National Schistosomiasis Control and Elimination Program: Total
National Schistosomiasis Control and Elimination Program: Total
National Schistosomiasis Control and Elimination Program: Total
Province: _______________
Municipality: _____________
Total
Prepared by: Noted By:
Coverage
13 - 65 yo Total
% No. %
HSCMDA Regional Summary of Accomplishment Recording Form (For STH Areas)*
Community-Based MDA (For Pre-school Age Children 1-4 years old & School-Age Children ages 5-18 years old not enrolled in Public Schools)
Name of Municipality/ Total Pop 1-4 y/o (12-59) Total no. of 1-4 y/o
No. Total Population (2017)
Barangays 10.23% of TP given ALB
TOTAL
blic Schools)
ALBENDAZOLE 400 MG
1/2 TABLET 1 TABLET
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REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
MUNICIPALITY OF STA. RITA SAMAR
MASTERLIST OF CHILDREN 12-59 MONTHS OLD GIVEN WITH ALBENDAZOLE
BHS-ANIBONGON
BRGY. CAMAYSE STA. RITA SAMAR
Date of Birth
No Name Sex NAME OF MOTHER Age in Months
(MM/DD/YYYY)
ALBENDAZOLE 400 MG
1/2 TABLET 1 TABLET
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REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
MUNICIPALITY OF STA. RITA SAMAR
MASTERLIST OF CHILDREN 12-59 MONTHS OLD GIVEN WITH ALBENDAZOLE
BHS-ANIBONGON
BRGY. SAN ROQUE STA. RITA SAMAR
Date of Birth
No Name Sex NAME OF MOTHER Age in Months
(MM/DD/YYYY)
ALBENDAZOLE 400 MG
1/2 TABLET 1 TABLET
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