Template For Printed Summary of Quarterly Reports To IPHO

(LGU / City/Municipal Health Office Letter Head)
Date
DR. HOLLY B. TAGO, MPH

Provincial Health Officer II
Misamis Occidental Medical Economic Enterprise (MOMEE) CEO
Greetings Dr. Tago,
Presenting to you the final reports of MUNICIPALITY / CITY OF

_________________ for the ____ Quarter of 2024 reviewed and verified by this facility.
Summary of ___ Quarter of 2024 Report are as follows:
I. Family Planning Services
Family Planning
10-14 yrs old 15-19 yrs old 20-49 yrs old Total
Indicators
Current User Beginning
FSTR/BTL
MSTR/NSV
Condom
IUD-Interval
IU-Postpartum
Pills-POP
Pills-COC
Injectables
Implants
NFP-CCM
NFP-BBT
Family Planning
Indicators
NFP-STM
NFP-SDM
NFP-LAM
New Acceptors
FSTR/BTL
MSTR/NSV
Condom
IUD-Interval
IU-Postpartum
Pills-POP
Pills-COC
Injectables
Implants
NFP-CCM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Other Acceptors
FSTR/BTL
MSTR/NSV
Condom
IUD-Interval
IU-Postpartum
Pills-POP
Family Planning
Indicators
Pills-COC
Injectables
Implants
NFP-CCM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Drop-Outs
FSTR/BTL
MSTR/NSV
Condom
IUD-Interval
IU-Postpartum
Pills-POP
Pills-COC
Injectables
Implants
NFP-CCM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Current Users End
FSTR/BTL
Family Planning
Indicators
MSTR/NSV
Condom
IUD-Interval
IU-Postpartum
Pills-POP
Pills-COC
Injectables
Implants
NFP-CCM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Family Planning Indicators
Number of WRA with Unmet

Percentage
Needs
II. Maternal Care and Services
10-14 yrs
Maternal Care 15-19 yrs old 20-49 yrs old
old Total %
Indicators
No. % No. % No. %
Prenatal Care
4 Antenatal Care (ANC)
Nutritional Status
10-14 yrs
old Total %
Indicators
No. % No. % No. %
(Normal BMI)
Nutritional Status
(Low BMI)
Nutritional Status
(High BMI)
1st time given at least 2

doses of Tetanus
Diphtheria (Td)
vaccination
2nd or more times

given at least 3 doses of
Td vaccination (Td2
Plus)
Completed Iron with

Folic Acid
Supplementation
Completed doses of
Calcium Carbonate
Supplementation
Iodine capsules
1 dose of deworming
tablet
Screened for Syphilis
Tested positive for

Syphilis
Screened for Hepatitis B
Tested positive for

Hepatitis B
10-14 yrs
old Total %
Indicators
No. % No. % No. %
Screened for HIV
Tested for CBC/

Hgb/Hct
Tested for CBC/

Hgb/Hct diagnosed with
Anemia
Screened for
Gestational Diabetes
Tested positive for

Gestational Diabetes
Intrapartum Care and Delivery Outcome
10-14 years 15-19 years 20-49 years old Total Percenta

old old ge
Total Number of
Deliveries
Delivery by Type
(Vaginal)
Delivery by Type
(Cesarean)
Pregnancy by Outcome
(Full Term)
(Pre-term)
(Fetal Death)
(Abortion)
Postpartum and Newborn Care

10-14 yrs
old Total %
Indicators
No. % No. % No. %
2 Postpartum Check-
ups
Completed Iron with

Folic Acid
Completed Vitamin A
supplementation
Maternal Care Indicators
MD % Nurse % Midwive % Total %

s
Skilled Health s
Professionals
Public % Privat % Total % Total %

Facility Based Deliveries e
Maternal Care Indicators
NBW LBW UBW

Live Births by Birth Total
No. % No. % No. %
Weight
Natality Indicators Male Female Total Rate
Live births
Live births among 15-19 years old
III. Child Care and Services

Child Care Indicators Male Female Total %
Immunization Services
BCG
Hepa B1 (within 24 hrs) after birth
Child Protected at Birth (CPAB)
DPT-HiB-HepB 1
DPT-HiB-HepB 2
DPT-HiB-HepB 3
Oral Polio Vaccine (OPV) 1
OPV 2
OPV 3
Inactivated Polio Vaccine (IPV) 1
IPV 2 (Routine)
IPV 2 (Catch-up)
Pneumococcal Conjugate Vaccine

(PCV) 1
PCV 2
PCV 3
Measles Containing Vaccine (MCV)

1
MCV 2
FIC
CIC
Nutrition Services
Newborns initiated on
breastfeeding immediately after
birth
Infants exclusively breastfed until

5th month and 29 days
Infants who continued

breastfeeding and were introduced
to complementary feeding
Infants preterm or with low birth

weight (< 2500 grams) given Iron
Infants 6-11 months old given

Vitamin A
Children 12-59 months old given

Vitamin A
Infants 6-11 months old who

completed Micronutrient Powder
(MNP) supplementation
Children 12-23 months old who

completed MNP supplementation
MAM-admitted in SFP
MAM-cured in SFP
MAM-defaulted in SFP
MAM-died in SFP
Total of MAM
SAM-admitted in OTC
SAM-cured in OTC
SAM-defaulted in OTC
SAM-died in OTC
Total of SAM
Deworming Services (Community)
Children 1-4 y/o given 2 doses of

deworming drugs
Children 5-9 y/o given 2 doses of

deworming drugs
Children 10-19 y/o given 2 doses

of deworming drugs
Management of Sick Infants and Children
Sick Infants aged 6-11 months

(seen)
Sick Infants aged 6-11 months

(given Vit. A 100,000 IU)
Sick Children aged 12-59 months

(seen)
Sick Children aged 12-59 months

(given Vit. A 200,000 IU)
Children 0-59 mos. old with

Diarrhea (seen)

Diarrhea (given ORS)

Diarrhea (given ORS with Zinc)

Pneumonia (seen)
Pneumonia (received treatment)
IV. Oral Health Care and Services
Oral Health Total

Male Female Total %
Indicators Examined
12-59 months old

Orally fit upon oral
examination or after
oral rehabilitation
Oral Health Total

Male Female Total %
Indicators Examined
5 yo and above
cases Decayed,
missing, filled teeth
(DMFT)
0-11 months old

who received Basic
Oral Health Care
(BOHC)
1-4 years old who

received BOHC
5-9 years old who

received BOHC
10-14 years who

received BOHC
15- 19 years old

who received BOHC
20 -59 years old

who received BOHC
60 years old and

above who received
BOHC
Pregnant women 10-14 yo 15-19 yo 20-49 yo

received BOHC
Total % Total % Total %
V. Non-Communicable Disease Prevention and Control Services
Non-Communicable Diseases
Male Female Total %
Indicators
20 yrs old and above who were

Male Female Total %
Indicators
risk-assessed using the PhilPEN

protocol
20 yrs old and above who are

Current Smokers

Current Smokers with Brief
Tobacco Intervention

Binge Drinkers

Overweight or Obese
Identified Hypertensive Adults
Provided w/ Antihypertensive
meds
Identified w/ Type 2 Diabetes

Mellitus
Provided w/ Diabetes meds
Screened for Visual Acuity
Diagnosed with eye diseases
60 yrs old and above who

received one dose of
Pneumococcal Polysaccharide
Vaccine (PPV)
60 yrs old and above who

Male Female Total %
Indicators
received one dose of Influenza

Vaccine
Total %
Women screened for Cervical

Cancer
Women found positive or

suspected for Cervical Cancer
Women screened for breast mass
Women with suspicious breast

mass
VI. Environmental Health and Sanitation Services
Environmental Health Indicators No./Total %
Households (HHs) with access to basic safe water

supply and manage drinking water (Level 1)
HHs with access to basic safe water supply and

manage drinking water (Level 2)
HHs with access to basic safe water supply and

manage drinking water (Level 3)
Total HHs with access to basic safe water supply

and manage drinking water (Level 1, 2, 3)
HHs using Safely Managed Drinking Water

Services
HHs with access to basic sanitation facility

(Septic Tank)
Environmental Health Indicators No./Total %

(Community sewer/ Sewerage System)

(Ventilated Improved Pit Latrine)
Total HHs with access to basic sanitation facility

(Septic Tank, Community sewer/ Sewerage
System, VIP)
HHs using Safely Managed Sanitation Service
Total number of Industrial Establishment
Industrial Establishment with Sanitary Permit
Total No. Municipalities/Chartered Cities Per

Province
ZOD Municipalities/ Chartered Cities
VII. Infectious Disease Prevention and Control Services
Infectious Diseases
Male Female Total Percentag
Indicators
e
Schistosomiasis
Total patients seen
Number of Suspected
Cases
Number of Acute Clinically

Diagnosed Cases
Number of Acute Cases

Infectious Diseases
Indicators
e
Confirmed Positive by Stool

Examination
Number of Clinically
Diagnosed Chronic Cases
among the Total Suspected
Cases Seen
Number of chronic clinically

diagnosed cases confirmed
by stool examination (KKT)
or rectal biopsy
Number of Chronic
Clinically Diagnosed Cases
treated in the health facility
(among acute and chronic
cases)
Number of Confirmed
Chronic Cases referred to
Hospital Facility
Soil-Transmitted Helminthiasis
Number PSAC (1-4 yrs old)

who completed 2 doses of
deworming tablets
Number SAC (5-9 yrs old)

who completed 2 doses of
deworming tablets
Number of Adolescents
(10-19 yrs old) who
completed 2 doses of
deworming tablets
Number of WRA (20 - 49

yrs old) who completed 2
doses of deworming tablets
Infectious Diseases
Indicators
e
Pregnant Women who

completed 1 dose of
deworming tablet
Rabies
Animal Bites
Deaths due to rabies
Leprosy Male Female Total Prevalence

%
Completed Treatment On Time/

Movements of Patients (Trans-out,
Died, Defaulter, Reclassified)
Leprosy cases undergoing

treatment
Leprosy Male Female Total Detection

%
Newly detected case
VIII. Mortality
Mortality Indicators Male Female Total Rate
Deaths
Under-Five Mortality Rate
Infant Mortality Rate
Neonatal Mortality Rate
Perinatal (Fetal Deaths)

Perinatal (Early Neonatal Deaths)
Mortality Indicators Male Female Total Rate
Total Rate
Maternal Deaths
Perinatal Mortality (Total)
IX. Morbidity
Total Total Both Sexes
Notifiable Diseases
Male Female Number Rate
Acute Bloody Diarrhea
Acute Febrile Illness
Acute Flaccid Paralysis
Acute Hemorrhagic Fever
Acute Lower Respiratory Tract

Infection
Acute Respiratory Infection

(less than 5 years old)
Acute Respiratory Infection

(more than 5 years old)
Acute Watery Diarrhea
Animal Bite
Bronchitis
Cholera
Chronic Obstructive Pulmonary


Notifiable Diseases
Disease
Diphtheria
Diseases of the Heart
Filariasis
Fever of Unknown Origin
Genital Ulcer
Gonorrhea
Hypertension
Influenza Like Illness
Influenza
Leprosy
Leptospirosis
Malaria

Notifiable Diseases
Measles
Meningococcemia
Neonatal tetanus
Non-neonatal tetanus
Pneumonia
Rabies
Paralytic Shellfish Poisoning
Schistosomiasis
Skin Diseases
Syphilis
Tuberculosis (all forms)
Typhoid and Paratyphoid Fever
Urethral Discharge

Notifiable Diseases
Urinary Tract Infection
Viral encephalitis
Viral hepatitis
Viral Meningitis
Whooping Cough
For your reference and perusal.

Thank you.
Respectfully yours,
NAME OF FHSIS COORDINATOR

Designation
Noted by:
NAME OF CITY/MUNICIPAL HEALTH OFFICER

Designation

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Template For Printed Summary of Quarterly Reports To IPHO

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(LGU / City/Municipal Health Office Letter Head)

DR. HOLLY B. TAGO, MPH

Greetings Dr. Tago,

Presenting to you the final reports of MUNICIPALITY / CITY OF

Summary of ___ Quarter of 2024 Report are as follows:

I. Family Planning Services

Current User Beginning

Current Users End

Family Planning Indicators

Number of WRA with Unmet

II. Maternal Care and Services

4 Antenatal Care (ANC)

1st time given at least 2

2nd or more times

Completed Iron with

Screened for Syphilis

Tested positive for

Screened for Hepatitis B

Tested positive for

Screened for HIV

Tested for CBC/

Tested for CBC/

Tested positive for

Intrapartum Care and Delivery Outcome

10-14 years 15-19 years 20-49 years old Total Percenta

Postpartum and Newborn Care

Completed Iron with

Maternal Care Indicators

MD % Nurse % Midwive % Total %

Public % Privat % Total % Total %

Maternal Care Indicators

NBW LBW UBW

Natality Indicators Male Female Total Rate

III. Child Care and Services

Child Care Indicators Male Female Total %

Hepa B1 (within 24 hrs) after birth

Child Protected at Birth (CPAB)

Oral Polio Vaccine (OPV) 1

Inactivated Polio Vaccine (IPV) 1

Pneumococcal Conjugate Vaccine

Measles Containing Vaccine (MCV)

Infants exclusively breastfed until

Child Care Indicators Male Female Total %

5th month and 29 days

Infants who continued

Infants preterm or with low birth

Infants 6-11 months old given

Children 12-59 months old given

Infants 6-11 months old who

Children 12-23 months old who

Deworming Services (Community)

Children 1-4 y/o given 2 doses of

Child Care Indicators Male Female Total %

Children 5-9 y/o given 2 doses of

Children 10-19 y/o given 2 doses

Management of Sick Infants and Children

Sick Infants aged 6-11 months

Sick Infants aged 6-11 months

Sick Children aged 12-59 months

Sick Children aged 12-59 months

Children 0-59 mos. old with

Children 0-59 mos. old with

Children 0-59 mos. old with