Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

~~
January 16, 2023

DEPARTMENT MEMORANDUM
No. 2023- 007]

FOR ALL DIRECTORS OF CENTERS FOR HEALTH

DEVELOPMENT: MINISTER OF HEALTH BANGSAMORO
AUTONOMOUS REGION IN MUSLIM MINDANAO; AND
OTHERS CONCERNED

ATTENTION : FIELD HEALTH SERVICES INFORMATION SYSTEM (FHSIS)

COORDINATORS AND PROGRAM MANAGERS

SUBJECT Guidelines on the Updated FHSIS Manual of Procedures (MOP)

version 2018

This Department Memorandum is issued to ensure the accurate and reliable collection of Field
Health Services Information System (FHSIS) data in Child Care, Family Planning, Maternal Care,
and Oral Health Care Indicators. Relative to this, the following revisions, inclusions, and removal
shall take effect in CY 2023:

I. REVISION OF FHSIS INDICATORS

Indicators From To Remarks

A. Child Care and Services
A.l Revision of Eligible Population 6 Total number of infants 5 For standard reporting of
Exclusive Breastfeeding months months and 29 days of age seen EBF and to prevent more
(EBF) Denominator than 100%
(Annex A) Source: Target Client List accomplishment
(TCL) Date of Birth
A.2 Revision of Eligible population 6- Total number of infants seen at For standard reporting of
Complementary 11 months 6 months old Complementary Feeding
Feeding Denominator and to prevent more than
(Annex A) Source: TCL Date of Birth 100% accomplishment
A.3 Revision of 2-dose Eligible population 0-23 Eligible population 12-23 Since the numerator
Inactivated Poliovirus months months refers to the number of
Vaccine (IPV) Catch-up infants who were
Denominator (Annex B) vaccinated with 2 doses
of IPV antigen within 12-
23 months old.

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 Indicators From
B. Oral Health Care and Services
B.1 Revision of Basic BOHC refers to one or
Oral Health Care more of the following
(BOHC) for Seniorservices provided to
Citizens (Annex C) senior citizens:
(1) Oral Examination
AND
(2) Education and
counseling on good
oral hygiene, diet
and adverse effects
of tobacco/smoking
and alcohol and
sweetened
beverages & food
AND (if necessary)
e Oral Urgent
Treatment
(OUT): relief of
pain, extraction
of unsavable
teeth and referral
of complicated
cases to higher
level
C. Non-Communicable Diseases
C.1 Removal of the word - Proportion of newly
“newly” in the following identified 20 years old
indicators for patients and above adults with
with hypertension and Type 2 Diabetes
diabetes risk assessed Mellitus
using the PhilPEN
- Proportion of newly
identified hypertensive
20 years old and above
adults
To Remarks
BOHC refers to the provision of To make the statement
the following services provided standard and uniform
to senior citizens: with other indicator/age
(1) Oral Examination;
(2) Education and counseling
on good oral hygiene, diet and
adverse effects of
tobacco/smoking and alcohol
and sweetened beverages/food;
AND, if deemed necessary or
as needed
(3) Oral Urgent Treatment
(OUT): relief of pain, extraction
of unsavable teeth and referral
of complicated cases to higher
level
- Proportion of identified 20 To include old and new
years old and above adults with cases
Type 2 Diabetes Mellitus
- Proportion of identified
hypertensive 20 years old and
above adults

II. INCLUSION IN FHSIS INDICATORS

A. Family Planning (FP) Services

A.1 Inclusion of “Changing Age Group” (CA) in Other Acceptors (Annex D)

» CA is a continuing user who belonged to an age group in the previous report and was
transferred to the next age group in the succeeding report.
 CA is the adjustment when aggregating data as some FP Current Users (CUs) advance in
age causing misconception as drop-outs or double reporting, and must be transferred from
their previous age group to the next.
Adjustments can be an addition or subtraction to the CUs (Ending) of the month
depending on the age group:
v" Subtraction for 10-14
years old
v" Addition and/or subtraction for 15-19
years old
v" Addition for 20-49 old
years
Used when generating the age-disaggregated Monthly FP Program Accomplishment
Report (M1) and should be reflected in the Quarterly Report (Q1)
With sample computation (4nnex D)

A.2 Inclusion of Reporting Forms in Deworming Tablet for Women of Reproductive

Age (WRA)

Indicator
(Infectious Disease)
ses
Definition axis Source of
Data
Frequency of
Reporting
Proportion of Refers to the number of Numerator: Family BHS to RHU/MHC:
WRA who women of reproductive age No. of WRA 20-49 Planning Monthly
2 20-49 old Y€ars
completed years who od Who
comp She - doses ak
Target
RHU/MEC to
doses of completed 2 doses of Client
i deworming tablet in a P/CHO:
dewonming tablet with 6
.
deworming
i
List
1

year Quarterly
tablet months interval within the (TCL)
same year over the total Denominator: P/CHO to DOH-RO:
number of estimated 20-49 Eligible population Quarterly
year old WRA ofthe total (WRA 20-49 years old)
population. DOH-RO to DOH-CO:
Multiplier: 100% Quarterly

» The Soil-Transmitted Helminthiasis (STH) data on WRA is incorporated in the TCL for
Family Planning Services (Annex E: STH Registry)
» With updated reporting forms in TCL, M1, QI, summary table, and monthly
consolidation table (Annex E)

B. Maternal Care and Services

B.1 Inclusion of Deliveries in Prenatal Check-ups TCL (Annex F)

» Additional column for deliveries in Prenatal for the data validation purposes
» Deliveries data on TCL Prenatal and TCL Postpartum should be the same
B.2 Inclusion of “Completed 90 tablets of Iron with Folic Acid” in Postpartum (Annex
F)

» Additional column in TCL Postpartum for Iron with Folic Acid Supplementation
» To include the date of completion
 B.3 Inclusion of multiple births in pregnancy outcome

For pregnancy outcome with multiple births (example, 1 full term and 1 fetal death)
With updated reporting templates for Regional FHSIS Reports (Annex G)

. Child Care and Services

C.1 Inclusion of “Date of Completion” in Micronutrient Powder (MNP) 6-11

months and 12-23 months (4nnex H Part 1 & 2)

Additional column in TCL Child Care for MNP Supplementation

. Oral Health Care and Services

D.1 BOHC (Annex C)

The BOHC per client shall be reported “once” within the year or annually in relation to
the eligible population with the denominator also being measured annually.

D.2 Decayed, Missing, and Filled Teeth (DMFT) (4nnex C)

DMFT refers to both old and new cases

D.3 Inclusion of Legend in Individual Patient Treatment Record (Annex C)

Legend for red code:

D (Decayed)(permanent)
d (deciduous teeth)
Dx/dx (indicated for extraction)

fem
+
AMEERETEtANEeES
Legend: Condition
fa ow ym mh wel
me [ER ER

'' Legend: Treatment

CRIELIN. VE V6 45, 1 59.0, OF ALIN 48. S055 4.
FR 1

Capital letters shall be used for recording i

Topica! Fluoride Application 1

|
the condition of permanent dentition and ¥
'
small letters for the status of temporary |!
|
V—F uoride Varnist —- I}

'
dentition "0" FG — Fluoride Ge! ‘

Permanent Tooth Temporary |! '

Condition \# PFS—Pitand Fissure Sealart
v 8 ound/
sen - A '
5

|} PF— Permanent Filling :

D Decayed d 1" :
(Composite, Am, ART)
E Filled =
t |

M
DX
Missing
Indicated for dx
=
|
h
TF — Temporary Filling
'

Extraction i" X —=
Extraction ‘

1 1

un Unerupted un 1"

0- Others
1

\' ¢

S Supernumerary s i" !

Toath hh

9
IC Jacket Crown jc tH :

: Pontic p i"

+
Color Code: "

Le
i
con Sn aa 9 0 Tho
nc oom mom om
ooo om rn

0 oa om om
0 aw '
 E. Live births

» The TCL shall be the source of data for all program indicators and vital health indices
while the Local Civil Registry (LCR) will be used for validation only
» With updated reporting forms in Summary Table and Monthly Consolidation Table;
inclusion of data by gender (Annex I)

III. REMOVAL OF FHSIS INDICATORS

A. Child Care and Services

» Removal of EBF column with 1

', 2 V4, 3 4, 4-5 months in TCL

B. Oral Health Care and Services

» Removal of “as needed” in provision of BOHC for Pregnant Women (Annex C)

C. Maternal Care and Services

» Removal of “Hilot” in TCL Birth Attendant (Annex F)

D. Others

» Removal of Socioeconomic Status (National Household Targeting System and Non-

NHTS) in all reporting forms

Moreover, the updated reporting forms and annexes can be accessed through this link:
https://bit.ly/2023FHSISReportingForms.

For strict compliance and guidance.

MARIA ROSARIO SINGH-VERGEIRE, MD, MPH, CESO II

Undersecretary of Heal
Public Health Services [[eam (PHST)