HEALTH FACILITY DATA CHARTS FOR PLOTTING TRENDS OF KEY HMIS INDICATORS

OPD UTILISATION

MALARIA

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 018a:OPD utilization by children under 5years
OPD new cases < 5 / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / Jun
Month Value
Cumulative value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 018b: OPD utilization people 5years and above
OPD new cases 5 years and above / Key
Year : / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 019a: Weekly trends of Malaria Cases in OPD among Children under 5 years
Weekly Malaria total cases n OPD < 5
Year: / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4
July / Aug / Sep / Oct / Nov / Dec
Weekly Value
Cumulative value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 019b: Weekly trends of Malaria Cases in OPD among people 5 years and above
Weekly Malaria total cases in OPD 5 and above
Year: / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4 / Wk1 / Wk2 / Wk3 / Wk4
July / Aug / Sep / Oct / Nov / Dec
Weekly Value
Cumulative value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 021a: OPD Malaria Cases Tested (Under 5 years)
OPD malaria cases tested < 5 / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / Jun
Month Value
Cumulative value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 021b:OPD Malaria Cases Tested ( 5 years and above)
OPD malaria cases 5 years and above / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

Tuberculosis (TB)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 022: Tuberculosis cases Expected being notified
Number of TB Cases notified / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / Jun
Month Value
Cumulative Value

ANC

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 023a: Number of pregnant women attending ANC for the 1sttime
Number of pregnant women attending ANC for the 1st time / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 023b:Number of pregnant women attending ANC for the 4th time
Number of pregnant women attending ANC 4th visit / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 023c: Total number of pregnant women attending ANC (1st,2n ,3rd 4th)visit
Total number of pregnant women attending ANC (1st, 2nd,3rd and 4th)visit / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 024: Number of pregnant women receiving two doses of IPTp
Number of pregnant women receiving IPTp2 / Key
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

. Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

DELIVERIES IN THE HEALTH UNIT

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 025: Number of deliveries taking place in the Health Unit
Number of deliveries in the HU nit / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 026: Percentage of Caesarean Births at the Health Unit
Percentage of Caesarean Births / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Monthly Rate

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 027: Number of Maternal Deaths in the Health Unit
Number of Maternal Deaths / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

FAMILY PLANNING

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 028: Couple Years of Protection Trends
Couple Years of Protection / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

CHILD IMMUNISATION

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 029a: Number of Children under 1 year receiving the 3rd dose of DPT
Number of children under 1 year receiving the 3rd dose of DPT / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 029e: Number of Children under 1 year immunized against measles
Number of children under 1 year immunized against measles / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 029b: Drop-out rate between DPT1 and DPT 3 Immunization
% of drop out-rate between DPT1 and DPT3 immunization / 25%
20% / Key:
15%
10%
5%
0%
-5%
-10%
-15%
-20%
-25%
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
DOR

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 029c: Drop-out rate between DPT3 and Measles Immunization
25%
% of drop out-rate between DPT3 and Measles immunization / 20% / Key:
15%
10%
5%
0%
-5%
-10%
-15%
-20%
-25%
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
DOR

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 029d: Rate of underweight Children at Measles Vaccination
% of children under under-weight at measles vaccination / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Monthly Rate

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

HEALTH FACILITY MANAGEMENT

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 030a:Number of planned outreach visits conducted
Number of planned outreach visits conducted / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 030b:Percent of staff receiving salaries & wages
Percentage of staff receiving salaries & wages / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Monthly Rate

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 030c:Number of monthly staff meetings held
Number of monthly staff meeting held / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

District: ______HSD: ______Health Facility: ______Level: ____

HMIS 030d:Number of Health Unit Management Committee meeting held as scheduled
Number of HUMC meeting held as scheduled / Key:
Year: / July / Aug / Sep / Oct / Nov / Dec / Jan / Feb / Mar / Apr / May / June
Month Value
Cumulative Value

Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)

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Ministry of Health, Resource Centre - 2012