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    Weight Monitoring Form

    Uploaded by

    Christopher Torres
    This document is a weight monitoring form used by day care workers to track the nutritional status of children in a supplemental feeding program over 2 months. It records each child's name, sex, age, height, weight, dates of deworming and vitamin A supplementation. The form is intended to monitor improvements in the children's nutritional status through monthly recordings. The day care worker is responsible for accurately filling out this information to determine if the children's health and weight are progressing after receiving supplemental feeding assistance.

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

    Weight Monitoring Form

    Uploaded by

    Christopher Torres
    2K views1 page
    This document is a weight monitoring form used by day care workers to track the nutritional status of children in a supplemental feeding program over 2 months. It records each child's name, sex, age, height, weight, dates of deworming and vitamin A supplementation. The form is intended to monitor improvements in the children's nutritional status through monthly recordings. The day care worker is responsible for accurately filling out this information to determine if the children's health and weight are progressing after receiving supplemental feeding assistance.

    Original Title

    WEIGHT MONITORING FORM

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    This document is a weight monitoring form used by day care workers to track the nutritional status of children in a supplemental feeding program over 2 months. It records each child's name, sex, age, height, weight, dates of deworming and vitamin A supplementation. The form is intended to monitor improvements in the children's nutritional status through monthly recordings. The day care worker is responsible for accurately filling out this information to determine if the children's health and weight are progressing after receiving supplemental feeding assistance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views1 page

    Weight Monitoring Form

    Uploaded by

    Christopher Torres
    This document is a weight monitoring form used by day care workers to track the nutritional status of children in a supplemental feeding program over 2 months. It records each child's name, sex, age, height, weight, dates of deworming and vitamin A supplementation. The form is intended to monitor improvements in the children's nutritional status through monthly recordings. The day care worker is responsible for accurately filling out this information to determine if the children's health and weight are progressing after receiving supplemental feeding assistance.

    Copyright:

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

    DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

    Supplemental Feeding Program

    WEIGHT MONITORING FORM


    Name of DCC: _____STO. ROSARIO OLD DAY CARE CENTER__
    Name of DCW: ______MERCEDITAS B. DE LEON _____________
    Location: _____STO. ROSARIO OLD, ZARAGOZA, NUEVA ECIJA_

    NUTRITIONAL STATUS
    UPON ENTRY 1 MONTH AFTER 2 MONTHS AFTER
    NAME OF CHILDREN SEX VIT. A VIT. A
    VIT. A DEWOR DEWOR
    DATE OF AGE HEIGH WEIGH DEWOR NUTRITIO SUPPLE NUTRITI DATE OF SUPPLE NUTRITI
    SUPPLEMEN DATE OF AGE (in HEIGHT WEIGHT MING AGE (in HEIGHT WEIGHT MING
    WIEGHIN (in T (in T (in MING (1st NAL MENTA ONAL WIEGHI MENTA ONAL
    TATION (1st WIEGHING mos.) (in cm) (in kls.) (1st mos.) (in cm) (in kls.) (1st
    G mos.) cm) kls.) DOSE) STATUS TION (1st STATUS NG TION (1st STATUS
    DOSE) DOSE) DOSE)
    DOSE) DOSE)

    This form shall be used every month by the DCW in recording weight and height of the child to determine the improvement in child’s nutritional status.
    DCW should indicate date or month & year when the child was dewormed & provided Vit. A
    PREPARED BY: NOTED BY:
    Nutritional Status: (Using GCS as reference)
    SU- Severely Underweight EDEN M. BELMONTE
    UW- Underweight MERCEDITAS B. DE LEON _______________________________
    Day Care Worker MSWDO
    N - Normal Name and Position
    OW- Overweight

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