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BHW Monthly Report

This document is a monthly accomplishment report for Barangay Health Workers in Zamboanga Sibugay, Philippines, detailing various health-related activities and patient referrals. It includes sections for tracking patients referred for treatment, pregnant and postpartum mothers, immunizations, malnourished and sick children, and health promotions. The report also covers inspections of household sanitation facilities and records of deaths, along with duties performed by health workers.

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joolie28
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163 views3 pages

BHW Monthly Report

This document is a monthly accomplishment report for Barangay Health Workers in Zamboanga Sibugay, Philippines, detailing various health-related activities and patient referrals. It includes sections for tracking patients referred for treatment, pregnant and postpartum mothers, immunizations, malnourished and sick children, and health promotions. The report also covers inspections of household sanitation facilities and records of deaths, along with duties performed by health workers.

Uploaded by

joolie28
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Western Mindanao Zamboanga Peninsula


PROVINCE OF ZAMBOANGA SIBUGAY
Ipil, Zamboanga Sibugay
-oo oo oo-
BARANGAY HEALTH WORKER'S (BHW) MONTHLY ACCOMPLISHMENT REPORT
Month of ___________________2024
[[[]
Municipality: ____________________________ Barangay: _________________________ Purok: ______________
I. Name of Patient Referred for Treatment Age Complaint Outcome
Action Taken By Reffered Unit
1
2
3
4
5
II. Name of Pregnant Mother Age OB Code Referred Home Visit Tracking LMP-EDC
1
2
3
4
5
III. Name of Post-Partum Mother Age Home Visit Given Vit. A Breastfeeding Advocacy Date of Delivery
1
2
3
4
Total
Age in Mos.
IV. Name of Child Referred for Immunization Type of Immunzation Remarks

1
2
3
4
5
V. Name of Malnourished Children Follow
Age in Mos. Action Taken
Up/Reffered
1
2
3
4
VI. Name of Sick Children Followed-Up Age Case Outcome
1
2
3
4
VII. Name of Live Birth Sex Date of Birth Referred for NBS Outcome
1
2
3
4
5
Total
VIII. Name of Women Referred for Family Age Method Counselled Outcome
1
2
3
4
IX. Name of Children Referred Dental Care (12-71 mos old) Age Sex Outcome
1
2
3
4
5
X. Name of TB Patients Follow-up Age Action Taken Outcome
Sputom-Follow-Up Treatment
1
2
3
4
5
Total
XI. Name of Leprosy Patient Follow-Up Age Sex Follow-Up Treatment Outcome
1
2
Total
XII. Name of Malaria Suspect/Patient Age Sex For Malaria Smear Treatment Outcome
1
2
3
4
5
Total
XIII. Name of Schistoosomiasis/Patient Follow- Age Sex Case Finding (+) Case forTreatment
1
2
3
4
5
XV. Name of Household Toilet Facility Inspected Outcome Action Taken
1
2
3
4
5
XVI. Name of Household Owner Nearest to the Water Source Disinfect Chlorine use in Grams Date Inspected
1
2
3
4
XVII. Health Promotions Number Number of Participants
* Households Teaching Conducted
* Mother's Class Conducted
* BHW Meeting Attended
* Barangay Assembly Conducted
* Meeting Conducted to CHT Families
XVIII. Other DOH Programs Number
* Assist in Garantisadong Pambata Children are Give Vac
* Operation Timbang
* Deworming
* Others
XIX. Deaths
Date of Status registration
Name Age Sex Cause
Death Yes No
1
2
XX. Dates of Duties in Health Facility Dates

__________________________________________________

Barangay Health Worker ______________________ FREMER K. BULLECER


Date Barangay Captain
______________________________________
Name of Midwife

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