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Department of Health
NATIONAL NUTRITION OFFICE
OPT Plus Form 2A. City/Municipality Summary Report on Operation Timbang Plus
Revised February 2012 Page 1 of 3
City/Municipality: _Gitagum_____________
Total No. of Population of Municipality: _________ Source: ________ Estimated No. of PS:
Province: Misamin Oriental_________________ Year/Period of Measurement: _________________
Actual No. of PS measured:
Region: _____X________________________
CY 20______ Prevalence Rate UW&SUW: ______________________ Percent OPT Plus Coverage:
Total No. of Barangays: _____11___________
Prevalence Rate of UW&SUW: 0-59 mos. Old ______0-71 mos.: ______ No. of Indigenous PS measured:
Total No of Barangays w/ OPT Plus results/Percent Coverage: ______________
Age
Group
(1)
0-5 moths
(R1)
6-11
moths
(R2)
12-23
months
(R3)
24-35
Months
(R4)
36-47
months
(R5)
48-59
months
(R6)
60-71
months
(R7)
Total (R8)
Normal (N)
Boys
Girls
(2)
(3)
(4)
(5)
Stunted/Short (St)
Boys
Girls
(6)
(7)
(8)
(9)
Boys
(10)
TOTAL
Girls
(11)
Total
(12)
Total N
No
Prev
(13)
65
61
76
73
149
70
87
85
98
183
140
153
14
16
162
179
341
159
146
20
16
188
167
355
164
141
11
18
180
168
348
176
174
19
18
202
198
400
157
156
10
14
171
172
343
(14)
(16)
(17)
0-59
months
0-71
months
Prev 0-59
months
0-71
months
1,776
2,119
Note: a) R1 means Row No. 1, R2 means Row 2, etc. b)Total (R8) - refers to the sum of preschoolers by nutritional status and by age group c) Prev (R9)- refers to the prevalence rate by sex, by nutritional status for age group 0- 59 months and 0- 71 months
d) Prev (C22,24,26,28)- refers to the prevalence rate by total by age group
1/ Refers to previous year prevalence rate of the area 2/ 0-59 months = 13.5 x Total Population
3/ 0-71 months = 16.2 x Total Population
Checked: ___________________________________________
Date: ______________________
Date: ______________________
Approved: ____________________________________
Name and Signature of Mayor,
City/Municipal Nutrition Committee
Date: ______________________
City/Municipality: _Gitagum_____________
Total No. of Population of Municipality: _________ Source: ________ Estimated No. of PS:
Province: Misamin Oriental_________________ Year/Period of Measurement: _________________
Actual No. of PS measured:
Region: _____X________________________
CY 20______ Prevalence Rate UW&SUW: ______________________ Percent OPT Plus Coverage:
Total No. of Barangays: _____11___________
Prevalence Rate of UW&SUW: 0-59 mos. Old ______0-71 mos.: ______ No. of Indigenous PS measured:
Total No of Barangays w/ OPT Plus results/Percent Coverage: ______________
Age
Group
(1)
0-5 moths
(R1)
6-11
moths
(R2)
12-23
months
(R3)
24-35
Months
(R4)
36-47
months
(R5)
48-59
months
(R6)
60-71
months
(R7)
Total (R8)
Normal (N)
Boys
Girls
(2)
(3)
(4)
(5)
(6)
Wasted (W)
Boys
Girls
(7)
(8)
(9)
Boys
(10)
TOTAL
Girls
(11)
Total
(12)
Total N
No
Prev
(13)
(14)
(16)
(17)
0-59
months
0-71
months
Prev 0-59
months
0-71
months
Note: a) R1 means Row No. 1, R2 means Row 2, etc. b)Total (R8) - refers to the sum of preschoolers by nutritional status and by age group c) Prev (R9)- refers to the prevalence rate by sex, by nutritional status for age group 0- 59 months and 0- 71 months
d) Prev (C22,24,26,28)- refers to the prevalence rate by total by age group
1/ Refers to previous year prevalence rate of the area 2/ 0-59 months = 13.5 x Total Population
3/ 0-71 months = 16.2 x Total Population
Checked: ___________________________________________
Date: ______________________
Date: ______________________
Approved: ____________________________________
Name and Signature of Mayor,
City/Municipal Nutrition Committee
Date: ______________________