTATION

A. Vitamin A Supplementation
 1. Infants (6-11 months)

2. Preschool children
(12-59 mos.)
3. Postpartum mothers

FORMAT B
PROGRAMS AND PROJECTS
ON: __________PROVINCE:
PROGRAM/PROJECT LOCATION IMPLEMENTORS ANNUAL TARGETS FREQUENCY TIMETABLE TOTAL POSSIBLE
LEAD AGENCY COOPERATING GROUP NO. DURATION (SPECIFY) BUDGETARY SOURCE
(2) AGENCY REQUIREMENT
(1) (3) (4) (5) (6) (7) (8) (9) (10)
B. Iron Supplementation
1. Pregnant and Postpartum
Women

C. Multivitamin Supplementation with Iron

1. Identified Stunted,
Severely Stunted, Wasted,
Severely Wasted Preschool
children

III. INTEGRATED MANAGEMENT OF ACUTE MALNUTRITION .

A. Provision of RUTF to target

beneficiaries
B. Provision of RUSF to target
beneficiaries
C. Building Capacity of local
implementers
- Orientation on the
Management
of Severe Acute
Malnourished
 FORMAT B
PROGRAMS AND PROJECTS
ON: __________PROVINCE:

PROGRAM/PROJECT LOCATION IMPLEMENTORS ANNUAL TARGETS FREQUENCY TIMETABLE TOTAL POSSIBLE

LEAD AGENCY COOPERATING AGENCY GROUP NO. DURATION (SPECIFY) BUDGETARY SOURCE
(2) REQUIREMENT
(1) (3) (4) (5) (6) (7) (8) (9) (10)

IV. NATIONAL NUTRITION PROMOTION PROGRAM FOR BEHAVIOR CHANGE .

A. Printing and Distribution of

IEC Materials
- Posters
- Tarpaulin (NMC)

B. Tri-media campaign
Radio guestings /plugging
of Nutrition Month Theme
C. Promotion of Nutritional
Guidelines for Filipinos
D. Nutrition Month
Celebration

V. NATIONAL DIETARY SUPPLEMENTATION PROGRAM

A. Supplementary Feeding of
children 6-35 months old
B. Provision of food
commodity to nutritionally
at risk pregnant women
 FORMAT B
PROGRAMS AND PROJECTS
ON: __________PROVINCE:

PROGRAM/PROJECT LOCATION IMPLEMENTORS ANNUAL TARGETS FREQUENCY TIMETABLE TOTAL POSSIBLE

LEAD AGENCY COOPERATING GROUP NO. DURATION (SPECIFY) BUDGETARY SOURCE
(2) AGENCY REQUIREMENT
(1) (3) (4) (5) (6) (7) (8) (9) (10)

NUTRITION SUPPORT PROGRAMS

I. GROWTH MONITORING
A. Conduct of OPT Plus
B. Provision of weight/height
measuring tools
- Salter Weighing Scale
- Height board
II. MATERNAL CARE PROGRAM
A. Pregnant women with 4 or
more Prenatal Check up
B. Postpartum women with at
least 2 visits
C. Giving of 2 doses of
Tetanus Toxoid
D. Giving *of TT2 Plus

III. CHILD CARE

A. Newborn Screening
B. Giving of Deworming
Tablets
 FORMAT B
PROGRAMS AND PROJECTS
ON: __________PROVINCE:

PROGRAM/PROJECT LOCATION IMPLEMENTORS ANNUAL TARGETS FREQUENCY TIMETABLE TOTAL POSSIBLE

LEAD AGENCY COOPERATING GROUP NO. DURATION (SPECIFY) BUDGETARY SOURCE
(2) AGENCY REQUIREMENT
(1) (3) (4) (5) (6) (7) (8) (9) (10)

NUTRITION SENSITIVE PROGRAMS

 FORMAT B
PROGRAMS AND PROJECTS
ON: __________PROVINCE:

PROGRAM/PROJECT LOCATION IMPLEMENTORS ANNUAL TARGETS FREQUENCY TIMETABLE TOTAL POSSIBLE

LEAD AGENCY COOPERATING GROUP NO. DURATION (SPECIFY) BUDGETARY SOURCE
(2) AGENCY REQUIREMENT
(1) (3) (4) (5) (6) (7) (8) (9) (10)

ENABLING PROGRAMS
I. LGU MOBILIZATION
A. Preparation and submission of
MNAP
B. Collection and checking of
BNAPs
C. Collection and checking of
Quarterly Accomplishment
Reports
D. Conduct of MNC-MTWG
Members’ Semi-Annual
Meeting
E. Conduct of BNC Meetings
F. Conduct of BNS Meetings

II. POLICY DEVELOPMENT FOR FOOD AND NUTRITION

 FORMAT C
BUDGETARY REQUIREMENTS
REGION: IV A
PROVINCE: B A T A N G A S
CITY/MUNICIPALITY : ____________________________

PERSONAL SERVICES MAINTENANCE AND OTHER OPERATING EXPENSES TOTAL

BUDGET
PROGRAM/PROJECT NATURE AMOUNT NATURE AMOUNT REQUIRED POSSIBLE SOURCE
(1) (2) (3) (4) (5) (6) (7)
GRAND TOTAL