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    4 Revised Worksheet Template August8,2014

    Uploaded by

    Mary Gold Elevera
    This document contains 7 worksheets for checking data quality across different health indicators in a specific province, M/C LGU, and barangay. The worksheets include sections to report numbers from previous monthly reports, update numbers based on a review of target client lists and records, and identify reasons for any differences found. The indicators covered include family planning use, antenatal care, skilled birth attendance, facility-based deliveries, immunization, exclusive breastfeeding, and vitamin A supplementation.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd

    4 Revised Worksheet Template August8,2014

    Uploaded by

    Mary Gold Elevera
    20 views7 pages
    This document contains 7 worksheets for checking data quality across different health indicators in a specific province, M/C LGU, and barangay. The worksheets include sections to report numbers from previous monthly reports, update numbers based on a review of target client lists and records, and identify reasons for any differences found. The indicators covered include family planning use, antenatal care, skilled birth attendance, facility-based deliveries, immunization, exclusive breastfeeding, and vitamin A supplementation.

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    This document contains 7 worksheets for checking data quality across different health indicators in a specific province, M/C LGU, and barangay. The worksheets include sections to report numbers from previous monthly reports, update numbers based on a review of target client lists and records, and identify reasons for any differences found. The indicators covered include family planning use, antenatal care, skilled birth attendance, facility-based deliveries, immunization, exclusive breastfeeding, and vitamin A supplementation.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    20 views7 pages

    4 Revised Worksheet Template August8,2014

    Uploaded by

    Mary Gold Elevera
    This document contains 7 worksheets for checking data quality across different health indicators in a specific province, M/C LGU, and barangay. The worksheets include sections to report numbers from previous monthly reports, update numbers based on a review of target client lists and records, and identify reasons for any differences found. The indicators covered include family planning use, antenatal care, skilled birth attendance, facility-based deliveries, immunization, exclusive breastfeeding, and vitamin A supplementation.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 7

    WORKSHEET FOR DATA QUALITY CHECK FOR FP CU

    Province ______________________________________ Date


    M/C LGU ______________________________________ Barangay

    Family Planning Current Users


    (CU Beginning of month + NA of previous month + OA of present month - Dropouts - CU not in TCL = Updated CU End of month)

    Month Year
    Family Planning Method Current Users Acceptors Dropouts Number of Clients Current Users Reasons for Dropout
    Begin. Mo. Number of New Other REPORTED BUT not End Mo.
    (Total Current Users CU listed in (Previous Month) (Present Month) listed in the FP TCL OR (A + C + D) minus
    form Previous Month's the TCL Not Reported but (E)
    ST or M1) recorded in the TCL minus (F)
    (A) (C) (A - B)
    (B) (D) (E) (G)
    (F)

    Female Sterilization/BTL
    Male Sterilization/Vasectomy
    Pills
    IUD (P-IUD and I-IUD)
    Injectables (DMPA/CIC)
    NFP (CM, BBT, STM, SDM)
    NFP-LAM (Lactational Amenorrhea Method)
    Condom
    Implant
    TOTAL

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)


    WORKSHEET FOR DATA QUALITY CHECK FOR 4ANC/4PNV
    Province Date
    M/C LGU Barangay

    Year Pregnant Women with 4 or More Prenatal Visits


    (at least 1 visit during the 1st and 2nd trimester, at least 2 during the 3rd trimester)

    JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC TOTAL
    Number
    Reported in
    M1: Pregnant
    Women with 4
    prenatal visits

    Updated
    Number Based
    on Reviewed
    Prenatal TCL

    h
    Major Reasons
    for Differences

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)


    WORKSHEET FOR DATA QUALITY CHECK FOR SBA
    Province Date
    M/C LGU Barangay

    Year Live Births attended by Birth Attendant


    (For SBA, skilled birth attendants are Doctors, Nurse and Midwives)

    JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC TOTAL
    Livebirths (Total R*
    from LCR)
    D*

    Livebirths (Total R*
    from TCL)
    U*

    Attended by: R*
    Doctors
    U*

    Attended by: R*
    Nurses
    U*

    Attended by: R*
    Midwives
    U*

    Attended by: R*
    Trained
    Hilot/TBA U*

    Attended by: R*
    Others
    U*

    Attended by: R*
    Unknown
    U*

    Major Reasons
    for Differences

    R* - As reportedin the Field Health Service Information System (FHSIS) M1 or Summary Table (ST)
    U* - Updated figures after data quality check based on Field Health Service Information System (FHSIS) Prenatal Target Client List (TCL)
    D* - Difference between what has been recorded in the TCL, but not registered in the LCR

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)


    WORKSHEET FOR DATA QUALITY CHECK FOR FBD
    Province Date
    M/C LGU Barangay

    Year Deliveries by Type and Place


    (All deliveries must be counted, regardless of outcome. FBD counts those deliveries including live births, fetal death, & miscarriage that occurred in health facilities)

    JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC TOTAL
    Normal: R*
    Non-institutional
    deliveries (Home &
    Others) U*

    Normal: R*
    Health Facility
    deliveries (Hospital,
    RHU, lying in clinics) U*

    Operative: R*
    Health facilities
    U*

    Deliveries R*
    (Total)
    U*

    Major Reasons for


    Differences

    R* - As reportedin the Field Health Service Information System (FHSIS) M1 or Summary Table (ST)
    U* - Updated figures after data quality check based on Field Health Service Information System (FHSIS) Prenatal Target Client List (TCL) and records found from LCR

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)


    WORKSHEET FOR DATA QUALITY CHECK FOR FIC
    Province Date
    M/C LGU Barangay

    Year Fully Immunized Child (0-11 mos)


    (An infant who received 1 dose of BCG, 3 doses each of OPV, 3 doses each of pentavalent vaccine, and 1 dose of measles containing vaccine
    before reaching one year old)

    JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC TOTAL
    Number
    Reported in M1:
    Fully Immunized
    Children

    Updated Number
    Based on Under
    1/ EPI TCL

    Major Reasons
    for Differences

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)


    WORKSHEET FOR DATA QUALITY CHECK FOR EBF
    Province Date
    M/C LGU Barangay

    Year Infants Exclusively Breastfed Until 6th Months


    (Only infants who were exclusively breastfed until 6 months of age and seen on the 6th month)

    JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC TOTAL
    Number Reported in M1:
    Infants Exclusively
    Breastfed Until 6th Month

    Updated Number Based


    on Under 1/ EPI TCL

    Major Reasons for


    Differences

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)


    WORKSHEET FOR DATA QUALITY CHECK FOR VITAMIN A SUPPLEMENTATION
    Province Date
    M/C LGU Barangay

    Year Infant/Children Given Vitamin A (6-11 months and 12-59 months)


    (Infants/Children given Vitamin A as reported for Garantisadong Pambata)

    April (Given Vitamin A in April October (Given Vitamin A in Major Reasons for Differences
    and/or November to April) October and/or May to
    October)
    Infants 6-11 R*
    months given
    Vitamin A
    U*

    Children 12-59 R*
    months given
    Vitamin A
    U*

    R* - As reported in the Garantisadong Pambata (GP) Form 1


    U* - Updated figures after data quality check based on GP masterlist of 0-11, 12-59 months old children and TCL under one

    Certified true and correct (Signature over printed Name):

    Rural Health Midwife (RHM) Public Health Nurse (PHN)

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