Field Health Service
Information System
LEVEL III
COMMUNITY PHYSICIAN AS HEALTH WORKER
Objectives
At the end of the course, the student is able:
To discuss the components of the FHSIS
To discuss the importance of FHSIS
Definition
Field Health Service Information System
The Field Health Service Information System (FHSIS) Annual Report includes health surveillance
data on infectious diseases, maternal mortality, immunization, nutritional supplementation, and
other health-related data. Morbidity data are tabulated by age group, sex, region, province, and
city.
What is FHSIS
It monitors health service delivery nationwide
It is a network of information
It is intended to address the short term needs of DOH and LGU staff with managerial or
supervisory functions in facilities and program areas
Objectives of FHSIS
To provide summary data on health service delivery and selected program accomplishment
indicators at the barangay, municipality, district, provincial, regional and national levels
To provide data which when combined with data from other sources, can be used for program
monitoring and evaluation purposes
To provide a standardized, facility-level data base which can be accessed for more in-depth
studies
To minimize the recording and reporting burden at the service delivery level in order to allow
more time for patient care and promotive activities
Components of the FHSIS
Recording
Reporting
Data Entry
Processing
Production and Dissemination of Output Tables
Historical Background
1987 – conceptualization stage
1988 – consultative meetings
1989 – pilot implementation (region 4 and 7)
1990 – nationwide implementation
1993 – devolution
1996 – 1st modification (modified FHSIS)
2006-07 – 2nd modification (FHSIS v.2008)
Features of the Revised Version
Update/change some indicators based on the present needs of the central office program
managers and the LGUs
Key health indicators to be monitored in the national level are identified and targeted under the
FHSIS version 2008
The FHSIS has at its focus the programs
of DOH Public Health Services
•Maternal and Child Health (MCH)
•Expanded Program on Immunization (EPI)
•Control of Diarrheal Diseases (CDD)
•Nutrition
•Family Planning
•Maternal Care
•Tuberculosis, Malaria, Schistosomiasis, and Leprosy Control progress
•Dental Health
•Environmental Health
A. Recording
COMPONENTS OF THE FHSIS
1. Individual Treatment Record
The fundamental building block of foundation of the FHSIS is the Individual Treatment Record.
This is a document, form, or a piece of paper upon which is recorded the date, name, address,
presenting symptoms or complaint of the patient on consultation and the diagnosis, treatment
and date of treatment.
This record will be maintained as a part of the system of record at each health facility on all
patients seen. This record may be as simple as the following example prepared on plain bond
paper.
Sample of ITR:
2. Target/Client Lists
The target/client lists constitute the second “building block” of the FHSIS and are intended to
serve several purposes.
- to help the nurse/midwife plan and carry out patient care and service delivery
“targets/eligibles”
- to facilitate the monitoring and supervision of service delivery activities. In this regard, the lists
were designed so as to provide the information essential to the monitoring/supervision of
programs prescribed service schedules.
2. Target/Client Lists
- to report services delivered.
- to provide a clinic-level data base which can be accessed for further studies.
2. Target/Client Lists
The TCL to be maintained in the FHSIS version 2018 are
as follows:
- Target Client List for Prenatal Care
- Target Client List for Post-partum Care
- Target Client List for Under 1 year old Children
- Target Client List for Family Planning
- Target Client List for Sick Children
- NTP TB Register (same as program)
- National Leprosy Control Program Form 2-Central
Registration Form (same as program)
3. Summary Table
The Summary Table is a form with 12-months
column retained at the facility (BHS) where the
midwife records monthly all relevant data.
The Summary Table is composed of:
- 1. Health Program Accomplishment
- 2. Morbidity Disease
3.1 Health Program Accomplishment
The midwife records on this summary table all the data that are found in the TCL.
This summary table is an easy source of data for reports being prepared by the midwife.
This also serves as the data source for any survey, special study, or research that may include the
facility.
Most importantly, this can serve as a tool for the midwife to assess her own accomplishments.
3.2 Morbidity Disease
The midwife in the BHS accomplish this table on a monthly basis.
This summary table can also be the source of ten leading causes of morbidity for the
municipality/city.
This summary table will help the nurse and MHO to get the monthly trend disease.
4. Monthly Consolidation Table (MCT)
The Consolidation Table is an essential form in the FHSIS where
the nurse at the RHU records the reported data per indicator by
each BHS or midwife.
This is the source document of the nurse for the Quarterly Form.
The Consolidation Table shall serve as the output table of the
RHU as it already contains listing of BHS per indicator.
B. Reporting
COMPONENTS OF THE FHSIS
B. Reporting
The data and information are transferred from one reporting unit to another primarily through
the Reporting Forms (RFs). Majority are prepared and submitted monthly or quarterly, some are
weekly and annually.
RFs are filled up by midwives in the Barangay Health Stations. The data is then transferred to a
Summary Table (SumTab) which comprise the database for the midwives.
The midwives submit the RFs to the Public Health Nurse for validating and forwarding to the the
Provincial Health Office.
B. Reporting
Monthly Form Annual Forms
- M1 Program - A-BHS
- M2 Morbidity - A1 – Vital Statistics
- A2 – Morbidity
Quarterly Form - A3 – Mortality
- Q1 Program
-Q2 Morbidity
C. Data Entry and
Processing
COMPONENTS OF THE FHSIS
C. Data Entry and Processing:
The Provincial Health Office (PHO) is the
processing node of the FHSIS
The PHO receives all the RF from the RHUs
A designated Provincial Computer Operator
(PCO) in the PHO performs data entry
The RFs received are the source documents for
data entry
C. Data Entry and Processing:
Simplified Process Flow
D. Output Reports
COMPONENTS OF THE FHSIS
D. Output Reports
Output Reports or Tables will be produced at the PHO from the data reported in FHSIS Reporting
Forms. Computer-generated output reports will then be disseminated down to the RHU/MHC
and up through the DOH system to the Regional Health Offices.
The objective in designing the output formats is to make the reports useful for
monitoring/management purposes at each level.
Difference of Recording and Reporting
RECORDING REPORTING
Facility based Transmitted/submitted
Detailed data Summary data
Day-to-day Monthly/quarterly/annual
Source: Source:
- Services delivered to patients/clients - Dependent on the records (Summary of
Records)
Importance of FHSIS
Helps local government determine public health priorities
Basis for monitoring and evaluating health program implementation
Basis for planning, budgeting, logistics and decision making at all levels
Source of data to detect any unusual occurrence of a disease
Needed to monitor the health status of the community
Helps midwives in following up clients/patients
Documentation of the midwives/nurses day to day activities
Task
The process of the FHSIS was last revised in 2008. New technology was
developed in the last few years. As the head of the local health office, what are
the ways that you can suggest to improve the timeliness and accuracy of the
data gathered from the FHSIS.
Give 5 suggestions in the process flow of FHSIS and explain briefly how these can
improve the timeliness and accuracy of the data gathered. (Limit to 300 – 400
words).
