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FHSIS Dictionary
FHSIS Dictionary
Assessment
Guide
Is the target
client list for
prenatal care
updated?
Is the target
client list
completely and
correctly filledup?
Yes
No
If No
Get copies of the individual treatment record or
masterlist of pregnant women if available and update
TCL
If column 6 (LMP/G-P) of TCL for prenatal care is not
filled up, check if terms are understood
LMP last normal menstrual period which is
important to compute for the expected date of
confinement
G/P G is for gravida or number of pregnancies
including current pregnancy and P is for parity number
of births. G/P is important to know if pregnancy is of
risk.
Parity able to reach age of viability. Parity is event.
If column 7 (EDC) is not filled up check if difficulty is
in the computation. EDC is important for follow-up
visits to prevent post maturity
Assessment
Guide
Yes
No
If No
10
ANSWER:
LMP
Computation
EDC
January
12, 2001
01 12 2001
+ 09 +07
10 19 2001
October 19,
2001
October 25,
2002
10 25 2002
- 03 + 7 + 1
08 01 2003
August 1, 2003
March 8,
2003
03 08 2003
+ 09 + 7
12 15 2003
12
ANSWER:
LMP
Computation
EDC
August 5,
2005
08 05 2005
- 3 +7 + 1
05 12 2006
May 12,
2006
April 25,
2006
04 25 2006
- 3 +7 + 1
01 32 2007
Feb. 1, 2007
December
22, 2007
12 22
- 3
7
9 29
Sept. 29,
2008
2007
+ 1
2008
13
Date of visit
Dec. 3, 2009
May 5, 2010
AOG (in
days) during
date of visit
Indicate
Trimester
(1st, 2nd, 3rd)
Dec. 3, 2009
Date of visit
May 5, 2010
Indicate
Trimester
(1st, 2nd, 3rd)
153 days
2nd
174 days
2nd
243 days
3rd
220 days
3rd
January 1,
2010
84 days
1st
15
Assessment Guide
Yes No
If No
(Note: This is critical for midwives to
review so that they can advice their client
of the needed birth plan prior to the EDC)
16
Assessment Guide
Yes No
If No
17
Assessment Guide
Yes No
If No
18
19
20
21
NAME
LMP
ERIKA
MALLARI
5-29-04
SONIA SISON
6-8-04
PRENATAL VISITS
First
Second
Third
JRRMMC 9-24-04
12-27-04
7-30-04
8-8-04
9-8-04
10-28-04
11-25-04
10-10-04
11-10-04
6-19-04
8-20-04
12-9-04
10-14-04
11-14-04
CONCEPCION 6-25-04
PATRON
9-26-04
11-30-04
ROWENA
GARCIA
1-10-05
1-20-05
2-25-05
1-12-05
1-25-05
2-15-05
1-30-05
2-28-05
23
EXERCISE:
Prenatal Visits
NAME
Erika Mallari
LMP
5/29/04
Score
REMARKS
12/27/04
(212 Days)
2-3-1
NO
1-4-3
YES
Report in
January 2005
1-2-3
YES
Report in
January 2005
1st
2nd
3rd
(0-84 days)
(85-189 days)
JRRMMC
9/24/04
(118 Days)
7//30/04
(62 Days)
10/28/04
(152 Days)
11/25/04
(180 Days)
Sonia Sison
Rowena Garcia
6/8/04
6/19/04
8/8/04
(61 Days)
10//10/04
(124 Days)
1/10/05
(216 Days)
9/8/04
(92 days)
11/10/04
(155 Days)
1/20/05
(219 Days)
12/9/04
(184 Days)
2/25/05
(255 days)
10/14/04
(133 Days)
1/12/05
(207 Days)
11/14/04
(148 Days)
1/25/05
(220 Days)
8/20/04
(62 Days)
2/15/05
(241 Days)
Concepcion Patron
6//25/04
9/26/04
(93 days)
11/30/04
(158 Days)
1/30/05
(188 days)
0-3-1
NO
2/28/05
(217 Days)
25
KEY TO CORRECTION:
EXERCISE:
EXERCISE:
1.
2.
28
Key Answers
Mrs. Evelyn Reyes
30
FHSIS Dictionary
31
Definition
This refers to
deliveries that
occurred in
health facilities
such as RHU,
hospitals, BHS,
and birthing
facilities
32
FHSIS Dictionary
33
34
Assessment
Guide
Yes
No
If No
Is the target
client list for
prenatal care
updated?
Is the target
client list
completely
and correctly
filled-out?
35
Assessment
Guide
Yes
No
If No
(Note: It is possible to have more than 2 codes
(Livebirth, Fetal Deaths or Abortion) appearing in
the outcome due to multiple births.)
If column 14 (Livebirths) is not filled up, ensure
that all information [Birth Weight in grams, Type of
Delivery, Place of Delivery (Health Facility or NID)
and Attended by whom) required for all livebirths
are listed
Types of Delivery
NSD Normal spontaneous delivery
Operative deliveries other than NSD
Place of Delivery
Health Facility: RHUs, hospital, BHS, lying-in
clinics
Non-institutional delivery (NID): home, and in
transit
36
Assessment
Guide
Yes No
If No
Attended by
MD = doctor
RN = nurse
RM = midwife
H = Hilot/TBA
O = Others
37
Assessment
Guide
FBD: For a
delivery to be
counted as
facility-based
delivery, place of
delivery should
be in health
facilities (which
includes health
facilities such as
hospitals, RHUs,
BHS, and
birthing facilities
both public and
private)
Yes
No
If No
38
Assessment
Guide
Yes
No
If No
39
40
41
42
Assessment
Guide
Are copies of
certificate of live
births or
records
pertaining to
registered live
births in the
municipality
available/acces
sible?
Yes No
If No
43
Assessment
Guide
Is A1-RHU
report on the
number of live
births consistent
with the number
of live births in
LCR?
Yes
No
If No
44
EXERCISE:
PREGNANCY
Name of Mother
Date
Terminated
LIVEBIRTHS
Outcome
Birth Weight in
Grams
Place of Delivery
Attended by
Esther Reyes
Jan. 1, 2010
LB
FD
2000
Birthing facility
RM
Lolita Andes
LB
2500
Home
RM
Sophia Perez
LB
2600
Clinic
MD
Benilda Samson
LB
LB
1900
2000
Private hospital
MD
Nieves Sarte
Feb. 2, 2010
LB
3000
Ambulance
Carol Tomias
March 5, 2010
LB
3500
RHU
RN
Lina Aleta
March 6, 2010
LB
2700
Private clinic
RM
Ruby Castillo
April 1, 2010
LB
2300
Home
Rowena Rios
April 2, 2010
LB
2500
Home
Adela Alafaro
May 3, 2010
LB
2400
Lying-in clinic
RN
Diana Cosme
May 3, 2010
LB
2800
Government hospital
MD
Marian Ver
May 5, 2010
LB
2500
Home
Thelma Gomez
LB
3000
Clinic
RM
Frethel Malicsi
LB
3200
RHU
RM
Simeona Ang
LB
2600
Birthing facility
RM
Victoria Tan
LB
2500
RHU
RN
Husband
46
EXERCISE:
1. What is the total number of livebirths from
January to June?
2. How many fetal deaths?
3. How many were delivered at:
a) Health Facility
b) Non-institutional delivery
47
EXERCISE:
4. What is the percentage of facility-based delivery?
5. How many livebirths were attended by:
a) Doctor
b) Nurse
c) Midwife
d) Hilot / TBA
e) Others
6. What is the percentage of livebirths attended by
skilled birth attendants?
Training on Data Quality Check
48
Key Answers:
49
50
FHSIS Dictionary
51
At Health Centers
6 weeks: Pentavalent 1 (DPT1+HiB1+HepB1), OPV
1
10 weeks: Pentavalent 2 (DPT2+HiB2+HepB2),
OPV 2
14 weeks: Pentavalent 3 (DPT3+HiB3+HepB3)
9 months: Anti-Measles Vaccine
52
Assessment Guide
Yes No
If No
54
Assessment Guide
Yes No
If No
Check entry in column 14 (Date fully
immunized)
The date entered should be the same
date with the date the last antigen (antimeasles) was given
Check age of child when last dose of
scheduled immunization (Pentavalent3,
OPV3 and anti-measles vaccine) were
received relative to the birthdate.
55
Assessment Guide
For a child to be counted as fully
immunized child, the child has
received ALL of the following:
(BCG, Pentavalent1,
Pentavelent2, Pentavalent3,
OPV1, OPV2, OPV3, and AntiMeasles Vaccine)
Only children who received the
above antigens before the age
of 12 months should be
recorded as FIC
Yes No
If No
If one or more of these antigens
(BCG, Pentavalent1, Pentavelent2,
Pentavalent3, OPV1, OPV2, OPV3,
and Anti-Measles Vaccine) were not
administered to the child (before the
first birth date), then drop the entry
from the count of the total number of
FIC
If age of child (at the time he/she
received the last dose of vaccine)
falls above 12 months, then drop the
entry from the count of the total
number of fully immunized children
56
57
59
EXERCISE:
James Tan was born on January 1, 2010 and
was given BCG and HepaB1 vaccination on
January 2, 2010. He received the following
immunizations:
61
EXERCISE:
Is baby James a fully immunized
child?
If yes, when will he be recorded as
FIC?
When will he be reported as FIC?
62
Key to Correction:
Is baby James a fully immunized
child? YES
If yes, when will he be recorded as
FIC? November
When will he be reported as FIC?
Last quarter report (4th qtr.)
63
64
FHSIS Dictionary
65
66
Assessment Guide
Yes No
If No
Assessment
Guide
For an infant to be counted as
Exclusively breastfed infants mean
that only breastmilk and no other
food (including water) is given.
However, drops of vitamins and
prescribed medications given while
breastfeeding is still considered
exclusive breastfeeding
Yes
No
If No
Review the definition of EBF
if entries were made but not
really following definition of
EBF, then do not consider these
entries (It is important to remind
the midwives to ask follow up
questions to validate if infants
were really exclusively
breastfed)
Check (/) marks indicates that
mother was seen and was
asked if child is exclusively
breastfed, if not, then the
infant cannot be counted in the
total number of infants
exclusively breastfed until 6
months
68
Assessment
Guide
Yes
No
If No
69
70
72
EXERCISE:
James Tan was born on January 1, 2010 and was
given BCG and HepaB1 vaccination on January 2,
2010. He received the following immunizations:
Feb. 15, 2010 Pentavalent 1, OPV1
Mar. 30, 2010 Pentavalent 2, OPV2
Apr. 30, 2010 Pentavalent 3, OPV3
Nov. 5, 2010 Measles vaccine
On the Feb., Mar. and April immunization visits, Mrs.
Myrna Tan, the mother claims that she started
giving rice gruel to James in addition to
breastfeeding starting June 2010.
74
EXERCISE:
Is baby James Exclusively
breastfed for 6 months?
When will he be recorded and
reported as EBF for 6 months?
75
Key to Correction:
Is baby James Exclusively
breastfed for 6 months? No
When will he be recorded and
reported as EBF for 6 months? He
will not be recorded as EBF
76
77
78
Assessment Guide
Yes
No
If No
Is there an updated GP
Vitamin A
Supplementation
Coverage master list?
79
Assessment Guide
Yes
No
If No
80
Assessment Guide
Is the reported number of 659 months old children
given GP Vitamin A
consistent with the list of 659 months old children?
Yes
No
If No
Check the GP masterlist of the
health worker and check if all
children listed were given Vitamin
A; if not then correct the number
of children given Vitamin A
Check if the list of children given
Vitamin A is within the target group
of:
A. 6-11 months
B. 12-59 months
81
Assessment Guide
Yes
No
If No
If age of children given Vitamin A
does not belong to the age group
(cases where elementary
students are given Vitamin A and
reported), then take out the entry
from the number of children
given Vitamin A.
82
Assessment Guide
Yes
No
If No
Review the TCL for Under 1
year old and check if the
recorded 6-11 months old
children from January-April and
May to October are included in
the GP masterlist of 6-11
months old children for April and
October GP campaign. If not,
include these children in the
GP report for the total number
of 6-11 months old given
Vitamin A.
83
Assessment Guide
Was the projected
population used for
the GP report based
on the DOH projected
population?
Yes
No
If No
Show the related DOH DC as
reference document for the official
population to be used
Assist in the re-computation of
targets based on projected
population provided by the DOH
84
Assessment Guide
Is the computation of
target correct?
Yes
No
If No
Assist the health personnel in recomputing the target population.
Formula:
6-11 months = total population x
1.35%
12-59 months = total population x
10.8%
85
No
If No
Assist in disaggregating GP
report by age
86
Assessment
Guide
Yes
No
If No
Children who were missed should
be followed up and given Vitamin
A
A mop-up operation should be
done in other areas of the
barangay where children are
missed in the giving of Vitamin A
during GP week
87
100, 000 IU
200, 000 IU
For those clinically diagnosed with Persistent diarrhea, severe pneumonia and
severe malnutrition
6-11 months old
100, 000 IU
200, 000 IU
100, 000 IU
200, 000 IU
89
90
GP REPORT
DATA SOURCE
APRIL
1. GP Masterlist
2. TCL for nutrition and EPI
Part 2 (November of previous
year to April of the current
year)
OCTOBER
1. GP Masterlist
2. TCL for nutrition and EPI
Part 2 (May to October of
the current year)
92