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    Family Profile

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    Bhelida Victoria
    This document is a family profile form used to collect household and family nutrition information in the Philippines Plan of Action for Nutrition. The form collects information such as the number of household members, children under age 6, educational attainment of parents, food sources, sanitation facilities, and whether certain nutrition practices are followed like exclusive breastfeeding or use of iodized salt. The information gathered would help identify at-risk families and guide nutrition intervention programs.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Family Profile

    Uploaded by

    Bhelida Victoria
    205 views1 page
    This document is a family profile form used to collect household and family nutrition information in the Philippines Plan of Action for Nutrition. The form collects information such as the number of household members, children under age 6, educational attainment of parents, food sources, sanitation facilities, and whether certain nutrition practices are followed like exclusive breastfeeding or use of iodized salt. The information gathered would help identify at-risk families and guide nutrition intervention programs.

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    This document is a family profile form used to collect household and family nutrition information in the Philippines Plan of Action for Nutrition. The form collects information such as the number of household members, children under age 6, educational attainment of parents, food sources, sanitation facilities, and whether certain nutrition practices are followed like exclusive breastfeeding or use of iodized salt. The information gathered would help identify at-risk families and guide nutrition intervention programs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    205 views1 page

    Family Profile

    Uploaded by

    Bhelida Victoria
    This document is a family profile form used to collect household and family nutrition information in the Philippines Plan of Action for Nutrition. The form collects information such as the number of household members, children under age 6, educational attainment of parents, food sources, sanitation facilities, and whether certain nutrition practices are followed like exclusive breastfeeding or use of iodized salt. The information gathered would help identify at-risk families and guide nutrition intervention programs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

     

    BNS Form No. 1A


    Philippines Plan of Action for Nutrition
    FAMILY PROFILE
    Purok / Sitio: _______________ Municipality: ___________
    Barangay : _________________ City / Province : ____________

    HH No. No. of Children Check if: Check if: Fill in: Check if:
    No. of <6 6-23 24-59 >60 Couple Toilet Water Food HH HH
    HH Educational
    mos. mos. mos. mos. Name of Household Occupation Mother Practice EBF Mixed Bottle Others Type WS, Source Production Using Using
    Mem Old old old old Attainment Pregnant Family Feeding Fed OP, O, N P,W,S Activity VG, Iodized IFR
    bers planning P/L, FP Salt

    F
    M
    F
    M
    F
    M
    F
    M
    F
    M

    F
    M

    F
    M
    F
    M
    F

    M
    F
    M
    F
    M
    F
    M
    F
    M
    F
    M
     Abbreviation
     Abbreviation
    CF  –
     – Complimentary IFR  –
     – Iron Educational Attainment   Toilet   Water Source  Food Production Activity  
    EBF _ Exclusive F  –
     – Father EU- Elem, Undergraduate CU- College Undergraduate WS- Water Sealed P- Pipe VG- Vegetable Garden
    HH –  – Household M  –
     – Mother EG  –
     – Elem. Graduate CG  –
     – College Graduate OP  –
     – Open Pit W- Well P/L  –
     – Poultry / Livestock
    HU  – HS Graduate V- Vocational O- Others S- spring FP - Fishpond
    HG  –
     – HS Graduate O- Others N- None  

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