FHSIS REPORT for the MONTH: _JANUARY_____

Name of Barangay: __MANDARAGAT________

Name of BHS: __MANDARAGAT___BHS_
Name of Municipality/City: _PUERTO PRINCESA____
Name of Province: __PALAWAN___________
Projected Population of the Year: ______________________
For submis

Section A. Family Planning S

A1. Modern FP Unmet Need

(Col. 1) (
10-14 y/o
1. No. of WRA with unmet need for modern FP - Total

A2. Use of FP Method Current Users Acceptors

(Beginning Month) New Acceptors
(Previous Month)
(Col. 1) (Col. 2) (Col. 3)
10-14 15-19 20-49 10-14 15-19 20-49
Total
y/o y/o y/o y/o y/o y/o
a. BTL - Total 152 152
b. NSV - Total
c. Condom - Total 1 18 19
d. Pills - Total 15 378 393 0
d.1 Pills-POP - Total
d.2 Pills-COC - Total
e. Injectables (DMPA/POI)-Tot. 22 391 413
f. Implant - Total 22 22
g. IUD (IUD-I and IUD-PP)-Tot. 12 12
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
m. Total Current Users 1,011
 _JANUARY____________ YEAR: 2018______________
ARAGAT_____________________________
ARAGAT___BHS__________________________
O PRINCESA______________________________
WAN_____________________________
________________________
For submission to RHU/MHC

amily Planning Services and Deworming for Women of Reproductive Age

Total for WRA
Age
Total for 15-49 y/o
(Col. 2) WRA (Col. 3)
Unmet
15-19 y/o 20-24y/o 25-49y/o

Acceptors Drop-outs Current Users

eptors Other Acceptors (Present Month) (End of Month)
Month) (Present Month)
3) (Col. 4) (Col. 5) (Col. 6)
10-14 15-19 20-49 10-14 15-19 20-49 10-14 15-19
Total Total Total
y/o y/o y/o y/o y/o y/o y/o y/o

1
0 4 4 4 4 15

3 3 1 1 22

7 5
 M1
BRGY
l for WRA
Remarks
5-49 y/o
Col. 3) (Col. 4)

Current Users New Acceptors

(End of Month) (Present Month)

(Col. 6) (Col. 7)
20- 20-49 10-14 15-19 20-49
Total Total
24y/o y/o y/o y/o y/o
152 152

18 19
378 393 1

393 415 5
22 22
12 12

1013 6
 FHSIS REPORT for the MONTH: _FEBUARY_____
Name of Barangay: __MANDARAGAT________
Name of BHS: __MANDARAGAT___BHS_
Name of Municipality/City: _PUERTO PRINCESA____
Name of Province: __PALAWAN___________
Projected Population of the Year: ______________________
For submis

Section A. Family Planning S

A1. Modern FP Unmet Need

(Col. 1)
10-14 y/o
1. No. of WRA with unmet need for modern FP - Total

A2. Use of FP Method Current Users Acceptors

(Beginning Month) New Acceptors
(Previous Month)
(Col. 1) (Col. 2) (Col. 3)
10-14 15-19 20-49 10-14 15-19 20-49
Total
y/o y/o y/o y/o y/o y/o
a. BTL - Total 152 152
b. NSV - Total
c. Condom - Total 1 18 19
d. Pills - Total 15 378 393 1
d.1 Pills-POP - Total
d.2 Pills-COC - Total
e. Injectables (DMPA/POI)-Tot. 22 393 415
f. Implant - Total 22 22
g. IUD (IUD-I and IUD-PP)-Tot. 12 12
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
m. Total Current Users 1,013
 _FEBUARY____________ YEAR: 2018______________
ARAGAT_____________________________
ARAGAT___BHS__________________________
O PRINCESA______________________________
WAN_____________________________
________________________
For submission to RHU/MHC

amily Planning Services and Deworming for Women of Reproductive Age

Total for WRA
Age
Total for 15-49 y/o
WRA (Col. 3)
Unmet
15-19 y/o 20-24y/o 25-49y/o

Acceptors Drop-outs Current Users

eptors Other Acceptors (Present Month) (End of Month)
Month) (Present Month)
3) (Col. 4) (Col. 5) (Col. 6)
10-14 15-19 20-49 10-14 15-19 20-49 10-14 15-19
Total Total Total
y/o y/o y/o y/o y/o y/o y/o y/o

1
1 5 5 6 6 15

5 3 12 1 4
2

17 10
 M1
BRGY
l for WRA
Remarks
5-49 y/o
Col. 3) (Col. 4)

Current Users New Acceptors

(End of Month) (Present Month)

(Col. 6) (Col. 7)
20- 20-49 10-14 15-19 20-49
Total Total
24y/o y/o y/o y/o y/o
152 152

18 19
378 393 1

428 428 5
24 24
12 12

1028 6
 FHSIS REPORT for the MONTH: _MARCH_______
Name of Barangay: __MANDARAGAT________
Name of BHS: __MANDARAGAT________
Name of Municipality/City: _PUERTO PRINCESA____
Name of Province: __PALAWAN___________
Projected Population of the Year: ______________________
For submis

Section A. Family Planning S

A1. Modern FP Unmet Need

(Col. 1) (
10-14 y/o
1. No. of WRA with unmet need for modern FP - Total

A2. Use of FP Method Current Users Acceptors

(Beginning Month) New Acceptors
(Previous Month)
(Col. 1) (Col. 2) (Col. 3)
10-14 15-19 20-49 10-14 15-19 20-49
Total
y/o y/o y/o y/o y/o y/o
a. BTL - Total 152 152
b. NSV - Total 0
c. Condom - Total 1 18 19
d. Pills - Total 15 378 393
d.1 Pills-POP - Total
d.2 Pills-COC - Total
e. Injectables (DMPA/POI)-Tot. 428 428
f. Implant - Total 24 24
g. IUD (IUD-I and IUD-PP)-Tot. 12 12
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
m. Total Current Users 1028
 _MARCH___________ YEAR: 2018______________
ARAGAT_____________________________
ARAGAT_____________________________
O PRINCESA______________________________
WAN_____________________________
________________________
For submission to RHU/MHC

amily Planning Services and Deworming for Women of Reproductive Age

Total for WRA
Age
Total for 15-49 y/o
(Col. 2) WRA (Col. 3)
Unmet
15-19 y/o 20-24y/o 25-49y/o

Acceptors Drop-outs Current Users

eptors Other Acceptors (Present Month) (End of Month)
Month) (Present Month)
3) (Col. 4) (Col. 5) (Col. 6)
10-14 15-19 20-49 10-14 15-19 20-49 10-14 15-19
Total Total Total
y/o y/o y/o y/o y/o y/o y/o y/o

1
2 3

4 3 5
1

6 4 9
 M1
BRGY
l for WRA
Remarks
5-49 y/o
Col. 3) (Col. 4)

Current Users New Acceptors

(End of Month) (Present Month)

(Col. 6) (Col. 7)
20-49 10-14 15-19 20-49
Total Total
y/o y/o y/o y/o
152 152
0
18 18
392

430 430 1
25 25
12 12

1029 1