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1. Figures indicated for months 0 to 71 (below 6 years old) are not BMI values, but are weights in Kgs. to 1. Figures indicated for mon
be used for nutritional status categorization of children below 6 years old. be used for nutritional statu
2. Nutritional status categorizations for those below 6 years old are Severely Underweight (if under the 2. Nutritional status catego
column Severely Wasted) and Underweight (if under the column Wasted). column Severely Wasted) an
Dewormed?
Beneficiary?
Indigenous
UCT / 4P's
People?
TD MCV HPV Round & Month:
Birthdate Wt. Ht. AGE
# Name Sex BMI Nutritional Status Ht.-for-Age (HFA) With Code (if not
(MM/DD/YYYY) (Kg.) (M) Given?
Yr. Mo. Status Status Status Consent? given)**
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
F
C F
l F
a F
s F
s F
F
S F
u F
m F
m
F
a
Enrollment: r Overall BMI & HFA Data Children of IP's UCT / 4P's Immunization Class Summary WIFA Class Summary Dewormed
M: 0 y Category M F T M F T M F T No. of Enrollees 0 Sex # %
Total Number of Enrollees: 0
F: 0 No. of Cases 0 0 0 0 0 0 0 0 0 No. of Females 0 M 0 0.00
o
T: 0 Sev. Wasted 0 0 0 0 0 0 0 0 0 Categorizations # % WIFA Given 0 F 0 0.00
f
Wasted 0 0 0 0 0 0 0 0 0 Vaccinated w/ TD 0 0.00 w/ Consent 0 Total 0 0.00
S
t Underweight 0 0 0 0 0 0 0 0 0 Deferred 0 0.00 WIFA Not Given 0
a Normal 0 0 0 0 0 0 0 0 0 Refused 0 0.00 Code 1 Code 2 Code 3
t Overweight 0 0 0 0 0 0 0 0 0 Absent 0 0.00 0 0 0 UCT / 4P's
u Obese 0 0 0 0 0 0 0 0 0 Vaccinated w/ MCV 0 0.00 Y N D
s Sev. Stunted 0 0 0 0 0 0 0 0 0 Deferred 0 0.00 Male: 0 0 0
Stunted 0 0 0 0 0 0 0 0 0 Refused 0 0.00 Female: 0 0 0
C
Normal 0 0 0 0 0 0 0 0 0 Absent 0 0.00 Total 0 0 0
a
Tall 0 0 0 0 0 0 0 0 0 Vaccinated w/ HPV 0 0.00 ** Code if WIFA was not given:
t
e Not Applicable 0 0 0 0 0 0 0 0 0 Deferred 0 0.00 1 - Learner was not dewormed.
g Below 6 y.o. 0 0 0 0 0 0 0 0 0 Refused 0 0.00 2 - Learner is under treatment for anemia.
o 19 & above 0 0 0 0 0 0 0 0 0 Absent 0 0.00 3 - Learner has GI discomfort.
r
i
z
a
t
i
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s
Page 23 of 27
Department of Education
DIVISION OF NEGROS OCCIDENTAL School: District:
BEIS ID: Grade Level:
SNS-DB™ GRADE-LEVEL SUMMARIES School Head: Total # of Sections:
School Email Address: fdl.lpt@yahoo.com Class Adviser: School Contact Details:
Overall Nutritional Status Categorizations For Children of IP's For UCT / 4P's Recipients For Immunizations
Category M F T M F T M F T No. of Enrollees 0
No. of Cases 0 0 0 0 0 0 0 0 0 Categorizations # %
Severely Wasted 0 0 0 0 0 0 0 0 0 Vaccinated w/ TD 0 0.00
Wasted 0 0 0 0 0 0 0 0 0 Deferred 0 0.00
Underweight 0 0 0 0 0 0 0 0 0 Refused 0 0.00
BMI