Republic of the Philippines

Province of Pangasinan
PROVINCIAL HEALTH OFFICE PANGASINAN

DENGUE CONTROL PROGRAM

MONTHLY ACCOMPLISHMENT REPORT

For the Month of , 2021

EPDH Inter-Local Health Zone EPDH

CONSOLIDATED REPORT:
1. Case Finding & Management MUNICIPALITY BARANGAY NO. OF CASES
1.1 Dengue Suspect Cases SANTA MARIA
(use separate sheet if necessary)

1.2 DEATHS SANTA MARIA 0

2.1 LARVAE SURVEY

a. No. of house inspected
b. No. of house (+) for Aedes Larvae
c. No. of container inspected
d. No. of container (+) for Aedes Larvae

e. No. of Larvae treatment done

f. No. of Larvicidal sachet/solution used
2.2 FOGGING MISTING OPERATION
a. No. of barangay’s Fogged
b. No. of population served (Fogging)
c. No. barangay sprayed
d. No. of population population served (spraying)
e. No. of school fogged/misting
f. No. of school building fogged/misting
g. No. of rooms fogged/misting
2.3 PROTECTIVE MEASURES
a. No. of mosquito nets given
b. No. of mosquito nets treated
c. No. of school installed with treated net screen
c.1 No. of buildings
c.2 No. of rooms
c.3 No. of windows
c.4 No. of doors
c.5 No. of rolled nets used
d. No. of insect repellants given

3. INFORMATION EDUCATION CAMPAIGN

3.1 Community assemblies conducted
a. No. of Community assemblies conducted
b. No. of Participants
3.2 Mothers class
a. No. of mothers class conducted
b. No. Participants
3.3 Bench conferences
a. No. of bench conferences conducted
b. No. of participants
3.4 IEC Distribution
a. No. of leaflets given
b. No. of posters given
c. No. of dengue primer given

Prepared by: Noted:

DARWIN P. AGOSTO DRA. CHARISSE ONG

RSI Designate Municipal Health Officer