MINISTRY OF HEALTH

FACILITY CONSUMPTION DATA REPORT AND REQUEST (F-CDRR) FOR NUTRITION COMMODITIES

Name of Facility: HUDUMA LIONS H/C HURUMA LIONS HEALTH CENTER Facility's MFL code: 12974 VER 0.2

New Tool:Updated as at 28.05.2019 County: Nairobi Sub County Starehe

Period of Reporting: Beginning: 1/3/2022 Ending: 31/3/2022

(Day/Month/Year) (Day/Month/Year)

Positive Commodities with less

Losses Negative than 6 months to expiry Days out of Quantity
Beginning Quantity Received Total Quantity Adjustments Physical
Commodity Name Unit of Issue (damages, expiries, Adjustments (Issued Stock this Required for Re-
Balance this Month Dispensed (borrowed from out count
missing) out to other facilities) Expiry month Supply
to other facilities) Quantity
Date
A B C D E F G H K
Therapeutic food products
102.5g sachet 0 0 0 0 0 0 0 0 0 0 0
Therapeutic diet milk (F-75) 75kcal/100ml
Therapeutic diet milk (F-75) 75kcal/100ml- 400g Tin 0 0 0 0 0 0 0 0 0 0 0
114g sachet 0 0 0 0 0 0 0 0 0 0 0
Therapeutic diet milk (F-100) 100kcal/100ml
Therapeutic diet milk (F-100) 100kcal/100ml- 400g Tin 0 0 0 0 0 0 0 0 0 0 0
Ready to use therapeutic food (RUTF) paste 500kcal/92g (IMAM) 92g Sachet 0 0 0 0 0 0 0 0 0 0 3000
Ready to use therapeutic food (RUTF) paste 500kcal/92g (TB) 92g Sachet 0 0 0 0 0 0 0 0 0 0 0
Resomal Sachets 0 0 0 0 0 0 0 0 0 0 0
Supplemental food products
Ready to use supplemental food (RUSF) paste 500kcal/92g Sachets 0 0 0 0 0 0 0 0 0 0 4950
Fort Corn Soya Blend(Unimix)25kgs 1000kcal/250g Kgs 0 0 0 0 0 0 0 0 0 0 0
Vegetable Oil 221Kcal/25gms Kgs 0 0 0 0 0 0 0 0 0 0 0
Fortified Blended Food (FBF) flour 415kcal/100g
200g Sachet 0 0 0 0 0 0 0 0 0 0 120bags
[for Children aged 6 months – 9 years]
Fortified Blended Food (FBF) flour 435kcal/100g
[for Adults and Adolescents (10-17 years)] 300g Sachet 0 0 0 0 0 0 0 0 0 0 160bags

Fortified Blended Food (FBF) flour 450kcal/100g

[for Pregnant Women and Post-partum mothers] 300g Sachet 0 0 0 0 0 0 0 0 0 0 80bags

Super Cereals Plus (CSB++) 1.5kg Packet 1.5 Kg packet 30 0 0 0 0 0 0 0 0 0 200Pts

Super Cereals Plus (CSB++ ) 3grms Sachet Sachets 0 0 0 0 0 0 0 0 0
Multiple Micronutrients
Micronutrient powder 1g Sachet 0 0 0 0 0 0 0 0 0 0 0
Multiple Vitamin and Mineral mix (tablets/capsules) Sachets 0 0 0 0 0 0 0 0 0 0 0
Capsules (5,
Therapeutic Vitamin A 50,000 IU 0 0 0 0 0 0 0 0 0 0 0
iu)
1 Tablet/
Combined Iron (6mg) Folic Acid (4μg) 0 0 0 0 0 0 0 0 0 0 0
capsule
Others
Point of use Water treatment solution
15ml bottle 0 0 0 0 0 0 0 0 0 0 0
(1.2% Sodium hypochlorite[NaOCl] )
0 0
0 0
0 0
 ORDER FOR ADDITIONAL TOOLS

(3) CS-CDRR
for HIV
(2) F-CDRR for Nutrition
Nutrition
Order for extra LMIS & Service Data collection tools:- (1) Daily Activity Register for Nutrition commodities MOH 409: 2 commodities MOH 713B 1
commodities
(Satellite sites):
(Central sites)
MOH 734A:

(6) Nutrition
Services
(5) Nutrition Services Register
(4) Facility Prescription form for Nutrition Commodities MOH 732 2 2 Register
(Adult) MOH 407A
(Children)MO
H 407B

8.Outpatient Therapeutic
(7) In Patient Nutrition Register (MOH368) 2 ENVELOPES
Register MOH 409
To be requested only when your Data collection or reporting Tools are nearly full. Indicate quantity required for each tool type.

Comments (on Commodity logistics and clinical issues, including explanation of Losses & Adjustments):

Total Satellite
sites Expected to
report

Report prepared by: WYCKLIFE OBUKE NUTRITIONIST 725545137

Name of Reporting officer Contact Tel.:

Report approved by:

Name of Approving officer Designation Contact Tel.:
 CLIENT NUMBERS

Code Client Category Case Loads

N001 Clients(=<5Years) on F-75 0
N002 Clients(=<5Years) on F-100 0
N003 Clients(=<5Years) on RUTF 0
N004 Clients(=<5Years) on Resamol 0
N005 Clients(=<5Years) on RUSF 0
N006 Clients(=<5Years) on FBF 0
N007 Clients(6-23 Months) on MNP 0
N008 Clients(=<5Years) on Vit A(Therapeutic) 93
N009 Clients(5-9Years) on F-75 0
N010 Clients(5-9Years) on F-100 0
N011 Clients(5-9Years) on RUTF 0
N012 Clients(5-9Years) on RUSF 0
N013 Clients(5-9Years) on FBF 0
N032 Clients(5-9Years) on CSB 0
N033 Clients(5-9Years) on Veg Oil 0
N015 Clients(10-17Years) on F-75 0
N016 Clients(10-17Years) on F-100 0
N017 Clients(10-17Years) on RUTF (TB) 0
N018 Clients(10-17Years) on RUSF 0
N019 Clients(10-17Years) on FBF 0
N034 Clients(10-17Years) on CSB 0
N035 Clients(10-17Years) on Veg Oil 0
N021 Clients(18 and above) on F-75 0
N022 Clients(18 and above) on F-100 0
N023 Clients(18 and above) on RUTF (TB) 0
N024 Clients(18 and above) on RUSF 0
N025 Clients(18 and above) on FBF 0
N036 Clients(18 and above) on CSB 0
N037 Clients(18 and above) on Veg Oil 0
N028 Pregnant & Postpartum on RUTF 0
N029 Pregnant & Postpartum on RUSF 0
N030 Pregnant & Postpartum on CSB 0
N031 Pregnant & Postpartum on FBF 0
N038 Pregnant & Postpartum on Veg Oil 0
N039 Clients (18 and above ) on CSB++ (Packet) 0
N040 Clients (18 and above ) on CSB++ (Sachet) 0
Data Source
MOH368,MOH407A/B
MOH368,MOH407A/B
MOH409,MOH407A/B
MOH368,MOH407A/B
MOH410A,MOH407A/B
MOH407A/B
MOH702
MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B

MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH410B,MOH407A/B
MOH409,MOH410B,MOH407A/B
MOH409,MOH410B,MOH407A/B
MOH409,MOH407A/B
MOH409,MOH407A/B