District: ________ HSD: ____________Health Facility: _________________ Level: ____ HMIS 028: Couple Years of Protection Trends Key: Protection of Years Couple Year: July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June Month Value Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)
District: ________ HSD: ____________Health Facility: _________________ Level: ____ HMIS 028: Couple Years of Protection Trends Couple Years of Protection Key: Year: July Aug Sep Oct Nov Dec Jan Feb Mar Apr May June Month Value Note: For indicator definitions refer to the Quarterly Assessment Report (HMIS 106 B)
hmis_forms_18a_through_30d_2012_0.docx