BARANGAY NUTRITION ACTION PLAN

CY _____________

Barangay: __________________
City / Municipality: ___________
Province: ___________________
Region: _____________________
 THE BARANGAY NUTRITION COMMITTEE

Printed Name Designation Office Signature

Chairman: ________________________ ________________________ ______________________ __________________

Co-Chairman: _____________________ ________________________ ______________________ __________________
BNS: _____________________________ ________________________ ______________________ __________________

Members:

1. ____________________________ ________________________ _______________________ __________________

2. ____________________________ ________________________ _______________________ __________________

3. ____________________________ ________________________ _______________________ __________________
4. ____________________________ ________________________ _______________________ __________________
5. ____________________________ ________________________ _______________________ __________________
6. ____________________________ ________________________ _______________________ __________________
7. ____________________________ ________________________ _______________________ __________________
8. ____________________________ ________________________ _______________________ __________________
9. ____________________________ ________________________ _______________________ __________________
10. _______________________ ________________________ _______________________ __________________
11. _______________________ ________________________ _______________________ __________________
12. _______________________ ________________________ _______________________ __________________
13. _______________________ ________________________ _______________________ __________________
14. _______________________ ________________________ _______________________ __________________
15. _______________________ ________________________ _______________________ __________________
 16. _______________________ ________________________ _______________________ __________________
FORMAT A
BARANGAY PROFILE
SOCIO-ECONOMIC SITUATION
Name of Barangay ____________________________ Name of Barangay Captain ________________________________
City/Municipality _____________________________ Name of BNS ___________________________________________
Province ____________________________________

I. GEOGRAPHICAL PROFILE A.3. Existing Grain Warehouse III. SOCIO-ECONOMIC SITUATION

A. Location/Boundary (check only) a. Government operated ( ) A. Family Size (Household Size)

b. Privately operated ( )
A.1. Within City/Poblacion ( ) No. of Number of families
A.2. Coastal ( ) B. Major Food Crops Grown Family Members with corresponding size
A.3. Inland ( )
A.4. Upland ( ) B.1. Most Common Agricultural Products (Ranking) More than 10 _____________________

8- 10 _____________________
B. Topography a. Rice ( ) 5- 7 _____________________

b. Corn ( ) 2-4 _____________________

B.1. Plain ( ) c. Rootcrops (camote, cassava, gabi, etc)( )
B.2. Rolling Terrain ( ) d. Vegetables ( tomato, squash, etc.) ( ) B. Most Common Type Kind of Dwelling Units (Ranking)
B.3. Hilly ( ) e. Others (specify) ( )
TYPE
II. AGRICULTURAL PROFILE B.2. Most Common Livestock/Poultry (Ranking) Concrete ( )
Semi-concrete ( )
A. Physical Structures (check only) a. Swine ( ) Nipa-Bamboo ( )
b. Goat ( ) Wood ( )

A.1. Rice Mill Existing in the Barangay c. Chicken ( ) Barong-barong ( )

d. Ducks ( ) Others (specify) ( )
1. Cono ( ) e. Others (specify) ( )
2. Kiskisan ( ) C. Most Common Source of Drinking Water Supply
(Ranking)
B.3. Other Products (Ranking)
A.2 Irrigation System Existing in the Barangay SOURCE
a. Fish ( )
a. National ( ) b. Seaweeds ( ) Open dug wells ( )
(constructed by NIA) c. Rattan ( ) Spring ( )
b. Communal d. Charcoal/firewood ( ) Artesian wells ( )
(constructed by Farmers Asso.) ( ) e. Wild bamboos ( ) Deep wells ( )
c. Pumps ( ) f. Others (specify) ( ) Waterworks system ( )
 d. Mountain Spring ( )
(gravity)

Cont. Format B. Barangay Profile

D. Electricity and Telephone Services (% Coverage) G. Most Common Type of Toilet Facilities K. Main Source of Income of the Barangay

D.1 Electricity ____________ % of Total Household %

D.2 Telephone ____________ Water-sealed led __________________ 1. Share from Real State Tax __________________
D.3 Cellphone ____________ Antipolo __________________ 2. Share from Development Fund __________________
Open Pit __________________ 3. Business and Other Taxes __________________
E. Presence of Schools in the Barangay (check only) None __________________ 4. Others, Specify __________________

E.1 Government H. Infrastructure (check only)

E.1.1 Pre-school ( ) DISTANCE FROM THE BARANGAY

E.1.2 Elementary ( ) ALONG NEAR FAR NONE
E.1.3 High School ( )
E.1.4 College ( ) H.1 National Road (Highway) ( ) ( ) ( ) ( )
E.1.5 Vocational ( ) H.2 Provincial Road ( ) ( ) ( ) ( )
H.3 Municipal Road ( ) ( ) ( ) ( )
E.2 Private H.4 Feeder Road ( ) ( ) ( ) ( )
H.5 Seaport/Pier ( ) ( ) ( ) ( )
E.2.1 Pre-school ( ) H.6 Airport ( ) ( ) ( ) ( )
E.2.2 Elementary ( )
E.2.3 High School ( )
E.2.4 College ( ) I. Most Common Transport Facilities (Ranking)
E.2.5 Vocational ( )
I.1 Buses ( )
F. Health Facilities in t he Barangay (check only) I.2 Jeepney ( )
I.3 Tricycle ( )
F.1 Government I.4 Others ( )

F.1.1 Barangay Health Station ( ) J. Source of Income of the Household’s Main Earners (Ranking)
F.1.2 Health / Nutrition Center ( )
F.1.3 Community Hospital/Clinic ( ) J.1 Employment in the government or
Private agencies ( )
F.2 Private J.2 Farming/Fishing ( )
J. 3 Self-employed (business) ( )
F.2.1 Dental Clinic ( ) J. 4 Overseas Contract Workers ( )
F.2.2 Medical Clinic ( ) J. 5 Professional (Practice Law/
F.2.3 Hospitals ( ) Medicine/ midwifery, etc.) ( )
Source of Data: _______________________________

Format B

NUTRITIONAL STATUS
Weights of Pre-School Children (Source: _________ ) VADAG Cases (Source: _________)
Underweight R
Night Diarrhea Cases a
Normal Over Total Blindness Anemia Goiter (Source: ____________) n
Severel Under Weight Weighed k
PUROK y weight 15 15 i
Under years years n
weight PS SC PS SC PS and PS SC P/L and g
over over

(a) (b) (a) (b) (a) (b) (a)

(1) (2) (4) (5) (6) (7) (8) ( (10) (11)

(3) 9)
 TOTAL/ PERCENT

BNS Form No. 2

Food and Nutrition Program

BARANGAY NUTRITION SCHOLAR ACTIONPLAN

From __________to ____________, 20 ____

_________________________________________
Barangay Nutrition Scholar

INTEVENTION / ACTIVITIES TARGET GROUP TARGET COOPERATOR SCHEDULE OF ACTIVITIES

NUMBER J F M A M J J A S O N D
A. IDENTIFYING AND LOCATING
TARGETS
1. Full Weighing All preschoolers (0-71 mos.) RHM/BNS/BHW
2. Monthly Reweighing 0-23 months preschoolers RHM/BNS/BHW
3. Quarterly Weighing 24-71 mos. PS RHM/BNS/BHW
Severely Underweight (SEV)
Underweight (UW)

B. REFERRALS
1. To Feeding Center Severely UW
Underweight
Pregnant/Nursing Mothers RHM/BNS/BHW
Others (Specify)

2. To Health Center Severely UW

Underweight
Pregnant/Nursing Mothers RHM/BNS/BHW
Others (Specify)

Families with Underweight

3. To AT for Distribution of
Seeds/Seedlings (SEV & UW)
RHM/BNS/BHW
Others (Specify)

4. For Attendance to Mothers’ Mothers with Underweight

Class RHM/BNS/BHW
 PS RHM/BNS/BHW
P/L Mothers
Others (Specify)

INTEVENTION / ACTIVITIES TARGET GROUP TARGET COOPERATOR SCHEDULE OF ACTIVITIES

NUMBER J F M A M J J A S O N D
`
C. OTHER ACTIVITIES

1. Organization / Reactivitation of BNC 4 BNC

BNC

2. Attendance to BNS Meetings BNSes 12 MNC

3. Income Generating Activities HOUSEHOLDS BNC

4. Information Campaigns

- Immunization INFANTS RHM/BNS/BHW

- Environmental Sanitation HOUSEHOLDS RHM/BNS/BHW

- Selective Food Production HOUSEHOLDS RHM/BNS/BHW

- Family Planning PREGNANT WOMEN RHM/BNS/BHW

LACTATING MOTHERS

5. Home Visits POST PARTUM WOMEN RHM/ BNS/BHW

6. Others (Specify)
 BNS Form No. 3A
MONTHLY RECORD OF WEIGHT AND WEIGHT STATUS
INFANTS 0-23 MONTHS

PROVINCE: CITY/MUNICIPALITY: BARANGAY:

DATE OF
BIRTH
NAME OF CHILD Age Weight Weight Age Weight Weight Age Weight Weight Age Weight Weight Age Weight Weight Age Weight Weight
Year Mo. Day (Kgs) Status (Kgs) Status (Kgs) Status (Kgs) Status (Kgs) Status (Kgs)
Mo. Mo. Mo. Mo. Mo. Mo. Status

NO. OF SEVERELY UNDERWEIGHT: DATE ACCOMPLISHED:

NO. OF UNDERWEIGHT: ACCOMPLISHED:

BNS Form No. 3B

MONTHLY RECORD OF WEIGHT AND WEIGHT STATUS

SEVERELY UNDERWEIGHT and UNDERWEIGHT CASES

PROVINCE: CITY/MUNICIPALITY: BARANGAY:

DATE OF
DATE OF WEIGHING
BIRTH
NAME OF CHILD Age Weight Weight Age Weight Weight Age Weight Weight Age Weight Weight Age Weight Weight Age Weight Weight
Year Mo. Day
Mo. (Kgs) Status Mo. (Kgs) Status Mo. (Kgs) Status Mo. (Kgs) Status Mo. (Kgs) Status Mo. (Kgs) Status

DATE ACCOMPLISHED:
ACCOMPLISHED BY:
SUMMARY (Accomplished after months):
No. Identified Severely Underweight: No. Improved in Weight Status: No. Dead: No. Moved Out:

PRE-SCHOOL CHILDREN:

General Objective:

Specific Objective:
SCHOOL CHILDREN:

General Objective:

Specific Objective:
BNS Forms IC

BARANGAY SITUATIONAL ANALYSIS

REGION: _____________ CITY/MUN.: _______________ PROVINCE:___________________ DATE PREPARED: ________________

ITEM NUMBER

1. Total No. of Households ……………………………………………………………………...… ________________________

2. Total No. of Households surveyed ……………………………………………………. ________________________
3. Total No. of Infants (0-11) …………………………………………………………….… ________________________
4. Total No. of Toddlers (12-24) ……………………………………………………………… ________________________
5. Total No. of Women who are:
a. Pregnant ………………………………………………………………………......……. ________________________
b. Nursing ………………………………………………………………………….......…… ________________________
6. Total No. of Preschoolers ……………………………………………………………………….. ________________________
7. Total No. Preschoolers Weighed …………………………………………………………….. ________________________
8. Weight Status of Preschoolers ………………………………………………………………… ________________________
a. No. of Overweight …………………………………………………………….....… ________________________
b. No. of Normal …………………………………………………………………......… ________________________
c. No. of Severely Underweight …………………………………………......….. ________________________
d. No. of Underweight …………………………………………………………........ ________________________
e. No. of Severely Underweight & Underweight ……………………....... ________________________
9. No. of Preschoolers Immunized:

a. BCG ……………………………………………………………………………..…. ________________________

b. DPT I …………………………………………………………………………….... ________________________
c. DPT II …………………………………………………………………………..…. ________________________
d. DPT III …………………………………………………………………………..… ________________________
e. Polio I …………………………………………………………………………..… ________________________
f. Polio II …………………………………………………………………………..… ________________________
g. Polio III …………………………………………………………………………... ________________________
h. Measles …………………………………………………………………………. ________________________
10. No. of Households with:
a. Water-sealed Toilets …………………………………………………….… ________________________
b. Open Pit Toilets ……………………………………………………………... ________________________
c. Without Toilets ……………………………………………………………….…. ________________________
d. Others ………………………………………………………………………….… ________________________

11. No. of Households Getting Water From:

a. Piped Water System ……………………………………………………..… ________________________
b. Well ………………………………………………………………………….……. ________________________
c. Spring …………………………………………………………………………….. ________________________

12. No. of Households With:

a. Vegetable Garden …………………………………………………………… ________________________
b. Livestock/Poultry ……………………………………………………………. ________________________
c. Fishpond …………………………………………………………………………. ________________________
13. No. of Households using Iodized Salt ……………………………………...… ________________________
 CAUSAL MODEL OF MALNUTRITION

Underweight children

Dietary Food Intake Health Status

Household Food Security Quality of Care Health Environment and Health

Services
 INTERVENTIONS OF MALNUTRITION
 DEWORMING
 MOTHER’S CLASS AND BREASTFEEDING ADVOCACY
 NUTRITION EDUCATION
 GIVING FERROUS SULFATE SYRUP AND TABLET
 USING IODIZED SALT
 MONITORING OF WEIGHT
 LIVELIHOOD ASSISTANCE
 DISTRIBUTION OF SEEDS
 MICRONUTRIENT SUPPLEMENTATION
 ORAL DENTAL CARE
 Causal Model of Overnutrition
Lubao Municipal Nutrition Committee

Overweight Children
0 – 71 Months old

Too much Poor health status

Food intake

Poor Parenting Insufficient Health Service

Food
Insecurity
 INTERVENTIONS OF MALNUTRITION
OVERWEIGHT

 REDUCE INTAKE OF VITAMINS

 EXERCISE REGULARLY
 REDUCE INTAKE TOO MUCH SUGAR, FAT AND CALORIES
 DO NOT REWARD FOOD FOR THEIRPRIZE
 FORMAT B

HEALTH AND NUTRITION SITUATION OF OTHER RELEVANT INFORMATION

Name of Barangay: _________________________________________________

PART - A

I. GENERAL INFORMATION II. PRESCHOOL (PS) AND SCHOOL CHILDREN (SC) PS SC

(1) Total No. of Puroks: _______________________________ (1) Total No. of Surveyed / Enrolled: ________ ________

(2) Total Population: _________________________________ (2) Total No. Weighed: ________ ________

(3) Total No. of Households: ___________________________ (3) % Weighed: ________ ________

(4) Total No. of Infants (0-11 months): __________________ (4) Total No. with Normal Weights: ________ ________

(5) Total No. of Pregnant Women: ______________________ (5) Total No. of SEV/UW/SEV Wasted & Wasted: ________ ________

(6) Total No. of Lactating Women: ______________________ (6) Total No. of Overweight/Obese: ________ ________

(7) No. of Households with Home Gardens: _______________ (7) Total No. of Children with

(8) Total No. of Households with Cleft Palate/Harelip: ________ ________

Sanitary Toilet: _____________________________ (8) Total No. of Households with ________ ________

(9) Total No. of Households with Children Underweight:

Potable Water Supply: _______________________ (9) Prevalence Rate of Severely Underweight

(10) Most Common Occupation: _________________________ And Underweight Children ________ ________
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9

Reduction in the Prevalence of

Iodine Deficiency Disorders

Households
1. Iodized Salt Utilization RHM/BNS/BHW Establishments WHOLE YEAR
School Canteen

2. Selling of Iodized Salt RHM/BNS/BHW Sari-sari stores WHOLE YEAR

Households TWICE
Establishments A
3. Salt Testing
RHM/BNS/BHW School Canteen YEAR
Sari-sari stores
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9
Reduction in the Prevalence
Vitamin A Deficiency

1. Vit A. Supplementation

▫ GP Round 1 PS 6-11 mos

PS 12-59 mos TWICE A YEAR

▫ GP Round 2 RHM/BNS/BHW PS 6-11 mos

PS 12-59 mos
.
▫ During Measles Immunization PS 9-11 mos

▫ Within 1 month after delivery PP mothers

2. Promotion in the Production
and Consumption of VIt. A rich
foods Households
▫ Malunggay sa Bakuran
▫ Gulayan sa Bakuran
School children
3. Promotion in the utilization
of SPS food products Households

4. Selling of SPS Food Products

Sari-sari stores

5. Nutrition Education
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
IMPLEMENTOR
PROGRAM / PROJECT LOCATION BUDGETARY SOURCE DURATION
S
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9
Reduction in the Proportion of
Households with Inadequate Food
Intake
1. Establishment of Garden:
▫ Home Backyard Garden
▫ School Garden
▫ Community Garden

2. Distribution of Assorted
Vegetable Seeds

3. Provision of Livelihood and

Income Generating Project (IGP)
▫ Food for Work
▫ Educational Assistance
▫ Financial Assistance
4. Provision of Material Support for
Livelihood and Income Generating
Project (IGP)
▫ Food for work
▫cash for work
▫educational assistance
▫ financial assistance
5. Provision of Material Support
▫ Detecto weighing scales
▫ salter weighing scales
▫ Hygiene kits
▫ school bags & school items
▫ Blood pressure kit
6. Provision of Livelihood Skills
Training
▫ meat processing, candy &
delicacies
▫ flower making arrangement,
accessories making

7. Advocacy & Selling of

▫ Iodized Salt Households
▫ SPS Food Products Sari-sari stores
8. Nutrition Education
Mothers w/
▫ Mothers Class
SUW & UW PS
▫ One on One Counselling during
Pregnant
Pre-Natal Visits, Follow-Up Check
Lactating
Up, Immunization
9. Promotion on Responsible Couples
Parenthood

10. Reproductive Health Education Couples

 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9
Reduction in the Prevalence of
Under Nutrition Among
Preschool Children
(0-5 Years)

1. Promotion of early and regular Pregnant Women

prenatal care
2. Counselling and Proper Diet Pregnant Women
during pregnancy
3. Initiated Breastfeeding Post partum mother

4. Advocay on Exclusive Pregnant mothers

Breastfeeding Lactating mothers
5. Provision of Iron with Folate Pregnant mothers
Supplementation Lactating mothers
6. Provision of Iron SUW & UW
Supplementation Preschool children
7. Promotion of positive caring Preschool children
practices for sick child
8. Ensure wide coverage of Household without
Sanitary Toilet Facilities toilet
9. ensure wide covergae of Safe Safe Drinking Water
Drinking Water Supply
10. Deworming 12-59 months

11. Community Milk Feeding

12. Operation Timbang Plus (OPT)

13. Weighing of SUW & UW

Preschool ers
14. Weighing of 0-23 months
Preschoolers
15. Nutrition Education

16. Promotion of Nutritional Pregnant Mothers

Guidelines for Filipinos (NGF) Lactating Mothers
17. Promotion of Responsible Couples
Parenthood
18. Nutrition Month Celebration
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9
Reduction in the Prevalence of
Under Nutrition Among School
Children
(6-12 Years)

1. School Based Feeding School

children
2. Deworming SC 6-12 y/o

3. Nutrition Education

4. Nutrition Month Celebration

5. Monitor Nutritional Status School

through weight and height children
6. Distribution of iron SC w/ BN
supplementation weights
7. Promotion of SPS Poducts School
Canteen
8. Utilization of Iodized Salt School
Canteen
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9

Reduction in the Prevalence of

Anemia

1. Iron Supplementation `
Mass Deworming

□ GP Round 1 12-59 mos

□ GP Round 2

Pregnant &
2. Campaign on Breastfeeding
Lactating
Promotion
women
Severely
3. Hemoglobin & Hematocrit
underweight
Determination
children
Pregnant

4. Selling of SPS Food Products Sari-sari store

5. Nutrition Education
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9

Reduction in the Levels of

Indicators of Risk Factors
Associated with Non-
Communicable Diseases
(NCD’s)

6. Development /Posting of
signage on Nutrition

7. Advocacy on Family Planning

□ Pre-marriage Counselling

□ Acceptors on FP Methods WRA

□ Reproductive Health WRA

Education
 FORMAT C

MONTHLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS TOTAL POSSIBLE FREQUENCY TIMETABLE FOR IMPLEMENTATION
PROGRAM / PROJECT LOCATION IMPLEMENTORS BUDGETARY SOURCE DURATION
GROUP NO. REQUIREMENT J F M A M J J A S O N D
1 2 3 4 5 6 7 8 9

Status of Facilitating Activities

1. Training /Seminars BNS

2. Advocacy

a. Conduct advocacy meetings BNC

w/ various groups:

b. Letters/Articles/Resolutions
in support to Nutrition-Related
Bills filed in Congress
3. Nutrition Activities
a. Nutrition Month Celebration
b. Breastfeeding Month
4. Over-all Planning and
Management
a. NC Organized/ Re-organized
b. NAPs Formulated
PPAN
b.1 Barangay PPAN

c. Action Plans integrated into

Local Development Plan
c.1 BNAP BNAP
 FORMAT D

QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP

PROGRAM / ANNUAL TARGETS QUARTERLY OUTREACH

LOCATION IMPLEMENTORS
PROJECT GROUP NO. 1ST QUARTER 2ND QUARTER 3RD QUARTER 4TH QUARTER
No % No % No % No %

Reduction in the
Prevalence of Iodine
Deficiency Disorders

Households
1. Iodized Salt Food-Establishments
Utilization School Canteen

2. Selling of Iodized
Sari-Sari Stores
Salt
Households
Food-Establishments
3. Salt Testing
School Canteen
Sari-sari stores
 FORMAT D
QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES
ACCORDING / AS PER BNAP
ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION IMPLEMENTORS ST ND
GROUP NO. 1 QUARTER 2 QUARTER 3RD QUARTER 4TH QUARTER
No % No % No % No %
Reduction in the Prevalence
Vitamin A Deficiency
1. Vit A. Supplementation
PS 6-11 mos.
▫ GP Round 1 PS 12-59 mos.

▫ GP Round 2 PS 6-11 mos.

PS 12-59 mos.
▫ During Measles
Immunization PS 9-11 mos.

▫ Within 1 month after PP Mothers

delivery
2. Promotion in the
Production and
Consumption of VIt. A rich
foods
Households
▫ Malunggay sa Bakuran
▫ Gulayan sa Bakuran
3. Promotion in the
School Children
utilization of SPS food
Households
products
4. Selling of SPS Food
Products Sari-Sari Store

5. Nutrition Education
 FORMAT D

QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

ACCORDING / AS PER BNAP
ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION IMPLEMENTORS ST ND
GROUP NO. 1 QUARTER 2 QUARTER 3RD QUARTER 4TH QUARTER
No % No % No % No %
Reduction in the Prevalence
of Under nutrition Among
Preschool Children
(0-5 Years)

1. Promotion of early and Pregnant women

regular prenatal care
2. Counselling and Proper
Pregnant Women
diet during pregnancy
3. Initiated Breastfeeding Post Partum Mother
4. Advocacy on Exclusive Pregnant Mothers
Breastfeeding Lactating Mothers
5. Provision of Iron w/ Folate Pregnant Mothers
Supplementation Post Partum Mother
6. Provision of Iron UW & SUW
Supplementation Preschool Children
7. Promotion of positive Preschool Children
caring practices for sick child
8. Ensure wide coverage of Household without toilet
Sanitary Toilet Facilities

9. Ensure wide coverage of Safe drinking water

Safe Drinking Water Supply

10. Deworming 12 – 59 mos

11. Community Milk Feeding UW & SUW

Preschool Children
12. Operation Timbang Plus
(OPT )
13. Weighing of UW & Preschool Children
SUW Preschoolers
14. Weighing of 0-23 mos Preschool Children
Preschoolers

15. Nutrition Education

16. Promotion of Nutritional Pregnant Mothers

Guidelines for Filipinos (NGF) Lactating Mothers
17. Promotion of Couples
Responsible Parenthood
18. Nutrition Month
Celebration

FORMAT D
 QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES
ACCORDING / AS PER BNAP
ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION IMPLEMENTORS ST ND
GROUP NO. 1 QUARTER 2 QUARTER 3RD QUARTER 4TH QUARTER
No % No % No % No %
Reduction in the Proportion of
Households with Inadequate Food
Intake

1. Establishment of Garden:
▫ Backyard Garden
▫ Community Garden
▫ School Garden
2. Distribution of Assorted
Vegetable Seeds

3. Provision of Livelihood and

Income Generating Project (IGP)
▫ Food for Work
▫ Educational Assistance
▫ Financial Assistance
▫ Cash for work
4. Provision of Material Support for
Livelihood and Income Generating
Project (IGP)

▫ Fishing Gears
▫ Nego Carts

5. Provision of Material Support

▫ Detecto Weighing Scales
▫ Salter Weighing Scales
▫ Hygiene Kits
▫ School Bags & School items
▫ Blood Pressure

6. Provision of Livelihood Skills

Training
▫ meat processing, candy &
delicacies
▫ making flower arrangement,
accessories making

7. Advocacy & Selling of

▫ Iodized Salt Households
▫ SPS Food Products Sari-sari stores

8. Nutrition Education Mothers w/ SUW &

▫ Mothers Class UW PS
▫ One on One Counselling during Pregnant
Pre-Natal Visits, Follow-Up Check Lactating
Up,
Immunization

9. Promotion on Responsible
Couples
Parenthood
Couples
10. Reproductive Health Education

FORMAT D

QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

 ACCORDING / AS PER BNAP
IMPLEMENTOR ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION
S GROUP NO. 1ST QUARTER 2ND QUARTER 3RD QUARTER 4TH QUARTER
Reduction in the No % No % No % No %
Prevalence of Under
Nutrition Among School
Children
(6-12 Years)

School Children
1. School Based Feeding

2. Deworming SC 6-12 y/o

3. Nutrition Education

4. Nutrition Month
Celebration

5. Monitor Nutritional
Status through weight School Children
and height
6. Distribution of Iron
SC w/ BN weights
Supplementation
7. Promotion of SPS
School Canteen
Products
8. Utilization of Iodized
School Canteen
Salt

FORMAT D

QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

 ACCORDING / AS PER BNAP
ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION IMPLEMENTORS
GROUP NO. 1ST QUARTER 2ND QUARTER 3RD QUARTER 4TH QUARTER
Reduction in the Levels of No % No % No % No %
Indicators of Risk Factors
Associated with Non-
Communicable Diseases
(NCD’s)

6. Development/Posting BHS
signage on Nutrition

7. Advocacy on Family
Planning

 Pre-marriage WRA
Counselling
 Acceptors on FP WRA
Methods
 Reproductive Health
Education

FORMAT D

QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES

 ACCORDING / AS PER BNAP
ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION IMPLEMENTORS
GROUP NO. 1ST QUARTER 2ND QUARTER 3RD QUARTER 4TH QUARTER
No % No % No % No %
Status of Facilitating Activities

1. Training / Seminars BNS

2. Advocacy

a. Conduct advocacy meetings

w/ various groups:

b. Letters/Articles/Resolutions
in support to Nutrition-Related
Bills filed in Congress
3. Nutrition Activities
a. Nutrition Month Celebration
b. Breastfeeding Month
4. Over-all Planning and ‘
Management

a. NC Organized/Re-organized

b. NAPs Formulated

b.1 Provincial PPAN

b.2 Municipal PPAN PPAN
b.3 Barangay PPAN

c. Action Plans integrated into

Local Development Plan

c.1 BNAP BNAP

5. Conduct PIR

FORMAT D
 QUARTERLY ACCOMPLISHMENT OF PROGRAMS, PROJECT AND ACTIVITIES
ACCORDING / AS PER BNAP
IMPLEMENTOR ANNUAL TARGETS QUARTERLY OUTREACH
PROGRAM / PROJECT LOCATION
S GROUP NO. ST
1 QUARTER ND
2 QUARTER 3RD QUARTER 4TH QUARTER
Reduction in the Prevalence of No % No % No % No %
Anemia

1. Iron Supplementation
Mass Dewornning

 GP Round 1
PS 12-59 mos

 GP Round 2

2. Campaign on Breastfeeding Pregnant

Promotion Lactating women
Severely
3. Hemoglobin & Hematocrit underweight
Determination children
Pregnant
4. Selling of SPS Food Products Sari-Sari Store

5. Nutrition Education

BNS Form No.2

Food and Nutrition Program
 BARANGAY NUTRITION SCHOLAR ACTION PLAN
From________________to____________, 20_____
_____________________________________________________________ ________________________________
Barangay Nutrition Scholar Barangay

TARGET SCHEDULE OF ACTIVITIES

INTERVENTIONS/ACTIVITIES TARGET GROUP COOPERATOR
NUMBER J F M A M J J A S O N D
A. IDENTIFYING AND LOCATING
TARGETS
1. Full Weighing All preschoolers (0-71 mos.)
2. Monthly Reweighing 0-23 months preschoolers
3. Quarterly Weighing 24-71 mos. PS
Severely Underweight (SEV)
Underweight (UW)
B. REFERRALS
1. To Feeding Center Severely UW
Underweight
Pregnant/Nursing Mothers
Others (Specify)

2. To Health Center Severely UW

Underweight
Pregnant/Nursing Mothers
Unimmunized Children
Others (Specify)

3. To AT for Distribution of Seeds/ Families with Underweight

Seedings (SEV & UW)
Others (Specify)
4. For Attendance to Mothers’ Class Mother with Underweight PS
P/L Mothers
Others (Specify)
 TARGET SCHEDULE OF ACTIVITIES
INTERVENTIONS/ACTIVITIES TARGET GROUP COOPERATOR
NUMBER J F M A M J J A S O N D
C. OTHER ACTIVITIES

1. Organization/Reactivation of BNC

2. Attendance to BNS Meetings

3. Income Generating Activities

4. Information Campaigns

- Immunization

- Environmental Sanitation

- Selective Food Production

- Family Planning

5. Home Visits

6. Others (Specify)

QUARTERLY RECORD OF WEIGHT STATUS

 24-71 MONTHS OLD
MUNICIPALITY: ______________________________
BARANGAY: _______________________________
PUROK: ______________________________
DATE OF BIRTH 1ST Quarter 2ND Quarter 3RD Quarter 4TH Quarter
NAME OF CHILD Age Wgt. Wgt. Age Wgt. Wgt. Age Wgt. Wgt. Age Wgt. Wgt.
Year Mo. Day (mos.) (Kgs.) Status (mos.) (Kgs.) Status (mos.) (Kgs.) Status (mos.) (Kgs.) Status

No. Severely Underweight:

No. Moderately Underweight:
Date Accomplished:
Accomplished by:
Noted by: ____________________________
Format C
Reduction in the Proportion of households with adequate intake

12. Small Animals Dispersal Families with

SUW & UW
PS
Poor Families
13. Swine Animals Dispersal Families with
SUW & UW
PS
Poor Families
14. Distribution of Large Animals Families with
SUW & UW
PS
Poor Families

Format D
Reduction in the Proportion of households with adequate intake

12. Small Animals Dispersal Families with SUW

& UW PS
Poor Families
13. Swine Animals Dispersal Families with SUW
& UW PS
Poor Families
14. Distribution of Large Animals Families with SUW
& UW PS
Poor Families