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  • BNAP Format A

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    Gen Ramirez
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    This form is Barangay Profile to determine the health and nutritional status of Preschool children, School Children and 15 years old above, this form is use in planning nutritional interventions.

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    This form is Barangay Profile to determine the health and nutritional status of Preschool children, School Children and 15 years old above, this form is use in planning nutritional interventions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    1 views1 page

    BNAP Format A

    Uploaded by

    Gen Ramirez
    This form is Barangay Profile to determine the health and nutritional status of Preschool children, School Children and 15 years old above, this form is use in planning nutritional interventions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    FORMAT A

    BARANGAY PROFILE – I. Health and Nutrition Status

    Name of Barangay: _______________


    City/Municipality: _______________
    Province: _______________________

    PART – A SCHOOL CHILDREN (SC)


    ( 1 ) Total Number of Puroks _________ (14) No. Of Normal Weight _________ (a) Latest Period of OPT: ________________________________________
    ( 2 ) Total No. Of Population _________ (15) No. Of Wasted ___________ (b) % of OPT Coverage : ________________________________________
    ( 3 ) Total No. Of Household _________ (16) No. Of Severely Wasted_________ (c) Age specificProportionate Mortality Rate (ASPMR): _______________
    ( 4 ) Total No. Of Pre-schoolers _________ (17) No. Of Overweight ____________ (d) No. Of Household with Home Garden __________________________
    ( 5 ) Total No. Of School Children _______ (18) TOTAL WEIGHED ____________ (e) Common Occupation ________________________________________
    ( 6 ) Total No. Of Pregant Women _______ (f) Total No. Of Household with SUW and UW PS ___________________
    ( 7 ) Total No. Of Lactating Women _______ (g) Total No. Of Household with SUW and UW School Children________

    PRE-SCHOOL CHILDREN (PS)


    ( 8 ) No. Of Normal Weight _______________ SC P/L 15 yrs & above
    ( 9 ) No. Of Underweight ________________ (19) Night Blindness _______ ________ ________ ________
    (10) No. Of SEV Underweight ____________ (20) Anemia _______ ________ ________ ________
    (11) No. Of SEV and Underweight _________ (21) Goiter _______ ________ ________ ________
    (12) No. Of Overweight __________________ (22) Diarrhea _______ ________ ________ ________
    (13) TOTAL WEIGHED: _______% ________ (23) Harelip/Cleft Palate _______ ________ ________ ________
    PART – B
    TOTAL NUMBER PRE – SCHOOL CHILDREN SCHOOL CHILDREN
    PUROK Populati HH PSC SC Pregnant Lactating N UW SUW UW – Over Total Normal Wasted + Over Total Night Anemia Goiter Diarrhea Harelip/ R
    (Name or Women Women SUW weight Weighed Severely weight Weighed Blindness Cleft A
    Number) Wasted Palate N
    K
    11 13 15 17 18 19 20 21 22 23
    1 2 3 4 5 6 7 8 9 10 No % 12 No % 14 No % 16 No % PS SC SC P/L SC 15 yrs. PS SC P/L 15 yrs.
    & over & over

    TOTAL

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