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Republic of the Philippines
Department of Health
EPIDEMIOLOGY BUREAU
UPDATES ON FHSIS VERSION 2018
EPIDEMIOLOGYBUREAU
Presenter : BENJAMIN RETUERTO
FHSIS Coordinator
Province of Leyte
Date : August 7,2019
Venue : Leyte Park Hotel
• To identify recent changes in the FHSIS MOP
• To have a common reference in the reporting of FHSIS data
• To concur and commit on adapting the changes/updates
EPIDEMIOLOGYBUREAU
OBJECTIVES
• Emergence of Health Reforms
• Program updates (Guidelines/Policies)
• Leadership
• Data Needs
• Realization & Influence
• Improvement of the version
EPIDEMIOLOGYBUREAU
CHANGES are attributed to……
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
1. Recording and Reporting Tools Guide and Schedule
 Chapter 2 , Table 3 of the FHSIS MOP version 2018
 Memorandum No. 2019- 0186
 Monthly Submission of Morbidity Reports and
selected F1plus priority indicators (9) (M2 Report)
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
Facility/
Office
Staff
Profiling/Recording/
Consolisdation Tools
Reporting
Tools
Frequency
Schedule of
Submission to
higher level
BHS/HS
BHW/SI/
Midwife
HH Profiling Form
Updated at
least quarterly
Completed
within the first
month of every
quarter
BHS/HS
Midwife
Individual Treatment
Record (ITR)
Target Client List (TCL)
Summary Tables (ST)
Monthly Forms
M1, M2
Monthly
Monday of the
1st week of the
succeeding
month
Annual Form
A1
Annual
Wednesday of
the 1st week of
January of the
succeeding year
Hospital-
OPD
OPD
Nurse/M
W
ITR, Public health
Service Logbook
Monthly Form
M1 (FP only)
Monthly
Every 15th day
of the following
month
Reporting Period: September
Reporting Period: August
MONTHLY
BHS/HC to RHU
Monday of the 1st week of the succeeding month
EPIDEMIOLOGYBUREAU
Facility/
Office
Staff
Profiling/Recording
/Consolidation
Tools
Reporting
Tools
Frequency
Schedule of
Submission to
higher level
MHO/
CHO/
RHU
Supervising
Nurse/FHSIS
Coordinator
Monthly
Consolidation Table
(MCT)
Monthly
Form
M2
Monthly
Friday of the 1st
week of the
succeeding month
Quarterly
Form
Q1
Quarterly
Wednesday of the
2nd week of the
1st month of the
succeeding
quarter
Annual Form
A1
Annual
Wednesday of the
2nd week of
January of the
succeeding year
UPDATES ON FHSIS VERSION 2018
EPIDEMIOLOGYBUREAU
Reporting Period: September
Reporting Period: August
MONTHLY
RHU/CHO/MHO to PHO
Friday of the 1st week of the succeeding month
EPIDEMIOLOGYBUREAU
Reporting Period: July to September
QUARTERLY
RHU/CHO/MHO to PHO
Wednesday of the 2nd week of the 1st month of the succeeding quarter
M2
Q1
EPIDEMIOLOGYBUREAU
Facility/
Office
Staff
Profiling/Recording
/Consolisdation
Tools
Reporting
Tools
Frequency
Schedule of
Submission to higher
level
PHO/
CHO
Provincial/
City FHSIS
Coordinators
Monthly
Report
M1
Monthly
Wednesday of the
2nd week of the
succeeding month
Quarterly
Report
Q1
Quarterly
Monday of the 3rd
week of the 1st
month of the
succeeding quarter
Annual
Form
A1
Annual
Monday of the 3rd
week of January of
the succeeding year
UPDATES ON FHSIS VERSION 2018
EPIDEMIOLOGYBUREAU
Reporting Period: September
Reporting Period: August
MONTHLY
PHO to CHD
Wednesday of the 2nd week of the succeeding month
EPIDEMIOLOGYBUREAU
Reporting Period: July to September
QUARTERLY
PHO to CHD
Monday of the 3rd week of the 1st month of the succeeding quarter
M2
Q1
EPIDEMIOLOGYBUREAU
Facility/
Office
Staff
Profiling/Recording/
Consolisdation Tools
Reporting
Tools
Frequency
Schedule of
Submission to higher
level
CHD
Regional
FHSIS
Coordinator
Monthly
Report
M1
Monthly
Monday of the 3rd
week of the
succeeding month
Quarterly
Report
Q1
Quarterly
Last working day of
the 1st month of the
succeeding quarter
Annual
Report
A1
Annually
Last working day of
January of the
succeeding year
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
Reporting Period: September
Reporting Period: August
MONTHLY
CHD to EB
Monday of the 3rd week of the succeeding month
EPIDEMIOLOGYBUREAU
Reporting Period: July to September
QUARTERLY
CHD to EB
Last working day of the 1st month of the succeeding quarter
M2
Q1
EPIDEMIOLOGYBUREAU
Facility/
Office
Staff
Profiling/Recording/
Consolisdation Tools
Reporting
Tools
Frequency
Schedule of
Submission to higher
level
DOH-CO
DOH-EB
Director
Monthly
Report
M1
Monthly
Wednesday of the
4th week of the
succeeding month
Quarterly
Report
Q1
Quarterly
Friday of the 2nd
week of the 2nd
month of the
succeeding quarter
Annual
Report
A1
Annual
Friday of the 2nd
week of February of
the succeeding year
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
Reporting Period: September
Reporting Period: August
MONTHLY
EB to PHST
Wednesday of the 4th week of the succeeding month
EPIDEMIOLOGYBUREAU
Reporting Period: July to September
QUARTERLY
EB to PHST
Friday of the 2nd week of the 2nd month of the succeeding quarter
M2
Q1
EPIDEMIOLOGYBUREAU
Monthly Report
• M1 - Program Accomplishments, Mortality, Natality
• M2 - Morbidity Counts, Top 10 Leading Causes of
Morbidity and F1 Plus priority indicators
Top 10 Leading Causes of Morbidity:
 Population
 All Male
 All Female
 Adolescent (10-19) years old
 Under five years old (0-59 months)
 Pregnant
 Senior Citizen
EPIDEMIOLOGYBUREAU
REPORTS
Quarterly Report
• Q1 - Program Accomplishments, Mortality and Natality
Annual Report
• A1 – Demographic Indicators, 0-59 months old who are
Stunted, Wasted and Obese, Infectious (Malaria,
Filariasis)
– School based deworming (special report)
- 1st round July
- 2nd round January
EPIDEMIOLOGYBUREAU
REPORTS
2. Application of Age-specific Multipliers
 DM 2018 – 0381
 FIC and CIC and for all antigens = Less than 1 year old
(National: 2.056%)
3. NHTS/Non-NHTS disaggregation will not be collected for the
following indicators:
All Oral Health Indicators
All Infectious Diseases Indicators
All Non-Communicable Diseases Indicators
Natality only Adolescent Birth will have NHTS/Non-NHTS
disaggregation
Maternal Care only SBA, FBD, 4ANC, 2PP, 2doses of Td totals
will be disaggregated by NHTS/Non-NHTS
Child Care indicators only FIC will be disaggregated as
NHTS/Non-NHTS
FP only current users and new acceptors, not per FP method
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
4. Total Number of Households will not be reported, projected
number of household will be used based on DM No. 2018 – 0419
dated December 11, 2018
5. Changes in the Denominator
• SBA & FBD = Total # of women who delivered
• Type of Delivery = Total # of women who delivered
• Exclusive Breastfeeding= (infants 6 mos old multiplier)
• Infants who continued breastfeeding and were introduced to
complementary feeding (infants 6 mos- 11 months multiplier)
6. NCD indicators
 Eligible population : from 25 years old and above to 20 years
old and above
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
7. Standard Measurement for Binge Drinker:
Standard Drink mL Alcohol by Volume
1 bot. Beer 330 2 – 12%
½ glass of wine 125 9 – 16%
1 bot. of alcomix 330 5%
1 jigger shot glass
liquor
30 15 – 55%
1 jigger shot glass of
tequila
30 32 – 60%
1 jigger shot glass
brandy
30 35 – 60%
UPDATES ON FHSIS VERSION 2018
EPIDEMIOLOGYBUREAU
Standard Drink Ml Alcohol by Volume
1 jigger shot glass rum 30 37.5% - 80%
1 jigger shot glass gin 30 40 – 50%
1 jigger shot glass whisky 30 40 -55%
1 jigger shot glass
lambanog
30 50 – 90 proof (40%)
1 glass of tuba 250 4%
1 jigger shot glass rice
wine
30 14%
STANDARD DRINK contains approximately 10 gm of pure alcohol
(ethanol)
BINGE DRINKING occurs for men when he drinks 5 or more standard
drinks in a row and for women when she drinks 4 or more standard drinks
in a row (FNRI, 2013).
UPDATES ON FHSIS VERSION 2018
8. Infectious Disease (Malaria)- data will not be generated
from PhilMIS, it will be generated from OLMIS or Malaria
Registry.
9. Oral Health - Targets
• Proportion of children 12-59 months old who are
orally fit upon oral examination or after oral
rehabilitation – Eligible Population x 20% service
target (100%)
• All BOHC of different age-groups except pregnant
women – Eligible pop x 30% service target (100%)
• BOHC for Pregnant women – 50%
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
10. Immunization of Senior Citizen
• PPV
• Influenza vaccine
11. BMI (NCD) - Asia Pacific Standard
Overweight: 23.0 - 24.9
Obese: > 25.0
(Maternal) High BMI: ≥ 23.0 (for first trimester)
UPDATES ON FHSIS VERSION 2018
EPIDEMIOLOGYBUREAU
12. Family Planning
A. Masterlist of WRA for FP Services – additional 2 columns
- Civil Status indicate under this Column if the client is
(1) Currently Married (2) Not married but in a
relationship as if married/ Living-in (3) Not married and
not in any relationship with a man
- Establishing Fecundity
Fecundity: Is the WRA fecund? WRA is Fecund if:
1.a - Currently pregnant
1.b - Had given birth in the last 6 months
1.c - Had miscarriage in the last 2 weeks
1.d - Not pregnant but not classified as 2.a, 2.b, 2.c, 2.d
below
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
WRA is Infecund if:
2.a – Diagnosed as sterile
2.b – Underwent bilateral salpingo oophorectomy
2.c – Underwent hysterectomy
2.d – Married or living with a man but unable to get pregnant
for 5 years
B. Women aged 10-14 who are using FP Method will be
recorded and reported
EPIDEMIOLOGYBUREAU
UPDATES ON FHSIS VERSION 2018
MARAMING SALAMAT PO!

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02 Updates_FHSIS2019.pptx

  • 1. Republic of the Philippines Department of Health EPIDEMIOLOGY BUREAU
  • 2. UPDATES ON FHSIS VERSION 2018 EPIDEMIOLOGYBUREAU Presenter : BENJAMIN RETUERTO FHSIS Coordinator Province of Leyte Date : August 7,2019 Venue : Leyte Park Hotel
  • 3. • To identify recent changes in the FHSIS MOP • To have a common reference in the reporting of FHSIS data • To concur and commit on adapting the changes/updates EPIDEMIOLOGYBUREAU OBJECTIVES
  • 4. • Emergence of Health Reforms • Program updates (Guidelines/Policies) • Leadership • Data Needs • Realization & Influence • Improvement of the version EPIDEMIOLOGYBUREAU CHANGES are attributed to……
  • 5. EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018 1. Recording and Reporting Tools Guide and Schedule  Chapter 2 , Table 3 of the FHSIS MOP version 2018  Memorandum No. 2019- 0186  Monthly Submission of Morbidity Reports and selected F1plus priority indicators (9) (M2 Report)
  • 6.
  • 7. EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018 Facility/ Office Staff Profiling/Recording/ Consolisdation Tools Reporting Tools Frequency Schedule of Submission to higher level BHS/HS BHW/SI/ Midwife HH Profiling Form Updated at least quarterly Completed within the first month of every quarter BHS/HS Midwife Individual Treatment Record (ITR) Target Client List (TCL) Summary Tables (ST) Monthly Forms M1, M2 Monthly Monday of the 1st week of the succeeding month Annual Form A1 Annual Wednesday of the 1st week of January of the succeeding year Hospital- OPD OPD Nurse/M W ITR, Public health Service Logbook Monthly Form M1 (FP only) Monthly Every 15th day of the following month
  • 8. Reporting Period: September Reporting Period: August MONTHLY BHS/HC to RHU Monday of the 1st week of the succeeding month EPIDEMIOLOGYBUREAU
  • 9. Facility/ Office Staff Profiling/Recording /Consolidation Tools Reporting Tools Frequency Schedule of Submission to higher level MHO/ CHO/ RHU Supervising Nurse/FHSIS Coordinator Monthly Consolidation Table (MCT) Monthly Form M2 Monthly Friday of the 1st week of the succeeding month Quarterly Form Q1 Quarterly Wednesday of the 2nd week of the 1st month of the succeeding quarter Annual Form A1 Annual Wednesday of the 2nd week of January of the succeeding year UPDATES ON FHSIS VERSION 2018 EPIDEMIOLOGYBUREAU
  • 10. Reporting Period: September Reporting Period: August MONTHLY RHU/CHO/MHO to PHO Friday of the 1st week of the succeeding month EPIDEMIOLOGYBUREAU
  • 11. Reporting Period: July to September QUARTERLY RHU/CHO/MHO to PHO Wednesday of the 2nd week of the 1st month of the succeeding quarter M2 Q1 EPIDEMIOLOGYBUREAU
  • 12. Facility/ Office Staff Profiling/Recording /Consolisdation Tools Reporting Tools Frequency Schedule of Submission to higher level PHO/ CHO Provincial/ City FHSIS Coordinators Monthly Report M1 Monthly Wednesday of the 2nd week of the succeeding month Quarterly Report Q1 Quarterly Monday of the 3rd week of the 1st month of the succeeding quarter Annual Form A1 Annual Monday of the 3rd week of January of the succeeding year UPDATES ON FHSIS VERSION 2018 EPIDEMIOLOGYBUREAU
  • 13. Reporting Period: September Reporting Period: August MONTHLY PHO to CHD Wednesday of the 2nd week of the succeeding month EPIDEMIOLOGYBUREAU
  • 14. Reporting Period: July to September QUARTERLY PHO to CHD Monday of the 3rd week of the 1st month of the succeeding quarter M2 Q1 EPIDEMIOLOGYBUREAU
  • 15. Facility/ Office Staff Profiling/Recording/ Consolisdation Tools Reporting Tools Frequency Schedule of Submission to higher level CHD Regional FHSIS Coordinator Monthly Report M1 Monthly Monday of the 3rd week of the succeeding month Quarterly Report Q1 Quarterly Last working day of the 1st month of the succeeding quarter Annual Report A1 Annually Last working day of January of the succeeding year EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018
  • 16. Reporting Period: September Reporting Period: August MONTHLY CHD to EB Monday of the 3rd week of the succeeding month EPIDEMIOLOGYBUREAU
  • 17. Reporting Period: July to September QUARTERLY CHD to EB Last working day of the 1st month of the succeeding quarter M2 Q1 EPIDEMIOLOGYBUREAU
  • 18. Facility/ Office Staff Profiling/Recording/ Consolisdation Tools Reporting Tools Frequency Schedule of Submission to higher level DOH-CO DOH-EB Director Monthly Report M1 Monthly Wednesday of the 4th week of the succeeding month Quarterly Report Q1 Quarterly Friday of the 2nd week of the 2nd month of the succeeding quarter Annual Report A1 Annual Friday of the 2nd week of February of the succeeding year EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018
  • 19. Reporting Period: September Reporting Period: August MONTHLY EB to PHST Wednesday of the 4th week of the succeeding month EPIDEMIOLOGYBUREAU
  • 20. Reporting Period: July to September QUARTERLY EB to PHST Friday of the 2nd week of the 2nd month of the succeeding quarter M2 Q1 EPIDEMIOLOGYBUREAU
  • 21. Monthly Report • M1 - Program Accomplishments, Mortality, Natality • M2 - Morbidity Counts, Top 10 Leading Causes of Morbidity and F1 Plus priority indicators Top 10 Leading Causes of Morbidity:  Population  All Male  All Female  Adolescent (10-19) years old  Under five years old (0-59 months)  Pregnant  Senior Citizen EPIDEMIOLOGYBUREAU REPORTS
  • 22. Quarterly Report • Q1 - Program Accomplishments, Mortality and Natality Annual Report • A1 – Demographic Indicators, 0-59 months old who are Stunted, Wasted and Obese, Infectious (Malaria, Filariasis) – School based deworming (special report) - 1st round July - 2nd round January EPIDEMIOLOGYBUREAU REPORTS
  • 23. 2. Application of Age-specific Multipliers  DM 2018 – 0381  FIC and CIC and for all antigens = Less than 1 year old (National: 2.056%) 3. NHTS/Non-NHTS disaggregation will not be collected for the following indicators: All Oral Health Indicators All Infectious Diseases Indicators All Non-Communicable Diseases Indicators Natality only Adolescent Birth will have NHTS/Non-NHTS disaggregation Maternal Care only SBA, FBD, 4ANC, 2PP, 2doses of Td totals will be disaggregated by NHTS/Non-NHTS Child Care indicators only FIC will be disaggregated as NHTS/Non-NHTS FP only current users and new acceptors, not per FP method EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018
  • 24. 4. Total Number of Households will not be reported, projected number of household will be used based on DM No. 2018 – 0419 dated December 11, 2018 5. Changes in the Denominator • SBA & FBD = Total # of women who delivered • Type of Delivery = Total # of women who delivered • Exclusive Breastfeeding= (infants 6 mos old multiplier) • Infants who continued breastfeeding and were introduced to complementary feeding (infants 6 mos- 11 months multiplier) 6. NCD indicators  Eligible population : from 25 years old and above to 20 years old and above EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018
  • 25. 7. Standard Measurement for Binge Drinker: Standard Drink mL Alcohol by Volume 1 bot. Beer 330 2 – 12% ½ glass of wine 125 9 – 16% 1 bot. of alcomix 330 5% 1 jigger shot glass liquor 30 15 – 55% 1 jigger shot glass of tequila 30 32 – 60% 1 jigger shot glass brandy 30 35 – 60% UPDATES ON FHSIS VERSION 2018 EPIDEMIOLOGYBUREAU
  • 26. Standard Drink Ml Alcohol by Volume 1 jigger shot glass rum 30 37.5% - 80% 1 jigger shot glass gin 30 40 – 50% 1 jigger shot glass whisky 30 40 -55% 1 jigger shot glass lambanog 30 50 – 90 proof (40%) 1 glass of tuba 250 4% 1 jigger shot glass rice wine 30 14% STANDARD DRINK contains approximately 10 gm of pure alcohol (ethanol) BINGE DRINKING occurs for men when he drinks 5 or more standard drinks in a row and for women when she drinks 4 or more standard drinks in a row (FNRI, 2013). UPDATES ON FHSIS VERSION 2018
  • 27. 8. Infectious Disease (Malaria)- data will not be generated from PhilMIS, it will be generated from OLMIS or Malaria Registry. 9. Oral Health - Targets • Proportion of children 12-59 months old who are orally fit upon oral examination or after oral rehabilitation – Eligible Population x 20% service target (100%) • All BOHC of different age-groups except pregnant women – Eligible pop x 30% service target (100%) • BOHC for Pregnant women – 50% EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018
  • 28. 10. Immunization of Senior Citizen • PPV • Influenza vaccine 11. BMI (NCD) - Asia Pacific Standard Overweight: 23.0 - 24.9 Obese: > 25.0 (Maternal) High BMI: ≥ 23.0 (for first trimester) UPDATES ON FHSIS VERSION 2018 EPIDEMIOLOGYBUREAU
  • 29. 12. Family Planning A. Masterlist of WRA for FP Services – additional 2 columns - Civil Status indicate under this Column if the client is (1) Currently Married (2) Not married but in a relationship as if married/ Living-in (3) Not married and not in any relationship with a man - Establishing Fecundity Fecundity: Is the WRA fecund? WRA is Fecund if: 1.a - Currently pregnant 1.b - Had given birth in the last 6 months 1.c - Had miscarriage in the last 2 weeks 1.d - Not pregnant but not classified as 2.a, 2.b, 2.c, 2.d below EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018
  • 30. WRA is Infecund if: 2.a – Diagnosed as sterile 2.b – Underwent bilateral salpingo oophorectomy 2.c – Underwent hysterectomy 2.d – Married or living with a man but unable to get pregnant for 5 years B. Women aged 10-14 who are using FP Method will be recorded and reported EPIDEMIOLOGYBUREAU UPDATES ON FHSIS VERSION 2018