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Records and Reports

Are the registers organized in a central and safe place?

All registers and monthly reports are kept up to date (Last 5 Years)

Are monthly summary reports complete and archived?

Validation of Registers with MS1 (3 random programs)

  1. Spot check for MS1 showing accuracy, timeliness (100% for 12 months)

  2. Check NCDs (HPT, DM and Duo), child and ANC registers and tally sheets (100% for 12 months)

  3. 3 programs (100%) accurate with MS1

Is referral appropriate? (check register) Are patients followed up upon return?

  1. A clear system for referrals and feedback on referrals is in place.

  2. All patients are referred to the next level of care when their needs fall beyond the competency of PHC facility health care and personnel.

  3. Every PHC facility is able to arrange transport for an emergency within at least one hour.

  4. Referrals within and outside the PHC facility are recorded appropriately in the registers.

AEFI

  1. AEFI definition correct

  2. AEFI forms available

Are Under 5 cards used for each child?

Yes

Are Medical Record cards used appropriately for all patients?

  1. Available

  2. All information on patients seen and discharged or referred is correctly recorded on the registers

Is cold chain temperature monitoring conducted and recorded twice daily?

Temperature monitoring conducted and recorded twice daily for at least 2 Years

Is there an updated stock book in place?

Stock book is:

  1. Available

  2. Updated

  3. All the information filled correctly

Are updated micro-plan available at the facility level?

Written schedule for;

  1. Outreach services

  2. Home visits

  3. PHC services

  4. Target/Forecast for supplies

  5. Counseling days

Is there a record of quarterly Water Quality Testing and Monitoring report?

Quarterly Water Quality Testing and Monitoring implemented

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