2. FIELD HEALTH SERVICE INFORMATION
SYSTEM (FHSIS)
• It is a network of information
• It is intended to address the short term needs of DOH and
LGU staff with managerial or supervisory functions in
facilities and program areas.
• It monitors health service delivery nationwide.
3. OBJECTIVES OF FHSIS
• To provide summary data on health service delivery and selected program
accomplishment indicators at the barangay, municipality/ city, and district, provincial,
regional and national levels.
• To provide data which when combined with data from other sources, can be used for
program monitoring and evaluation purposes.
• To provide a standardized, facility-level data base that can be accessed for more in-
depth studies.
• To minimize the recording and reporting burden at the service delivery level in order
to allow more time for patient care and promote activities.
4. IMPORTANCE OF FHSIS
• Helps local government determine public health priorities.
• Basis for monitoring and evaluating health program implementation.
• Basis for planning, budgeting, logistics and decision making at all
levels.
• Source of data to detect unusual occurrence of a disease.
• Needed to monitor health status of the community.
• Helps midwives in following up clients.
• Documentation of RHM/PHN day to day activities
5. VALIDATION
• uses statistical approaches Statistical Approaches:
• 1. Central Tendencies:
• 3 M’s Mean=average
• Median=range (Highest – Lowest Score)
• Mode=frequency of occurrence of a variable, used if there’s
too many variable occur
6. • 2. Standard Deviation: used if there are too many variables
available to be treated which is seldom used in CHN
• SD=√ ∑ (x-x)
• ∑=summation of n-1
• x=variables available
• x=mean (given special attention)
• n=# of existing variables
7. • 3. Percentile (%) Method:
• most commonly used in CHN by adding all cores
then multiply by 100
8. • Presentation of Data
• 1. Table/Chart
• 2. Graph:
• Pie
• Bar-2 variables only
• Line
• Polygon-connecting the results
• Histograph-2 or more variables & appear adjacent to each other
• Sales 1st Qtr 2nd Qtr 0 2 4 6
9. TYPOLOGY OF NURSING PROBLEMS
• A. First Level Assessment: to determine problems of family
• Sources of Problems using IDB
• Family: use of Initial Data Base (IDB)
• Nature: Health Deficit (HD), Health Threat (HT), Foreseeable Crisis
(FC)
10. USE OF INITIAL DATA BASE (IDB):
• 1. Family Chart Structure:
• Nuclear -Father, mother, children
• Extended (3rd generation)-Relatives staying with the family
• Multi-generational extended-“apo sa tuhod” or “apo sa talampakan”
• Dyad -Husband & wife only (childless couple)
• Blended -widow married another widow & have children
• Gay -Same sex living together
• Matriarchal -Mother is the decision maker
• Patriarchal -Father is the decision maker
• Communal -different families forming a community
11. IMPORTANCE OF FHSIS
• Helps local government determine public health priorities.
• Basis for monitoring and evaluating health program implementation.
• Basis for planning, budgeting, logistics and decision making at all levels.
• Source of data to detect unusual occurrence of a disease.
• Needed to monitor health status of the community.
• Helps midwives in following up clients.
• Documentation of RHM/PHN day to day activities
12. COMPONENTS OF FHSIS
•1. Individual Treatment Record (ITR)
•2. Target Client List (TCL)
•3. Summary Table
•4. The Monthly Consolidation Table (MCT)
13. INDIVIDUAL TREATMENT RECORD (ITR)
• The fundamental building block or foundation of the Field
Health Service Information System is the INDIVIDUAL
TREATMENT RECORD.
• This is a document, form or piece of paper upon which is
recorded the date, name, address of patient, presenting
symptoms or complaint of the patient on consultation and the
diagnosis (if available), treatment and date of treatment.
14. TARGET CLIENT LIST (TCL)
• The Target Client Lists constitute the second “building block” of
the FHSIS and are intended to serve several purposes
• First is to plan and carry out patient care and service delivery.
Such lists will be of considerable value to midwives/nurses in
monitoring service delivery to clients in general and in
particular to groups of patients identified as “targets” or
“eligibles” for one or another program of the Department
15. TARGET CLIENT LIST (TCL)
• The second purpose of Target Client Lists is to facilitate
the monitoring and supervision of service delivery
activities.
• The third purpose is to report services delivered.
• The fourth purpose of the Target Client Lists is to provide
a clinic-level data base which can be accessed for further
studies
16. TARGET CLIENT LISTS TO BE MAINTAINED IN
THE FHSIS
• 1. Target Client List for Prenatal Care
• 2. Target Client List for Post-Partum Care
• 3. Target Client List of Under 1 Year Old Children
• 4. Target Client List for Family Planning
• 5. Target Client List for Sick Children
• 6. NTP TB Register
• 7. National Leprosy Control Program Form 2-Central Registration Form
17. SUMMARY TABLE
• The Summary Tables is a form with 12-month columns retained at the facility
(BHS) where the midwife records monthly all relevant data. The Summary Table
is composed of:
• (1)Health Program Accomplishment this can serve as proof of accomplishments
to show LGU officials whenever they visit the facility.
• (2) Morbidity Diseases the source of ten leading causes of morbidity for the
municipality/city.
• This summary table will help the nurse and MHO to get the monthly trend of
diseases.
18. THE MONTHLY CONSOLIDATION TABLE (MCT)
• The Consolidation Table is an essential form in the FHSIS where
the nurse at the RHU records the reported data per indicator by
each BHS or midwife.
• This is the source document of the nurse for the Quarterly Form.
• The Consolidation Table shall serve as the Output Table of the RHU
as it already contains listing of BHS per indicator.
19. FHSIS REPORTING
• These are summary data that are transmitted or submitted
on a monthly, quarterly and on annual basis to higher
level.
• The source of data for this component is dependent on
the records.
20. THE MONTHLY FORM
• Program Report (M1)
• The Monthly Form contains selected indicators categorized as maternal care, child
care, family planning and disease control.
• Morbidity Report (M2)
• The Monthly Morbidity Disease Report contains a list of all diseases by age and sex.
The Midwife uses the form for the monthly consolidation report of Morbidity Diseases
and is submitted to the PHN for quarterly consolidation.
21. THE QUARTERLY FORM
• Program Report (Q1)
• The Quarterly Form is the municipality/city health report and contains the
three-month total of indicators categorized as maternal care, family planning,
child care, dental health and disease control
• Morbidity Report (Q2)
• The PHN uses the form for the Quarterly Consolidation Report of Morbidity
Diseases to consolidate the Monthly Morbidity Diseases taken from the
Summary Table.
22. THE ANNUAL FORMS (A-BHS, A1, A2 & A3)
• ABHS Form is the report of midwife which contains data on demographic,
environmental and natality.
• The report of nurse at the RHU/MHC are the
• Annual Form 1 which is the report on vital statistics: demographic, environmental,
natality and mortality.
• Annual Form 2 is the report that lists all diseases and their occurrence in the
municipality/city. The report is broken down by age and sex.
• Annual Form 3 is the report of all deaths occurred in the municipality/city. The report is
also broken down by age and sex.
