1. RECORDING & REPORTING on Provision of Services for those with Unmet Need on Modern FP

2. After two (2) years of profiling and assessing NHTS/CCTs unmet needs …..... have we provided services to those we found with unmet need?

3. Are Identified Probable Users Getting FP Services? Unserved probable users in current month are added to succeeding month. Acceptors are also cumulative Service provision not keeping up with identified probable users

4. Reporting Protocol CHT Partner uses the Logbook in profiling, master listing, giving of messages and accomplishing of Family Health Record Form NDP checks the entries in the LOGBOOK and helps the CHT Partner in: Correctly filling-out the logbook, Family Health Record Form and Masterlist Polishing the messages RHM provides overall supervision to CHT Partners and NDP, provides services including counseling, records in the facility and home-based records, provides appropriate health messages and uses the logbook to find out who else needs services and should be followed-up by the CHT Partner

5. Tool of the CHT CHT Partner: Columnar Notebook or logbook including Family Health Record Form

6. NHTS House hold ID Pangalan ng miyembro ng household HH#HH# Kaug- nayan ng miyem- bro sa house- hold head Ed ad Kasa rian Petsa ng Kapa- ngana- kan Estado Sibil (Civil Status) Numero ng Phil- Health Family Health Record Mga Impormasyon sa Family Health Profile

7. MUNICIPALITYPILLSCONDOMDMPANFPIUDBTLNSVUNDECIDED 1. Alubijid 52031869172137 3. Balingasag 560011012 3. Balingoan 2504030051 4. Binuangan 8 51 5. City-El Salvador 480153860100244 6. Claveria 1825042191176312476 7. Gingoog City 1,1701861386234152822542 8. Gitagum 9. Initao 10. Jasaan 1154346136180412 11. Kinoguitan 44015371000115 12. Lagonglong 3922271240181 13. Laguindingan 14. Libertad 1903001035 15. Lugait 931910024 16. Magsaysay 1334491 9 17. Manticao 100025500274 18. Medina 3414722030206 19. Naawan 20. Opol 360144877075 21. Salay 22. Sugbongcogon 14251812412140126 23. Tagoloan 4165121590144 24. Talisayan 25. Villanueva 6121339616039 TOTAL2,0452683151,3811,01339363,153 UNMET NEEDS as of 30 Nov, 2013

8. MUNICIPALITY NHTS Probable User UNDECIDED Total Unmet Need (NHTS) Non MFP Users IUDPillsDMPACondomBTLVASNFP Alubijid 59426018121111258 Balingasag 280000007641 Balingoan 11071030401198243 Binuangan 304000002936 City-El Salvador 37059491508024230755 Claveria 46316514831483014963871,382 Gingoog City 0928610210265528867 Gitagum 216144640401767368 Initao 1809001013766 Jasaan 2918751078064336547 Kinoguitan 013331021027293379 Lagonglong 11412411160118160453 Laguindingan 1111512001011263413 Libertad 002210001881122 Lugait 01000031822 Magsaysay 5200000061169 Manticao 4451310209122196 Medina 1422441413134213463 Naawan 12415100018206256 Opol 1818708026202270 Salay 496500109474 Sugbongcogon 44301411656000611 Tagoloan Talisayan Villanueva 03462132402753195 Cagayan de Oro City581891603211154318731796 TOTAL2,78654197516187141208434,3289,882

9. RECORDING FORM TCL Sample TCL

10. REPORTING FORM Mprog Qprog

11. QUARTER REPORT TO BE SUBMITTED

12. Itinerant Team Activities Conducted DateVenue**Output Status of Itinerant Team ** Identify if CCT, non-CCT NHTS or Non-NHTS

13. Status of Itinerant Team As of November 30, 2013 Itinerant Team Activities ConductedDateVenueOutput NMMC w/ MHO of Maramag at MalaybalayAmbulatory LAPM-BTL June 5-6, 2013 Bukidnon Provincial Hospital (Malaybalay) 68 CCT- 39, Non- CCT NHTS- 18, Non-NHTS- 11 Marie StopesLAPM-BTLAugust 13, 2013 Misamis Oriental Provincial Hospital (Gingoog) 20 CCT – 15, Non-CCT NHTS - 5 Private OB-GYNE (Dr. Thenilda Buenaventura)LAPM-BTL August 22, 2013 Valencia City Health Office Birthing Home 20 CCT – 4, Non- CCT NHTS - 16 NMMCLAPM-BTLOct 21-23, 2013 Bukidnon Provincial Hospital (Maramag) 47 CCT- 29, Non- CCT NHTS – 14, Non-NHTS - 4

14. MONTHNUMBER OF CLIENTS CCT’s Non CCT- NHTS Non-NHTSTotal JANUARY FEBRUARY MARCH APRIL MAY JUNE STATUS OF IUD INSERTIONS MUNICIPALITY: _____________________

15. 15