Field Health Services and Information System

• FHSIS


  To provide summary of data on health services delivery
• Creating a tally report for infectious diseases should be done weekly
• FHSIS 


  reporting and recording system of DOH
• Nurses’ role in FHSIS involves research function
• #1 cause of mortality of Filipinos: Heart Diseases
• #1 cause of morbidity of Filipinos:  Acute Respiratory Infection
• Objectives of FHSIS (DPSAM):

  • Data Summary
  • Program Monitoring and Evaluation
  • Standardized Facility Database
  • Accurate and Timely Data
  • Minimize Recording and Reporting Burden
• Treatment Record


  Fundamental building block or foundation of FHSIS
• Family Treatment Record


  Fundamental block, per family
• Individual Treatment Record


  Data about the patient
• Target Client List


  For patient follow-up and monitoring e.g. vaccination, postpartum care, TB-DOTS
• Target Client List


  Second building block, per DOH program
• Target Client List


  Used in planning and carrying out patient care and services delivered
• Reporting form/Tally Report


  Forms transmitted from one facility to another
• Reporting form/Tally Report

  date transmitted found on upper right
• Reporting form/Tally Report

  Both the PHM and PHN send the report to the Provincial Health Office (PHO)
• Reporting form/Tally Report

  • M: Monthly
  • Q: Quarterly
  • A: Annually
  • M1: Weekly - for infectious diseases only
  • E1 - all types of death
  • E2 - maternal death
  • E3 - perinatal death
• Output Report


  Consolidated reporting form, produced at PHO
• Tally Sheet


  Daily activities done in the health center (logbook)
• Tally Sheet

  Recommended frequency in tallying activities and services: Daily
• Tally Sheet

  Counting of the tally sheet done: At the end of the month
• Target Client List

  Record is just data 
• Target Client List

  Report - processed data
• Target Client List

  Reporting Unit: BHS - Public Health Midwife (PHM)
• Target Client List

  Reporting Unit: RHU/HC - Public Health Nurse (PHN)
• Primary advantage of having a target client list: Nurses DONT need to go back to FTR to monitor 
• Target Client List


  Monitor particular groups that are qualified as eligible to a certain program of the DOH
• BHS - lowest level of reporting unit of DOH
• All but one of the following are eligible target client list:

  A. Leprosy cases

  B. TB cases

  C. Prenatal care

  D. Diarrhea cases

  Answer: D
• Frequency of report for environmental health activities (Q3): Quarterly
• Output Report

  Solely produced by PHO
• The nurse uses the FHSIS Record system incorrectly when she found out that 

  A. She go to the individual or FTR for entry confirmation in the Tally/Report Summary

  B. She refer to other sources for completing monthly and quarterly reports

  C. She records diarrhea in the Tally sheet/Report form with a code FHSIS/M-1

  D. She records a Child who have frequent diarrhea in TCL: Under Five

  Answer: B
• The BHS Is the lowest level of reporting unit in FHSIS. A BHS can be considered a reporting unit if all of the following are met except

  A. It renders service to 3 barangays

  B. There is a midwife the regularly renders service to the area

  C. The BHS Have no mother BHS

  D. It should be a satellite BHS

  Answer: D
• Data submitted to the PHO is processed using what type of technology? 

  A. Internet

  B. Microcomputer

  C. Supercomputer

  D. Server Interlink Connections

  Answer: B