CFLGA - Survival Rights Area Indicators.pptx

Survival Indicators for CFLGA

1. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 SURVIVAL Safeguards the access and delivery of health and nutrition programs and the current health and nutrition status of children to ensure their survival and development

2. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival Indicator Data source/ MOV Requirement 1.1 Percentage coverage of Fully Immunized Children aged 12 months old • Field Health Service Information System (FHSIS) - Child Care and Services • Certification regarding 12 months old population signed by the Head of the concerned Local Office, e.g. annual enumeration/ population survey from Local Health Office (LHO), report from Local Civil Registry (LCR), CBMS-generated data from Local Planning and Development Office (LPDO), among others Number of FIC Total actual no. of children aged 12 months x 100

3. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 In case the LGU reports low immunization rate due to the lack of vaccine supplies or other logistical concerns of the health system, the LGU may be given a mid-range score of 2.50 points, PROVIDED it can show proof of the following: 1. Receiving copy of request for the vaccines needed to the Center for Health Development (CHD) dated at least a quarter prior to the audit OR Purchase/procurement documents for vaccine initiated by the LGU; 2. Registry of children and their vaccinations status; and Moreover, if the LGU already has an immunization rate of 85% and above , and the lack of vaccines is the reason for not reaching the remaining target population, the LGU may be given the full score of 5.00 points , PROVIDED it can provide the abovementioned proof and in addition, CHD Certification or Report on the available vaccines in the region . Survival

4. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival In case the child transfers to another LGU before being fully immunized, the child is counted in the LGU where he/she completes the immunization . The Target Client List (TCL) Record and/or the Mother and Baby Book in the Barangay Health Station (BHS) should be able to show where the child’s immunizations were taken prior to his/her transfer. As to the original LGU where the child came from, its total population of children aged 12 months should not include the aforementioned child .

5. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival Indicator Data source/ MOV Requirement 1.2 Prevalence of malnutrition among children aged 0-59 months old • Operation Timbang (OPT) Plus Result • Accomplished OPT Plus Form 2A: City/Municipality Summary Report • Certification regarding 0-59 months old population from concerned Local Office, e.g. annual enumeration from LHO, report from LCR, CBMS-generated data from LPDO, among others, PROVIDED, there is a Resolution or Executive Order (EO) stating that the report/ data is to be used for official planning by the LGU for CY 2024 Actual no. of 0-59 months children measured Total no. of children aged 0-59 months x 100

6. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival Nutrition screening using the Mid-Upper Arm Circumference (MUAC) measurement in lieu of the standard OPT+ will only be considered for LGUs who had emergencies in the required audit year , i.e., during the height of the COVID-19 pandemic which required reducing physical contact between the local health workers and children[1], and/or during disasters. MUAC measurement is used at the community level for rapid screening and admission tool for potential moderate/severe acute malnutrition cases only. NNC Memorandum No. 2020-010 Interim Guidelines in the Conduct of OPT Plus, Nutrition Screening, Growth Monitoring and Promotion Activities in the Context of COVID-19 Pandemic and Other Related Disasters

7. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival In case the child is reported to have multiple forms of malnutrition, i.e. stunted-overweight or wasted-stunted, reporting must be done per malnutrition prevalence, i.e. if child is stunted-wasted, he/she will be counted under Stunting and Wasting separately. There will be no double reporting as the malnutrition prevalence is compared to the total number of children measured and will not be summed.

8. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival Indicator Data source/ MOV Requirement 1.3 Percentage coverage of pregnant adolescents provided with prenatal and postpartum services 1.3.1 Percentage coverage of pregnant adolescents with eight (8) antenatal contacts • FHSIS Annual Report - Maternal Care and Services Section • National Safe Motherhood Program - Pregnancy Tracking Note: For the 2025 CFLGA covering CY 2024, there is consideration for at least four (4) reported antenatal contacts pending the updating of the FHSIS that states the required eight (8) antenatal contacts No. of pregnant adolescents (10-14, 15-19) with at least 8 antenatal contacts Total no. of pregnant adolescents (10-14, 15-19) x 100

9. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival In case the pregnant adolescent transfers to another LGU, she is counted in the LGU where she completes the prenatal visits. The Pregnancy Tracking Form, TCL records, and/or Mother and Baby book could be used to verify where and when the adolescent has availed of antenatal services. As to the original LGU where the adolescent is from, its total population of pregnant adolescent should not include the aforementioned adolescent .

10. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival The eight antenatal visits are complied with on the last trimester due to social considerations, i.e. tinatago or nahihiya . No point shall be given to the LGU as the indicator aims to ensure quality antenatal service by diligently following the schedule provided in DOH DC 2024-0241. The Department of Health encourages LGUs to strengthen efforts to track and monitor where these adolescents are and be more proactive in advocating for the improvement of the adolescents’ health seeking behavior.

11. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival In case of the adolescent gets pregnant in the middle of the year, she will only be included/counted in the data of the year when she completed the minimum antenatal visits . In case of miscarriage/abortion after already availing antenatal service/s, this will not be counted under adolescent pregnancy since there is no live birth. In case the LGU has no reported adolescent pregnancies, the IMTF should ask for the following: FHSIS Report on Natality (delivery/live births by women aged 10-14 and 15-19) from the Pregnancy Tacking Summary and/or TCL Record; and Certification from the Local Health Office regarding the list of LGU programs and interventions on adolescent sexual and reproductive health (ASRH).

12. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival Indicator Data source/ MOV Requirement 1.3 Percentage coverage of pregnant adolescents provided with prenatal and postpartum services 1.3.2 Percentage coverage of pregnant adolescents with four (4) postpartum visits • FHSIS Annual Report - Maternal Care and Services Section • National Safe Motherhood Program - Pregnancy Tracking Note: For the 2025 CFLGA covering CY 2024, there is consideration for at least two (2) reported postpartum visits pending the updating of the FHSIS that states the required four (4) postpartum visits No. of postpartum adolescents together with their newborn who completed at least 4 postpartum visits Total no. of pregnant adolescents tracked x 100

13. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival The postpartum visits include provision of the following services: Counseling and support for exclusive breastfeeding at each postnatal contact Advice on proper hygiene, birth spacing and family planning, and nutrition Basic mental health and psychosocial support. In case adolescent mother transfers to another LGU, she is counted in the LGU where she completes the four postpartum visits. The Pregnancy Tracking Form, TCL Record, and/or Mother and Baby book could be used to verify where and when the adolescent has availed of the postpartum services. As to the original LGU where the adolescent is from, its total number of adolescents (deliveries) tracked should not include the aforementioned case .

14. 2025 CFLGA REGIONAL HARMONIZATION JANUARY 16, 2025 Survival Indicator Data source/ MOV Requirement FOR PROFILING 1.1.1 Percentage coverage of catch- up vaccination for school-age children, in particular, MR-Td and HPV • FHSIS – Child Care and Services / Immunization Services for school-age children from LHO • School Health Report from the primary and secondary schools 1.4 Availability of at least one (1) Level 2 Adolescent-Friendly Health Facility (AFHF) • 2024 Certification from the Center for Health Development (CHD) No. of vaccinated school-age children (5-14 y/o) Total actual no. of school-age children monitored x 100