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    Enhanced CDC NS Monitoring Form Masterlist of Beneficiaries and LGU Consolidation of NS Report

    Uploaded by

    luffy
    This document contains forms used to monitor the nutritional status of children participating in feeding programs, including: 1) A weight monitoring form to track the weight, height, and nutritional status of individual children upon entry into the program and at 3 and 6 month intervals. 2) A masterlist of children form with information on each child's name, address, family details, birthdate, and nutritional measurements and status. 3) A consolidated nutritional status table to summarize the total numbers of children by gender in each nutritional classification (e.g. normal, underweight) at various points in the program.

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    © All Rights Reserved
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    Enhanced CDC NS Monitoring Form Masterlist of Beneficiaries and LGU Consolidation of NS Report

    Uploaded by

    luffy
    297 views4 pages
    This document contains forms used to monitor the nutritional status of children participating in feeding programs, including: 1) A weight monitoring form to track the weight, height, and nutritional status of individual children upon entry into the program and at 3 and 6 month intervals. 2) A masterlist of children form with information on each child's name, address, family details, birthdate, and nutritional measurements and status. 3) A consolidated nutritional status table to summarize the total numbers of children by gender in each nutritional classification (e.g. normal, underweight) at various points in the program.

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    This document contains forms used to monitor the nutritional status of children participating in feeding programs, including: 1) A weight monitoring form to track the weight, height, and nutritional status of individual children upon entry into the program and at 3 and 6 month intervals. 2) A masterlist of children form with information on each child's name, address, family details, birthdate, and nutritional measurements and status. 3) A consolidated nutritional status table to summarize the total numbers of children by gender in each nutritional classification (e.g. normal, underweight) at various points in the program.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    297 views4 pages

    Enhanced CDC NS Monitoring Form Masterlist of Beneficiaries and LGU Consolidation of NS Report

    Uploaded by

    luffy
    This document contains forms used to monitor the nutritional status of children participating in feeding programs, including: 1) A weight monitoring form to track the weight, height, and nutritional status of individual children upon entry into the program and at 3 and 6 month intervals. 2) A masterlist of children form with information on each child's name, address, family details, birthdate, and nutritional measurements and status. 3) A consolidated nutritional status table to summarize the total numbers of children by gender in each nutritional classification (e.g. normal, underweight) at various points in the program.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    Republic of the Philippines

    City/Municipality of ___________________Province of ______________________


    City/Municipal Social Welfare and Development Office

    Weight Monitoring Form


    CY 2020-2021
    Name of DCC/SNP: _______________
    Name of DCW/Volunteer: _____________
    Location: __________________________
    Upon Entry 3 Months After 6 Months After Remarks
    Name of Children (Surname, Sex Date of Age in Height Weight Nutritional Status Date of Age in Height Weight Nutritional Status Date of Age in Height Weight Nutritional Status
    No. Given Name Middle Initial) Weighing Mos (cm) (kg) Weight Weight for Height for Summary Weighing Mos (cm) (kg) Weight Weight for Height Summary Weighing Mos (cm) (kg) Weight Weight for Height Summary
    (m/d/y) for Age Height Age of (m/d/y) for Age Height for Age of (m/d/y) for Age Height for Age of
    Undernou Undernou Undernou
    rished rished rished
    Children Children Children

    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
    Total Number of Undernourished Children

    Nutritional Status Legend: Prepared by: Noted by:


    Weight for Age
    N- Normal SUW: Severly Underweight
    UW- Underweight
    SUW- Severely Underweight Name/Position City/Municipal Social Welfare and Development Officer
    OW- Overweight

    Height for Age


    N- Normal
    St- Stunted
    Sst- Severely Stunted
    T- Tall

    Weight for Age


    N- Normal
    W- Wasted
    SW- Severely Wasted
    OW- Overweight
    Ob- Obese
    Republic of the Philippines
    City/Municipality of ___________________Province of ______________________
    City/Municipal Social Welfare and Development Office

    Masterlist of Children
    CY 2020-2021
    Name of Child Development Center:
    Time of Feeding:
    Location:
    Barangay:
    District:
    AM/PM SESSION (Separate am and pm session masterlist)
    No. ADDRESS NAME OF MOTHER (Surname, Given FULL NAME OF CHILD (Surname, Given SEX DATE OF ACTUAL WEIGHT HEIGHT AGE IN NUTRITIONAL STATUS
    Pantawid PWD (pls put a Child of Solo
    Member (pls check mark) Parent (pls put a
    Name, MI) Name, MI) BIRTH DATE (kg) (cm) MONTHS specify RCCT / check mark)
    (m/d/y) WEIGHING Weight Weight Height for Summary 4p's or MCCT and
    indicate reference
    (m/d/y) for Age for Height Age of number)
    Undernou
    rished
    Children

    10
    Total Number of Undernourished Children
    Nutritional Status Legend: Prepared by: Noted by:
    Weight for Age Height for Age Weight for Age
    N- Normal N- Normal N- Normal
    UW- Underweight St- Stunted W- Wasted
    SUW- Severely Underweight Sst- Severely Stunted SW- Severely Wasted Name/Position City/Municipal Social Welfare and Development Officer
    OW- Overweight T- Tall OW- Overweight
    Ob- Obese
    Republic of the Philippines
    City/Municipality of ___________________Province of ______________________
    City/Municipal Social Welfare and Development Office

    Consolidated Nutritional Status


    CY 2020-2021
    Weight for Age Weight for Height
    Normal Underweight Severely Underweight Overweight Normal Wasted Severely Wasted Overweight/Obese
    No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share
    UPON Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
    ENTRY

    AFTER 3
    MOS

    AFTER
    120 DAYS

    Height for Age


    TOTAL NUMBER OF UNDERNOURISHED CHILDREN
    Normal Severely Stunted Stunted Tall
    No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share No. of No. of Total % Share
    Male Female Male Female Male Female Male Female Male Female
    UPON
    ENTRY

    AFTER 3
    MOS

    AFTER
    120 DAYS

    Prepared by: Noted by:

    Name/Position City/Municipal Social Welfare and Development Officer

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