Maternal Care 1 of 2

8/4/2019 Maternal Care 1 of 2

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1. Totla New Acceptors

* Female Sterilization

* Male Sterilization

* Pills

* IUD

* Injectibles (DMPA)

* NFP-CM

* NFP-BBT

* NFP-LAM

* NFP-SDM* NFP-STM

* Condom

* LAM

2. Total other Acceptors



* Pills

* IUD


* NFP-CM

* NFP-BBT

* NFP-LAM

* NFP-SDM

* NFP-STM

* Condom

* LAM

JUN 2nd Q JUL AUG SEPT 3rd Q

FAMILY PLANNING (PART 1 OF 2)INDICATORS TARGET

JAN FEB MAR 1st Q APR MAY OCT


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NOV DEC 4th Q TOTAL


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3. Total Drop-out



* Pills

* IUD


* NFP-CM

* NFP-BBT

* NFP-LAM

* NFP-SDM

* NFP-STM

* Condom

* LAM

4. Total Current Users



* Pills

* IUD


* NFP-CM

* NFP-BBT

* NFP-LAM

* NFP-SDM

* NFP-STM

* Condom

* LAM

3rd Q

FAMILY PLANNING (PART 2 OF 2)INDICATORS TARGET

JAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT OCT


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NOV DEC 4th Q TOTAL


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1. Immunization given

24 hrs

* Hepatitis B2

* Hepatitis B3

* Measles3. Fully Immunized

Child

4. Completely

Immunized Child (12-

23 mos)

5. Child Protected at

Birth

6.MMR

7.livebirth (Natality

report)

3rd Q

CHILD CARE (PART 1 OF 3)INDICATORS TARGET



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NOV DEC 4th Q TOTAL


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6. Infant 6 mon. seen

7. Infant exclusivley breastfed until 6 mo.

8. Infant 0-11 mons. referred for

NBScreening

9. Diarehea (0-59 mons. Old)

* No. of Cases

* Given ORT

* Given ORS

* Given Ors w/ zinc

10. Pneumonia (0-59 mons. Old)

* No. of Cases

* Given Treatment

11.Newborns screening done at

DHU/CHO (w/ normal result)

* Congenial Hyperthyroidism (CH)

* Congenital Adrenal Hyperplasia(CAH)

* Galactosemia(GAL)

* Phenylketonuria (PKU)

* Glucose-6-Phosphate

Dehydrogenase Dediciency (G6PD def)

12.Newborn screening done outside CHO

w/ (normal result)

* Congenial Hyperthyroidism (CH)

* Congenital Adrenal Hyperplasia(CAH)

* Galactosemia(GAL)

* Phenylketonuria (PKU)

* Glucose-6-Phosphate

3rd


JAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT


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NOV DEC 4th Q TOTAL


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11. Sick Children seen

* 6-11 mons.

* 12-59 mons.

* 60-71 mons.

12. Sick Children

given Vit. A

* 6-11 mons.

* 12-59 mons.

* 60-71 mons.

13. Infant 2-6 mons.

w/ LBW given seen

14. Infant 2-6 mons.

w/ LBW given iron

15. Anemic Children 2-

59 mons. seen

16. Anemic Child 2-59

mons given iron

3rd Q


JAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT OCT NOV


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DEC 4th Q TOTAL


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1. Livebirths(Total)

2. Birthweight:

* 2500 grmss & greater

* Less than

* 2500 grams

* Not known

4. Attended by:

* Doctors

* Nurses

* Midwives

* Trained Hilot

* Others

* Unknown

3rd Q

NATALITY (PART 1 OF 2)INDICATORS TARGET



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NOV DEC 4th Q TOTAL


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4. Type of Pregnancy:

* Normal* Risk

* Not Known

5. Normal Delivery

* Home

* Hospital

* Others

6. other Type of Delivery

* Home* Hospital

* Others

3rd Q

NATALITY (PART 2 OF 2)

INDICATORS TARGETJAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT OCT N


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1.Total Deaths

2.Infant Deaths

3.Maternal Deaths

4.Deaths due to

Neonatal Tetanus

5.Perinatal Deaths

6.Deaths among

Child under 5 yo

7.Neonatal death

OCT3rd Q

MORTALITYINDICATORS TARGET

JAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT


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NOV DEC 4th Q TOTAL

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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

OCT NSEPT 3rd Q INDICATORS TARGET

JAN FEB MAR 1st Q APR MAY

PROGRAM:____________________________

JUN 2nd Q JUL AUG


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F M F M F M F

V DEC 4th Q TOTAL


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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

30-34NAME OF DISEASE 35-39 40-44Under 1 1-4 5-9 10-14BY AGE-GROUP AND BY SEX

MORBIDITY DISEASE REPORT FOR MONTH:___________

45-49 50-54 55-15-19 20-24 25-29


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1. Household with access

to improved or safe water

* Level I

* Level II

* Level III

2.HH w/ sanitary toilet

3.HH w/satisfactory

disposal of solid waste

4.HH w/complete basicsanitation facilities

5.Food establishment

6.Food Establishment w/

sanitary permit

7.Food Handlers

8.Food handlers with

health certficates

9.Salt Samples Tested

10.Salt Samples tested

found (+) for iodine

3rd Q

ENVIRONMENTAL HEALTH

INDICATORS TARGETJAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT OCT


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1.Case examined

2.Case Positive

3.MF in the slides found

positive

4.Persons given MDA

5.Adenolympahangitis

Cases

3rd Q

FILARIASIS



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1.Symptomatic case

2. Positive Case

3.Case Examined *

Low intensity

* Medium intensity

* High intensity

4.Cases treated

5.Cases reffered to

hospital Facilities

3rd Q

SCHISTOSOMIASIS



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1.Malaria Case

* 5 yo* > 5 yo

2.Confirmed malaria case By

Species

*P.faciparum

*P.vivax

*P.malariae

*P.ovale

By Method:

* Slide

* RDT

3.ITNs distributed

4.Malaria Deaths

SEPT 3rd Q INDICATORS TARGET

JAN FEB MAR 1st Q APR MAY

MALARIAJUN 2nd Q JUL AUG OCT


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NOV DEC 4th Q TOTAL


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1.Leprosy Cases

2.Leprosy Cases

below 15 yo

3.Newly detected

Leprosy cases

4.Newly detected

cases w/Grade 2

disability

5.Cases cured

3rd Q

LEPROSYINDICATORS TARGET



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NOV DEC 4th Q TOTAL


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1.TB symptomatics who

underwent DSSM

2.Smear positive

discovered

3.New smear cases

initiated Tx

4.New smear (+) case

cured

5.Smear (+) retreatmentcase initiated Tx

6.Smear (+) retreatment

case got cured

3rd Q

TUBERCULOSISINDICATORS TARGET



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NOV DEC 4th Q TOTAL

DENTAL HEALTH


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1.Orally fit Child 12-

71 mos. old

2.Child 12 - 71 mos

provided w/BOHC

3.Adolescent & Youth

(10-24 yo) given BOHC

4.Preg women provided

w/BOHC

5.Older person 60 yrsold & above provided

w/ BOHC

3rd Q

DENTAL HEALTHINDICATORS TARGET



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NOV DEC 4th Q TOTAL

MATERNAL CARE PRENATAL CARE (PART 1 OF 2)


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1. Pregnant with 4 or more

prenatal visits

2. Pregnant women given 2

doses of TT

3. Pregnant women given

TT2 plus

4. Pregnat women given

complete iron with folic acid

5. Pregnant women given

Vit. A supplimentation

AP seen for 1st TR1

* 2nd TR1

* 3rd TR1

AP given Iron given this

month

AP given TT1

* TT2

* TT3

* TT4

SEPT 3rd Q INDICATORS TARGET AUG

MATERNAL CARE-PRENATAL CARE (PART 1 OF 2)JAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL O


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* TT5

Page 1


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Page 1

T NOV DEC 4th Q TOTAL


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MATERNAL CARE-POSTPARTUM (PART 2 OF 2)


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1. Postpartum women with

at least 2 PPV

2. Postpartum women given

complete iron

3. Postpartum women given

Vitamin A

4. Postpartum women

initiated breast feeding

5. PP women with 1 PPv

3rd Q

MATERNAL CARE POSTPARTUM (PART 2 OF 2)

INDICATORS TARGETJAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT O

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T NOV DEC 4th Q TOTAL

PROGRAM: NUTRITION


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A. Breastfeeding

* Exclusive 0-6 months*6 months above

B.Mixed feeding

*0-6 months

*6 months above

C. Bottle feedingD. Complementary

feeding

*Below 6 months

*6 months above

MAY JUN 2nd Q JUL AUG SEPT 3rd Q OCTINDICATORS TARGET

JAN FEB MAR 1st Q APR


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TOTALNOV DEC 4th Q

PROGRAM: CANCER CONTROL


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A. BREAST CANCER

(BHC/MHC)No. of breast Exam done

No. of Patient / breast mass

identified

No. of patient referred

No. of cases confirmed &

referred (MHC)

B. CERVICAL CANCER (MHC

Only)No. of Pap Smear collected

No. of abnormal smear

detected

No. of patient referred to

treatment

Other DEGEN: Diabetes

Mellitus

No. of FBS done

No. of new DM

No. referred for Tx

No. of Follow-up FBS done

Other Laboratory

Examinations:

Cholesterol

TARGETJAN FEB MAR AUG SEPT 3rd Q OCT1st Q APR MAY JUN 2nd Q JUL

INDICATORS

Bone Marrow Test


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4th Q TOTALNOV DEC


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PROGRAM: HEALTH EDUCATION


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1) Total Ind. Health

Counseling (all programs)

2) Bench Conferences

No. of sessions

No. of participants

3) No. of IEC Materials

received

4) Total no. of Barangay

assemblies

No. of sessions

No. of participants5).Childbirth Education

No. of Session

No. of participants

Nutrition Celebration

Nutri Bingo

PPD Testing

Session

Participants

special act.nutritin month

h1n1 imm.ap

6)pre marriage counseling

No of sessions

no of participants

MAY JUN 2nd Q JUL AUG SEPT 3rd Q OCTINDICATORS TARGET

JAN FEB MAR 1st Q APR

7.Dengue activities pta

meeting


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TOTALNOV DEC 4th Q


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Month:_______________________

FHSIS Nutrition Program 2011 DHU_____BRGY_________________________


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VITAMIN A SUPPEMENTATION

Given to 6-11 mons

Given to 12-71 mons

AP women given complete Vit.A

PP women given complete Vit.A

No. of sick children seen 6-11 mons

12-56 mons

60-71 mons

No. of sick children given VAC 6-11 mons

12-59 mons

60-71 mons

IRON SUPPLEMENTATIONNo.of LBW babies 2-6 mons seen

No.of LBW babies 2-6 mons given iron

No of anemic children seen (2-59 mons)

No of anemic children given (2-59 mons)

AP women given complete Iron w/ folic

PP women given complete Iron w/ folic

IODIZED SALT PROMOTION

HH using Iodized salt

Sari-sari Store selling Iodized saltFORTIFIED FOODS PROMOTION

HH using Fortified foods

Sari-sari Store selling Fortified foods

DEWORMING

12-24 mons

25-71 mons

6-11 y/o

SEPTAPRNUTRITION PROGRAM TARGET

JAN FEB MAR OCT NOVMAY JUN JUL AUG

12 y/o & above


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DEC TOTAL


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PROGRAM: NUTRITION


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VITAMIN A SUPPEMENTATION

Given to 6-11 mons

Given to 12-71 mons

AP women given complete Vit.A

PP women given complete Vit.A

No. of sick children seen 6-11 mons

12-56 mons

60-71 mons

No. of sick children given VAC 6-11 mons

12-59 mons

60-71 mons

IRON SUPPLEMENTATION

No.of LBW babies 2-6 mons seen

No.of LBW babies 2-6 mons given iron

No of anemic children seen (2-59 mons)

No of anemic children given (2-59 mons)

AP women given complete Iron w/ folic

PP women given complete Iron w/ folic

IODIZED SALT PROMOTION

HH using Iodized salt

Sari-sari Store selling Iodized saltFORTIFIED FOODS PROMOTION

HH using Fortified foods

Sari-sari Store selling Fortified foods

DEWORMING

12-24 mons

25-71 mons

6-11 y/o

12 y/o & above

INDICATORS TARGETJAN FEB MAR 1st Q APR MAY JUN 2nd Q JUL AUG SEPT 3rd Q OCT


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M F M F M F M F

TOTALNOV DEC 4th Q

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Maternal Care 1 of 2