For the Month of:_______________________

Section D. Oral Health Care and Services

Population NHTS Non-NHTS
Target/ Multiplier Eligible
Population Total (Col. Total (Col.
59,040 Male Female Male Female
5) 5)

1. Orally fit children 12-59 months old upon oral examination Eligible Population (Total
535
population X 9.059%) X
plus orally fit after rehabilitation 10% (Service target)

Total no. of clients 5

2. Clients 5 years old and above with new cases of DMFT years old and above 0
examined

Eligible Population (Total

3. Infants 0-11 months old who received BOHC Pop X 2.188%) x 10%
129
Service Target
Eligible Population (Total
4. Children 1-4 years old who received BOHC Pop X 9.059%) x 10% 535
Service Target

Eligible Population (Total

5. Children 5-9 years old who received BOHC Pop X 11.237%) x 10% 1,990
Service Target

Eligible Population (Total

6. Adolescents 10-19 years old who received BOHC Pop X 21.499%) x 10% 3,808
Service Target

Eligible Population (Total

7. Adults 20-59 years old who received BOHC - Total Pop X 47.438%) x 10% 8,402
Service Target

Eligible Pop (Total Pop X

8. Senior citizens 60 years old and above who received BOHC 8.580%) x 10% Service 1,520
Target

Eligible Percentage (Col.6/

9. Pregnant women who received BOHC Target/ Multiplier
Population
10-14 15-19 20-49 Total
E.Pop x 100)
• NHTS Eligible Pop (Total
Population x 2.188%) 1,292
• Non-NHTS
Prepared By:_________________________ Received by:______________________