” Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

January 19, 2021

"

DEPARTMENT MEMORAN DUM

No. 2021- DhAS

FOR : : ALL DIRECTORS

-
OF CENTERS FOR HEALTH
= DEVELOPMENT; MINISTER OF HEALTH-
BANGSAMORO AUTONOMOUS REGION IN MUSLIM
.

MINDANAO; AND ALL OTHERS CONCERNED

ATTENTION: FIELD HEALTH SERVICES INFORMATION SYSTEM

(FHSIS) COORDINATORS AND PROGRAM MANAGERS
:

SUBJECT : Revisions in the Field Health Services Information System

¢
(FHSIS) Manual of Procedures (MOP) version 2018
'

~The 2018 FHSIS MOP serves as the overall reference in the establishment and
operationalization of the FHSIS at various levels of operations. It aims to summarize,
rationalize and define the indicators to be collected and reported through FHSIS in line with
. the DOH overall health sector monitoring and evaluation framework and outline the process
of collecting, recording and reporting data using the set of FHSIS forms/tools at various levels
of operations. The FHSIS MOP also provides basic guide in the validation, analysis and
. interpretation of data and define the roles and functions of concerned DOH and LGU offices
involved in the management and implementation of the FHSIS.

In line with the continuous improvement of the program, necessary revisions were done
to the MOP in consultation with Disease Prevention and Control Bureau (DPCB) Program
Managers and Regional FHSIS Coordinators. Please be guided by the following revisions:

INDICATOR REVISION ISSUANCE RELEASED

Moderate Acute Inclusion of Intervention Variables for |e DM 2020-0314
Malnutrition (MAM) MAM and SAM including Frequency of (dated July 10, 2020)
and Severe Acute Submission from Annually to Quarterly |e DM 2020-0314 A
Malnutrition (SAM) (See Annex A and B) (dated July 28, 2020)
Modern Contraceptive FHSIS will no longer report mCPR; only ¢ DM 2020-0336
Prevalence Rate the number of current users by method. (dated July 17, 2020)
(mCPR) The mCPR estimates from the Family (See Annex C)
Planning Estimation Tool (FPET) shall
as
.

serve the official report of the DOH.

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila Tank Line 8651-7800 local 1108, 1111, 1112, 1113
Direct Line: 8711-9502; 8711-9503 Fax: 8743-1829 e URL: http://www.doh.gov.ph; e-mail: [email protected]
 x
»

INDICATOR REVISION ISSUANCE RELEASED

Prenatal and Postpartum Formula Denominator: ¢ DPCB Memorandum to
Check-ups e From: Total Population x 2.056 EB dated December 10,
e To: Total Deliveries during the year 2020
(see Annex D)
Proportion of infants Indicator: Proportion of infants exclusively DPCB Memorandum to
exclusively breastfed breastfed until 5% month and 29 days EB dated January 15,
until 6% month 2021
Definition: Refers to the number of infants (see Annex E)
Smonths and 29 days’ old who have been
exclusively breastfed from birth up to 5%
month and 29 days (or 5 month and 1 day
before the child turns 6 months) among the
|

total estimated number of infants with same

age in the population.

Numerator: Total no. of infants aged 5

months and 29 days old who have been
exclusively breastfed from birth until the
month and 1 day before the child turns 6
5
months

The revisions shall take effect immediately. For strict compliance and guidance.

By Authority of the Secretary of Health:

A C. CABOTAJE, MD, MPH, CESO III

ndersecretary of Heal
Public Health Services Team
Annex A’
-
¢
. “

of the Philippines
Republic
Department of Health
OFFICE OF THE SECRETARY

July 10,2020

DEPARTMENT MEMORANDUM
No. 2020- 0314

FOR: ALL DIRECTORS OF CENTERS FOR HEALTH D LOPMENT;

MINISTER OF HEALTH- BANGSAMORO AUTONOMOUS REGION IN
MUSLIM MINDANAO; AND ALLL OTHERS CONCERNED

SUBJECT Revisions in the Recording and Reporting Tools of FHSIS to Incinde

Intervention Variables for Moderate Acute Malnutrition (MAM)
and
Severe Acute Malnutrition (SA

In compliance with Administrative Order No. 2015-0055, National Guidelines on the

Management of Acute Malnutrition for Children Under 5 Years, the Disease Prevention and
Control Bureau (DPCB) and United Nations Children’s Fund (UNICEF) collaborated with
Epidemiology Bureau on the integration of intervention variables for MAM and SAM in the
recording and reporting tools of the FHSIS. This aimed on harmonizing the nutrition indicators
collected through the different data/information health systems.

To ensure uniformity and reliable collection of FHSIS data, the use of standard recording
and reporting tools are necessary.

Relative to this, all concerned reporting units, please be guided by this revision (see
attached).

For strict compliance

By Authority of the Secretary of Health:

A C. CABOTAJE, MD, MPH, CESO III

Undersecretary of Health
Public Health Services Team

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila @ Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line; 711-9502; 711-9503 Fax: 743-1829 @ URL: http://www.doh.gov.ph; e-mail:
to
BHS
1.Proportion of MAM
children age 0-59
a) Refers to the proportion of
MAM or moderately wasted
23)
No.
Numerator:
of MAM children 0-59 months
a) >6D% TJCL-Part 3
Sick
RHUMHC:
Annual
months old children 0-59 months enrolled in SFP Children
enrolled in Supplementary b) >75% C to PACHO:
Feeding Program Denominator: Annual
a) admitted in b) Rafars to the proportion of Total no. of MAM children 0-59 €) 15%
SFP MAM or moderately wasted months identified DOH-CHD:
b) cured children 0-59 mnths cured d} <3% Annual
c} defaulted in Supplementary Feeding b)Numerator:
d) died Program No. of MAM children 0-59 months DOH-CH| CO:
c) Refers ta the proportion of cured in SFP Annual
MAM or moderately wasted
children 0-59 months c)Numerator:
defaulted In Supplementary No. of MAM children 0-59 months
Feeding Program defaulted in SFP
d Refers to the proportion of
MAM or moderately wasted d) Numerator:
children 0-59 months died in No. of MAM children 0-59 months
Supplementary Feeding died in SFP
Program
Denominator b-d :

Total no. of MAM children 0-59

months discharged in SFP

Multiplier: 100
to
2. Proportion of SAM Refers to the proportion of SAM or 100%
a)Numerator: TCL- Part 3 BHS to RHU/MHC:
children without savarely wasted without complication No. of SAM children 0-58 months Sick Apnual
complication age children 6-59 months admitted to without complication admitted in Children
0-59 months old Out-Patient Therapeutic Center oTC RHU/MHC to PICHO:;
(OTC) Annual
a) admitted in Denominator:
oTC Total no. of SAM children 0-59 PICHO to DOH-CHD:
b} cured months identified in ITC Annual
¢) defaulted
d) died b)Numerator: DOH-CHD DOH-CO;
No. of SAM children 0-59 months Anuar
without complication cured in OTC

¢)Numerator:
No. of SAM children 0-59 months
without complication defaulted in
oTC

d) Numerator:
No. of SAM children 0-58 months
without complication died in OTC

Denominator b-d:

Total no. of SAM children 0-59

months discharged in OTC

Multiplier: 100
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old
pg
Birth Barial 1: NHTS (Firat Nan, Madi itil, Laat Nama) (Mor (cea)
(mmitaly) (ready) Number | 2: NonHTS n 8)
(Raceav)
(naunts should ba cacsiiant win
Malemu TCL Livabitrs}

who rmothara TTSTas (or

rontn prior to TTTd to
Tras) gan
(tos mothers
pregnant for
tna first trey
[2
1*
$V
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old ses
xt {Burth broast ma tolowlngimurizaiin isk oe
{om Ot Weight) feeding 1,2 % ond 3% montis od for 2
03.), 25% Da Moher Bech contives bo

exchsiely beeaskiod Wis Y¥ sl ot FEF

Tow: aferbidh ae roknges EOF ben witte (he dake below
lnetingfor (daw)
| B80 Go Oot S=stnied when he cranteas assessed
nomet 90 minates. (a3) W-MAM =wased-

Puli
Bate]

2) taken " taken

dose ‘doss dase dota] dose: dome" dose “mea

SAM
1% ms 2% mes 3%nes 1% mos 2% mos 3% men 15a 2% mom 3% mos

ren
Fewding: farts © monihs od who received 10k, serm-20kd &r 4cft foods & coTplent armas ivocing
Potty Inmuntzad Cid (FC): A cid wha has recebvc abc th fokw ing angers before reaching ona yest ok: 1 080 of BCG
00h or anya, cosas of DPT-HB Hep, 3 doses of OPV, ose of MIR vaceiom aL mons, and § cosa of MIR 12 nhs.
HB
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old page 33
fa}
wh Doss 1 at
50 322s.
de

Emcinzed CHA
1):
ans rues os os cave cid,
A cH wha tus received alo te
st 304

faow og
$0R fonds 0 copa
Rates Defocs Teachog
one
beaten
yo ob dof BOG MLB o yi, 3 doses of LPT. Hog, 3 dos
1 GF
FV, 1 dose of
A wasche 49
2001 esa of IRA 2m,
 Part 2. Target Client List for
Nutrition and Deworming Services for Children
12-59 Months Old (1-4 Years Old) poze 12)
Birth Serial NAS (Fret Name, Mddie nial, (Mor Mother
(mmddyy) |(emiddyy) Number Last hams) F) (ast Noro, First Nar.
Middle tial}

|
dove doses of
fue deworming
wen
a)
Part 2. Target Client for Nutrition and Deworming Services for Children
List
12-59 Months Old (1-4 Years Old) eee 22:

Suns eocures
acter:
rman
WA cums VERA
wa (Coke Gas)
WAN me.
EY

* rooms
 FHSIS REPORT for the year:
Name of Health Facility:
Name of Barangay:
Namo of Municipality/Clty:
Name of Province:
Projected Population of the Year:
For sabaision 10 the next sdainistative level

« -Section:A.Child-Care
Indicators Eligible Population] Male Femate Total Rate Interpretation Recommendations

oz) cay
Ci
co 1) {cok 4) Coib) cots (©?) {Col)
A1. Nutritional Status Assessment of Children 0-59 months old ~~
1. Stunted - Total
2, Wasted - Total
2.2. MAM - Total
2.a.1,MAM-admitted in SFT-Total
2.2.2. MAM-cured in SFP-Total
2.2.3. MAM-defaulted in SFP-Total
2a 4 MAM died in SFP-Total
2.b. SAM - Total
2.5.1 SAM- admitted to OTC-Total
2.b.2.SAM - cured in OTC-Total
2.b.2.5AM-defaulted in OTC-Total
2.b.25AM- died in OTC-Total
3. Overweight and Obese - Total

i
4. Normal - Total
A2: Schook:Based Deworming Se! rvices :

Children and Adolescent given 2 doses

of deworming drug - Total
2.PSAC, 110 4 y.0_- Total
3. SAC, 58 y.0. - Total
4. Adalescents, 10-18 y.o. - Total

91
SUMMARY TABLE FOR BARANGAY FOR
CHILD CARE AND SERVICES
NAME OF BHS/HEALTH CENTER :

NAME OF BARANGAY :

MUNICIPALITY
PROVINCE/CITY
REGION

185
 Population

on
Immediately after birth lasting for at
-Tatal

Initiated and received

tritiated and received

doses of Viamin A200,000 LV. -

Totat

completed MNP supplementaton -

Total
 Indicators

‘compieled MNP supplementation -

mons.

14.25,1 SAM- admitied to OTC-Total

sean Total
cases
‘who recelved ORS - Total
caren
‘who recelved ORS wi oral inc
or. ~Tetal
cases
seen - Total
cases
 198

MONTHLY CONSOLIDATION TABLE FOR

CHILD CARE AND SERVICES

NAME OF RHU / HEALTH CENTER

MUNICIPALITY OF -
PROVINCE / CITY
REGION
 Bray 1 Brgy? Brgy 10 Bray 11 Brgy12] Brgy 13 Brgy 14.
Population

oR
immediately ater bith lasting for at
80 .

bith Iron

kiitiated and received

initiated and received

BF orhas

does of Vitamin A 200,000 LL. -

Total

completed MNP supplementation -

Total
Ey

Definition Formula Target Source of Data Frequency of

indicator
Reporting
a)>90% TCL-Part3 BHS to RHUMHC:
1.Praportion of MAM a) Refers lo the proportion of a) Numerator:
MAM or moderately wasted No. of MAM children 0-59 months Sick Monthly
children age 0-59 Children
enrolled in SFP
months old children 0-59 months enrolled
in Supplementary Feeding b} >75% RHU/MHC
Quarteriyl
to P/CHO:
Program Denominator:
Total no. of MAM children 0-59 <15%
b) Refers to the proportion of
©)
a) admitted in PICHO to DOH-CHI—
SFP MAM or moderately wasted months identified
children 0-59 months cured in d) <3% Quarterly
b) cured
c) defaulted
d) died
Supplementary Feeding
Program
b)Numerator:
No. of MAM children 0-59 months
DOH-CHD
co:
to DOH-
c)} Refers to the proportion of cured in SFP
MAM or moderately wasted
children 0-59 months defaulted c)Numerator:
in Supplementary Feeding No. of MAM children 0-59 months
Program defaulted in SFP
d) Refers to the proportion of
MAM or moderately wasted d) Numerator.
children 0-59 months died in No. of MAM children 0-59 months
Supplementary Feeding died In SFP
Program
Denominator b-d :

Total no. of MAMchildren 0-59

months discharged in SFP

Multiplier: 100
to
NH

Indicator Definition Formula Target Source of Data Frequency of

Reporting
2. Proportion of SAM|
children without
Refers to the proportion of SAM or
severely wasted without complication
a)Numerator:
No. of SAM children 0-59 months
100% TCL-Part 3
Sick
to RHUMHC:
BHS

Monthly
without complication admitted in Children

P/CHO
children 0-59 months admitted to Out-
to
complication age
PICHO:
0-59 months old Patient Therapeutic Center (OTC) oTC RHUMHC
Quarterly
a) admitted in Denominator:
oTC Total no. of SAM children 0-59 DOH-CHD:
b) cured months identified in ITC Quarterly,
c) defaulted
d} died b)Numerator: DOH-CHD to DOH-
No. of SAM children 0-59 months Co:
without complication cured in OTC Quarterly

c)Numerator:
No. of SAM children 0-59 months
without complication defaulted in
OTC

d) Numerator:
No. of SAM children 0-59 months
without complication died in OTC

Denominator b-d:

Total no. of SAM children 0-59

months discharged in OTC

Multiplier; 100
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old (sge 13)
Mothar (CPAB)
Birth Serial 1: NHTS Name, Media Inkia), Last Name)
®)
"A FRA)
(LN.
Numbor 2: Non-NHTS (Pca av)
(counts $noukd 58 conpiatom wan
M atomaI TCL, Livabians)

the mothor a SITdS (or

month prior to TT/Td1 to
dobvary oven
(tor mothom tothe mother
pregnent for prior to
tho fisttem detvery
(on) (©)

°
3
[2
3°
1°
37
[2*
1%
fot

Felly
at
Go)

Enmnioed
Part 1. Target Client List for Immunization and Nutrition Services for Infants

(rh
weight)

nom

Feading:
Chi
Age 0-11 Months Old and Children Age 12 months old rae 23

breast
feeding

after

(90

fioets
bith
Ustingfor
mines
{este}

8
(RC): A chidwhohas
(dat)

rth ok receiv
BED
date}

who received
of of
$0kd,

fe
en
dato & date|
taken taken

sent sok
okowing
or
angen
0) Sasunkd
W-MAM = wasled-

W.SAN =
MAM

SHH
0=cbesel

oi foods so coplenren
wasted

beeastesding
before reaching one year ot 1 dose of BCG
dose
1%mos
dose]
2% mos

a bith or anime, 3 doses of DFT-HB

dose
3% mos
dose
13%mos

HepB, 3 doses of
dasa]
2% mos

OFY, 1
dose
3%mos

dose of MWR
dose
§% mos

vaccine
dose
2% mos

0
dose
3% mos

months, and 1
[3

dost of MVR at s2
During

mons,
the
at 1%,
1103.),
flow og
2% and
ask the mother
be exclusively breastfed
Nitro lorger
when the

2
EBF
brmunzation visks of the
3% months oid {or at
he
Write
cortiues to
chid
Yi SI EF
thewiite the date
Hanlwas assessed

mos.|
&
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old ees
C1 months
fete)

morta $= suned
fort 0) = skid (nd (Q)

date date WAM = Scrte Ackets WMAM=wasied

taken
+
tin ake Lal
W-SAM = wasted
WAN =
SH
0=cbesel

lets 6 mths of who eceled 15k, senbseidof sof foods bo

carpeted bressteediy
Fully immunized CHAM (FC):chk whoa receied 2of he fol pares bef eachog on year of:18 of BCS aL
hor re, Sse of CPTHB
Heph doses of OF, ost of MWR vacche at
1

0d 1 Gost of WARE 1200s.

(2:
Part 2. Target Client List for Nutrition and Deworming Services for Children
12-59 Months Old {1-4 Years Old) page 1/2
Birth Serial 4:AHTS (First Narre, Kiddo tial (Mor Mother Holght a)
Number No-NHIS Last Narn) A (LastName, First Nome, (em
(middtyy)
Midis ia)

dose doses of
ene doworming
oven)
drug
ay)
Part 2. Target Client List for Nutrition and Deworming Services for Children
12-59 Months Old (1-4 Years Old) wage 212)

|
dons

wt
dose

od
'
|
soseact
 |

SUMMARY TABLE FOR BARANGAY FOR

CHILD CARE AND SERVICES
NAME OF BHS/HEALTH CENTER :

NAME OF BARANGAY
MUNICIPALITY
PROVINCE/CITY
REGION

195
 Indicators
Population

months) - Total

on
Immediatoly ater birth lasting for at
(past 90 minutes Total

sir iron
exusively

Initiated and recaived

Iniiated and received

buthas
51

doses of Vitamin A 200,000 LU. «

Total

completed MNP supplementation -

Total
 Indicators

completed MNP supplementation -

Total
mons

14.2.b.1 SAM- admiltad to OTC-Total:

A- Total

seen - Total
cases
who received ORS - Total
cases
who received ORS w/ ocal ne
or: = Total

cases
seen - Total
cases
oud
 198

MONTHLY CONSOLIDATION TABLE FOR

CHILD CARE AND SERVICES

NAME OF RHU / HEALTH CENTER

MUNICIPALITY OF
PROVINCE / CITY
REGION
 Eiglblo Bray 1 BroyZ Braye Bray? Brgy 8 Brgy$ Brgy 10 Brgy 11 Brgy 12 Bray 13 Bray14 Brgy 15 Brgyn
Indicators
Population
5

months

on
Immediately ater birth lasting for at
least 20 minutes - Total

bidh

Initiated and recelved

inibated and received

buthes BForhes

doses af Vitamin A200,000 LU. -

Total

completed MNP supplementation -

Total
 Indicators
Hligile Bray1 Brgy2 Brgy 5 Bray® Bray? Bray Brgy 10 Brgy 1 Brgy 14] Brgy 15 Brgyn
Population

completed MNP supplementatian -

Total

14.2.1 SAM- admitted to OTC-Total

sean -
mos. ~
mos. -

A-Total

seen - Total
A cases
who recalved ORS - Total
cases
who receivad CRS w/ oral zinc
or: - Total
cases
seen - Total
cases
old
 of Barangay:
of BHS:
of Munlcipaltyity:
of Province:
Population of the Year:

longes
2
mos. old
wih continued

Bat

PSAC, 1-4

Sle Chidren
00
mos,

yo

12:49
of
Given

mos,
1

dewormed (2
to

never

pid
complementary

boen

oses)

seen
- Total

breastfed -

- Total

- Total
Total
FHSIS REPORT for the
Name of Municlpallty/City:
Name of Province:
Projected Population of the Year:
For mibenlstan to PHOXCHO
ueNuL
(a 100}
0g 0) SUONIY
suonepueuRLGIRY le 9)
ubpimosd ou
 16 Bray 2] Brgy 13 Brgy 14 Begy 15.
Indicators

completed MNP supplementation -

Total

14.25.9 SAM- admitted to OTC-Total

seen -Total
’ mses
who received ORS - Toa!
cases
who received ORS w! oral Znc
or =Total
cases
seen - Total
3 cases
old
 Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

Tuly 28,2020

DEPARTMENT MEMORANDUM
No.2020-_0314-A

FOR: ALL DIRECTORS OF CENTERS FOR HEALTH DEVELOPMENT;

MINISTER OF HEALTH- BANGSAMORO AUTONOMOUS REGION IN
MUSLIM MINDANAO; AND ALL OTHERS CONCERNED

SUBJECT Amendment to Department Memorandum No. 2020-0314 dated July 10,

2020 entitled “Revisions in the Recording and Reporting Tools of FHSIS
to Include Intervention Variables for Moderate Acute Malnutrition (MAM)
and Severe Acute Malnutrition (SAM)”

The Department Memorandum No. 2020- 0314 entitled “Revisions in the Recording and
Reporting Tools of FHSIS to Include Intervention Variables for Moderate Acute Malnutrition
(MAM) and Severe Acute Malnutrition (SAM)” is hereby amended to reflect the following
changes:

1) Frequency of Submission

From To

From: BHS to RHU/MHC: From: BHS to RHU/MHC:

Annually Monthly
RHU/MHC to P/CHO: RHU/MHC to P/CHO:
Annually Quarterly
P/CHO to DOH-RO: P/CHO to DOH-RO:
Annually Quarterly
DOH-RO to DOH-CO: DOH-RO to DOH-CO:
Annually Quarterly

2) Data collection of MAM and SAM Intervention Variables will commence on January 1, 2021.

By Authority of the Secretary of Health:

<
A C. CABOTAJE, MD, MPH, CESO III
Undersecretary of Heal
Public Health Services Team

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila @ Trunk Line 651-7800 local 1108, 1111, 1112, 1113
*
Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: [email protected]
to
a

Indicator Definition Formula Target Source of Data Frequency of

DOH-
Reporting
1.Proportion of MAM a) Refers to the proportion of a) Numerator: a)>90% |[TCL-Part3 BHS to RHU/MHC:
children age 0-59 MAM or moderately wasted No. of MAM children 0-59 months Sick Monthly
months old children 0-59 months enrolled enrolled in SFP Children
in Supplementary Feeding b) >75% RHU/MHC to P/ICHO:
Program Denominator: Quarterly
a) admitted In b) Refers to the proportion of Total no. of MAM children 0-59 ¢} <15%
SFP
b) cured
MAM or moderately wasted
children 0-59 months cured in
months identified
d) <3%
BICHO to
Quarterly
DOK-CHE
|
c) defautted Supplementary Feeding b)Numerator:
d) died Program No. of MAM children 0-59 months DOH-CHD
¢) Refers to the proportion of cured in SFP co:
MAM or moderately wasted Quarterly
children 0-59 months defaulted ¢c)Numerator:
in Supplementary Feeding No. of MAM children 0-59 months
Program defaulted in SFP
d} Refers to the proportion of
MAM or moderately wasted d) Numerator:
children 0-59 months died in No. of MAM children 0-59 months
Supplementary Feeding died in SFP
Program
Denominator b-d :

Total no. of MAM children 0-59

months discharged in SFP

Multiplier: 100
SH

Indicator Definition Formula Target Source of Data Frequency of

Reporting
2. Proportion of SAM! Refers to the proportion of SAM or a)Numerator: 100% TCL- Part 3 BHS to RHU/MHC:
children without severely wasted without complication No. of SAM children 0-59 months Sick Monthly
complication age children 0-59 months admitted to Out- without complication admitted In Children
0-59 months old Patient Therapeutic Center (OTC) oTC RHU/MHC to P/ICHO:
Quarterly
a) admitted in Denominator:
oTC Total no. of SAM children 0-58 PICHO to DOH-CHD:
b} cured months identified in ITC Quarterly
©) defaulted
d} died b)Numerator: DOH-CHD to BOH-
No. of SAM children 0-59 months co:
without complication cured in OTC Quarterly

c)Numeratar:
No. of SAM children 0-59 months
without complication defaulted in
otc
d) Numerator:
No. of SAM children 0-59 months
without complication died in OTC

Denominator b-d:

Total no. of SAM children 0-59

months discharged in OTC

Multiplier: 100
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old see 12
Birth Serial 1: (Firat Name, Middle knklat, Last Name) (Mor {CPAB}
Registration 00078
(mmddyy) tmeoiddiyy) Number | 2: Non-NHTS 8)
(Paco av)
(countsshou boconautent wah
Watomal TCL Uvabitha)

®
tothomathar a TTE/TAS
(or
month prior to TrI/Td1 10
dolvary
(tox erothars
pregnant for
the frst timo
(98)
[2
3"
1"
1%
date|
Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old (ps2
day

at! {Birth breast gheniron "During the follow Ing invunization visits of te
{vite the date) 21%, 2% and 3 ¥ months od {or &
fomy OQ) Weight} feeding
mos.), ask the moder § the chid continues lo
ba exclusively breastfed. Wht YI StI EEF
Tow: afterbith
lasting for (ét) BBD [montis {em 02) §=stunied 1 ro longer E67
whenthe
Tea wile the date
Wfortwes assessed.
nomet S0mimatas (eae) 8 date] W-MAM=wasked-
|
taken taken MM
(azn)
| doss| dase dose 3 mos.
1
dose dosa) dos dose Gosa
W.SAM =vased-
SAM
1% mos 2% mos 3% mos 1% mos 2% mos 3% 0s 1% mos 23% mos 3% ros

0=obese/

ghen
Feeding: vents 8 months okd who received sold, sens01d or soft food to canplement breastfeeding
2 mons.
Fully renunizot CHK (FIC): A chido has receivedlo the folowing tigens before reaching ono
aro 1
oss of BOS bith o nym, 3 oses of DPTHB- HB 3 doses of OPV, 1 dose of #hR vaccine al Grerdhs, and done of MARat
 Part 1. Target Client List for Immunization and Nutrition Services for Infants
Age 0-11 Months Old and Children Age 12 months old eee32)
te)
Breastiod" Dose2at| (da)

is
Coraplementary Feeding]
stmonths od 50 achets 12n
moths morth

on Jie

{em (ky |= shed

ate |B. Wake
bebw whea
taken tran
WSAM= teeta
ws
Orcbesyt Sed

Terapautic cetar
frts 8 pris ow oreceived oid, sembsoido soft foods ko corplesentbveasteedng
Fully mune CRA (RC): A chk rh has receive al cf he okwio ages befor reaching one yer ot 1 dase ot BOX L bit anytime, 3 doses of CPTHB HepB, doses of FY, 1 dose of INRvaccoe al
01 Gssa of MARR
12s.
 Part 2. Target Client List for Nutrition and Deworming Services for Children
12-59 Months Old (1-4 Years Old) page 12)
Bith Serfal 1:NTS (Festham, Mddie hbist Mor Mother Height (0)
(reidlyy) | (meoiddtyy) Number Last Narra) fn (Lest Ma, First pars, tom
Middle hitiaD

given) dose |doss doas dose doses of

dors
woo (ome
ven) oven)

0)
Part 2. Target Client List for Nutrition and Deworming Services for Children
12-59 Months Old {1-4 Years Old) wsze 2121
SUMMARY TABLE FOR BARANGAY FOR
CHILD CARE AND SERVICES
NAME OF BHS/HEALTH CENTER :
-
NAME OF BARANGAY
MUNICIPALITY
PROVINCE/CITY
REGION

195
 Indicators

oh
Immediataly ater birth lasting for at
least 90 minutes - Yota!

birth iron

month -

initated and received

infliated and recaived

has BForhas

doses of Vitamin A200,000 LU. -

Total

completed MNP supplomentation -

Total
 indicators

completed MNP supplementation -

Total
mons

14,2b.1 SAM- admitiad to OTC-Total

seen - Total
5 cases
who received ORS - Total
cases
who received ORS w/aral Zinc
or: =Total
casas
seen - Tota)

old
ses
 198

MONTHLY CONSOLIDATION TABLE FOR

CHILD CARE AND SERVICES

NAME OF RHU / HEALTH CENTER

MUNICIPALITY OF
PROVINCE / CITY
REGION
 Brgy 4 Bigys Bray Bray? Brgy 10 Brgy 11 Brgy12 Brgy 13 Brgy 14 Bray 15 Brayn

on
immediataly afar bisth lasting for at
least90 minutes - Total

bith iron
Infants.

Initiated end received

Initiated and received

buthas BF orhes

"

doses of tamin A200,000 LU. -

Total
11
completed MNP supplementation -
Total
 Indicators
Brgy | Brgy2 Brgy3 13] Bray Brgy 15 Brgyn
Population

completed ANP supplementation -

Tota

14,251 SAM- admitted to OTC-Total

seen -Total
cases
‘who received ORS - Total
cases
who recelvad ORS w/ oral zinc
ar: - Total
casas
sean - Total
3. cases
old
id
0-5
of Barangay:
of BHS:
of Munlcipatity/City:
ot Province:

longer
Population of the Year:

Infaris mos.
continued
mas.
but no of never been breastied - Tote!
mos,

5 PSAC, 1-4 yio Cewormed (2 doses)

- Totet

cases 0-59 mos,

Sik Chidren 12:50 moa, ld seen - Total
mos. Poeumonia cases 0-59 mas. old seen - Totat
A- Total
Cases mos, compeied
 FHSIS REPORT for
the
Name of Municipality/Clty:
Name of Province:
Projected Population of the Year:

C1: Immunization Servicesfor Newboms; infants and Sclisol:Aged

1. CPAB - Total
2. BCG - Total
3, HepB, within 24 hovrs - Total
4. DPT-HiB-HepB 1 - Total
5. DPT-FiB-HepB 2 - Total
HepB
6. DPT-£48 3- Total
7. OPV 1. Total
68. OPV
2. Total
9. OPV 3 - Total
50. PV - Total
11. PCV 1 - Total
12. POV 2- Total
11. PCV 3 - Total
14. MCV 1 - Total
15. MCV 2- Total
16. FIC - Total
17. CIC - Total
 Recommendations
Interpretation Actlons to be Taken
.
(Col. {Cot 8)
 Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
July 17, 2020

DEPARTMENT MEMORANDUM
No. 2020 - 033
TO ALL UNDERSECRETARIES AND ASSISTANT
SECRETARIES: DIRECTORS OF BUREAUS AND
CENTERS FOR HEALTH DEVELOPMENT; MINISTER
OF HEALTH-BANGSAMORO AUTONOMOUS REGION
IN MUSLIM__MINDANAO, AND ALL OTHERS
CONCERNED

ATTENTION: REGIONAL FAMILY PLANNING (FP) PROGRAM

COORDINATORS AND EPIDEMIOLOGY AND
SURVEILLANCE UNIT

SUBJECT : Adoption of the Family Planning Estimation Tool (FPET) to

Produce the Annual Estimate of Modern Contraceptive
Prevalence Rate (mCPR) for National and Regional Level

Modem Contraceptive Prevalence Rate (mCPR)! is among the key indicators

monitored regularly by various monitoring and evaluation systems such as the National
Objectives for Health of the Department of Health (DOH), Philippine Development Plan of the
National Economic and Development Authority (NEDA), and LGU Health Scorecards, among
others.
This indicator
and Health
is
usually sourced from large population-based surveys like the National
Survey (NDHS) which is conducted only every five years. To provide
Demographic
us with annual mCPR data needed for program monitoring and planning, the Epidemiology
Bureau (EB) calculates mCPR through the Field Health Services Information System (FHSIS).
However, the mCPR generated from the FHSIS
(FP) service utilization provided by public health facilities.
is
not a true prevalence but family planning
In particular, some of the identified
challenges in
using the FHSIS data as a “stand alone” source for mCPR are the following:
1. Reporting coverage is
mostly from the public sector which excludes those FP use
obtained through the private sector (e.g. out of pocket payment of short acting
methods) and excludes those methods that do not require FP supplies (e.g.
sterilization methods for male and female, fertility-based awareness, etc.);

2. Challenges in the data quality due to a number of factors such as:

increased workload pressure of health service providers;
op
various indicators to monitor other than mCPR;
tedious monitoring forms; and
risk of double counting of users who enter the service delivery system at one
aoe

point in time.

1
mCPR is the percentage of women of reproductive age who are using (or whose partner is using) a modern contraceptive
method at a particular point in time.

Building 1, San Lazaro Compound, Rizal Ave., Sta. Cruz, 1003 Manila ¢ ‘Trunk Line 651-7800 local 1113, 1108, 1135
Direct Line: 711-9501; Telefax: (632) 7326659¢ URL: http://www.doh.gov.ph; e-mail: [email protected]
 To produce a more accurate annual mCPR estimate at the national and regional levels,
the National Family Planning Program shall adopt the Family Planning Estimation Tool
(FPET). FPET is a web application that is a country-specific adaptation of the statistical model
used by the United Nations Population Division and the FP2020 Global Initiative wherein the
Philippines is a member since 2012.
FPET
is a Bayesian, hierarchical model that fits logistic growth curves to historical data
in order to determine the long-term trend and adds a time series model with autocorrelation to
capture the deviations around the long-term trend. The model runs multiple estimates to
determine the best fits of data from all available national surveys (ex. Philippines Fertility
Survey in 1978 to the latest NDHS in 2017 as of this writing) while considering regional and
global trends. As a result, the median estimate (best fits) for mCPR, unmet need and demand
.
satisfied are obtained along with the uncertainty around the estimates. .. -

FPET works with data from service statistics (e.g. FHSIS) by converting this into an
Estimate of Modern Use (EMU) — a proxy value for mCPR. EMU allows adjustments for
private sector not reporting in the FHSIS, and for historical users and continuing users of long-
acting and permanent methods. The trend of the EMU is then compared with trends from
surveys and modelled estimates to enable the evaluation of service statistics data, whether its
signals are reliable.
As such, the mCPR estimates from the FPET shall serve as the official report of the
DOH to other concerned government agencies and in monitoring and evaluating the progress
of the FP program. Furthermore, the Epidemiology Bureau shall no longer report mCPR
through the FHSIS. Other indicators for FP such as Current Users, New Acceptors, Other
Acceptors, Drop-outs by method, are not affected by this issuance and shall remain in effect.
A series of online orientations on the FPET is currently being undertaken with the FP
Coordinators of the CHDs. FPET can be accessed through the link: http:/fpet.track20.org
Should there be any inquiry or a need for clarification, please contact Dr. Jan Aura
Laurelle Llevado, Manager of the National Family Planning Program through email:
[email protected] or telephone no. (02) 651 7800 local nos. 1726-1729.
For strict compliance and guidance.

By Authority of the Secretary of Health:

LE
A C. CABOT. , MD, MPH, CESO III
Undersecretary of Health
Public Health Services Team
 of the Philippines
Republic
Department of Health
OFFICE OF THE SECRETARY

December 10, 2020

MEMORANDUM

FOR: RODOLFO M. ALBORNOZ, MD, MPH, MDM, CESE

OIC-Director IV
Epidemiology Bureau

eV !
FROM: NAPOLEON L. AREVALO, MD, MPH, CESO IV
Director IV
Disease Prevention and Control Bureau

Request to Change the Denominator of

Maternal Health Services
SUBJECT: and Postnatal
Utilization indicators for Antenatal Care (ANC)
Care (PNC

25, 2020 regarding changing the

This is in reference to our meeting on November
FHSIS. As agreed during the meeting, there
denominator for ANC and PNC indicators in the
consistent with the World Health Organization
is a need to change the denominator to be
global definition.
for your appropriate action:
The following are the recommended changes

FROM TO
INDICATORS
ANC Numerator: Numerator:
Number of pregnant women Number of pregnant women
10-14 years old 10-14 years old
15-19 years old 15-19 years old
old with at least 4
20-49 years old with at least 4120-49 years
prenatal check ups prenatal check ups

Denominator: Denominator:
Total Population X 2.056 Total delivery during the year
Numerator: Numerator:
PNC
Number of pregnant women Number of pregnant women
10-14 years old 10-14 years old
15-19 years old 15-19 years old
20-49 years old with at least 4 20-49 years old with at least 2
prenatal check ups postnatal check ups

Denominator: Denominator:
Total Population X 2.056 Total delivery during the year

local 1108, 1111,1112,1113

Sta. Cruz, 1003 Manila e Trunk Line 651-7800
Building 1, San Lazaro Compound, Rizal Avenue, & URL: hutp://www doh.gov.ph;
e-mail: [email protected]
711-9503 Fax: 243-1829
Direct Line: 711-9502;
Please note that we will retain disaggregation by age group of 10-14 years old, 15-19 years
and
old, and 20-49 years old. Attached also as an Annex A the matrix comparing the FHSIS
WHO definition for your reference.

For queries/concerns, you may contact Ms. Zenaida Dy Recidoro, Program Manager of
the
National Safe Motherhood Program through email: [email protected] and telephone
no. 651-7800 loc.1726 and 1727.

Thank you.
 -
Republic of the Philippines.
.
Department of Health: :

OFFICE OF THE SECRETARY

January 15, 2021

.. MEMORANDUM
FOR: RODOLFO M. ALBORNOZ,
- MD, ‘MPH, ‘MDM CESE
Ts OIC — Director [V
; Epidemiology Bureau

FROM: FAITHF. ALBERTO, MD

Director I11
Disease Prevention and Control Bureau

SUBJECT: Revisions in_the Field Health Services Information System

(FHSIS) Manual of Procedures (MOP) version 2018

Respectfully requesting for the revision of the for the ‘Child

Care indicator on the
* Proportion of Infants Exclusively Breastfed:

From To
Proportion
exclusively
of infants
breastfed until 6th
Proportion of infants
exclusively
breastfed until 5th month and 29
month days (or 5 months and 1 day
before the child turns 6 months)

We
. pose no objection with regard to the revised reporting frequency for Severe Acute
Malnutrition (MAM) and Moderate Acute Malnutrition (MAM)

.
This has also been discussed during our virtual meeting last December 1, 2020. For
“any clarification please do not hesitate to contact Ms, Luz T: agunicar the Children’s Health
"Development Division at telephone number (02) 651-7800 local 1726- 1729, or at email
of
“address doh.chdd@gmail .com.

Thank you.

“Building 1, San Lazaro Compound, Riza! Avenue, Sta, Cruz. 1003 Manila ® Trank Line 651- 7800 local
1113, 1108,
1133 Direct Line: 711-9502; 711-9503 Fax: 743-1829 & URL:
hep/fwww.doh.gov.ph; e-mail: fiduguedoh. gov.ph