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FP TCL

This document appears to be a target client list for family planning services. It contains identifying information for clients such as name, address, age, and previous method of family planning. The list also includes columns to track follow-up visits and reasons for drop-outs. The purpose seems to be to monitor and provide ongoing services to clients using various family planning methods.

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laliejhess
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419 views2 pages

FP TCL

This document appears to be a target client list for family planning services. It contains identifying information for clients such as name, address, age, and previous method of family planning. The list also includes columns to track follow-up visits and reasons for drop-outs. The purpose seems to be to monitor and provide ongoing services to clients using various family planning methods.

Uploaded by

laliejhess
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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54

TARGET CLIENT LIST FOR FAMILY PLANNING SERVICES


No. Date of Family Serial Complete Name Complete Address Age/ Date SE Status Type of Source** Previous Method***
Registration No. (FN, MI, LN) of Birth 1 - NHTS Client*
(mm/dd/yy) (3) 2 - Non-NHTS (8) (9)
(4) (5) (7)
(1) (2) (6) Jan

* Type of Client: *** Previous Method: **** Reasons:


NA = New Acceptors FSTR/BTL = Female Sterilization/Bilateral tubal ligation NFP-LAM = Lactational Amenorrhea Method A = Pregnant
CU = Current Users MSTR/NSV = Male Sterilization/No-Scalpel Vasectomy NFP-BBT = Basal Body Temperature B = Desire to bec
OA = Other Acceptors CON = Condom NFP-CMM = Cervical Mucus Method C = Medical com
CU-CM = Changing Method Pills-POP = Progestin Only Pills NFP-STM = Symptothermal Method D = Fear of side
CU-CC = Changing Clinic Pills-COC = Combined Oral Contraceptives NFP-SDM = Standard Days Method E = Changed Cli
CU-RS = Restarter INJ = DMPA or CIC NONE or New Acceptor F = Husband dis
IMP = Single rod sub-thermal Implant G = Menopause
** Source: IUD-I = IUD Interval H = Lost or move
Public IUD-PP = IUD Postpartum
Private
55
TARGET CLIENT LIST FOR FAMILY PLANNING SERVICES
FOLLOW-UP VISITS DROP-OUT Remarks/ Deworming Drugs Given to 20-49 years old
(Upper Space: Schedule Date of next visit / Lower Space: Actual Date of Visit) (11) Actions WRA
(10) Taken (13)
Reason**** (12) Date 1st dose Date 2nd dose Status
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Date
given given Check (√) if
given 2 doses

Reasons:
Pregnant I = Failed to get supply For LAM:
Desire to become pregnant J = Change Method A - Mother has a menstruation or not amenorrheic within 6 months OR
Medical complications K = Underwent Hysterectomy B - No longer practicing fully/exclusively breastfeeding OR
Fear of side effects L = Underwent Bilateral Salpingo-oophorectomy C - Baby is more than six (6) months old
Changed Clinic M = No FP Commodity
Husband disapproves N = Unknown
Menopause O = Age out for BTL
Lost or moved out of the area or residence

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