Escolar Documentos
Profissional Documentos
Cultura Documentos
Outline
Background
Registered maintained at primary level
Details of variables entered
Process of gathering information
Issues in recording variables
Solutions
Background
Health record keeping is necessary for
assessing the health situation in the subcentre area
It help in decision making; includes
managerial aspects such as planning,
organising and control of health care
facilities at the local level
Record Maintenance
List of minimum number of registers to be
maintained at sub-centre level which keep
the record of services provided at the subcentre
Registered maintained at
primary level
Sub Centre
Survey & Eligible couple
register
ANC register
Immunization register
Birth register
Death register
Stock register
Family planning register
PHC
Drug Register
Stock Register
TB Register
Malaria Register
Birth and death register
OPD register
Labour room register
Lab register
House No.
Area
Eligible couple
Name of family members
Total no. of family members
Age
Sex
Relationship
Occupation
Marital Status
Pregnant
Post menopausal
Sterility
Lactating
Caste
BPL Family Planning
No. of children
Infection diseases
Immunization
Vitamin A
Remarks
Solutions
Address issues can be discussed with Sarpanch
of the village for possible solution for house
identification
ANMs should be trained and oriented at regular
intervals in collecting appropriate information
regarding age, lactating history, Immunization
history
ANM should get information from ASHAs about
early pregnancies and motivate for early
registration
ANC Register
Name
Husband name
Address
Caste
Age at marriage
LMP
EDD
First, second, third visit
If JSY registered
HB
BP
Anaemia
Weight
Height of women
Fundal height
FHS
General conditions
Odema on feet
Place of delivery
Sex of baby
Baby weight
Post natal visit
Referral
Solution
Supply of required infrastucture like BP
apparatus, weighing scale, height scale,
hb meter, etc..
Regular supervision of registers and more
emphasis to be given over baby weight
measurements, postnatal visits
Solution
Training should be given to ANMs
regarding fundal height and FHS
measurement
High risk pregnancy can me marked in
separate column and prompt referral to
medical officer to be done. Cross checking
of number of high risk cases and number of
cases referred, can be done medical
officers periodically
Immunization Register
Death Register
Name
Address
Place of Death
Sex
Age
Cause of Death
Remarks
Name
Village Name
Date of Birth
Place of birth
JSY
No. of children
Solution
Birth: change of name should be
mentioned
Death: ANM should visit the home of dead
person and should do the verbal autopsy
to find the main cause; age as recorded in
documents like voter card/adhar card or
bank account should be noted
Stock Register
Problems
Solutions
Entry should be done on
the same day when they
received medicine
There should be sub
stock register for daily
consumption
Name
Husband Name
Age
No. of children
Method used
Name of motivators
Complication
Solution
ANM or ASHA should gain the confidence
of couples when they talk so that they
can share about contraceptive uses
Common Issues
in recording variables
Duplication of data in many registers
Burden of writing works and register
maintenance is time consuming for ANMs
Lack of adequate manpower
Other Register
1. Growth Monitoring
2. Communicable diseases/Epidemic
Register/ Register for Syndromic
Surveillance
3. Passive surveillance register for malaria
cases
Other Register
4. Register for water quality and sanitation
5. Minor ailments Register
6. Records/register as per various National
Health Programme guidelines
(NLEP, RNTCP, NVBDCP, etc. )
IDSP Format
Reporting Format for Syndromic
Surveillance (From S) under
Integrated Disease Surveillance
Project
Interactive discussion
Point out the problems you faced
Thank you