Form 4B: Monthly CHT Program Performance Status Report

Municipality/City: SAN JORGE

For the Month of: MAY 2016
Indicator
Total NONNHTS HHs
Total NHTS HHs
No. and % of
CCT HHs
No. and % of
Non-CCT HHs

BUENAVISTA II

HIMAY

BAY-ANG

MATALUD

MOBOOB

BLANCA

LEBERTAD

TOTAL

31
35

4
29

0
8

4
34

0
24

49
75

6
34

94
239

22 (62%)

26 (89%)

7 (88%)

29 (85%)

16 (66%)

71 (95%)

32 (94%)

203 (85%)

13 (38%)

3 (11%)

1 (12%)

5 (15%)

8 (34%)

4 (5%)

2 (6%)

36 (15%)

NHTS Coverage
% with access
prior to Initial
Profiling (to be
accomplished
only once)
No. and % of
LVP (Located,
Visited,
Profiled/Updated
)
No. and % of NL
(Not Locatedtransferred or not
found)
No. and % of
NV/F (Not Visited
or Followed up)
No. and % of
NHTS HHs w/ at
least 1 member

66%

29%

14%

34%

24%

124%

40%

331%

22 (62.8%)

16 (55%)

5 (63%)

24 (71%)

14 (58%)

65 (86%)

20 (58%)

166%

8 (22.8%)

8 (28%

2 (25%)

9 (26%)

8 (33%)

8 (8%)

7 (21%)

50%

5 (14%)

7 (24%)

1 (13%)

1 (3%)

2 (8%)

2 (2%)

7 (21%

25%

20 (57%)

28 (97%)

7 (88%)

31 (91%)

22 (92%)

66 (88%)

30 (88%)

204%

given health
referral
No. and % of
NHTS HHs w/ at
least 1 member
who Received
Service

20 (57%)

11 (37%)

30 (88%)

Health Indicators
No. of newborn
seen and referred
No. of infants
seen and referred
No. of underfive
children seen and
referred
No. of pregnant
women seen and
referred
No. of PP seen
and referred
No. of NPNP seen
and referred
No. / % with FP
Unmet need
% and No. w/ FP
Unmet need given
FP counseling
and any FP
modern method
No. of HH
members with
cough seen and

15 (63%)

72

15 (44%)

156%

referred

PREPARED BY:
MAGDALINE FLOR MONTIAGODO,RN
PAQUIT,RM,RN
DOH-Nurse

NOTED BY:
SALVADOR
OIC-MHO/PHN