COMMUNITY HEALTH NURSING
(CHN AY 2019-2020)
Girlie de Luna Tayao, RN, MAN
FIELD HEALTH INFORMATION SYSTEM (FHIS)
 It is a network of information
 It is intended to address the short term needs of
DOH and LGU staff with managerial or
supervisory functions in facilities and program
areas.
 It monitors health service delivery nationwide.
OBJECTIVES OF FHSIS
 To provide summary data on health service
delivery and selected program accomplishment
indicators at the barangay, municipality/ city, and
district, provincial, regional and national levels.
 To provide data which when combined with data
from other sources, can be used for program
monitoring and evaluation purposes.
 To provide a standardized, facility-level data base
that can be accessed for more in-depth studies.
 To minimize the recording and reporting burden
at the service delivery level in order to allow more
time for patient care and promote activities.
IMPORTANCE OF FHSIS
• Helps local government determine public health
priorities.
• Basis for monitoring and evaluating health program
implementation.
• Basis for planning, budgeting, logistics and decision
making at all levels.
• Source of data to detect unusual occurrence of a disease.
• Needed to monitor health status of the community.
• Helps midwives in following up clients.
• Documentation of RHM/PHN day to day activities.
• Helps local government determine public health
priorities.
• Basis for monitoring and evaluating health program
implementation.
• Basis for planning, budgeting, logistics and decision
making at all levels.
• Source of data to detect unusual occurrence of a disease.
• Needed to monitor health status of the community.
• Helps midwives in following up clients.
• Documentation of RHM/PHN day to day activities.
COMPONENTS OF FHSIS
1. Individual Treatment Record (ITR)
2. Target Client List (TCL)
3. Summary Table
4. The Monthly Consolidation Table (MCT)
INDIVIDUAL TREATMENT RECORD (ITR)
 The fundamental building block or foundation of the
Field Health Service Information System is the
INDIVIDUAL TREATMENT RECORD.
 This is a document, form or piece of paper upon
which is recorded the date, name, address of patient,
presenting symptoms or complaint of the patient on
consultation and the diagnosis (if available), treatment
and date of treatment.
TARGET CLIENT LIST (TCL)
 The Target Client Lists constitute the second
“building block” of the FHSIS and are intended to
serve several purposes:
o First is to plan and carry out patient care
and service delivery. Such lists will be of
considerable value to midwives/nurses in
monitoring service delivery to clients in
general and in particular to groups of
patients identified as “targets” or
“eligibles” for one or another program of
the Department
o The second purpose of Target Client Lists
is to facilitate the monitoring and
supervision of service delivery activities.
o The third purpose is to report services
delivered.
o The fourth purpose of the Target Client
Lists is to provide a clinic-level data base
which can be accessed for further studies
TARGET CLIENT LISTS TO BE MAINTAINED IN THE
FHSIS
1. Target Client List for Prenatal Care
2. Target Client List for Post-Partum Care
3. Target Client List of Under 1 Year Old Children
4. Target Client List for Family Planning
5. Target Client List for Sick Children
6. NTP TB Register
7. National Leprosy Control Program Form 2-Central
Registration Form
SUMMARY TABLE
The Summary Tables is a form with 12-month
columns retained at the facility (BHS) where the
midwife records monthly all relevant data. The
Summary Table is composed of:
(1) Health Program Accomplishment this
can serve as proof of accomplishments to
show LGU officials whenever they visit
the facility.
(2) Morbidity Diseases the source of ten
leading causes of morbidity for the
municipality/city. This summary table
will help the nurse and MHO to get the
monthly trend of diseases
THE MONTHLY CONSOLIDATION TABLE (MCT)
 The Consolidation Table is an essential form in
the FHSIS where the nurse at the RHU records the
reported data per indicator by each BHS or
midwife.
 This is the source document of the nurse for the
Quarterly Form.
 The Consolidation Table shall serve as the Output
 Table of the RHU as it already contains listing of
BHS per indicator.
FHSIS REPORTING
These are summary data that are transmitted or
submitted on a monthly, quarterly and on annual
basis to higher level. The source of data for this
component is dependent on the records.
THE MONTHLY FORM
Program Report (M1)
The Monthly Form contains selected indicators
categorized as maternal care, child care, family
planning and disease control.
Morbidity Report (M2)
The Monthly Morbidity Disease Report contains a
list of all diseases by age and sex. The Midwife
 uses the form for the monthly consolidation
report of Morbidity Diseases and is submitted to
the PHN for quarterly consolidation.
THE QUARTERLY FORM
Program Report (Q1)
The Quarterly Form is the municipality/city
health report and contains the three-month total
of indicators categorized as maternal care, family
planning, child care, dental health and disease
control
Morbidity Report (Q2)
The PHN uses the form for the Quarterly
Consolidation Report of Morbidity Diseases to
consolidate the Monthly Morbidity Diseases taken
from the Summary Table.
THE ANNUAL FORMS (A-BHS, A1, A2 & A3)
 ABHS Form is the report of midwife
which contains data on demographic,
environmental and natality.
 The report of nurse at the RHU/MHC are
the
 Annual Form 1 which is the report on
vital statistics: demographic,
environmental, natality and mortality.
 Annual Form 2 is the report that lists all
diseases and their occurrence in the
municipality/city. The report is broken
down by age and sex.
 Annual Form 3 is the report of all deaths
occurred in the municipality/city. The
report is also broken down by age and
sex.

Treatment Record
The fundamental building block of the
Field Health Service information System is the
Treatment Record. This is the document, form or
pieces of paper upon which the presenting
symptoms or complaints of the patient on
consultation and the diagnosis, treatment and
date of treatment if recorded.

Target Setting – involves the calculation of the eligible

population. “Eligible population consists of any group of
people targeted for specific immunizations due to their
susceptibility to one or several diseases.”