FHSIS REPORT for the MONTH: JANUARY YEAR: 2021

Name of Barangay: BIKAL

Name of BHS: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1,460
For submission to RHU/MHC
Section A. Family Planning Services for Women of Reproductive Age
Age Total for WRA 15-49
A1. Modern FP Unmet Need (Col. 2) Remarks
(Col. 1) (Col. 4)
10-14 15-19 20-49 (Col. 3)
1. No. of WRA with unmet need for modern FP 0
Acceptors
Current User
Current User Other Acceptors Dropout (End of Month) New Acceptors
(Beginning of Month) New Acceptors (Present Month) (Present Month)
A2. Use of FP Method (Previous Month) (Present (Col.
(Col. 1) (Col. 2) Month) (Col. 5) (Col. 7)
(Col. 3) 6)
(Col. 4)
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
a. Bilateral Tubal Ligation 9 9 9 9
b. Non-Scalpel Vasectomy
c. Condom 3 3 3 3
d. Pills-Total
d.1 Pills-POP
d.2 Pills-COC 53 53 53 53
e Injectables (DMPA/POI) 6 6 6 6
f. Implant 14 14 14 14

g. IUD (IUD-I and IUD-PP)-Total

g.1 IUD-I
g.2 IUD-PP
h. NFP-LAM 1 11 12 1 1 2 2 1 10 11
i. NFP-BBT
j. NFP-CMM 11 11 11 11
k. NFP-STM
l. NFP-SDM 5 5 5 5
m. Total Current Users 1 112 113 1 1 2 2 1 111 112
Section B. Maternal Care and Services
By Age Group By Age Group
Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.1 Prenatal Care
1. No. of pregnant women with at least 4 prenatal visits 1 1 8. No. of pregnant women given one dose of deworming tablet

2. No. of pregnant women assessed of their nutritional status during the 1st 9. No. of pregnant women screened for syphilis
trimester

a. No. of pregnant women seen in the first trimester who have normal BMI 10. No. of pregnant women tested positive for syphilis
b. No. of pregnant women seen in the first trimester who have low BMI 11. No. of pregnant women screened for Hepatitis B
c. No. of pregnant women seen in the first trimester who have high BMI 12. No. of pregnant women tested positive for Hepatitis B
3. No. of pregnant women for the first time given at least 2 doses of Td 13. No. of pregnant women screened for HIV

4. No. of pregnant women for the 2nd or more times given at least 3 doses of Td 14. No. of pregnant women tested for CBC or Hgb & Hct count
(Td2 Plus)
No. of pregnant women who completed dose of iron with folic acid No. of pregnant women tested for CBC or Hgb & Hct count diagnosed with
5. supplementation 15. anemia
No. of pregnant women who completed doses of calcium carbonate
6. supplementation 16. No. of pregnant women screened for gestational diabetes

7. No. of pregnant women given iodine capsule 17. No. of pregnant women tested positive for gestational diabetes

By Age Group By Age Group

Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.2 Intra-Partum Care and Delivery Outcome
18. No. of deliveries 1 1 21. No. of Health Facility-Based Deliveries
19. No. of Live births 1 1 a. No. of deliveries in public health facility
a. No. of live births with normal birth weight b. No. of deliveries in private health facility
b. No. of live births with low birth weight 22. No. of Non-Facility-Based Deliveries 1 1
c. No. of live births with unknown birth weight 23. a. No. of vaginal deliveries 1 1
20. No. of deliveries attended by skilled health professionals b. No. of deliveries by cesarean section
a. No. of deliveries attended by a doctor 24. a. No. of full-term births 1 1
b. No. of deliveries attended by a nurse b. No. of pre-term births
c. No. of deliveries attended by a midwife c. No. of fetal deaths
d. No. of abortion/miscarriage
Section B.3 Post-Partum and Newborn Care
No. postpartum women together with their newborn who completed at least 2
25. postpartum check-ups 27. No. of postpartum women with Vitamin A supplementation 1 1

26. No. of postpartum women who completed iron with folic acid supplementation 1 1

Section C. Child Care and Services

Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total
C1. Immunization Services for Newborns, Infants and School-Aged Children/Adolescents
1. Livebirths 8. OPV 1 15. MCV 1
2. CPAB 9. OPV 2 16. MCV 2
3. BCG 10. OPV 3 17. FIC
4. Hep B, within 24 hours 11. IPV 18. CIC
5. DPT-HiB-HepB 1 12. PCV 1 19. Td, Grade 1 (November)
6. DPT-HiB-HepB 2 13. PCV 2 20. MR, Grade 1 (November)
7. DPT-HiB-HepB 3 14. PCV 3 21. Td, Grade 7 (November)
22. MR, Grade 7 (November)
C2. Nutrition Services for Infants and Children
Infants 6 months old initiated to
23. Newborn initiated on breastfeeding immediately after 26. complementary feeding with continues 2 2 29. Children 12-59 months old given 2 doses
birth lasting to 90 minutes of Vitamin A 200,000 I.U
breastfeeding

Infants 6 months old initiated to Infant 6-11 months old who completed
24. Preterm/LBW infants given iron supplementation 27. complementary feeding but no longer or 30.
never been breastfed MNP supplementation

25. Infants exclusively breastfed until 6th month 2 2 28. Infants 6-11 months given 1 dose of 31. Children 12-23 months who completed
Vitamin A 100,000 I.U MNP supplementation
C3. Deworming Services for Infants, Children and Adolescents
32. 1-19 years old given 2 doses of deworming drug b. SAC, 5-9 years old dewormed (2 doses)
a. PSAC, 1-4 years old dewormed (2 doses) c. Adolescents, 10-19 years old dewormed (2 doses)
C4. Management of Sick Infants and Children
Sick children 12-59 months old received Diarrhea cases 0-59 months old received
33. Sick infants 6-11 months old seen 36. 39.
Vitamin A ORS with zinc
34. Sick infants 6-11 months old received Vitamin A 37. Diarrhea cases 0-59 months old seen 40. Pneumonia cases 0-59 months old

35. Sick children 12-59 months old seen 38. Diarrhea cases 0-59 months old received 41. Pneumonia cases 0-59 months completed
ORS treatment

Page 1 of 27
 Section E. Infectious Disease Prevention & Control Services
E3. Soil Transmitted Helminthiasis Prevention and Control Male Female Total E5. Tuberculosis Prevention and Control Male Female Total

1. No. of WRA 20-49 years old who completed 2 doses of deworming tablet 1. No. of notified TB cases, all forms

E8. Rabies Prevention and Control Male Female Total 2. No. of registered bacteriologicaly confirmed drug resistant TB (RR/MDR-TB Cases)

1. No. of animal bites 3. No. of TB, all forms that are cured and completely treated
2. No. of deaths due to Rabies 4. No. of registered bacteriology confirmed drug resistant TB Cases (RR/MDR-TB) cured and completed treatment

Section F. Non-Communicable Disease Prevention and Control Services

Promotion of Healthy Lifestyle Male Female Total Cancer Male Female Total
1. No. of adults risk-assessed using PhilPEN 5. No. of adult women screened for Cervical Cancer using VIA/Pap Smear
No. of adult women found positive / suspect for Cervical Cancer using VIA/Pap
2. Current smokers 6. Smear
3. Alcohol binge drinkers 7. No. of women screened for breast mass
4. Overweight/Obese 8. No. of women with suspicious breast mass
Cardio Vascular Disease Male Female Total Diabetes Mellitus Male Female Total
9. No. of newly-identified hypertensive adults 10. No. newly-identified adults with Type 2 DM
Eye Blindness Male Female Total SC Immunization Male Female Total
11. No. of senior citizens screened for visual acuity 13. No. of senior citizens who received one (1) dose of PPV
12. No. of senior citizens diagnosed with eye disease/s 14. No. of senior citizens who received one (1) dose of influenza vaccine
Section G. Environmental Health and Sanitation Services
Indicators Total Remarks Indicators Total Remarks
1. No. of HHs with access to basic safe water supply 4. No. of HHs with basic sanitation facility
a. No. of HHs with Level I a. No. of HHs with pour/flush toilet connected to septic tank
b. No. of HHs with pour/flush toilet connected to community sewer/sewerage
b. No. of HHs with Level II
system or any other approved treatment system
c. No. of HHs with Level III c. No. of HHs with ventilated improved pit latrine (VIP)
2 No. of HHs using safely managed drinking water services 5. No. of industrial establishments issued with sanitary permit
3. No. of HHs using safely managed sanitation services 6. No. of barangays declared ZOD
Section H. Mortality Section I. Natality
Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total

1. Total Deaths 5. Neonatal Deaths 1. Livebirths

2. Maternal Deaths 6. Fetal Deaths a. Livebirths among 15-19 y/o women
3. Under-five Deaths 7. Early Neonatal Deaths b. No. of livebirths w/ low birth weight
4. Infant Deaths 8. Perinatal Deaths

Page 2 of 27
 FHSIS REPORT for the MONTH: JANUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Section B. Program F1 PLUS Indicators

Indicators Male Female Total
No.
(Col. 1.) (Col. 2) (Col. 3) (Col. 4)
1. No. of WRA using modern FP methods - Total 112
No. of pregnant women w/ at least 4 prenatal check-ups -
2. 1
Total
3. No. of births delivered by adolescents (10-19 y/o) - Total 0
4. No. of live births with low birth weight - Total 0
No. of deliveries attended by skilled health professionals -
5. 0
Total
No. of postpartum women together with their newborn who
6. 1
completed at least 2 postpartum check-ups - Total
7. No. of health facility-based deliveries - Total 0
8. No. of fully immunized children - Total 0
Section C. Mortality F1 PLUS Indicators
Indicators Male Female Total
No.
(Col. 1.) (Col. 2) (Col. 3) (Col. 4)
1. Maternal Deaths - Total 0
2. Infant Deaths - Total 0

Prepared by: JANKARA P. VELASCO Noted by:

FHSIS ver. 2018 M2-F1 PLUS | Page 1 of 27

 NDP NURSE II
Signature Over Printed Name and Designation Signature Over Printed Name and Designation

FHSIS ver. 2018 M2-F1 PLUS | Page 2 of 27

 M2
FHSIS Quarterly Report for: MONTH: JANUARY YEAR: 2021 Prepared by: JANKARA P. VELASCO / NDP NURSE II
Name of Health Facility: BIKAL HEALTH CENTER Name and Designation
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR Noted by:
Projected Population of the Year: 1460 Name and Designation

Section A.1 MORBIDITY REPORT

For submission to the next administrative level
DISEASE 29 days-11
0-6 days 7-28 days 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 ≥ 70 TOTAL
ICD 10 Code mos
(Underlying Cause) 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 F M F M F M F M F M F Both
Total, all causes A00-Y99 0 0 0

Cholera A00.0-A00.9 0 0 0
A09.0
Acute Watery Diarrhea 0 0 0
(watery)
A09.0
Acute Bloody Diarrhea 0 0 0
(bloody)
Typhoid and Paratyphoid Fever A01.1-A01.4 0 0 0

Leptospirosis A27.0-A27.9 0 0 0

Leprosy A30.0-A30.9 0 0 0

Neonatal Tetanus A33 0 0 0

Non-neonatal Tetanus A35 0 0 0

Diphtheria A36.0-A36.9 0 0 0

Meningococcemia A39.2-A39.4 0 0 0

Syphilis A50-A53 0 0 0

Gonorrhea A54.0-A54.9 0 0 0

Viral Encephalitis A83-A86 0 0 0

Viral Meningitis A87.0-A87.9 0 0 0

Acute Hemorrhagic Fever Syndrome
A97.0-A97.2 0 0 0
(Dengue)
Measles B05.0-B05.9 0 0 0

Acute Viral Hepatitis B15-B17 0 0 0

Malaria B50-B54 0 0 0

Schistosomiasis B65.0-B65.9 0 0 0

Filariasis B74.0-B74.9 0 0 0

Acute Flaccid Paralysis G83.9 0 0 0

Influenza-like Illness J11.1 0 0 0

Influenza J11.1 0 0 0

Pneumonia J18.90-J18.99 0 0 0
Acute Lower Respiratory Tract
J22 2 1 0 3 3
Infection

FHSIS ver. 2018 Q1-Mortality

 M2
FHSIS Quarterly Report for: MONTH: JANUARY YEAR: 2021 Prepared by: JANKARA P. VELASCO / NDP NURSE II
Name of Health Facility: BIKAL HEALTH CENTER Name and Designation
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR Noted by:
Projected Population of the Year: 1460 Name and Designation

Section A.1 MORBIDITY REPORT

For submission to the next administrative level
DISEASE 29 days-11
0-6 days 7-28 days 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 ≥ 70 TOTAL
ICD 10 Code mos
(Underlying Cause) 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 F M F M F M F M F M F Both
N48.5, N50.8,
Genital ulcer N76.5, N76.6, 0 0 0
N89.8
Urethral Discharge R36 0 0 0

Animal Bites T14.1 0 0 0

Paralytic Shellfish Poisoning T61.2 0 0 0

Other Diseases

ARI in below 5 J22 1 2 1 2 3

ARI for 5 and above J22 1 1 0 2 2

Fever of Unknown Origin R50.9 0 0 0

Acute Febrile Illness R50.9 0 0 0

Bronchitis, Chronic J40 0 0 0

Bronchitis, Acute J20.9 2 2 0 2

Chickenpox B01.89 0 0 0
Chronic Obstructive Pulmonary
J44.0-J44.9 0 0 0
Disease (COPD)
Hypertension I10.0-I10.9 0 2 2
2
Skin Diseases 0 0 0

Tuberculosis, Other Forms 0 0 0

Tuberculosis, Respiratory 0 0 0

Urinary Tract Infection 0 2 2

1 1
Whooping Cough 0 0 0
I00-I09, I11,
Diseases of the Heart 0 0 0
I13, I20-I51
TY Suspect 0 1 1
1
Amoebiasis 1 0 1 1

Vertigo 1 0 1 1

Infected Wound 2 0 2
1 1
Tonsilitis 0 1 1
1
0 0 0

FHSIS ver. 2018 Q1-Mortality

 M2
FHSIS Quarterly Report for: MONTH: JANUARY YEAR: 2021 Prepared by: JANKARA P. VELASCO / NDP NURSE II
Name of Health Facility: BIKAL HEALTH CENTER Name and Designation
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR Noted by:
Projected Population of the Year: 1460 Name and Designation

Section A.1 MORBIDITY REPORT

For submission to the next administrative level
DISEASE 29 days-11
0-6 days 7-28 days 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 ≥ 70 TOTAL
ICD 10 Code mos
(Underlying Cause) 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 F M F M F M F M F M F Both
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

FHSIS ver. 2018 Q1-Mortality

 FHSIS REPORT for the MONTH: JANUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Section A.2.a Ten Leading Causes of Morbidity in all Age Groups

Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. ARI in below 5 3

2. Acute Lower Respiratory Tract Infection 3

3. ARI for 5 and above 2

4. Bronchitis, Acute 2

5. Hypertension 2

6. Urinary Tract Infection 2

7. Infected Wound 2

8. TY Suspect 1

9. Amoebiasis 1

10. Vertigo 1
Section A.2.b Ten Leading Causes of Morbidity in Males
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. Bronchitis, Acute 2

2. Infected Wound 2

3. ARI in below 5 1

4. 1

5.

6.

7.

8.

9.

10.
Section A.2.c Ten Leading Causes of Morbidity in Females
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. Acute Lower Respiratory Tract Infection 3

2. ARI in below 5 2

3. ARI for 5 and above 2

4. Hypertension 2

5. Urinary Tract Infection 2

6. TY Suspect 1

7. Amoebiasis 1

8. Vertigo 1

9. Tonsilitis 1

10.
Section A.2.d Ten Leading Causes of Morbidity in Under-Five Children
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. ARI in below 5 3

2. Acute Lower Respiratory Tract Infection 2

3. Bronchitis, Acute 2

4. TY Suspect 1

FHSIS ver. 2018 M2-Morbidity | Page 1 of 27

 FHSIS REPORT for the MONTH: JANUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

5. Amoebiasis 1

6.

7.

8.

9.

10.

FHSIS ver. 2018 M2-Morbidity | Page 2 of 27

 FHSIS REPORT for the MONTH: JANUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Section A.2.e Ten Leading Causes of Morbidity in Adolescents 10-19 Years Old
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. ARI for 5 and above 2

2. TY Suspect 1

3. Tonsilitis 1

4.

5.

6.

7.

8.

9.

10.
Section A.2.f Ten Leading Causes of Morbidity in Senior Citizens ≥ 60 years old
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. Hypertension 2

2. Infected Wound 1

3.

4.

5.

6.

7.

8.

9.

10.
Section A.2.g Ten Leading Causes of Morbidity in Pregnant Women
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Prepared by: JANKARA P. VELASCO, RN / NDP NURSE II Noted by:

Name and Designation Name and Designation

FHSIS ver. 2018 M2-Morbidity | Page 3 of 27

 FHSIS REPORT for the MONTH: FEBRUARY YEAR: 2021
Name of Barangay: BIKAL
Name of BHS: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1,460
For submission to RHU/MHC
Section A. Family Planning Services for Women of Reproductive Age
Age Total for WRA 15-49
A1. Modern FP Unmet Need (Col. 2) Remarks
(Col. 1) (Col. 4)
10-14 15-19 20-49 (Col. 3)
1. No. of WRA with unmet need for modern FP
Acceptors
Current User
Current User Other Acceptors Dropout (End of Month) New Acceptors
(Beginning of Month) New Acceptors (Present Month) (Present Month)
A2. Use of FP Method (Previous Month) (Present (Col.
(Col. 1) (Col. 2) Month) (Col. 5) (Col. 7)
(Col. 3) 6)
(Col. 4)
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
a. Bilateral Tubal Ligation 9 9 9 9
b. Non-Scalpel Vasectomy
c. Condom 3 3 3 3
d. Pills-Total
d.1 Pills-POP 2 2 2 2
d.2 Pills-COC 53 53 53 53
e Injectables (DMPA/POI) 6 6 6 6
f. Implant 14 14 14 14

g. IUD (IUD-I and IUD-PP)-Total

g.1 IUD-I
g.2 IUD-PP
h. NFP-LAM 1 10 11 2 2 1 8 9
i. NFP-BBT
j. NFP-CMM 11 11 11 11
k. NFP-STM
l. NFP-SDM 5 5 5 5
m. Total Current Users 1 111 112 2 2 1 111 112
Section B. Maternal Care and Services
By Age Group By Age Group
Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.1 Prenatal Care
1. No. of pregnant women with at least 4 prenatal visits 8. No. of pregnant women given one dose of deworming tablet

2. No. of pregnant women assessed of their nutritional status during the 1st 9. No. of pregnant women screened for syphilis
trimester

a. No. of pregnant women seen in the first trimester who have normal BMI 10. No. of pregnant women tested positive for syphilis
b. No. of pregnant women seen in the first trimester who have low BMI 11. No. of pregnant women screened for Hepatitis B
c. No. of pregnant women seen in the first trimester who have high BMI 12. No. of pregnant women tested positive for Hepatitis B
3. No. of pregnant women for the first time given at least 2 doses of Td 13. No. of pregnant women screened for HIV
No. of pregnant women for the 2nd or more times given at least 3 doses of Td
4. 14. No. of pregnant women tested for CBC or Hgb & Hct count
(Td2 Plus)

5. No. of pregnant women who completed dose of iron with folic acid 15. No. of pregnant women tested for CBC or Hgb & Hct count diagnosed with
supplementation anemia

6. No. of pregnant women who completed doses of calcium carbonate 16. No. of pregnant women screened for gestational diabetes
supplementation
7. No. of pregnant women given iodine capsule 17. No. of pregnant women tested positive for gestational diabetes

By Age Group By Age Group

Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.2 Intra-Partum Care and Delivery Outcome
18. No. of deliveries 21. No. of Health Facility-Based Deliveries
19. No. of Live births a. No. of deliveries in public health facility
a. No. of live births with normal birth weight b. No. of deliveries in private health facility
b. No. of live births with low birth weight 22. No. of Non-Facility-Based Deliveries
c. No. of live births with unknown birth weight 23. a. No. of vaginal deliveries
20. No. of deliveries attended by skilled health professionals b. No. of deliveries by cesarean section
a. No. of deliveries attended by a doctor 24. a. No. of full-term births
b. No. of deliveries attended by a nurse b. No. of pre-term births
c. No. of deliveries attended by a midwife c. No. of fetal deaths
d. No. of abortion/miscarriage
Section B.3 Post-Partum and Newborn Care

25. No. postpartum women together with their newborn who completed at least 2 27. No. of postpartum women with Vitamin A supplementation
postpartum check-ups

26. No. of postpartum women who completed iron with folic acid supplementation

Section C. Child Care and Services

Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total
C1. Immunization Services for Newborns, Infants and School-Aged Children/Adolescents
1. Livebirths 8. OPV 1 1 3 4 15. MCV 1 1 2 3
2. CPAB 9. OPV 2 1 2 3 16. MCV 2 3 1 4
3. BCG 10. OPV 3 2 1 3 17. FIC 2 2
4. Hep B, within 24 hours 11. IPV 1 2 3 18. CIC 1 1 2
5. DPT-HiB-HepB 1 2 3 5 12. PCV 1 2 3 5 19. Td, Grade 1 (November)
6. DPT-HiB-HepB 2 1 3 4 13. PCV 2 2 2 20. MR, Grade 1 (November)
7. DPT-HiB-HepB 3 1 1 14. PCV 3 2 1 3 21. Td, Grade 7 (November)
22. MR, Grade 7 (November)
C2. Nutrition Services for Infants and Children
Infants 6 months old initiated to
23. Newborn initiated on breastfeeding immediately after 26. complementary feeding with continues 1 1 2 29. Children 12-59 months old given 2 doses
birth lasting to 90 minutes of Vitamin A 200,000 I.U
breastfeeding

Infants 6 months old initiated to

24. Preterm/LBW infants given iron supplementation 27. 30. Infant 6-11 months old who completed
complementary feeding but no longer or MNP supplementation
never been breastfed

25. Infants exclusively breastfed until 6th month 1 1 2 28. Infants 6-11 months given 1 dose of 31. Children 12-23 months who completed
Vitamin A 100,000 I.U MNP supplementation
C3. Deworming Services for Infants, Children and Adolescents
32. 1-19 years old given 2 doses of deworming drug 385 342 727 b. SAC, 5-9 years old dewormed (2 doses) 106 104 210
a. PSAC, 1-4 years old dewormed (2 doses) 86 59 145 c. Adolescents, 10-19 years old dewormed (2 doses) 193 179 372
C4. Management of Sick Infants and Children

33. Sick infants 6-11 months old seen 36. Sick children 12-59 months old received 39. Diarrhea cases 0-59 months old received
Vitamin A ORS with zinc
34. Sick infants 6-11 months old received Vitamin A 37. Diarrhea cases 0-59 months old seen 40. Pneumonia cases 0-59 months old

35. Sick children 12-59 months old seen 38. Diarrhea cases 0-59 months old received 41. Pneumonia cases 0-59 months completed
ORS treatment

Page 4 of 27
 Section E. Infectious Disease Prevention & Control Services
E3. Soil Transmitted Helminthiasis Prevention and Control Male Female Total E5. Tuberculosis Prevention and Control Male Female Total

1. No. of WRA 20-49 years old who completed 2 doses of deworming tablet 1. No. of notified TB cases, all forms

E8. Rabies Prevention and Control Male Female Total 2. No. of registered bacteriologicaly confirmed drug resistant TB (RR/MDR-TB Cases)

1. No. of animal bites 3. No. of TB, all forms that are cured and completely treated
2. No. of deaths due to Rabies 4. No. of registered bacteriology confirmed drug resistant TB Cases (RR/MDR-TB) cured and
completed treatment
Section F. Non-Communicable Disease Prevention and Control Services
Promotion of Healthy Lifestyle Male Female Total Cancer Male Female Total
1. No. of adults risk-assessed using PhilPEN 4 10 14 5. No. of adult women screened for Cervical Cancer using VIA/Pap Smear
No. of adult women found positive / suspect for Cervical Cancer using VIA/Pap
2. Current smokers 4 4 6.
Smear
3. Alcohol binge drinkers 2 2 7. No. of women screened for breast mass
4. Overweight/Obese 2 2 4 8. No. of women with suspicious breast mass
Cardio Vascular Disease Male Female Total Diabetes Mellitus Male Female Total
9. No. of newly-identified hypertensive adults 10. No. newly-identified adults with Type 2 DM
Eye Blindness Male Female Total SC Immunization Male Female Total
11. No. of senior citizens screened for visual acuity 13. No. of senior citizens who received one (1) dose of PPV
12. No. of senior citizens diagnosed with eye disease/s 14. No. of senior citizens who received one (1) dose of influenza vaccine
Section G. Environmental Health and Sanitation Services
Indicators Total Remarks Indicators Total Remarks
1. No. of HHs with access to basic safe water supply 4. No. of HHs with basic sanitation facility
a. No. of HHs with Level I a. No. of HHs with pour/flush toilet connected to septic tank

b. No. of HHs with Level II b. No. of HHs with pour/flush toilet connected to community sewer/sewerage
system or any other approved treatment system
c. No. of HHs with Level III c. No. of HHs with ventilated improved pit latrine (VIP)
2 No. of HHs using safely managed drinking water services 5. No. of industrial establishments issued with sanitary permit
3. No. of HHs using safely managed sanitation services 6. No. of barangays declared ZOD
Section H. Mortality Section I. Natality
Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total

1. Total Deaths 5. Neonatal Deaths 1. Livebirths

2. Maternal Deaths 6. Fetal Deaths a. Livebirths among 15-19 y/o women
3. Under-five Deaths 7. Early Neonatal Deaths b. No. of livebirths w/ low birth weight
4. Infant Deaths 1 1 8. Perinatal Deaths

Page 5 of 27
 FHSIS REPORT for the MONTH: FEBRUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Section B. Program F1 PLUS Indicators

Indicators Male Female Total
No.
(Col. 1.) (Col. 2) (Col. 3) (Col. 4)
1. No. of WRA using modern FP methods - Total 112
No. of pregnant women w/ at least 4 prenatal check-ups -
2. 0
Total
3. No. of births delivered by adolescents (10-19 y/o) - Total 0
4. No. of live births with low birth weight - Total 0
No. of deliveries attended by skilled health professionals -
5. 0
Total
No. of postpartum women together with their newborn who
6. 0
completed at least 2 postpartum check-ups - Total
7. No. of health facility-based deliveries - Total 0
8. No. of fully immunized children - Total 2
Section C. Mortality F1 PLUS Indicators
Indicators Male Female Total
No.
(Col. 1.) (Col. 2) (Col. 3) (Col. 4)
1. Maternal Deaths - Total 0
2. Infant Deaths - Total 1 1

Prepared by: JANKARA P. VELASCO Noted by:

FHSIS ver. 2018 M2-F1 PLUS | Page 1 of 27

 NDP NURSE II
Signature Over Printed Name and Designation Signature Over Printed Name and Designation

FHSIS ver. 2018 M2-F1 PLUS | Page 2 of 27

 M2
FHSIS Quarterly Report for: MONTH: FEBRUARY YEAR: 2021 Prepared by: JANKARA P. VELASCO / NDP NURSE II
Name of Health Facility: BIKAL HEALTH CENTER Name and Designation
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR Noted by:
Projected Population of the Year: 1460 Name and Designation

Section A.1 MORBIDITY REPORT

For submission to the next administrative level
DISEASE 29 days-11
0-6 days 7-28 days 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 ≥ 70 TOTAL
ICD 10 Code mos
(Underlying Cause) 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 F M F M F M F M F M F Both
Total, all causes A00-Y99 0 0 0

Cholera A00.0-A00.9 0 0 0
A09.0
Acute Watery Diarrhea 0 0 0
(watery)
A09.0
Acute Bloody Diarrhea 0 0 0
(bloody)
Typhoid and Paratyphoid Fever A01.1-A01.4 0 0 0

Leptospirosis A27.0-A27.9 0 0 0

Leprosy A30.0-A30.9 0 0 0

Neonatal Tetanus A33 0 0 0

Non-neonatal Tetanus A35 0 0 0

Diphtheria A36.0-A36.9 0 0 0

Meningococcemia A39.2-A39.4 0 0 0

Syphilis A50-A53 0 0 0

Gonorrhea A54.0-A54.9 0 0 0

Viral Encephalitis A83-A86 0 0 0

Viral Meningitis A87.0-A87.9 0 0 0

Acute Hemorrhagic Fever Syndrome
A97.0-A97.2 0 0 0
(Dengue)
Measles B05.0-B05.9 0 0 0

Acute Viral Hepatitis B15-B17 0 0 0

Malaria B50-B54 0 0 0

Schistosomiasis B65.0-B65.9 0 0 0

Filariasis B74.0-B74.9 0 0 0

Acute Flaccid Paralysis G83.9 0 0 0

Influenza-like Illness J11.1 0 0 0

Influenza J11.1 0 0 0

Pneumonia J18.90-J18.99 0 0 0
Acute Lower Respiratory Tract
J22 0 0 0
Infection

FHSIS ver. 2018 Q1-Mortality

 M2
FHSIS Quarterly Report for: MONTH: FEBRUARY YEAR: 2021 Prepared by: JANKARA P. VELASCO / NDP NURSE II
Name of Health Facility: BIKAL HEALTH CENTER Name and Designation
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR Noted by:
Projected Population of the Year: 1460 Name and Designation

Section A.1 MORBIDITY REPORT

For submission to the next administrative level
DISEASE 29 days-11
0-6 days 7-28 days 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 ≥ 70 TOTAL
ICD 10 Code mos
(Underlying Cause) 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 F M F M F M F M F M F Both
N48.5, N50.8,
Genital ulcer N76.5, N76.6, 0 0 0
N89.8
Urethral Discharge R36 0 0 0

Animal Bites T14.1 0 0 0

Paralytic Shellfish Poisoning T61.2 0 0 0

Other Diseases

ARI in below 5 J22 1 1 3 2 4 3 7

ARI for 5 and above J22 2 2 1 2 2 7 2 9

Fever of Unknown Origin R50.9 0 0 0

Acute Febrile Illness R50.9 0 0 0

Bronchitis, Chronic J40 0 0 0

Bronchitis, Acute J20.9 2 2 4 0 4

Chickenpox B01.89 0 0 0
Chronic Obstructive Pulmonary
J44.0-J44.9 0 0 0
Disease (COPD)
Hypertension I10.0-I10.9 3 4 7
1 3 2 1
Skin Diseases 0 0 0

Tuberculosis, Other Forms 0 0 0

Tuberculosis, Respiratory 0 0 0

Urinary Tract Infection 0 0 0

Whooping Cough 0 0 0
I00-I09, I11,
Diseases of the Heart 0 0 0
I13, I20-I51
Anemia 0 1 1
1
Allergy 1 1 0 1

0 0 0

0 0 0

0 0 0

0 0 0

FHSIS ver. 2018 Q1-Mortality

 M2
FHSIS Quarterly Report for: MONTH: FEBRUARY YEAR: 2021 Prepared by: JANKARA P. VELASCO / NDP NURSE II
Name of Health Facility: BIKAL HEALTH CENTER Name and Designation
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR Noted by:
Projected Population of the Year: 1460 Name and Designation

Section A.1 MORBIDITY REPORT

For submission to the next administrative level
DISEASE 29 days-11
0-6 days 7-28 days 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 ≥ 70 TOTAL
ICD 10 Code mos
(Underlying Cause) 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 F M F M F M F M F M F Both
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

FHSIS ver. 2018 Q1-Mortality

 FHSIS REPORT for the MONTH: FEBRUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Section A.2.a Ten Leading Causes of Morbidity in all Age Groups

Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. ARI for 5 and above 9

2. ARI in below 5 7

3. Hypertension 7

4. Bronchitis, Acute 4

5. Anemia 1

6. Allergy 1

7.

8.

9.

10.
Section A.2.b Ten Leading Causes of Morbidity in Males
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. ARI for 5 and above 7

2. ARI in below 5 4

3. Bronchitis, Acute 4

4. Hypertension 3

5. Allergy 1

6.

7.

8.

9.

10.
Section A.2.c Ten Leading Causes of Morbidity in Females
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. Hypertension 4

2. ARI in below 5 3

3. ARI for 5 and above 2

4. Anemia 1

5.

6.

7.

8.

9.

10.
Section A.2.d Ten Leading Causes of Morbidity in Under-Five Children
Name of Disease Number of Cases Rate per 100,000 population
No.
FHSIS ver. 2018 M2-Morbidity | Page 1 of 27
 FHSIS REPORT for the MONTH: FEBRUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

No.
(Col. 1.) (Col. 3) (Col. 4)
1. ARI in below 5 7

2. Bronchitis, Acute 2

3. Allergy 1

4.

5.

6.

7.

8.

9.

10.

FHSIS ver. 2018 M2-Morbidity | Page 2 of 27

 FHSIS REPORT for the MONTH: FEBRUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Section A.2.e Ten Leading Causes of Morbidity in Adolescents 10-19 Years Old
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
Section A.2.f Ten Leading Causes of Morbidity in Senior Citizens ≥ 60 years old
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1. Hypertension 7

2.

3.

4.

5.

6.

7.

8.

9.

10.
Section A.2.g Ten Leading Causes of Morbidity in Pregnant Women
Name of Disease Number of Cases Rate per 100,000 population
No.
(Col. 1.) (Col. 3) (Col. 4)
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Prepared by: JANKARA P. VELASCO, RN / NDP-NURSE II Noted by:

FHSIS ver. 2018 M2-Morbidity | Page 3 of 27
 FHSIS REPORT for the MONTH: FEBRUARY YEAR: 2021

M2
Name of Health Facility: BIKAL HEALTH CENTER
Name of Barangay: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1460

For submission to the next administrative level

Name and Designation Name and Designation

FHSIS ver. 2018 M2-Morbidity | Page 4 of 27

 FHSIS REPORT for the MONTH: MARCH YEAR: 2020
Name of Barangay: BIKAL
Name of BHS: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1,463
For submission to RHU/MHC
Section A. Family Planning Services for Women of Reproductive Age
Age Total for WRA 15-49
A1. Modern FP Unmet Need (Col. 2) Remarks
(Col. 1) (Col. 3) (Col. 4)
10-14 15-19 20-49
1. No. of WRA with unmet need for modern FP
Acceptors Current User
Current User Other Acceptors Dropout New Acceptors
(Beginning of Month) New Acceptors (Present Month) (End of Month) (Present Month)
A2. Use of FP Method (Previous Month) (Present (Col.
(Col. 1) (Col. 2) Month) (Col. 5) (Col. 7)
(Col. 3) 6)
(Col. 4)
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
a. Bilateral Tubal Ligation
b. Non-Scalpel Vasectomy
c. Condom
d. Pills-Total
d.1 Pills-POP
d.2 Pills-COC
e Injectables (DMPA/POI)
f. Implant

g. IUD (IUD-I and IUD-PP)-Total

g.1 IUD-I
g.2 IUD-PP
h. NFP-LAM
i. NFP-BBT
j. NFP-CMM
k. NFP-STM
l. NFP-SDM
m. Total Current Users
Section B. Maternal Care and Services
By Age Group By Age Group
Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.1 Prenatal Care
1. No. of pregnant women with at least 4 prenatal visits 8. No. of pregnant women given one dose of deworming tablet
No. of pregnant women assessed of their nutritional status during the 1st
2. trimester 9. No. of pregnant women screened for syphilis

a. No. of pregnant women seen in the first trimester who have normal BMI 10. No. of pregnant women tested positive for syphilis
b. No. of pregnant women seen in the first trimester who have low BMI 11. No. of pregnant women screened for Hepatitis B
c. No. of pregnant women seen in the first trimester who have high BMI 12. No. of pregnant women tested positive for Hepatitis B
3. No. of pregnant women for the first time given at least 2 doses of Td 13. No. of pregnant women screened for HIV

4. No. of pregnant women for the 2nd or more times given at least 3 doses of Td 14. No. of pregnant women tested for CBC or Hgb & Hct count
(Td2 Plus)
No. of pregnant women who completed dose of iron with folic acid No. of pregnant women tested for CBC or Hgb & Hct count diagnosed with
5. 15.
supplementation anemia

Page 5 of 27
 No. of pregnant women who completed doses of calcium carbonate
6. supplementation 16. No. of pregnant women screened for gestational diabetes

7. No. of pregnant women given iodine capsule 17. No. of pregnant women tested positive for gestational diabetes

By Age Group By Age Group

Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.2 Intra-Partum Care and Delivery Outcome
18. No. of deliveries 21. No. of Health Facility-Based Deliveries
19. No. of Live births a. No. of deliveries in public health facility
a. No. of live births with normal birth weight b. No. of deliveries in private health facility
b. No. of live births with low birth weight 22. No. of Non-Facility-Based Deliveries
c. No. of live births with unknown birth weight 23. a. No. of vaginal deliveries
20. No. of deliveries attended by skilled health professionals b. No. of deliveries by cesarean section
a. No. of deliveries attended by a doctor 24. a. No. of full-term births
b. No. of deliveries attended by a nurse b. No. of pre-term births
c. No. of deliveries attended by a midwife c. No. of fetal deaths
d. No. of abortion/miscarriage
Section B.3 Post-Partum and Newborn Care
No. postpartum women together with their newborn who completed at least 2
25. 27. No. of postpartum women with Vitamin A supplementation
postpartum check-ups

26. No. of postpartum women who completed iron with folic acid supplementation

Section C. Child Care and Services

Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total
C1. Immunization Services for Newborns, Infants and School-Aged Children/Adolescents
1. Livebirths 8. OPV 1 15. MCV 1
2. CPAB 9. OPV 2 16. MCV 2
3. BCG 10. OPV 3 17. FIC
4. Hep B, within 24 hours 11. IPV 18. CIC
5. DPT-HiB-HepB 1 12. PCV 1 19. Td, Grade 1 (November)
6. DPT-HiB-HepB 2 13. PCV 2 20. MR, Grade 1 (November)
7. DPT-HiB-HepB 3 14. PCV 3 21. Td, Grade 7 (November)
22. MR, Grade 7 (November)
C2. Nutrition Services for Infants and Children
Infants 6 months old initiated to
23. Newborn initiated on breastfeeding immediately after 26. complementary feeding with continues 29. Children 12-59 months old given 2 doses
birth lasting to 90 minutes of Vitamin A 200,000 I.U
breastfeeding

Infants 6 months old initiated to

Infant 6-11 months old who completed
24. Preterm/LBW infants given iron supplementation 27. complementary feeding but no longer or 30. MNP supplementation
never been breastfed
Infants 6-11 months given 1 dose of Children 12-23 months who completed
25. Infants exclusively breastfed until 6th month 28. 31.
Vitamin A 100,000 I.U MNP supplementation
C3. Deworming Services for Infants, Children and Adolescents
32. 1-19 years old given 2 doses of deworming drug b. SAC, 5-9 years old dewormed (2 doses)
a. PSAC, 1-4 years old dewormed (2 doses) c. Adolescents, 10-19 years old dewormed (2 doses)
C4. Management of Sick Infants and Children
Sick children 12-59 months old received Diarrhea cases 0-59 months old received
33. Sick infants 6-11 months old seen 36. Vitamin A 39. ORS with zinc
34. Sick infants 6-11 months old received Vitamin A 37. Diarrhea cases 0-59 months old seen 40. Pneumonia cases 0-59 months old

35. Sick children 12-59 months old seen 38. Diarrhea cases 0-59 months old received 41. Pneumonia cases 0-59 months completed
ORS treatment

Page 6 of 27
 Section E. Infectious Disease Prevention & Control Services
E3. Soil Transmitted Helminthiasis Prevention and Control Male Female Total E5. Tuberculosis Prevention and Control Male Female Total

1. No. of WRA 20-49 years old who completed 2 doses of deworming tablet 1. No. of notified TB cases, all forms

E8. Rabies Prevention and Control Male Female Total 2. No. of registered bacteriologicaly confirmed drug resistant TB (RR/MDR-TB Cases)

1. No. of animal bites 3. No. of TB, all forms that are cured and completely treated
2. No. of deaths due to Rabies 4. No. of registered bacteriology confirmed drug resistant TB Cases (RR/MDR-TB) cured and
completed treatment
Section F. Non-Communicable Disease Prevention and Control Services
Promotion of Healthy Lifestyle Male Female Total Cancer Male Female Total
1. No. of adults risk-assessed using PhilPEN 5. No. of adult women screened for Cervical Cancer using VIA/Pap Smear
No. of adult women found positive / suspect for Cervical Cancer using VIA/Pap
2. Current smokers 6.
Smear
3. Alcohol binge drinkers 7. No. of women screened for breast mass
4. Overweight/Obese 8. No. of women with suspicious breast mass
Cardio Vascular Disease Male Female Total Diabetes Mellitus Male Female Total
9. No. of newly-identified hypertensive adults 10. No. newly-identified adults with Type 2 DM
Eye Blindness Male Female Total SC Immunization Male Female Total
11. No. of senior citizens screened for visual acuity 13. No. of senior citizens who received one (1) dose of PPV
12. No. of senior citizens diagnosed with eye disease/s 14. No. of senior citizens who received one (1) dose of influenza vaccine
Section G. Environmental Health and Sanitation Services
Indicators Total Remarks Indicators Total Remarks
1. No. of HHs with access to basic safe water supply 4. No. of HHs with basic sanitation facility
a. No. of HHs with Level I a. No. of HHs with pour/flush toilet connected to septic tank

b. No. of HHs with Level II b. No. of HHs with pour/flush toilet connected to community sewer/sewerage
system or any other approved treatment system
c. No. of HHs with Level III c. No. of HHs with ventilated improved pit latrine (VIP)
2 No. of HHs using safely managed drinking water services 5. No. of industrial establishments issued with sanitary permit
3. No. of HHs using safely managed sanitation services 6. No. of barangays declared ZOD
Section H. Mortality Section I. Natality
Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total

1. Total Deaths 5. Neonatal Deaths 1. Livebirths

2. Maternal Deaths 6. Fetal Deaths a. Livebirths among 15-19 y/o women
3. Under-five Deaths 7. Early Neonatal Deaths b. No. of livebirths w/ low birth weight
4. Infant Deaths 8. Perinatal Deaths

Page 7 of 27
 FHSIS REPORT for the MONTH: 1ST QUARTER YEAR: 2020
Name of Barangay: BIKAL
Name of BHS: BIKAL
Name of Municipality/City: CARAMOAN
Name of Province: CAMARINES SUR
Projected Population of the Year: 1,463
For submission to RHU/MHC
Section A. Family Planning Services for Women of Reproductive Age
Age Total for WRA 15-49
A1. Modern FP Unmet Need (Col. 2) Remarks
(Col. 1) (Col. 3) (Col. 4)
10-14 15-19 20-49
1. No. of WRA with unmet need for modern FP
Acceptors Current User
Current User Other Acceptors Dropout New Acceptors
(Beginning of Month) New Acceptors (Present Month) (End of Month) (Present Month)
A2. Use of FP Method (Previous Month) (Present (Col.
(Col. 1) (Col. 2) Month) (Col. 5) (Col. 7)
(Col. 3) 6)
(Col. 4)
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
a. Bilateral Tubal Ligation
b. Non-Scalpel Vasectomy
c. Condom
d. Pills-Total
d.1 Pills-POP
d.2 Pills-COC
e Injectables (DMPA/POI)
f. Implant

g. IUD (IUD-I and IUD-PP)-Total

g.1 IUD-I
g.2 IUD-PP
h. NFP-LAM
i. NFP-BBT
j. NFP-CMM
k. NFP-STM
l. NFP-SDM
m. Total Current Users
Section B. Maternal Care and Services
By Age Group By Age Group
Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.1 Prenatal Care
1. No. of pregnant women with at least 4 prenatal visits 8. No. of pregnant women given one dose of deworming tablet
No. of pregnant women assessed of their nutritional status during the 1st
2. trimester 9. No. of pregnant women screened for syphilis

a. No. of pregnant women seen in the first trimester who have normal BMI 10. No. of pregnant women tested positive for syphilis
b. No. of pregnant women seen in the first trimester who have low BMI 11. No. of pregnant women screened for Hepatitis B
c. No. of pregnant women seen in the first trimester who have high BMI 12. No. of pregnant women tested positive for Hepatitis B
3. No. of pregnant women for the first time given at least 2 doses of Td 13. No. of pregnant women screened for HIV

4. No. of pregnant women for the 2nd or more times given at least 3 doses of Td 14. No. of pregnant women tested for CBC or Hgb & Hct count
(Td2 Plus)
No. of pregnant women who completed dose of iron with folic acid No. of pregnant women tested for CBC or Hgb & Hct count diagnosed with
5. 15.
supplementation anemia

Page 8 of 27
 No. of pregnant women who completed doses of calcium carbonate
6. supplementation 16. No. of pregnant women screened for gestational diabetes

7. No. of pregnant women given iodine capsule 17. No. of pregnant women tested positive for gestational diabetes

By Age Group By Age Group

Maternal Care Indicators Maternal Care Indicators
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
Section B.2 Intra-Partum Care and Delivery Outcome
18. No. of deliveries 21. No. of Health Facility-Based Deliveries
19. No. of Live births a. No. of deliveries in public health facility
a. No. of live births with normal birth weight b. No. of deliveries in private health facility
b. No. of live births with low birth weight 22. No. of Non-Facility-Based Deliveries
c. No. of live births with unknown birth weight 23. a. No. of vaginal deliveries
20. No. of deliveries attended by skilled health professionals b. No. of deliveries by cesarean section
a. No. of deliveries attended by a doctor 24. a. No. of full-term births
b. No. of deliveries attended by a nurse b. No. of pre-term births
c. No. of deliveries attended by a midwife c. No. of fetal deaths
d. No. of abortion/miscarriage
Section B.3 Post-Partum and Newborn Care
No. postpartum women together with their newborn who completed at least 2
25. 27. No. of postpartum women with Vitamin A supplementation
postpartum check-ups

26. No. of postpartum women who completed iron with folic acid supplementation

Section C. Child Care and Services

Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total
C1. Immunization Services for Newborns, Infants and School-Aged Children/Adolescents
1. Livebirths 8. OPV 1 15. MCV 1
2. CPAB 9. OPV 2 16. MCV 2
3. BCG 10. OPV 3 17. FIC
4. Hep B, within 24 hours 11. IPV 18. CIC
5. DPT-HiB-HepB 1 12. PCV 1 19. Td, Grade 1 (November)
6. DPT-HiB-HepB 2 13. PCV 2 20. MR, Grade 1 (November)
7. DPT-HiB-HepB 3 14. PCV 3 21. Td, Grade 7 (November)
22. MR, Grade 7 (November)
C2. Nutrition Services for Infants and Children
Infants 6 months old initiated to
23. Newborn initiated on breastfeeding immediately after 26. complementary feeding with continues 29. Children 12-59 months old given 2 doses
birth lasting to 90 minutes of Vitamin A 200,000 I.U
breastfeeding

Infants 6 months old initiated to

Infant 6-11 months old who completed
24. Preterm/LBW infants given iron supplementation 27. complementary feeding but no longer or 30. MNP supplementation
never been breastfed
Infants 6-11 months given 1 dose of Children 12-23 months who completed
25. Infants exclusively breastfed until 6th month 28. 31.
Vitamin A 100,000 I.U MNP supplementation
C3. Deworming Services for Infants, Children and Adolescents
32. 1-19 years old given 2 doses of deworming drug b. SAC, 5-9 years old dewormed (2 doses)
a. PSAC, 1-4 years old dewormed (2 doses) c. Adolescents, 10-19 years old dewormed (2 doses)
C4. Management of Sick Infants and Children
Sick children 12-59 months old received Diarrhea cases 0-59 months old received
33. Sick infants 6-11 months old seen 36. Vitamin A 39. ORS with zinc
34. Sick infants 6-11 months old received Vitamin A 37. Diarrhea cases 0-59 months old seen 40. Pneumonia cases 0-59 months old

35. Sick children 12-59 months old seen 38. Diarrhea cases 0-59 months old received 41. Pneumonia cases 0-59 months completed
ORS treatment

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 Section E. Infectious Disease Prevention & Control Services
E3. Soil Transmitted Helminthiasis Prevention and Control Male Female Total E5. Tuberculosis Prevention and Control Male Female Total

1. No. of WRA 20-49 years old who completed 2 doses of deworming tablet 1. No. of notified TB cases, all forms

E8. Rabies Prevention and Control Male Female Total 2. No. of registered bacteriologicaly confirmed drug resistant TB (RR/MDR-TB Cases)

1. No. of animal bites 3. No. of TB, all forms that are cured and completely treated
2. No. of deaths due to Rabies 4. No. of registered bacteriology confirmed drug resistant TB Cases (RR/MDR-TB) cured and
completed treatment
Section F. Non-Communicable Disease Prevention and Control Services
Promotion of Healthy Lifestyle Male Female Total Cancer Male Female Total
1. No. of adults risk-assessed using PhilPEN 5. No. of adult women screened for Cervical Cancer using VIA/Pap Smear
No. of adult women found positive / suspect for Cervical Cancer using VIA/Pap
2. Current smokers 6.
Smear
3. Alcohol binge drinkers 7. No. of women screened for breast mass
4. Overweight/Obese 8. No. of women with suspicious breast mass
Cardio Vascular Disease Male Female Total Diabetes Mellitus Male Female Total
9. No. of newly-identified hypertensive adults 10. No. newly-identified adults with Type 2 DM
Eye Blindness Male Female Total SC Immunization Male Female Total
11. No. of senior citizens screened for visual acuity 13. No. of senior citizens who received one (1) dose of PPV
12. No. of senior citizens diagnosed with eye disease/s 14. No. of senior citizens who received one (1) dose of influenza vaccine
Section G. Environmental Health and Sanitation Services
Indicators Total Remarks Indicators Total Remarks
1. No. of HHs with access to basic safe water supply 4. No. of HHs with basic sanitation facility
a. No. of HHs with Level I a. No. of HHs with pour/flush toilet connected to septic tank

b. No. of HHs with Level II b. No. of HHs with pour/flush toilet connected to community sewer/sewerage
system or any other approved treatment system
c. No. of HHs with Level III c. No. of HHs with ventilated improved pit latrine (VIP)
2 No. of HHs using safely managed drinking water services 5. No. of industrial establishments issued with sanitary permit
3. No. of HHs using safely managed sanitation services 6. No. of barangays declared ZOD
Section H. Mortality Section I. Natality
Indicators Male Female Total Indicators Male Female Total Indicators Male Female Total

1. Total Deaths 5. Neonatal Deaths 1. Livebirths

2. Maternal Deaths 6. Fetal Deaths a. Livebirths among 15-19 y/o women
3. Under-five Deaths 7. Early Neonatal Deaths b. No. of livebirths w/ low birth weight
4. Infant Deaths 8. Perinatal Deaths

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