Professional Documents
Culture Documents
A1 All Programs
A1 All Programs
Section A. Family Planning Services and Deworming for Women of Reproductive Age
A1. Modern FP Unmet Need Age Total for WRA 15-49 y/o Interpretation
(Col. 1) (Col. 2) (Col. 3) (Col. 4)
10-14 y/o 15-19 y/o 20-49 y/o
1. Proportion of WRA with unmet need for modern FP
(No.1.1/No.1.2 X 100)
1.1 Number of WRA with unmet need for MFP - Total
1.2 Total No. of Estimated WRA
(Total Population X 25.854%)
A2. Use of FP Method Current Users Acceptors Drop-outs Current Users New Acceptors CPR
(Beginning of Qtr) New (end of Qtr) Other (end of Qtr) (Present Quarter) (End of Quarter) (Last Month of Col. 6/TP x 25.85
(Col. 1) (Col. 2) (Col. 3) (Col. 4) (Col. 5) (Col. 6) Present Qtr) (Col. 7) (Col. 8)
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19
a. BTL -Total
b. NSV - Total
c. Condom - Total
d. Pills - Total
d.1 Pills-POP - Total
d.2 Pills-COC - Total
e. Injectables (DMPA/POI) - Total
f. Implant - Total
g. IUD (IUD-I and IUD-PP) - Total
1
2
4. No. of pregnant women for the 2nd or more times given at least 3 doses of
Td vaccination (Td2 Plus) - Total
5. No. of pregnant women who completed the dose of iron with folic acid
supplementation - Total
3
4
14. No. of pregnant women tested for CBC or Hgb & Hct count - Total
15. No. of pregnant women tested for CBC or Hgb & Hct count diagnosed with
anemia - Total
17. No. of pregnant women tested positive for gestational diabetes – Total
(Col. 3)
* CPAB - Total
* BCG - Total
* HepB, within 24 hours. - Total
* DPT-HiB-HepB 1 - Total
* DPT-HiB-HepB 2 - Total
* DPT-HiB-HepB 3 - Total
* OPV 1 - Total
* OPV 2 - Total
* OPV 3 - Total
* IPV - Total
* PCV 1 - Total
* PCV 2 - Total
* PCV 3 - Total
* MCV 1 - Total
* MCV 2 - Total
2. Fully Immunized Child - Total
3. Completely Immunized Child (13-23 months) - Total
4. School-Based Immunization
4.1. Total Grade 1 Learners
- Td, Grade 1 (November) - Total
- MR, Grade 1 (November) - Total
4.1. Total Grade 7 Learners
- Td, Grade 7 (November) - Total
- MR, Grade 7 (November) - Total
C2. Nutrition Services for Infants and Children
5. Newborns initiated on breastfeeding immediately after birth lasting to 90
mins - Total
6. Preterm infants and/or infants with low birth weight (less than 2500 grams) -
Total
6.1. Preterm infants and/or infants with low birth weight given iron
supplementation - Total
7. Infants exclusively breastfed until 6th months - Total
8. Infants 6 mos. old who have initiated and received complementary food with
continued breastfeeding - Total
9. Infants 6 mos. old who have initiated and received complementary feeding
but has stopped breastfeeding or has never been breastfeed at all - Total
(Col.5/E.Po
Male Female Total p x 100)
11. Children 12-59 mos. old given 2 doses of Vitamin A 200,000 I.U. - Total
12. Infant 6-11 months old who completed MNP supplementation - Total
13. Children 12-23 months old who completed MNP supplementation - Total
(Col.5/E.Po
Male Female Total p x 100)
1. No. of WRA, 20-49 years old, who completed 2 doses of deworming tablet -
Total
3. Number of TB, all forms that are cured and completely treated - Total
• ≥ 5 y/o - Total
2. No. of lab-confirmed Malaria deaths - Total
• ≥ 5 y/o - Total
3. No. of confirmed malaria cases in the population - Total
(Col. 1)
(Col. 2) (Col. 3) (Col. 4) (Col. 5) (Col. 6) (Col. 7)
Part 1: Lifestyle Related Diseases (Risk-Assessed Using the PhilPEN protocol)
4. Overweight/Obese-Total
1. No. of adult women screened for Cervical Cancer using VIA/Pap Smear -
Total
2. No. of adult women found positive or suspect for Cervical Cancer using
VIA or Pap Smear- Total
11
12
3. No. of senior citizens with eye disease/s referred to an appropriate eye care
professional - Total
1. No. of senior citizens who received one (1) dose of PPV - Total
2. No. of senior citizens who received one (1) dose of influenza vaccine - Total
Section G. Environmental Health and Sanitation Services
Indicators Target/Denominator Total % Interpretation
(Col.5/Target x 100)
(Col. 1) (Col. 2) (Col. 3) (Col. 4) (Col. 5)
1. No. of HHs with access to basic safe water supply - Total
13
14
Section H. Mortality
Indicators Denominator Counts % Interpretation
Male Female Total
(Col. 1) (Col. 2) (Col. 3) (Col. 4) (Col. 5) (Col. 6) (Col. 7)
1. Total Deaths
15
16
tion B. Maternal Care and Services
Interpretation Recommendations /
Actions to be Taken
(Col. 4) (Col. 5)
17
18
Interpretation Recommendations /
Actions to be Taken
(Col. 4) (Col. 5)
ection C. Child Care and Services
Interpretation Recommendations /
Actions to be Taken
(Col. 7) (Col. 8)
19
20
Interpretation Recommendations /
Actions to be Taken
(Col. 7) (Col. 8)
21
22
(Col. 7) (Col. 8)
Interpretation Recommendations /
Actions to be Taken
(Col. 8) (Col. 9)
(Col. 7) (Col. 8)
Interpretation Recommendations /
Actions to be Taken
23
Interpretation Recommendations
24 /
Actions to be Taken
(Col. 7) (Col. 8)
are and Maternal Care)
municable Disease Prevention and Control Services
Interpretation Recommendations /
Actions to be Taken
(Col. 7) (Col. 8)
25
26
Section H. Mortality
Interpretation Recommendations /
Actions to be Taken
(Col. 7) (Col. 8)
Section I. Natality
Interpretation Recommendations /
Actions to be Taken
(Col. 7) (Col. 8)