Name of NDP/RHMPP : SHERWIN PAUL E.

APE, RN, MAN

Area of Assignment : BRGY. SERNA (BAD-ASAY)
Population : 1567

ACCOMPLISHMENT TARGET FOR THE MONTH OF OCTOBER C.Y. 2020

INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF

(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
HEALTH GOVERNANCE
Number of Barangay Health 1 per qtr > Minutes of
Board Meetings facilitated and Meeting
attended _______ > Post Activity
Date Report with
conducted pictures,
Program of
Activity &
attendance sheet

Policies, Ordinances and 1 per qtr > Minutes of

Resolution Lobbied Meeting
> Copy of Policies

Submission of updated 1 per qtr Roadmap

Barangay Heath Road Map submitted to
DMO IV
Assessment and Assistance to 1 per Post Activity
Barangay LIPH Creation and semi- Report with
Prioritization of Inclusions annual pictures,
Program of
Activity &
attendance sheet

Assessment and Assistance to 1 per Post Activity

Barangay DRRM-H Creation semi- Report with
and PrioritIzation and annual pictures,
Inclussion Program of
Activity &
attendance sheet

Post the Annual Vital Health Annual Picture of posted

Statistics of last year and - Posted VHSS in the BHS
Presence of updated (current Vital and copy of 3
year) and 3 years Vital Health Health yrs. VHSS in the
Services and Statistics Statistics folder
of last
year
- 3 yrs.
VHSS
(folder)

1 per Copy of validated

month M1, M2a, M2b,
(current M3a & M3b with
data) signature of
MHO/PHN
(folder)

HEALTH FINANCING
Masterlist of PHIC Members Updated Masterlist in 1
(Categorized) per folder
quarter
Lobbying of the 5% Budget for 1 AIP
Health in the Barangay Level (Annual)

Assessment in the 1 AIP

Computation and (Annual)
Prioritization of Expenditure
Incurred Related to Health
Service Delivery and Health
Activities
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
Asssistance in the 1 Checlist of
Accreditation of BHS Birthing (Annual) requirements
Facility needed for
accrediatation

HEALTH SERVICE DELIVERY

1. Family Planning Program
1.a. No. of WRA with unmet Actual Masterlist of
needs number WRA
1.b. No. of WRA/couples who Target Post Activity
attended FP demand- number of Report with
generation activities pax as pictures,
conducted planned Program of
Activity &
attendance sheet

1.c. Number of couples Accomplished FP

provided with FP Counselling Actual Form 1 in a
number folder
1.d. No. of clients provided Pls. see TCL - FP
with modern FP commodities atached
(including resupply of target per
commodities for natural and brgy. 379
artificial methods)

1.e. No. of identified WRA TCL - FP

provided with FP commodities
during FDS/Usapan session Actual
number

1.f. Contraceptive Prevalence Pls. see TCL - FP

Rate the target
per brgy.
379

2. Maternal Care
Prenatal Care
2.a. No. of new pregnant Pls. see Maternal Client
women tracked and assisted atached Record for
in the formulation of Birth target per Prenatal Care
Plan brgy. 3

2.b. No.of pregnant women Pls. see TCL-Maternal

with at least 4 prenatal check- atached Care
ups target per
brgy. 3

2.c. No. of defaulters to 0 TCL-Maternal

prenatal check-ups tracked (no Care
and provided with pre-natal defaulters)
services

2.d. No. of pregnant women Pls. see TCL-Maternal

for the first time given at least atached Care
2 doses of Tetanus diphtheria target per
(Td) vaccination brgy. 3

2.e. No of pregnant women Pls. see TCL-Maternal

for the 2nd or more times atached Care
given at least 3 doses of Td target per
vaccination (Td2 Plus) brgy. 3

2.f. No. of pregnant women Pls. see TCL-Maternal

who completed the dose of atached Care
iron with folic acid target per
supplementation brgy. 3
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
2.g. No. of pregnant Pls. see Maternal Client
women/couples counselled on atached Record for
Newborn Screening target per Prenatal Care
brgy. 3

2.h. No. of home visits for Maternal Client

pregnant women with risk actual Record for
factors conducted number Prenatal Care

Intra-Partum Care and Delivery Outcome

2.i.Total number of deliveries actual TCL - Maternal

number Care

2.j.Total number of livebirths actual TCL - Maternal

number Care
2.k. Deliveries attended by 90% of TCL - Maternal
skilled health professionals total Care
deliveries

2.l. Facility-based deliveries 90% of TCL - Maternal

total Care
deliveries

Post-Partum Care & Newborn Care

2.m. Post-partum women Pls. see TCL - Maternal
together with their newborn atached Care
who completed at least 2 target per
postpartum check-ups brgy. 3

2.n. No. of defaulters to Post- 0 TCL - Maternal

Partum check-up tracked and (no Care
given post-partum services defaulters)

3. Child Care
Immunization Services for Infants and Children

3.a. No. of Fully Immunized Pls. see TCL - Child Care

Children atached
target per
brgy. 3

3.b. No. of defaulters to 0 TCL - Child Care

Immunization (eligible (no
children with incomplete defaulters)
immunization at 12 months of
age) tracked and given
appropriate immunization

3.c. No. of Grade 1 & Grade 7 95% of:

students vaccinated during
School-Based Immunization

> Grade 1 (MR vaccination) Grade 1 List of enrollees

enrollees and children
vaccinated
> Grade 1 ( Td vaccination)

> Grade 7 (MR vaccination) Grade 7

enrollees

> Grade 7 (Td vacinnation)

 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
3.d. No. of Adverse Events 0 Accomplished
Following Immunization (AEFI) (no AEFI AEFI form, ESR
cases identified and referred cases) Form & detailed
to supervisor narrative /
incident report
received by the
supervisor

Nutrition Services for Infants and Children

3.e. Infant age 6 mos. Seen Pls. see TCL - Child Care
atached
target per
brgy. 1

3.f. Infant exclusively Pls. see TCL - Child Care

breastfed until 6th month atached
target per
brgy. 1

3.g. No. of children (6-59 mos) 95% of

given Vitamin A capsules the ff:

> 6-11 mos (1 dose) Pls. see TCL - Child Care

atached
target per
brgy. 1

> 12-59 mos. (2 doses with 6 Pls. see TCL - Child Care
mos. interval in a year) atached
target per
brgy. 11

3.h. No. of children given 95% of

Micronutrient Powder the ff:
> 6-11 mos. Pls. see TCL - Child Care
atached
target per
brgy. 1

> 12-23 mos. Pls. see TCL - Child Care

atached
target per
brgy. 3

3.i. No. of chidren (0-59 mos.

old) who are:
> Stunted Pls. see TCL - Child Care
atached
target per
> Wasted - MAM brgy. TCL - Child Care

> Wasted - SAM TCL - Child Care

> Overweight/Obese TCL - Child Care

> Normal Pls. see TCL - Child Care

atached
target per
brgy.

Deworming Services for Children and Adolescents

3.j. No. of 95% of

Children/Adolescents who the ff:
completed 2 doses of de-
worming tablet :
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
> 1-4 yo Pls. see TCL - Child Care
atached
target per
brgy. 11

> 5-9 yo Pls. see TCL - Child Care

atached
target per
brgy. 14

> 10-19 yo Pls. see TCL - Child Care

atached
target per
brgy. 27

Management of Sick Infants and Children

3.k. Diarrhea cases 0-59 mos. Actual TCL - Sick
old seen number Children
3.l. Diarrhea cases 0-59 given Total no. TCL - Sick
ORT/ORS w/ zinc of Children
diarrheal
cases (0-
59 mos.
old)

3.m. Pneumonia cases 0-59 Actual TCL - Sick

mos. Old seen number Children
3.n. Pneumonia cases 0-59 Total no. TCL - Sick
mos. old given treatment of Children
pneumonia
cases (0-
59 mos.
old)

3.o. Newborn screening done Total no. TCL - Sick

of Children
livebirths
4. Adolescent Health Program
4.a. No. of new pregnant > Masterlist of
teenagers identified and pregnant
referred to a Health Facility actual teenagers
number > TCL - Maternal
Care

4.b. No. of adolescents given Target Post Activity

AHYD Orientation number of Report with
pax pictures,
(adolesce Program of
nts) as Activity &
planned attendance sheet

5. Infectious Diseases Prevention and Control

Filariasis Prevention and Control

5.a. Total number of cases > Filaria Registry

with lymphatic Filariasis actual > Filaria ITR
number

5.b. No. of Lymphatic Filariasis Total > Filaria Registry

patients with number of > Filaria ITR
disability/deformities assisted lymphatic
and monitored filariasis
patients
with
disability

5.c. No. of individuals tested > Filaria Registry

for Nocturnal Blood actual > Filaria ITR
Examination number
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
Schistosomiasis Prevention and Control
5.d. Total number of > Schisto
suspected Schistosomiasis actual Registry
Cases number > Schisto ITR

5.e. Total number of acute > Schisto

cases clinically diagnosed actual Registry
number > Schisto ITR

5.f. Total Number of acute > Schisto

cases confirmed by stool Registry
examination (Kato-katz actual > Schisto ITR
technique) in the health number
facility

5.g. Total number of Number > Schisto

of chronic cases clinically actual Registry
diagnosed number > Schisto ITR

5.h. Total number of chronic > Schisto

clinical cases confirmed by Registry
stool examination (KKT) or actual > Schisto ITR
rectal biopsy number

5.i. Number of chronic > Schisto

clinically diagnosed cases actual Registry
treated in the health facility number > Schisto ITR

5.j. Number of confirmed > Schisto

chronic cases referred to a actual Registry
hospital facility number > Schisto ITR

Soil Transmitted Helminthiasis Prevention and Control

5.k. WRA, 20-49 years old, Pls. see TCL - Maternal

who completed 2 doses of atached Care
deworming tablet target per
brgy. 308

HIV-AIDS/STI Prevention and Control

5.l. No. of persons with high Post Activity
risk behavior Report with
(MSM/TG/FSW/MSW/IDU/ pictures,
Multiple sex partner) Program of
advocated on STI/HIV/AIDS actual Activity &
number attendance sheet

5.m. No. of persons with High Total no. Individual

Risk behavior referred to of persons Treatment
Social Hygiene Clinic for Free with high Record
STI/HIV Testing risk
behavior

5. n. No. of pregnant women Pls. see TCL - Maternal

referred for syphilis testing atached Care
target per
brgy. 3

5.o. No. of pregnant women Pls. see TCL - Maternal

referred for HIV testing atached Care
target per
brgy. 3

TB Prevention and Control

5.p. No. of presumptive Pls. see > IT IS
DSTB/DRTB identified and atached > TB ITR
referred for screening target per
brgy. 8
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
5.q. No. of DSTB/DRTB Pls. see > IT IS
referred for testing atached > TB ITR
target per
brgy. 4

5.r. No. of TB cases treated Pls. see > IT IS

and act as treatment atached > TB ITR
supporter target per
brgy. 1

5.s. No. of TB patients referred Total no. > IT IS

to Social Hygiene Clinic for of TB > TB ITR
Free HIV testing patients

5.t. No. of eligible patients Pls. see > IT IS

given TB preventive treatment atached > TB ITR
target per
brgy. 1

Malaria Prevention and Control

5.u. No of Malaria Philmis Form 7.1
suspects/cases identified/ Actual
referred to RHM/ PHN/MHO number

5.v. No. vector control and Total Post Activity

prevention activities number of Report with
(mapping, bednet activities pictures,
distribution/ treatment) as Program of
participated planned Activity &
attendance sheet

Leprosy Prevention and Control

5.w. No. of leprosy cases > Leprosy

newly detected Actual Registry
number > Leprosy ITR

Rabies Prevention and Control

5.x. No. of animal bites cases Total > Individual
provided with first aid and number of Treatment
referred to RHU/ABTC animal Record
bites > FHSIS M2a
cases (Morbidity Data)

Emerging and Re-Emerging Infectious Diseases (EREID) Program

5.y. No. of Barangays Pls. see Barangay Health
identified with Health atached Emergency
Emergency Preparedness Plan target per Preparedness
brgy. 1 Plan

5.z. No. of Barangays Pls. see BHERT Order

identified with organized and atached
functional (Barangay Health target per
Emergency Response Team) brgy. 1
BHERT

Notifiable Diseases
5.aa. No. of notifiable diseases > Case
identified and referred Actual Investigation
number Form (CIF)
> FHSIS Form:
M2a & M3b
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE > Case
MEANS OF
(no. & %) (no. & %) Investigation
VERIFICATION
Form (CIF) REMARKS
Projected Actual Projected Actual Projected Actual > FHSIS Form:
5.bb. No. of notifiable diseases M2a & M3b
reported weekly or within 24
hours to Municipal
Surveillance Officer using the
Case Investigation Form (CIF)
or Case Reporting Form (CRF)
Actual
Note: Please submit "zero number
reporting of cases" if no cases
identified;

6. Non-Communicable Disease Prevention and Control Services

Lifestyle Related Disease
Hypertension/DM
6.a. No. of individuals (20 Pls. see > TCL - NCD
years old and above) assessed atached > NCD Risk
for Hypertension using the target per Assessment
NCD Risk Assessment Form brgy. 76 Form

6.b. No. of NEWLY diagnosed > TCL - NCD

Hypertensive Patient Actual > NCD Risk
number Assessment
(new Form
cases
only)
6.c. No. of diagnosed > TCL - NCD
Hypertensive Patient Actual > NCD Risk
(cummulative data) number Assessment
(old + new Form
cases) > Masterlist

6.d. No. of individuals (20 > TCL - NCD

years old and above) with > ITR
Hypertension referred for Actual
Treatment number

6.e. No. of hypertensive Total Individual

patients provided with anti- number of Treatment
hypertensive drugs (4 hypertens Record
molecules) ive patient

6.f. No. of individuals (20 years Pls. see > TCL - NCD
old and above) assessed for atached > NCD Risk
Diabetes Mellitus using the target per Assessment
NCD Risk Assessment Form brgy. 76 Form

6.g. No. of NEWLY diagnosed > TCL - NCD

diabetic patient Actual > NCD Risk
number Assessment
(new Form
cases
only)
6.h. No. of diagnosed diabetic > TCL - NCD
patient (cummulative data) Actual > NCD Risk
number Assessment
(old + new Form
cases) > Masterlist

6.i. No. of individuals (20 years > TCL - NCD

old and above) with Diabetes > ITR
Mellitus referred for Actual
Treatment number

6.j. No. of diabetic patients Total Individual

provided with anti-diabetic number of Treatment
drugs (4 molecules) diabetic Record
patient
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
6.k. No. of organised Names of the
Diabetes/HPN Club assisted members of the
Actual Diabetes/HPN
number Club

6.l. No. of meetings of 1 per Post Activity

Diabetes/HPN Club facilitated quarter Report with
pictures,
Program of
Activity &
attendance sheet

National Tobacco Control

Program
6.m. No. of current smokers > TCL - NCD
identified > NCD Risk
actual Assessment
number Form

6.n. No. of current smokers Individual

provided with Brief Tobacco Treatment
Intervention (BTI) (smoking actual Record
cessation services) number

6.o. No. of smokers who quit Total no. Individual

smoking after 6 months of BTI of Treatment
smokers Record
provided
with BTI

6.p. Facilitate in the creation 1 Copy of the

of Anti-Smoking Ordinance in (Annual Ordinance
the brgy. & stricly
implemented

Harmful Use of Alcohol

6.q. No. of individual (20 years > TCL - NCD
old and above) who are binge > NCD Risk
drinkers using the Risk actual Assessment
Assessment Form number Form

For Senior Citizens

6.r. No. of Senior Citizens (60 Pls. see TCL - NCD
years old and above) atached
vaccinated with target per
Influenza/Pneumococcal brgy. 12
vaccine

6.s. No. of Senior Citizens with TCL - NCD

low vision identified and Actual
referred number

6.t. No. of Senior Citizens Individual

assisted to avail of medical Actual Treatment
services number Record
Health and Wellness Program
for Special Population

6.u. No. of Person's with Actual Masterlist

Disability (PWDs) number
6.v. No. of PWDs assisted for Total no. ID verification
DSWD Online Registration of PWDs

6.w. No. of PWDs assisted to Individual

avail of medical services Actual Treatment
number Record
Environmental and
Occupational Health Program

6.x. No. of households without Masterlist

access to sanitary toilet facility
identified and referred Actual
number
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
6.y. No. of households without Masterlist
access to potable water
identified and referred Actual
number

National Voluntary Blood

Services Program
6.z. Establishment or 1 per Soft copy or hard
Maintenance of Database / quarter copy of the
Directory of Voluntary Blood Directory of
Donors (to be updated per Voluntary Blood
quarter) Donors

6.aa.No. of Mass Blood 2 Post Activity

Donation organized in the (Annual) Report with
barangay pictures,
1 Program of
(Semi- Activity &
Annual) attendance sheet

6.bb. Facilitate in the creation Copy of the

on NVBSP Ordinance in the Ordinance
brgy. & implemented

6.cc. 1% Blood Donation Rate Pls. see Copy of the

attained atached Blood Donors
target per
brgy. 16

Community-Based Drug
Rehabilitation Program
6.dd. No. of drug surrenderers Actual Assessment
assessed number Form
6.ee. No. of drug surrenderers Total no. Masterlist
counselled of drug
surrender
ers

Mental Health
6.ff.No. of Suicide cases FHSIS Report:
Actual M3a (Mortality
number Report)
6.gg. No. of diagnosed patients:
> Mental Disorder FHSIS Report:
(Psychosis, Depression, Mania, Actual M2a (Morbidity
etc.) number Report)
> Neurologic FHSIS Report:
(Epilepsy, Child and M2a (Morbidity
Adolescent Development Actual Report)
Disorder) number

> Substance Abuse FHSIS Report:

(Alcohol, Drugs and Cigarette) Actual M2a (Morbidity
number Report)
6.hh. No. of patients referred Individual
for treatment Actual Treatment
number Record
7. Health Information System/Submission of Reports
7.a. Conduct and Update 1 per Updated HH
Household Profiling quarter Profilling
(quarterly) (Jan, Apr,
July &
Oct)
 INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE MEANS OF
(no. & %) (no. & %) VERIFICATION REMARKS
Projected Actual Projected Actual Projected Actual
7.b. Masterlisting of target 1 per Masterlist
clients (updated quarterly): quarter
> Newborn (0-28 days old) (Jan, Apr,
> Infants (29 days—11 mos. July &
old) Oct)
> Under-Five Children (1-4 yo)
> School-Aged Children (5-9
yo)
> Adolescents (10-14 yo)
> Adults (20-59 yo)
> Adolescents (15-19 yo)
> Senior Citizens (60 yo &
above)
> Pregnant Women (10-14 yo)

> Pregnant Women (15-19 yo)

> Pregnant Women (20-49 yo)

> Women of Reproductive

Age (15-49 yo)

7.c. Masterlisting of active Masterlist

accredited Barangay Health
Workers (BHWs)
7.d. Inventory of HFEP Annual Accomplished
Equiments and Infastructure (April) Inventory Report
(Annual-April) submitted to
DMO IV

7.e. Number of established Annual Presence of

Client Satisfaction Feedback (February) Suggestion Box,
Mechanism facilitated in BHS Feedback Slip,
(Suggestion Box, Feedback Exit CSS Forms,
Slip, Exit CSS Forms, Emoticons, etc.
Emoticons, etc.) (Annual- in the BHS
February)

7.f. Consolidated CSS Report Monthly Monthly

Consolidated CSS
Report

7.g. Timely submission of

complete and validated FHSIS
Report from BHS to RHU level
(PHN)

> FHSIS Monthly Report 6 FHSIS Validated FHSIS

(M1, M2a, M2b, M3a, M3b & Monthly Report:
M2 F1 Plus Indicator) - Reports
submitted on the 1st Monday submitted * Monthly
of the succeeding month on time Report (M1,
M2a, M2b, M3a,
M3b & M2 F1
Plus Indicator)

* Quarterly
Report
> FHSIS Quarterly Report - 1 FHSIS * Annual Report
submitted on the 2nd Quarterly (A1, A2a, A2b,
Wednesday of the 1st month Report A3a, A3b & A1
of the succeeding quarter submitted Demographic
on time Data) with
signature of the
MHO/PHN
submitted on
scheduled time
 A3a, A3b & A1
Demographic
Data) with
INDICATORS TARGET ACCOMPLISHMENT COMMULATIVE signature
MEANSofOFthe
(no. & %) (no. & %) MHO/PHN
VERIFICATION REMARKS
submitted on
Projected Actual Projected Actual Projected Actual scheduled time
> FHSIS Annual Report (A1, 6 FHSIS
A2a, A2b, A3a, A3b & A1 Annual
Demographic Data) - Reports
submitted on the 2nd submitted
Wednesday of January of the on time
succeeding year

7.h. No. of Vaccine Supply 12 Submitted

Inventory submitted monthly (Annual) Monthly Vaccine
Supply Inventory
1 with signature of
(Monthly) the MHO/PHN

7.i. No. of DOH funded drugs 12 Submitted

& medicines Inventory (Annual) Monthly Drugs &
submitted monthly Medicines
1 Inventory with
(Monthly) signature of the
MHO/PHN

8. Other Activities:
8.a. Advocacies conducted on Post Activity
different programs: Report with
pictures,
> Family Planning 12 Program of
advocacies
> Maternal Care per progam Activity &
(Prenatal, Intrapartum & Delivery conducted attendance sheet
Outcome, Post Partum & Newborn (Annual)
Care
1 advocacy
per program
> Child Care conducted
(Immunization, Nutrition, (Monthly)
Deworming, Management of Sick
Infants and Children)

> Oral Health

> Infectious Diseases
> Non-Communicable
Diseases
> Environmental Health
> National Voluntary Blood
Services Program (Donor
Advocacy)

Prepared by: Noted by: Approved by:

SHERWIN PAUL E. APE, RN, MAN JOYCE C. SILVIO, MD ERWIN G.PINGAL, RMT, MPM
NDP Name & Signature Municipal Health Officer Development Management Oficer V
 ITINERARY FOR THE MONTH NOVEMBER C.Y. 2020
DATE AREA ACTIVITY PURPOSE OF THE ACTIVITY
2/11/2020 HOLIDAY
3/11/2020 BRGY. BALIBAYON HEALTH MRSIA- PUROK 4 Prevent measles-rubella case
CENTER

4/11/2020 BRGY. BALIBAYON HEALTH MRSIA- PUROK 1 Prevent measles-rubella case

CENTER

5/11/2020 BRGY. BALIBAYON MRSIA- PUROK 2 Prevent measles-rubella case

11/6/2020 BRGY. BALIBAYON MRSIA- PUROK 3 Prevent measles-rubella case
11/9/2020 TAFT DISTRICT HEALTH CONSULTATION To help the sick and prevent futher illness
CENTER

11/10/2020 BRGY. BALIBAYON HEALTH CONSULTATION To help the sick and prevent futher illness
CENTER

11/11/2020 BRGY. BALIBAYON HEALTH FAMILY PLANNING services support people's decisions about
CENTER when, or if, they would like to have
children by offering education, counseling
and birth control methods.
12/11/2020 BRGY. BALIBAYON HEALTH PRENATAL To assess clients's health and the babies
CENTER during pregnancy

11/13/2020 BRGY. BALIBAYON HEALTH TALLY OF SUMTAB To report all the services during thewhole
CENTER

11/16/2020 TAFT DISTRICT HEALTH CONSULTATION To help the sick and prevent futher illness
CENTER
11/17/2020 TAFT DISTRICT HEALTH CONSULTATION To help the sick and prevent futher illness
CENTER

11/18/2020 BRGY. BALIBAYON HEALTH FAMILY PLANNING services support people's decisions about
CENTER when, or if, they would like to have
children by offering education, counseling
and birth control methods.

11/19/2020 BRGY. BALIBAYON HEALTH IMMUNIZATION Preventing, controlling, and eliminating

CENTER life-threatening infectious diseases.

11/20/2020 BRGY. BALIBAYON HEALTH TALLY OF SUMTAB To report all the services during thewhole
CENTER
11/23/2020 TAFT DISTRICT HEALTH CONSULTATION To help the sick and prevent futher illness
CENTER

11/24/2020 BRGY.BALIBAYON HEALTH MRSIA- MOP UP Prevent measles-rubella case

CENTER

11/25/2020 BRGY.BALIBAYON HEALTH MRSIA- MOP UP Prevent measles-rubella case

CENTER
11/26/2020 BRGY.BALIBAYON MRSIA- MOP UP Prevent measles-rubella case
11/27/2020 BRGY.BALIBAYON MRSIA- MOP UP Prevent measles-rubella case
11/30/2020 TAFT DISTRICT HEALTH CONSULTATION To help the sick and prevent futher illness
CENTER

Prepared by: Noted by: Approved by:

JUNEIAN FLORENCE P. LEMOSIONERO, RN JOSEPHINE C. DEL CARMEN, MD ERWIN G.PINGAL, RMT, MPM
NDP Name & Signature Municipal Health Officer Development Management Oficer V
 DAILY ACTIVITY REPORT
DATE AREA ACTIVITY ACCOMPLISHMENT
1/10/2020 BRGY. BALIBAYON PRENATAL 5 prenatal 2 tt given
HEALTH CENTER
2/10/2020 BRGY. BALIBAYON TALLY OF SUMTAB 5 prenatal 2 tt give 15 children immunize
HEALTH CENTER
5/10/2020 TAFT DISTRICT CONSULTATION 10 consultation 10 bp taking 1 wound care
HEALTH CENTER
6/10/2020 BRGY. BALIBAYON CONSULTATION 3 consultation 5 bp taking
HEALTH CENTER
7/10/2020 BRGY. BALIBAYON FAMILY PLANNING 2 fp 1 dpma 1 pills
HEALTH CENTER
8/10/2020 BRGY. BALIBAYON PRENATAL 4 prenatal 1 tt given
HEALTH CENTER
9/10/2020 BRGY. BALIBAYON TALLY OF SUMTAB 3 consultation 5 bp taking 4 prental 2 fp
HEALTH CENTER
12/10/2020 TAFT DISTRICT CONSULTATION 10 consultation 10 bp taking 3 wound care
HEALTH CENTER
10/13/2020 BRGY. BALIBAYON CONSULTATION 1 consultation 5 bp taking
HEALTH CENTER
10/14/2020 BRGY. BALIBAYON FAMILY PLANNING 2 consultaion on fp
HEALTH CENTER
10/15/2020 BRGY. BALIBAYON PRENATAL 6 prenatal 3 tt given
HEALTH CENTER
10/16/2020 BRGY. BALIBAYON TALLY OF SUMTAB 1 consultation 5 bp taking 2 fp consultaion 6 prental 3 given
HEALTH CENTER
10/19/2020 TAFT DISTRICT CONSULTATION 10 consultation 10 bp taking
HEALTH CENTER
10/20/2020 BRGY. BALIBAYON CONSULTATION 2 consultation 3 bp taking
HEALTH CENTER
10/21/2020 BRGY. BALIBAYON FAMILY PLANNING 1 fp 1 pills
HEALTH CENTER
10/22/2020 BRGY. BALIBAYON IMMUNIZATION 10 penta 10 opv 10 pcv 2 am 3 mmr
HEALTH CENTER
10/23/2020 BRGY. BALIBAYON TALLY OF SUMTAB 2 consultation 1 pills 10 penta 10 opv 10 pcv 2 am 3mmr
HEALTH CENTER
10/26/2020 TAFT DISTRICT CONSULTATION 10 consultation 10 bp taking
HEALTH CENTER
10/27/2020 BRGY. BALIBAYON CONSULTATION 1 consultation 5 bp taking
HEALTH CENTER
10/28/2020 BRGY. BALIBAYON MRSIA- PUROK 6 20 children given
HEALTH CENTER
10/29/2020 BRGY. BALIBAYON MRSIA- PUROK 7 30 children given
HEALTH CENTER
10/30/2020 BRGY. BALIBAYON MRSIA- PUROK 5 45 children given
HEALTH CENTER

ISSUES AND CONCERNS

ISSUES AND CONCERNS RECOMMENDATIONS

LEARNINGS- INSIGHTS

PREPARED BY: NOTED BY: APPROED BY:

JUNEIAN FLORENCE P. LEMOSIONERO, RN JOSEPHINE C. DEL CARMEN, MD ERWIN G.PINGAL, RMT, MPM
NURSE- DOH HRH MHO DMO V
 Civil Service Form No. 48 Civil Service Form No. 48
DAILY TIME RECORD DAILY TIME RECORD

DIGOL, MAE L. DIGOL, MAE L.

( Last name, Given name, M.I ) ( Last name, Given name, M.I )

For the month of NOVEMBER 1-30, 2020 For the month of NOVEMBER 1-30, 2020
Official Hours for Regular Days Official Hours for Regular Days
Arrival & Departure Arrival & Departure
Regular______________________________ Regular______________________________
Saturday_____________________________ Saturday_____________________________

A.M P.M NN P.M Undertime/Overtime A.M P.M NN P.M Undertime/Overtime

Arrival Depart. Arrival Depart. hours mins Arrival Depart. Arrival Depart. hours mins
1 Sunday 1 Sunday
2 Holiday 2 Holiday
3 7:45 12:02 12:55 5:01 7:45 12:02 12:55 5:01
4 7:51 12:01 12:50 5:02 5 7:51 12:01 12:50 5:02
5 7:55 12:05 12:43 5:05 6 7:55 12:05 12:43 5:05
6 7:50 12:01 12:40 5:01 7 7:50 12:01 12:40 5:01
7 Saturday 10 Saturday
8 Sunday 11 Sunday
9 7:57 12:03 12:55 5:00 12 7:57 12:03 12:55 5:00
10 7:51 12:01 12:51 5:02 13 7:51 12:01 12:51 5:02
11 Quarantined 14 Quarantined
12 Quarantined 15 Quarantined
13 Quarantined 16 Quarantined
14 Saturday 17 Saturday
15 Sunday 18 Sunday
16 Quarantined 19 Quarantined
17 Quarantined 20 Quarantined
18 Quarantined 21 Quarantined
19 Quarantined 22 Quarantined
20 Quarantined 23 Quarantined
21 Saturday/ Quarantined 24 Saturday/ Quarantined
22 Sunday/ Quarantined 25 Sunday/ Quarantined
23 Quarantined 26 Quarantined
24 Quarantined 27 Quarantined
25 Quarantined 28 Quarantined
26 Quarantined 29 Quarantined
27 Quarantined Quarantined
28 Saturday/ Quarantined Saturday/ Quarantined
29 Sunday/ Quarantined Sunday/ Quarantined
30 Holiday/ Quarantined 30 Holiday/ Quarantined
I certify on my honor that the above is a true & correct report I certify on my honor that the above is a true & correct report
of the hours of work performed, record of which was made daily of the hours of work performed, record of which was made daily
at the time of arrival at & departure from office. at the time of arrival at & departure from office.

MAE L. DIGOL, RN MAE L. DIGOL, RN

Verified as to the pescribed office hours Verified as to the pescribed office hours

ANGELI G. CAINGLET, RN ANGELI G. CAINGLET, RN

PHN PHN

ERWIN G. PINGAL, RMT,MPM ERWIN G. PINGAL, RMT,MPM

DMO V- PROVINCIAL DOH OFFICER DMO V- PROVINCIAL DOH OFFICER