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National Safe Motherhood Program

RESULTS MONITORING for 2015


DOH Regional Office No.
_________________
INDICATORS

Total Deliveries
Total Deliveries by Adolescent Girls

Municipality:____________________
Province:_______________
___
___
PROVINCES/CITIES (please indicate names of provinces/cities in the columns provided)
Regional Average
Numbe
Numb
Numb
Numb
Numb
r
%
er
%
er
%
er
%
er
%
Number
%
0

(10-14 yrs)
(15-19) yrs
1. Pregnant tracked
2. Women with birth plan
3. Women with 4 ANC visits
4. Facility Based Delivery
5. Assisted by Skilled Health
Professional
Women with 2 PNC visits

0
0
0
0
0
0

# live births
# of live births from adolescent
mothers
7. # Maternal Deaths (MMR)
8. # Early Newborn deaths (NMR)
9. # stillbirth (SBR)
10. Contraceptive Prevalence Rate
(CPR)

MMR = # maternal deaths / # live births x


100,000
NMR = # newborn deaths / # live births x
1,000
SBR = # still births / # live births x 1,000
For indicators 1-6 use total deliveries as
denominator
For indicators 8-10 use # live births as
denominator

0
0

0
0
0
0

Total deliveries by adolescent should also be included in the


Total Deliveries
# live births should also include live births from
adolescent mothers

Prepared By:
____________________________________

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