OPT Plus Masterlist Form - Updated - Feb 2021
OPT Plus Masterlist Form - Updated - Feb 2021
OPT Plus Masterlist Form - Updated - Feb 2021
Department of Health
NATIONAL NUTRITION COUNCIL
OPT Plus Form 1. List of 0-59 months old Preschoolers with Weight, Length/Height and MUAC Measurements, and Identified Nutritional Status
Revised February 2021
Barangay: __________________________________ City/Municipality: ____________________________ Province: ___________________________________ Region: _____ Year: _________
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
(11)/"Age-in-months" refers to completed number of months. For instance, 34 months and 30 days is considered 34 months only. If the child is day/s old or less than 1 month old, put 0.
Note: Use WEIGHT-FOR-LENGTH for 0-23months old preschool children and WEIGHT-FOR-HEIGHT for 24-59 months old preschool children
Use WEIGHT-FOR-LENGTH or WEIGHT-FOR-HEIGHT to correctly determine overweight and obesity.
OPT Plus Form 1B. List of Malnourished/Nutritionally-At-Risk Preschoolers 0-59 Months Old
Revised February 2021
NUTRITIONAL STATUS
Seq. Household Name of Mother Name of Preschooler Sex Indigenous (IP)/ Age in
Purok WFA L/HFA WFL/H MUAC Status
No. Number (Surname, First Name & Middle Initial) (Surname, First Name & Middle Initial) (M/F) Ethnic Group months
UW SUW St SSt W SW OW Ob SAM MAM Edema
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
TOTAL