INDICATORS TARGET

PRENATAL CARE
1. Pregnant women with 4 or more prenatal visits

2. Pregnant women given

2 doses of TT
3. Pregnant women given

TT2 plus
4. Pregnant women given complete iron with folic acid

POSTPARTUM CARE

1. Postpartum women with at least 2 PPV

2. Postpartum women given complete iron

3. Women 10-49 years old given

Iron supplementation

4. Postpartum women given Vitamin A

5. Postpartum women initiated breastfeeding

STI SURVEILLANCE

1. No. of pregnant women seen

2. No. of pregnant women

tested for syphilis

3. No. of pregnant women

positive for syphilis

4. No. of pregnant women (+)

for syphilis given Penicillin

INDICATORS TARGET

1. Current Users Beginning

Female Sterilization

Male Sterilization

Pills

IUD (PP-IUD/ I-IUD)

Injectables (DMPA/CIC)

NFP-CM

NFP-BBT

NFP-STM

NFP-SDM

NFP-LAM

Condom

Implant
2. Total New Acceptors
Female Sterilization
Male Sterilization
Pills
IUD (PP-IUD/ I-IUD)
Injectables (DMPA/CIC)
NFP-CM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Condom
Implant
3. Total Other Acceptors
Female Sterilization
Male Sterilization
Pills
IUD (PP-IUD/ I-IUD)
Injectables (DMPA/CIC)
NFP-CM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Condom
Implant
INDICATORS TARGET

4. Total Drop-out
Female Sterilization
Male Sterilization
Pills
IUD (PP-IUD/ I-IUD)
Injectables (DMPA/CIC)
NFP-CM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Condom
Implant
5. Total Current Users
Female Sterilization
Male Sterilization
Pills
IUD
Injectables (DMPA/CIC)
NFP-CM
NFP-BBT
NFP-STM
NFP-SDM
NFP-LAM
Condom
Implant
INDICATORS

1. Immunization given <1 yr

BCG

Hepa B1 w/in 24 hrs

> 24 hrs

PENTA 1

OPV 1

MCV MCV1 (AMV)

MCV2 (MMR)

ROTA 1

PCV 1

2. Fully Immunized Child

3. Completely Immunized

Child (12-23 mos)

4. Child Protected at Birth (CPAB)

INDICATORS

5. Infant age 6 mo. seen

6. Infant exclusively breastfed until 6 mo.

7. Infants 6-8 months of age who received solid, semi-solid and soft food during previous day

8. Infant for newborn screening

referred
done

9. Infant/Children received Vit. A

6-11 mos.
12-59 mos.

10. Infant/Children received Iron

6-11 mos.
12-59 mos.
10. Infant/Children received Iron
6-11 mos.
12-59 mos.

11. Infant/Children received MNP

6-11 mos.
12-23 mos.

12. Sick Children seen

6-11 mos.
12-59 mos.

13. Sick Children received Vit A

6-11 mos.

12-59 mos.
INDICATORS

14. Children 12-59 mos. old

given de-worming tablet/syrup

15. Infant 2-5 mos. w/ LBW seen

received full dose Iron

16. Anemic infant

6-11 mos seen

received full dose Iron

Anemic children

12-59 mos seen

received full dose Iron

17. Diarrhea (0-59 mos. old)

No. of Cases

received ORS

received ORT/ORS w/zinc

18. Pneumonia (0-59 mos. old)

No. of Cases

No with Completed Treatment

INDICATORS TARGET

1. Orally Fit Child

12-71 mos. old

2. Child 12-71 mos

provided w/BOHC

3. Adolescent & Youth

(10-24 yo)given

BOHC

4. Preg women

provided w/BOHC

5. Older Person
60 yrs old & above provided w/BOHC

INDICATORS JAN FEB

M F T M

1.Total Population

2. Population at risk

3.Annual Parasite
Incidence

4. Total No. of Confirmed Malaria Cases

< 5 yo

5 yo

Pregnant

5. Total No of Lab Confirmed Malaria Cases by species

P.falciparum
P. vivax

P.ovale

P.malariae

6. Total No of
Confirmed Malaria
Cases by method
6. Total No of
Confirmed Malaria
Cases by method
Slide
RDT
7. Total No. of LLIN
given
8. Total No. of
Malaria Deaths
INDICATORS

1. TB symptomatics who underwent DSSM

2. Smear positive discovered and identified

3. New smear positive cases initiated tx and registered

4. New smear (+) cases cured

5. Smear(+) retreatment cases cured

6. Smear (+) retreatment cases initiated tx and registered

Relapse

Treatment failure

Return after default

Other type of TB

7. No, of Smear (+)

retreatment cured
Relapse

Treatment failure

Return after default

8.. Total No. of TB cases

(all forms) initiated tx
INDICATORS JAN

M F

Total Population

1.No. Cases with hydrocele, lymphedema, Elephantiasis, Chyluria

2. Clinical Rate

3. No of Cases examined
4. No of Cases examined found positive for MF

5. Average MFD

6. Eligible population given

MDA (94.6% of TP)

7. Total population given MDA

INDICATORS JAN

M F

1. Total Population

2. Total No. of Leprosy cases

(undergoing tx)

3. No. of Newly detected

Leprosy cases

< 15 yo

Grade 2 disability

4. No of Leprosy Cases cured

INDICATORS JAN FEB

M F T M

1. No. of
Symptomatic case

2. No. of Cases
Examined

3. No. of Positive
Cases

Low intensity
Medium intensity
High intensity
4. No. of Cases treated

5. No of Complicated
Cases

6. No. of Complicated Cases

referred to hospital facility

NAME OF
DISEASE
 NAME OF
DISEASE

Acute Watery Diarrhea

Acute Bloody Diarrhea
Inluenza-like Illness
Influenza
Acute Flaccid Paralysis
Acute Hemorrhagic Fever Syndrome (Dengue)
Acute Lower Respiratory Track Infection
Pneumonia
Cholera
Diphtheria
Filarisis
Leprosy
Leptospirosis
Malaria
Measles
Meningococcemia
Neonatal Tetanus
Non-neonatal Tetanus
Paralytic Shellfish Poinosning
Rabies
Schistosomiasis
Typhoid and paratyphoid
Viral Encephalitis
Acute Viral Hepatitis
Viral Meningitis
Syphilis
Gonorrhea
Urethral Discharge
Genital Ulcer
NAME OF
DISEASE
Under 1

M F
INDICATORS TARGET

1. Livebirths (Total from

TCL)
2. Birthweight:

2500 grms &

greater
Less than

2500 grams
Not known

3. Attended by:

Doctors

Nurses

Midwives

Trained Hilot

Others

Unknown

INDICATORS TARGET

4. Total No. of Deliveries by Place:

Health Facility

RHUs
Hospitals
BHS
Lying-in

Non-Institutional
Delivery (NID)
 Home
Others

5. Total No. of Deliveries by Type:

Normal
Operative

6. Total No. of Pregnancy

by outcome:
Livebirth
Fetal Deaths
Abortion

INDICATORS TARGET

1. Livebirths (Total from

TCL)

2. Birthweight:

2500 grms &

greater

Less than

2500 grams

Not known

3. Attended by:

Doctors

Nurses

Midwives

Trained Hilot

Others

Unknown

INDICATORS
 4. Total No. of Deliveries
by Place
Health Facility
RHUs
Hospitals
BHS
Lying-in

Non-Institutional
Delivery (NID)

Home
Others

5. Total No. of Deliveries by Type:

Normal
Operative

6. Total No. of Pregnancy

by outcome:
Livebirth
Fetal Deaths
Abortion

1. Households with access to improved water

Level I
Level II
Level III
2. HH w/sanitary toilet
3. HH w/satisfactory disposal of solid waste

4. HH w/complete basic sanitation facilities

5. Food Establishment

6. Food Establishment w/

sanitary permit

7. Food Handlers
8. Food Handlers with health certificates

9. Salt Samples Tested

10. Salt Samples Tested found (+) for iodine

INDICATORS TARGET JAN

1. Total Deaths

2. Infant Deaths

3. Maternal Deaths

4. Neonatal Deaths

5. Deaths due to neonatal

tetanus

6. Perinatal Deaths

7. Deaths among children

under 5 years of age

ACTIVITIES TARGET JAN

M
JAN FEB

JAN
JAN
 TARGET

3
 TARGET

JAN

M
 MAR

F T M
M F

FEB

T M
 FEB

T M F

MAR

F T M

ICD Code
 ICD Code

A09 (watery)
A09 (bloody)
J11
J11
G83.9
A91
J22
J18.9
A00
A36
B74
A30
A27
B50-B54
B05
A39
A33
A35
T61.2
A82
B65
A01
A83-86
B15-B17
A87
A50-A53
A54.9
R36
N48.5, N76.5, N76.6

F M
JAN

JAN

M
 JAN

TARGET
INDICATORS
JAN

M F

JAN

M F
 MAR

FEB MAR
FEB
T

TARGET
T

F
F
 1st Q

F T
 MAR

T M

MAR

M F
1-4

F M
 FEB

F M

F
F

JAN

M
TARGET
FEB

M F

FEB

M F
 1st Q

MAR
MAR
JAN

JAN

M
 JAN

FEB

F M
 1st Q

T M
T

MAR

M
MAR

M F

T
 5-9

M
 F

FEB

F M
FEB

M F

F
MAR

MAR

M
1st Q
1st Q
 FEB

F M
 F

F
F
 M

F
 T

1st Q

M F

Under 1
 M

5-9

F
 MAR

F
F

FEB

M
JAN
F

F
APR
FEB

M F

F
 FEB

F M

MAR

M
T
 1st Q

T M
1st Q

T
 F

10-14

M
 F

MAR

M
MAR

F
FEB
1st Q

1st Q

M
 MAY

APR
APR
 MAR

FEB

M F
 F

F
APR

M F
2nd Q

F
F T

APR

M
F M

F
 1st Q

1st Q

F M
 1st Q

F M

MAR

M
F

F
 JUNE

MAY
 MAR

1st Q

M
T
 T

T
 APR

1-4
 F

15-19

F M
1st Q

M
1st Q

MAR

M
MAR
JUNE

JUNE
MAY
 1st Q

F M

MAR

M
 F

F
 MAY

T M
T

APR

M F
 F

MAY

T M
F M
 APR

F M

F
F

F
APR

APR

M
2nd Q
JUNE
F
 1st Q

APR

M
F
M
T

5-9
 F

20-24

F M
APR

M
APR

1st Q

M
1st Q
F

F
2nd Q
 APR

F M

1st Q

M
1st Q

M F
T
M

MAY

T M
 MAY

F T

10-14
F M

20-24

M
F
 F

Q
Q
MAY

MAY

M
JULY
2nd Q
R

F
 MAY

F M
JUN

M
3rd Q

F
F

JUN

M
F

F
 MAY

MAY

F M
 MAY

F M

F
APR
F

F
 AUG

JULY
JULY
 MAY

F M

APR

M
 APR

Y
F T
T
 JUN

T M

15-19
M

25-29

M
F

F
 F

APR

M
JUN

JUN

M
AUG
Y
MAY

M F

F
 F

F
 2nd Q

T M
 T

JUN

M
 F

2nd Q

T M
F

F
JUN

JUN

M
 JUN

F
MAY
F

F
SEPT 3rd Q

SEPT
AUG
 JUN

F M

MAY

F M
MAY

M F

JUN

M F
F T
 2nd Q

F T M
 2nd Q

T M

2nd Q

M F T

20-24
 M

30-34

F M
 2nd Q

F M

F
 F

MAY

M
JUNE
2nd Q

2nd Q

M
Q
SEPT
F

F
JUN

M
 M

2nd Q

M
F

25-29
F M

F
2nd Q

M
 2nd Q

F
F

F
 OCT

3rd Q
2nd Q

JUN

M
N

2nd Q

M
JUL

M F
 4th Q

F
 T

JUL

M
 F

35-39

F M
F

F
F

JUN

M
JUL

JUL

M
T
3rd Q
F

F
F

F
T
 JUL

T M
 JUL

F T

30-34
M

BY AGE-GROUP AND BY SEX

JUL

JUL

M
JUL

F
2nd Q
L

L
 NOV

OCT
OCT
JUL

2nd Q

M
2nd Q

M F

JUL

M
AUG

M
T

F
F T

AUG

M
UP AND BY SEX

F
 F

JUL

M
F

F
NOV
 F

Q
F

F
F
T
 F

BY AGE-GROUP AND BY SEX

 F

40-44

M
 AUG

F M

F
 F

2nd Q

M
JULY
AUG

AUG

M
DEC

DEC
NOV
 AUG

F M

F
 JUL

AUG

F M
T
M

AUG

M
 AUG

M F

35-39
M
G

AUG

M
AUG

F
F

F
4th Q

DEC
DEC
 F

JUL

M
 F

AUG

M F
SEPT

M F
 TOTAL

F T
F T

SEPT

M F

40-44
 F M

45-49

F M
 SEPT

F M

F
F

JUL

M
AUG
SEPT

SEPT

M
 TOTAL

4th Q
DEC
SEPT

F
 AUG

F M

SEPT

M
F T
TOTAL

SEPT

T M
 SEPT

F
F
SEPT

M F

SEP

M
 SEPT

JUL

M F
F

F
TOTAL
4th Q
 F

AUG

M
F

F
3rdQ

M F
 T

PT

F
 F T

3rdQ

T M

45-49
F M

50-54

F M
 3rdQ

3rd Q

F M
F

AUG

M
SEPT
3rdQ

3rdQ

M
L
TOTAL
 3rdQ

SEPT

F M
SEPT

3rdQ

M
T
 3rdQ

T M
 3rdQ

F T

50-54
F M

F
 F

3rd Q

M
 3rdQ

F
3rd Q
F

F
 OCT

F M

SEPT

M F
 3rdQ

F M

OCT

F M
OCT

M F
F T
 OCT

F T M

OCT

M F

55-59
 F M

55-59

F M
 OCT

M F

OCT

F M
 OCT

F M

SEPT

M
OCT
OCT

M F

OCT

M F
 NOV

F M

3rdQ

M F
F
 NOV

T M
OCT

M F
 F

NOV

T M
 F

F
 NOV

F M

F
 NOV

F M

F
 NOV

F M

NOV

F M
F

OCT

M
OCT

NOV

F M
F
T
T

60-64
F M

60-64

M
 F

NOV

M F
V

3rdQ

M
NOV
F

F
 DEC

T
F

F
T
NOV

M
NOV

M F

T
F

F
DEC

DEC

M
F

F
DEC
DEC

DEC

M
 F

NOV

F M
NOV

M F

DEC

M
DEC

M F
F T
 T

DEC

M F

65-69
M

65-69

M
 F

DEC

M F
DEC

M F

OCT

M
F

F
4thQ

M F

F
 DEC

F M

F
 4thQ

T M
DEC

M F
 DEC

M F

4thQ

F T M

70 & over
F M

70 & over

F M
4thQ

M F

4th Q

M
 4thQ

F
4th Q
4thQ

M F

4thQ

M F
 TOTAL

DEC

M
 F

4thQ

M F
F
T
 4thQ

T M

4thQ

M F

TOTAL
 F

over
 TOTAL

F
 F

NOV

M
TOTAL
TOTAL

TOTAL

M
 M

F
 4thQ

F
 TOTAL

T M
4thQ

M F
 4thQ

M F

L
 M

TOTAL

F
TOTAL

M
 TOTAL

F
TOTAL
AL

AL

F
F

4thQ

M F
 TOTAL

F M

TOTAL

M
F
T
 T

TOTAL

M F
 F

TAL

M
F

F
DEC

M
F
TOTAL

M
TAL

F
F T
TOTAL

M F T
TOTAL

M F T

T
F

F
F
 F

4thQ

F M
F
F
 TOTAL

F M F