National Month wise MCH services


Reporting Period:  From       To                  

Reporting Period: ,   From   , 

Maternal & Child Health, Reproductive health Services
Sl no
Month & Year
Reproductive Health Service
Pregnant Mother
(current month)
Pregnant Mother (previous month)
Total Pregnant Mother
Antenatal Sevices
Delivery Services
Postnatal Services
No. of services after abortion
Postpartum FP method Acceptors
Reffer
Infertile Couple
Woman Received TT
Home
Hospital
/Clinic
No. of delivery follow (AMTSL)
Mother
Neonatal
No. of Risk/Complicated Pregnant Mother
No. of Complicated Pregnant Mother in (Antenatal,Postnatal & Delivery period)
No. of eclampsia
patient in taken
Inj MgS04
No. of reffered
neonatal due to
complication
New
Old
Total
ANC-1
ANC-2
ANC-3
ANC-4
Trained Person
Non-Trained Person
Normal
C-Section
PNC-1
PNC-2
PNC-3
PNC-4
Visit-1
Visit-2
Visit-3
Visit-4
Adviced
Reffered
1st
2nd
3rd
4th
5th
Total


Sl no
Month & Year
Reproductive Health Service
Child Service (0-59 months)
Birth-Death
Newly
married couple in
current month
General Patient
Performed by FPI
No. of ECP Acceptor
No. of Misoprostol Acceptor
No. of MR Service Acceptors
(M V A)
No. of MR Service
By
Medicine)
No. of adolescent about RTI/STI
No. of adolescent
IFA Acceptor
No. of
Sanitary Pad
Acceptor
RTI/STI
7.1% chlorhexidine
digluconate
for umbilical cord care
No. of newborn
Breastfeeding
(First 24 hours)
No. of Immunized Child
Total live birth
Low birth weight Newborn
(weight <2.5KG)
Immature
Newborn
(Before 37 weeks)
Still birth
Total Death
No. of
motivated male
For NSV
AV van
Cluster meeting
No. of
committee for
Union FP
Presents in Satellite clinic
BCG
OPV & Pentavalent (DPT,Hep-B,Hib)
PCV-3
MR & OPV-4
Measles vaccine
No. of death childbirth(<1year)
No. of death
Childbirth
(1-5year)
Maternal Death
No. of Others Death
Total Death
Male
Female
PCV 1
PCV 2
3
0-28 days
29days to below 1year
Total
Total

Reporting Upazila/Thana :  Out of :  Upazila/Thana