NURSING PROCESS IN THE CARE OF distribution of the population as indicated by

POPILATION GROUPS AND THE COMMUNITY: the following:

COMMUNITY HEALTH ASSESSMENT 1. Total population and geographical
(COMMUNITY DIAGNOSIS) distribution including urban-rural index
CI: Ma. Concepcion B. Sekito and population density.
2. Age and sex composition
✓ Caring for the community as client starts with 3. Household size
determining the health needs. 4. Selected vital indicators such as growth
✓ The nurse collects data about the community in rate, crude birth rate, crude death rate
order to identify the different factors that may and life expectancy at birth
directly or indirectly influence the health of the 5. Patterns of migration
population. Then she proceeds to analyze and 6. Population projections
seek explanations to the occurrence of Health
needs and problems in the community. B. SOCIO-ECONOMIC AND CULTURAL
✓ The community health nursing diagnosis are VARIABLES
then derived and will become the basis for • There are no limits as to the list of socio-
developing and implementing the community economic and cultural factors that may
health nursing intervention and strategies. in directly affect or indirectly affect the health
such a way that programs can be implemented status of the economy.
through interventions and strategies. • However, the nurse should consider the
✓ It is important that Community Health diagnosis following as essential information:
or Community Health assessment or situational
analysis has to be done by the nurse. 1. Social Indicators
a. Educational level which may be
COMMUNITY HEALTH ASSESSMENT indicative of poverty and may
reflect on health perception and
Community Diagnosis utilization pattern of the
✓ It is regarded to as a profile. community.
✓ It is a description of the communities’ state of b. Housing conditions which may
health as determined by the: (1) physical, (2) suggest health hazard
emotional, (3) political and (4) social factors. (congestion, fire, exposure to
These factors are intertwined. In such a way, that elements)
the health situation of the community will be c. Social classes or groupings
determined.
PURPOSE: 2. Economic indicators
✓ To be able to obtain a quick picture of the a. Poverty level income
community which is as accurate as possible. b. Unemployment and
✓ A community profile could summarize underemployment rates
information which could be useful for planning c. Proportion of salaried and wage
and monitoring. earners to total economically
active population
Community Profile d. types of industry present in the
A community profile should: community
1. Summarize information e. Occupation common in the
2. Present results and figures clearly community
3. Be useful for planning and monitoring f. Communication network
necessary for disseminating
TYPES OF COMMUNITY DIAGNOSIS: health information or facilitating
1. Comprehensive Community Diagnosis referral of clients to the health
✓ A comprehensive community diagnosis aims care system
to obtain general information about the g. Transportation system including
community with the intent of determining not road networks necessary for
only prevalent health conditions and risk accessibility of the people to
factors (epidemiological approach) but also health care delivery system.
the socio-economic conditions (socio-
economic approach) and lifestyle behaviors 3. Environmental indicators
and attitudes that have effect on health a. Physical /geographical
(behavioral approach). /topographical characteristics of
✓ The following are elements of a the community
comprehensive community diagnosis and b. Water supply
the basic data that are needed to c. Water disposal
characterize each variable: d. Air, water and land pollution

A. DEMOGRAPHIC VARIABLES 4. Cultural factors

• The analysis of the community’s a. Variables that may break up
demographic characteristics should show people into groups within the
the size, composition and geographical community such as:
o Ethnicity
 o Social class
o Language
o Religion
o Race
o Political orientation
b. Cultural beliefs and practices that
affect health
c. Concepts about health and illness
C. HEALTH AND ILLNESS PATTERN
• In analyzing the health and illness patterns,
the nurse may collect primary data about the
leading causes of illness and deaths and
their respective rates of occurrence.
• If she has access to recent and reliable
secondary data, then she can also make use
of these:
1. Leading causes of morbidity
2. Leading causes of mortality
3. leading causes of infant and child mortality
4. Leading causes of maternal mortality
5. Leading causes of hospital admission
6. Leading causes of clinic consultation
7. Nutritional status
• So, for this data take note that the
information that are being gathered are
classified as secondary data sources.
• A secondary data source that is different
from other secondary data sources we have
the registry of vital events. In the registry of
vital events, we have the Civil Registration
Law.
• Civil Registration Law known as Republic act
3753 and it requires registration of vital
events such as birth marriages and deaths.
• The Republic act 7160 which is the Local
Government Code. Assigned the function of
the Civil registration to the Local government
and mandated the appointment of the local.
Families will register so there are civil
registers in both cities as well as
municipalities.
• Moreover, the NSO serves as the central
repository of civil registries, and the end ISO
administrator and the Civil Register General
on the data regarding the illness and illness
pattern, leading causes of mortality morbidity
in infant mortality can be accessed. You can
get the information from the Philippine
Statistics Authority.
• So aside from the registry of vital events, we
have the health records and reports
coming from the Department of Health. It is
stated in the Executive Order No. 352, which
is an executive order that was issued by the
Office of the President, Republic of the
Philippines.
• In the executive order, it mentioned that the
Field Health Service Information System
(FHSIS) is the official recording and reporting
system of the Department of Health and is
used by the NSCB to generate health
statistics.
D. HEALTH RESOURCES
• The health resources that are available in the
community are an important element of the
community diagnosis mainly because they
are the essential ingredients in the delivery of
basic health services.
• The nurse needs to determine manpower,
institutional and material resources provided
not only by the state but those which are
contributed by the private sector and other
non-government organizations.
1. Manpower Resources
a. Categories of health manpower available
b. Geographical distribution of health
manpower
c. Manpower-population ratio
d. Distribution of health manpower
according to health facilities (hospitals,
rural health units, etc.)
e. Distribution of health manpower
according to type of organization
(government, non-government, health
units, private)
f. Quality of health manpower
g. Existing manpower development/policies
2. Material Resources
a. Health budget and expenditures
b. Sources of health funding
c. Categories of health institutions available
in the community
d. Hospital bed-population ratio
e. Categories of health services available
E. POLITICAL/LEADERSHIP PATTERNS
• The political and leadership pattern is a vital
element in achieving the goal of high-level
wellness among people.
• It reflects the action potential of the state and its
people to address the health needs and
problems of the community.
• It also mirrors the sensitivity of the government
to the people’s struggle for better lives.
• In assessing the community, the nurse describes
the following:
a. Power structures in the community
(formal or informal)
✓ We have the barangay officials,
selected Municipal officials and
the city officials, then we also
have informal leaders. Key
leaders that are found in the
community.
✓ Example of informal groups:
Leader of mother’s group
b. Attitudes of the people towards authority
c. Conditions/events/ issues that cause
social inflict or upheavals or that lead to
social bonding or unification
d. Practices of approaches effective in
settling issues and concerns within the
community.
2. Problem-oriented Community Diagnosis
✓ The problem-oriented community diagnosis
is the type of assessment that responds to a
particular need of a target group.
 ✓ Response to a particular need of the
community
ECOLOGIC APPROACH TO COMMUNITY
DIAGNOSIS
• The ecologic approach to community
health diagnosis recognizes the fact that the
health status of the community is a product
of the various interacting elements such as
population, the physical and topographical
characteristics, socio-economic and cultural
factors, health and basic social services and
the power structure within the community.
• Community health problems are often
viewed as technical problems that need
technical solutions without regard to the
interrelatedness of all factors and forces that
are bearing down on community health.
• According to Freeman and Heinrich (1981),
community health diagnosis is based on the
three independent, interacting and
constantly changing conditions:
1. The health status of the community,
including the population level of
vulnerability
o An estimate of the health status
relates the characteristics of two
factors, namely (1) the people and (2)
the environment.
o Person variables include
demographic characteristics such as
age, sex, ethnic group, occupation,
income or educational attainment
may explain population growth
trends, death and illness experiences
as well as identification of vulnerable
or special risk groups in the
population.
o Environmental factors include not
only the physical environment (e.g.
air, water, housing, and climate) but
those of biologic environment (e.g.
plant and animal life) and social
environment (e.g. presence of war or
armed conflict, poverty) associated
with disease development.
2. Community health capability or the
ability of the community to deal with its
health problems
o The community’s capacity to promote
or sustain health depends on the
extent of its economic, institutional
and human resources.
o The mere presence or availability of
such resources does not necessarily
guarantee people’s health. People
need to make out how these
resources can be optimally used to
their advantage.
o Health capability - refers to the
community’s ability to deal with
identified problems which is
represented by the degree to which it
is able to cope with the problems and
needs.
o 3 KINDS OF LEADERSHIP IN THE
COMMUNITY:
(1) Institutional leader – who
occupies a position and is elected
and appointed to that particular
community. These are the formal
leaders.
(2) Grassroot Leader – who has
personal influence to the people.
These are the informal leaders.
(3) Power Elite – who has wealth and
has economic power
o Institutional leaders, Grassroots
power elite - knowing these human
resources and their patterns of
function can facilitate the
implementation of different services
and programs in the community.
3. Community action potential or the
patterns in which the community is likely
to work on its health problems
o Assessment of the health action
potential of a community involves an
estimate of the basic values and
belief of the people that provide
stimulus for action, the institutional
system that supports that action and
the habit of the community that has
developed for dealing with the
common problems.
o The community action pattern is also
affected by the interrelationship
between the political and government
structure as well as the people it
serves.
o In order to understand more about
the community action pattern. It is
important to know in what ways the
different levels of government
interact the nature of the flow of
money. cash advances and support
o Freeman and Heinrich (1981),
describes the following important
aspects of community health action:
a. Value people give to their health over
their needs in life that provide the
forward motion of health action – Is
the health problem perceived to be
important to the people? Is it
perceived to need immediate
attention? Are there other concerns in
the community that take priority?
b. Community’s relationship with the
political system and the government
institutions that support health
actions – How responsive is the
government to the health needs and
problems of the community? To what
extent does the political system or
government institutions for people’s
organization’s participation in the
decision-making about planning and
implementation of health actions?
c. Habits that the community has
developed for dealing with common
problems – Is there genuine
partnership among all stakeholders
to push the agenda of promoting and
 sustaining health in the community?
What are the different approaches or
strategies that they have developed
and implemented?
THREE (3) INTERDEPENDENT CONDITIONS:
1. Health Status of the Community
2. Health Capability
3. Health Action Potential
COMMUNITY DIAGNOSIS: THE PROCESS
✓ Community diagnosis consists of collecting,
organizing, synthesizing, analyzing and
interpreting health data.
✓ Before data are collected, the community
diagnosis objectives must be determined as
these will direct the depth or the scope of the
community assessment.
✓ It is fundamental to resolve whether a
comprehensive or a problem-oriented
community diagnosis will accomplish the
objectives.
✓ The community health nursing process
emphasizes the active involvement of the
clients in its care. The community is an active
partner not a passive recipient of care.
✓ The nurse works with and not for the
community.
✓ The nurse does not operate like an external
assessor of community needs, but as the
facilitator working in a team composed of
community members and leaders.
MODEL OF COMMUNITY DIAGNOSIS BY F.J.
BENNETT (1970)
✓ The community’s involvement starts early
during the assessment phase to create
awareness of their health needs and
problems.
✓ Their participation in the community
diagnosis develops their commitment and
enthusiasm to carry on with the planning and
implementation of health programs that
address their needs and problems.
✓ The nurse must ensure the community’s
input in the community diagnosis considering
their capacities and limitations but with
enough room to develop their potentials.
STEPS IN CONDUCTING COMMUNITY
DIAGNOSIS:
1. DETERMINING THE OBJECTIVES
2. DEFINE THE STUDY POPULATION
3. PREPARE THE COMMUNITY
4. CHOOSE THE METHODOLOGY AND
INSTRUMENT OF COMMUNITY DIAGNOSIS
5. SETTING THE TARGET
6. ACTUAL DATA GATHERING
7. COLLATION OR ORGANIZATION OF DATA
8. POPULATION OR ORGANIZATION OF DATA
9. ANALYSIS OF DATA
10. IDENTIFICATION OF COMMUNITY HEALTH
NURSING PROBLEMS
Based on Blue Maglaya:
1. DETERMINING THE OBJECTIVES
✓ Whether a comprehensive or a problem-
oriented community diagnosis will be
undertaken by the nurse and the community,
it is critical to determine the occurrence and
distribution of selected environment, socio-
economic and behavioral conditions.
✓ In stating the objectives, the following
questions should be answered:
a. What is the present health condition of the
people in the community? (This will describe
the prevailing disease conditions and health
needs of the target population).
b. Why are the people in the community in
such condition? What specific problems are
causing these conditions? This will explain
the health behaviors or risk factors that give
rise to the health problem).
c. What are the roots of these problems?
(This will provide the analyses related to the
socio-economic, cultural and environmental
factors that gives rise to the health problem).
d. What solutions will address the problems?
(This will reflect the possible solutions of the
health problems based on the community’s
capabilities and resources).
2. DEFINING THE STUDY POPULATION
✓ Based on the objectives of the community
diagnosis, the nurse and the community
diagnosis team identify the population group
to be included in the study.
✓ It may include the entire population in the
community or focused on a specific
population group such as women in the
reproductive-age group or the infants and
young children.
✓ If a complete enumeration of the desired
population is not possible, the data may be
collected from a sample or a subset of the
target population.
3. DETERMINING THE DATA TO BE COLLECTED
✓ After the objectives and the study population
have been identified the nurse together with
company members need to figure out a
scheme to rationalize the relevant data to be
obtained.
✓ This is achieved by developing a data
collection plan. It uses the objectives to
guide the data collectors to decide on
specific information or data to be collected,
the methods of data collection, the
instruments or tools for data collection and
the possible sources of these data.
✓ Data can be recognized as primary or
secondary based on the source.
✓ PRIMARY DATA – data that are directly
obtained by the nurse specifically to answer
the community diagnosis objectives.
✓ SECONDARY DATA – are existing data that
were obtained by other people which the
nurse can use to answer the community
diagnosis objectives.
✓ In the end, the nurse decides based on the
desired qualities of data such as timeliness
of data, completeness, accuracy, precision,
relevance and adequacy.
4. COLLECTING THE DATA
✓ Different methods may be utilized to
generate health data. The nurse decides on
the specific method depending on the type of
data to be generated.
✓ In general, we use the following methods to
collect data:
a. Observation
o Observation is extracting information
from subjects by observing their
behavior and their environment.
o Observation methods provide an
opportunity to check the validity or
truth of many verbal statements
which people make.
o Observation techniques maybe
supplemented or documented by the
use of hard equipment such as
videotapes or cameras to take
photographs, sphygmomanometer to
measure blood pressure or weighing
scale to determine weights of
children.
o Observation is an important a useful
method of collecting data when
informants are unable to directly
supply information of may likely give
inaccurate information.
o Prior to actual conduct of community
diagnosis, the nurse must have a
bird’s eye view or a “feel” of what
the community looks like. This helps
the nurse plans and directs the focus
and the depth of the community
diagnosis.
o A common approach is to perform a
rapid appraisal through an ocular
survey or what others call as
windshield survey. It consists of
walking around the community or in
the case of windshield survey, driving
through the community appreciating
what can be seen and perceived as
the people go along with their daily
lives.
o Observers, therefore, need to live
and be fully integrated with the
community they are studying and be
part of what is happening in the
community which is called as
participant observation.
b. Records Review
o Records are written information that
are kept in folders, files or books
which we often refer to as hard copies
but they may also be kept on tape or
electronic form as database to be
retrieved or accessed for specific
purposes.
o Records or documented sources
offer the data collector savings in
time, money, energy and effort since
data are pre-collected.
o Data may be obtained by reviewing
those that have been compiled by
health or non-health agencies from
the government or other sources. The
nearer one is to the source of data,
the better.
c. Interviews
o Interviews are the most common and
widely used method of data
collection. It involves asking and
answering questions following a
systematic procedure aimed at
yielding first hand information from
the subject of inquiry.
Interviews are categorized based on the
presence of face-to-face interaction, number of
interview participants at a given time and
interview structure:
a. Face-to-face interview –
allows the person being
interviewed to seek
clarification about the
questions. The interviewer
can pick up non-verbal cues
from the respondent to
indicate congruence with his
or her verbal response.
b. Telephone interview – has
more limitations than face-to-
face interview to be
considered of use in
gathering voluminous data.
c. Individual interview – takes
place between a respondent
and an interviewer and is
most useful when sensitive
issues are being discussed.
d. Key Informant Interview –
when a person known to be
an expert or authority on a
specific subject is
interviewed.
e. Group interview – consists
of one interviewer and several
participants usually around 10
to 15 which allow the
interviewer to gather data
from a good number of people
at the same time.
f. Structured interview –
follows a list of questions
called an interview schedule
which becomes the “script” in
the conduct of the interview
schedule. A set of possible
responses are indicated in the
interview schedule from
which the participants will
choose from.
g. Unstructured interview – is
useful in collecting qualitative
data that seek to describe
opinions or perceptions of
people focusing on a
particular issue, problem or
phenomenon.
d. Focus Group Discussion
o It is a qualitative research technique
utilized for its value in understanding
and documenting human behavior.
o It is a very popular method
appropriate in the community to elicit
and explore opinions of people,
determine their attitudes and
practices regarding limited set of
concepts.
o In the conduct of focus group
discussions, make sure to set the
 characteristics of the participants in
terms of: (1) those characteristics that
will be common to them, and (2)
those characteristics that will
differentiate them from each other.
o Such characteristics include socio-
economic status, demographic
variables such as age, sex civil status
educational attainment, religious
affiliation, ethnicity and occupation.
5. DEVELOPING THE INSTRUMENT
✓ Instruments or tools facilitate the nurse’s
data-gathering activities.
✓ The following are the most common
instruments that the nurse uses in her data
collection:
a. Survey Questionnaire
o The survey questionnaire, is also
called as the survey instrument. The
form one uses to document the data
being collected.
o Survey questionnaire may be in
the form of two: (1) Interview
schedule – when the nurse uses the
interview schedule, she reads out the
question and records the
respondents reply to the questions,
and (2) Self-completed or self-
administered questionnaire – if the
respondents read the question and
write down their responses.
b. Focus Group Discussion Guide
o The focus group discussion guide
serves to facilitate the direction and
flow of exchange of ideas on specific
topics or concepts among the
participants.
o It should specify the objectives of the
discussion and the general
characteristics of the participants.
c. Key Informant Interview Guide
o Similar to the FGD guide, the key
informant interview or KII guide helps
give direction to the person doing the
interview using a set of prepared
questions in a very specific subject.
o The person being interviewed is
selected for his or her known
expertise or concern on the subject
matter.
d. Observation Checklist
o The observation checklist is a list of
data that are manifestations or
indicators of health need or problem.
6. ACTUAL DATA GATHERING
✓ Before the actual data gathering, it is
suggested that the nurse meets the team of
people who will be involved in the data
collection.
✓ Pre-testing of the instruments is highly
recommended.
✓ Among other participatory tools or
techniques for data gathering are the
following:
a. Semi-structured interviews – informal
guided interview sessions
b. Analytical games – quick means o finding
out an individuals or groups list of priorities
and preferences.
c. Stories and Portraits – short, colorful
descriptions of situations encountered by the
nurse in the field or stories recounted by
people.
d. Diagrams – simple, schematic devices
which present information in a readily
understandable visual form. These are
analytical procedures; a means of
communication between and among people.
e. Workshop – means of bringing people
together and outsiders introduced for their
skills and experience, to participate actively
in reviewing, analyzing and evaluating the
information gathered.
7. DATA COLLECTION
✓ Two types of data are generated:
(1) Numerical data – are those which can be
counted like age or how many children are
there in a family or how many communal
toilets are there in the community.
(2) Descriptive data – are those that can be
described or that can reveal characteristics
of an observable fact.
8. DATA PRESENTATION
✓ Data presentation will depend largely on the
type of data obtained.
✓ Descriptive data – presented in narrative
forms
✓ Numerical data – may be presented into
table or graphs
TYPE OF GRAPH DATA FUNCTION
Line graph Shows data trend or
changes in data with
time or age with respect
to some other variable
Bar graph or For comparisons of
pictograph absolute or relative
counts and rates
between categories
Histogram or Graphic presentations
frequency problem of frequency
distribution or
measurement
Proportional or Shows breakdown of a
component bar graph group or total where the
or pie chart number of categories is
not too many
Scattered diagram Correlation data for two
variables
9. DATA ANALYSIS
✓ Data analysis is the most crucial stage in the
community diagnosis.
✓ It involves quantification, description and
qualification of data.
10. IDENTIFYING THE COMMUNITY NURSING
PROBLEMS
✓ Community nursing problems are
categorized as:
(End Result)
1. Health Status Problems – may be described in
terms of increased or decreased morbidity, mortality,
fertility or reduced capability of wellness. Example:
High crude birth rate, High infant mortality rate,
Increased number of mother’s death due to
pregnancy, delivery and puerperium, Increased
number of patients with Leptospirosis, Increased
number of COVID cases
2. Health Resources Problems – may be described
in terms of lack or absence of manpower, money,
materials or institutions which are necessary to solve
health problems.
3. Health-related Problems – may be described in
terms of social, economic, environmental and
political factors that aggravate the illness-inducing
situations in the community. Example: Unsafe
drinking water supply, Lack of toilet facilities
11. PRIORITY SETTING
✓ In priority setting the nurse makes use of the
following criteria:
a. Nature of the condition or problem
presented – problems are classified
to health status, health resources or
health-related problems.
b. Magnitude of the problem – refers
to the severity of the problem which
can be measure in terms of the
proportion of the population affected
by the problem.
c. Modifiability of the Problem –
refers to the probability of reducing,
controlling and eradicating the
problem.
d. Preventive Potential – refers to the
probability of controlling or reducing
the effects posed by the problem.
e. Social Concern – refers to the
perception of the population or the
community as they are affected by
the problems and their readiness to
act on the problem.
TOOLS FOR COMMUNITY ASSESSMENT:
A. COLLECTING PRIMARY DATA
1. Observation
✓ Rapid observation of a community may be
done through an ocular or windshield survey,
either by driving or riding a vehicle or walking
through it.
2. Survey
✓ Although time-consuming and expensive, a
survey may be necessary when there is no
available information about the community or
specific population group to be studied.
3. Community Forum
✓ A community forum is an open meeting of the
members.
✓ “Pulong-pulong sa baranagay” is a good
example of a community forum.
✓ It does not give the nurse information on
community perceptions on needs, health,
and health care, but it is also an effective tool
in providing the people with a medium for
expressing their views and developing their
capacity to influence decision makers.
4. Focus Group Discussion
✓ A focus group differs from a community
forum in the sense that the focus group is
made up of a much smaller group, usually 6-
12 members only.
✓ A good example is a focus group of first-time
pregnant mothers.
B. SECONDARY DATA SOURCES
1. Registry of Vital Events
✓ Act 3753 (Civil Registration Law,
Philippine Legislature) enacted in 1930,
established the civil registry system in the
Philippines and requires the registration of
vital events such as birth, marriages and
deaths.
✓ Republic Act 7160 (Local Government
Code) assigned the function of the civil
registration to the local governments and
mandated the appointment Local Civil
Registrars.
✓ The NSO serves as the central repository of
civil registries and the NSO Administrators
and the Civil Registrar General of the
Philippines.
✓ Presidential Decree 856 (Sanitation Code;
Office of the President, Republic of the
Philippines) requires a death certificate
before burial of the deceased. The physician
who last attended the deceased shall be
responsible for preparing the death
certificate, certifying the cause of death, and
forwarding the death certificate to the health
officer within 48 hours.
2. Health Records and Reports
✓ As specified in the Executive Order No.
352 (Office of the President, Republic of
the Philippines 1996) the Field Health
Service Information System (FHSIS) is
the official recording and reporting
system of the Department of Health and
is used by the NSCB to generate health
statistics.
✓ The FHSIS is an essential tool in
monitoring the health status of the
population at different levels.
✓ It is therefore a basis for (1) priority
setting by local governments, (2)
planning and decision making at different
levels (barangay, municipality, district,
provincial, and national), and (3)
monitoring and evacuating health
program implementation.
THE FHSIS MANUAL OF OPERATIONS (DOH-
IMS, 2011) LISTS AND DESCRIBES THE
FOLLOWING RECORDING TOOLS:
A. INDIVIDUAL TREATMENT RECORD
• It is the building block of the FHSIS.
• The record contains the date, name,
address of patient, presenting symptoms
or complaint of the patient on
consultation, and the diagnosis (if
available).
B. TARGET CLIENT LISTS
• Are the second building block of the
FHSIS. These service records have the
following purpose:
a. To plan and carry out patient care
and service delivery since midwives
and nurses use TCLs to monitor
target or eligible population for
particular health services.
 b. To facilitate monitoring and a. A-BHS – is a report by the midwife
supervision of service delivery that contains demographic,
activities. environmental and natality data.
c. To report services delivered, thus b. Annual Form 1 (A-1) – is prepared
reducing the need to refer back to the by the nurse and is the report of the
ITRs to accomplish reporting. RHU or the health center. It contains
d. To provide a clinic-level database demographic and environmental
that can be accessed for further data, and data and natality and
studies. mortality for the entire year.
• The following are the TCLs maintained in c. Annual Form 2 (A-2) – prepared by
the RHUs and health centers: the nurse, is the yearly morbidity
a. TCL for Prenatal Care report by age and sex.
b. TCL Postpartum Care d. Annual Form 3 (A-3) – also prepared
c. TCL for Under-1 Year Old Children by the nurse, is the yearly reports of
d. TCL for Family Planning all deaths (mortality) by age and sex.
e. TCL for Sick Children
f. National Tuberculosis Program TB 3. Disease Registries
Register ✓ A disease registry is a listing of persons
g. National Leprosy Control Program diagnosed with a specific type of disease in
Central Registration Forms a defined population.
C. SUMMARY TABLE ✓ Data collected through disease registries
• It is accomplished by the midwife. serve as basis for monitoring, decision-
• It is a 12-column table in which columns making and program management.
correspond to the12 months of the year. ✓ The Department of Health has developed
• This record is kept at the BHS and has 2 and maintained registries for HIV/AIDS and
components: (1) Health Program chronic noncommunicable diseases,
Accomplishment and (2) Morbidity/ particularly cancer, diabetes mellitus, COPD
Diseases. and stroke.
4. MONTHLY CONSOLIDATION TABLE
• It is accomplished by the nurse based on 4. Census Data
the summary table. ✓ A census is a periodic governmental
• It serves as the source document for the enumeration of the population.
Quarterly Form and Output Table of the ✓ Batas Pambansa Blg. 72, provides for a
RHU or health center. national census of population and other
• related data in the Philippines every 10
THE REPORTING FORMS, AS ENUMERATED IN years.
THE FHSIS MANUAL OF OPERATIONS, ARE THE
FOLLOWING:
A. MONTHLY FORMS
• Are regularly prepared by the midwife
and submitted to the nurse, who then
uses the data to prepare the Quarterly
Forms.
a. Program Report (MI) – contains
indicators categorized as maternal
care, child care, family planning and
disease control. The midwife copies
the data from the Summary Table.
b. Morbidity Report (M2) – contains a
list of all cases of disease by age and
sex.
B. QUARTERLY FORMS
• Are usually prepared by the nurse.
• There should only be one Quarterly Form
for the municipality/city.
• Quarterly Forms are submitted to the
Provincial Health Office.
a. Program Report (Q1) – contains the
3-month total of indicators
categorized as maternal care, family
planning, child care, dental health,
and disease control.
b. Morbidity Report (Q2) – is a 3-
month consolidation of Morbidity
Report (M2).
C. ANNUAL FORMS