Professional Documents
Culture Documents
SECTION A. FAMILY PLANNING SERVICES AND DEWORMING FOR WOMEN OF REPRPDUCTIVE AGE
CURRENT USERS ( Beginning Month) CURRENT USERS( End of the month)
A2. USE OF FP METHOD 10-14 Y/O 15-19Y/O 20-49 Y/O TOTAL 10-14 Y/O 15-19Y/O 20-49 Y/O TOTAL
A.BTL-Total 57 57 57 57
B. NSV-Total 0 0
C. Condom-Total 0 0
D. PILLS-Total 2 421 423 2 381 383
D1. Pills-POP-Total 0 0
D2. Pills-COC-Total 2 421 423 2 381 383
E. INJECTABLES(DMPA/POI- 7 753 760 4 681 685
Total
F. Implant-Total 5 178 183 70 70
G. IUD-Total 12 12 7 7
G1. IUD 1-Total 12 12 7 7
G2. IUD -PP-Total
H. NFP-LAM-Total 5 141 146 3 127 130
I. NFP-BBT-Total
J. NFP-CMM-TotalNFP-
SDM-Total
K. NFP-STM-Total
L. NFP-SDM-Total
M. Total current users 19 1562 1581 9 1323 1332
B1 PRENATALCARE
10-14 15-19 20-49 TOTAL
1. No of pregnant women who gave birth with at least 4 prenatal check ups_ 4 19 23
Total
A. Number of pregnant women seen in the first trimester who have normal 2 23 25
BMI_ Total
B. Number of pregnant women seen in the first trimester who have low BMI_ 0
Total
C. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
3. Number of pregnant women for the first time given at least 2 doses of Td 2 2
vaccination_Total
4. Number of pregnant women the 2nd or more times given at least 3 doses of 1 22 23
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 4 19 23
supplementation_Total
11. Number of pregnant women who screened for hepatitis B._ total 0
12. Number of pregnant women tested positive for hepatitis B_total 0
13. Number of pregnant women who screened for HIV_total 0
14. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
15. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
16. Number of pregnant women screened for gestational diabetes_total 0
17. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
7. Number of deliveries _total 4 19 23
8. Number of live-total 4 19 23
A. No. Of live births with normal birth weight_total 4 19 23
B. No. Of live births with low birth weight_total 0
C. No. Of live births with unknown birth weight_total 0
9. Number of deliveries attended by skilled health professionals_total 3 15 23
A. No. Of deliveries attended by a doctor_total 18
B. No. Of deliveries attended by a nurse_total 0
C. No. Of deliveries attended by a midwives_total 1 4 5
10. No.of health facility based deliveries_ total 4 19 23
A. No. Of deliveries in public health facility_total 3 10 13
B. No. Of deliveries in private health facility_total 1 9 10
11. No.of non facility based deliveries_ total 0
23a. No. Of vaginal deliveries_total 4 16 20
23b. No. Of deliveries by cesarian section_total 3 3
24a. No of full term births 4 19 23
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
SECTION H. MORTALITY
TOTAL DEATH 0 1 1
Maternal deaths - total 0
Under five deaths - total 0
Infants death - total 0
Neonatal deaths- total 0
Featal deaths - total 0
Early neonatal deaths - total 0
Perinatal deaths - total 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 10 9 9
Livebirths among 15-19 y/o womwn- 1 1
total
D. Number of pregnant women seen in the first trimester who have normal 2 31 3
BMI_ Total
E. Number of pregnant women seen in the first trimester who have low BMI_ 0 0 0
Total
F. Number of pregnant women seen in the first trimester who have high 0 0
BMI_ Total
7. Number of pregnant women for the first time given at least 2 doses of Td 2 4 6
vaccination_Total
8. Number of pregnant women the 2nd or more times given at least 3 doses of 2 27 29
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 1 18 19
supplementation_Total
22. Number of pregnant women who screened for hepatitis B._ total 0
23. Number of pregnant women tested positive for hepatitis B_total 0
24. Number of pregnant women who screened for HIV_total 0
25. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
26. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
27. Number of pregnant women screened for gestational diabetes_total 0
28. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
12. Number of deliveries _total 1 18 19
13. Number of live-total 1 18 19
D. No. Of live births with normal birth weight_total 1 18 19
E. No. Of live births with low birth weight_total 1 18 19
F. No. Of live births with unknown birth weight_total 0 0 0
14. Number of deliveries attended by skilled health professionals_total 0 0 0
D. No. Of deliveries attended by a doctor_total 1 18 19
E. No. Of deliveries attended by a nurse_total 1 15 16
F. No. Of deliveries attended by a midwives_total 0 0 0
15. No.of health facility based deliveries_ total 3 3 6
C. No. Of deliveries in public health facility_total 1 18 19
D. No. Of deliveries in private health facility_total 1 2 3
16. No.of non facility based deliveries_ total 16 16
23a. No. Of vaginal deliveries_total 1 16 17
23b. No. Of deliveries by cesarian section_total 2 2
24a. No of full term births 1 18 19
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 0
Livebirths among 15-19 y/o womwn- 0
total
A. Number of pregnant women seen in the first trimester who have normal 3 21 24
BMI_ Total
B. Number of pregnant women seen in the first trimester who have low BMI_ 0
Total
C. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
3. Number of pregnant women for the first time given at least 2 doses of Td 3 3
vaccination_Total
4. Number of pregnant women the 2nd or more times given at least 3 doses of 4 4
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 1 26 27
supplementation_Total
11. Number of pregnant women who screened for hepatitis B._ total 0
12. Number of pregnant women tested positive for hepatitis B_total 0
13. Number of pregnant women who screened for HIV_total 0
14. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
15. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
16. Number of pregnant women screened for gestational diabetes_total 0
17. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
7. Number of deliveries _total 1 26 27
8. Number of live-total 1 26 27
A. No. Of live births with normal birth weight_total 1 26 27
B. No. Of live births with low birth weight_total 0
C. No. Of live births with unknown birth weight_total 0
9. Number of deliveries attended by skilled health professionals_total 1 26 27
A. No. Of deliveries attended by a doctor_total 1 15 16
B. No. Of deliveries attended by a nurse_total 0
C. No. Of deliveries attended by a midwives_total 11 11
10. No.of health facility based deliveries_ total 1 26 27
A. No. Of deliveries in public health facility_total 1 6 7
B. No. Of deliveries in private health facility_total 20 20
11. No.of non facility based deliveries_ total 0
23a. No. Of vaginal deliveries_total 1 20 21
23b. No. Of deliveries by cesarian section_total 6 6
24a. No of full term births 1 26 27
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 16 11 27
Livebirths among 15-19 y/o womwn- 1 1
total
D. Number of pregnant women seen in the first trimester who have normal 1 29 30
BMI_ Total
E. Number of pregnant women seen in the first trimester who have low BMI_ 0 0 0
Total
F. Number of pregnant women seen in the first trimester who have high 0 0 0
BMI_ Total
4. Number of pregnant women for the first time given at least 2 doses of Td 1 1 2
vaccination_Total
5.Number of pregnant women the 2nd or more times given at least 3 doses of 26 26
Td vaccination (Td2 Plus)_Total
6.No of pregnant women who completed the dose of iron with folic acid 2 23 25
supplementation_Total
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 13 12 25
Livebirths among 15-19 y/o womwn- 2 2
total
G. Number of pregnant women seen in the first trimester who have normal 1 29 30
BMI_ Total
H. Number of pregnant women seen in the first trimester who have low 0 0 0
BMI_ Total
I. Number of pregnant women seen in the first trimester who have high 0 0 0
BMI_ Total
4. Number of pregnant women for the first time given at least 2 doses of Td 1 1 2
vaccination_Total
5.Number of pregnant women the 2nd or more times given at least 3 doses of 26 26
Td vaccination (Td2 Plus)_Total
6.No of pregnant women who completed the dose of iron with folic acid 2 23 25
supplementation_Total
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 13 12 25
Livebirths among 15-19 y/o womwn- 2 2
total
J. Number of pregnant women seen in the first trimester who have normal 1 27 28
BMI_ Total
K. Number of pregnant women seen in the first trimester who have low BMI_ 0
Total
L. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
13. Number of pregnant women for the first time given at least 2 doses of Td 2 2
vaccination_Total
14. Number of pregnant women the 2nd or more times given at least 3 doses of 26 26
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 1 19 20
supplementation_Total
11. Number of pregnant women who screened for hepatitis B._ total 0
12. Number of pregnant women tested positive for hepatitis B_total 0
13. Number of pregnant women who screened for HIV_total 0
14. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
15. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
16. Number of pregnant women screened for gestational diabetes_total 0
17. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
7. Number of deliveries _total 1 19 20
8. Number of live-total 1 19 20
a. No. Of live births with normal birth weight_total 1 19 20
b. No. Of live births with low birth weight_total 0
c. No. Of live births with unknown birth weight_total 0
9. Number of deliveries attended by skilled health professionals_total 1 19 20
a. No. Of deliveries attended by a doctor_total 1 17 18
b. No. Of deliveries attended by a nurse_total 0
c. No. Of deliveries attended by a midwives_total 2 2
10. No.of health facility based deliveries_ total 1 19 20
a. No. Of deliveries in public health facility_total 1 5 6
b. No. Of deliveries in private health facility_total 14 14
11. No.of non facility based deliveries_ total 0
23a. No. Of vaginal deliveries_total 1 17 18
23b. No. Of deliveries by cesarian section_total 2 2
24a. No of full term births 1 19 20
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 10 10 20
Livebirths among 15-19 y/o womwn- 1 1
total
M. Number of pregnant women seen in the first trimester who have normal 1 28 29
BMI_ Total
N. Number of pregnant women seen in the first trimester who have low 0
BMI_ Total
O. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
17. Number of pregnant women for the first time given at least 2 doses of Td 2 4 6
vaccination_Total
18. Number of pregnant women the 2nd or more times given at least 3 doses of 2 20 22
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 22 22
supplementation_Total
22. Number of pregnant women who screened for hepatitis B._ total 0
23. Number of pregnant women tested positive for hepatitis B_total 0
24. Number of pregnant women who screened for HIV_total 0
25. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
26. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
27. Number of pregnant women screened for gestational diabetes_total 0
28. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
12. Number of deliveries _total 22 22
13. Number of live-total 22 22
c. No. Of live births with normal birth weight_total 22 22
d. No. Of live births with low birth weight_total 0
e. No. Of live births with unknown birth weight_total 0
14. Number of deliveries attended by skilled health professionals_total 22 22
f. No. Of deliveries attended by a doctor_total 15 15
g. No. Of deliveries attended by a nurse_total 0
h. No. Of deliveries attended by a midwives_total 7 7
15. No.of health facility based deliveries_ total 22 22
i. No. Of deliveries in public health facility_total 2 2
j. No. Of deliveries in private health facility_total 20 20
16. No.of non facility based deliveries_ total 0
23a. No. Of vaginal deliveries_total 22 22
23b. No. Of deliveries by cesarian section_total 0
24a. No of full term births 22 22
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 14 8 22
Livebirths among 15-19 y/o womwn- 0 0 0
total
P. Number of pregnant women seen in the first trimester who have normal 4 15 19
BMI_ Total
Q. Number of pregnant women seen in the first trimester who have low 0
BMI_ Total
R. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
21. Number of pregnant women for the first time given at least 2 doses of Td 1 6 7
vaccination_Total
22. Number of pregnant women the 2nd or more times given at least 3 doses of 1 15 16
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 25 25
supplementation_Total
33. Number of pregnant women who screened for hepatitis B._ total 0
34. Number of pregnant women tested positive for hepatitis B_total 0
35. Number of pregnant women who screened for HIV_total 0
36. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
37. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
38. Number of pregnant women screened for gestational diabetes_total 0
39. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
17. Number of deliveries _total 25 25
18. Number of live-total 25 25
k. No. Of live births with normal birth weight_total 25 25
l. No. Of live births with low birth weight_total 0
m. No. Of live births with unknown birth weight_total 0
19. Number of deliveries attended by skilled health professionals_total 25 25
n. No. Of deliveries attended by a doctor_total 19 19
o. No. Of deliveries attended by a nurse_total 0
p. No. Of deliveries attended by a midwives_total 6
20. No.of health facility based deliveries_ total 25 25
q. No. Of deliveries in public health facility_total 1 1
r. No. Of deliveries in private health facility_total 24 24
21. No.of non facility based deliveries_ total 0 0
23a. No. Of vaginal deliveries_total 22 22
23b. No. Of deliveries by cesarian section_total 3 3
24a. No of full term births 25 25
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total
Livebirths among 15-19 y/o womwn-
total
S. Number of pregnant women seen in the first trimester who have normal 4 10 14
BMI_ Total
T. Number of pregnant women seen in the first trimester who have low BMI_ 0
Total
U. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
25. Number of pregnant women for the first time given at least 2 doses of Td 1 1
vaccination_Total
26. Number of pregnant women the 2nd or more times given at least 3 doses of 2 2
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 1 26 27
supplementation_Total
44. Number of pregnant women who screened for hepatitis B._ total 0
45. Number of pregnant women tested positive for hepatitis B_total 0
46. Number of pregnant women who screened for HIV_total 0
47. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
48. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
49. Number of pregnant women screened for gestational diabetes_total 0
50. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
22. Number of deliveries _total 1 26 27
23. Number of live-total 1 26 27
s. No. Of live births with normal birth weight_total 1 26 27
t. No. Of live births with low birth weight_total 0
u. No. Of live births with unknown birth weight_total 0
24. Number of deliveries attended by skilled health professionals_total 1 26 27
v. No. Of deliveries attended by a doctor_total 1 15 16
w. No. Of deliveries attended by a nurse_total 0
x. No. Of deliveries attended by a midwives_total 11 11
25. No.of health facility based deliveries_ total 1 26 27
y. No. Of deliveries in public health facility_total 1 2 3
z. No. Of deliveries in private health facility_total 24 24
26. No.of non facility based deliveries_ total 0
23a. No. Of vaginal deliveries_total 1 24 25
23b. No. Of deliveries by cesarian section_total 2 2
24a. No of full term births 1 26 27
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage 0
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 14 13 27
Livebirths among 15-19 y/o womwn- 1 1
total
V. Number of pregnant women seen in the first trimester who have normal 3 21 24
BMI_ Total
W. Number of pregnant women seen in the first trimester who have low 0
BMI_ Total
X. Number of pregnant women seen in the first trimester who have high 0
BMI_ Total
29. Number of pregnant women for the first time given at least 2 doses of Td 3 3
vaccination_Total
30. Number of pregnant women the 2nd or more times given at least 3 doses of 4 4
Td vaccination (Td2 Plus)_Total
5.No of pregnant women who completed the dose of iron with folic acid 1 26 27
supplementation_Total
55. Number of pregnant women who screened for hepatitis B._ total 0
56. Number of pregnant women tested positive for hepatitis B_total 0
57. Number of pregnant women who screened for HIV_total 0
58. Number of pregnant women tested for CBC or Hgb and Hct count_ total 0
59. Number of pregnant women tested for CBC or Hgb and Hct count diagnose 0
with anemia
60. Number of pregnant women screened for gestational diabetes_total 0
61. Number of pregnant women tested positive for gestational diabetes- total 0
INTRAPARTUM CARE AND DELIVERY OUTCOME
27. Number of deliveries _total 1 26 27
28. Number of live-total 1 26 27
aa. No. Of live births with normal birth weight_total 1 26 27
bb. No. Of live births with low birth weight_total 0
cc. No. Of live births with unknown birth weight_total 0
29. Number of deliveries attended by skilled health professionals_total 1 26 27
dd. No. Of deliveries attended by a doctor_total 1 15 16
ee. No. Of deliveries attended by a nurse_total 0
ff. No. Of deliveries attended by a midwives_total 11 11
30. No.of health facility based deliveries_ total 1 26 27
gg. No. Of deliveries in public health facility_total 1 6 7
hh. No. Of deliveries in private health facility_total 20 20
31. No.of non facility based deliveries_ total 1 20 21
23a. No. Of vaginal deliveries_total 6 6
23b. No. Of deliveries by cesarian section_total 1 26 27
24a. No of full term births 0
24b. No.of pre term births 0
24c. No. Of fetal deaths 0
24d. No. Of abortion/miscarriage
Section I. NATALITY
INDICATORS MALE FEMALE TOTAL
LIVEBIRTHS - total 16 11 27
Livebirths among 15-19 y/o womwn- 1 1
total