Republic of the Philippines

Department of Health
REGIONAL OFFICE 1
Nurse Deployment Program
Monthly Accomplishment Report
Name:_MARIUS CLIFFORD R. BILLEDO_
Assignment/Barangay: _POBLACION_
Municipality:_SAN VICENTE_
2015_
Total Number of NHTS Household:_24_

Area of
Month/Year: _MARCH

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
more ANC
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. Number of 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)
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

(No.)

Accomplishm
ent
NH
NonTS
NHTS

Total

10

10

10

100%

---

---

100%

10

10

10

100%

`1

100%

100%

100%

---

34

12

22

34

100%

18

12

18

100%

26

10

16

26

100%

100%

100%

------

------

------

0
0
0

0
0
0

0
0
0

0
0
0

----------------

100%

II. Assist in the Scaling Up of the services of the Community Health Teams
A. General Profile
No. of Assigned barangays: _1_
No. of Assigned CHTs: _1_
No. of CHT Partners: _1_
No. of CHT Management Teams: _1_
B. Managing CHTs/Technical assistance
B.1. Conduct meetings with CHT Partners (to include updates/reorientation/data collation and analysis, etc.)
Target: _1_
C. Reporting, Monitoring and Evaluation
C.1. No of CHT reports submitted on time: __100%__
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: __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.D
Printed Name over Signature of Supervisor
Noted By:
MRS. ESTRELLA RAFANAN

Date: MARCH 31, 2015

Printed Name over Signature of DMO

Date: MARCH 31, 2015

Republic of the Philippines

Department of Health
REGIONAL OFFICE 1
Nurse Deployment Program
Monthly Accomplishment Report
Name:_MARIUS CLIFFORD R. BILLEDO_
Assignment/Barangay: _BAYUBAY NORTE_
Municipality:_SAN VICENTE_
Total Number of NHTS Household:_38_

Area of
Month/Year: _ MARCH 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
more ANC
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. Number of 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)
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

(No.)

Accomplishm
ent
NH
NonTS
NHTS

Total

100%

---

---

100%

100%

100%

100%

100%

---

20

15

20

100%

41

11

30

42

100%

21

15

21

100%

100%

100%

------

------

------

0
0
0

0
0
0

0
0
0

0
0
0

----------------

------

II. Assist in the Scaling Up of the services of the Community Health Teams
A. General Profile
No. of Assigned barangays: _1_
No. of Assigned CHTs: _1_
No. of CHT Partners: _1_
No. of CHT Management Teams: _1_
B. Managing CHTs/Technical assistance
B.1. Conduct meetings with CHT Partners (to include updates/reorientation/data collation and analysis, etc.)
Target: _1_
C. Reporting, Monitoring and Evaluation
C.1. No of CHT reports submitted on time: __100%__
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: __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.D
Printed Name over Signature of Supervisor

Date: MARCH 31, 2015

Noted By:
MRS. ESTRELLA RAFANAN
Printed Name over Signature of DMO

Date: MARCH 31, 2015

Republic of the Philippines

Department of Health
REGIONAL OFFICE 1
Nurse Deployment Program
Monthly Accomplishment Report
Name:_MARIUS CLIFFORD R. BILLEDO_
Assignment/Barangay: _BAYUBAY SUR_
Municipality:_SAN VICENTE_
Total Number of NHTS Household:_38_

Area of
Month/Year: _ MARCH 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
more ANC
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. Number of 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)
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

(No.)

Accomplishm
ent
NH
NonTS
NHTS

Total

Reported
by
RHMPP
24

15

14

100%

13

13

100%

24

15

14

100%

100%

100%

------

------

------

0
0
0

0
0
0

0
0
0

0
0
0

----------------

------

II. Assist in the Scaling Up of the services of the Community Health Teams
A. General Profile
No. of Assigned barangays: _1_
No. of Assigned CHTs: _1_
No. of CHT Partners: _3_
No. of CHT Management Teams: _1_
B. Managing CHTs/Technical assistance
B.1. Conduct meetings with CHT Partners (to include updates/reorientation/data collation and analysis, etc.)
Target: _1_
C. Reporting, Monitoring and Evaluation
C.1. No of CHT reports submitted on time: __100%__
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: __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.D
Printed Name over Signature of Supervisor

Date: MARCH 31, 2015

Noted By:
MRS. ESTRELLA RAFANAN
Printed Name over Signature of DMO

Date: MARCH 31, 2015