Republic of the Philippines

Department of Health
REGIONAL OFFICE 1
Nurse Deployment Program
Monthly Accomplishment Report

Name: JUDY R. DE GUZMAN

Municipality: SANTO TOMAS, LA UNION
FERNANDO
Total Number of NHTS Household: 413

Area of Assignment/Barangay:
CASANTAAN, CUPANG,

Month/Year: APRIL, 2015

Targe
t
I. Assists in the implementation of
various of health program services
A. Maternal Health Services
A.1 Total Number of Pregnant Women (all
ages)
1.Number of Pregnant Women 10-14
years old
2. Number of Pregnant Women 15-19
years old
A.2. Number of Pregnant Women with 4
or moreANC
A.3 Number of Pregnant women provided
Pre natal care services
A.4. Facility Based Deliveries (FBD)
A.5. Deliveries by Skilled Birth Attendants
(SBA)
A.6. Women with at least 2 post Natal
Visit within 1 week of delivery up to 42
days
A.7. Maternal Death
B. Family Planning Services
B.1. Identified Women/Couples with
Unmet Need provided with FP
Counselling
B.2. Identified Women/Couples with
Unmet need provided with FP services
B.3. Identified Women/Couples referred
for FP services
C. Child Health
C.1. Fully Immunized Child (FIC)
C.2. Infants who are exclusively breastfed
for 6 months
C.3. Infants 6-11 months old provided
with at least 1 dose of Vitamin A capsule
C.4. Infants 12-59 months old provided at
least 2 doses of Vitamin A capsule
C.5. Children provided with deworming
drugs
C.6. Neonatal Death (0-28 days)

(No.)
Annua
l

Accomplishm
ent
NH
NonTS
NHTS

Total

Percenta
ge

130

3.85%

0*

8*

100%

130

6.15%

130

17

20

37

28.46%

3*

100%

3*

100%

130

2.31%

590

56

32

88

14.92%

88*

17

15

32

36.36%

88*

17

15

32

36.36%

130

1.54%

130

3.08%

65

14

15

29

44.62%

517

200

227

427

82.60%

517

236

277

513

99.23%

C.7. Infant Death (29 days - <12 months)

C.8. Under Five Death (12-59 months)
D. TB Program
D.1. Persons with chronic cough referred
for TB screening

0
0

0
0

0
0

0
0

0
0

15

20%

*Actual Target
II. Assist in the Scaling Up of the services of the Community Health Teams
A. General Profile
No. of Assigned barangays:
3 (Casantaan 1,Cupang 1 and
Fernando 1)
No. of Assigned CHTs:
3 (Casantaan 1,Cupang 1 and
Fernando 1)
No. of CHT Partners:
20 (Casantaan 7,Cupang 6 and
Fernando 7)
No. of CHT Management Teams: 3 (Casantaan 1,Cupang 1 and
Fernando 1)
B. Managing CHTs/Technical assistance
B.1. Conduct meetings with CHT Partners (to include updates/reorientation/data collation and analysis, etc.)
Target: at least once a month supported by minutes of meeting
and attendance
C. Coordination, Monitoring and Evaluation
C.1. No of CHT reports submitted on time:
5
Target:
Form 1: Every 10th and 25th of the current Month
All Forms: Every 5th of the succeeding month (Form 1,
2A, 2B, FP Unmet
(CCT), FP Unmet (Non-CCT)
C.2. Other reports as may be directed by the Department of Health
C.3. Meetings with RHM on CHT status implementation:
Target: at least 1/ month (data reconciliation)
C.4. Coordinates with DOH Reps/PDOHO on identified issues and
concerns/gaps on
CHT/MNCHN implementation.
No. of Meeting attended with DOH Reps: 1
Target: at least 1 meeting with DOH Rep per month
D. Mobilization of CHT
% of CHT Partners conducted Revisits:

100% (Target: 100

%)
% of CHT Partners submitted timely Reports:
(Target:100 %)
% of CHT Partners with updated CHT Logbook:

100%
100% (Target: 100

%)
III. Prepares and submits HR related reports/project requirements:
A. DTR
B. Monthly Journal

IV. Other duties

Checked/Validated By:

ARSENIO G PARAZO, MD
Municipal Health Officer

Date:

Noted By:

MERLE P. CASISON, RN
DMO IV

Date: