FIELD HEALTH SERVICE

INFORMATION SYSTEM

(FHSIS)
What is FHSIS-
• Is the official system of the
Department of Health and as per EO
352, was included by National
Statistical Coordination Board
(NSCB) in a system of designated
statistics
What is FHSIS-
It is a network of information
It is intended to address the short
term needs of DOH and LGU staff
with managerial or supervisory
functions in facilities and program
areas
It monitors health service delivery
nationwide
What are the objectives of FHSIS:
• To provide summary data on health
service delivery and selected program
indicators at the barangay,
municipality/city, district, provincial,
regional and national levels.
• To provide data which when combined
with data from other sources, can be
used for program monitoring and
evaluation purposes.
Components of FHSIS:
A. Recording Tools-
1) Individual Treatment Record (ITR)
2) Target Client List (TCL)
3) Summary Table
4) Monthly Consolidation Table
B. Reporting Tools-
• Monthly Form (M1)
• Quarterly Form (Q1)
 Relationship of Recording &
Reporting Forms

M1 Q1
ITR / ST MCT CHO
TCL

Legend:

Source of data Output of Midwife Output of Nurse

C. Reporting Flow-
DOH-NEC

CHD

PHO

RHU/CHO

BHS
MNCHN INDICATORS-
1) Pregnant Women with 4 or more Pre-
natal Visits
2) Fully Immunized Child(Disaggregated by
sex)
3) Contraceptive Prevalence Rate
4) Facility-Based Deliveries
3) Family Planning
• FP Contraceptive Prevalence Rate-
- is the proportion of married women of
reproductive age (15-49 years of age) who
are using (or whose partner is using) a FP
method at a given point in time.
Contraceptive Methods:
• Include clinic and supply (modern) methods
and non-supply(traditional) methods. Clinic
and supply methods include BTL and
Vasectomy, intrauterine devices (IUDs)
hormonal methods (oral pills, injectables and
hormone-releasing implants). NFP methods
include Cervical Mucus Method (CMM), Basal
Body Temperature (BBT), Symptothermal
Method (STM), Lactational Amenorrhea
Method (LAM) and Standard Days Method
(SDM)
Current Users:
• are FP clients who have been carried over
from the previous months after deducting the
drop-outs of the present month and adding
the new acceptors of the previous month. This
consists of CU for pills, IUD, injectables,
condoms, NFP (BBT, CM, STM, LAM, SDM)
Female and Male Sterilization.
New Acceptors:
• a client using a contraceptive method for the
first time or new to the program. It includes
new acceptors for pills, IUD, injectables,
condoms, NFP (BBT, CM, STM, LAM, SDM),
Female and Male Sterilization.
 GUIDELINE IN
FILLING-UP
OF
FAMILY PLANNING-
TCL
TCL for Family Planning (TCL-FP)
 TCL=FP is by “FP METHOD”.
 It has to be updated immediately after a
client visits the health facility.
 Includes:
- all eligible women aged 15-49 years
- men who are receiving a family
planning service provided by the
reporting clinic
 TCL for Family Planning (TCL-FP)
Column 1 – Date of Registration
• Indicate in this column the date
(month, day and year) an eligible
person made the first clinic visit or
the date when client re-start to avail
Family Planning Service.
 TCL for Family Planning (TCL-FP)
Column 2 – Family Serial Number
• Indicate in this column the number that corresponds to the
number of the family folder or envelope or individual treatment
record. This column will help you to easily facilitate retrieval of
your record.

Column 2 – Family Serial Number

Column 3 – Name
Column 4 - Address
Column 5 – Age
 TCL for Family Planning (TCL-FP)
Column 3 – Name
• Write the given name, middle initial
family name of the client.
 Column 4 - Address
• Write the complete address: number
of the house, name of the street,
barangay, municipality and province.
This column will help you to monitor
or follow-up the client.
 TCL for Family Planning (TCL-FP)
Column 5 – Age
• Indicate in this column the age of the client
as of last birthday
Column 6 - TYPE OF CLIENT – Indicate in this
column any of the following categories:
 Type of FP Client
Code Type of Client
CU Current Users – current users carried over from last
year client list.
NA New Acceptors – a client who has NEVER accepted any
FP method at any clinic before.
CM Changing Method – a user who is shifting to another
method.
CC Changing Clinic – a continuing user using the same
method, however the client is new to the clinic.
RS Restart – a client who is previously a drop-out or stop
using a FP method and who has accepted a FP method
again. Classify as restart but considered as current users.
NOTE:
• For clients who are changing
methods, they should be recorded as
a DROP-OUT from their previous
method and indicate the reason as
‘CHANGING METHOD”. The client is
still categorized as current users.
Column 7– Previous Method
• refers to last method used prior to
accepting the new method. Using
the following codes add code for
NONE to cover “New to Program”.
 Codes Methods
CON Condom
INJ Depo-medroxy Progestone Acetate (DMPA)
IUD Intra-Uterine Device
NFP-LAM Lactational Amenorrhea Method
NFP-BBT Natural Family Planning-Basal Body
Temperature
NFP-CM Natural Family Planning-Cervical Mucus
Method
NFP-STM Natural Family Planning-Sympothermal
Method
NFP-SDM Natural Family Planning-Standard Days
Method
FSTR/BTL Female Sterilization/Bilateral Tubal Ligation
MSTR/VASECTOMY Male Sterilization/Vasectomy
PILLS Pills
Column 8– Follow-up visits

Reason
Pregnant
Desire to become pregnant
Medical complications
Fear of side effects
Changed clinic
Husband disapproves
Menopause
Lost or moved out of the area or residence
Failed to get supply
IUD expelled
Lack of supply
Unknown
 Drop-Out
• If a client failed to return for the next service
date, he or she is considered to be a drop-out.
The date the client became a drop-out is
entered under the column “Date” and the
reason for dropping is reflected under the
column “Reason” of the FP TCL
CODE POSSIBLE DROP-OUT REASONS
A Pregnant
B Desire to become pregnant
C Medical complications
D Fear of side effects
E Changed Clinic
F Husband disapproves
G Menopause/ Voluntary Surgical Sterilization
H Lost or Moved out of the area or residence
I Failed to get supply
J IUD expelled
K Lack of supply
L Unknown
The Following are the Definitions
for each method drop-out:
1) Pill - a client is considered drop-out from
the method if she failed to come and get her
re-supply from the last 21 white pill up to the
last brown pill.
 January 2010
Sun Mon Tue Wed Thu Fri Sat
          1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23 February 2010
24 25 26 27 28 29 30
31             Sun Mon Tue Wed Thu Fri Sat

  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            
2) DMPA - a client is considered drop-out if
she failed to visit the clinic on the scheduled
date of visit up to the last day of 2 weeks
after the scheduled date of visit.
 January 2010
Sun Mon Tue Wed Thu Fri Sat
          1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23 February 2010
24 25 26 27 28 29 30
31             Sun Mon Tue Wed Thu Fri Sat

  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            
 March 2010
Sun Mon Tue Wed Thu Fri Sat
  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 April 2010
28 29 30 31
            Sun Mon Tue Wed Thu Fri Sat
  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  
3) IUD - client is considered drop-out if:
– Client decided to have it removed
– Had expelled IUD that was not re-inserted
and
– Client did not return on the scheduled date
of follow-up visits. For the first year after
insertion follow-up visits should be after
one month, six months, and twelve
months and yearly thereafter.
TCL-FP IUD Method
Date of Follow-up Visits
Regis- Name (Upper Space: Next Service
tration Date/Lower Space: Actual
Date of Visits)
Jan. 5, Rose B. Solas 2/5/10 6/5/10 12/5/10
2010 2/4/10 6/5/10

Mar. Edna L. Basco 4/12/10 9/12/10

4/12/10
12,
2010
4) Condom - client is considered drop-out if
she/he fails to return for resupply on
scheduled visit
5) LAM - client is considered drop-out if :
- Mother has a menstruation or
emenorrheic within six months.
- No longer practicing fully/exclusive
breastfeeding
- Baby is more than six (6) months old
 LAM Method:
CHILD WAS EXCLUSIVELY
DATE OF BREASTFED
BIRTH
(MM/DD/YY)
Put a check (_/) Put a Date
1st 2nd 3rd 4th 5th at 6th
Month Month Month Month Month
Month

Jan 15, 2010 _/ _/ _/ _/ _/ July 15, 2010

Jan 20, 2010 _/ _/ _/ _/

Feb 5, 2010 _/ _/ _/ _/ _/
6) NFP - client is considered drop-out if the
client fails to return to the clinic from the last
2 weeks of the 3rd cycle to be validated by
the service provider and to get NFP
autonomous user chart for succeeding cycles.
7) Voluntary Surgical Contraception -
a. Female Sterilization - client is
considered drop-out if woman reaches her
menopausal age (45 years and above) and
other conditions that the client undergo such
as hysterectomy or bilateral salpingo-
oophorectomy.
NOTE:
FP Recording in the TCL
and Reporting using FHSIS forms
(Monthly & Quarterly) is by
method.
 GUIDE IN
FILLING-UP
THE FHSIS FORMS
1) For Monthly Form for FP
• Current Users Beginning of the Month
(ex. February)-
Formula: Just carry over the CU data of
previous month (January)

• New Acceptors (ex. February)

Formula: Count Total No. of New Acceptors
for the month of February
• Other Acceptors (ex. February)
Formula: Count Total No. of Other Acceptors
for the month of February in the
TCL/Summary Tables

• Drop-outs (ex. February)

Formula: Count Total No. of Drop-outs for the
Month of February in the TCL/Summary
Tables
Current Users End of Month (ex.
February)
• Calculation:
Current Users from the previous month (Jan)
+ New Acceptors (previous month) (Jan)
+ Other Acceptors (current month) (Feb)
- Drop-outs (current month) (Feb)
= Current user of ending month (Feb)
Example: Calculation for the Month of
January to March
• Given: New Acceptors for the month of
December = 8
 CU Beg. New Other Drop- CU End
Month
Month Accept- Accept- outs Month
ors ors

29=(15+
Jan. 15 6 7 1 8+7-1)

37=(29+
Feb. 29 3 4 2 6+4-2)

44=(37+
March 37 8 9 5 3+9-5)
2.FOR QUARTERLY FORM(ex. For First
Quarter)

• Current Users Beg. Quarter (ex. First Quarter)

Formula: Just carry over the CU data at the start of
the First Quarter (January)
• New Acceptors (ex. First Quarter )
Formula: Count total No. of New Acceptors for the
First Quarter (January to March) from the
TCL/Summary Tables
2.FOR QUARTERLY FORM(ex. For First
Quarter)

• Other Acceptors (ex. February )

Formula: Count Total No. of Other Acceptors for the
First Quarter (January to March ) in the TCL/Summary
Tables
• Dropouts (ex. February )
Formula: Count Total No. of Dropouts for the First
Quarter (January to March ) in the TCL/Summary Tables
2.FOR QUARTERLY FORM(ex. For First
Quarter)

• Current Users End. Quarter (ex. First Quarter)

Formula: carry over the CU end of the month
data from the last month of the Quarter
(March) for First Quarter
 FAMILY PLANNING
CU Beg. New Other Drop- CU End
Month Mo. Acceptor Accepto outs Mo.
s rs

January 15 6 7 1 29

February 29 add 3 add 4 add 2 37

March 37 8 9 5 44

1st Qtr. Total 15 17 20 8 44

 FAMILY PLANNING
CU Beg. New Other Drop- CU End
Month Mo. Acceptor Accepto outs Mo.
s rs
April 44 2 6 5 53

May 53 add 1 add 3 add 4 54

June 54 3 7 9 53

2ndQtr. Total 44 6 16 18 53
THANK YOU!!!
 March 2010
Sun Mon Tue Wed Thu Fri Sat

  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