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='$date' AND MATERNALHEALTHSERVICE ='PAC' AND SERVICETYPE ='PREGNANCY RELATED SERVICES' AND INSVCSTATUS ='NO' GROUP BY NTIHCNO ORDER BY NTIHCNO")) { /* determine number of rows result set */ $row_cnt = mysqli_num_rows($result); printf(" %d \n", $row_cnt); /* close result set */ mysqli_free_result($result); } /* close connection */ mysqli_close($link); ?>
='$date' AND SERVICETYPE ='COUNSELLING SERVICES' AND INSVCSTATUS ='NO' GROUP BY NTIHCNO ORDER BY NTIHCNO")) { /* determine number of rows result set */ $row_cnt = mysqli_num_rows($result); printf(" %d \n", $row_cnt); /* close result set */ mysqli_free_result($result); } /* close connection */ mysqli_close($link); ?>
='$date' AND MATERNALHEALTHSERVICE ='FP' AND SERVICETYPE ='PREGNANCY RELATED SERVICES' AND INSVCSTATUS ='NO' GROUP BY NTIHCNO ORDER BY NTIHCNO")) { /* determine number of rows result set */ $row_cnt = mysqli_num_rows($result); printf(" %d \n", $row_cnt); /* close result set */ mysqli_free_result($result); } /* close connection */ mysqli_close($link); ?>
='$date' AND SERVICETYPE ='OTHER SERVICES' AND INSVCSTATUS ='NO' GROUP BY NTIHCNO ORDER BY NTIHCNO")) { /* determine number of rows result set */ $row_cnt = mysqli_num_rows($result); printf(" %d \n", $row_cnt); /* close result set */ mysqli_free_result($result); } /* close connection */ mysqli_close($link); ?>
| Service date | Vist by |
|---|
| Type of abortion |
| Reason for abortion |
| Complait |
| Remarks |
| Is follow up required?. |
| Follow up date if required |
| * | DRUG | QTY | TIMES | PERIOD | TOTAL |
|---|
| Prescription comment (If required) |
|---|
| Medical service providers |
Activate to process the above services if required
| Enable Lab request |
| Add test(s) required |
| Activate HCG if required |
| Results | ||
| Justify results |
| Turn on referral |
| Referral centre |
| Service referred |
| Action taken |
| Is family planning required? |
|---|
| Is HCT / General counselling required? |
|---|
| Service check |
HIV CARE / ART CARD
| Date | Next appointment | Duration in months since first starting ART | Wt | If pregnant EDD/em TCT? write gestation in weeks and ANC # | TB status | Potential SIDE EFFECTS | New Ols, other problems | Functional status | WHO clinical stage | CPT/Dapsone | ARV drugs | Investigations | Refer or consult or link/provide (including nutritional support and infant feeding) | Pill counting | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tick small box if scheduled | Date | / since starting current regimen | Ht. |
FP/no FP if FP write method(s) | If TB, Start/Stop (mm/yyyy) | Work/playing Amb Bed | WHO clinical stage | Adhere | If CD4 <15% write (-) If CD4 >15 write(+) | Hgb, RPR,CXR,TB sputums, infant Ab/PCR, other | If Hospitalized # of days | |||||
| Muac/oEDEMA +/- | Age in months if <=2 yrs | Adhere | /why | |||||||||||||