December Accomplishment

CONSOLIDATED
PHILIPPINE HEALTH AGENDA - FIRST 100 DAYS
WEEKLY TSEKAP REPORT

Region IX PERIOD COVERED
Province ZANORTE JAN.9,2017
FORM 2 - WEEKLY REPORTING FORM
Municipality/City SERGIO OSMEŃA TO
No.of Household Profiled 5335 FEB.3,2017
NEWBORN INFANT CHILD ADOLESCENT

60 YRS AND
20-49 yrs old 50-59 yrs old SUBTOTAL GRAND
0-28 days 29 days- 11mos 1-5 yrs old 6-9 yrs old 10-19 yrs old ABOVE
BASIC HEALTH SERVICES
TOTAL
F F
M F M F M F M F M M M F M F M F
Pregnant Post Partum Non-Pregnant Pregnant Post Partum Non-Pregnant
NUMBER OF PATIENTS ASSESSED 9 24 225 193 31 44 0 0 43 61 34 43 65 272 63 83 40 42 43 85 456 944 1400
PHYSICAL EXAMINATION 23 29 251 221 38 51 0 0 61 65 29 79 99 319 59 841 40 98 63 177 575 1968 2543
Blood Pressure 5 14 71 8 24 54 2 109 8 13 8 22 45 293 338
Weight Measurement 10 21 104 95 17 22 0 0 24 23 10 22 27 82 22 189 17 28 19 46 218 560 778
Obese 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Undernutrition 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Height Measurement 3 17 104 100 17 23 0 0 24 23 10 22 27 78 19 199 14 27 25 46 214 564 778
Stunted 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LABORATORY EXAMINATION 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Blood Typing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Complete Blood Count 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 5 5
Urinalysis 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 3
Fasting Blood Sugar 0 0 0 8 5 10 0 51 1 8 4 10 10 87 97
Stool Examination 0 0 0 0 0 0 0 0 0 8 5 10 0 3 1 8 4 10 10 39 49
FAMILY PLANNING SERVICES 0 0 0 0 0 0 2 0 2 2
Counseling 1 2 0 1 23 3 51 1 80 81
Commodities 1 2 0 1 38 11 68 1 120 121
HEALTH EDUCATION AND PROMOTION SERVICES 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1
OTHER SERVICES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eye Exam 0 0 7 3 1 2 0 0 0 1 0 0 0 2 0 23 0 0 1 2 9 33 42
Ear Exam 0 0 7 3 1 2 0 0 0 1 0 0 0 2 0 23 0 0 1 2 9 33 42
Oral Services 7 3 1 2 0 0 0 1 0 0 0 2 0 23 0 0 1 2 9 33 42
SUBTOTAL 1557 4765
GRAND TOTAL 6322
TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES 437 59 0 159 1229 108 219 2211
(BASED ON FORM 1A-1H)
CASES REFERRED (specify)
TOTAL CASES REFERRED
DRUG REHABILITATION SERVICES

Screening
Counseling
Drug Testing
Referral
TOTAL DRUG REHABILITATION SERVICES
W
Region
Province
Municipality/City
No.of Household Profiled
NUMBER OF PATIENTS ASSESSED
PHYSICAL EXAMINATION
Blood Pressure
Weight Measurement
Obese
Undernutrition
Height Measurement
Stunted
LABORATORY EXAMINATION
Blood Typing
Complete Blood Count
Urinalysis
Fasting Blood Sugar
Stool Examination
FAMILY PLANNING SERVICES

Counseling
Commodities
HEALTH EDUCATION AND PROMOTION SERVICES

OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED

ON FORM 1A-1H)

Jorge Empeynado (increased BP)
Lucia Empeynao (increased BP)
Gracy Candausa (increased blood sugar)
Gambana, Emmalyn (increased BP)
Julieta Basada (increased BP)
Screening
Counseling
Drug Testing
Referral
WEEKLY TSEKAP REPOR
Region IX
Zamboanga del Norte
Sergio Osmena
5335
29 days-
0-28 days 1-5 yrs old 6-9 yrs old 10-19 yrs old
11mos
F
M F M F M F M F M
Pregnant
6 14 12 6 7 9 0 0 12 16
5 9 6 4 2 4 6 6
3
5 9 6 4 2 4 6 6
1 5 6 2 5 5 6 7
ST 100 DAYS
REPORT
PERIOD COVERED
JAN.9,2017 FORM 2 - WE
TO REPORTING F
JAN.13,2017
ADOLESCENT 60 YRS AND
20-49 yrs old 50-59 yrs old
10-19 yrs old ABOVE
F F
M M F M F
Post Partum
Non-Pregnant Pregnant
Post Partum
Non-Pregnant
10 10 11 13 24 20 13 6 11 4
5 5 5 7 8 4 7 3 4 2
5
5 5 3 7 8 4 7 3 4 2
5 5 3 6 7 11 6 3 7 2
5
4 5
ORM 2 - WEEKLY
EPORTING FORM
GR
SUBTOTA AN
L
D
M F
TOT
72 132 AL
204
35 57 92
5
33 57 90
34 58 92
0 5 5
0 9 9
179 318
492
Region
Province
Municipality/City
Blood Pressure
Weight Measurement
Obese
Undernutrition
Height Measurement
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination

Counseling
Commodities

OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED ON

FORM 1A-1H)

Jorge Empeynado (increased BP)
Lucia Empeynao (increased BP)
Gracy Candausa (increased blood sugar)
Gambana, Emmalyn (increased BP)
Julieta Basada (increased BP)

Screening
Counseling
Drug Testing
Referral
WEEKLY TSEKAP REPOR
Region IX
Zamboanga del Norte
Sergio Osmena
5335

29 days-
11mos
F
M F M F M F M F M
Pregnant
2 10 12 13 14 10 0 0 20 13
1 7 6 4 7 5 10 6
1 7 6 4 7 5 10 6
1 7 6 9 7 5 10 7
ST 100 DAYS
REPORT
PERIOD COVERED
JAN.16.2017 FORM 2 - WE
TO REPORTING
JAN.18,2017

10-19 yrs old ABOVE
F F
M M F M F
Post Partum
Post Partum
Non-Pregnant
10 10 6 22 28 9 14 6 11 4
5 5 3 11 9 8 7 3 4 2
5 5 3 11 9 8 7 3 4 2
5 5 3 11 9 14 7 3 7 2
3
7 7
ORM 2 - WEEKLY
EPORTING FORM
SUBTOTA GRA
L ND
M F TOT
AL
79 135 214
38 65 103
41 77 118
0 3 3
0 14 14
158 294
452
Region
Province
Municipality/City
Blood Pressure
Weight Measurement
Obese
Undernutrition
Height Measurement
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination

Counseling
Commodities

OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED

ON FORM 1A-1H)


Screening
Counseling
Drug Testing
Referral
PHILIPPINE HEALTH AGENDA - FIRST 100 DAY
WEEKLY TSEKAP REPO
Region IX
Zamboanga del Norte
Sergio Osmena
5335

29 days-
11mos
F
M F M F M F M F M
Pregnant
14 0 191 169 7 20 0 0 10 32
1 18 16 5 6
5 11
3 76 72 2 7 7
76 72 2 7 5
7 3 1 2 1
7 3 1 2 1
7 3 1 2 1
360 27 0 79
IRST 100 DAYS
REPORT
PERIOD COVERED
JAN.23,2017 FORM 2 - W
TO REPORTING
JAN.27,2017

10-19 yrs old ABOVE
F F
M M F M F
Post Partum
Post Partum
Non-Pregnant
14 23 48 237 11 541 13 30 19 67
7 11 8 18 7 54 1 6 2 8
7 8 19 54 2 109 8 13 8 22
1 8 51 2 106 2 6 3 14
1 8 48 103 5 3 9
5 10 31
1 15 31
1 35 38
2 23 1 2
2 23 1 2
2 23 1 2
79 837 43 86
FORM 2 - WEEKLY
REPORTING FORM
SUBTOTA
L GRAND
M F TOTAL
302 1144 1446

35 133 168
40 226 266
94 266 360
89 250 339
5 41 46
0 47 47
0 74 74
1 27 28
9 33 42
9 33 42
8 6 14
592 2280
2872
1432
C
W
Region
Province
Municipality/City
Blood Pressure
Weight Measurement
Obese
Undernutrition
Height Measurement
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination

Counseling
Commodities

OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED ON

FORM 1A-1H)


Screening
Counseling
Drug Testing
Referral
WEEKLY TSEKAP REPOR
Region IX
Zamboanga del Norte
Sergio Osmena
5335

29 days-
11mos
F
M F M F M F M F M
Pregnant
2 10 42 35 15 17 0 0 25 14
10 5 3 5 1 4
6 4
1 5 16 15 6 6 8 4
1 5 16 15 6 6 8 4
1 2
1
77 32 0 80
ST 100 DAYS
REPORT
PERIOD COVERED
Jan. 27, 2017 FORM 2 - WE
TO REPORTING
Feb. 3, 2017

10-19 yrs old ABOVE
F F
M M F M F
Post Partum
Post Partum
Non-Pregnant
0 41 40 53 12 287 6 59 29 104
11 2 10
11 14 16 3 82 3 18 6 27
11 13 13 3 71 1 16 8 28
11 13 13 3 71 1 16 8 28
8 20 1 8 4 10
3 1 1 1
2
8 3 20
3 18
80 392 65 133
ORM 2 - WEEKLY
EPORTING FORM
SUBTOTA GRA
L ND
M F TOT
AL
159 632 791
16 35 51
29 161 190
53 172 225
53 172 225
5 46 51
1 33 34
1 21 22
317 1272
1589
779
CONSOLIDATED

Province ZANORTE FEB.3,2017
No.of Household Profiled 5335 MAR.3,2017

60 YRS AND
TOTAL
F F
NUMBER OF PATIENTS ASSESSED 1 2 394 314 384 289 22 23 21 89 0 35 283 362 11 1308 73 266 266 317 1444 3016 4460
PHYSICAL EXAMINATION 1 2 207 192 237 140 116 15 9 25 1 25 76 138 17 363 33 89 91 112 770 1119 1889
Blood Pressure 10 25 1 25 76 123 17 309 33 89 91 112 210 701 911
Obese 0 0 0
Undernutrition 4 0 4 4
Stunted 8 0 8 8
LABORATORY EXAMINATION 0 0 0
Blood Typing 0 0 0
Complete Blood Count 0 0 0
Urinalysis 0 0 0
Fasting Blood Sugar 5 25 4 11 16 20 25 56 81
Stool Examination 1 0 1 1
FAMILY PLANNING SERVICES 0 0 0
Counseling 2 4 16 126 2 146 148
Commodities 1 1 5 12 137 1 155 156
HEALTH EDUCATION AND PROMOTION SERVICES 0 0 0
OTHER SERVICES 0 0 0
Eye Exam 28 10 48 59 1 3 19 12 40 1 3 8 10 105 137 242
Ear Exam 28 10 48 59 1 3 19 12 40 1 3 8 10 105 137 242
Oral Services 28 10 48 59 1 3 19 12 40 1 3 8 10 105 137 242
SUBTOTAL 4245 7781
GRAND TOTAL 12026
HYPERTENSION 3 2 1 3 1 8 9
TOTAL CASES REFERRED 3 2 1 3 1 8 9

Screening
Counseling
Drug Testing
Referral
PHILIP
WEE
Region Region IX
Province Zamboanga del Norte
Municipality/City Sergio Osmena
No.of Household Profiled 5335
NEWBORN INFANT
29 days-
0-28 days
BASIC HEALTH SERVICES 11mos
M F M F
NUMBER OF PATIENTS ASSESSED 0 0 9 18
PHYSICAL EXAMINATION 3 6
Blood Pressure
Weight Measurement 3 6
Obese
Undernutrition
Height Measurement 3 6
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination

Counseling
Commodities

OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
TOTAL NO. OF CLIENTS PROVIDED WITH AT 27

LEAST 3 SERVICES (BASED ON FORM 1A-1H)


Screening
Counseling
Drug Testing
Referral
el Norte Feb. 3, 2017

a TO
5 Feb. 10, 2017
CHILD ADOLESCENT
20-49 yrs old
1-5 yrs old 6-9 yrs old 10-19 yrs old
F F
M F M F M M
Pregnant
Post Partum
23 64 0 0 4 30 0 0 45 34
7 17 1 13 17 17
4 7 4
5 4 4 7 4
5 4 4 7 4
1
3 3
1 1
1 1
2 13 1 2
2 13 1 2
2 13 1 2
87 0 34 507
YS
RT
3, 2017 FORM 2 - WEEKLY

O REPORTING FORM
0, 2017
GRAN
60 YRS AND
20-49 yrs old 50-59 yrs old SUBTOTAL D
ABOVE
F
M F M F M F TOTA
Post Partum
Non-Pregnant
L
0 428 22 103 46 71 149 748 897
172 9 43 18 28 55 296 351
57 4 19 8 11 19 95 114
50 4 17 8 11 27 96 123
50 4 17 8 11 27 96 123
11 1 7 1 4 3 22 25
0 6 6
23 0 25 25
14 0 16 16
17 1 2 6 32 38
17 1 2 6 32 38
17 1 2 6 32 38
298 1496
1794
507 125 117 897

C
PHIL
WEE
Region Region IX
NEWBORN INFANT
29 days-
0-28 days
M F M F
NUMBER OF PATIENTS ASSESSED 2 0 351 264
PHYSICAL EXAMINATION 1 0 89 78
Blood Pressure
Weight Measurement 1 89 78
Obese
Undernutrition
Height Measurement 1 89 78
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination

Counseling
Commodities

OTHER SERVICES
Eye Exam 28 10
Ear Exam 28 10
Oral Services 28 10
GRAND TOTAL
TOTAL NO. OF CLIENTS PROVIDED WITH

AT LEAST 3 SERVICES (BASED ON FORM 615
1A-1H)


Screening
Counseling
Drug Testing
Referral
el Norte Feb.10,2017
a TO
5 Feb.17.2017
CHILD ADOLESCENT
20-49 yrs old
F F
M F M F M M
Pregnant
Post Partum
312 179 9 15 12 53 0 20 223 284
58 57 3 5 3 11 5 41 47
3 11 5 48 47
58 37 3 5 3 11 5 41 47
58 37 3 5 3 11 5 41 47
1
36
24
46 16 3 17 12
46 16 3 17 12
46 16 3 17 12
491 24 85 1272
DAYS
PORT
0,2017 FORM 2 - WEEKLY

O REPORTING FORM
7.2017
60 YRS AND
20-49 yrs old 50-59 yrs old SUBTOTAL
ABOVE
F
M F M F M F
Post Partum
Non-Pregnant
10 755 37 134 192 204 1138 1918
2 144 8 26 29 37 232 441
2 149 9 30 47 42 107 286
2 144 8 26 29 37 229 387
2 144 8 26 29 37 229 387

10 1 8 10 9 12 27
1 3 4
0 6
1 50 5 12 7 12 99
1 44 4 12 7 12 80
23 1 3 7 8 99 75
23 1 3 7 8 99 75
23 1 3 7 8 43 62
2212 3843
1272 171 396

EEKLY
FORM
GRAN
D
TOTAL
3056
673
393
616
616
39
6
111
92
174
174
105
6055
3054
4
PHIL
WEE
Region Region IX
NEWBORN INFANT
29 days-
0-28 days
M F M F
NUMBER OF PATIENTS ASSESSED 10 14
Blood Pressure
Obese
Undernutrition
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination

Counseling
Commodities

OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
0 0
TOTAL NO. OF CLIENTS PROVIDED WITH AT 179

LEAST 3 SERVICES (BASED ON FORM 1A-1H)

Increased BP

Screening
Counseling
Drug Testing
Referral
PERIOD COVERED
el Norte FEB.17,2017
a TO
5 FEB.24,2017
CHILD ADOLESCENT
20-49 yrs old
F F
M F M F M M
Pregnant
Post Partum
23 4 9 1 1 3 2 4
125 53 100 2 1 5 4 43
3 4 8 8 32
148 57 109 3 2 2 8 6 47
4
148 57 109 3 2 2 8 6 47
8
2 5
3 8
15
15
15
0 0 0 0
205 112 10 132

AYS
ORT
COVERED
7,2017 FORM 2 - WEEKLY
O REPORTING FORM
4,2017
60 YRS AND SUBTOTA
ABOVE L GRAND
F
M F M F M F TOTAL
Post Partum
Non-Pregnant
5 3 3 2 3 50 37 87
74 5 8 7 9 321 270 591
12 96 9 12 10 20 30 184 214
79 8 11 9 12 371 309 680
0 4 4
79 8 11 9 12 371 309 680
0 8 8
0
2 1 1 1 1 4 5
10 0 17 17
36 0 47 47
0 15 15
0 15 15
0 15 15
1144 1234
2378
0 0 0 0
132 19 21 678
1 1 0 1
1 1
Region Region IX
Province Zamboanga del
NEWBOR
INFANT
N 29 days-
0-28 days
M F M

Blood Pressure
Obese
Undernutrition
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination
Counseling
Commodities
OTHER SERVICES
Eye Exam
Ear Exam
Oral Services
GRAND TOTAL
0 0
TOTAL NO. OF CLIENTS PROVIDED
WITH AT LEAST 3 SERVICES (BASED 0
ON FORM 1A-1H)
INCREASED BP

Screening
Counseling
Drug Testing
Referral
IX PERIOD COVE
anga del Norte FEB.24,201
Osmena TO
5335 MAR.3,2017
INFANT CHILD ADOLESCENT

29 days- 1-5 yrs 6-9 yrs 20-49
10-19 yrs old
11mos old old
F
F M F M F M M
Pregnant
PostNon-Pregnant
Partum
18 26 42 4 7 4 6 12 13
18 26 42 4 7 4 6 11 13
4 6 1 12 13
18 26 42 4 7 4 6 1 12 14
18 26 42 4 7 4 6 1 12 14
7
3
2 1
2 2
15
15
15
0 0 0 0
0 83 0 28 24
T 100 DAYS
EPORT
OD COVERED
EB.24,2017 FORM 2 - WEEKL
TO REPORTING FOR
AR.3,2017
60 YRS
50-59 yrs
20-49 yrs old AND SUBTOTAL
old
ABOVE
F
M F M F M
Pregnant
Post Partum
Non-Pregnant
40 1 120 11 26 26 39 108
40 3 120 11 28 26 39 108
40 3 133 11 28 26 39 54
40 3 120 11 26 24 38 109
0
40 3 120 11 26 24 38 109
0
2 1 2 5 6 9
10 43 2
3 43 2
0
0
0
501
0 0 0
246 47 86
3 2 3 0
3 2 3 0
2 - WEEKLY
RTING FORM
GRAN
UBTOTAL
D
TOTA
F
L
313 421
316 424
262 316
315 424
315 424
7 7
10 19
54 56
48 50
15 15
15 15
15 15
1685
2186
0
490
8 8
8 8
CONSOLIDATED

Province ZANORTE MAR.3,2017
No.of Household Profiled 5335 APR.5,2017

60 YRS AND
TOTAL
F F
NUMBER OF PATIENTS ASSESSED 8 4 2 24 14 23 4 9 8 64 155 27 61 108 95 265 341 606
PHYSICAL EXAMINATION 8 4 2 24 14 23 4 9 38 4 80 85 120 10 543 73 125 192 262 416 1204 1620
Blood Pressure 18 38 4 85 85 120 10 543 73 125 192 262 368 1187 1555
Obese 0 0 0
Undernutrition 0 0 0
Stunted 0 0 0
Blood Typing 0 0 0
Urinalysis 0 0 0
Fasting Blood Sugar 6 41 10 19 41 48 57 108 165
Stool Examination 0 0 0
Counseling 9 3 26 89 7 144 0 278 278
Commodities 4 42 60 7 186 0 299 299
Eye Exam 1 4 16 19 6 9 1 7 24 39 63
Ear Exam 1 4 16 19 6 9 1 7 24 39 63
Oral Services 7 0 7 7
SUBTOTAL 2385 6017
GRAND TOTAL 8402
ANIMAL BITE (SNAKE) 1 3 1 0 5 5
COUGH 20 15 15 10 4 1 5 5 1 3 5 36 48 84
DIFFICULTY OF BREATHING 1 1 0 1
HYPERTENSION 1 1 23 14 17 24 17 38 59 97
TOTAL CASES REFERRED 20 15 15 10 4 2 1 6 31 16 21 24 22 75 112 187

Screening
Counseling
Drug Testing
Referral
Region Region IX
NEWBORN INFANT
29 days-
0-28 days
M F M
PHYSICAL EXAMINATION 5 6 22
Blood Pressure
Obese
Undernutrition
Stunted
Laboratory Examination
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination
Counseling
Commodities
OTHER SERVICES
Eye Exam 1 3
Ear Exam 1 3
Oral Services
GRAND TOTAL
0 0
TOTAL NO. OF CLIENTS PROVIDED WITH AT
LEAST 3 SERVICES (BASED ON FORM 1A-1H) 14

INCREASED BP

Screening
Counseling
Drug Testing
Referral
PERIOD COVER
el Norte MAR.3,2017
a TO
5335 MAR.10,2017
INFANT CHILD ADOLESCENT

29 days-
11mos
F
F M F M F M
Pregnant
Post Partum
Non-Pregnant
18 6 15 3 4
25 30 14 8 5 11 4 1 18
11 4 1 18
25 30 14 8 5 11 4 1 19
25 30 14 8 5 11 4 1 19
2 1
2
4 1
4 1
8 0 0
14 3 6
100 DAYS
T
PERIOD COVERED
MAR.3,2017 FORM 2 - WEEKLY REPORT
TO FORM
MAR.10,2017
60 YRS AND
ABOVE
F
M M F M F M
Pregnant
Post Partum
Non-Pregnant
44 100 12 36 52 20 151
31 22 6 164 15 18 52 46 174
31 22 6 164 15 18 52 46 109
29 15 6 156 14 41 29 36 148
0
29 15 6 156 14 41 29 36 148
0
3 1 2 13 10 14
14 6 67 2 8 7 5 9
7 6 41 2 8 7 5 9
7 3
7 3
7 0
768
0 0 0 0
92 23 69
2
EEKLY REPORTING
FORM
SUBTOTAL
GRAND
TOTAL
F
168 319
329 503
279 388
328 476
328 476
0 0
15 29
103 112
69 78
13 16
13 16
7 7
1652
2420
2459
207
2 2
2 2
PHIL
Region Region IX
NEWBORN INFANT CHILD

29 days-
0-28 days 1-5 yrs old
M F M F M
NUMBER OF PATIENTS
2 1 4
ASSESSED
PHYSICAL EXAMINATION 3 1 135 104 29
Blood Pressure
Weight Measurement 3 1 135 104 29
Obese
Undernutrition
Height Measurement 3 1 135 104 29
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination
Counseling
Commodities
OTHER SERVICES
Eye Exam 7 6 4
Ear Exam 7 6 4
Oral Services
GRAND TOTAL
TOTAL NO. OF CLIENTS 0 0 8
PROVIDED WITH AT LEAST 3
SERVICES (BASED ON FORM 55 26
1A-1H)

INCREASED BP
COUGH 20 15
DOB
TOTAL CASES REFERRED 20 15

Screening
Counseling
Drug Testing
Referral
PERIOD COVERED
MAR.10,2017
TO
MAR.17,2017
CHILD ADOLESCENT
20-49 yrs old
F F
F M F M M
Pregnant
Post Partum
2 6 1 1 12
14 9 4 1 15 1 20 21 68
1 15 1 20 21 68
14 9 4 1 15 1 20 17 68
14 9 4 1 15 1 20 17 68
3
5 1 4 40
4 5 35
4
4
0 0 0
26 7 23 129
1
15 10 4 1 5
15 10 4 1 1 5
AYS
COVERED
0,2017 FORM 2 - WEEKLY REPORTING
O FORM
7,2017
60 YRS AND GRAN

ABOVE D
F TOTA
M F M F M F
Post Partum
Non-Pregnant L
29 7 19 8 27 40 79 119
1 191 29 53 32 60 259 532 791

1 191 30 53 32 60 84 409 493
1 163 29 50 31 54 254 495 749
0
1 163 29 50 31 54 254 495 749
0 0 0
22 4 3 10 9 17 34 51
30 30
1 54 6 8 3 4 9 117 126
52 7 13 3 4 10 113 123
11 10 21
11 10 21
0 0 0
949 2324
3273
0 0 0 3315
129 44 61 345
23 12 12 11 16 23 52 75
5 1 3 5 36 48 84
1
28 14 15 11 21 60 100 160
PHI
Region Region IX

29 days-
M F M F M
NUMBER OF PATIENTS
1 1
ASSESSED
PHYSICAL EXAMINATION 2 14 21 27
Blood Pressure
Weight Measurement 2 14 21 27
Obese
Undernutrition
Height Measurement 2 14 21 27
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination
Counseling
Commodities
OTHER SERVICES
Eye Exam 1 3 6
Ear Exam 1 3 6
Oral Services
GRAND TOTAL
0 0 8
TOTAL NO. OF CLIENTS PROVIDED

WITH AT LEAST 3 SERVICES (BASED 18 9
ON FORM 1A-1H)

INCREASED BP

Screening
Counseling
Drug Testing
Referral
PERIOD COVERED
march 22,2017
TO
march28,2017
CHILD ADOLESCENT
20-49 yrs old
F F
F M F M M
Pregnant
Post Partum
3 1 2 4 4
28 2 3 4 18 1 37 8 16
4 18 1 37 5 16
28 2 3 4 18 1 37 8 16
28 2 3 4 18 1 37 8 16
1 1 22 8
31 2
2
2
0 0 0
9 1 13 58
AYS
COVERED
22,2017 FORM 2 - WEEKLY REPORTING
O FORM
28,2017
60 YRS AND
ABOVE
F
M F M F M F
Post Partum
Non-Pregnant
13 4 3 24 24 37 47
1 98 13 22 42 68 110 315
1 98 13 22 42 68 64 261
1 84 8 15 34 55 97 281
0
1 84 8 15 34 55 97 281
0 0
15 5 12 17 29 22 56
5 0 37
1 54 1 1 2 1 3 90
3 9
3 9
0 0
436 1386
0 0 0
58 12 68
1 0 1
0 0
1 1
1
EPORTING
GRAN
D
TOTA
L
84
425
325
378
378
0
78
37
93
12
12
0
1822
1846
179
1
0
1
PHILI
Region Region IX

29 days-
M F M F M
NUMBER OF PATIENTS
4 2 5
ASSESSED
PHYSICAL EXAMINATION 1 4 9 13 29
Blood Pressure
Obese
Undernutrition
Height Measurement 1 4 9 13 29
Stunted
Blood Typing
Urinalysis
Fasting Blood Sugar
Stool Examination
Counseling
Commodities
OTHER SERVICES
Eye Exam 1 2 3 3 2
Ear Exam 1 2 3 3 2
Oral Services
SUBTOTAL
GRAND TOTAL
0 0 8
TOTAL NO. OF CLIENTS

PROVIDED WITH AT LEAST 3 9
SERVICES (BASED ON FORM
1A-1H)

animal bite (snake)
increased BP
increased FBS

Screening
Counseling
Drug Testing
Referral
PERIOD COVERED
MAR.28.2017
TO
APRIL5,2017
CHILD ADOLESCENT
20-49 yrs old
F F
F M F M M
Pregnant
Post Partum
8 8 5 2 4 7
20 28 8 3 1 1 10 28 14
2 1 1 10 28 14
3 1 2 4 4
20 28 8 3 1 1 10 24 6
1 27
4 16
2 1
2 1
0 0 0
9 1 13 58
1
1
1 1
YS
COVERED
8.2017 FORM 2 - WEEKLY REPORTING
O FORM
5,2017
60 YRS AND GRAN

ABOVE D
F TOTA
M F M F M F
Post Partum
Non-Pregnant L
19 5 8 37 59 68 105 173
2 90 15 32 87 88 200 283 483
2 90 15 32 66 88 111 238 349
13 4 3 24 24 37 47 84
0
2 85 15 23 87 87 196 260 456
0 0 0
1 2 1 4 3 7
18 0 46 46
39 0 59 59
7 7 14
7 7 14
0 0 0
630 1055
1685
0 0 0 1713
58 12 68 161
3 1 0 5 5
2 2 1 2 3 5
1 1 1
3 3 3 1 3 8 11
1
CONSOLIDATED

Province ZANORTE JAN.9,2017
No.of Household Profiled 5335 FEB.3,2017

60 YRS AND
TOTAL
F F
NUMBER OF PATIENTS ASSESSED 0 0 0
PHYSICAL EXAMINATION 0 0 0
Blood Pressure 0 0 0
Obese 0 0 0
Undernutrition 0 0 0
Stunted 0 0 0
Blood Typing 0 0 0
Urinalysis 0 0 0
Fasting Blood Sugar 0 0 0
Stool Examination 0 0 0
Counseling 0 0 0
Commodities 0 0 0
Eye Exam 0 0 0
Ear Exam 0 0 0
Oral Services 0 0 0
SUBTOTAL 0 0
GRAND TOTAL 0
TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES 0


Screening
Counseling
Drug Testing
Referral

December Accomplishment

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December Accomplishment

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CONSOLIDATED

PHILIPPINE HEALTH AGENDA - FIRST 100 DAYS

WEEKLY TSEKAP REPORT

NEWBORN INFANT CHILD ADOLESCENT

GRAND TOTAL 6322

CASES REFERRED (specify)

TOTAL CASES REFERRED

DRUG REHABILITATION SERVICES

BASIC HEALTH SERVICES

NUMBER OF PATIENTS ASSESSED

FAMILY PLANNING SERVICES

HEALTH EDUCATION AND PROMOTION SERVICES

TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED

CASES REFERRED (specify)

BASIC HEALTH SERVICES

NUMBER OF PATIENTS ASSESSED

FAMILY PLANNING SERVICES

HEALTH EDUCATION AND PROMOTION SERVICES

TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED ON

CASES REFERRED (specify)

DRUG REHABILITATION SERVICES

NEWBORN INFANT CHILD ADOLESCENT

ADOLESCENT 60 YRS AND

BASIC HEALTH SERVICES

NUMBER OF PATIENTS ASSESSED

FAMILY PLANNING SERVICES

HEALTH EDUCATION AND PROMOTION SERVICES

TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED

CASES REFERRED (specify)

DRUG REHABILITATION SERVICES

NEWBORN INFANT CHILD ADOLESCENT

ADOLESCENT 60 YRS AND

302 1144 1446

BASIC HEALTH SERVICES

NUMBER OF PATIENTS ASSESSED

FAMILY PLANNING SERVICES

HEALTH EDUCATION AND PROMOTION SERVICES

TOTAL NO. OF CLIENTS PROVIDED WITH AT LEAST 3 SERVICES (BASED ON

CASES REFERRED (specify)

DRUG REHABILITATION SERVICES

NEWBORN INFANT CHILD ADOLESCENT

ADOLESCENT 60 YRS AND

WEEKLY TSEKAP REPORT

NEWBORN INFANT CHILD ADOLESCENT

GRAND TOTAL 12026

CASES REFERRED (specify)

TOTAL CASES REFERRED 3 2 1 3 1 8 9

DRUG REHABILITATION SERVICES

NUMBER OF PATIENTS ASSESSED 0 0 9 18

FAMILY PLANNING SERVICES

HEALTH EDUCATION AND PROMOTION SERVICES

TOTAL NO. OF CLIENTS PROVIDED WITH AT 27

CASES REFERRED (specify)

DRUG REHABILITATION SERVICES

el Norte Feb. 3, 2017

3, 2017 FORM 2 - WEEKLY

507 125 117 897

NUMBER OF PATIENTS ASSESSED 2 0 351 264

FAMILY PLANNING SERVICES

HEALTH EDUCATION AND PROMOTION SERVICES

TOTAL NO. OF CLIENTS PROVIDED WITH

CASES REFERRED (specify)

DRUG REHABILITATION SERVICES