District: ________ HSD: ____________Health Facility: _________________ Level: ____ HMIS 029b: Drop-out rate between DPT1 and DPT 3 Immunization 25% Key: 20% 15% immunization 10% DPT3 5% and 0% DPT1 -5% -10% between -15% out-rate -20% drop -25% of % Year: July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June DOR Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)
District: ________ HSD: ____________Health Facility: _________________ Level: ____ HMIS 029b: Drop-out rate between DPT1 and DPT 3 Immunization % of drop out-rate between DPT1 and DPT3 immunization 25% 20% Key: 15% 10% 5% 0% -5% -10% -15% -20% -25% Year: July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June DOR Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)
hmis_forms_18a_through_30d_2012_0.docx