RPFP CLASSES IMPLEMENTATION REPORT (Form A)

Form. No. RPA-PMED-FM003 Version No. 02 Effectivity Date: April 1,2019

For the Period: 2023

City of Catbalogan
Province of Samar
DEMAND GENERATION ACTIVITIES

No. of Classes/Sessions Held No. of Individuals of Reproductive Age Reached Solo/Couple Disaggregation Total Couples/
Month Sub Module Non- Profiled Sub Module Non- Profiled Solo Attendees Couple Individuals
USAPAN PMC H2H Total USAPAN PMC H2H Total
2.2 (4Ps) 4Ps Only 2.2 (4Ps) 4Ps Only Male Female Attendees Reached

January 0 0 0
February 0 0 0
March 0 0 0
Sub Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
April 0 0 0
May 0 0 0
June 0 0 0
SubTotal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
July 0 0 0
August 0 0 0
September 0 0 0
Sub Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
October 0 0 0
November 0 0 0
December 0 0 0
Sub Total 0 Err:522 Err:522 Err:522 ### Err:522 0 0 0 0 0 0 0 0 0 0 0 0
Grand Total 0 Err:522 Err:522 ### ### Err:522 0 0 0 0 0 0 0 0 0 0 0 0

Note: Profiled only are not to be included in the total accomplishment

Prepared by: Approved by:

PPO
 RPFP CLASSES IMPLEMENTATION REPORT (Form B)
Form No. RPB-PMED-FM004 Version No. 2 Effectivity Date: April 01, 2019

For the Period:

Municipality of:
Province of:
TOTAL NUMBER OF UNMET NEED

No. of couples who are currently

No. of Clients with using Traditional FP No. of clients
No. of couples Unmet need for currently using Total No. of
Total no. of Unmet Clients
Region with unmet need referred/
for Modern FP Modern FP W/out intention W/ intention to Traditional FP Need served
referred/ served to shift modern Shift to other referred/served
FP Modern FP

January 0 0
Feburary
March
Sub total
April
May
June
Sub total
July
August
September
Sub total
October
November
December
Sub total
Total

Prepared by: Noted By: Approved by:

 RPFP CLASSES IMPLEMENTATION REPORT (Form C)
Form No. RPC-PMED-FM005 Version No. 02 Effectivity Date: April 1, 2019

For the Period of :

Municipality of:
Province of:
TOTAL NUMBER OF COUPLES SERVED WITH UNMET NEED

Number Served by Method Mix

Region/ Province
Sub-Dermal CMM/ Sympto-
Condom IUD Pills Injectables NSV BTL Implant Billings BBT Thermal SDM LAM TOTAL

January 0
Feburary 0
March 0
Sub total 0 0 0 0 0 0 0 0 0 0 0 0 0
April 0
May 0
June 0
Sub total 0 0 0 0 0 0 0 0 0 0 0 0 0
July 0
August 0
September 0
Sub total 0 0 0 0 0 0 0 0 0 0 0 0 0
October 0
November 0
December 0
Sub total 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0

Prepared by: Noted By: Approved by: