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Adolescent Health and Development Program (Ahdp)

This document contains two reporting forms for an Adolescent Health and Development Program (AHDP). Form 1 reports data at the barangay level including the number of trained personnel, peer educators organized, adolescents seeking consultations, and the top ten common issues among visiting adolescents including teen pregnancy, referrals, and feedbacks. Form 2 aggregates the data at the municipal/provincial level across multiple barangays, providing the same metrics. Both forms are submitted to the municipal health officer for notation and approval.

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arzey Resus
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371 views3 pages

Adolescent Health and Development Program (Ahdp)

This document contains two reporting forms for an Adolescent Health and Development Program (AHDP). Form 1 reports data at the barangay level including the number of trained personnel, peer educators organized, adolescents seeking consultations, and the top ten common issues among visiting adolescents including teen pregnancy, referrals, and feedbacks. Form 2 aggregates the data at the municipal/provincial level across multiple barangays, providing the same metrics. Both forms are submitted to the municipal health officer for notation and approval.

Uploaded by

arzey Resus
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Reporting Form 1

ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM (AHDP)


For the month of: __________________
Barangay:______________________

A.

Number of
trained # of trained
Total Number of # of Peer # of Peer # of adolescents
/oriented peer educator
Personnel education educators seeking consult
Health Worker assisting in
on AJA/ADEPT conducted organized
the RHU
RHU School* RHU School* RHU School*

School- GC/Teacher involved in ASRH

B.

Top Ten Common Issues Among Visiting other adolescent


Teen Pregnancy Number Number activities as:
Adolescents (cases and numbers)
of of community
10-14 15-19 Referrals Feedbacks outreach
Type No. conducted
y.o y.o
1

2
3

4
5
6

9
10

Total
Submitted by: Noted and Approved By

_______________________________ _______________________________
PHN/ AHDP Coordinator Municipal Health Officer
Reporting Form 2
ADOLESCENT HEALTH AND DEVELOPMENT PROGRAM (AHDP)
For the month of: __________________
Province/Municipality:______________________

A.

# of trained
# of trained
Total Number of /oriented # of adolescents
# of Peer # of Peer peer
Personnel Health Worker seeking consult
Municipality/Brgy education educators educator
on AJA
conducted organized assisting in
RHU/ the RHU
School* RHU School* RHU School*
Brgy

Total
*School- GC/Teacher
involved in ASRH

`
B.

Top Ten Common other


Issues Among Visiting adolescent
Teen Pregnancy
Adolescents (cases # of # of activities as:
No Municipality/Brgy and numbers) Referrals Feedbacks community
10-14 15-19 outreach
Type No.
y.o y.o conducted

10

11

12

13

14

15

Total

Submitted by: Noted and Approved By

_______________________________ _______________________________
PHN/ AHDP Coordinator Municipal Health Officer

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