Chapter 19- FHSIS  The monthly form (midwife to PHN)

o a. program report (M1)

Health Information System- set of organized
 selected program
components and procedures to generate
indicator submitted
information for the improvement of
by midwife monthly
healthcare delivery
to the PHN
Four functions: o b. morbidity report (M2)
 monthly morbidity
1. Data generation
submitted by midwife
2. Compilation
to the PHN
3. Analysis and synthesis
 Quarterly form (PHN to PHO)
4. Communication and use
o a. program report (Q1)
FHSIS- HIS used in the Philippines as official  selected program
recording and reporting system indicator submitted
by PHN quarterly (3
EO 352 month collection)
RA 7160- LOCAL GOVENRMENT CODE o b. morbidity report (Q2)
 quarterly
Composed of two tools consolidation of
 RECORDING TOOLS morbidity
 REPORTING TOOLS  submitted every 3rd
week of 1st month
RECORDING TOOLS  annual form
o A1. Data indicator on a yearly
 Individual treatment record
o “Primary building block” basis
o A2. Morbidity over the year
o Basic information record of
o A3. Mortality over the year
patient with name, age, sex,
dx, chief complaint
immunization
 Target client list
o “Secondary building block”
o List of target client for specific
programs
o Pre-natal care, post-partum
care, nutrition
 Summary table
o 12-month columns consists of
monthly tally of the ff:
 Health program
accomplishment
 Morbidity disease
 Monthly consolidation table
o Filled up by PHN consisting of
reported data per indicator
submitted by PHM or BHS

REPORTING FORMS