Professional Documents
Culture Documents
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)
0
0
0
0
0
0
Prepared By:
____________________________________