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DATA QUALITY CHECK GUIDE

AND TOOLS FOR SELECTED


MATERNAL AND CHILD
HEALTH INDICATORS

Training on Data Quality Check

Importance of Clean and Valid


Data in the FHSIS
1. Helps local government determine public
health outcomes.
2. Basis for monitoring and evaluating health
program implementation.
3. Basis for planning, budgeting, logistics and
decision making at all levels.
4. Needed to monitor health status of the
community.
5. Help midwives in following up with clients
6. Documentation of RHM/PHN day to day
activities.
Training on Data Quality Check

Other Selected MCH Indicators


for Data Quality Check
Maternal Care
1. Four Pre natal visits (ANC4)
2. Facility-based delivery
3. Births by Skilled Birth Attendant

Training on Data Quality Check

Selected MCH Indicators for


Data Quality Check
Child Care
1.Fully Immunized Children
2.Exclusive Breastfeeding
3.Vitamin A supplementation

Training on Data Quality Check

Data Quality Check for


Indicator: 4ANC
Pregnant Women with Four AnteNatal Care

Training on Data Quality Check

FHSIS Dictionary

Training on Data Quality Check

FHSIS Dictionary

Training on Data Quality Check

Steps in conducting data


quality check (4 PNC):
1.

Secure copies of the following:


Target Client List (TCL) for prenatal care/visit
Summary Table (ST)
Monthly Form (M1)
Monthly Consolidation Table (MCT)
Quarterly Form (Q1)
2. Using the assessment guide below review the
entries in the TCL

Training on Data Quality Check

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

Training on Data Quality Check

Assessment
Guide

Yes

No

If No

EDC expected date of confinement


computation:
LMP Jan-Mar = +9 months + 7 days + 0
LMP Apr-Dec = -3 months + 7 days + 1
year
e.g. LMP is April 14, 2007 to compute for EDC
4 14 2007
-3 +7 + 1
1 21 2008 or an EDC of Jan. 21,
2008

10

EXERCISE: Computing the


EDC
Compute for the expected date of confinement
of the pregnant woman with the following LMP:
a) January 12, 2001
b) October 25, 2002
c) March 8, 2003
d) August 5, 2005
e) April 25, 2006
f) December 22, 2007
11

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

Dec. 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

EXERCISE: Computing the AOG


Compute for the age of gestation of the
pregnant woman with the following LMP:
LMP

Date of visit

Dec. 3, 2009

May 5, 2010

March 26, 2010

September 16, 2010

June 30, 2008

Feb. 28, 2009

April 17, 2007

Nov. 23, 2007

AOG (in
days) during
date of visit

Indicate
Trimester
(1st, 2nd, 3rd)

January 1, 2010 March 26, 2010


14

EXERCISE: Computing the AOG


Compute for the age of gestation of the pregnant
woman with the following LMP:
LMP

Dec. 3, 2009

Date of visit

May 5, 2010

AOG (in wks &


days) during date
of visit

Indicate
Trimester
(1st, 2nd, 3rd)

153 days

2nd

March 26, 2010 September 16,


2010
June 30, 2008 Feb. 28, 2009

174 days

2nd

243 days

3rd

April 17, 2007

Nov. 23, 2007

220 days

3rd

January 1,
2010

March 26, 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)

Check if dates of visits


are listed appropriately
under column 8 or the
prenatal visit dates.
Dates of visits should
correspond to trimesters
of pregnancy

Column 8: Date Prenatal Visits:


If dates of visit do not correspond to the
appropriate trimesters of pregnancy, then
dates of visit should be accounted
accordingly under correct trimester.

Training on Data Quality Check

16

Assessment Guide

1st trimester first 3


months (0-84 days)
2nd trimester middle
3 months (85-189
days)
3rd trimester - last 3
months (190 days &
more)

Yes No

If No

If the required number of visits for each of


the trimesters does not follow the at
least 1-1-2 rule, then the pregnant
woman cannot be counted as provided
with 4ANC.
In cases that the client claims to have
gone through pre-natal visit in a private
facility/provider, copy the date of visit
in the private facility under appropriate
trimester and then apply the rule
above. Put under REMARKS column
other necessary information to support
this claim, e.g. name of physician,
name of facility/clinic.

Training on Data Quality Check

17

Assessment Guide

For a pregnant woman


to be counted as
provided with 4
prenatal care, the
schedule of prenatal
care/visits should be at
least:
1 visit during the 1st
trimester
1 visit during the 2nd
trimester
2 visits during the 3rd
trimester

Yes No

If No

Ensure that reporting of number of


pregnant woman with 4ANC is done on
the month when the pregnant woman
completed the 1-1-2 rule.
In other words, if the pregnant woman
made additional visits during the 3rd
trimester, she should no longer be
counted again under 4ANC on the
month of the additional visits since this
woman was already reported on the
month that she completed 1-1-2

Training on Data Quality Check

18

Steps in conducting data quality check (4 PNV):

3. Check and count the listed number of


clients provided with at least 4 prenatal
visits (AT LEAST 1 in the 1st trimester of
pregnancy, AT LEAST 1 in the 2nd
trimester, and AT LEAST 2 in the 3rd
trimester). Compare the count from the
TCL with entries in ST of each RHM.

Training on Data Quality Check

19

Steps in conducting data quality check (4 PNV):

4. If discrepancies are noted (Reminder: Only


women who have completed the minimum
required 4 prenatal visits, following 1-1-2 rule,
shall be reported.), reconcile the entries in ST
with the TCL. If the number indicated in ST
does not match (ie. lower/higher than the
number in TCL), follow the number based
on TCL. Update ST and M1 accordingly.

Training on Data Quality Check

20

Steps in conducting data quality check (4 PNV):

5. Review entries in M1 against the MCT for


correctness. Update if necessary.
6. Review actual number of
accomplishment entered in the MCT and
reconcile with that of the Q1
7. Review computation of eligible
population (total population x 2.7%)
entered in the Q1
Training on Data Quality Check

21

Steps in conducting data quality check (4 PNV):

8. Review computation of percentage


accomplishment entered in Q1:
Numerator = is number of pregnant
women with 4 or more prenatal
visits/care
Denominator = is eligible population (total
population X 2.7%)
9. Revise Q1 report based on the results of
the data cleaning and submit to
PHO/CHD Training on Data Quality Check
22

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:

1. How many pregnant have 4 or


more prenatal visits?
2. Who are these women?
3. How many pregnant women
had 4 or more pre-natal visits
for February?
4. Who are these women?
24

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)

(190 days and more)

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:

1. How many pregnant have 4 or


more prenatal visits? 2
2. Who are these women? Sonia
Sison, Rowena Garcia
3. How many pregnant women had
4 or more pre-natal visits for
February? None
4. Who are these women? None
26

EXERCISE:

Mrs. Evelyn Reyes, 23 year old G2P1


pregnant woman visited the BHS on
May 10, 2009 for her first prenatal
check-up. Her LMP was April 15,
2009. Her subsequent prenatal visits
were on June 15, 2009, Sept. 5, 2009,
Dec. 1, 2009 and on January 30, 2010
delivered a healthy baby girl.
27

EXERCISE:

1.
2.

What is her EDC?


Where will you record her:
a) first visit?
b) 2nd visit?
c) 3rd visit?
d) 4th visit?

3. Did Ms. Reyes complete the


4 PNV?

28

Key Answers
Mrs. Evelyn Reyes

EDC is January 22, 2010


The 1st visit falls on the 1st trimester
The 2nd visit is still on the 1st trimester
The 3rd visit is on the 2nd trimester
The 4th visit falls on the 3rd trimester
Although Mrs. Reyes visited the BHS for pre-natal
care 4 times during her pregnancy she cannot be
recorded as someone with 4 PNC visit since she only
had 1 PNC visit on the 3rd trimester
29

Data Quality Check for


Indicator: SBA and FBD
Live births delivered by Skilled
Birth Attendants
Facility-based Deliveries
Training on Data Quality Check

30

FHSIS Dictionary

Training on Data Quality Check

31

Definition
This refers to
deliveries that
occurred in
health facilities
such as RHU,
hospitals, BHS,
and birthing
facilities

Training on Data Quality Check

32

FHSIS Dictionary

33

Steps in conducting data


quality check (FBD & SBA):
1.

Secure copies of the following:


Target Client List (TCL) for prenatal care/visit and other
birth registry
Summary Table (ST)
Annual-BHS (A-Barangay)
Local Civil Registrar Records (LCR)
2. Using the assessment guide below review the entries
in the TCL

Training on Data Quality Check

34

Assessment
Guide

Yes

No

If No

Is the target
client list for
prenatal care
updated?

Get copies of the individual treatment record


or masterlist of pregnant women if available
and update TCL

Is the target
client list
completely
and correctly
filled-out?

If column 13 (Pregnancy Date Terminated


and Outcome, and Gender) of TCL for
prenatal care is not filled up, check if terms
are understood
Date Terminated month, day and year
current pregnancy is terminated
Outcome pregnancy outcome maybe:
Livebirth (LB) Fetal Death (FD) or Abortion
(AB)
Training on Data Quality Check

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

Training on Data Quality Check

36

Assessment
Guide

Yes No

If No
Attended by
MD = doctor
RN = nurse
RM = midwife
H = Hilot/TBA
O = Others

Training on Data Quality Check

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

If not delivered in the health facility, then this


delivery should not be counted in the total
number of deliveries in health facilities. Note
that:
Delivery refers to the woman. This means that
whether the outcome is livebirths or fetal
death, this is counted as one delivery. In the
case of multiple births, it should still be
counted as 1 delivery, regardless of outcome.
Reporting of deliveries is BY PLACE OF
OCCURRENCE.

Training on Data Quality Check

38

Assessment
Guide

SBA: For a live


birth to be
counted as
attended by a
skilled health
personnel, births
should have
been attended
by any of the
following:
-Doctor
-Nurse
-Midwife

Yes

No

If No

If live birth was not attended by DOCTOR,


NURSE or MIDWIFE, then this live birth should
not be counted in the total number of births
attended by skilled health personnel. Note that:
There should be 1 count for each live birth in
the case of multiple births. Reporting of live
births is BY PLACE OF OCCURRENCE.

Training on Data Quality Check

39

Steps in conducting data quality check (FBD & SBA):


3.

Check and count the number of facility-based deliveries


and live births delivered by skilled health personnel
For FBD: ALL BIRTHS DELIVERED IN HEALTH
FACILITIES (RHUs, hospitals, BHS and birthing
facilities), regardless of outcome, will be counted by the
end of the reporting month.). Compare the count from the
TCL with entries in ST under Natality.
For SBA: ALL LIVEBIRTHS DELIVERED by a SKILLED
BIRTH ATTENDANT (MD, RN, RM) will be counted by the
end of the reporting month.). Compare the count from the
TCL with entries in ST under Natality.

Training on Data Quality Check

40

Steps in conducting data quality check (FBD & SBA):

4. If discrepancies are noted, reconcile the


entries in ST with that of the actual count
listed in the updated TCL. If the number
indicated in ST does not match (ie.
lower/higher than the number in TCL),
follow the number based on TCL. Update
M1 accordingly.
5. Review A-Barangay of each RHM and
compare entries in the ST and M1 for
correctness, completeness and/or
discrepancies
Training on Data Quality Check

41

Steps in conducting data quality check (FBD & SBA):

7. Review entries in the A-Barangay of each


RHM against the A1-RHU for correctness
Additional Notes:
Since reporting of live births and deliveries is by PLACE
OF OCCURRENCE, it is best that we report based
on LCR so that we can capture all births in the
municipality.

Training on Data Quality Check

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

Secure copies (photocopy if possible) of


all certificate of live births from the
municipal/city local civil registrars
office or get permission from LCR to
review records on live births

Training on Data Quality Check

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

Check if births/deliveries recorded in the TCL are already


registered. If not, then the LGU should establish
mechanism to ensure that these births are registered.
Identify and count births/deliveries that are registered but not
recorded in the TCL
Establish a mechanism on how to reconcile live births to be
reported in A1-RHU with that of registered births/deliveries
based on LCR records/report.
Note:
Registration of births/deliveries is by place of
occurrence. Hence those delivered in hospitals or facilities
outside of residence of pregnant woman will be registered
in the place where the hospital or facility is located.
It is important that a mechanism is established by the
PHO/CHO relative to natality recording and reporting. It is
suggested that the midwife may do monthly reconciliation
with the local civil registrar and TCL

44

Steps in conducting data quality check (FBD & SBA):

9. Review computation of accomplishment:


% of births attended by skilled health personnel

Numerator = total number of live births


attended by skilled health personnel
Denominator= total number of livebirths
% facility based deliveries
Numerator = number of deliveries in health
facilities (RHUs, hospitals, BHS, & other
birthing facilities)
Denominator= total number of deliveries
45

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

Jan 12, 2010

LB

2500

Home

RM

Sophia Perez

Jan. 12, 2010

LB

2600

Clinic

MD

Benilda Samson

Jan. 31, 2010

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

May 20, 2010

LB

3000

Clinic

RM

Frethel Malicsi

June 15, 2010

LB

3200

RHU

RM

Simeona Ang

June 22, 2010

LB

2600

Birthing facility

RM

Victoria Tan

June 23, 2010

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

Training on Data Quality Check

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:

Total number of livebirths from January to June = 17


Total number of fetal deaths = 1
Livebirths according to place of delivery
- NID = 5
- Health facilities)
= 11
Compute for Facility based delivery
11/16 x 100% = 68.75%
Classify livebirths according to attendant
- Doctor
=4
- Nurse
=3
- Midwife
=6
- Hilot/TBA
=3
- Others
=1
Compute for Skilled birth attendance
13/17 x 100% = 76.5 or 77%
Training on Data Quality Check

49

Data Quality Check for


Indicator: FIC
Fully Immunized Child

50

FHSIS Dictionary

51

EPI Vaccine Schedules


At Birth at birthing facilities
Birth Dose of Hepatitis B vaccine (HepB 0)
Birth Dose of BCG vaccine

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

Steps in conducting data


quality check (FIC):
1.

Secure copies of the following:

Target Client List (TCL) for children under 1 year old


Summary Table (ST)
Monthly Form (M1)
Monthly Consolidation Table (MCT)
Quarterly Form (Q1)

2. Using the assessment guide below review the


entries in the TCL
53

Assessment Guide

Yes No

If No

Is the target client list for children under


1 year old updated?

Get copies of the individual


treatment record or masterlist of
children under 1 year old if
available and update TCL

Is the target client list completely and


correctly filled-up?

Check entries in Column 13 (Date


Immunization Received) of TCL for
children under 1 year old.
Check if dates of immunization are
entered in each column of the
antigen (BCG, Pentavalent1,
Pentavelent2, Pentavalent3, OPV1,
OPV2, OPV3, and Anti-Measles
Vaccine) following the ROUTINE
IMMUNIZATION SCHEDULE for
infants

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

Steps in conducting data quality check (FIC):

3. Check and count the listed number of


infants fully immunized for the month.
Compare the count from the TCL with
entries in ST of each RHM.

57

Steps in conducting data quality check (FIC):


4.

If discrepancies are noted (Reminder: Only infants who


have received 1 dose of BCG at birth or anytime before
reaching 12 months, 3 doses each of Pentavalent, and
OPV as long as the 3rd dose is given before the child
reaches 12 months old and 1 dose of measles vaccine
before reaching 12 months old should be reported for
the reporting month.), reconcile the number reported in
ST with that of the actual number of infants who
received the last dose of the scheduled immunization as
listed in the updated TCL. If the number indicated in
ST does not match (ie. lower/higher than the number
in TCL), follow the number based on TCL. Update M1
accordingly.
58

Steps in conducting data quality check (FIC):

5. Review entries in the M1 against the MCT


for correctness. Update if necessary.
6. Review actual number of accomplishment
entered in the MCT and reconcile with that
of the Q1
7. Review computation of eligible population
for 0-11 months old infants (total population
x 2.7%) entered in the Q1

59

Steps in conducting data quality check (FIC):

8. Review computation of percentage


accomplishment entered in Q1
Numerator = total number of fully
immunized children
Denominator = total population x 2.7%
9. Revise Q1 report based on the results of
the data cleaning and submit to PHO/CHD
60

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 Pentavalent1 and OPV1

Mar. 30, 2010 Pentavalent2 and OPV2


Apr. 30, 2010 Pentavalent3 and OPV3
Nov. 5, 2010 Measles vaccine

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

Data Quality Check for


Indicator: EBF
Infants Age 6 months old
exclusively breastfed

64

FHSIS Dictionary

65

Steps in conducting data


quality check (EBF):
1. Secure copies of the following:
Target Client List (TCL) for children under 1 year old
Summary Table (ST)
Monthly Form (M1)
Monthly Consolidation Table (MCT)
Quarterly Form (Q1)
2. Using the assessment guide below review the entries
in the TCL

66

Assessment Guide

Yes No

If No

Is the target client list for children


under 1 year old updated?

Get copies of the individual


treatment record or masterlist of
children under 1 year old if
available and update TCL

Is the target client list completely


and correctly filled-up?

Check entries in column 15 (Child


was exclusively breastfed) of TCL
for children under 1 year old, note if
a check is placed under the
columns 1st, 2nd, 3rd, 4th, 5th. The
check mark indicates that the infant
is exclusively breastfed for that
period/age.
Check entry on the last column
(6th month) if date was
indicated. The date indicates
that the infant was exclusively
breastfed until 6th month.
67

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

Only when the infant reaches 6


months of age and has been
exclusively breastfed from 1st to
the 6th month of age shall he/she
be reported as exclusively
breastfed

Yes

No

If No

Check if date indicated is the


6th month age of the child (by
reviewing date of birth), if visit
is beyond 6 month, then the
child cannot be counted as
infant age 6 months old seen
If no entry on the date of visit
(implies that the mother did not
visit, and thus no confirmation
was made to check if mother
followed the EBF rule), then
this infant cannot be counted in
the total number of EBF infants

69

Steps in conducting data quality check (EBF):

3. Check and count the listed number of


infants exclusively breastfed for the
month. Compare the count from the TCL
with entries in ST of each RHM.

70

Steps in conducting data quality check (EBF):

4. If discrepancies are noted (Reminder:


Only when infants have reached 6 months
of age and are still exclusively breastfed
shall they be recorded as exclusively
breastfed for 6 months and reported for
the reporting month.), reconcile the
number reported in ST with that of the
actual number of infants who were
exclusively breastfed for 6 months listed in
the updated TCL. Update M1 accordingly.
71

Steps in conducting data quality check (EBF):

5. Review entries in the M1 against the MCT


for correctness. Update if necessary.
6. Review actual number of accomplishment
entered in the MCT and reconcile with
that of the Q1

72

Steps in conducting data quality check (EBF):

7. Review computation of percentage


accomplishment entered in Q1
Numerator = total number of infants
exclusively breastfed until 6 months
Denominator = Population x 2.7%
8. Revise Q1 report based on the results
of the data cleaning and submit to
PHO/CHD
73

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

Data Quality Check for


Indicator: Vitamin A
Supplementation
6-59 months Children given
Vitamin A

77

Steps in conducting data


quality check (GP-Vit A):
1. Secure copies of the GP report and
masterlist (or any document listing) of
6-11 and 12-59 months old children
given Vitamin A
2. Using the assessment guide below
review the entries in the GP report

78

Assessment Guide

Yes

No

If No

Is there an updated GP
Vitamin A
Supplementation
Coverage master list?

Update the master list or any document


listing children 6-59 months old children
given Vitamin A supplementation

Is the GP report the


latest version during
the assessment?

Secure a copy of the latest report

79

Assessment Guide

Yes

No

If No

Is the latest version the final


report?

Ask when will the final report be


available

Is the final report complete?

Ask the barangays if they have not


submitted their final report and
assist in facilitating submission of
the final report of these barangays

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

**Note: Part of the DOH


DM 2010-0052 (February
26, 2010), Annex A
(Guidelines for the
Conduct of GP Activities)
Reminder 3 states that
All well children given
Vitamin A prior to GP and
was reported in the
FHSIS Report form shall
be added to the GP
accomplishment report
and not to be included in
the report of high risk
cases as indicated in the
FHSIS.

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

Assessment Guide Yes


Is the target group
disaggregated by age:
6-11 months
12-59 months
Are there barangays
which reported less
than 100%
accomplishment?

No

If No
Assist in disaggregating GP
report by age

Conduct rapid coverage


assessment of a cluster of
families with children 6-59
months old children in the
barangay and check if there
are missed children

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

FOR SICK CHILDREN


For those clinically diagnosed with Measles (based on IMCI protocol)
6-11 months old

100, 000 IU

Give 1 capsule upon diagnosis


regardless when the last dose of
VAC was given

12-59 months old

200, 000 IU

Give 1 capsule upon diagnosis


regardless when the last dose of
VAC was given

For those clinically diagnosed with Persistent diarrhea, severe pneumonia and
severe malnutrition
6-11 months old

100, 000 IU

Give 1 capsule upon diagnosis


except when child was given VAC
less than 4 weeks before
diagnosis

12-59 months old

200, 000 IU

Give 1 capsule upon diagnosis


except when child was given VAC
less than 4 weeks before
diagnosis
88

FOR SICK CHILDREN


For those clinically diagnosed with Xerophthalmia
6-11 months old

100, 000 IU

Give immediately 1 capsule upon


diagnosis, 1 capsule the next day
and another capsule 2 weeks
after

12-59 months old

200, 000 IU

Give immediately 1 capsule upon


diagnosis, 1 capsule the next day
and another capsule 2 weeks
after

89

Steps in conducting data quality check (GP-Vit A):

3. Review computation of percentage


accomplishment
For infants 6-11 months old:
Numerator = total number of infants 611 month old given Vitamin A
Denominator = total population x 1.35%

90

Steps in conducting data quality check (GP-Vit A):

For children 12-59 months old:


Numerator = total number of 12-59
months old children given Vitamin A
Denominator = total population x 10.8%
4. Revise GP report based on the results of
the data cleaning and submit to
PHO/CHD
91

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

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