Republic of the PhilippinesDepartment of HealthREGIONAL OFFICE 1

Nurse Deployment ProgramMonthly Accomplishment Report

Name:_MARIUS CLIFFORD R. BILLEDO_ Area of Assignment/Barangay: _POBLACION_Municipality:_SAN VICENTE_ Month/Year: _MARCH 2015_Total Number of NHTS Household:_24_

I. Assists in the implementation of various of health program services

Target AccomplishmentTotal %(No.) NHTS Non-NHTS

A. Maternal Health ServicesA. 1. Total Number of Pregnant Women (all ages) 10 0 10 10 100%

1. Number of Pregnant women 10-14 years old 0 0 0 0 ---2. Number of Pregnant women 15-19 years old 0 0 0 0 ---

A.2. Number of Pregnant women with 4 or more ANC

3 0 3 3 100%

A.3. Number of Pregnant women provided pre natal care services

10 0 10 10 100%

A.4. Facility Based Deliveries (FBD) 1 0 1 `1 100%A.5. Deliveries by Skilled Birth Attendants (SBA) 1 0 1 1 100%A.6. Women with at least 2 post Natal Visit within 1 week of delivery up to 42 days

1 0 1 1 100%

A.7. Maternal Death 0 0 0 0 ---B. Family Planning ServicesB.1. Identified Women/Couples with Unmet Need provided with FP Counselling

34 12 22 34 100%

B.2. Identified Women/Couples with Unmet need provided with FP services

18 6 12 18 100%

B.3. Identified Women/Couples referred for FP services

26 10 16 26 100%

C. Child HealthC.1. Number of Fully Immunized Child (FIC) 2 0 2 2 100%C.2. Infants who are exclusively breastfed for 6 months

4 0 4 4 100%

C.3. Infants 6-11 months old provided with at least 1 dose of Vitamin A capsule

0 0 0 0 ------

C.4. Infants 12-59 months old provided at least 2 doses of Vitamin A capsule

0 0 0 0 ------

C.5. Children provided with deworming drugs 0 0 0 0 ------C.6. Neonatal Death (0-28 days) 0 0 0 0 ------C.7. Infant Death (29 days - <12 months) 0 0 0 0 ------C.8. Under Five Death (12-59 months) 0 0 0 0 ------D. TB ProgramD.1. Persons with chronic cough referred for TB screening

1 0 1 1 100%

II. Assist in the Scaling Up of the services of the Community Health Teams

A. General ProfileNo. of Assigned barangays: _1_No. of Assigned CHTs: _1_No. of CHT Partners: _1_No. of CHT Management Teams: _1_

B. Managing CHTs/Technical assistanceB.1. Conduct meetings with CHT Partners (to include updates/re-orientation/data collation and analysis, etc.)

Target: _1_

C. Reporting, Monitoring and EvaluationC.1. No of CHT reports submitted on time: __100%__

Target:Form 1: Every 10th and 25th of the current MonthAll 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: __1__ 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: ____100%____ (Target:100 %)% of CHT Partners with updated CHT Logbook: ___100%___ (Target:100 %)

Checked/Validated By:

AMADO A. VIESTA JR. M.DPrinted Name over Signature of Supervisor Date: MARCH 31, 2015

Noted By:

MRS. ESTRELLA RAFANANPrinted Name over Signature of DMO Date: MARCH 31, 2015

Republic of the PhilippinesDepartment of HealthREGIONAL OFFICE 1

Nurse Deployment ProgramMonthly Accomplishment Report

Name:_MARIUS CLIFFORD R. BILLEDO_ Area of Assignment/Barangay: _BAYUBAY NORTE_Municipality:_SAN VICENTE_ Month/Year: _ MARCH 2015 _ Total Number of NHTS Household:_38_

I. Assists in the implementation of various of health program services

Target AccomplishmentTotal %(No.) NHTS Non-NHTS

A. Maternal Health ServicesA. 1. Total Number of Pregnant Women (all ages) 8 0 8 8 100%

1. Number of Pregnant women 10-14 years old 0 0 0 0 ---2. Number of Pregnant women 15-19 years old 0 0 0 0 ---

A.2. Number of Pregnant women with 4 or more ANC

3 0 3 3 100%

A.3. Number of Pregnant women provided pre natal care services

8 0 8 8 100%

A.4. Facility Based Deliveries (FBD) 2 0 2 2 100%A.5. Deliveries by Skilled Birth Attendants (SBA) 2 0 2 2 100%A.6. Women with at least 2 post Natal Visit within 1 week of delivery up to 42 days

2 0 2 2 100%

A.7. Maternal Death 0 0 0 0 ---B. Family Planning ServicesB.1. Identified Women/Couples with Unmet Need provided with FP Counselling

20 5 15 20 100%

B.2. Identified Women/Couples with Unmet need provided with FP services

41 11 30 42 100%

B.3. Identified Women/Couples referred for FP services

21 6 15 21 100%

C. Child HealthC.1. Number of Fully Immunized Child (FIC) 2 0 2 2 100%C.2. Infants who are exclusively breastfed for 6 months

4 0 4 4 100%

C.3. Infants 6-11 months old provided with at least 1 dose of Vitamin A capsule

0 0 0 0 ------

C.4. Infants 12-59 months old provided at least 2 doses of Vitamin A capsule

0 0 0 0 ------

C.5. Children provided with deworming drugs 0 0 0 0 ------C.6. Neonatal Death (0-28 days) 0 0 0 0 ------C.7. Infant Death (29 days - <12 months) 0 0 0 0 ------C.8. Under Five Death (12-59 months) 0 0 0 0 ------D. TB ProgramD.1. Persons with chronic cough referred for TB screening

0 0 0 0 ------

II. Assist in the Scaling Up of the services of the Community Health Teams

A. General ProfileNo. of Assigned barangays: _1_No. of Assigned CHTs: _1_No. of CHT Partners: _1_No. of CHT Management Teams: _1_

B. Managing CHTs/Technical assistanceB.1. Conduct meetings with CHT Partners (to include updates/re-orientation/data collation and analysis, etc.)

Target: _1_

C. Reporting, Monitoring and EvaluationC.1. No of CHT reports submitted on time: __100%__

Target:Form 1: Every 10th and 25th of the current MonthAll 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: __1__ 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: ____100%____ (Target:100 %)% of CHT Partners with updated CHT Logbook: ___100%___ (Target:100 %)

Checked/Validated By:

AMADO A. VIESTA JR. M.DPrinted Name over Signature of Supervisor Date: MARCH 31, 2015

Noted By:

MRS. ESTRELLA RAFANANPrinted Name over Signature of DMO Date: MARCH 31, 2015

Republic of the PhilippinesDepartment of HealthREGIONAL OFFICE 1

Nurse Deployment ProgramMonthly Accomplishment Report

Name:_MARIUS CLIFFORD R. BILLEDO_ Area of Assignment/Barangay: _BAYUBAY SUR_Municipality:_SAN VICENTE_ Month/Year: _ MARCH 2015 _ Total Number of NHTS Household:_38_

I. Assists in the implementation of various of health program services

Target AccomplishmentTotal %(No.) NHTS Non-NHTS

A. Maternal Health ServicesA. 1. Total Number of Pregnant Women (all ages)

1. Number of Pregnant women 10-14 years old2. Number of Pregnant women 15-19 years old

A.2. Number of Pregnant women with 4 or more ANCA.3. Number of Pregnant women provided pre natal care servicesA.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 daysA.7. Maternal DeathB. Family Planning ServicesB.1. Identified Women/Couples with Unmet Need provided with FP Counselling

24 9 15 14 100%

B.2. Identified Women/Couples with Unmet need provided with FP services

13 4 9 13 100%

B.3. Identified Women/Couples referred for FP services

24 9 15 14 100%

C. Child HealthC.1. Number of Fully Immunized Child (FIC) 5 0 5 5 100%C.2. Infants who are exclusively breastfed for 6 months

5 0 5 5 100%

C.3. Infants 6-11 months old provided with at least 1 dose of Vitamin A capsule

0 0 0 0 ------

C.4. Infants 12-59 months old provided at least 2 doses of Vitamin A capsule

0 0 0 0 ------

C.5. Children provided with deworming drugs 0 0 0 0 ------C.6. Neonatal Death (0-28 days) 0 0 0 0 ------C.7. Infant Death (29 days - <12 months) 0 0 0 0 ------C.8. Under Five Death (12-59 months) 0 0 0 0 ------D. TB ProgramD.1. Persons with chronic cough referred for TB screening

0 0 0 0 ------

II. Assist in the Scaling Up of the services of the Community Health Teams

Reported by

RHMPP

A. General ProfileNo. of Assigned barangays: _1_No. of Assigned CHTs: _1_No. of CHT Partners: _3_No. of CHT Management Teams: _1_

B. Managing CHTs/Technical assistanceB.1. Conduct meetings with CHT Partners (to include updates/re-orientation/data collation and analysis, etc.)

Target: _1_

C. Reporting, Monitoring and EvaluationC.1. No of CHT reports submitted on time: __100%__

Target:Form 1: Every 10th and 25th of the current MonthAll 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: __1__ 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: ____100%____ (Target:100 %)% of CHT Partners with updated CHT Logbook: ___100%___ (Target:100 %)

Checked/Validated By:

AMADO A. VIESTA JR. M.DPrinted Name over Signature of Supervisor Date: MARCH 31, 2015

Noted By:

MRS. ESTRELLA RAFANANPrinted Name over Signature of DMO Date: MARCH 31, 2015