Republic of the Philippines

Province of Laguna
CITY OF CALAMBA
BNSP Form No. 4
Philippine Plan of Action for Nutrition

NAME OF BNS:________________________________________________________

MONTHLY ACCOMPLISHMENT REPORT

For the month of ___________________________________________

Target Number Number Reached This Month

(As stated in the BNS Old Cases
Activity Action Plan) (Cases reached in the
previous month again
this month)
(1) (2) (3)

A. Weighing Activities
1. Operation Timbang
All Preschoolers (0-71mos)

2. Growth Monitoring Program

> Underweight & Severely Underweight PS
> 0-23 months

3. Quarterly Weighing
> 24-59 months
> 60-71 mos

B. Referrals
1. To Health Center
>Underweight & Severely Underweight PS
>Wasted & Severely Wasted PS
>Stunted & Severely Stunded PS
>0-23 mos PS
>Unimmunized PS Children
>Pregnant & Lactating Mothers
> Others: Overweight

2. To Feeding Center
>Underweight Preschool Children
>Severely Underweight Preschool Children
> Wasted & Severely Wasted PS
> Stunted & Severely Stunted PS
> Pregnant & Lactating Mothers
> Others:
3. To Office of City Agriculturist
for distribution of seeds & seedlings
>Fam of Underwweight +Sev. Underweight PS
>Fam with Pregnant and Lactating Mother
>Low Income Families
> Fam of Wasted & Severely Wasted PS
> Fam of Stunted & Severely Stunted
>Others:

4. For Attendance to Mothers Classes

> Mothers with UW + Sev. UW PS
>Pregnant & Lactating Mothers
> Mothers with Wasted & Severely Wasted PS
> Mothers with Stunted & Severely Stunted PS
>Others: Caregivers
Mothers of Overweight

tochilei03182017

Republic of the Philippines

Province of Laguna
CITY OF CALAMBA
BNSP Form No. 4
Philippine Plan of Action for Nutrition

Target Number Number Reached This Month

(As stated in the BNS Old Cases
Activity Action Plan) (Cases reached in the

previous month again

this month)
(1) (2) (3)
C. Other Activities
1. Organization/Reactivation of BNC
2. Attendance to BNS-CNAO Meetings
3. Income Generating Projects (Specify IGP)

4. Information Campaigns/Advocacy
> Immunization (Unimmunized Children 0-18 mos)
>Breastfeeding (Pregnant/Lactating)
>New Born Screening (Pregnant)
>Environmental Sanitation
a) Fam without Proper Waste Disposal
b) Household without Sanitary Toilet
c) Proper Handwashing (DCC/HH)
d) Proper Toothbrushing (DCC/HH)
>BF Support Groups Organized/Mobilized

>Selective Food Production

a) Household without Backyard Gardening
b)Fam of UW + Sev. UW PS
c) Fam of wasted & severely wasted PS
d) Fam of stunted & severely stunted PS
e) Low Income Families

› Utilization of Fortified Foods & Iodized Salt w/ SPS

a) Households
b) Sari-Sari Store
c) Business Establishment
d) Others: F UW+Sev UW PS

›Family Planning
a) Mothers not Practicing FP
b) High School Students given Reproductive
Health Education
c) Pregnant & Lactating Mothers

›Home Visits
a) 0-23 mos PS
b) Fam of UW + Sev UW PS
c) Pregnant & lactating Mothers
d) others: Elderly/ Senior Citizen

RESULTS OF FOLLOW UP WEIGHING

0-23 months Underweight
Number Weighed
No. Normal (for 0-23 mos)
No. Overweight (for 0-23 mos)
No. Improved in Weight Status
Number Not Weighed
No. Overage/Graduate
No. Moved Out/Transferred
No. Dead
Prepared by: Noted by:

__________________________________________ _____________________________________
Barangay Nutrition Scholar Signature Over Printed Name
Barangay Chairman

tochilei03182017
ilippines
guna
LAMBA

Barangay:_________________________

HMENT REPORT
___________________________

Reached This Month Last Month's Total This Month Total

New Cases (Write the entry from (Add column 4 & 5)
(Cases reached for 6 of last months report)
the first time)

(4) (5) (6)

lippines
guna
LAMBA

r Reached This Month Last Month's Total This Month Total

New Cases (Write the entry from (Add column 4 & 5)

(Cases reached for 6 of last months report)

the first time)

(4) (5) (6)

Underweight Severely Underweight
 Checked & Approved by:

________________
nted Name ALELI CATALINA Y. JIMENEZ, RND
airman Nutrition Officer IV/CNAO
BNS Supervisor