BNSP FORM No.

4 Province of Laguna
Philippine Plan of Action for Nutrition CITY OF CALAMBA
BNS ACCOMPLISHMENT REPORT
1st Semester, 20_____

Name of BNS ________________________________ Barangay ______________________

ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
A. GROWTH MONITORING ACTIVITIES
1. Full Weighing (OPT+)
All children, 0-59 mos. Old
2. Monthly reweighing and height monitoring
All children, 0-23 months old
Underweight children 0-59 months old (based on OPT data)
Severely underweight children 0-59 months old
(based on OPT data)
Wasted children 0-59 months old (based on OPT data)
Severely wasted children 0-59 months old (based on OPT data)
Overweight children 0-59 months old (based on OPT data)
Obese children 0-59 months old (based on OPT data)
Stunted children 0-59 months old (based on OPT data)
Severely stunted children 0-59 months old (based on OPT data)
3. Semestral reweighing and height monitoring
Children, 24-59 mos. old
B. NUTRITION SPECIFIC PROGRAMS
1. Infant and Young Child Feeding (IYCF)
a. Refer for breastfeeding or lactation counseling
Pregnant women
Lactating mothers
b. Counseling on breastfeeding and complementary feeding
Pregnant women
Lactating mothers
BNSPForm4SAR_2021 Page 1 of 7
 ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
Mothers with acutely malnourished children 0-59 months old
c. Assist in organizing IYCF community support groups
d. Other activities, specify
-
-
2. Integrated Management of Acute Malnutrition
a. Assist in case finding
b. Refer cases to In-patient therapeutic care (ITC)
Severe acute malnutrition (SAM) cases with medical
complication
c. Refer cases to out-patient therapeutic care (OTC)
SAM cases without medical complication
d. Refer cases to supplementary feeding
Moderate acute malnutrition (MAM) cases
e. Assist in operations of outpatient therapeutic care (OTC) and
supplementary feeding of MAM and SAM cases without
medical complication
3. Dietary
3 Supplementation
a. Refer cases
Underweight pregnant women
Other pregnant women
Infants 6-23 months old
Other groups, specify
-
-
b. Assist in dietary supplementation activities
Underweight pregnant women
Other pregnant women
Infants 6-23 months old
Other groups, specify
-
-
4. National Promotion Program for Behavior Change
a. Conduct nutrition education classes (Idol ko si Nanay,
Pabasa sa Nutrisyon, cooking demonstrations, others)
Mothers or caregivers of children 0-23 months old
BNSPForm4SAR_2021 Page 2 of 7
 ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
Mothers or caregivers of children 24-59 months old
Other mothers
Pregnant women
Fathers or other male members of the family
Other groups, specify
-
-
b. Do home visits for nutrition counseling and follow-up
Mothers or caregivers of children 0-23 months old
Mothers or caregivers of wasted (SAM or MAM) children 0-59
months old
Mothers or caregivers of moderately severely underweight
children 0-59 months old
Mothers or caregivers of stunted children 0-59 months old
Mothers or caregivers of overweight or obese children 0-59
months old
Pregnant women
5. Micronutrient
. Supplementation
a. Assist in administration of vitamin A supplements
Children 6-59 months old
Post-partum mothers
Measles cases
b. Assist in iron-folic acid supplementation, including follow-up
home visits to check on actual use
Pregnant women
c. Assist in distribution of multiple micronutrient powder,
including follow-up home visits to check on actual use
Children 6-23 months old
d. Assist in distribution of iodized oil capsules (if available)
Women of reproductive age
Pregnant women
6. Mandatory
. food fortification
a. Promotion on the use of iodized salt
General population
BNSPForm4SAR_2021 Page 3 of 7
 ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
b. Assist in monitoring the sale of iodized salt where salt is sold
Market
Grocery/Supermarket
Sari-sari store
Eating places
7. Nutrition in Emergencies
a. Assist in rapid assessment
As needed
b. Assist in distribution of vitamin A capsules
As needed
c. Refer cases of SAM and MAM
As needed
d. Assist in OTC
As needed
e. Assist in supplementary feeding of MAM Cases
As needed
f. Assist in following up SAM and MAM cases
As needed
g. Conduct counseling on infant and young child feeding
As needed
h. Conduct nutrition education
As needed
i. Others, specify
As needed
8. Overweight and Obesity Management and Prevention Program
a. Refer cases to service provider
. Overweight and obese children 0-59 months old
b. Assist in weight management intervention
Overweight and obese children 0-59 months old
c. Assist in promoting healthy environment
d. Others, specify
-
-
BNSPForm4SAR_2021 Page 4 of 7
 ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
C. NUTRITION SENSITIVE PROGRAMS
1. Home,
. school and community food production
a. Refer to programs and projects that distribute seeds, seedlings,
other planting materials, and small animals
Families with pregnant women
Families with children 0-23 months old
Families with wasted children and severely wasted children
0-59 months old
Other families
b. Assist in distributing seeds, seedlings, other planting materials
and small animals
Families with pregnant women
Families with wasted children and severely wasted children
0-59 months old
Other families
c. Establish own home garden
d. Assist in establishing community food garden
2. Livelihood assistance
a. Refer to programs and projects
1) Providing credit assistance or seed capital
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
2) Providing material support for income generating projects
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
BNSPForm4SAR_2021 Page 5 of 7
 ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
Others, specify
-
-
b. Providing training support for income generating projects
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
Others, specify
-
-
3. Water,
. Sanitation and Hygiene
a. Refer to programs and projects on
1) Distribution of sanitary toilets
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
Others, specify
-
-
2) Improving access to safe drinking water
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
. Others, specify
-
-
b. Campaign for zero open defecation
Community
BNSPForm4SAR_2021 Page 6 of 7
 ACTIVITY AND TARGET GROUP TARGET JANUARY FEBRUARY MARCH APRIL MAY JUNE TOTAL
Others, specify
-
-
4. Population management
a. Assist in the promotion of responsible parenthood, including
family planning
b. Assist in activities to prevent teen-age pregnancy
D. ENABLING PROGRAMS
1. Assist
1 in resource generation/fund raising for nutrition projects
of
. the barangay
2. Attend meetings
a. BNC meetings
b. BNS-CNPC/CNAO meetings
3. Assist in organizing/reorganizing barangay nutrition committee
E. OTHER ACTIVITIES (Please specify)

Remarks by supervisor (CNPC or CNAO)

BNSPForm4SAR_2021 Page 7 of 7

Prepared by:

__________________________________ __________________________________ Aleli Catalina Y. Jimenez, RND, MMPA

Barangay Nutrition Scholar Barangay Chairman City Nutrition Action Officer
Name and Signature Name and Signature Name and Signature

Date: ______________ Date: ______________ Date: ______________

BNSP FORM No. 4 Province of Laguna
Philippine Plan of Action for Nutrition CITY OF CALAMBA
BNS ACCOMPLISHMENT REPORT
1st Semester, 20_____

Name of BNS ________________________________ Barangay ______________________

ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
A. GROWTH MONITORING ACTIVITIES
4. Full Weighing (OPT+)
All children, 0-59 mos. Old
5. Monthly reweighing and height monitoring
All children, 0-23 months old
Underweight children 0-59 months old (based on OPT data)
Severely underweight children 0-59 months old
(based on OPT data)
Wasted children 0-59 months old (based on OPT data)
Severely wasted children 0-59 months old (based on OPT data)
Overweight children 0-59 months old (based on OPT data)
Obese children 0-59 months old (based on OPT data)
Stunted children 0-59 months old (based on OPT data)
Severely stunted children 0-59 months old (based on OPT data)
6. Semestral reweighing and height monitoring
Children, 24-59 mos. old
B. NUTRITION SPECIFIC PROGRAMS
9. Infant and Young Child Feeding (IYCF)
c. Refer for breastfeeding or lactation counseling
Pregnant women
Lactating mothers
d. Counseling on breastfeeding and complementary feeding
Pregnant women
Lactating mothers
BNSPForm4SAR_2021 Page 1 of 7
 ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
Mothers with acutely malnourished children 0-59 months old
e. Assist in organizing IYCF community support groups
f. Other activities, specify
-
-
10. Integrated Management of Acute Malnutrition
f. Assist in case finding
g. Refer cases to In-patient therapeutic care (ITC)
Severe acute malnutrition (SAM) cases with medical
complication
h. Refer cases to out-patient therapeutic care (OTC)
SAM cases without medical complication
i. Refer cases to supplementary feeding
Moderate acute malnutrition (MAM) cases
j. Assist in operations of outpatient therapeutic care (OTC) and
supplementary feeding of MAM and SAM cases without
medical complication
11. Dietary
3 Supplementation
a. Refer cases
Underweight pregnant women
Other pregnant women
Infants 6-23 months old
Other groups, specify
-
-
b. Assist in dietary supplementation activities
Underweight pregnant women
Other pregnant women
Infants 6-23 months old
Other groups, specify
-
-
12. National Promotion Program for Behavior Change
a. Conduct nutrition education classes (Idol ko si Nanay,
Pabasa sa Nutrisyon, cooking demonstrations, others)
Mothers or caregivers of children 0-23 months old
BNSPForm4SAR_2021 Page 2 of 7
 ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
Mothers or caregivers of children 24-59 months old
Other mothers
Pregnant women
Fathers or other male members of the family
Other groups, specify
-
-
b. Do home visits for nutrition counseling and follow-up
Mothers or caregivers of children 0-23 months old
Mothers or caregivers of wasted (SAM or MAM) children 0-59
months old
Mothers or caregivers of moderately severely underweight
children 0-59 months old
Mothers or caregivers of stunted children 0-59 months old
Mothers or caregivers of overweight or obese children 0-59
months old
Pregnant women
13. Micronutrient
. Supplementation
e. Assist in administration of vitamin A supplements
Children 6-59 months old
Post-partum mothers
Measles cases
f. Assist in iron-folic acid supplementation, including follow-up
home visits to check on actual use
Pregnant women
g. Assist in distribution of multiple micronutrient powder,
including follow-up home visits to check on actual use
Children 6-23 months old
h. Assist in distribution of iodized oil capsules (if available)
Women of reproductive age
Pregnant women
14. Mandatory
. food fortification
c. Promotion on the use of iodized salt
General population
BNSPForm4SAR_2021 Page 3 of 7
 ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
d. Assist in monitoring the sale of iodized salt where salt is sold
Market
Grocery/Supermarket
Sari-sari store
Eating places
15. Nutrition in Emergencies
j. Assist in rapid assessment
As needed
k. Assist in distribution of vitamin A capsules
As needed
l. Refer cases of SAM and MAM
As needed
m. Assist in OTC
As needed
n. Assist in supplementary feeding of MAM Cases
As needed
o. Assist in following up SAM and MAM cases
As needed
p. Conduct counseling on infant and young child feeding
As needed
q. Conduct nutrition education
As needed
r. Others, specify
As needed
16. Overweight and Obesity Management and Prevention Program
e. Refer cases to service provider
. Overweight and obese children 0-59 months old
f. Assist in weight management intervention
Overweight and obese children 0-59 months old
g. Assist in promoting healthy environment
h. Others, specify
-
-
BNSPForm4SAR_2021 Page 4 of 7
 ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
C. NUTRITION SENSITIVE PROGRAMS
5. Home,
. school and community food production
e. Refer to programs and projects that distribute seeds, seedlings,
other planting materials, and small animals
Families with pregnant women
Families with children 0-23 months old
Families with wasted children and severely wasted children
0-59 months old
Other families
f. Assist in distributing seeds, seedlings, other planting materials
and small animals
Families with pregnant women
Families with wasted children and severely wasted children
0-59 months old
Other families
g. Establish own home garden
h. Assist in establishing community food garden
6. Livelihood assistance
c. Refer to programs and projects
3) Providing credit assistance or seed capital
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
4) Providing material support for income generating projects
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
BNSPForm4SAR_2021 Page 5 of 7
 ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
Others, specify
-
-
d. Providing training support for income generating projects
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
Others, specify
-
-
7. Water,
. Sanitation and Hygiene
c. Refer to programs and projects on
3) Distribution of sanitary toilets
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
Others, specify
-
-
4) Improving access to safe drinking water
Families with pregnant women
Families with children 0-23 months old
Families with wasted children 0-59 months old
Families with stunted children 0-59 months old
. Others, specify
-
-
d. Campaign for zero open defecation
Community
BNSPForm4SAR_2021 Page 6 of 7
 ACTIVITY AND TARGET GROUP TARGET JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
Others, specify
-
-
8. Population management
c. Assist in the promotion of responsible parenthood, including
family planning
d. Assist in activities to prevent teen-age pregnancy
D. ENABLING PROGRAMS
4. Assist
1 in resource generation/fund raising for nutrition projects
of
. the barangay
5. Attend meetings
a. BNC meetings
b. BNS-CNPC/CNAO meetings
6. Assist in organizing/reorganizing barangay nutrition committee
E. OTHER ACTIVITIES (Please specify)

Remarks by supervisor (CNPC or CNAO)

BNSPForm4SAR_2021 Page 7 of 7

Prepared by:

__________________________________ __________________________________ Aleli Catalina Y. Jimenez, RND, MMPA

Barangay Nutrition Scholar Barangay Chairman City Nutrition Action Officer
Name and Signature Name and Signature Name and Signature

Date: ______________ Date: ______________ Date: ______________