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  • CHT Partner Accomplishment Reporting Form1

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    sheena gomez
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    This form tracks the accomplishments of a Community Health Team partner in conducting household visits and providing services. It collects data on the number of households visited each month, including details on services provided to pregnant women, under-5 children, senior citizens, persons with disabilities, family planning users, those with health insurance or at risk of tuberculosis, malaria, or non-communicable diseases. The form totals the number of households visited and people served to report the partner's monthly accomplishments.

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    CHT PARTNER ACCOMPLISHMENT REPORTING FORM1

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    This form tracks the accomplishments of a Community Health Team partner in conducting household visits and providing services. It collects data on the number of households visited each month, including details on services provided to pregnant women, under-5 children, senior citizens, persons with disabilities, family planning users, those with health insurance or at risk of tuberculosis, malaria, or non-communicable diseases. The form totals the number of households visited and people served to report the partner's monthly accomplishments.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    11 views1 page

    CHT Partner Accomplishment Reporting Form1

    Uploaded by

    sheena gomez
    This form tracks the accomplishments of a Community Health Team partner in conducting household visits and providing services. It collects data on the number of households visited each month, including details on services provided to pregnant women, under-5 children, senior citizens, persons with disabilities, family planning users, those with health insurance or at risk of tuberculosis, malaria, or non-communicable diseases. The form totals the number of households visited and people served to report the partner's monthly accomplishments.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    CHT PARTNER ACCOMPLISHMENT REPORTING FORM

    BHS: Barangay: Municipality: Province:

    Name of CHT Partner: Target # of assigned NHTS-PR HH Total NHTS-PR visit for this month

    Month No. of Households

    Pregnant Under Five Current Modern FP


    Newborn With Unmet With Risks Factor/s for
    Women Children Users With
    Need for With
    NHTS-PR Senior Preferred With PHIC Sanitary
    HH# Name of HH Head Revisited Citizens
    PWDs Modern
    Method Card/MDR
    Access to
    Toilet
    Family Women Safe H2O TB Malaria NCDs
    With With With Planning Facilities
    Seen Seen Seen Men With With
    HUP HUP HUP Seen Seen
    HUP HUP

    TOTAL

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