REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF HEALTH
Western Visayas Center for Health Development
CHAPTER 4
Recording, Consolidation and
Reporting of Family Health Care MICHAEL JOHN P. SABIDO
Statistician II, RESU/FHSIS Cluster
and Services
SUBCHAPTERS

Chapter 4.1 Family Planning Services

Chapter 4.2 Maternal Care and Services
Chapter 4.3 Child Care and Services
Chapter 4.4 Oral Health Care and Services
Chapter 4.1
Family Planning Services
Family Planning Services
RPRH Law
- Responsible Parenthood and Reproductive Health Act of
2012
Executive Order No. 12
- Issued January 9, 2017
- Required the monitoring and reporting on the status of RPRH’s
implementation
Administrative Order No. 2017-0005
- Achievement of Desired Family Size through Accelerated and
Sustained Reduction in Unmet Need for Modern FP Methods
Unmet Need for Modern Family Planning
Unmet Need for MFP refers to couples and individuals
who are fecund and sexually active, and report not wanting
any more children or wanting to delay the next pregnancy
but are not using any modern method of contraception.
This also includes couples and individuals who expressed
their desire to shift from traditional method to modern FP
method.
Expansion of Family Planning Indicators
1. New Indicators to be Monitored through the FHSIS
•Proportion of Women of Reproductive Age (WRA) with Unmet Need
for modern FP method
2. Disaggregation of FP Service coverage into 10 to 14 years old,
15 to 19 years old, and 20 to 49 years old.
•This is to allow analysis of adolescent health covering 10-14 & 15-
19 years old. It is expected that there may be adolescents 10-14 years
old who would need FP services and must be recorded and reported.
3. The 2018 FHSIS MOP provides specific Guidelines for special FP
clients and special circumstances
4. The guidelines in recording, collection and reporting of FP service

coverage in hospitals
Family Planning Indicators

Proportion of Women of Reproductive Age with Unmet

1
Need for modern FP (MFP)
Proportion of WRA using any modern FP Contraceptive
2
Method (mCPR)
3 No. of New Acceptors
4 No. of Current Users
5 No. of Drop-outs
 Indicator Definition Formula
1. Proportion of Refers to the number of women of A. Total No. of adolescent women 10-
Women of reproductive age 15-49 years old who are 14 years old with unmet need (UN) for
Reproductive fecund and sexually active but are not modern FP and traditional user (TU)
Age with Unmet using any modern method of (counts only)
Need for modern contraception. WRA with unmet need for
FP (MFP) MFP includes the following: B. Numerator:
Total No. of WRA 15-49 years old with
Disaggregation: (1) WRA who decides to limit (who no unmet need (UN) for modern FP and
By age group longer wants to have another child) or traditional user (TU)
- 10-14 y/o space (who wants to have another
- 15-19 y/o child later) their children but are not Denominator:
- 20-49 y/o using any modern FP method but Population for WRA (Females aged 15-
expressed their desire to use modern 49 y/o)
FP method  
(2) WRA using traditional FP method Multiplier: 100
(rhythm method, calendar method, Target: <5.0%
withdrawal method, herbal) who
expressed their desire to shift to Data for this indicator should be
modern FP method cumulative
Sample scenarios
Client Scenario

a traditional FP method user who expressed no desire of shifting to modern

Client A
methods after several FP education & counseling
a traditional FP method user who is still undecided to shift to modern FP
Client B
methods despite three attempts of FP education & counseling
a woman who wants to delay (space) her pregnancy and is not using any
Client C contraception but expressed no desire (or still undecided) to use modern FP
methods even after many attempts of information giving
a woman who no longer wanted additional children (limiting) and is not using
Client D any contraception but expressed no desire (or still undecided) to use modern FP
methods after several attempts of information giving
a post-partum woman who has no expressed desire (or still undecided) to
Client E
accept modern FP methods even after several FP education and counseling
 Indicator Definition Formula

2. Proportion of Refers to the number of adolescent women 10-14 A. No. of adolescent women 10-
WRA using any years old and women of reproductive age 15-49 14 years old who are using (or
modern FP years old who are using or whose partner is using whose partner is using a modern
Contraceptive any modern FP method at a given point in time. FP method at a given point in
Method (mCPR)   time (counts only)
  Modern FP Method: include the following:
Disaggregation: 1. Bilateral Tubal Ligation (BTL) or Female B. Numerator:
By age group Sterilization/ BTL No. of WRA 15-49 years old who
- 10-14 y/o 2. Male Sterilization/ Vasectomy are using (or whose partner is
- 15-19 y/o 3. Condom using a modern FP method at a
- 20-49 y/o 4. Intrauterine devices(IUD) given point in time
4.1. IUD-interval
4.2 IUD-post partum Denominator:
5. Oral pills Population for WRA
5.1. Progestin-Only Pill (POP) (Females aged 15-49 y/o)
5.2 Combined Oral Contraceptive (COC)
6. Injectables Multiplier: 100
7. Implants Target: 27% (2019), 28% (2020),
29% (2021), 30% (2022)
 Indicator Definition Formula
2. Proportion of 8. NFP Methods A. No. of adolescent women 10-
WRA using any 8.1. Cervical Mucus Method (CCM) 14 years old who are using (or
modern FP 8.2. Basal Body Temperature (BBT) whose partner is using a
Contraceptive 8.3. Symptothermal Method (STM) modern FP method at a given
Method (mCPR) 8.4. Standard Days Method (SDM) point in time (counts only)
  8.5. Lactational Amenorrhea Method (LAM)
Disaggregation:   B. Numerator:
By age group Women of Reproductive Age (WRA): refers to all No. of WRA 15-49 years old
- 10-14 y/o women aged 15-49 years old who are using (or whose
- 15-19 y/o partner is using a modern FP
- 20-49 y/o Eligible Population: Refers to WRA who are at risk method at a given point in time
of getting pregnant
Denominator:
a.) sexually active (women who have had sexual Population for WRA
intercourse within 30 days preceding the (Females aged 15-49 y/o)
consultation.-NDHS), b.) fecund, c.) fertile
and excludes those women who have undergone: Multiplier: 100
Target: 27% (2019), 28%
a.) hysterectomy, b.) bilateral salpingo (2020), 29% (2021), 30%
oophorectomy (2022)
 Indicator Definition Formula

3. No. of New Acceptors New Acceptor (NA) refers to the ff: Sum of all WRA who are new
acceptors of FP method
Disaggregation: - client using a contraceptive method
By type of MFP for the first time or has never Target: NA
By age group accepted any Modern Family
- 10-14 y/o Planning Method
- 15-19 y/o
- 20-49 y/o OR

- client using FP method but was never

recorded or has never consulted in
any health facility
 Indicator Definition Formula
4. No. of Current Users Current Users (CU): Refers to FP Formula for CU at End of Month/
clients who are presently using any FP Quarter
Disaggregation: method. These are FP clients who have = CU of previous
By type of MFP been carried over from the previous month
By age group months after deducting the drop-outs of + New Acceptor of
- 10-14 y/o current month and adding the new previous month
- 15-19 y/o acceptors of the previous month and + Other acceptors
- 20-49 y/o adding the Other Acceptors of the of present month
current month. - Drop-out of
present month
∙ Re-starter (RS)
∙ Changing Method (CM)
∙ Changing Clinic (CC)
Target: NA

Note: To avoid duplication of data, women who underwent BTL in hospitals or whose partners underwent NSV
in hospitals should only be reported by the hospital who performed the procedure. In the event that the
ligated/vasectomized patient visits the BHS/RHU for any complaints, they shall not be reported by the
BHS/RHU as OA-Changing Clinic. Only those who received temporary MFP methods in hospitals yet
followed-up in BHS/RHU can be reported as OA Changing Clinic.
 Indicator Definition Formula

5. No. of Drop-outs Drop-outs refers to client who fails to return for Sum of all FP users who
the next service date or had other conditions dropped out
Disaggregation: (e.g. Bilateral Salpingo-Oophorectomy,
By type of MFP Hysterectomy), she is considered a dropout.
By age group The service provider should conduct Target: NA
- 10-14 y/o validation prior to dropping out of the client.
- 15-19 y/o  
- 20-49 y/o Note:
Pregnant women are considered drop-out.
Note: Recommended only for those who do not have their masterlist to
identify WRA with unmet need for Modern Family Planning.
Note: Recommended only for those who do not have their masterlist to
identify WRA with unmet need for Modern Family Planning.
 NA or
CU
CU-CM
CU-CC
CU-RS

Public
or
private
health
facility
Column 5: Indicate the age of the
client as of her last
birthday/date of birth
NOTE:

For clients who are changing methods/changing clinic, they should be recorded as a
DROP-OUT from their previous method and indicate the reason as “CHANGING
METHOD/CHANGING CLINIC”. The client is still categorized as CURRENT USER.
Column 12: REMARKS/ACTIONS TAKEN. Indicate in this column the date and reason for every referral MADE to other
clinic and referral RECEIVED from other clinic which can be due to medical complications or unavailable family planning
services and other pertinent findings significant to client care.
Dropout Definitions (per method)
Dropout Definitions (per method)
Dropout Definitions (per method)
Dropout Definitions (per method)
Dropout Definitions (per method)
Dropout Definitions (per method)
Dropout Definitions (per method)
Guidelines in Recording and
Reporting Special FP Clients
Recording and Reporting Special FP Clients
Recording and Reporting Special FP Clients
Recording and Reporting Special FP Clients
Recording and Reporting Special FP Clients
Recording and Reporting Special FP Clients
Recording and Reporting Special FP Clients
Recording and Reporting Special FP Clients
Summary Table
Summary Table
Summary Table
Summary Table
Summary Table
MCT
M1

A1

A2
Q1
Calculation of FP Current Users
Calculation of FP Current Users (M1)

Calculate the CU-End for February…

29
6
4
2
37
Calculation of FP Current Users (Q1)

=
Family Planning Performance
Reporting in the Hospital
Recording of FP Services in the Hospital
Hospital FP Client Record (HFPCR) - Patterned after the FHSIS FP-TCL. The HFPCR serves
many uses. First, it helps the FP Point Person or the FP service provider to record, plan, &
provide patient care and FP services (including FP counseling provided to patients).

The HFPCR will allow the FP Point Person/Team to systematically organize, plan and
document FP service performance monthly, quarterly and annually. It serves as the source
document for the official FHSIS reports that need to be submitted by the hospital.

Given the new role of the hospitals in FP service provision, the HFPCR is expected to
facilitate the monitoring and supervision of FP service delivery activities in the hospitals &
to accurately report services delivered in the hospitals or during mobile outreach service
provision.
Important Considerations in FP Reporting
Important Considerations in FP Reporting
Important Considerations in FP Reporting
RM No. 2021-164
Regional Guidelines for the
Inclusion of Family Planning
Service Coverage in Hospitals
in the Regional Family
Planning Services Program
Accomplishments
Rationale
• EO No. 352, s.1996 (FHSIS)
• EO No. 12, s.2017 (Zero Unmet
Need for Modern FP through RPRH)
• Strengthen the Provision of FP
services in all Public & Private
Hospitals
• Inclusion of FP in Hospitals in the
FHSIS MOP version 2018
Objectives
1. To include FP Service Coverage in Hospitals to the overall
Regional Family Planning Services Program Accomplishments

2. To guide the hospitals and infirmaries on the flow of reporting

3. To guide the LGUs on how to include hospital & infirmary

accomplishments and monitor their complete and timely
submission of reports using the Form 1 (https://bit.ly/Form1RHU)
Implementing Guidelines
1. FP Current Users (CU) adjustment of Health Facilities
(RHUs/CHOs) to include FP accomplishments of Hospitals &
Infirmaries within their catchment areas.

2. Provincial FP Coordinator shall ensure Family Planning Hospital

Point Persons were informed and oriented on the flow of reporting
of their FP accomplishments in Hospitals & Infirmaries.

3. Provincial & Municipal FHSIS Coordinators shall ensure

inclusion of all Government Hospitals and Infirmaries’ FP
accomplishments.
Implementing Guidelines
4. Hospitals/Infirmaries shall submit a Monthly Form 1 (M1) using the
M1 Hospital template (https://bit.ly/M1Hospital) to the RHUs/CHOs
(see Annex A).
5. Hospitals/Infirmaries will be treated as separate FP Service
Delivery Point and will be included in the Monthly Consolidation
Table (MCT) of the RHUs/CHOs as a separate Health Facility.
6. Timelines of Submission:
M1 (excel template) – Monday of the 1st week of the succeeding month
Q1 (signed by Hospital FP Point Person) – Monday of the 1st week of the
succeeding quarter
Implementing Guidelines
7. RHUs/CHOs to conduct periodic Data Validation activities to
include all BHS, Hospitals and Infirmaries within the catchment
area.
8. RHUs/CHOs shall monitor report submission of the BHS, Hospitals
and Infirmaries based on completeness and timeliness of reporting
using Form 1 (https://bit.ly/Form1RHU) as stipulated in the
Regional Memorandum No. 2021-48 (https://RM2021-48).
Reminder
The guidelines in RM 2021-164 shall work in conjunction with the
existing guidelines for Family Planning Performance Reporting in the
Hospitals stipulated in the FHSIS MOP ver. 2018 (see pages 79-88).
M1 (Hospitals)
Thank You!