REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF HEALTH
PROVINCE OF SOUTHERN LEYTE
MUNICIPALITY OF SILAGO
AGE GROUPING CY 2024
BARANGAY: _______________________
TOTAL ACTUAL POP.: ___ PROJECTED POP: ____ TOTAL FAMILIES: ____ TOTAL HOUSEHOLDS:______
MALE FEMALE MALE FEMALE
AGE GROUP TOTAL AGE GROUP TOTAL
NHTS NON NHTS NON NHTS NON NHTS NON
LESS THAN 1 YR. 51 YEARS
1 YEAR 52 YEARS
2 YEARS 53 YEARS
3 YEARS 54 YEARS
4 YEARS 55 YEARS
5 YEARS 56 YEARS
6 YEARS 57 YEARS
7 YEARS 58 YEARS
8 YEARS 59 YEARS
9 YEARS 60 YEARS
10 YEARS 61 YEARS
11 YEARS 62 YEARS
12 YEARS 63 YEARS
13 YEARS 64 YEARS
14 YEARS 65 YEARS
15 YEARS 66 YEARS
16 YEARS 67 YEARS
17 YEARS 68 YEARS
18 YEARS 69 YEARS
19 YEARS 70 YEARS
20 YEARS 71 YEARS
21 YEARS 72 YEARS
22 YEARS 73 YEARS
23 YEARS 74 YEARS
24 YEARS 75 YEARS
25 YEARS 76 YEARS
26 YEARS 77 YEARS
27 YEARS 78 YEARS
28 YEARS 79 YEARS
29 YEARS 80 YEARS
30 YEARS 81 YEARS OLD

31 YEARS AND ABOVE

32 YEARS TOTAL
33 YEARS
34 YEARS FAMILY PLANNING
35 YEARS NEW CURRENT USER
36 YEARS PILLS
37 YEARS CONDOM
38 YEARS IUD
39 YEARS DMPA
40 YEARS NFA
41 YEARS LAM
42 YEARS MS
43 YEARS FS
44 YEARS OTHERS (IMPLANT)
45 YEARS TOTAL
46 YEARS
47 YEARS NO. MWRA :
48 YEARS 10 - 14 15 - 49 TOTAL
NO.WRA
49 YEARS
50 YEARS
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
PROVINCE OF SOUTHERN LEYTE
MUNICIPALITY OF SILAGO

HOUSEHOLD PROFILE
CONSOLIDATED REPORT 2024

BARANGAY ___________________________
NHTS NON TOTAL
TOTAL PROJECTED POPULATION
TOTAL ACTUAL POPULATION
TOTAL NUMBER OF MALE
TOTAL NUMBER OF FEMALE
TOTAL NO. OF HOUSEHOLD
TOTAL NO. OF FAMILIES
TOTAL NO. OF PUROKS
PLACE OF ORIGIN:
A. FROM SILAGO
B. FROM OTHER PLACE, PLEASE SPECIFY:
1
2
3
TOTAL NUMBER OF PWD

HH W/ TOILET
HH W/O TOILET
HH W/ BLIND DRAINAGE
HH W/O BLIND DRAINAGE
HH W/ COMPOST PIT
HH W/O COMPOST PIT
HH W/ TRASH CAN
HH W/O TRASH CAN
HH W/ VEGETABLE GARDEN
HH W/O VEGETABLE GARDEN
HH W/ PIG PEN
HH W/O PIG PEN
HH W/ CLEAN SORROUNDING
HH W/O CLEAN SORROUNDING
HH W/ DOG
HH W/O DOG
HH W/ LIGHTING
HH W/O LIGHTING
NO. OF ADULT CAN READ & WRITE
NO OF ADULT CANNOT READ & WRITE
HH W/ ACCESS TO IMPROVED WATER SUPPLY
LEVEL : 1
LEVEL : 2
LEVEL : 3
FOOD ESTABLISHMENT
FOOD ESTABLISHMENT W/ SANITARY PERMIT
HH W/ SARI - SARI STORES
NO. OF MEATSHOPS
BAKERY OWNERS
NO. FOOD HANDLERS
NO. OF FOOD HANDLERS W/ HEALTH CERTIFICATE
NO. OF SALT SAMPLES TESTED
NO. SALT SAMPLES TESTED + IODINE
RELIGION
ROMAN CATHOLIC
UCCP
ISLAM
JEHOVAH'S WITNESSES
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
PROVINCE OF SOUTHERN LEYTE
MUNICIPALITY OF SILAGO

MASTER LIST OF MONTHLY FAMILY PLANNING USERS

For the Quarter/Year 2024
Month of: _____________________
Barangay : _______________________________
Name of BHS: _______________________________

DATE OF
NO. NAME(LAST NAME, FIRST NAME, MIDDLE NAME) AGE CIVIL STATUS PUROK FAMILY PLANNING USED REMARKS
BIRTH
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
 EXPANDED PROGRAM ON IMMUNIZATION (EPI)
CY 2024
MUNICIPALITY OF SILAGO
BARANGAY _________________________________

S DATE OF IMMUNIZATION
NAME OF CHILD DOB BIRTH BIRTH
NO E MOTHER's NAME PUROK BCG PENTAVALENT OPV PCV MVC1 REMARKS
(LAST NAME, FIRST
(mm/dd/y) WT. (g) LT. (cm) IPV
NAME, MIDDLE NAME) X HEP. B 1 2 3 1 2 3 1 2 3 MCV2

10

11

12

13

14

15
*Please put date, not check
 PREGNANCY TRACKING

MUNICIPALITY OF SILAGO
BARANGAY ____________________ ____________ CATCHMENT___

G
R
ANTENATAL CHECK Ups ANTENATAL CHECK Ups ANTENATAL CHECK Ups PREGNANCY
A OUTCOME
NAME AGE DOB V
I
PARA EDC 1ST TRIMESTER 2ND TRIMESTER 3RD TRIMESTER REMARKS
D
A
AOG AOG AOG AOG AOG AOG AOG AOG AOG GENDER
DATE DATE DATE DATE DATE DATE DATE DATE DATE DATE KG