Exercise 5 - M1 Form

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TRAINING ON FP IN THE HOSPITAL RECORDING & REPORTING

CASE EXERCISES
JUNE, 2022

TASK 4: PREPARATION OF M1 REPORT FOR JUNE 2022

Using the data from the FP Client Record, please prepare the Hospital M1:

a. Assuming zero (0) client as of end of May 2022


b. Assuming existing clients as reflected in the M1 as of end of May (See Sample Below)
Additional Information: Existing five (5) pill POP users in May 2022 did not show up 2 weeks after the expected date of visit in June 2022
 2 clients aged 24 years old
 3 clients aged 27 years old

1
Sample M1 for Month of May

ACCEPTORS
CURRENT NEW
DROPOUT
FAMILY PLANNING METHOD CURRENT USERS NEW OTHER USER ACCEPTORS
END OF PREVIOUS MONTH ACCEPTORS ACCEPTORS END OF
APRIL APRIL MAY MAY MAY MAY
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
a. Female Sterilization/BTL 0 0 24 24 0 0 0 0 0 0 3 3 0 0 0 0 0 0 27 27 0 0 1 1
b. Male Sterilization/Vasectomy 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0
c1. Pills-POP 0 0 34 34 0 0 0 0 0 0 3 3 0 0 0 0 0 0 37 37 0 0 12 12
c2. Pills-COC 0 0 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 0
d1. IIUD( Interval IUD) 0 0 32 32 0 0 0 0 0 1 1 2 0 0 0 0 0 0 34 34 0 0 2 2
d2. PP-IUD( Post-Partum IUD) 0 0 36 36 0 0 0 0 0 0 3 3 0 0 0 0 0 0 36 36 0 0 5 5
e2. Injectables-POI/CIC 0 0 24 24 0 0 0 0 0 1 1 2 0 0 0 0 0 0 26 26 0 0 3 3
f. NFP-CM( Cervical Mucus) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. NFP-BBT( Basal Body Temperature) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
h. NFP-STM(Symptothermal Method) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
i. NFP-SDM( Standard Days Method) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
j. NFP-LAM( Lactational Amenorrhea Method) 0 0 22 22 0 0 0 0 0 0 0 0 0 0 6 0 0 0 16 16 0 0 0 0
k. Condom 0 0 12 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 12 0 0 10 10
l. Progestin-only Subdermal Implant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total: 0 0 195 195 0 0 0 0 0 2 11 13 0 0 6 0 0 0 199 199 0 0 33 33

Sample M1 for June

ACCEPTORS
CURRENT NEW
DROPOUT
FAMILY PLANNING METHOD CURRENT USERS NEW OTHER USER ACCEPTORS
END OF PREVIOUS MONTH ACCEPTORS ACCEPTORS END OF
MAY MAY JUNE JUNE JUNE JUNE
10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total 10-14 15-19 20-49 Total
a. Female Sterilization/BTL 0 0 27 27 0 0 1 1
b. Male Sterilization/Vasectomy 0 0 1 1 0 0 0 0
c1. Pills-POP 0 0 37 37 0 0 12 12
c2. Pills-COC 0 0 10 10 0 0 0 0
d1. IIUD( Interval IUD) 0 0 34 34 0 0 2 2
d2. PP-IUD( Post-Partum IUD) 0 0 36 36 0 0 5 5
e2. Injectables-POI/CIC 0 0 26 26 0 0 3 3
f. NFP-CM( Cervical Mucus) 0 0 0 0 0 0 0 0
g. NFP-BBT( Basal Body Temperature) 0 0 0 0 0 0 0 0
h. NFP-STM(Symptothermal Method) 0 0 0 0 0 0 0 0
i. NFP-SDM( Standard Days Method) 0 0 0 0 0 0 0 0
j. NFP-LAM( Lactational Amenorrhea Method) 0 0 16 16 0 0 0 0
k. Condom 0 0 12 12 0 0 10 10
l. Progestin-only Subdermal Implant 0 0 0 0 0 0 0 0
Total: 0 0 199 199 0 0 33 33

2
IN JULY 2022:

1. After intensive demand generation - FP Provision has been known among the residents of Town A, the following other acceptors (OA) were provided FP services by the
Hospital A
- BTL =5
1 client whose age is 33
4 clients whose age is 34

- Pills (POP)= 20
4 clients whose age is 18
3 clients whose age is 24
2 clients whose age is 26
1 clients whose age is 23
10 clients whose age is 19

- Interval IUD = 10
5 clients whose age is 35
5 clients whose age is 29

- PP-IUD = 10
- 5 clients whose age is 35
- 5 clients whose age is 29

- Injectable (POI) =15


- 5 clients whose age is 18
- 5 clients whose age is 19
- 2 clients whose age is 14 ½
- 3 clients whose age is 17

2. However, some clients of the hospital decided to seek services from the nearby RHU, these are:
- Pills (POP) = 10
5 clients whose age is 25
5 clients whose age is 28

- Injectable =5
2 clients whose age is 28
3 clients whose age is 29

3. One other pill user (COC) whose age is 27 decided to stop as she wanted to get pregnant

4. Some clients, after being counselled decided to take the following methods for the first time:
- Pills (COC) – 5
3 clients whose age is 29
2 clients whose age is 28

- Injectable: 3
3 clients whose age is 25

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