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CAVITE CITY ACCOMPLISHEMENT GARANTISADONG PAMBATA Date:

Other Activities : 1. DEWORNING Number of children given 2. HOUSEHOLD SALT TESTING : Number of salt sample tested Number of salt sample tested positive Number of salt sample tested negative 3. FERROUS SULFATE DISTRIBUTION :

______________________________________________ Establishment _______________________________________________ ____________________________________ _____________________________________

CAVITE CITY GARANTISADONG PAMBATA Date April 2008

Other Activities : 1. DEWORNING Number of children given 2. HOUSEHOLD SALT TESTING : Number of salt sample tested Number of salt sample tested positive Number of salt sample tested negative 3. FERROUS SULFATE DISTRIBUTION :

______________________________________________ 5,645 Establishment _______________________________________________ ______________________________________________ 468 252 ______________________________________________ 4 2 197

IMMUNIZATION COVERAGE Date: PARTIAL REPORT - October 2006

Municipality: CAVITE CITY

Target

BCG 0-11 12-23 0-11

DPTI 12-23 0-11

DPT2

DPT3

OPV1

OPV2 12-23

OPV3 0-11 12-23 0-11

MV 12-23

Hepa 1 0-11

Hepa 2 Hepa 3 0-11 0-11

Barangay

Population

12-23 0-11

12-23 0-11

12-23 0-11

mos. mos mos mos mos mos mos mos. mos mos mos mos mos mos mos mos
Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center

mos 47 33 15 23 36

mos 61 31 41 181 49

mos 41 30 98 12 36

390 537 713 789 832

31 40 46 48 45

28 32 34 48 48

29 31 34 37 28

26 22 31 33 32

28 32 34 48 48

29 31 34 37 28

26 22 31 33 32

16 20 35 37 35

San Antonio Health Center

TOTAL

3261

210

190

159

144

190

159

144

143

154

363

217

IMMUNIZATION COVERAGE Date: APRIL 2007

Municipality: CAVITE CITY

Target

BCG 0-11

DPTI 12-23 0-11

DPT2 12-23 0-11

DPT3 12-23 0-11

OPV1 12-23 0-11

OPV2 12-23 0-11 12-23

OPV3 0-11

MV 12-23 0-11 12-23

Hepa 1 0-11

Hepa 2 Hepa 3 0-11 0-11

Barangay

Population

mos. mos mos mos mos mos mos mos. mos mos mos mos mos mos mos mos
Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center

mos 39 21 53 56 33

mos 43 28 51 75 21

mos 53 33 48 63 41

33 45 60 67 70

23 12 37 14 31

31 25 38 42 24

34 21 54 42 39

34 30 59 40 31

31 25 38 42 24

34 21 54 42 39

34 30 59 40 31

29 19 21 35 26

TOTAL

275

117

160

190

194

160

190

194

130

202

218

238

Cavite City Partial Report of GARANTISADONG PAMBATA Pre-Schoolers Week Date:


Municipality: CAVITE CITY

Target

BCG 0-11

DPTI 12-23 0-11

DPT2 12-23 0-11

DPT3 12-23 0-11

OPV1 12-23 0-11

OPV2 12-23 0-11 12-23

OPV3 0-11

MV 12-23 0-11 12-23

Hepa 1 0-11

Hepa 2 Hepa 3 0-11 0-11

Barangay

Population

mos. mos mos mos mos mos mos mos mos mos mos mos mos mos mos mos
Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center

mos

mos

mos

TOTAL

Municipality :

CAVITE CITY

Barangay

Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center

TOTAL

TO: Dra. Valerie Pascual GP Coordinator FORM 1: Vitamin A Suppleme

Date Submitted: 5/15/2009 Region: Cavite City

Province/City

Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center TOTAL

Prepared by:

TERESITA R. DESQUITADO, Name and Designation

FORM 1: Vitamin A Suppleme

Apr-09 Region: Cavite City

Province/City

Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center TOTAL

Prepared by:

TERESITA R. DESQUITADO, Name and Designation

GARANTISAD0NG PAMBATA Pre-schoolers Week Date: PARTIAL REPORT - October 2006 Municipality : CAVITE CITY
Target Population Vit. A 100 000 IU 6-11 mos. Target Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center 1.5% Given % 12- 59 mos High risk Target Vit. A 200 000 IU 12.0% Given % High risk Target Vit. A 200 000 IU 60-71 mos Given 3.0% % High risk

Barangay

13,003 17902 23,781 26,286 27,745

195 269 357 394 416

90 111 301 267 170

46 41 84 68 41

1,560 2,148 2,854 3,154 3,329

1,031 1,579 3,042 2,353 1,840

66 74 107 75 55

390 537 713 789 832

389 251 416 628 1098

99 47 58 80 132

San Antonio Health Center

TOTAL

108,717

1,631

939

58

13,046

9,845

75

3,262

2,782

85

* High risk children ( record actual number given) Cases with measles, pneumonia,prsistent diarrhea, xerophthalmia, night blindness , biot's spot, xerosis, corneal ulcerations and kerotamalacia. keratomalacia

GARANTISAD0NG PAMBATA Pre-schoolers Week Date: APRIL 2007 Municipality : CAVITE CITY
Target Population Vit. A 100 000 IU 6-11 mos. Target Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center 1.5% Given % 12- 59 mos High risk Target Vit. A 200 000 IU 12.0% Given % High risk Target Vit. A 200 000 IU 60-71 mos Given 3.0% % High risk

Barangay

13,199 18,172 24,133 26,686 28,168

198 273 362 400 423

16 221 285 321 248

8 81 79 80 59

0 0 0 0 0

1,584 2,181 2,896 3,202 3,380

1,051 1,571 2,804 2,320 2,162

66 72 97 72 64

0 0 0 0 0

396 545 724 801 845

211 626 691 710 1,094

53 115 95 87 129

0 0 0 0 0

TOTAL

110,358

1,656

1,091

66

13,243

9,908

75

3,311

3,311

100

Cavite City
Partial Report of GARANTISADONG PAMBATA Pre-schoolers Week Date: Municipality : CAVITE CITY
Target Population Target Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center Vit. A 100 000 IU 6-11 mos. 1.5% Given % 12- 59 mos High risk Target Vit. A 200 000 IU 12.0% Given % High risk Target Vit. A 200 000 IU 60-71 mos Given 3.0% % High risk

April

2008

Barangay

13,399 18,447 24,494 27,086 28,589

201 277 367 406 429

62 203 326 239 215

31 73 89 59 50

1,608 2,213 2,939 3,250 3,431

933 1,886 2,764 2,192 1,524

58 85 94 67 44

402 553 735 812 858

253 469 758 576 662

63 84 103 71 77

TOTAL

112,015

1,680

1,045

62

13,441

9,299

69

3,360

2,718

81

Cavite City
Partial Report of GARANTISADONG PAMBATA Pre-schoolers Week Date: 2009 Municipality : CAVITE CITY
Target Population Target Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center Vit. A 100 000 IU 6-11 mos. 1.5% Given % 12- 59 mos High risk Target Vit. A 200 000 IU 12.0% Given % High risk Target Vit. A 200 000 IU 60-71 mos Given 3.0% % High risk

Barangay

TOTAL

TO: Dra. Valerie Pascual 02-440-3372 GP Coordinator CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT FORM 1: Vitamin A Supplementation and Deworming Coverage Apr-09

Date Submitted: 5/15/2009 Region: Cavite City

Province/City Population 6-11 mos.


Target (1.35%)

Vitamin A Supplementation 12-59 months % Target (10.8%) No. given % 60-71 months
Target (2.7%)

Deworming 12-71 months %


Target (13.5%%)

No. Given

No. Given

No. Given

Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center TOTAL

12,765 17,581 23,341 25,806 27,232 106,725

172 237 315 348 368 1440

86 220 297 250 331 1184

50 93 94 72 90 82

1,379 1,898 2,521 2,787 2,941 11,526

959 1,673 1,911 2,060 1,587 8,190

70 88 76 74 54 71

345 475 630 697 736 2883

485 450 554 671 607 2767

141 95 88 96 82 96

1723 2373 3151 3484 3676 14407

1129 2121 2994 2765 1109 10118

66 89 95 79 30 70

Prepared by: TERESITA R. DESQUITADO, PHN III Name and Designation

Noted by: _____________________________________ CHD Director

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT FORM 1: Vitamin A Supplementation and Deworming Coverage

Apr-09 Region: Cavite City

Province/City Population 6-11 mos.


Target (1.35%)

Vitamin A Supplementation 12-59 months % Target (10.8%) No. given % 60-71 months
Target (2.7%)

Deworming 12-71 months %


Target (13.5%%)

No. Given

No. Given

No. Given

Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center TOTAL

Prepared by: TERESITA R. DESQUITADO, PHN III Name and Designation

Noted by: _____________________________________ CHD Director

Form1: Vitamin A Supplementation and Deworming Coverage Month: October - 2008 Municipality: Cavite City Total Population: 112,015

BARANGAY

6-11 mos. Target No. Given


1.50%

Vitamin a Supplementation 12-59 mos. 60-71 mos. % Target No. Given % Target No. Given 12% 3% 82 78 96 38 56 1608 2213 2939 3250 3431 1154 2109 2598 1903 1550 72 95 88 59 45 402 554 735 813 858 366 449 646 599 871

Deworming % 12-23 mos. Target No. Given


3.00%

24-71 mos. Target No. Given 12% 1608 2213 2939 3250 3431 408 1,000 2003 1844 548

Dalahican Sta. Cruz Caridad San Roque

201 277 367 406 429

165 215 354 154 242

91 81 88 74 102

402 554 735 813 858

165 499 678 450 68

41 90 92 55 8

25 45 68 57 16

San Antonio

TOTAL

1680

1130

67

13441

9314

69

3362

2931

87

3238

1860

57

13441

5803

43

Prepared by: ________________________________ Program Coordinator

Noted by: _________________________________

Form1: Vitamin A Supplementation and Deworming Coverage Month: Municipality: Cavite City Total Population:

BARANGAY

6-11 mos. Target No. Given


1.35%

Vitamin a Supplementation 12-59 mos. 60-71 mos. % Target No. Given % Target No. Given 10.8% 3%

Deworming % 12-23 mos. Target No. Given


3.00%

24-71 mos. Target No. Given 12%

TOTAL

GARANTISAD0NG PAMBATA Pre-schoolers Week Date: Municipality : CAVITE CITY


Target

BCG 0-11 12-23

DPTI 0-11 12-23

DPT2 0-11 12-23

DPT3 0-11 12-23

OPV1 0-11 12-23

OPV2 0-11 12-23

OPV3 0-11 12-23 0-11

MV 12-23

Hepa 1 0-11

Hepa 2 0-11

Hepa 3 0-11

Barangay

Population

mos.
Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center

mos

mos 34 47 56 43 51

mos

mos 28 31 36 32 41

mos

mos mos. 25 36 41 37 45

mos 34 47 56 43 51

mos

mos 28 31 36 32 41

mos

mos 25 36 41 37 45

mos

mos 34 15 49 40 51

mos

mos 23 12 75 27 35

mos 41 42 63 41 42

mos 34 22 33 42 43

201 277 367 406 429

41 28 72 70 58

San Antonio Health Center

TOTAL

1680

269

231

168

184

231

168

184

189

172

229

174

Prepared by: ________________________________ Program Coordinator

Noted by: _________________________________

TO: DRA. VALERIE PASCUAL GP Coordinator - 02-440-3372

GARANTISAD0NG PAMBATA Pre-schoolers Week Date: 29-May-09

Municipality :

CAVITE CITY
Target

BCG 0-11 12-23

DPTI 0-11 12-23

DPT2 0-11 12-23

DPT3 0-11 12-23

OPV1 0-11 12-23

OPV2 0-11 12-23

OPV3 0-11 12-23 0-11

MV 12-23

Hepa 1 0-11

Hepa 2 0-11

Hepa 3 0-11

Barangay

Population

mos.
Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center

mos 3 1 3 1 1

mos 20 35 35 30 30

mos 2 3 3 2 1

mos 23 30 40 40 35

mos 1 2 2 1 2

mos mos. 28 40 45 39 58 3 4 4 1 3

mos 20 35 35 30 30

mos 2 3 3 2 1

mos 23 30 40 40 35

mos 1 2 2 1 2

mos 28 40 45 39 58

mos 3 4 4 1 1

mos 25 15 41 30 30

mos 3 4 2 5 1

mos 13 27 39 29 28

mos 25 37 33 29 42

mos 22 42 47 39 61

435 477 630 697 735

24 37 39 28 30

TOTAL

2974

158

150

11

168

210

15

150

11

168

210

13

141

15

136

166

211

FORM 1: VITAMINS A SUPP FORM 4: Logistics Inventory Form April/October 2009 Region: Cavite city Vitamin A Capsules 100,000 IU ( in bottles) 200,000 IU ( in bottles) Allocation Delivered Balance Allocation Target 18,210 Delivered Balance Allocation Target 2882 Cavite City Deworming Tablets Delivered Balance Dalahican 100 bottles +60 bottles Stocks = 160 btls. Sta. Cruz Caridad 59 btls. San Roque Ferrous Sulfate 0 0 0 3735 563 btls. 29 btls. San Antonio

Form 1: Vitamin A Supplem Date: December 8, 2011

Cavite City

135 bottles

TOTAL

Prepared by: TERESITA R.

TO: DRA VALERIE E. PASC GP Coordinator - 02-440

FORM 4: Logistics Inventory Form April/October 2009 Region: Cavite city Vitamin A Capsules 100,000 IU ( in bottles) 200,000 IU ( in bottles) Allocation Delivered Balance Allocation Target Delivered Balance Allocation Target

FORM 2: VITAMINS A SUPP

Form 2: Immunization cov Date: December 8, 2009 Region: Deworming Tablets Delivered Balance
Dalahican

Cavite City

Cavite City
Sta. Cruz Caridad

Ferrous Sulfate

San Roque San Antonio

TOTAL

Prepared by: TERESITA R.

FORM 1: VITAMINS A SUPP

Form 1: Vitamin A Supplem Date:

Cavite City

Dalahican Sta. Cruz Caridad San Roque San Antonio

TOTAL

Prepared by: TERESITA R.

TO: DRA VALERIE E. PASC GP Coordinator - 02-440

FORM 2: VITAMINS A SUPP

Form 2: Immunization cov Date: Region: Cavite City

Dalahican Sta. Cruz Caridad San Roque San Antonio

TOTAL

Prepared by: TERESITA R.

ORM 1: VITAMINS A SUPPLEMENTATION AND DEWORMING COVERAGE

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2011

orm 1: Vitamin A Supplementation and Deworming coverage ate: December 8, 2011 Vitamin a Supplementation Population
Target 1.35%

Deworming
60-71 mos. 12-71 mos.
% Target 13.5% No. Given % Target 2.7% No. Given

6-11 mos.
No. Given % Target 10.8%

12-59 mos.
No. Given %

epared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by: DR. ARNOLD C. MENDOZA OIC- City Health Officer II

O: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

ORM 2: VITAMINS A SUPPLEMENTATION AND DEWORMING COVERAGE CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2009 Number of children Immunized Population
DPT 1
12-59 months

orm 2: Immunization coverage ate: December 8, 2009

DPT 2
12-59 months

DPT 3
12-59 months

OPV1
12-59 months

OPV2
12-59 months

OPV3
12-59 months

MV
12-59 months

HEPA B1
12-59 months

HEPA B2
12-59 months

HEPA B3
12-59 months

0 20 0 0 0

1 16 0 0 0

1 18 0 0 0

0 20 0 0 0

1 15 0 0 0

0 18 0 0 0

2 28 0 0 0

0 19 0 0 0

0 10 0 0 0

1 10 0 0 0

20

17

19

20

16

18

30

19

10

11

epared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by: TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

ORM 1: VITAMINS A SUPPLEMENTATION AND DEWORMING COVERAGE

orm 1: Vitamin A Supplementation and Deworming coverage

Vitamin a Supplementation Population


Target 1.35%

6-11 mos.
No. Given % Target 10.8%

12-59 mos.
No. Given % Target 13.5%

12-71 mos.
No. Given %

epared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by:

O: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

ORM 2: VITAMINS A SUPPLEMENTATION AND DEWORMING COVERAGE

orm 2: Immunization coverage

Number of children Immunized Population


DPT 1
12-59 months

DPT 2
12-59 months

DPT 3
12-59 months

OPV1
12-59 months

OPV2
12-59 months

OPV3
12-59 months

MV
12-59 months

HEPA B1
12-59 months

HEPA B2
12-59 months

HEPA B3
12-59 months

epared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by:

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

Form 3: Other Services Coverage Date: December 8, 2009 Region: DOH- Cavite City
Iron Supplements Province/City No. of Children Given No. of Pregnant Women Drop Syrups Given Tablets

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2009


Oral Health 12-71 months No. of Lactating Women Given Tablets Oral Examination Eligible Targets (TP x 13.5% x ST 20%/12) Total No. Examined % Toothbrushing Total no. No. Total Actual participated % in Enroleesbrushing tooth /Children Drill No. of samples No. of Tested (+) % No. of samples No. of Tested (+) % Household Salt Testing Market

Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center
TOTAL

Data coming from RSI

* No. of pregnant mothers consulted in Health Center * No. of mothers given prenatal counseling * No. of mother given birth spacing counseling * No. of mothers given pre-marital counseling * No. of mothers exclusively breastfeeding * No. of mothers given IEC materials * No. of children weighed * No. of children consulted on safety tips on child in * No. of mothers counseled on complementary feeding

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

Prepared by: TERESITA R. DESQUITADO Public Health Officer III

Noted by: MARIA HILDA BUCU, MD OIC-city Health Officer II

Form 3: Other Services Coverage

CAVITE CITY GARANTISADONG PAMBATA

Date: Region: DOH- Cavite City


Iron Supplements Province/City No. of Children Given No. of Pregnant Women Drop Syrups Given Tablets Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center
TOTAL

REPORT
Dental Oral Health 12 - 71 months No. of Lactating Women Given Tablets Eligible Target No. Examined % No. of samples No. of Tested (+) % No. of samples No. of Tested (+) % (Total Pol. X 13.5% x Serive Target 20%) Household Salt Testing Market

OTHERS ACTIVITIES: * No. of pregnant mothers given pre-marital counseling * No. of mothers given prenatal counseling * No. of pregnant mothers consulted in Health Centers * No. of mothers given birth spacing counseling * No. of mothers exclusively breastfeeding * No. of mothers counseled on complemenytary feeding * Mothers counseled on Detrimental Effects on Tabacco Smoking * No. of mothers given IEC Materials * No. of children weighed * No. of children consulted on safety tips on child onjury -

TARGET

NO.

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

NOTED BY: MARIA HILDA C. BUCU,MD


Medical Officer IV

FORM 4: LOGISTICS INVENTORY FORM Form 4: Logistics Inventory Form Date: December 8, 2009 Region:

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2009

VITAMINS A CAPSULES Stocks at Province/City start of year Quantity allocated 2nd GP No. given Vitamin A Vitamin A Utilized Routine GP Remaining Balance Stocks at start of year Quantity allocated 1st GP

DEWORMING TABLETS No. given deworming Deworming Utilized Routine GP Remaining Balance

Cavite City

29 btls.

86

15,463 all ages

158

15,463 all ages

39 btls.

76 btls.

59 bxs. + 15 bxs. 74 bxs.

7898

7898

7898

Prepared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by: MARIA HILDA BUCU, MD OIC City Health Officer II

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

FORM 4: LOGISTICS INVENTORY FORM Form 4: Logistics Inventory Form Date: December 8, 2009 Region:

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2009

VITAMINS A CAPSULES Stocks at Province/City start of year Quantity allocated 2nd GP No. given Vitamin A Vitamin A Utilized Routine GP Remaining Balance Stocks at start of year Quantity allocated 1st GP

DEWORMING TABLETS No. given deworming Deworming Utilized Routine GP Remaining Balance

Prepared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by:

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

FORM 5: RAPID COVERAGE ASSESSMENT FOR GARANTISANDONG PAMBATA Form 5: Rapid Coverage Assessment for Garantisadong Pambata Name : ___________________ Date: ____________ Region: ______________ Province/City:____________ Municipality: _______________ Brgy/Purok/Sition Name:_____________________________
# Children 6-71 Door No. months living with you A # who have received Vitamin A B # who have received Deworming Drugs C D # who have received DPT1 # who have received Measles E # who have received HEV3 F Last child protected at birth Y/N G Main reason why child not received Vitamins A/Deworming/ Immunization H I Time residing in the baramgay in years)

Site1:
1 2 3 4 5

Site2:
1 2 3 4 5

Site3:
1 2 3 4 5

-2 # Children 6-71 Door No. months living with you A # who have received Vitamin A B # who have received Deworming Drugs C D # who have received DPT1 # who have received Measles E # who have received HEV3 F Last child protected at birth Y/N G Main reason why child not received Vitamins A/Deworming/ Immunization H I Time residing in the baramgay in years)

Site4:
1 2 3 4 5

Public Site:
1 2 3 4 5

TOTAL

% Vit A

% Dewormed

%DPT=Vit. A

% MV

% HBV

% CPAB

Form 3: Other Services Coverage Date of Submitted: May 15, 2009 Region: DOH- Cavite City
Oral Health Iron Supplements Province/City No. of Children Given No. of Pregnant Women Drop Syrups Given Tablets
Dalahican Health Center

12-71 months No. of Lactating Women Given Tablets 10 49 50 15 13 137 28 40 52 58 61 239 506 506 506 101 170 0 768 205 275 Noted by: ______________________________________ 25 34 46 49 52 206 89 85 88 84 85 86 Oral Examination Eligible Targets (TP x 13.5% x ST 20%/12) Total No. Examined % Total no. Actual Enrolees /Children 28 40 52 58 61 239 Toothbrushing
Total No. participated in tooth brushing Drill

Salt Testing Household % No. of samples No. of Tested (+) 89 85 88 84 85 86 175 163 93 65 54 83 % No. of samples Market No. of Tested (+) %

0 0 0 0 0 0

0 0 0 0 0 0

47 87 46 71 29 280

25 34 46 49 52 206

Sta. Cruz Health Center

Caridad Health Center

San Roque Health Center

San Antonio Health Center TOTAL

* No. of pregnant mothers consulted in Health Center * No. of mothers given prenatal counseling * No. of mother given birth spacing counseling * No. of mothers given pre-marital counseling * No. of mothers exclusively breastfeeding * No. of mothers given IEC materials * No. of children weighed * No. of children consulted on safety tips on child in * No. of mothers counseled on complementary feeding

Prepared by: TERESITA R. DESQUITADO, PHN III

Name and Designation

CHD Director

Form 3: Other Services Coverage Apr-09 Region: DOH- Cavite City


Oral Health Iron Supplements Province/City No. of Children Given No. of Pregnant Women Drop Syrups Given Tablets
Dalahican Health Center

12-71 months No. of Lactating Women Given Tablets Oral Examination Eligible Targets (TP x 13.5% x ST 20%/12) Total No. Examined % Total no. Actual Enrolees /Children Toothbrushing
Total No. participated in tooth brushing Drill

Salt Testing Household % No. of samples No. of Tested (+) % No. of samples Market No. of Tested (+) %

Sta. Cruz Health Center

Caridad Health Center

San Roque Health Center

San Antonio Health Center TOTAL

* No. of pregnant mothers consulted in Health Center * No. of mothers given prenatal counseling * No. of mother given birth spacing counseling * No. of mothers given pre-marital counseling * No. of mothers exclusively breastfeeding * No. of mothers given IEC materials * No. of children weighed * No. of children consulted on safety tips on child in * No. of mothers counseled on complementary feeding

Noted by: ______________________________________

Prepared by: _________________________ __________________________

Name and Designation

CHD Director

GARANTISADONG PAMBATA Pre- schoolers Week Date: ______________________ Other Activities : 1. DEWORNING Number of children given 2. HOUSEHOLD SALT TESTING : Number of salt sample tested Number of salt sample tested positive Number of salt sample tested negative 3. FERROUS SULFATE DISTRIBUTION : Number of children given Number of pregnant woman given Number of lactating women given 4. DENTAL CECK-UP : Number of children examined Number of orally fit children 5. HIGHLIGTHS OF OTHER ACTIVITIES :

FORM 1: VITAMINS A SUPPLEMENTATION AND DEWORMING COVERAGE Form 1: Vitamin A Supplementation and Deworming coverage Date: December 8, 2011 Vitamin a Supplementation Cavite City Population
Target 1.35%

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2011

Deworming
12-59 mos. 12-71 mos.
% Target 13.5% No. Given % No. Given

6-11 mos.
No. Given % Target 10.8%

Dalahican Sta. Cruz Caridad San Roque San Antonio

TOTAL

Prepared by: TERESITA R. DESQUITADO Public Health Nurse III TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

Noted by: ARNOLD C. MENDOZA M.D,DPBS

Form 3: Other Services Coverage Date: Region: DOH- Cavite City


Iron Supplements Province/City No. of Children Given No. of Pregnant Women Drop Syrups Given Tablets Dalahican Health Center Sta. Cruz Health Center Caridad Health Center San Roque Health Center San Antonio Health Center
TOTAL

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2011


Oral Health 12-71 months No. of Lactating Women Given Tablets Oral Examination Eligible Targets (TP x 13.5% x ST 20%/12) Total No. Examined % Total no. Actual Enrolees /Children Toothbrushing
Total No. participated in tooth brushing Drill

Salt Testing Household % No. of samples No. of Tested (+) % No. of samples Market No. of Tested (+) %

Data coming from RSI

* No. of pregnant mothers consulted in Health Center * No. of mothers given prenatal counseling * No. of mother given birth spacing counseling * No. of mothers given pre-marital counseling * No. of mothers exclusively breastfeeding * No. of mothers given IEC materials * No. of children weighed * No. of children consulted on safety tips on child in * No. of mothers counseled on complementary feeding

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

Prepared by: TERESITA R. DESQUITADO Public Health Officer III

Noted by: DR. ARNOLD C. MENDOZA M.D,DPBS OIC-CITY Health Officer II

FORM 4: LOGISTICS INVENTORY FORM Form 4: Logistics Inventory Form Date: Region:

CAVITE CITY GARANTISADONG PAMBATA FINAL REPORT 2011

VITAMINS A CAPSULES Stocks at Province/City start of year Quantity allocated 2nd GP No. given Vitamin A Vitamin A Utilized Routine GP Remaining Balance Stocks at start of year Quantity allocated 1st GP

DEWORMING TABLETS No. given deworming Deworming Utilized Routine GP Remaining Balance

Cavite City

Prepared by: TERESITA R. DESQUITADO Public Health Nurse III

Noted by: ARNOLD C. MENDOZA M.D,DPBS OIC City Health Officer II

TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

FORM 5: RAPID COVERAGE ASSESSMENT FOR GARANTISANDONG PAMBATA Form 5: Rapid Coverage Assessment for Garantisadong Pambata Name : ___________________ Date: ____________ Region: ______________ Province/City:____________ Municipality: _______________ Brgy/Purok/Sition Name:_____________________________
# Children 6-71 Door No. months living with you A # who have received Vitamin A B # who have received Deworming Drugs C D # who have received DPT1 # who have received Measles E # who have received HEV3 F Last child protected at birth Y/N G Main reason why child not received Vitamins A/Deworming/ Immunization H I Time residing in the baramgay in years)

Site1:
1 2 3 4 5

Site2:
1 2 3 4 5

Site3:
1 2 3 4 5

FORM 2: VITAMINS A SUPPLEMENTATION AND DEWORMING COVERAGE Form 2: Immunization coverage Date: Region: Number of children Immunized Cavite City Population
DPT 1
12-59 months Dalahican Sta. Cruz Caridad San Roque San Antonio

DPT 2
12-59 months

DPT 3
12-59 months

OPV1
12-59 months

OPV2
12-59 months

OPV3
12-59 months

MV
12-59 months

HEPA B1
12-59 months

HEPA B2
12-59 months

HEPA B3
12-59 months

TOTAL

Prepared by: TERESITA R. DESQUITADO Public Health Nurse III TO: DRA VALERIE E. PASCUAL GP Coordinator - 02-440-3372

Noted by:

ARNOLD C. MENDOZA M.D, DPBS OIC-CHO

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