IN ORDER TO COMPLETE THIS REVIEW IT MAY BE NECESSARY TO ALSO VISIT THE MALNUTRITION UNIT, WHERE THERAPEUTIC AND/OR SUPPLEMENTARY FOOD IS PROVIDED, TO ATTEMPT TO OBTAIN ANY INFORMATION WHICH IS NOT AVAILABLE IN REGISTERS. IF ANY OF THE ITEMS IS NOT INCLUDED IN THE ACTUAL REGISTER, CROSS OUT THE ENTIRE COLUMN BELOW. IF THE ITEM IS IN THE REGISTER, BUT NO INFORMATION IS PROVIDED FOR THE PARTICULAR CLIENT, RECORD “NA” FOR “NOT AVAILABLE” IN THE SPACE PROVIDED. UNIQUE AGE AGE GENDER HEIGHT WEIGHT MUAC THERAPEUTIC OR (IN (IN YEARS 1= MALE (IN METERS) (IN KG) (IN CM) SUPPLEMENTARY ID MONTHS IF ≥ 5 2= FEMALE FOOD PROVIDED IF < 5 YEARS) 1= YES YEARS) 2= NO ANC/PRENATAL UNIT FOR PREGNANT WOMEN
IN ORDER TO COMPLETE THIS REVIEW IT MAY BE NECESSARY TO ALSO VISIT THE MALNUTRITION UNIT, WHERE THERAPEUTIC AND/OR SUPPLEMENTARY FOOD IS PROVIDED, TO ATTEMPT TO OBTAIN ANY INFORMATION WHICH IS NOT AVAILABLE IN REGISTERS. IF ANY OF THE ITEMS IS NOT INCLUDED IN THE ACTUAL REGISTER, CROSS OUT THE ENTIRE COLUMN BELOW. IF THE ITEM IS IN THE REGISTER, BUT NO INFORMATION IS PROVIDED FOR THE PARTICULAR CLIENT, RECORD “NA” FOR “NOT AVAILABLE” IN THE SPACE PROVIDED. UNIQUE ID AGE (IN MONTHS IF < 5 YEARS) AGE (IN YEARS IF ≥ 5 YEARS) GENDER 1= MALE 2= FEMALE HEIGHT (IN METERS) WEIGHT (IN KG) MUAC (IN CM) THERAPEUTIC OR SUPPLEMENTARY FOOD PROVIDED 1= YES 2= NO ANC/PRENATAL UNIT FOR PREGNANT WOMEN
spring_tool_evaluation_facility_level_nutrition_assessment.docx