Republic of the Philippines

Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

2017-09-27
OFFICE MEMORANDUM
No. 2017-0005

TO: All LGU-employed staff, detailed staff from PHO, deployed staff from DOH-ROV
FROM: MUNICIPAL HEALTH OFFICER
SUBJECT: Signing of Daily Time Records (DTRs)

I. WHEREAS, there have been poor entries of health records; inaccurate, incomplete, late
submission of reports without any sense of internal validation performed; and thereby, late
submission of consolidated reports to authorities;
II. WHEREAS, our office has been noted to be among the tardiest, with still inaccurate reports, as
evidenced by the visit of the PHO Family Planning program manager, and still a poor quality of
submitted reports from July to August;
III. WHEREAS, there have been reports of tardiness and absences without any prior notice that are
only acceptable if performance is up to standards desired for the minimum functionality of the
individual staff roles, and the accomplishment of the office mission, vision and goals per program
IV. WHEREAS, civil servants should display their creed as exemplified in the Panunumpa ng
Kawani ng Gobyerno, as mentioned in Office Memorandum 2017-002.
V. WHEREAS, Department Memorandum 2016-002 signed by the previous Municipal Health
Officer April M. Magtarayo, MD related to this matter has not yet been rescinded.
VI. THEREFORE, all DTRs of the Rural Health Midwives (RHMs), deployed staff from DOH-ROV
under the Rural Health Midwife Placement Program (RHMPPs), the Public Health Nurse, and
Public Health Associatie (PHA) shall NOT be signed starting October 2017 until the following are
presented to be complete and accurate and conforming to the definitions and expected outputs
from the processes identified in the FHSIS 2012 Manual.
1. Target Client Lists for Prenatal Care, Postpartum Care, Nutrition and Expanded Program for
Immunization, Family Planning, and Sick Children
a. Family serial numbers may be left blank for now, pending the masterlist of households,
families, and their individual members of the Barangay Health Workers, or as sourced
from a similar census reported by the individual barangays to the MLGOO, as decided by
the Public Health Nurse.
i. In case the Public Health Nurse decides on using the census of each barangay, s/he
shall encode these and attach the respective household numbers and family serial
numbers. S/he may ask for the assistance of the Public Health Associate to complete
at most 70% of the list. The PHN should be able to upgrade her/his clerical skills and
computer literacy to be able to perform her/his basic functions.
2. Summary Tables
a. The locally-crafted FHSIS FP Brgy Tracking Form will be used in lieu of the section on
Family Planning in the Summary Table.
b. Summary Tables for Prenatal Care and Natality will be modified by the Public Health
Nurse in accordance with the latest Safe Motherhood Form, to fit in one to at most, two
A4 sheets, with at least 0.3” margins.
c. Summary Tables will be attached or clipped inside their respective TCLs.

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 Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

d. Summary Table for Tuberculosis need not be done due to the reliability of ITIS.
3. M1 shall be presented together
VII. Data Quality Check shall be done on three levels
1. Between partner RHM and RHMPP, during their free time. Labor and delivery monitoring in
the birthing facilities and duties in outpatient consults do not take up the entirety of their
duties. As such, it is recommended that internal validation, and intra-level validation be
conducted during these free time if they are not amenable to perform work outside office
hours.
2. Between RHMs and PHN.
a. 8AM until 2PM of the last work day of the week are allocated to perform data quality
check from TCL completeness and accuracy, and clinical performance audit.
i. Standards set must conform to latest DOH circulars. It is a must that the PHN update
herself of these issuances even if s/he is not able to attend updates given that there is
access to internet through mobile data in the municipality; there is a laptop allocated
to the PHN; printers with ink, photocopy capability, and blank bond papers are
available; and s/he is a civil servant who should strive to improve on her/his
knowledge, skills, attitudes, and practices, to better perform her/his function.
b. The first Friday, or the last workday of the first week, of the month will be allocated to
evaluating the Safe Motherhood Program in terms of clinical audit of each ITR, whether
or not a uniform ITR has been adopted or not given that all RHMs have been trained on
BeMONC already. DQC of the program reports of the previous month may be included
or be conducted earlier if the last day of the month does not coincide with the
c. The second Friday, or the last w
i.
d.
VIII. To ease the regular consolidation and record-keeping of all FHSIS and HSPMU indicators, the
PHN and PHA shall construct an Excel-based database to be able to consolidate on the day of
deadline of submission, to accommodate the in-depth cleaning and assurance of quality and
consistency of all data prior to the day of submission. Lack of baseline knowledge or skills in
accomplishing this task will be remedied by the wealth of information accessible in the World
Wide Web.

IX. THEREFORE, the DTRs of the Rural Sanitary Inspectors shall only be signed once
1. For the month of October 2017, the DTR of RSI-II detailed from PHO shall only be signed
once
a. He has presented the Community-led Total Sanitation and Zero-Open Defecation
framework and action plan to the RHU staff, particularly to the deployed staff of DOH-
ROV’s Nurse Deployment Program, or NDPs, on a Monday of October 2017
b. Presented drafts of inspection forms and written protocols in inspection of food
establishments, water refilling stations, disinfection of Level-I water supply
2. For the month of November 2017, the DTRs of the RSIs shall only be signed once spot maps of
households per purok or barangay in terms of have been

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 Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

X. WHEREAS, in line with the principles of sustainable development, through efforts of rendering
our services eco-friendly, all monthly accomplishment reports are to be printed back-to-back,
with the comments listed under the columns entitled ‘Program Highlights Issues/Concerns’ and
‘Actions Taken/Recommendation for the Program’ rendered in font size 8 or 9. A sample of the
modified accomplishment report is attached for your perusal

XI. To ensure that all programs are delivered with quality, reaching out to all clients concerned, the
following monthly targets are to be computed by the respective NDP.
1. Safe Motherhood Program
a. Newly pregnant women tracked and assisted by the NDP in formulating their Birth Plan
i. Given that a master list is still being processed, confer with the number of new
pregnant women seen in the same month of the previous year
b. Pregnant women provided with antenatal check-up (ANC) for the month
i. Prepare the list of women of reproductive age, who are (1) currently not on long-term
contraception such as DMPA, OCPs, IUDs, subdermal implants; and (2) have
engaged in sexual activities
ii. Identify those who have
 To prepare this list, it is a must that
 a complete, verified master list of the whole population within your
catchment areas, through the help of the respective BHWs be identified.

iii. List down the pregnant women who are currently in their second trimester but have
NOT yet consulted during the past month
c.

GABRIEL R. BORLONGAN, MD
Municipal Health Officer
Esperanza, Masbate

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 Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

REQUIREMENTS FOR

SIGNING OF DTRs

Due to

Shortened description of task or activity by Full description of task or activity from DOH ROV Verifiable Evidence
MHO Gabriel R. Borlongan (2017-09-22)
SAFE MOTHERHOOD PROGRAM
1.a. No. of New Pregnant women tracked and assisted by the Pregnancy Tracking Form
1.a. New pregnant tracked + birth plan
NDP in the formulation of a Birth Plan
1.b. No. of Pregnant Women provided with Antenatal check-up TCL for Pregnant Women
1.b. ANC
for the month
1.c. No. of Pregnant Women vaccinated with Tetanus Toxoid for
1.c. TT
the month
1.d. No. of Defaulters to prenatal Check-ups tracked and
1.d. ANC Defaulters
provided by the NDP with pre-natal services
1.e. No. of Pregnant Women/Couples counseled by the NDP on
1.e. NBS Counseling
Newborn Screening for the month.
1.f. NSVD Assist 1.f. No. of vaginal deliveries assisted by the NDP for the month
1.g. No. of Post-Partum Women provided by the NDP with Post
1.g. PP
Partum care for the month.
1.h. No. of Defaulters to Post-Partum check-up tracked and given
1.h.PP Defaulters
post-partum services by the NDP
1.1 No. of IEC/advocacy activities on safe motherhood, oral Logbook of IEC Activities Conducted
1.i. IEC health, family planning/RH, immunization, adolescent health,
(SM,OH,FP/RPRH,NIP,Adol,Nut,EBF,CC) nutrition/breastfeeding, and/ or child care conducted by the
NDP for the month.
NATIONAL IMMUNIZATION PROGRAM
2.a. No. of children vaccinated by the NDP during routine TCL for Immunization
2.a. NIP
immunization for the month
2.b. No. of defaulters to Immunization (eligible children with
2.b. NIP Defaulter incomplete immunization at 12 months of age) tracked and TCL for Immunization
given appropriate immunization by the NDP for the month
2.c. No. of female children 9-10 years old given against HPV b
Masterlist of 9-10 years old female
2.c. HPV 9-10 y/o the NDP during community-based immunization (Masbate,
children
Cam Sur, Naga City)
2.d. No. of Grade 1 and Grade 7 students vaccinated with MR/Td
2.d. SBI MR/Td Gr1 Gr 7 SBIP Masterlist and reporting forms
by the NDP during the School-Based Immunization
2.e. No. of Senior Citizens (60 years old and above) vaccinated by
2.e. SC Flu PCV the NDP with Influenza/ Pneumococcal vaccine for the TCL for Senior Citizen
month.
2.f. No. of Adverse Events Following Immunization (AEFI) cases
2.f. AEFI identified and referred by the NDP to supervisor for the AEFI Case Reporting Form
month
NUTRITION PROGRAM
3.a. No. of nutritional assessments on children (0-59 mos) OPT-Plus report
3.a. OPT 0-59m
assisted by the NDP for the month
3.b. No. of children (6-59 mos) given Vitamin A capsules by the GP Masterlist and Report
3.b. Vit A 6-59m
NDP for the month TCL for Sick Children and Under-5
3.c. Deworm 1-4y 3.c. No. of children (1-4 yo) dewormed by the NDP for the month
3.d. No. of children (6-23 mos. old) given Micronutrient Powder
3.d. MNP 6-23m
by the NDP for the month
ADOLESCENT HEALTH PROGRAM
4.a. No. of new pregnant teenagers identified by the NDP and TCL for Pregnant Women
4.a. New Teen Mom
referred to a Hospital Facility for the month
FAMILY PLANNING PROGRAM
5.a. No. of couples provided by the NDP with FP Counseling for TCL for Family Planning
5.a. FP Counseling
the month

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5.b. FP Commodities
NATIONAL TUBERCULOSIS CONTROL PROGRAM
6.a. Presumptive TB
6.c. TB Tx Defaulters
6.d. Refer for HIV Test
NATIONAL HIV-ADIS/STI PREVENTION AND CONTROL PROGRAM
7.a. High Risk Behavior
7.b. High Risk Behavior Referred
7.c. IEC Peer educator
7.d. Preg referred for RPR
RABIES PREVENTION AND CONTROL PROGRAM
8.a. Animal Bite First Aid & Referred
EMERGING AND RE-EMERGING INFECTIOUS DISEASE (EREID) PROGRAM
9.a. Brgy HERP
9.c. BHERT
SCHISTOSOMIASIS CONTROL AND ELIMINATION PROGRAM (SCEP)
10.a. MDA 5-65 (Juban & Irosin)
10.a.1. SBMDA 5-17y
10.a.2. CBMDA 18-65y
NATIONAL FILARIASIS ELIMINATION PROGRAM
11.a. MDA 2+y (Cam Norte)
11.b. Lymph Fil PWD assistance
11.c. IC test (Cam Sur)
MALARIA CONTROL AND ELEVATION PROGRAM (MCP) FOR ALL PROVINCES
12.a. Malaria CF
12.b. Malaria Control
IDC ADVOCACY/NOTIFIABLE DISEASE
13.a. IEC Inf Dis
13.b. Notif Dis ID’ed & Referred
INTEGRATED HELMINTH CONTROL PROGRAM
14.a. MDA
14.a.1 SBMDA 5-12y
14.a.2 CBMDA 2-4y
14.a.3 Sp Pop'n MDA
14.b. SBMDA Reports
14.c. ADE
LIFESTYLE RELATED DISEASE
15.a. HTN Assess 25y+
15.b. HTN 25y+ Rfr Tx
15.c. DMT2 Assess 25y+
15.d. DMT2 25y+ Refer Tx
15.e. HL Club
15.f. HL Club mtg
HEALTH AND WELLNESS PROGRAM FOR OLDER POPULATION
16.a. SC Assist
Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE
5.b. No. of clients provided by the NDP with modern FP TCL for Family Planning
commodities (including resupply of commodities for natural
and artificial methods) for the month
6.a. No. of presumptive TB referred Presumptive TB Masterlist
6.c. No. of defaulters followed up DSTB Register
6.d. No. of TB patients referred to Social Hygiene Clinic for Free Referral/Reply Slip Forms Folder
HIV testing
7.a. No. of persons with high-risk behavior provided IEC Logbook for IEC activities conducted
(MSM/TG/FSW/MSW/IDU/Multiple Sexual Partners)
7.b. No. of persons with High Risk behavior referred to Social HCT Recording Form
Hygiene Clinic for Free STI/HIV Testing
7.c. No. of advocacy activities conducted with Peer Educators (if Logbook for IEC activities conducted
any)
7.d. No. of pregnant women referred for syphilis testing Daily STD/STI Masterlist
8.a. No. of animal bites cases provided with first aid and referred Rabies Registry
to RHU/ABTC
9.a. No. of Barangays identified with Health Emergency Copy of HERP
Preparedness Plan
9.c. No. of Barangays identified with organized & functional Logbook for IEC activities conducted
Barangay Health Emergency Response Team
10.a. No. of individuals (5-65 yrs old) provided with MDA meds MDA masterlist
(Juban & Irosin Sorsogon only)
10.a.1. School-Based (5-17 y/o)
10.a.2. Community-Based (18-65 y/o)
11.a. No. of Individuals (2 yers old and above) assisted during the MDA masterlist
conduct of MDA (Cam. Norte Only)
11. b. No. of Lymphatic Filariasis patients with disability assisted
and monitored
11.c. No. of individuals assisted for IC Testing (Cam. Sur only)
12.a. No of Malaria suspects / cases identified/ referred by NDP Referral logbook
to RHM/PHN/MHO
12.b. No. vector control and prevention activities (mapping, MDA masterlist
bednet distribution/treatment) participated
13.a. No. of IEC/ advocacy activities on HCP, EREID, responsible Logbook of IEC activities conducted
Pet Ownership, TB, STI/HIV, Leprosy, Schistosomiasis, Filaria,
Malaria, and Dengue conducted by the NDP for the month.
13.b. No. of notifiable diseases identified and referred Notifiable Diseases Logbook
14.a. Mass Deworming assisted by NDP: Deworming Masterlist
14.a.1 School-Based (5-12 y/o)
14.a.2 Community-Based (2-4 y/o)
14.a.3 Special Population (farmers, miners, soldiers, food
handlers/operator, IP, WRA)
14.b. No. of deworming reports (school-based) collected & Deworming Reports
submitted
14.v. No. of adverse events assisted and reported IHCP AEFD Reporting Form
15.a. No. of individuals (25 years old and above) assessed for Accomplished Community Risk
Hypertension Assessment Form
15.b. No. of individuals (25 years old and above) with Registry
Hypertension referred for treatment
15.c. No. of individuals (25 years old and above) assessed for Accomplished Community Risk
Diabetes Mellitus Assessment Form
15.d. No. of individuals (25 years old and above) Diabetes Registry
Mellitus referred for treatment
15.e. No. of organized Diabetes Club assisted List of Members
Attendance Logbook and Minutes of the
15.f. No. of meetings of Diabetes Club facilitated
Meeting
16.a. No. of Senior Citizens assisted to avail medical services List of Senior Citizens
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HEALTH AND WELLNESS PROGRAM FOR SPECIAL POPULATION
17.a. PWD Assist
ENVIRONMENTAL AND OCCUPATIONAL HEALTH PROGRAM
18.a. HH w/o ST
18.b. HH w/o access to SW
NATIONAL TOBACCO CONTROL PROGRAM
19.a. Anti-smoking IEC
19.b. Smoking Cessation
NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM
20.a. Brgy Blood Donor Recruit
20.b. MBD Assist
PRIMARY EYE CARE PROGRAM
21.a. Low Vision
LOCAL HEALTH SYSTEM DEVELOPMENT
22.a. SDN F1-LHSC - May
22.b. Comm Profile F2-LHSC – Apr
22.c. HFEP Eqpt Inv F3-LHSC-a,b – Mar, Dec
22.d. ML Active Accred BHWs F4-LHSC – Feb
22.e. BHS Client Satisf Monthly
22.h. BHB Monthly
KP/HI5 IMPLEMENTATION
23.a. CHTs
23.b. CHT reports
23.c. Family profiling
23.c.1. NHTS-PR Fam Profiling
23.c.2. Non-NHTS Fam Profiling
ANALYSIS AND SUBMISSION OF REQUIRED REPORTS
24.a. Hi-5
24.b. DQC
24.c. Other reports
Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE
17.a. No. of Persons with Disability assisted to avail medical List of PWDs
services
18.a. No of household without access to sanitary toilet identified List of HH Family Head
and referred
18.b. No. of household without access to sanitary potable water List of HH Familly Head
identified and referred
19.a. No. of anti-smoking advocacy activities conducted Logbook of attendance and topics
19.b. No. of current smokers identified and referred to Smoking List of Names
Cessation Clinic
20.a. No. of non-remunerated voluntary donors recruited at the List of Names
barangay level
20.b. No. of non remunerated voluntary donors assisted during List of Names
MBD
21.a. No. of cases with low vision identified and referred List of Names
22.a. No. of Service delivery Network Form submitted to R-V Form 01 – LHSC
thru PDO (To fill out Form 01-LHSC) Frequency of Reporting:
Annual (May) Forms to follow
22.b. No. of Community Profiling and Assessment Form Form 02 – LHSC
submitted to RO-V thru PDO (To fill out Form 02- LHSC)
Frequency of Reporting: Annual (April)
22.c. No. HFEP Equipment Inventory submitted to RO-V thru Form 03 – LHSC
PDO (To fill out Form 03-LHSC-a and Form 03-LHSC-b)
Frequency of Reporting: Bi-Annual (March, December)
22.d. Masterlist of active accredited Barangay Health Workers Form 04 – LHSC
(BHWs) submitted to RO-V thru PDO (To fill out Form 04-
LHSC soft copy) Frequency of Reporting: Annual (Feb.) Forms
to follow
22.e. NO. of Established Client Satisfaction feedback mechanism Suggestion Box, Feedback Slip, Exit CSS
facilitated in BHS (Suggestion Box, Feedback Slip, Exit CSS Forms, Emotions, etc.
Forms, Emotions, etc.) Frequency of Reporting: Monthly
22.h. No of Barangay Health Board Meetings attended by the Minutes of BHB Meeting, Attendance
NDP. Frequency of Reporting: Monthly
23.a. No. of CHTs supervised/monitored CHSR Logbook
23.b. No. of CHTs columnar/reports validated
23.c. No. of families profiled for the monitor Hi-5 Report
23.c.1. NHTS-PR Families
23.c.2. Non NHTS Families
24.a. No. of HI5 reports submitted to supervisor Hi-5 Report
24.b. No. of DQC reports submitted to NDP Team Leader for DQC Report
consolidation
24.c. Other required reports submitted, if any
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 Republic of the Philippines
Province of Masbate
Municipality of Esperanza
MUNICIPAL HEALTH OFFICE

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