CDD B-01-PMNP: Form

BARANGAY PROFILE FORM

BASIC INFORMATION
Region
Province
Municipality
Barangay
Cycle
No. of Sitios/Puroks
Inclusive Years under KC

Population Profile

1. Total number of households

2. Total number of families
3. No. of male
4. No. of female
5. No. of male children under 5 years old
6. No. of female children under 5 years old
7. No. of male children ages 6-12 years old
8. No. of female children ages 6-12 years old
9. No. of male children ages 13-17 years old
10. No. of female children ages 13-17 years old
11. No. of women of reproductive age (15-49 years old)
12. No. of IP women of reproductive age (15-49 years old)
13. No. of pregnant women
14. No. of pregnant IP women
15. No. of lactating women
16. No. of lactating IP women
17. Total male voting population
18. Total female voting population
19. Total male labor force
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 20. Total female labor force

Indigenous People
Are there indigenous people (IP) in your barangay? ____________
Total IP
Total Total Total Children
IP group Location/Sitio Total female
households families male Under 5
years Old

Total

Conflict-affected / Pantawid Pamilya and SLP Beneficiaries

Is the barangay affected by armed conflict? ________
If yes, please give additional details of the armed conflict in the area
_______________________________________________________________________________________________
_______________________________________________________________________________________________
No. of Pantawid Pamilya household beneficiaries in the barangay ____________
No. of Pantawid Pamilya family beneficiaries in the barangay ____________
No. of Pantawid Pamilya women beneficiaries with children under 5 years old in the barangay ____________
No. of Pantawid Pamilya IP women beneficiaries with children under 5 years old in the barangay ____________
No. of Pantawid Pamilya children beneficiaries under 5 years old in the barangay ____________
No. of SLP household beneficiaries in the barangay ____________
No. of SLP family beneficiaries in the barangay ____________

AREA PROFILE
Is this a Poblacion Barangay? __________________
If not, how many hours does it take to travel to Poblacion? __________________
No. of kilometers from the Poblacion __________________
What is the geographic characteristic of the Barangay? (i.e upland, hilly, lowland, island, coastal)? _________________
Is the barangay isolated from the rest of the barangays? __________________

Affected by any of the following Peace and Social Cohesion issues? Check if ‘Yes’.
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____ Armed conflict
____ Boundary and territorial disputes
____ Political and extra judicial killings
____ Family and gender-based violence
____ RIDO or clan wars/Tribal wars of ‘pangayao’
____ Crime
BARANGAY ORGANIZATION
What organizations operate within the barangay? (Use another sheet for more organizations)
Organization 1 Organization 2
Name
Type of Organization (ex. PO, NGO, Private
institution/CSR)
Formal? (Registered, answer yes or no)
LGU-accredited? (Yes or No)
Advocacy (Savings, religious, farmers,
fisherfolk, women, etc.)
Area of operation (ex. nationwide, municipal,
different barangays, etc.)
Years operating in barangay
Active or inactive organization?

Activities (Identify major activities)

Total male members from barangay

Total female members from barangay
Male IP members from barangay
Female IP members from barangay
Marginalized sectors represented

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LOCAL GOVERNANCE

BLGU Officials’ Profile

Civil Educational Position in Inclusive Date Name of Non-KALAHI-
Name Sex Age IP Group
Status Attainment Barangay (Start and End Date) CIDSS Organization

*To be updated once the Program starts.

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Barangay Nutrition Committee Profile (Identify only those not listed in BLGU Officials’ Profile)
Inclusive Name of Non-
Civil Educational Position in Date KALAHICIDS
Name Sex Age IP Group Sector Represented
Status Attainment Barangay (Start and S-
End Date) Organization

*To be updated once the Program starts.

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 During the past year, how many times were the Barangay Orientations conducted?
On the average, how many barangay households are present during the meetings?

● How many male residents were present?

● How many female residents were present?

● How many IP households were present?

● What other sectors were present?

During the past year, how many times did the BNC meet?
How many, on the average, attend the BNC meetings? (refer to attendance sheet)

● Male BLGU Officials

● Female BLGU Officials

● Male PO/CBO representatives

● Female PO/CBO representatives

What is the total annual budget of the barangay? How much was the IRA the past year? What are other sources
of funds of the barangay?
Source of Funds Amount
IRA
Other Sources:

TOTAL

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How were the barangay funds allocated in the previous year? (Refer to Barangay Annual Investment Plan)
Category Amount
Environment
Economic Sector
Infrastructure
Social development
Institutional Sector
Gender and Development
DRRM
Other allocation
TOTAL

How was the 5% GAD fund utilized by the barangay?

Activity Cost

TOTAL

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Over the past year, what development project/s has/have been implemented in your barangay?

Scope Beneficiaries
(Coverage, Cost of Source Cost Sharing
Project Location M F IPs
Unit, Physical Project of Funds (%)
Target)

Examples of Development Projects Types of Source of Funds

Roads Barangay Fund
Water Supply Municipal Fund
Toilet Provincial Fund
Livelihood National government agencies
Education (e.g. DSWD, DA, etc.)
Electrification ODA ( Foreign-assisted projects)
Health and Nutrition Others
Others

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POVERTY
Identify top three economic activities in the barangay
1. ____________________________________
2. ____________________________________
3. ____________________________________

Identify major crops in the barangay

1. ____________________________________
2. ____________________________________
3. ____________________________________

What is the average annual household income in the barangay? ______________

What is the average annual income for males? ______________
What is the average annual income for females? ______________
What is the average annual income for IPs? ______________

What types of road traverse through the barangay?

Types of Road %

Dirt
Gravel
Asphalted
Cemented/All Weather Road

What are the modes of transportation available?

1. ____________________________________
2. ____________________________________
3. ____________________________________

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Which of the following establishments and services are available in the barangay? If not available, how far is your
barangay to the nearest establishment/service provider? (if the listed services and establishments are not applicable or
“no use” to your barangay, write n/a)
If none, distance to
Please check if Mode of Transport
Facilities/Establishments/Services nearest facility
available and cost
(hours)
Barangay hall
Multi-purpose building
Tribal hall
Evacuation center
Market place/bagsakan center
Stores
Mini port
Daycare center
Elementary School
Secondary School
College or university
Health station
Hospital
Irrigation
Pre/Post Harvest Facilities
Water supply system
Drainage System
Waste facility
Cemetery
Electricity
Telecommunication Access
Bank
Credit facility
Tanod/police
Emergency services
Environmental protection
Postal service
Capability/skills training

● Health

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 If none, distance to
Please check if Mode of Transport
Facilities/Establishments/Services nearest facility
available and cost
(hours)
● Organizational development

● Agriculture and enterprise

● Education

● Others

What are the main problems in the barangay? Identify.

Are these problems being
Problem Details Remarks
addressed properly?

Access/ Mobility

Water and Sanitation

Health and Nutrition

Literacy/Education

Employment/Income
Generation
Land Ownership/Asset
Distribution
Agricultural Service
Facilities (i.e. post-harvest)

Peace and Order

Environment

Power Supply

Communications

Others, specify

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Poverty Profile
Indicators Value Reference
Health
1. Proportion of children aged 0-5 years old who died
a) Number of children aged 0-5 years old who died
b) Total children aged 0 -5 years old
2. Proportion of women who died due to pregnancy-related causes
a) Number of pregnant women who died due to pregnancy-related
causes
b) Total pregnant women
Nutrition
3. Proportion of children aged 0-5 years old who are malnourished
a) Number of children aged 0-5 years old who are malnourished
b) Total children aged 0-5 years old
Access to Basic Amenities
4. Proportion of households with access to safe water

a) Number of households with access to potable water (within 250m)

b) Total number of households

5. Proportion of households with access to sanitary toilet facilities
a) Number of households with access to sanitary toilet facilities
b) Total number of households
Shelter
6. Proportion of households who are squatting
a) Number of households who are squatting
b) Total number of households
7. Proportion of households living in makeshift housing
a) Number of households living in makeshift housing
b) Total number of households
Peace and Order
8. Proportion of households with members victimized by crimes
a) Number of households with members victimized by crimes
b) Total number of households
Income
9. Proportion of households with income less than the poverty threshold

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 Indicators Value Reference
a) Number of households with income less than the poverty threshold
b) Total number of households
10. Proportion of households with income less than the food threshold
a) Number of households with income less than the food threshold
b) Total number of households
11. Proportion of households who eat less than three (3) meals a day
a) Number of households who eat less than three (3) meals a day
b) Total number of households
Basic Education
12. Proportion of 6-12 years old children who are not in elementary school
a) Number of children 6-12 years old who are not in elementary
school
b) Total number of children 6-12 years old
13. Proportion of 13-16 years old children who are not in secondary school
a) Number of children 13-16 years old who are not in secondary
school
b) Total number of children 13-16 years old
Employment
14. Proportion of the members of the labor force who are not working
a) Number of labor force who are not working
b) Total number of labor force

______________________________ ______________________________
Signature over Printed Name Signature over Printed Name
Community Empowerment Facilitator Area Coordinator

Date Started: _________________________

Date Accomplished: ___________________

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