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Province of Laguna
CITY OF CALAMBA
BNSP Form No. 4
Philippine Plan of Action for Nutrition
NAME OF BNS:________________________________________________________
A. Weighing Activities
1. Operation Timbang
All Preschoolers (0-71mos)
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:
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(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
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
__________________________________________ _____________________________________
Barangay Nutrition Scholar Signature Over Printed Name
Barangay Chairman
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ilippines
guna
LAMBA
Barangay:_________________________
HMENT REPORT
___________________________
________________
nted Name ALELI CATALINA Y. JIMENEZ, RND
airman Nutrition Officer IV/CNAO
BNS Supervisor