AHDP MONTHLY ACCOMPLISHMENT REPORT

FACILTY NAME:
PROVINCE/CITY:
MONTH AND YEAR:
ADOLESCENT POULATION:

ADOLESCENT AGE BRACKET

INDICATORS 10-14 y.o. 15-19 y.o. REMARKS
M F M F
No. of Adolescents reached by HYO***
No. of Adolescents assessed using HEEADSSS***
No. of Adolescents referred using HEEADSSS and
accessed services***
No. of teenage pregnancy***
No. of Adolescents with Dental Caries*
No. of Adolescents with STI**
No. of Adolescents with HIV**
No. of Adolescents with Rubella*
No. of Adolescents with Tetanus*
No. of Adolescents who had Attempted Suicide***
No. of Adolescents who Committed Suicide***
No. of Adolescents who had been to Traffic Accident**
No. of Adolescents experienced Drowning*
No. of Adolescents experienced Sexual Violence**
% of Binge Drinkers (BD) #: #:
(# of BD/Adolescent Population x 100) %: %:
% of Current Tobacco Users (CTU) #: #:
(# of CTU/Adolescent Population x 100) %: %:
No. of Adolescents who are regular drug users or drug
dependents**
Others*
Percentage
Live Birth Total Adol. Pop. (LB/Total Adol. Pop.) x 100
Adolescent Birth Rate***

Prepared By:

NDP/RHMPP

Noted By:

Legend:
*** Higly important data
** Moderately important data
* Important data

Adolescent Population:
(Total Population x 21.5%) or (PSA Data)