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DM No. 2023 0083 Guidelines For The FHSIS Data Validation and Reconciliation - 22feb2023 2
DM No. 2023 0083 Guidelines For The FHSIS Data Validation and Reconciliation - 22feb2023 2
Department of Health
OFFICE OF THE SECRETARY
DEPARTMENT MEMORANDUM
No. 2023-_ 083
FOR ALL DIRECTORS OF CENTERS FOR HEALTH
DEVELOPMENT AND MINISTER OF HEALTH _-
ATTENTION
: FIELD HEALTH SERVICES INFORMATION SYSTEM (FHSIS)
COORDINATORS AND PROGRAM MANAGERS
One
ofguide
the deliverables of the FHSIS is to provide data to stakeholders and policymakers that
the decisions to improve the effectiveness of health service delivery. Moreover,
may
validation of the accuracy of data is an essential process in monitoring and evaluation, and there
are different ways to validate the FHSIS data, from as simple as checking on the totals or sums
of counts to as complex as checking the accuracy of data according to the definition and formula
of each indicator.
Relative to this, below are the guidelines for the FHSIS Data Validation and
the FHSIS MOP:
Reconciliation based
on
INDICATORS GUIDELINES/INSTRUCTIONS
FAMILY PLANNING
Number of New Acceptors Must be Zero data under 10-14 years old
1. Bilateral Tubal Ligation (BTL)
2. No-Scalpel Vasectomy (NSV)
Asterisks (*) for No Report
Zero (0) for Zero Report
Number should not
be negative values per FP Methods
Number of Other Acceptors Must be Zero data under 10-14 years old
1. Bilateral Tubal Ligation (BTL)
2. No-Scalpel Vasectomy (NSV)
Asterisks (*) for No Report
Zero (0) for Zero Report
Number should not be negative values per FP Methods
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila @ Trunk Line 8651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 @ URL: http://www.doh.gov.ph; e-mail: dohosec@doh.gov.ph
INDICATORS GUIDELINES/INSTRUCTIONS
Number of Current Users Must be Zero data under 10-14 years old
1. Bilateral Tubal Ligation (BTL)
2. No-Scalpel Vasectomy (NSV)
Asterisks (*) for No Report
Zero (0) for Zero Report
Number should not be negative values per FP Methods
MATERNAL CARE
Number and Proportion of Women who gave birth Denominator (total deliveries) should be equal to
with at least 4 or more Prenatal Check-ups Total Deliveries used in SHP, FBD, 2PP, Delivery
Outcome and Delivery Type
Percentage should not exceed 100%.
Deliveries should be reported by place occurrence
Number and Proportion of Pregnant Women seen Percentage should not exceed 100%
according to their Nutritional Status
Number and Proportion of Pregnant Women for Percentage should not exceed 100%
the 1st time given at least 2 doses of Tetanus
Diphtheria (Td) vaccination
Number and Proportion of Pregnant Women for Percentage should not exceed 100%
the 2nd or more times given at least 3 doses of Td
vaccination (Td2 Plus)
Number and Proportion of Pregnant Women who Percentage should not exceed 100%
completed Iron with Folic Acid Supplementation
Numberand Proportion of Pregnant Women who Percentage should not exceed 100%
completed doses of Calcium Carbonate
Supplementation
Number and Proportion of Pregnant Women given Percentage should not exceed 100%
Iodine capsules
Number and Proportion of Pregnant Women given Percentage should not exceed 100%
1 dose of deworming tablet
Number and Proportion of Pregnant Women Percentage should not exceed 100%
screened for Syphilis
INDICATORS GUIDELINES/INSTRUCTIONS
Number and Proportion of Pregnant Women tested Percentage should not exceed 100%
positive for Syphilis
Number and Proportion of Pregnant Women Percentage should not exceed 100%
screened for Hepatitis B
Number and Proportion of Pregnant Women tested Percentage should not exceed 100%
positive for Hepatitis B
Number and Proportion of Pregnant Women Percentage should not exceed 100%.
screened for HIV
Number andProportion of Pregnant Women tested Percentage should not exceed 100%
for Complete Blood Count (CBC) or Hemoglobin
(Hgb) & Hematocrit (Hct) Count
Number and Proportion of Pregnant Women tested Percentage should not exceed 100%
for Complete Blood Count or Hgb & Het count
diagnosed with Anemia
Number and Proportion of Pregnant Women Percentage should not exceed 100%
screened for Gestational Diabetes
Number and Proportion of Pregnant Women tested Percentage should not exceed 100%
positive for Gestational Diabetes
Proportion of Live Births by Birth Weight Denominator (total live births) should be equal to Total live
births used in Natality
Number and Proportion of Delivery by Type Denominator (total deliveries) should be equal to
(Vaginal and Cesarean) Total Deliveries used in FBD, SHP, 4ANC, 2PP and
Delivery Outcome
Percentage should not exceed 100%.
Deliveries should be reported by place occurrence
Sum of Vaginal and Cesarean Section Deliveries
should equal to Total Deliveries
INDICATORS GUIDELINES/INSTRUCTIONS
Number and Proportion of Pregnancy by Outcome Denominator (total deliveries) should be equal to
(Full Term and Pre-term) Total Deliveries used in FBD, SHP, 4ANC, 2PP and
Delivery Type
Percentage should not exceed 100%.
Deliveries should be reported by place occurrence
Sum of Full Term, Preterm and Fetal deaths should
equal to Total Deliveries
Number and Proportion of Postpartum Women Denominator (total deliveries) should be equal to
together with their Newborn who completed at Total Deliveries used in SHP, FBD, 4ANC, Delivery
least 2 Postpartum Check-ups Outcome and Delivery Type
Percentage should not exceed 100%.
Deliveries should be reported by place occurrence
Number and
Proportion of Postpartum Women Percentage should not exceed 100%
who completed Iron with Folic Acid
Number and
Proportion of Postpartum Women Percentage should not exceed 100%
who completed Vitamin A supplementation
CHILD CARE
Proportion of Newborn / Infants Vaccinated with Percentage should not exceed 100%
BCG
antigen Total BCG should not exceed Total number of
livebirths
Proportion of Newborn Vaccinated with Hepatitis Percentage should not exceed 100%
B antigen within 24 hours after birth
Proportion of Children Protected at Birth (CPAB) Percentage should not exceed 100%
from neonatal tetanus
Number and Proportion of Infants who completed Percentage should not exceed 100%
3 doses of DPT-HiB-HepB antigen
Number andProportion of Infants who completed Percentage should not exceed 100%
3 doses of Oral Polio Vaccine (OPV)
Number and Proportion of Infants who completed Percentage should not exceed 100%
2 doses of Inactivated Polio Vaccine (IPV)
Number andProportion of Infants who completed Percentage should not exceed 100%
3 doses of Pneumococcal Conjugate Vaccine
(PCV)
Number and Proportion of Completely Immunized Percentage should not exceed 100%
Children (CIC)
Proportion of Grade 1 and Grade 7 learners given Percentage should not exceed 100%
one dose of Measles Rubella (MR) vaccine
Number and Proportion of Newborns who were - Percentage should not exceed 100%
Initiated on Breastfeeding immediately after birth - Denominator (total live births) should be equal to
lasting for at least 90 minutes total live births used in Natality
Number and Proportion of Infants Exclusively Percentage should not exceed 100%
Breastfed until 5th month and 29 days
Number and Proportion of Infants who Continued Percentage should not exceed 100%
Breastfeeding and were Introduced to
Complementary Feeding beginning at 6 months of
age
Number andProportion of Infants Born Preterm or - Percentage should not exceed 100%
with Low Birth Weight Given Iron Supplements - Low Birth Weight (Denominator) should be equal to
Low Birth Weight on Proportion of Live Births by
Birth Weight (Indicator on Maternal)
Number and Proportion of Infants/Children 6-11 Percentage should not exceed 100%
and 12-59 months old ho completed Vitamin A
Supplementation
Number and Proportion of Infants 6-11 months old Percentage should not exceed 100%
and children 12-23 months old who completed
Micronutrient Powder (MNP) Supplementation
Number and Proportion of Children 0-59 months Percentage should not exceed 100%
old whose Nutritional Status are Normal, Stunted,
Overweight/Obese, Wasted-MAM, Wasted-SAM
Proportion of MAM children age 0-59 months old Percentage should not exceed 100%
(admitted in SFP, cured, defaulted, died)
Proportion of SAM children without complication Percentage should not exceed 100%
age 0-59 months old (admitted in OTC, cured,
defaulted, died)
Number and
Proportion of High Risk Infants and Percentage should not exceed 100%
Children with Measles and/or Persistent Diarrhea
who received Vitamin A capsule aside from
routine supplementation
Number and
Proportion of Diarrhea Cases Seen Percentage should not exceed 100%
(0-59 months old) who received Oral Rehydration
Sait Solution (ORS) and ORS with Zinc drops or
syrup
Number and Proportion of Children 5 years old Percentage should not exceed 100%
and above with new cases of Decayed-Missing
Filled Teeth (DMFT)
Number and
Proportion of Infants 0-11 months old Percentage should not exceed 100%
who received BOHC
Number and Proportion of Children 1-4 years old Percentage should not exceed 100%
who received BOHC
Number and
Proportion of Children 5-9 years old Percentage should not exceed 100%
who received BOHC
Number and
Proportion of Adolescents 10-14 Percentage should not exceed 100%
years old who received BOHC
Number and Proportion of Adolescents 15-19 Percentage should not exceed 100%
years old who received BOHC
Number and
Proportion of Adolescents 20-59 Percentage should not exceed 100%
years old who received BOHC
Number and
Proportion of Senior Citizen 60 years Percentage should not exceed 100%
old and above who received BOHC
Number and
Proportion of Pregnant Women (10- Percentage should not exceed 100%
14, 15-19, and 20-49 years old) who received
BOHC
Note:
Total number of patients seen should be => No. of
Suspected Cases
Number and
Proportion of Acute Clinically Percentage should not exceed 100%
Diagnosed Cases Seen
Note:
No. of Suspected Cases seen should be >= No. of Acute
Clinically Diagnosed Cases
Number and Proportion of Acute Confirmed Cases Percentage should not exceed 100%
Note:
No. of Acute Clinically Diagnosed Cases should be => No.
of Acute Cases Confirmed Positive by Stool Examination
Number and
Proportion of Chronic Clinically Percentage should not exceed 100%
Diagnosed Cases Seen
Note:
No. of Clinically Diagnosed Chronic Cases should be <=
Total number of Suspected Cases seen
Number and Proportion of Confirmed Chronic Percentage should not exceed 100%
Cases
Note:
No. of chronic clinically diagnoses
cases confirmed by stool
examination (KKT) or rectal biopsy should be <= Total No.
of Clinically Diagnosed Chronic Cases among suspected
Cases
Number and
Proportion of Chronic Clinically Percentage should not exceed 100%
Diagnosed Cases Treated Target: 100%
Note:
No of Chronic clinically diagnosed cases treated should be
<= No ofconfirmed cases (Acute and Chronic)
Number and Proportion of Confirmed Chronic Percentage should not exceed 100%
Cases referred to a Hospital Facility
Note:
No. of Confirmed Chronic Cases referred to Hospital Facility
<= No. of confirmed Chronic Clinically Diagnosed cases
treated in the Health Facility
INDICATORS GUIDELINES/INSTRUCTIONS
Number andProportion of SAC (5-9 years old) Percentage should not exceed 100%
who completed 2 doses of Deworming Tablets Target: 85%
Source of Data: Consolidated STH Registry/ Master List
and TCL for Deworming Services for Children Age 5-9
Years Old
Number and Proportion of Adolescents 10-19 Percentage should not exceed 100%
years old who completed 2 doses of Deworming Target: 85%
Tablet Source of Data: Consolidated STH Registry/ Master List
and TCL for Deworming Services for Adolescents Age 10-
19 Years Old
Number andProportion of WRA 20-49 years old Percentage should not exceed 100%
who completed 2 doses of Deworming Tablet Target: 85%
Source of Data: Consolidated STH Registry/ Master List
Number and Proportion of Pregnant Women who Percentage should not exceed 100%
completed 1 dose of Deworming Tablet Target: 85%
Source of Data: Consolidated STH Registry/ Master List
and TCL for Maternal Care and Services
Number and Proportion of Pregnant Women Percentage should not exceed 100%
Tested Positive for Syphilis Target: No Target
Source of Data: TCL for Maternal Care and Services
Number and Proportion of Pregnant Women Percentage should not exceed 100%
Tested for HIV Target: 95%
Source of Data: TCL for Maternal Care and Services
Leprosy Prevalence Rate Target: Less than one case per 10,000 population
Source of Data: Leprosy Registry (ILIS)
Note: Total number of Leprosy undergoing Treatment from
previous year will be carried over the current year.
(Cumulative Data)
INDICATORS GUIDELINES/AINSTRUCTIONS
Case Detection Rate Bench mark: Less than 5% from previous year
Source of Data: Leprosy Registry (ILIS)
NON-COMMUNICABLE DISEASES
Number and Proportion of Adults Age 20 years - Percentage should not exceed 100%
old and above who were Risk-assessed using the - The total of adults who were risk assessed should be
PhilPEN Protocol equal tothe total no. of clients > 20 y/o risk-assessed
on 1b Lifestyle related diseases and HPN & DM type
2 excel sheets
Number andProportion of Adults 20 years old and Percentage should not exceed 100%
above who are Current Smokers based on the
PhilPEN Protocol
Number andProportion of Adults 20 years old and Percentage should not exceed 100%
above who are Binge Drinkers based on the
PhilPEN Protocol
Number andProportion of Adults 20 years old and Percentage should not exceed 100%
above who are Overweight/Obese
Proportion of Women 20 years old and above Percentage should not exceed 100%
screened for Cervical Cancer using Visual
Inspection with Acetic Acid (VIA) or Pap Smear
Proportion of Women 20 years old and above Percentage should not exceed 100%
found positive or suspect with cervical cancer
among those screened
Proportion of women 20 years old and above with Percentage should not exceed 100%
suspicious breast mass
Number and Proportion of identified Hypertensive Percentage should not exceed 100%
20 years old and above adults
Number and Proportion of Senior Citizens 60 Percentage should not exceed 100%
years old and above Screened for Visual Acuity
Number and Proportion of Senior Citizens 60 Percentage should not exceed 100%
years old and above Diagnosed with Eye Disease/s
INDICATORS GUIDELINES/INSTRUCTIONS
Number and Proportion of Senior Citizens 60 Percentage should not exceed 100%
years old and above who received 1 dose of
Pneumococcal Polysaccharide Vaccine (PPV)
Number and Proportion of Senior Citizens 60 Percentage should not exceed 100%
years old and above who received 1 dose of
Influenza Vaccine
ENVIRONMENTAL HEALTH
Number andProportion of Households (HH) with - Hb using safely managed drinking water must not
Access to Basic Safe Water Supply (Level J, II, exceed the total HH with access to basic Safe Water
TD (Level 1, 2 and 3)
- Percentage should not exceed 100%
Number andProportion of Households using - HH using Safely Managed Drinking Water must be
Safely Managed Drinking-Water Services located within the premises, at least 12 hours
available and free from E-Coli
- Percentage should not exceed 100%
Number and Proportion of Households with Basic Percentage should not exceed 100%
Sanitation Facility Target : >91%
Number andProportion of Households using - Sanitation Facility/Toilet is not shared with other
Safely Managed Sanitation Service HH
- Percentage should not exceed 100%
Number and
Proportion of Barangays Certified as - Barangay must be certified ZOD by the LGU’s
Zero Open Defecation (ZOD) Area concern
- Percentage should not exceed 100%
MORBIDITY
MORTALITY
Maternal Mortality Ratio (MMR) Number of maternal
100,000
mortality over number of live births
Multiplier:
Under Five Mortality Rate (UFMR) Number of under-five mortality over number of live births
Multiplier: 1,000
Infant Mortality Rate (IMR) Number of infant mortality over number of live births
Multiplier: 1,000
Neonatal Mortality Rate (NMR) Number of neonatal mortality over number live births
Multiplier: 1,000
INDICATORS GUIDELINES/INSTRUCTIONS
Perinatal Mortality Rate (PMR) Number of perinatal mortality over number of live births
Multiplier: 1,000
NATALITY
Number of Live Births Total number of live births in a given year
Crude Birth Rate (CBR) - Total number of live births in a given period over
total population times 1,000
- Birth should be reported by place of occurrence
DEMOGRAPHIC
Number of Barangays Total number of Barangay within the city/municipality
Ratio of Public Health Worker to Population LGU Ratio of existing health workers to the total population in a
and DOH-hired) given area
Should you have further inquiries or clarifications, you may contact the FHSIS Team at telephone
no. 8651-7800 local 2928/2953 or at email address fhsis@doh.gov.ph.