updates on the fhsis manual

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)

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

31. MARAMING SALAMAT PO!