Monthly Consolidation Table - Consolidated

MONTHLY CONSOLIDATION TABLE FOR
ALL HEALTH SERVICES
NAME OF RHU/HEALTH CENTER :
MUNICIPALITY :
PROVINCE :
R E G I O N :
INDICATORS TARGET
TOTAL
TOTAL
TOTAL
TOTAL
TOTAL
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
1. No. of WRA with Unmet Need for MFP -
Total
2. Current Users Beginning - Total
a. Bilateral Tubal Ligation (BTL) - Total
b. No-Scalpel Vasectomy (NSV) - Total
c. Condom - Total
d. Pills (POP & COC) - Total
d.1 Pills POP - Total
d.2 Pills COC - Total
e. Injectables (DMPA/CIC) - Total
f. Implant - Total
g. IUD (I & PP) - Total
g.1 IUD-I - Total
g.2 IUD-PP - Total
h. NFP-LAM - Total
i. NFP-BBT - Total
j. NFP-CMM - total
k. NFP-STM - Total
l. NFP-SDM - Total
3. Total New Acceptors
c. Condom - Total
f. Implant - Total
g.1 IUD-I - Total
g.2 IUD-PP - Total
h. NFP-LAM - Total
i. NFP-BBT - Total
j. NFP-CMM - total
k. NFP-STM - 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
15-19
15-19
TOTAL
20-49
TOTAL
INDICATORS TARGET
TOTAL
TOTAL
TOTAL
TOTAL
TOTAL
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
l. NFP-SDM - Total
4. Total Other Acceptors
c. Condom - Total
f. Implant - Total
g.1 IUD-I - Total
g.2 IUD-PP - Total
h. NFP-LAM - Total
i. NFP-BBT - Total
j. NFP-CMM - total
k. NFP-STM - Total
l. NFP-SDM - Total
5. Total Drop-outs
c. Condom - Total
f. Implant - Total
g.1 IUD-I - Total
g.2 IUD-PP - Total
h. NFP-LAM - Total
i. NFP-BBT - Total
j. NFP-CMM - total
k. NFP-STM - Total
l. NFP-SDM - 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
15-19
15-19
TOTAL
20-49
TOTAL
INDICATORS TARGET
TOTAL
TOTAL
TOTAL
TOTAL
TOTAL
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
6. Total Current Users End
c. Condom - Total
f. Implant - Total
g.1 IUD-I - Total
g.2 IUD-PP - Total
h. NFP-LAM - Total
i. NFP-BBT - Total
j. NFP-CMM - total
k. NFP-STM - Total
l. NFP-SDM - Total
7. Total New Acceptors (Present Month)
c. Condom - Total
f. Implant - Total
g.1 IUD-I - Total
g.2 IUD-PP - Total
h. NFP-LAM - Total
i. NFP-BBT - Total
j. NFP-CMM - total
k. NFP-STM - Total
l. NFP-SDM - 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
15-19
15-19
TOTAL
20-49
TOTAL
INDICATORS TARGET
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
Total
Total
Total
Total
Total
Prenatal Care
1. No. of women who gave birth with at least
4 prenatal check-ups - Total
2. No. of pregnant women assessed of their
nutritional status during the 1st trimester -
Total
a. Number of pregnant women seen in the
first trimester who have normal BMI - Total
b. No. of pregnant women seen in the first

trimester who have low BMI - Total
c. No. of pregnant women seen in the first
trimester who have high BMI - Total
3. No. of pregnant women for the first time
given 2 doses of Td vaccination - Total .
4. No. of pregnant women for the 2 or more
nd
times given at least 3 doses of Td

vaccination (Td2 Plus) - Total
5. No. of pregnant women who completed
the dose of iron with folic acid
supplementation - Total
6. No. of pregnant women who completed
doses of calcium carbonate
7. No. of pregnant women given iodine
capsules – Total
8. No. of pregnant women given one dose of
deworming tablet - Total
9. No. of pregnant women screened for
syphilis - Total
10. No. of pregnant women tested positive for
syphilis - Total
Hepatitis B - Total
Hepatitis B
13. No. of pregnant women screened for HIV -
Total
14. No. of pregnant women tested for CBC or
Hgb & Hct count - Total
15. No. of pregnant women tested for CBC or
Hgb & Hct count diagnosed with anemia -
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
10-14
15-19
TOTAL
20-49
Total
Remarks
INDICATORS TARGET
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
Total
Total
Total
Total
Total
gestational diabetes – Total
gestational diabetes – Total
Intrapartum Care and Delivery Outcome
18. No. of deliveries – Total
19. No. of live births – Total
20. No. of live births by birth weight - Total
a. No. of live births with normal birth weight -
Total
b. No. of live births with low birth weight -
Total
c. No. of live births with unknown birth
weight- Total
21. No. of deliveries attended by skilled health
professionals - Total
a. No. of deliveries attended by a doctor -
Total
b. No. of deliveries attended by a nurse –
Total
c. No. of deliveries attended by midwives -
Total
22. No. of deliveries attended by non-skilled
health professionals - Total
a. No. of deliveries attended by Hilot/TBA
b. No. of deliveries attended by others
23. No. of health facility-based deliveries -
Total
24. No. of deliveries by health facility
ownership
a. No. of deliveries in public health facility
b. No. of deliveries in private health facility
25. No. of non-facility-based deliveries - Total
26. Type of Delivery

a. No. of vaginal deliveries – Total
b. No. of deliveries by CS – Total
27. Pregnancy outcome
a. No. of full-term births – Total
b. No. of pre-term births – Total
c. No. of fetal deaths-Total
d. No. of abortion/ miscarriage - 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
10-14
15-19
TOTAL
20-49
Total
Remarks
INDICATORS TARGET
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
10-14
15-19
20-49
Total
Total
Total
Total
Total
Postpartum and Newborn Care
28. No. of postpartum women together with
their newborn who completed at least 2
postpartum check-ups - Total
29. No. of postpartum women who completed
iron with folic acid supplementation - Total
30. No. of postpartum women with Vitamin A

supplementation – Total
10-14 15-19 20-49 Total
Pregnant seen for the first time

during the month
Tetanus Diphtheria 1
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
TOTAL
20-49
Total
Remarks
Eligible
Indicators
Population M F M F M F M F M F
Part 1 - Immunization and Nutrition Services
A. Immunization Services
1. Newborns/infants vaccinated with:
• BCG - Total
• HepB1, w/in 24 hours -Total
• Child Protected at Birth - Total
• DPT-HiB-HepB 1 - Total
• OPV 1 - Total
• OPV 2 - Total
• OPV 3 - Total
• IPV 1 - Total
• IPV 2 (routine) - Total
• IPV 2 (catch-up) - Total
• PCV 1 - Total
• PCV 2 - Total
• PCV 3 - Total
• MMR 1 - Total
• MMR 2 - Total
2. Fully Immunized Child - Total
3. Completely Immunized Child (13-23 months) - Total
4. School-Based Immunization
4.1 Total Grade 1 Learners:
• Td - Total
• MR - Total
4.2 Total Grade 7 Learners:
• Td - Total
• MR - Total
B. Nutrition Services
5. Newborns initiated on breastfeeding immediately after birth
lasting for at least 90 minutes - Total
6. Preterm infants and/or with low birth weight given iron
supplement starting 1 month until 3 months - Total
7. Infants exclusively breastfed until 6th month - Total
8. Infants 6 months old who have initiated and received
complementary food with continued BF - Total
9. Infants 6 months old who have initiated and received
complementary feeding but has stopped BF or has never
been breastfed at all - Total
10. Infants, 6-11 months old given 1 dose of Vitamin A 100,000
I.U. - Total
11. Children, 12-59 months old given 2 doses of Vitamin A
200,000 I.U - Total
12. Infants 6-11 months old who completed MNP
TOTAL
M F M F M F M F M F M F
Eligible
Indicators
Population M F M F M F M F M F
13. Children, 12-23 months old who completed MNP
14. Nutritional Status 0-59 months
14.1 Stunted - Total
14.2 Wasted - Total
14.2.a. MAM identified - Total
14.2.a.1. MAM-admitted to SFP - Total
14.2.a.2. MAM-cured in SFP - Total
14.2.a.3. MAM-defaulted in SFP - Total
14.2.a.4. MAM-died in SFP - Total
14.2.b. SAM identified - Total
14.2.b.1. SAM-admitted to OTC - Total
14.2.b.2. SAM-cured in OTC - Total
14.2.b.3. SAM-defaulted in OTC - Total
14.2.b.4. SAM-died in OTC - Total
14.3 Overweight and Obese - Total
14.4 Normal - Total
Part 2 - Deworming Services
1. Children given 2 doses of deworming tablet - Total
1.1 PSAC, 1 to 4 years old - Total
1.2 SAC, 5-9 years old - Total
1.3 Adolescents, 10-19 years old - Total
Part 3 - Management of Sick Infants and Children
1. Sick Children seen - Total
1.1 6-11 mos. - Total
1.2 12-59 mos. - Total
2. Sick Children who received Vitamin A - Total
2.1 6-11 months old - Total
2.2 12-59 months old - Total
3. Diarrhea Cases 0-59 months old seen - Total
3.1 0-59 months old diarrhea cases who received ORS -
Total
3.2 0-59 months old diarrhea cases who received ORS
w/ oral zinc drops or syrup - Total
4. Pneumonia cases 0-59 months old seen - Total
4.1 Pneumonia cases 0-59 months old who completed
treatment - Total
TOTAL
M F M F M F M F M F M F
Indicators Target
M F T M F T M F T M F T M F T M
Total Population:
Soil Transmitted Helminthiasis Prevention and Control Program
1. No. of WRA,, 20-49 years old,
who completed 2 doses of
deworming tablet - Total
Tuberculosis Prevention and Control
1. No. of notified TB cases, all
form - Total
2. No. of registered
bacteriologically confirmed
drug resistant TB (RR/MDR-TB
Cases ) - Total
3. No. of TB. All forms that are
cured and completely treated -
Total
4.
No. of registered bacteriology
confirmed drug resistant TB
Cases (RR/MDR-TB) cured
and completed treatment - total
Rabies Prevention and Control

1. No. of animal bites - Total
2. No. of deaths due to rabies -
Total
TOTAL
F T M F T M F T M F T M F T M F T
Target /
INDICATORS Eligible
Pop. M F T M F T M F T M F T M F T
Part 1. Lifestyle Related Diseases (Risk-Assessed Using the PhilPEN protocol)
1. No. of adults risk-assessed -
Total
2. No. of adults risk-assessed w/
health risks - Total
2.1 Current smoker - Total
2.2 Alcohol binge drinker - Total
2.3 Overweight/Obese-Total
Part 2. Cancer Prevention and Control
1. No. of adult women screened for
Cervical Cancer using VIA -
Total
2. No. of adult women found
positive or suspect for Cervical
Cancer using VIA - Total
3. No. of adult women screened for
breast mass - Total
4. No. of adult women with
suspicious breast mass - Total
Part 3. Cardiovascular Disease Prevention and Control
1. No. of newly-identified
hypertensive adults - Total
Part 4. Diabetes Mellitus Prevention and Control
1. No. of newly-identified adults
with Type 2 DM - Total
Part 5. Blindness Prevention Program
1. No. of senior citizens screened
for visual acuity - Total
2. No. of senior citizens diagnosed
with eye disease/s - Total
3. No. of senior citizens with eye

disease/s referred to an
appropriate eye care
professional - Total
Part 6. Immunization for Senior Citizens

1. No. of senior citizens who
received one (1) dose of PPV -
Total
2. No. of senior citizens who
received one (1) dose of
Influenza Vaccine - Total
TOTAL
M F T M F T M F T M F T M F T M F T
Indicators Target
Projected No. of
HHs
1. No. of HHs with access to basic safe
water supply - Total
a. No. of HHs with Level I - total
b. No. of HHs with Level II - total
c. No. of HHs with Level III - total
2. No. of HHs using safely managed
drinking-water services - Total
3. No. of HHs with basic sanitation
facility - Total
a. No. of HHs with pour/flush toilet
connected to septic tank - Total
b. No. of HHs with pour/flush toilet

connected to community
sewer/sewerage system or any
other approved treatment system
- Total
a. No. of HHs with ventilated

improved pit latrine (VIP) - Total
4. No. of HHs using safely managed
sanitation services - Total
Total No. of
Establishments
5. No. of industrial establishments
issued with sanitary permit - Total
Total No. of
Barangays
6. No. of Barangays Declared ZOD -
Total
TOTAL
Indicators
M F T M F T M F T M F T M F T
Part I - Mortality
1. Total Deaths
2. Maternal Deaths - Total
3. Under-five Deaths - Total
4. Infant Deaths - Total
5. Neonatal Deaths - Total
6. Fetal Deaths Total
7. Early Neonatal Deaths - Total
8. Perinatal Deaths - Total
Part 2 - Natality
1. Livebirths - Total
2. Livebirths among 15-19 y/o
women
TOTAL
M F T M F T M F T M F T M F T M F T
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Monthly Consolidation Table - Consolidated

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Monthly Consolidation Table - Consolidated

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MONTHLY CONSOLIDATION TABLE FOR

ALL HEALTH SERVICES

NAME OF RHU/HEALTH CENTER :

b. No-Scalpel Vasectomy (NSV) - Total

b. No-Scalpel Vasectomy (NSV) - Total

b. No-Scalpel Vasectomy (NSV) - Total

b. No-Scalpel Vasectomy (NSV) - Total

b. No-Scalpel Vasectomy (NSV) - Total

b. No-Scalpel Vasectomy (NSV) - Total

b. No. of pregnant women seen in the first

times given at least 3 doses of Td

25. No. of non-facility-based deliveries - Total

26. Type of Delivery

30. No. of postpartum women with Vitamin A

10-14 15-19 20-49 Total

Pregnant seen for the first time

Rabies Prevention and Control

3. No. of senior citizens with eye

Part 6. Immunization for Senior Citizens

b. No. of HHs with pour/flush toilet

a. No. of HHs with ventilated

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