Management Information Systems (MIS)

Components of FHSIS (Field Health Service Information System):

  1. Family/Individual Treatment Record done daily
  2. Target/Client Lists Record done weekly, and the following Special Programs are:
    1. CDD (Control of Diarrheal Diseases) Program Policies to implement CDD:
      1. Health Education on Personal Hygiene
        • washing of hands before eating & after use of toilet
      2. Breastfeeding (BF)
        • Two (2) Beneficiaries of BF Program:
          1. Mother-regulated by R.A. 7600: Breastfeeding and Rooming-In Act
            • Breastfeeding is an effective contraceptive method because it stimulates the anterior pituitary gland to produce prolactin hormone→ putting the female in an anovulatory stage→ there’s amenorrhea for 6 months from the time she gave birth
            • Rooming-in (RI) is putting together of mother and the newborn and it stimulates the posterior pituitary gland to release oxytocin hormone→ stimulates the uterine muscle contraction that inhibits the implantation of fertilized zygote in the endometrium→ no pregnancy occurs
          2. Children-regulated by EO 51: Milk Code of the Philippines Dictum of Milk Code: Never commercialized a brand name of milk
        • 3 Principles to make breastfeeding effective: 3 E’s
          1. a. Early : start BF as early as possible→ NSD: after 30 minutes; CS: after 3-4 hours
          2. b. Exclusive : for the 1st six months; never alternate BF with any supplementary feeding
          3. c. Extensive : BF can be extended to 2 years
        • Advantages of BF:
          • Breast milk: EO 51-best for babies
          • Reduced allergy
          • Easily established
          • Always available
          • Safe making stool soft
          • Temperature: right temperature 24°C body reference→ if to be frozen, preservation is minimum of 3 months & maximum of 6 months


          • Fresh always
          • Emotional bonding
          • Economical
          • Digestible: contains lactalbumin, a protein substance
          • Immunity: colostrum contains Ig A that protects baby for the 1st 3 months
          • Nutritious (optional)
          • GIT diseases such as diarrhea is minimize/lessen because it’s sterile
      3. Measles: immunization-preventive & prophylactic
      4. Oresol: a management for diarrhea to prevent dehydration

        5. 2 Concepts of Diarrhea:

        1. Frequency of passing out stool=≥3x/day
        2. Consistency of the stool=watery
        • Never advice mother to buy brand names like pedialyte or gatorade
        • For making solution=use 250 ml of water
        • For drinking medicines=a glass is 240 ml of water

        3 Categories of Dehydration:

        1. No dehydration-uses oresol
        2. Some dehydration-uses oresol
        3. Severe dehydration-uses IVF

        Objectives/Plan/Policies of the Use of the following Program:

        1. Plan A: for prevention of dehydration
        2. Plan B: for treatment of dehydration-mild & moderate
        3. Plan C: for treatment of dehydration-severe

        2 Victims of Severe Dehydration:

        1. Child: give 100 mg/kg body weight in the 1st 4 hours
          • Example: 8 kg=800 ml. IVF to be infused on the 1st 4 hours for patient with severe dehydration (8am-12noon)
        2. Adult: give 3-4 liters of IVF in 1st 4 hours
          • Example: 9am-1pm=4 liters=1 liter/hour If still severe dehydration, 2-6pm=infuse 4 liters IVF

        Fruits for Diarrhea:

        • Apple: has pectin & tarum which has an absorbent property, eat the skin
        • Banana: has K+
        • Caimito: eat the flesh in cases of constipation but in diarrheal cases, eat the extracts, milky substances (dagta) found on the inside of the skin
        • Duhat: wash first the fruit then sprinkle with rock salt & shake, notice extracts to come out of the fruit, eat both skin & flesh

        Fruits to avoid during diarrhea: Papaya flesh, pineapple flesh, mango, guyabano & kaimito flesh

        BRAT Diet: Banana, Rice, Apple, Tea, toasted bread or toasted rice beads which has activated charcoal that acts as absorbent Direction: In a cup of warm water, add 1 tablespoon of toasted rice or bread & allow to stand for 20-30 minutes→ produces a blackish discoloration which is pectin

    2. UFC (Under Five Children) Program-basic health service for children under 5

      3. Policies to implement UFC: GOBIC

      G rowth Monitoring: age, weight & height

      O resol: CDD policies

      B reast feeding

      I mmunization

      C ARI Program (Care & Control of Acute Respiratory Infection (Pneumonia, Ear & Throat Infection)

      • G rowth Monitoring: age, weight & height
      • O resol: CDD policies
      • B reast feeding
      • I mmunization
      • C ARI Program (Care & Control of Acute Respiratory Infection (Pneumonia, Ear & Throat Infection)
    3. CARI (Control of Acute Respiratory Infection) Program

      4. CARI Management Chart:

      • A ssessment
      • C ategorize
      • T reatment
    4. “Ligtas Tigdas”: Measles Elimination Program regulated by P.P. # 4 (1996)
      • Example: Lanting Epidemic Measles-mass immunization (6 months-8 years) receive measles vaccine
        • Eligible Age=0-59 months→ 5 years
      • “Ligtas Buntis”:
        • MWRA-Married Women of Reproductive Age
        • MCRA-Married Couple of Reproductive Age
        • FRA-Females of Reproductive Age
      • HBMR: Home Based Mothers (BQ) Record
      • Reproductive Age:
        • 15-49 (New) & 15-44 (Old)
        • 15-average age of menarche
        • 49-average age of menopause
      • Estimate for the age of menopause:
        • Age of menarche + 35 (constant # of years of function of ovaries) Example: 12 + 35=age of menopause
      • EO 209: Family Code under President Aquino-married women
      • PD 651: Birth & Death Registration Law-PHN who attended delivery should register the attended birth at the Local Civil Registrar with a grace period of 30 days→ PHN prepares the birth certificate RA 9255: Acknowledgement of children with pregnancy out of wedlock
    5. SCP & MCP (Schistosomiasis & Malarial Control) Program: local endemic diseases-regular, constant & habitual=always Schistosomiasis Control Program (SCP): Region 5 (Sorsogon), 8 (Samar & Leyte) & 11 (Davao-North) Malarial Control Program (MCP): Palawan & Mindoro
  3. Tally Record & Reporting (R/R) prepared by PHN monthly
  4. Outcome R/R done quarterly (once in 3 months/4x a year) and annually (done in December only)

    5. PHN has the responsibility to prepare & report on the following Health Indicators:

    1. Fertility-Crude Birth Rate (CBR)
    2. Morbidity-Illnesses affecting the population group
      1. Incidence Rate (IR)-reported new cases affecting the population group
      2. Prevalence Rate (PR)-determine sum total of new + old cases of diseases per percent population
    3. 3. Mortality-Reports causes of deaths
      1. Crude Death rate (CDR)-overall total reported death
      2. Maternal Mortality Rate (MMR)-maternal deaths due to maternal causes
      3. Infant Mortality Rate (IMR)-# of infant deaths (0-12 months) or less than 1 year old
      4. Neonatal Mortality Rate (NMR)-# of deaths among neonates (newborn 0-28 days, < 1 month)
      5. Swaroops Index (SI)-deaths among individual in the age group of 50 and above

Formulas:

  1. Fertility:
  2. Morbidity:
    1. Incidence Rate (IR): Reported new cases of disease per percent (100/population) population
      • IR=new cases of disease x 100 Population
    2. Prevalence rate (PR): Reported new cases of disease + old cases of disease per percent of population
      • PR=new cases + old cases x 100 Population
  3. Mortality:
    1. Crude Death Rate (CDR): Overall total reported deaths per 1000 population
      • CDR=overall total deaths x 1000 Population
    2. Maternal Mortality Rate (MMR): Reported maternal deaths per 1000 registered live births (RLB)
      • MMR= # of maternal deaths x 1000 RLB
  4. Infant Mortality Rate (IMR): Reported # of infant (0 to 12 months of age) deaths per 1000 RLB
  5. Neonatal Mortality Rate (NMR): Reported # of neonatal (0 to 28 days or <1 month) deaths per 1000 RLB
  6. Swaroop’s Index (SI): Reported # of deaths among individuals> 50 years old over total deaths

Multiplying Factors (MF) to use: