BNSP FORM No.

4
Philippine Plan of Action for Nutrition
BNS ACCOMPLISHMENT REPORT
1st Semester, 20_____
Province ________________ City_________________ Municipality ____________
Barangay
Name ______________
of BNS ___________________
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 (Total population (TP) x 13.5%
2. Monthly reweighing and height monitoring
All children, 0-23 months old (TP x 5.4%)
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 (TP x 8.1%)
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

1
 Activity and target group Target January February March April May June Total
GROWTHMothers
MONITORING ACTIVITIES
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 Supplementation
a. Refer cases
Underweight pregnant women
Other pregnant women
Infants 6-23 months old
Other groups, specify
b. Assist in dietary supplementation activites
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
2
 Activity and target group Target January February March April May June Total
GROWTHMothers
MONITORING ACTIVITIES
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 or 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

3
 Activity and target group Target January February March April May June Total
GROWTH MONITORING
b. Assist ACTIVITIES
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
Evacuees with children 0-59 months old
b. Assist in distribution of vitamin A capsules
Children 6-59 months old
c. Refer cases of SAM and MAM
As identified
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

4
 Activity and target group Target January February March April May June Total
GROWTH MONITORING
C. NUTRITION ACTIVITIES
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 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 children 0-23 months old
Families with wasted 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
Others, specify
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
5
 Activity and target group Target January February March April May June Total
GROWTH MONITORING ACTIVITIES
Others, specify
-
-
3) 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

6
 Activity and target group Target January February March April May June Total
GROWTH MONITORING
c. Others, specify ACTIVITIES
-
-
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 in resource generation/fund raising for nutrition
projects of the barangay
2. Attend meetings
a. BNC meetings
b. BNS-D/CNPC meetings
3. Assist in organizing/reorganizing barangay nutrition committee
F. OTHER ACTIVITIES (Please specify)

Remarks by supervisor (D/CNPC or C/MNAO)

Name and Signature Date

Prepared by: ______________________________________

Date: ___________________
7
BNSP FORM No. 4
Philippine Plan of Action for Nutrition
BNS ACCOMPLISHMENT REPORT
2nd Semester, 20_____
Province ________________ City_________________ Municipality ____________
Barangay
Name ______________
of BNS ___________________
Activity and target group Target July August September October November December Total
A. GROWTH MONITORING ACTIVITIES
1. Full Weighing (OPT+)
All children, 0-59 mos. Old (Total population (TP) x 13.5%
2. Monthly reweighing and height monitoring
All children, 0-23 months old (TP x 5.4%)
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 (TP x 8.1%)
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

8
 Activity and target group Target July August September October November December Total
GROWTHMothers
MONITORING ACTIVITIES
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 Supplementation
a. Refer cases
Underweight pregnant women
Other pregnant women
Infants 6-23 months old
Other groups, specify
b. Assist in dietary supplementation activites
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
9
 Activity and target group Target July August September October November December Total
GROWTHMothers
MONITORING ACTIVITIES
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 or 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

10
 Activity and target group Target July August September October November December Total
GROWTH MONITORING
b. Assist ACTIVITIES
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
Evacuees with children 0-59 months old
b. Assist in distribution of vitamin A capsules
Children 6-59 months old
c. Refer cases of SAM and MAM
As identified
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

11
 Activity and target group Target July August September October November December Total
GROWTH MONITORING
C. NUTRITION ACTIVITIES
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 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 children 0-23 months old
Families with wasted 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
Others, specify
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
12
 Activity and target group Target July August September October November December Total
GROWTH MONITORING ACTIVITIES
Others, specify
-
-
3) 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

13
 Activity and target group Target July August September October November December Total
GROWTH MONITORING
c. Others, specify ACTIVITIES
-
-
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 in resource generation/fund raising for nutrition
projects of the barangay
2. Attend meetings
a. BNC meetings
b. BNS-D/CNPC meetings
3. Assist in organizing/reorganizing barangay nutrition committee
F. OTHER ACTIVITIES (Please specify)

Remarks by supervisor (D/CNPC or C/MNAO)

Name and Signature Date

Prepared by: ______________________________________

Date: ___________________
14