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Republic of the Philippines

DEPARTMENT OF HEALTH
REGIONAL OFFICE III
City of San Fernando, Pampanga

MATERNAL AND CHILD HEALTH INDICATORS REPORTING FORM


2016

MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE


ANNUAL
FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER
INDICATORS
JANUARY FEBRUARY MARCH PROVINCIAL AVERAGE APRIL MAY JUNE PROVINCIAL AVERAGE JULY AUGUST SEPTEMBER PROVINCIAL AVERAGE OCTOBER NOVEMBER DECEMBER PROVINCIAL AVERAGE PROVINCIAL AVERAGE

NUMBER NUMBER % NUMBER NUMBER % NUMBER NUMBER % NUMBER NUMBER % NUMBER %


Total Population
Eligible Population 0 0 0 0
Total Pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Adolescent Pregnancy (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Adolescent Pregnancy (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Deliveries #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Deliveries by Adolescent Mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Deliveries by Adolescent Mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
1.1. Pregnant tracked #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
1.2. Adolescent pregnant mothers tracked (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
1.3. Adolescent pregnant mothers tracked (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
2.1. Pregnant Women with written birth plan #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
2.2. Adolescent pregnant mothers with birth plan (10-14 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
years)
2.3. Adolescent pregnant mothers with birth plan (15-19 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
years)
3.1. Pregnant Women with atleast 4 ANC Visits #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
3.2. Adolescent pregnant mothers with 4 ANC visits (10-14 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
years)
3.3. Adolescent pregnant mothers with 4 ANC visits (15-19 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
years)
4.1. Pregnant women tested for HIV during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
z #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
4.3. Number of positive pregnant women referred to ART #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Facilities (HIV Treatment Hubs or Satellite Hubs) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!

5.1. Pregnant Women tested for Syphilis during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.2. Tested positive for Syphilis during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!

5.4. Received treatment at: #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.4.A.) Treatment Hub #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.4.B.) Social Hygiene Clinic #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.4.C.) RHU/ Birthing Center #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
6.1. Screened for Hepatitis B #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
6.2. Tested positive for Hepatitis B #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.1. ZIKA SCREENING (1st screening) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.2. with at least 4 screening done #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.3. Symptomatic #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.4. Screening Test done #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.5. Tested positive for Zika #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
8. Pregnant Women given complete iron with folic acid (180 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
tablets)
9. Pregnant Women given calcium supplementation (420 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
tablets)
10.1. Facility Based Delivery #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
10.2. Facility Based Delivery by adolescent mothers (10-14 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
years)
10.3. Facility Based Delivery by adolescent mothers (15-19 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
years)
11.1. Assisted by Skilled Health Professional #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
11.2. Assisted SHP adolescent mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
11.3. Assisted SHP adolescent mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
12.1. Postpartum Women with 2 PNC Visits #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
12.2. Adolescent mothers with 2 PNC Visits (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
12.3. Adolescent mothers with 2 PNC Visits (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
14. Postpartum women initiated breastfeeding #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
# of Livebirths #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
# of Livebirths from Adolescent Mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
# of Livebirths from Adolescent Mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
15. Maternal Deaths (Pregnancy to 42 days after delivery) #ERROR! I #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
16. Under Five Deaths (12 to 59 months) #ERROR! 0 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
17. Infant Deaths (29 days to 11 months) #ERROR! 0 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
18. Late Neonatal Deaths (7 to 28 days) #ERROR! 0 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
19. Early Neonatal Deaths (0 to 6 days) #ERROR! 0 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
20. Fetal Death/ Stillbirths (after 20 weeks) #ERROR! 0 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
21. Abortion (before 20 weeks) #ERROR! 0 #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!

Eligibile Population= Total Population x 2.7%


For indicators 1 to 3 and 12 to 14: Use TOTAL DELIVERIES as denominator
For indicator 6, 7.1 and 8.1.: Use Pregnant Women seen as denominator
For indicator 7.2: Use Pregnant Women tested for Syphilis during pregnancy as denominator
For indicator 7.3: Use Tested positive for Syphilis during pregnancy as denominator
For indicators 7.4.A, 7.4.B: and 7.4.C.: Use Number of pregnant women positive for Syphilis given treatment (Penicillin G and other meds) as denominator
For indicator 8.2: Use Pregnant Women tested for Hepatitis B during pregnancy as denominator
For indicator 9.3: Use Pregnant Women screened for Zika as denominator
For indicator 9.4: Use Pregnant Women symptomatic for Zika virus infection as denominator
For indicator 9.5: Use Pregnant Women tested for Zika virus infection as denominator
For indicator 9.1., 9.2., 10 and 11.: Use Eligible Population as denominator
For indicator 16: MMR= # of maternal deaths/ # livebirths x 100,000
For indicator 17: UFMR= # of under five deaths/ # livebirths x 1,000
For indicator 18: IMR= # of infant deaths/ # livebirths x 1,000
For indicator 19: LNMR= # of late neonatal deaths/ # livebirths x 1,000
For indicator 20: ENMR= # of early neonatal deaths/ # livebirths x 1,000
For indicator 21: SBR= # of still births/ # livebirths x 1,000
For indicator 22: Abortion= # of abortion/ # livebirths x 1,000
Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE III
City of San Fernando, Pampanga

MATERNAL AND CHILD HEALTH INDICATORS REPORTING FORM


2017

MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE


ANNUAL
FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER
INDICATORS
JANUARY FEBRUARY MARCH PROVINCIAL AVERAGE APRIL MAY JUNE PROVINCIAL AVERAGE JULY AUGUST SEPTEMBER PROVINCIAL AVERAGE OCTOBER NOVEMBER DECEMBER PROVINCIAL AVERAGE PROVINCIAL AVERAGE

NUMBER NUMBER % NUMBER NUMBER % NUMBER NUMBER % NUMBER NUMBER % NUMBER %


Total Population
Eligible Population 0
Total Pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Adolescent Pregnancy (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Adolescent Pregnancy (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Deliveries #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Deliveries by Adolescent Mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
Total Deliveries by Adolescent Mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
1.1. Pregnant tracked #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
1.2. Adolescent pregnant mothers tracked (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
1.3. Adolescent pregnant mothers tracked (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
2.1. Pregnant Women with written birth plan #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
2.2. Adolescent pregnant mothers with birth plan (10-14 #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
years)
2.3. Adolescent pregnant mothers with birth plan (15-19 #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
years)
3.1. Pregnant Women with atleast 4 ANC Visits #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! Y
3.2. Adolescent pregnant mothers with 4 ANC visits (10-14 #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
years)
3.3. Adolescent pregnant mothers with 4 ANC visits (15-19 #ERROR! #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
years)
4.1. Pregnant women tested for HIV during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
z #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
4.3. Number of positive pregnant women referred to ART #ERROR! #ERROR! #ERROR!
Facilities (HIV Treatment Hubs or Satellite Hubs) #ERROR! #ERROR! #ERROR! #ERROR!

5.1. Pregnant Women tested for Syphilis during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.2. Tested positive for Syphilis during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.3. Number of pregnant women positive for Syphilis given #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
treatment (Penicillin G and other meds)
5.4. Received treatment at: #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.4.A.) Treatment Hub #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.4.B.) Social Hygiene Clinic #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
5.4.C.) RHU/ Birthing Center #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
6.1. Screened for Hepatitis B #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
6.2. Tested positive for Hepatitis B #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.1. ZIKA SCREENING (1st screening) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.2. with at least 4 screening done #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.3. Symptomatic #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.4. Screening Test done #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
7.5. Tested positive for Zika #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
8. Pregnant Women given complete iron with folic acid (180 #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
tablets)
9. Pregnant Women given calcium supplementation (420 #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
tablets)
10.1. Facility Based Delivery #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
10.2. Facility Based Delivery by adolescent mothers (10-14 #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
years)
10.3. Facility Based Delivery by adolescent mothers (15-19 #ERROR! #ERROR! #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR!
years)
11.1. Assisted by Skilled Health Professional #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
11.2. Assisted SHP adolescent mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
11.3. Assisted SHP adolescent mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
12.1. Postpartum Women with 2 PNC Visits #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
12.2. Adolescent mothers with 2 PNC Visits (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
12.3. Adolescent mothers with 2 PNC Visits (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
14. Postpartum women initiated breastfeeding #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
# of Livebirths #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
# of Livebirths from Adolescent Mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
# of Livebirths from Adolescent Mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
15. Maternal Deaths (Pregnancy to 42 days after delivery) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
16. Under Five Deaths (12 to 59 months) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
17. Infant Deaths (29 days to 11 months) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
18. Late Neonatal Deaths (7 to 28 days) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
19. Early Neonatal Deaths (0 to 6 days) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
20. Fetal Death/ Stillbirths (after 20 weeks) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!
21. Abortion (before 20 weeks) #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR! #ERROR!

Eligibile Population= Total Population x 2.7%


For indicators 1 to 3 and 12 to 14: Use TOTAL DELIVERIES as denominator
For indicator 6, 7.1 and 8.1.: Use Pregnant Women seen as denominator
For indicator 7.2: Use Pregnant Women tested for Syphilis during pregnancy as denominator
For indicator 7.3: Use Tested positive for Syphilis during pregnancy as denominator
For indicators 7.4.A, 7.4.B: and 7.4.C.: Use Number of pregnant women positive for Syphilis given treatment (Penicillin G and other meds) as denominator
For indicator 8.2: Use Pregnant Women tested for Hepatitis B during pregnancy as denominator
For indicator 9.3: Use Pregnant Women screened for Zika as denominator
For indicator 9.4: Use Pregnant Women symptomatic for Zika virus infection as denominator
For indicator 9.5: Use Pregnant Women tested for Zika virus infection as denominator
For indicator 9.1., 9.2., 10 and 11.: Use Eligible Population as denominator
For indicator 16: MMR= # of maternal deaths/ # livebirths x 100,000
For indicator 17: UFMR= # of under five deaths/ # livebirths x 1,000
For indicator 18: IMR= # of infant deaths/ # livebirths x 1,000
For indicator 19: LNMR= # of late neonatal deaths/ # livebirths x 1,000
For indicator 20: ENMR= # of early neonatal deaths/ # livebirths x 1,000
For indicator 21: SBR= # of still births/ # livebirths x 1,000
For indicator 22: Abortion= # of abortion/ # livebirths x 1,000
Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE III
City of San Fernando, Pampanga

MATERNAL AND CHILD HEALTH INDICATORS REPORTING FORM


2016- 2017

MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE MONCADA-TARLAC PROVINCE


ANNUAL
FIRST QUARTER SECOND QUARTER THIRD QUARTER FOURTH QUARTER

INDICATORS PROVINCIAL PROVINCIAL PROVINCIAL OCTOBE NOVEMB DECEMB PROVINCIAL


JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER PROVINCIAL AVERAGE
AVERAGE AVERAGE AVERAGE R ER ER AVERAGE

2016 2017 2016 2017 2016 2017 NUMBER % 2016 2017 2016 2017 2016 2017 NUMBER % NUMBER NUMBER % NUMBER NUMBER % NUMBER %

Total Population
Eligible Population 0
Total Pregnancy #ERROR! #ERROR! #ERROR! #ERROR! 41 #ERROR! #ERROR! 52 #ERROR! 65 #ERROR! 52 #ERROR!
Total Adolescent Pregnancy (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
Total Adolescent Pregnancy (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! 9 #ERROR! #ERROR! 12 #ERROR! 8 #ERROR! 9 #ERROR!
Total Deliveries #ERROR! #ERROR! #ERROR! #ERROR! 37 #ERROR! #ERROR! 43 #ERROR! 29 #ERROR! 40 #ERROR!
Total Deliveries by Adolescent Mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
Total Deliveries by Adolescent Mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! 7 #ERROR! #ERROR! 4 #ERROR! 4 #ERROR! 7 #ERROR!
1.1. Pregnant tracked #ERROR! #ERROR! #ERROR! #ERROR! 41 #ERROR! #ERROR! #ERROR! 52 #ERROR! 65 #ERROR! 52 #ERROR!
1.2. Adolescent pregnant mothers tracked (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
1.3. Adolescent pregnant mothers tracked (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! 8 #ERROR! #ERROR! #ERROR! 12 #ERROR! 8 #ERROR! 10 #ERROR!
2.1. Pregnant Women with written birth plan #ERROR! #ERROR! #ERROR! #ERROR! 41 #ERROR! #ERROR! #ERROR! 52 #ERROR! 65 #ERROR! 52 #ERROR!
2.2. Adolescent pregnant mothers with birth plan (10-14 #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR!
years)
2.3. Adolescent pregnant mothers with birth plan (15-19 #ERROR! 12 #ERROR! 8 #ERROR! 10 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 8 #ERROR! #ERROR!
years)
3.1. Pregnant Women with atleast 4 ANC Visits #ERROR! #ERROR! #ERROR! #ERROR! 34 #ERROR! #ERROR! #ERROR! 29 #ERROR! 29 #ERROR! 43 Y
3.2. Adolescent pregnant mothers with 4 ANC visits (10-14 #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR!
years)
3.3. Adolescent pregnant mothers with 4 ANC visits (15-19 #ERROR! 3 #ERROR! 5 #ERROR! 5 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 4 #ERROR! #ERROR!
years)
4.1. Pregnant women tested for HIV during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
z #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
4.3. Number of positive pregnant women referred to ART #ERROR! 0 #ERROR! 0 #ERROR!
Facilities (HIV Treatment Hubs or Satellite Hubs) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0

5.1. Pregnant Women tested for Syphilis during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 1 #ERROR! 49 #ERROR!
5.2. Tested positive for Syphilis during pregnancy #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
5.3. Number of pregnant women positive for Syphilis given #ERROR! 0 #ERROR! 0 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0
treatment (Penicillin G and other meds)
5.4. Received treatment at: #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
5.4.A.) Treatment Hub #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
5.4.B.) Social Hygiene Clinic #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
5.4.C.) RHU/ Birthing Center #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
6.1. Screened for Hepatitis B #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
6.2. Tested positive for Hepatitis B #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
7.1. ZIKA SCREENING (1st screening) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
7.2. with at least 4 screening done #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
7.3. Symptomatic #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
7.4. Screening Test done #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
7.5. Tested positive for Zika #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
8. Pregnant Women given complete iron with folic acid (180 #ERROR! 25 #ERROR! 57 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 26 #ERROR! #ERROR! 31
tablets)
9. Pregnant Women given calcium supplementation (420 #ERROR! 0 #ERROR! 0 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0
tablets)
10.1. Facility Based Delivery #ERROR! #ERROR! #ERROR! #ERROR! 32 #ERROR! #ERROR! 37 #ERROR! 26 #ERROR! 31 #ERROR!
10.2. Facility Based Delivery by adolescent mothers (10-14 0 #ERROR! 0 #ERROR! 0 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR!
years)
10.3. Facility Based Delivery by adolescent mothers (15-19 3 #ERROR! 2 #ERROR! 5 #ERROR!
#ERROR! #ERROR! #ERROR! #ERROR! 5 #ERROR! #ERROR!
years)
11.1. Assisted by Skilled Health Professional #ERROR! #ERROR! #ERROR! #ERROR! 37 #ERROR! #ERROR! 43 #ERROR! 29 #ERROR! 41 #ERROR!
11.2. Assisted SHP adolescent mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
11.3. Assisted SHP adolescent mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! 8 #ERROR! #ERROR! 5 #ERROR! 4 #ERROR! 6 #ERROR!
12.1. Postpartum Women with 2 PNC Visits #ERROR! #ERROR! #ERROR! #ERROR! 37 #ERROR! #ERROR! #ERROR! 42 #ERROR! 29 #ERROR! 41 #ERROR!
12.2. Adolescent mothers with 2 PNC Visits (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
12.3. Adolescent mothers with 2 PNC Visits (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! 8 #ERROR! #ERROR! #ERROR! 5 #ERROR! 4 #ERROR! 6 #ERROR!
14. Postpartum women initiated breastfeeding #ERROR! #ERROR! #ERROR! #ERROR! 35 #ERROR! #ERROR! #ERROR! 41 #ERROR! 29 #ERROR! 40 #ERROR!
# of Livebirths #ERROR! #ERROR! #ERROR! #ERROR! 12 #ERROR! #ERROR! 16 #ERROR! 8 #ERROR! 18 #ERROR!
# of Livebirths from Adolescent Mothers (10-14 years) #ERROR! #ERROR! #ERROR! #ERROR! 0 #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
# of Livebirths from Adolescent Mothers (15-19 years) #ERROR! #ERROR! #ERROR! #ERROR! 1 #ERROR! #ERROR! 0 #ERROR! 1 #ERROR! 0 #ERROR!
15. Maternal Deaths (Pregnancy to 42 days after delivery) #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
16. Under Five Deaths (12 to 59 months) #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
17. Infant Deaths (29 days to 11 months) #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
18. Late Neonatal Deaths (7 to 28 days) #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
19. Early Neonatal Deaths (0 to 6 days) #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
20. Fetal Death/ Stillbirths (after 20 weeks) #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!
21. Abortion (before 20 weeks) #ERROR! #ERROR! 0 #ERROR! 1 #ERROR! #ERROR! #ERROR! 0 #ERROR! 0 #ERROR! 0 #ERROR!

Eligibile Population= Total Population x 2.7%


For indicators 1 to 3 and 12 to 14: Use TOTAL DELIVERIES as denominator
For indicator 6, 7.1 and 8.1.: Use Pregnant Women seen as denominator
For indicator 7.2: Use Pregnant Women tested for Syphilis during pregnancy as denominator
For indicator 7.3: Use Tested positive for Syphilis during pregnancy as denominator
For indicators 7.4.A, 7.4.B: and 7.4.C.: Use Number of pregnant women positive for Syphilis given treatment (Penicillin G and other meds) as denominator
For indicator 8.2: Use Pregnant Women tested for Hepatitis B during pregnancy as denominator
For indicator 9.3: Use Pregnant Women screened for Zika as denominator
For indicator 9.4: Use Pregnant Women symptomatic for Zika virus infection as denominator
For indicator 9.5: Use Pregnant Women tested for Zika virus infection as denominator
For indicator 9.1., 9.2., 10 and 11.: Use Eligible Population as denominator
For indicator 16: MMR= # of maternal deaths/ # livebirths x 100,000
For indicator 17: UFMR= # of under five deaths/ # livebirths x 1,000
For indicator 18: IMR= # of infant deaths/ # livebirths x 1,000
For indicator 19: LNMR= # of late neonatal deaths/ # livebirths x 1,000
For indicator 20: ENMR= # of early neonatal deaths/ # livebirths x 1,000
For indicator 21: SBR= # of still births/ # livebirths x 1,000
For indicator 22: Abortion= # of abortion/ # livebirths x 1,000

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