Republic of the Philippines

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)

0-71 mos. Old 3/______

0-71 mos. Old ________
0-71 mos. Old ________
0-71 mos. Old ________

Indigenous Group/s: (Please specify)

Weight for Age Status
Sev. Stunted (SSt)
Tall (T)
Boys
Girls
Boys
Girls

Stunted/Short (St)
Boys
Girls

0-59 mos. Old2/ ______

0-59 mos. Old ________
0-59 mos. Old ________
0-59 mos. Old ________

(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)

Total by age gro

Total UW
No
Prev
N
(15)

(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

Use WEIGHT-FOR-LENGTH or WEIGHT-FOR-HEIGHT to correctly determine overweight and obesity

d) Prev (C22,24,26,28)- refers to the prevalence rate by total by age group
Population

1/ Refers to previous year prevalence rate of the area

Prepared by: __________________________________________________

Name and Signature of DCNPC/Nutritionist
/C/MNAO

Checked: ___________________________________________

Date: ______________________

Date: ______________________

Name and Signature of City/Municipal Health Officer

2/ 0-59 months = 13.5 x Total Population

Approved: ____________________________________
Name and Signature of Mayor,
City/Municipal Nutrition Committee
Date: ______________________

Republic of the Philippines

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)

(6)

0-71 mos. Old 3/______

0-71 mos. Old ________
0-71 mos. Old ________
0-71 mos. Old ________

Indigenous Group/s: (Please specify)

Weight for Length/Height Status
Severely Wasted (SW)
Overweight (OW)
Boys
Girls
Boys
Girls

Wasted (W)
Boys
Girls

0-59 mos. Old2/ ______

0-59 mos. Old ________
0-59 mos. Old ________
0-59 mos. Old ________

(7)

(8)

(9)

Boys
(10)

TOTAL
Girls
(11)

Total
(12)

Total N
No
Prev
(13)

(14)

Total by age gro

Total UW
No
Prev
N
(15)

(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

Use WEIGHT-FOR-LENGTH or WEIGHT-FOR-HEIGHT to correctly determine overweight and obesity

d) Prev (C22,24,26,28)- refers to the prevalence rate by total by age group
Population

1/ Refers to previous year prevalence rate of the area

Prepared by: __________________________________________________

Name and Signature of DCNPC/Nutritionist
/C/MNAO

Checked: ___________________________________________

Date: ______________________

Date: ______________________

Name and Signature of City/Municipal Health Officer

2/ 0-59 months = 13.5 x Total Population

Approved: ____________________________________
Name and Signature of Mayor,
City/Municipal Nutrition Committee
Date: ______________________