TABLE 1

POPULATION BY BARANGAY / MUNICIPALITY

BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
Municipality / Barangay
Number
%

% = Population of Barangay
Total Population of Municipality

X 100

AGE GROUP
Under 1 year
1-5 years
6-9 years
10-24 years
25-29 years
60 years & above
TOTAL
% for both
Sexes =

TABLE 2
POPULATION BY AGE & SEX
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
BOTH SEXES
MALE
NO.
%
NO.
%
0
0
0
0
0
0

Total No. of Specific Age Group

Total Population of Barangay / Municipality

FEMALE
NO.
%
0
0
0
0
0
0

X 100

TABLE 3
LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, MATERNAL DEATHS
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
POPULATION

LIVEBIRTHS

TOTAL DEATHS

MATERNAL DEATHS

INFANTS DEA

TOTAL
LIVEBIRTH RATE =

Total No. of Livebirth of Brgy. Or Municipality

Total Population of Brgy. Or Municipality

X 100

TOTAL DEATH RATE =

Total No. of Death of Brgy. Or Municipality

Total Population of Brgy. Or Municipality

X 100

MATERNAL DEATH RATE =

Total No. of Maternal Death of Brgy. Or Municipality

Total Population of Brgy. Or Municipality

X 100

INFANT DEATH RATE =

Total No. of Infant Death of Brgy. Or Municipality

Total Population of Brgy. Or Municipality

X 100

ABLE 3
NFANT DEATHS, MATERNAL DEATHS
________, TANAY, RIZAL
R: 2015
INFANTS DEATHS

TABLE 4
MORTALITY BY SEX AND DEATHS WITH MEDICAL ATTENDANCE
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
DEATH BY SEX
DEATH WITH MEDICAL
ATTENDANCE
TOTAL DEATH
MALE
FEMALE
NO.
%
NO.
%
NO.
%

% DEATH BY SEX =
% Death with Med.
Attendance =

No. of Death per Sex

Total Death

No. of deaths w/ Med. Attendance

Total Deaths

X 100

X 100

TABLE 5
LIVEBIRTHS AND PERINATAL DEATHS
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
Perinatal Deaths
LIVEBIRTHS
STILLBIRTHS
EARLY NEONATAL DEATHS
TOTAL
F
M
NO.
RATE
NO.
RATE

STILLBIRTHS =

EARLY NEONATAL DEATHS RATE =

No. of Stillbirth
Livebirth

X 100

No. of Early Neaonatal Death

Livebirth

X 100

TOTAL CAUSES

TABLE 7
MORTALITY BY AGE GROUP AND SEX
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
MALE
AGE GROUP
NO.
%
<1 YEAR
1-4 YEARS
5-14 YEARS
15-49 YEARS
50-64 YEARS
65 YEARS OVER

FEMALE
NO.
%

TOTAL
No. of Mortality by Age Group =

No. of Death / Age Group & Sex

Total Death

X 100

TABLE 8
MORBIDITY, LEADING CAUSES, NUMBER & RATE PER 100, 000 POPULATION
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
20____
5-YEAR AVERAGE
CAUSES
NUMBER
RATE
NUMBER
RATE

Morbidity Average Past 5 Years

No. =
Ave. Past 5 Years =

Total No. Cases Acc. To Causes for the Past 5 Years

5 Years

Number
Total Population of Brgy. Or Municipality for the Past 5 Years

Present Year Morbidity Rate =

No. of Cases Acc. To Cause

Total Population of Brgy. Or Municipality

x 100,000
Pop.
x 100,000
Pop.

TABLE 9
MORTALITY, LEADING CAUSES, NUMBER & RATE PER 100, 000 POPULATION
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
CAUSES

Mortality Ave. Past 5

Years No. =

5-YEAR AVERAGE
(______________)
NUMBER
RATE

20_____
NUMBER
RATE

Total N. of Deaths Acc. To Cause for the Past 5 Years

5 Years

Mortality Ave. Past 5

Years RATE =

No.
Total Population of Brgy. Or Municipality for the Past 5 Years/5

X 100, 000
Pop.

Present Year
MORTALITY RATE =

No. of Death Acc. To Cause

Total Pop. Of Brgy. Or Municipality

X 100, 000
Pop.

TABLE 10
INFANT MORTALITY, LEADING CAUSE, NUMBER & RATE PER 100, 000 LIVEBIRTH & PERCENTAGE DIST
5-YEAR AVERAGE (__________________) & 20_____
BRGY. ____________________, TANAY, RIZAL
CAUSE

5-YEAR AVE.
(_____________)
NUMBER RATE

20_______
NUMBER

RATE

% OF INFANT DEATH

Note: Stillbirth Fetal Death are NOT Included

Ave. Past 5 Years No.
=
Rate =
Present Year Infant Mortality
Rate =

Total No. Infant Deaths Acc. To cause for the Past 5 Years
5 Years
Number
Total Population for the Past 5 Years/5

X 1,000 Livebirths

No. of Infant Death Acc. To Cause

Total Livebirths

X 1,000 Livebirths

PER 100, 000 LIVEBIRTH & PERCENTAGE DISTRIBUTION

TABLE 11
MATERNAL MORTALITY, LEADING CAUSE, NUMBER & RATE PER 1, 000 LIVEBIRTH & PERCENTAGE DIST
5-YEAR AVERAGE (__________________) & 20_____
BRGY. ____________________, TANAY, RIZAL
CAUSE

Maternal Mortality Ave. Past 5

Years No. =

5-YEAR AVE.
(_____________)
NUMBER RATE

20_______
NUMBER

RATE

Total No. of Maternal Deaths Acc. To Cause for the Past 5 Years
5 Years/5

Maternal Mortality Ave. Past 5

Years RATE =

Number
Total Population for the Past 5 Years/5

X 1,000

RATE =

No. Maternal Deaths Acc. To Cause

Total Livebirths

X 1,000

ATE PER 1, 000 LIVEBIRTH & PERCENTAGE DISTRIBUTION

TABLE 12-A
PRE-NATAL ACCOMPLISHMENT REPORT
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
TARGET
1. Pregnant women with 3 or more pre-natal visits
2. Pregnant women given TT@ Plus
3. Pregnant women given complete iron Dosage
Eligible Population = TP X 3.5%

NO.

1.
2.
3.
4.
5.

TABLE 12-B
POST PARTUM ANNUAL ACCOMPLISHMENT REPORT
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
TARGET
Postpartum (PP) with at least 1 PP visit)
PP mother given complete Iron dosage
PP women initiated breastfeeding
Lactating mother given Vit. A
Women 15-19 years given Iodized oil capsule

NO.

ANTIGEN
BCG
DPT3
OPV3
MEASLES W/ VAC
HEP. B3
FIC

TABLE 13
EPI ANNUAL ACCOMPLISHMENT REPORT
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
TARGET
ACC.

Eligible Population = TP x2.7%

TABLE 14
CONTROL OF DIARRHEAL DISEASE ANNUAL ACCOMPLISHMENT REPORT
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
TARGET
ACC.
%
DIARRHEAL CASES AMONG 0-59 MONTHS
DIARRHEAL CASES SEEN TREATED WITH ORESOL
AMONG 0-59 MONTHS

TABLE 15
FAMILY PLANNING ANNUAL ACCOMPLISHMENT REPORT
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
NEW ACCEPTOR
CURRENT ACCEPTOR
METHOD USES
TARGET
ACC.
%
TARGET
ACC.
%
PILLS
IUD
CONDOM
BTL
VASECTOMY
LAM
RHYTHM
DMPA
TOTAL
Eligible Population for NA =
Eligible Population for CU =

TABLE 16
CONTROL OF ACUTE RESPIRATORY TRACT INFECTION ANNUAL ACCOMPLISHMENT REPORT
BRGY. ____________________, TANAY, RIZAL
YEAR: 2015
TARGET
ACC.
%
Pneumonia Cases Seen (0-59Months)
pneumonia Cases Seen Given treatment (0-59 Months)
Eligible population = TP X 14.5% X 100 / 1,000