Republic of the Philippines

Department of Health
NATIONAL NUTRITION COUNCIL

OPT Plus Form 1A. Barangay Tally and Summary Sheet of Preschoolers with Weight & Height Measurement by Age Group, Sex and Nutritional Status
Revised February 2019 Page 1 of 3

Barangay: Estimated Number of Preschoolers: 0-59 mos. 2/ 0-71 months old2/ Total Population Barangay: 8,530 Source: CITY PUPOLATION
Municipality of: BINAN Actual Number of Preschoolers Weighed: 0-59 mos. 60 -71 mos. 0 Year/Period Covered by this OPT: CY
Province: LAGUNA Percent OPT Plus Coverage: 0-59 mos. 0-71 months old Prev. Rate UW & SUW 1/ (Previous Yr) 0-59 mo. . 0-71 mos.
Region: IV-A Number of Indigenous PS measured: 0-59 mos. 0 60 -71 mos. 0 Prevalence Rate UW & SUW (Current Year):
. 0-59 mos. old: 0.7% 0-71 mos. old 0.7%
Indigenous groups (specify if applicable):

Age Weight for Age Status Total, by age group

Group Normal (N) Underweight (UW) Severely Underweight (SUW) Overweight (OW) TOTAL N UW SUW OW
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Total No. Prev (%) No. Prev (%) No. Prev No. Prev
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28)
0-5
months
(R1)

6-11

Note: a) R1 means Row No. 1, R2 means Row 2, etc.; b)Total (R8) - refers to the sum of preschoolers by nutritional status for children 0-59 months and 0-71 months; c) Prev (R9)- refers to the prevalence rate by sex, by nutritional status for age group 0- 59 mos. & 0-71 mos.

1/ Refers to previous year prevalence rate of the area 2/ 0-59 months = 10.714% x Total Population
Use WEIGHT-FOR-LENGTH or WEIGHT-FOR-HEIGHT to correctly determine overweight and obesity

Prepared by: Checked: Approved:

Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/ Name and Signature of Barangay Captain,
District/City Nutrition Program Coordinator BNC Chairperson
Date: . Date: . Date: .
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL

OPT Plus Form 1A. Barangay Tally and Summary Sheet of Preschoolers with Weight & Height Measurement by Age Group, Sex and Nutritional Status
Revised February 2019 Page 2 of 3

Barangay: Estimated Number of Preschoolers: 0-59 mos. 2/ 0-71 months old 2/ CY 2019 Total Population Barangay: Source: CITY PUPOLATION
Municipality of: BINAN Actual Number of Preschoolers Weighed: 0-59 mos. 60 -71 mos. 0 Year/Period Covered by this OPT: CY
Province: LAGUNA Percent OPT Plus Coverage: 0-59 mos. 0-71 months old Prev. Rate St. & SSt 1/ (Previous Yr) 0-59 mo.: . 0-71 mos.
Region: IV-A Number of Indigenous PS measured: 0-59 mos. 0 60 -71 mos. 0 Prevalence Rate St. & SSt/ (Current Year):
Indigenous groups (specify if applicable): . 0-59 mos. old: 2.6% 0-71 mos. old 2.6%

Age Length/Height for Age Status Total, by age group

Group Normal (N) Stunted /Short (St) Severely Stunted (SSt) Tall (T) TOTAL N St SSt T
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Total No. Prev (%) No. Prev (%) No. Prev (%) No. Prev (%)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21 (22) (23) (24) (25) (26) (27) (28)

Note: a) R1 means Row No. 1, R2 means Row 2, etc.; b)Total (R8) - refers to the sum of preschoolers by nutritional status for children 0-59 months and 0-71 months; c) Prev (R9)- refers to the prevalence rate by sex, by nutritional status for age group 0- 59 mos. & 0-71 mos.

1/ Refers to previous year prevalence rate of the area 2/ 0-59 months = 10.714% x Total Population

Prepared by: Checked: Approved:

Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/ Name and Signature of Barangay Captain,
District/City Nutrition Program Coordinator BNC Chairperson
Date: . Date: . Date: .
Republic of the Philippines
Department of Health
NATIONAL NUTRITION COUNCIL

OPT Plus Form 1A. Barangay Tally and Summary Sheet of Preschoolers with Weight & Height Measurement by Age Group, Sex and Nutritional Status
Revised February 2019 Page 3 of 3

Barangay: Estimated Number of Preschoolers: 0-59 mos. old 2/ 0-60 months old2/ 914 0 Total Population Barangay: Source: CITY PUPOLATION
Municipality of: BINAN Actual Number of Preschoolers Weighed: 0-59 mos 60 -71 mos. Year/Period Covered by this OPT: CY
Province: LAGUNA Percent OPT Plus Coverage: 0-59 mos 0-60 months old 107.2% Prevalence Rate W & SW 1/ (Previous Yr) 0-59 mo.: . 0-60 mos.

Region: IV-A Number of Indigenous PS measured: 0-59 mos 0 60 -71 mos. 0 Prevalence Rate W & SSW (Current Year):
Indigenous groups (specify if applicable): . 0-59 mos. old: 0-60 mos. old 0.3%

Age Weight for Length/Height Status Total, by age group

Group Normal (N) Wasted (W) Severely Wasted (SW) Overweight (OW) Obese (Ob) TOTAL N W SW OW Ob
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Total No. Prev (%) No. Prev (%) No. Prev (%) No. Prev (%) No. Prev (%)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) (29) (30) (31) (32) (33) (34)
0-5

Note: a) R1 means Row No. 1, R2 means Row 2, etc.; b)Total (R8) - refers to the sum of preschoolers by nutritional status for children 0-59 months and 0-71 months; c) Prev (R9)- refers to the prevalence rate by sex, by nutritional status for age group 0- 59 mos. & 0-71 mos.

1/ Refers to previous year prevalence rate of the area 2/ 0-59 months = 10.714% x Total Population
Use WEIGHT-FOR-LENGTH for 0-23 months old preschool children and WEIGHT-FOR-HEIGHT for 24-60 months old preschool children.
Use WEIGHT-FOR-LENGTH or WEIGHT-FOR-HEIGHT to correctly determine overweight and obesity

Prepared by: Checked: Approved:

Name and Signature of Barangay Nutrition Scholar Name and Signature of Midwife/Nurse/ Name and Signature of Barangay Captain,
District/City Nutrition Program Coordinator BNC Chairperson
Date: . Date: . Date: .