TBCC 2023

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TB CONTACT CENTER CALLS SUMMARY LOG SHEET

Reporting period: January 01-31, 2023


Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. Alexander Barachita 09125030932 O Contact Investigation/ Initiate Risk For Chest X-ray and 01-13-2023
screening for TST 09:30 am
2. Eduardo B. Maliwat 09386273781 O Contact Investigation/ Initiate Risk For Chest X-ray 01-13-2023
screening 09:30 am
3. Rosemarie M. Rollo 09104501817 O Monitoring Risk For Chest X-ray 01-13-2023
09:30 am
4. Edgardo M. Lanoza 09102572822 O Contact Investigation/ Initiate Risk For Chest X-ray 01-13-2023
screening 09:30 am
5. Amelita B. Alcantara 09103895372 O Contact Investigation/ Initiate Risk For TST 01-13-2023
screening 09:30 am
6. Sky S. Marcos 09169983539 O Inquire Risk For TST 01-13-2023
09:30 am
7. Johnny A. Sambaan 09555517576 O Monitoring Risk 01-13-2023
09:30 am
8. Kylie Mareez F. Dantes 09355554570 O Monitoring Risk For Chest X-ray 01-13-2023
09:30 am
9. Rowena Hocson 09985100796 0 queery 01-13-2023
01:00 pm
10.

11.

12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls 0 No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 0 15 years and above 15 years and above
No. tested on Xpert MTB/Rif 0 DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____


TB CONTACT CENTER CALLS SUMMARY LOG SHEET
Reporting period: January 01-31, 2023
Name of Facility: __RHU-Gabaldon______________
Province/HUC/Region: __Nueva Ecija_________________
Incoming
Name Contact number (I) or Purpose of Call Disposition Recommended Next Date/
[1] [2] Outgoing [4] [5] Course of Action Time of Call
(O) [3]
1. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
2. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
3. O Monitoring Risk For Chest X-ray

4. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
5. O Contact Investigation/ Initiate Risk For TST
screening
6. O Inquire Risk For TST

7. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
8. O Monitoring Risk For Chest X-ray

9. O Contact Investigation/ Initiate Risk For Chest X-ray


screening
10. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
11. O Contact Investigation/ Initiate Risk For Chest X-ray
screening
12.
Summary Report:

Total clients served No. Household Contact Screening Done No. Calls Made No.
Incoming Calls No. of Index Cases Total resolved calls
Outgoing Calls No. of HH Contact Identified as Presumptive Total referrals made
Total No. Illegible for TPT Total unresolved calls

Outcome Indicators

Presumptive TB Cases DSTB BC Cases Enrolled to Treatment No. Total screening done for HH Contacts No.
(Identified thru the TB CC) 0 to 14 years old 0 to 14 years old
No. of Presumptive TB Cases 15 years and above 15 years and above
No. tested on Xpert MTB/Rif DSTB CD Cases enrolled to treatment Number Initiated on TPT
No. Screened thru CxR 0 to 14 years old 0 to 14 years old
No. with CXR Result Suggestive of TB 15 years and above 15 years and above
No. Confirmed as a TB Case DR TB Cases enrolled to treatment No. of HH Contact Confirmed as TB Case
Enrolled to Treatment

Webinars attended

Date of Activity Title of Activity

Prepared by: __MARVIE G. BARBOSA_ Validated by: DR. SHIENA GRACE E. PASCUAL

Position/Designation: _Nurse III Position/Designation: _MHO_____

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