OPT PLUS Form 1A.

Barangay Tally and Summary Sheet of Preschoolers with Weight and Height Measurement by Age Group, Sex and Nutritional Status
Philippine Plan of Action for Nutrition
Page 1 of 3

BARANGAY: Estimated Number of Pre-schoolers: 0-59 months old: 0 0-71 months old: 0
CITY/MUNICIPALITY: RIZAL Actual Number of Preschoolers Weighed: 0-59 months old: 0 0-71 months old: 0
PROVINCE: NUEVA ECIJA Percent OPT Plus Coverare: 0-59 months old: #DIV/0! 0-71 months old: #DIV/0!
REGION: 3 Number of Indeginous PS Measured: 0-59 months old: 0-71 months old:
Indeginous group (specify if applicable):
AGE GROUP WEIGHT FOR AGE STATUS
NORMAL (N) UNDERWEIGHT (UW) SEVERELY UNDERWEIGHT (SUW) OVERWEIGHT (OW) TOTAL
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
0-5
Months 0 0
(R1) 0 0 0 0 0 0 0 0
6-11
Months 0 0
(R2) 0 0 0 0 0 0 0 0
12-23
Months 0 0
(R3) 0 0 0 0 0 0 0 0
24-35
Months 0 0
(R4) 0 0 0 0 0 0 0 0
36-47
Months 0 0
(R5) 0 0 0 0 0 0 0 0
48-59
Months 0 0
(R6) 0 0 0 0 0 0 0 0
60-71
Months 0 0
(R7) 0 0 0 0 0 0 0 0
Total (R8)
0-59 mos. 0 0 0 0 0 0 0 0 0 0
0-71 mos. 0 0 0 0 0 0 0 0 0 0
Prev. (R9)
0-59 mos. #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0-71 mos. #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Note: a) R1 means Row No. 1, R2 means Row 2, etc. b) Total (R8) - refers to the sum of preschoolers by nutritional status and by age group. c) Prev (R9) - refers to the prevalence rate by sex, by nutritional status
prevalence rate by total age group. 1/ 0-59 months = 13.5% x Total Population 2/ 0-71 months x Total Population 3/ Refer to previous year prevalence rate of the area.
Use WEIGHT FOR LENGHT or WEIGHT FOR HEIGHT to correctly determine overweight and obesity.

Prepared and Submitted by: Noted by: Approved by:

_____________________________ ______________________________ __________________________

Barangay Nutrition Scholar Rural Health Midwife Barangay Captain
CY 2020 Total Population of Barangay: Source: RHU
Year/Period of Measurement: 3rd Quarter
CY 2020 Prevalence Rate UW & SUW
Prevalence Rate of UW & SUW: 0-59 mos. Old: _________ 0-71 mos. Old __________

TOTAL, BY AGE GROUP

TOTAL N UW SUW OW
Total No Prev No Prev No Prev No Prev
(20) (21) (22) (23) (24) (25) (26) (27) (28)

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
9) - refers to the prevalence rate by sex, by nutritional status for age group 0-59 months and 0-71 months. d) Prev (C22, 24, 26, 28) refers to the
alence rate of the area.

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