Hmis Sops - 2
Hmis Sops - 2
AUGUST 2021
Paul Mbaka
Assistant Commisioner
Division of Health Information
QA Quality Assurance
QC Quality Control
QM Quality Management
SI Strategic Information
TB Tuberculosis
Standard Operating Procedures For Collection and Aggregation of HMIS Data iii
TABLE OF CONTENTS
FOREWORD............................................................................................................i
ACKNOWLEDGEMENT ...............................................................................ii
1.1 BACKGROUND:..................................................................................... 1
1.0 INTRODUCTION.......................................................................................1
1.3.11 Cancers............................................................................... 27
1.3.12 Physiotherapy................................................................... 28
1.3.18 Injuries................................................................................. 35
TB Screening In Opd....................................................................... 42
Leprosy services............................................................................... 43
2.1: Antenatal.............................................................................................43
2.2 Maternity............................................................................................. 55
2.3 Postnatal..............................................................................................63
1A - HIVCARE/ART Services........................................................................105
2. Referrals............................................................................................ 177
3. Surgical Procedure..........................................................................178
Obstetrics/Gyanaecology..............................................................178
Cardiothoracic Surgery..................................................................179
Paediatric Surgery...........................................................................180
Orthopeadics....................................................................................182
UROLOGY..........................................................................................185
4A. Blood...........................................................................................190
5.9 Ultrasound........................................................................................200
Standard Operating Procedures For Collection and Aggregation of HMIS Data vii
6.2.2 Cardiovascular Diseases...............................................213
6.2.4 Cancers..............................................................................217
6.2.10 Injuries...............................................................................226
6.2.11 Toxicology........................................................................228
6.2.13 Neurology.........................................................................230
SURVEILLANCE REPORT............................................................................252
viii Standard Operating Procedures For Collection and Aggregation of HMIS Data
1
INTRODUCTION
1.1 BACKGROUND:
1.2 DEFINITION OF SOPS:
The overall purpose of the HIV related data management SOPs is to guide data collection,
analysis, storage and utilisation of HMIS data. They will also provide management
strategies, tools and devices used to manage HMIS data.
3). To provide guidance to health workers on how to collect and aggregate HMIS
data
4). To provide guidance to health workers and other staff involved in aggregation
and cleaning of HMIS data.
The intended users of the HMIS data management SOPs include health workers involved
in provision of health services and management of HMIS data and their supervisors at
district and national level
Staff involved in provision of health services and management of HMIS data are the primary
users of these SOPs and are expected to ensure that the recommended tools are utilised
during service delivery while the secondary users, who are the supervisors are expected
to institute mechanisms that promote compliance and adherence to national tools.
Data acquisition teams at all levels in the health sector are instrumental in follow-up of
HMIS data quality assurance issues and functionality of the EMR and DHIS2 to ensure that
all relevant HIV related data are entered into the respective electronic systems in a timely
manner.
4). Data Managers and M&E related staff involved in management of HMIS data
at various levels of the Health Sector
While the secondary users include Regional and National level Supervisors namely,
iv). MoH Program and M&E related staff DHI and other MoH Programs and
Departments
ii). Demand and advocate for utilization of valid and real-time HIV
related data,
i). Extract data from HMIS systems including DHIS2 and other relevant data
sources at national level and thus;
Send feedback to regional level HMIS teams, districts and health facilities
detailing inconsistencies
ii). Approve, review and rollout HMIS data management tools and technical
resources including data collection registers, assessment forms, standard
operating procedures (SOPs) and indicators, among others.
iv). Support supervise regional and other related sub-national levels on HMIS
data validation and quality assurance.
v). Review HIV M&E frameworks and plans of the Health Sector, quarterly/
annual health reports and recommend actions for improvement.
vii). Review reports to inform strategic policy direction and inform health
programming including developing issue papers for Health Sector Health
Committees to guide on advocacy efforts.
B) REGIONAL LEVEL
These include Regional Teams involved in supervision of district and health facility level
staff involved in provision of health services and management of HMIS data, these include;
1). Regional Level Teams at the Regional Referral Hospital including Implementing
Partners that support provision of health Services
i). Extract data from HMIS systems including DHIS2 and other relevant data
sources within their respective regions;
ii). Analyze quarterly/annual HMIS data; generate HIV M&E reports and
share reports with district/health facility level health data governance and
management structures, district level implementing partners (IPs) and all
other relevant stakeholders,
C) DISTRICT LEVEL
Premised on the instrument of decentralization, a district and/HSD has the obligation to
effect and regulate health service delivery within its precincts. The MoH-UACP does not
encourage formation of additional structures but calls for support to already established
and functional decision support systems to assimilate HMIS data governance and
management functions. Structures include;
iii). Support holding of quarterly data reviews, planning and feedback meetings,
iv). Use HMIS data to formulate and review district health strategic plans and
ensure its integration into the district development plan and submission to
District Council for approval,
i). Review Health reports and make recommendations to Health facilities and
other health committees,
ii). Review support supervision reports and develop action points to address
HMIS data quality,
v). Identify issues to present to council for approval and financing of health
interventions
ix). Disseminate HMIS tools and promote use of approved MoH HMIS tools
i). Ensure provision of quality health services within the health facility
catchment area
iii). Ensure quality HMIS data collection, validation, cleaning analysis, reporting
and data dissemination
iv). Timely reporting, resolve inconsistencies and validate HMIS data using
HMIS source documents
vi). Ensure that all HMIS data reported through DHIS2 is validated, audited,
cleaned and entered in time
vii). Adherence to all HMIS data management tools, procedures, SOPs and
manuals
viii). All HMIS data validated and cleaned before being reported through DHIS2
1). 1. All health units must compile and submit the HEALTH UNIT OUT-
PATIENT MONTHLY
Section 2, shows a summary of Maternal and Child Health Services, it includes sub-
sections (2.1-Antenatal, 2.2-Maternity, 2.3-Postnatal, 2.4-Exposed Infant Diagnosis
services, 2.5-Early retention monitoring for EMTCT women, 2.6-Family Planning
and 2.7-Child Health Services. The values are obtained from Table 2a (Health
Unit Daily Maternal Health Attendance Summary), Table 3a (Health Unit EPI Daily
Attendance Summary) and Table 4a (Health Unit Daily Family Planning Summary).
Section 4: 4.1-Safe Male Circumcision. Information is obtained from the Safe Male
Circumcision Register.
Section 5: Includes Section 5.1-Essential Medicines and Health Supplies where sub-Section
6,7 and 8: shows a summary of outreach activities, Meeting and Support supervision
activities both planned and actual number carried out, this is obtained from the health
facility work plan and outreach records of the Individual units within the health facility.
Section 9: Includes a summary of laboratory tests. The information is obtained from Table
17a (Laboratory Tests Daily Summary).
Sections 10: contains Stock Status. These values are obtained from the Health Facility
Stock Book and Stock Cards.
Note: The storekeeper should also report verbally to the Health Facility In-charge and
District/HSD Authorities whenever the stock levels reach minimum stock level.
Section 11: (financial summary): The information for the financial summary is obtained from
Health Facility Cash Analysis Book.
Section 12: (comments by the health facility in-charge): A copy of the comments should be
written in the health unit’s LOGBOOK.
12
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
OA01.New Attendance HMIS OPD 002 Colunm 4, 5 &15: Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Tick Classification and 5 respectively and ticked in sub colunm new attendance of colunm
15
OA02: Reattendance HMIS OPD 002 Colunm 4, 5 &15: Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Tick Classification and 5 respectively and ticked in sub colunm Re-attendance of colunm
15
Section: 1.2 OUTPATIENT REFERRALS
OR01.Referral to Unit HMIS OPD 002 Colunm 4, 5 & 19: Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Ref. In No. and 5 respectively and were given a referral number in colunm 19
OR02.Referral from Unit HMIS OPD 002 Colunm 4, 5 & 20: Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Ref.out No. and 5 respectively and were given a refferal number in colunm 20
EP01. Malaria
Positive)
EP01d. Malaria HMIS OPD 002 Colunm 4, 5, 16 & 17: Age, Sex, Tally all patients with in the same age group and the sex from colunm 4
cases treated OUTPATIENT REGISTER Diagnosis & Prescription and 5 respectively who were diagnosed with malaria in colunm 16 and
treated with anti-malaria in colunm 17
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
1.3.1 EPIDEMIC-PRONE DISEASES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EP02. Acute Flaccid HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Paralysis OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed withAcute Flaccid Paralysis in
colunm 16
EP03. Animal Bites HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
(suspected rabies) OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EP04. Cholera HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
EP05. Dysentery HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EP06. Guinea Worm HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EP07. Measles HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EP08. Bacterial HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Meningitis OUTPATIENT REGISTER Diagnosis
EP09. Neonatal tetanus HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
13
EP11. Yellow Fever HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
14
1.3.1 EPIDEMIC-PRONE DISEASES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EP12. Other Viral HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Haemorrhagic Fevers OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EP13. Severe Acute HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Respiratory Infection OUTPATIENT REGISTER Diagnosis
(SARI)
Serious HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
Non Serious HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EP14. Adverse
Events Following
Immunization (AEFI)
EP15. Typhoid Fever HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EP16. Presumptive MDR HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
TB cases OUTPATIENT REGISTER Diagnosis
EP17. Other Emerging HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
infectious Diseases e.g. OUTPATIENT REGISTER Diagnosis
Influenza like illness (ILI),
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CD01. Diarrhoea – Acute HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
CD02. Diarrhoea – HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Persistent OUTPATIENT REGISTER Diagnosis
CD03. Urethral HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
discharges OUTPATIENT REGISTER Diagnosis
CD04. Genital ulcers HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
1.3.2 OTHER INFECTIOUS / COMMUNICABLE DISEASES (CONTINUED)
CD05. Sexually HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Transmitted Infection due OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
to Sexual Gender Based in colunm 16
Violence
CD06. Other Sexually HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Transmitted Infections OUTPATIENT REGISTER Diagnosis
CD07. Urinary Tract HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
15
CD09. Haematological HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Meningitis OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
16
1.3.2 OTHER INFECTIOUS / COMMUNICABLE DISEASES (CONTINUED)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CD10. Other types of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
meningitis OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
CD11.Cough or cold - No HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
pneumonia OUTPATIENT REGISTER Diagnosis
CD12. Pneumonia HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CD13. Severe Pneumonia HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CD14. Skin Diseases HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CD15. Tetanus (over 28 HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
days) OUTPATIENT REGISTER Diagnosis
CD16. Sleeping sickness HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CD17. Pelvic Inflammatory HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Disease (PID) OUTPATIENT REGISTER Diagnosis
CD18. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ND02. Neonatal Sepsis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
(8-28days) OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
ND03. Neonatal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Pneumonia (0-7days) OUTPATIENT REGISTER Diagnosis
ND04. Neonatal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Pneumonia(8-28days) OUTPATIENT REGISTER Diagnosis
ND05. Neonatal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Meningitis OUTPATIENT REGISTER Diagnosis
ND06. Neonatal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Jaundice OUTPATIENT REGISTER Diagnosis
ND07. Premature baby HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
(as a Condition for OUTPATIENT REGISTER Diagnosis
management)
ND08. Other Neonatal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Conditions OUTPATIENT REGISTER Diagnosis
1.3.4 NON COMMUNICABLE DISEASES/CONDITIONS
17
Anaemia OUTPATIENT REGISTER Diagnosis
NC03. Gastro-Intestinal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Disorders (non-Infective) OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
18
1.3.4 NON COMMUNICABLE DISEASES/CONDITIONS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
NC04. Pain Requiring HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Palliative Care OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
in colunm 16
1.3.5 ORAL DISEASES
OD01. Dental Caries HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
OD02. Gingivitis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
OD03. HIV-Oral lesions HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
OD04. Oral Cancers HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
OD05. Other Oral HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Conditions OUTPATIENT REGISTER Diagnosis
1.3.6 ENT CONDITIONS
EN01. Otitis media acute HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
and chronic OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EN04. Rhinitis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EN05. Sinusitis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
EN06. Epixtasis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EN07. Adenoid HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Hypertrophy OUTPATIENT REGISTER Diagnosis
EN08. Foreign Body HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
in nose ear and aero- OUTPATIENT REGISTER Diagnosis
digestive system
EN09. Infected pre HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
-auricular sinuses and OUTPATIENT REGISTER Diagnosis
abscess
EN10. Otitis external HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EN11. Mastoid abscess HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
19
EN13. Tonsillitis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
20
1.3.6 ENT CONDITIONS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EN14. Tonsillar HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
hypertrophy OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EN15. Tinnitus HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
EN16. Head and neck HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
cancers OUTPATIENT REGISTER Diagnosis
EN17. Other ENT HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
conditions OUTPATIENT REGISTER Diagnosis
1.3.7 EYE CONDITIONS
EC01. Allergic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
conjunctivitis OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EC02. Bacterial HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Conjunctivitis OUTPATIENT REGISTER Diagnosis
EC03. Ophthalmia HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
neonatorum OUTPATIENT REGISTER Diagnosis
EC04. Other Forms of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Conjunctivitis OUTPATIENT REGISTER Diagnosis
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EC07. Operable Cataract HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
(< 6/60) OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EC08. Refractive errors HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
EC09. Glaucoma HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EC10. Trachoma HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EC11. Vitamin A HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Deficiency OUTPATIENT REGISTER Diagnosis
EC12. Ocular trauma and HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Burns OUTPATIENT REGISTER Diagnosis
EC13. Diabetic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Retinopathy (All stages) OUTPATIENT REGISTER Diagnosis
EC14. Chorioretinal, HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Macular & Vitreous OUTPATIENT REGISTER Diagnosis
Disorders
21
EC16. Endophthalmitis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
22
1.3.7 EYE CONDITIONS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EC17. Corneal scars (Non HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
trachomatous) OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
EC18. Tumours HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
EC19. Strabismus ( All HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
types) OUTPATIENT REGISTER Diagnosis
EC20. Ptosis and other HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
lid Disorders OUTPATIENT REGISTER Diagnosis
EC21. Squamous Cell HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Carcinoma of Conjunctiva OUTPATIENT REGISTER Diagnosis
EC22. Retinoblastoma HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
EC23. Other Malignant HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Tumours OUTPATIENT REGISTER Diagnosis
EC24. Other Benign HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Tumours/Growths OUTPATIENT REGISTER Diagnosis
EC25. Other Eye HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EC28. Spectacles HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Dispensed OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
in colunm 16
1.3.8 MENTAL HEALTH
MH01. Anxiety Disorders HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
MH02. Anxiety Disorders HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
due to gender based OUTPATIENT REGISTER Diagnosis
violence
MH03. Unipolar HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Depressive Disorder OUTPATIENT REGISTER Diagnosis
MH04. Bipolar disorder HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
MH05. Schizophrenia HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
MH06. Post -Traumatic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
23
MH08. HIV related HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
psychosis OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
24
1.3.8 MENTAL HEALTH
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MH09. Alzheimer’s HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
disease OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
MH10. HIV related HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
dementia OUTPATIENT REGISTER Diagnosis
MH11. Alcohol related HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Dementia OUTPATIENT REGISTER Diagnosis
MH12. Dementia due HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
to stroke (Diabetes, OUTPATIENT REGISTER Diagnosis
Hypertension)
MH13. Other form of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Dementia OUTPATIENT REGISTER Diagnosis
MH14. Other Adult Mental HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Health Conditions OUTPATIENT REGISTER Diagnosis
MH15. Internet addiction HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
MH16. Alcohol Use HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Disorder OUTPATIENT REGISTER Diagnosis
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MH19. Intellectual HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
disability OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
MH20. Autism spectrum HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
disorders OUTPATIENT REGISTER Diagnosis
1.3.9 NEUROLOGICAL DISORDERS
NE01. Aphasia or Loss of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Language due to Stroke; OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
NE02. Dysarthria or HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Speech Disorder due to OUTPATIENT REGISTER Diagnosis
Stroke
NE03. Parkinson’s HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
disease OUTPATIENT REGISTER Diagnosis
NE04. Dementia or HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
excessive forgetfulness OUTPATIENT REGISTER Diagnosis
due to advanced age,
NE05. Amyotrophic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
25
closed)
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
26
1.3.9 NEUROLOGICAL DISORDERS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
NE07. Persons in Coma / HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Emergency Care OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
NE08. Alzheimer Disease HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
NE09. Down Syndrome HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
(DS) OUTPATIENT REGISTER Diagnosis
NE10. CP / PMLD HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
NE11. Child abuse and HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Neglect OUTPATIENT REGISTER Diagnosis
NE12. Attention Deficit HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Hyperactivity disorder OUTPATIENT REGISTER Diagnosis
(ADHD)
NE13. Learning Disability HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
NE14. Conduct disorders HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
NE17. Sleeping Disorders HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
NE18. Enuresis/ HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Encopresis OUTPATIENT REGISTER Diagnosis
NE19. Other Childhood HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Mental Disorders OUTPATIENT REGISTER Diagnosis
NE20. Mental illness due HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
other Medical/ surgical OUTPATIENT REGISTER Diagnosis
conditions
NE21. Attempted Suicide/ HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Self-harm OUTPATIENT REGISTER Diagnosis
1.3.10 CHRONIC RESPIRATORY DISEASES
CR01. Asthma HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
CR02. Chronic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Obstructive Pulmonary OUTPATIENT REGISTER Diagnosis
27
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
CA02. Prostate Cancer HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
28
1.3.11 CANCERS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CA03. Breast Cancer HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
CA04. Lung Cancer HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
CA05. Liver Cancer HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CA06. Colon Cancer HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CA07. Kaposis Sarcoma HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CA08. Other Cancers HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
1.3.12 PHYSIOTHERAPY
PT01. Muscular disorders. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
PT02. Joint dysfunction. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PT05. Chest trauma/ HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Injury. OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
PT06. Paralysis due to HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
spinal cord injury and OUTPATIENT REGISTER Diagnosis
other diseases
PT07. Cerebral Palsy/ HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Delayed motor OUTPATIENT REGISTER Diagnosis
or sensory developmental HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
milestones.(CP) OUTPATIENT REGISTER Diagnosis
PT08. Upper Motor HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Neuron lesions (UMN) OUTPATIENT REGISTER Diagnosis
PT09. Facial palsy HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
PT10. Lower motor HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
neuron lesions (LMN) OUTPATIENT REGISTER Diagnosis
PT11. Gynaecological, HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
obstetric and urogenital OUTPATIENT REGISTER Diagnosis
29
PT13. Altered Posture HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
and gait. OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
30
1.3.12 PHYSIOTHERAPY
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PT14. Injection neuritis/ HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Acute flaccid paralysis OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
PT15. Congenital HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
abnormalities OUTPATIENT REGISTER Diagnosis
PT16. Spine disorders e.g HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
neck, thoracic, lumber, OUTPATIENT REGISTER Diagnosis
coccygeal pains
PT17. Lymph oedema. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
PT18. Patients prescribed HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
with assistive devices OUTPATIENT REGISTER Diagnosis
PT19. Others HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
1.3.13 OCCUPATIONAL THERAPY CONDITIONS
OT01.Neuro- HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
developmental Disorders OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
OT02.Sensory HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
OT05.Post-burns HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
contractures OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
OT06.Orthopaedic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Conditions OUTPATIENT REGISTER Diagnosis
OT07. Mental Health HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Conditions OUTPATIENT REGISTER Diagnosis
OT08.Birth Defects and HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Trauma OUTPATIENT REGISTER Diagnosis
OT09. Arthrogryposis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
OT10. HIV/ AIDS HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
OT11. Diabetes HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
OT12. Cancer HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
31
OUTPATIENT REGISTER Diagnosis
OT15. Patients prescribed HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
with assistive devices OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
32
1.3.14 SPEECH AND LANGUAGE THERAPY
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
SL01. Speech and HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
language delay/ disorder OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
SL02. Motor speech HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
disorders OUTPATIENT REGISTER Diagnosis
SL03. Hearing HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
impairments OUTPATIENT REGISTER Diagnosis
SL04. Voice disorders HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
SL05. Dysfluency / HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
stammering OUTPATIENT REGISTER Diagnosis
SL06. Acquired HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
neurological disorders OUTPATIENT REGISTER Diagnosis
SL07. Cleft lip and palate HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
SL08. Others HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
1.3.15 DISABILITIES
33
Mentally impairment OUTPATIENT REGISTER Diagnosis
DS13. Individuals with HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Emotionally impairment OUTPATIENT REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
34
1. 1.3.16 CARDIOVASCULAR DISEASES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CV01. Stroke/ HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Cardiovascular OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
Accident(CVA) in colunm 16
CV02. Hypertension HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CV03. Heart failure HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
CV04. Ischemic Heart HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Diseases OUTPATIENT REGISTER Diagnosis
CV05. Rheumatic Heart HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Diseases OUTPATIENT REGISTER Diagnosis
CV06. Chronic Heart HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Diseases OUTPATIENT REGISTER Diagnosis
CV07. Other HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Cardiovascular Diseases OUTPATIENT REGISTER Diagnosis
1.3.17 ENDOCRINE AND METABOLIC DISORDERS
EM01. Diabetes mellitus HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
IN01. Jaw injuries HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
IN02a. Motor HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Vehicle OUTPATIENT REGISTER Diagnosis
IN02b. Motor HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Cycle OUTPATIENT REGISTER Diagnosis
IN02c. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Bicycles OUTPATIENT REGISTER Diagnosis
IN02d. Others HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
bites
IN05.
35
REGISTER Diagnosis
IN07. Insect bites HMIS OPD 002 OUTPATIENT Colunm 4, 5 & 16 : Age, Sex &
REGISTER Diagnosis
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
36
1.3.19 MINOR OPERATIONS IN OPD
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MN01. Tooth extractions HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
MN02. Dental Fillings HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
MN03. Other Minor HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Operations OUTPATIENT REGISTER Diagnosis
1.3.20 NEGLECTED TROPICAL DISEASES (NTDS)
NT01. Leishmaniasis HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
NT02. Lymphatic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
Filariasis (hydrocele) OUTPATIENT REGISTER Diagnosis
NT03. Lymphatic HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Filariasis (Lympoedema) OUTPATIENT REGISTER Diagnosis
NT04. Urinary HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Schistosomiasis OUTPATIENT REGISTER Diagnosis
NT05. Intestinal HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Schistosomiasis OUTPATIENT REGISTER Diagnosis
37
MC09. Haemorrhage HMIS OPD 002 OUTPATIENT Colunm 4, 5 & 16 : Age, Sex &
related to pregnancy REGISTER Diagnosis
(PPH)
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
38
1.3.21 MATERNAL CONDITIONS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
Total HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Screened OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
Number with HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
MC10.
Breast
cancer
breast cancer OUTPATIENT REGISTER Diagnosis
Total HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Screened OUTPATIENT REGISTER Diagnosis
Number HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
with cervical OUTPATIENT REGISTER Diagnosis
MC11. Cervical
cancer
cancer
1.3.22 OTHER OPD CONDITIONS
OP01. All others HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
Disease code1 HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
RB01. Alcohol use HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
RB02. Tobacco use HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
OUTPATIENT REGISTER Diagnosis
RB03. Tobacco exposure HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
OUTPATIENT REGISTER Diagnosis
1.3.24 EMERGENCY MEDICAL SERVICES
ES01. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
emergency cases at the OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
facility in colunm 16
ES02. Patients that HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
receive care at the scene OUTPATIENT REGISTER Diagnosis
of emergency
ES03. Emergency cases HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
that arrive at the facility OUTPATIENT REGISTER Diagnosis
using an Ambulance
ES04. Number of patients HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
39
ES05. Number of patients HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
accessing care within 1hr OUTPATIENT REGISTER Diagnosis
in an emergency unit
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
Section: 1.1 OUTPATIENT ATTENDANCE
40
1.3.24 EMERGENCY MEDICAL SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ES06. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
patients who develop OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
complications within 24 in colunm 16
hours after management/
care
ES07. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
patients with hypoxemia OUTPATIENT REGISTER Diagnosis
administered with
oxygen
ES08. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
patients with external OUTPATIENT REGISTER Diagnosis
haemorrhages controlled
ES09a. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Medical OUTPATIENT REGISTER Diagnosis
emergencies
ES09b. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
Obstetrics OUTPATIENT REGISTER Diagnosis
gynaecology
emergencies
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ES09d. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
Surgical OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
emergencies in colunm 16
ES09e. Road HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
traffic Injuries OUTPATIENT REGISTER Diagnosis
ES09f. Burns HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
emergency unit
OUTPATIENT REGISTER Diagnosis
ES09g. HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
vaccination for
ES11. Number of
Patients receiving
OUTPATIENT REGISTER Diagnosis
42
TB SCREENING IN OPD
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
TP01. Number screened HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
for TB in OPD OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
TP02. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & in colunm 16
presumptive TB cases OUTPATIENT REGISTER Diagnosis
identified from OPD
TP03. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
presumptive cases OUTPATIENT REGISTER Diagnosis
diagnosed with TB from
OPD
REGISTRATION IN TB TREATMENT UNIT
TP04. Total New and HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
relapse TB cases OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
registered in TB in colunm 16
treatment unit
TB PREVENTIVE THERAPY (TPT)
TP05. Number of HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex & Tally all patients with in the same age group and the sex from colunm 4
contacts of TB patients OUTPATIENT REGISTER Diagnosis and 5 respectively who were diagnosed with the respective Diagnosis
started on TPT in colunm 16
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
Tally all patients with in the same age group and the sex from colunm 4
PB HMIS OPD 002 Colunm 4, 5 & 16 : Age, Sex &
and 5 respectively who were diagnosed with the respective Diagnosis
(Paucibacillary) OUTPATIENT REGISTER Diagnosis
in colunm 16
cases registered
2.0: MATERNAL AND CHILD HEALTH SERVICES
2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN01: ANC 1st contacts: HMIS MCH 005: Column 8: ANC visit For total: Tally all pregnant women with "1" in column 8: ANC visit
visits for women INTEGRATED ANTENATAL Column 5: Age disaggregate by age column 5: Age
REGISTER
column 8 :ANC visit For No. in 1st Trimester: tally pregnant women with `”√” in column 12:
Column 12: ANC timing ANC timing
AN02: ANC 4th contacts: HMIS MCH 005: Column 8: ANC visit Tally all pregnant women in column 8: ANV visit with "4" disaggregate
visits for women INTEGRATED ANTENATAL Column 5: Age by age in column 5: Age .
AN03: ANC 4+ contacts: HMIS MCH 005: Column 8: ANC visit Tally all pregnant women in column 8: ANC visit with code "4+"
visits for Women INTEGRATED ANTENATAL Column 5: Age disaggregate by age column 5: Age
43
REGISTER
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
44
2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN04: ANC 8 contacts: HMIS MCH 005: Column 8: ANC visit Tally all pregnant women in column 8: ANC visit with code "8"
visits for Women INTEGRATED ANTENATAL Column 5: Age disaggregate by age column 5: Age
REGISTER
AN05: Total ANC HMIS MCH 005: Column 8: ANC visit Tally all pregnant women who attended ANC within the respective
contacts: visits (new INTEGRATED ANTENATAL Column 5: Age age disaggregation in column 5: Age
clients + Reattendances) REGISTER
AN06: Referrals to ANC HMIS MCH 005: column 35: refferals in:out “For Total referals:
unit: Total refferal INTEGRATED ANTENATAL Tally all pregenant women referred in this facility in column 35: Referrals
REGISTER IN/OUT REFIN with code REFIN for referrals in the unit and C:REFIN: for
referrals from the community.
For From community services:
Tally all pregnant women referred to this unit from community in column
35: Referrals IN/OUT with code C:REFIN.”
AN07: ANC Referrals HMIS MCH 005: column 35: refferals in:out For Total referals from unit:
from unit: total refferal INTEGRATED ANTENATAL Tally all pregenant women referred from this unit in column 35: Referrals
from unit REGISTER IN/OUT REFIN with code OUT and FSG for HIV+ women newly enrolled
in MCH group.
For HIV+ Womens newly enrolled in MCH group:
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN08: First dose IPT HMIS MCH 005: column 30:IPT: Tally all pregnant women whose IPT code is “1” and CTX in column
(IPT1) INTEGRATED ANTENATAL 30: IPT/CTX, column 8 :ANC visit coded “1” disaggregate by age in
CTX
REGISTER column 5: Age .
AN09: Second dose IPT HMIS MCH 005: column 30:IPT: Tally all pregnant women whose IPT code is “2” in column 30: IPT/
(IPT2) INTEGRATED ANTENATAL CTX, disaggregate by age in column 5: Age .
CTX
REGISTER
AN10: Third dose IPT HMIS MCH 005: column 30:IPT: Tally all pregnant women whose IPT code is “3” in column 30: IPT/
(IPT3) INTEGRATED ANTENATAL CTX, disaggregate by age in column 5: Age .
CTX
REGISTER
AN11: IPT 4 & 4+ Dose HMIS MCH 005: column 30:IPT: Tally all pregnant women whose IPT code is “4 & 4+” in column 30:
INTEGRATED ANTENATAL IPT/CTX, disaggregate by age in column 5: Age .
CTX
REGISTER
AN12: TB Screening for HMIS MCH 005: column 22:TB For Screened for TB,
ANC clients: Screened INTEGRATED ANTENATAL
Status Tally all pregnant women in column 22: TB status with codes
for TB REGISTER 1,2,3C,3G,3L,3M,3X,3O,4, 5 and 6
For Presumed to have TB,
45
Tally all pregnant women in column 22:TB status with codes
3C,3G,3L,3M,3X and 3O.
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
46
2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN13: Blood & Rhesus HMIS MCH 005: column 25:Blood Screening For Blood & Rhesus group (O): Total,
group (O) INTEGRATED ANTENATAL Tally all pregnant women in column 25: Blood screening: (Blood group)
REGISTER with code “O” .
For Blood & Rhesus group (O): Rhesus O+,
Tally all pregnant women in column 25: Blood Screening: (Rh) with code
“O+”.
AN14: Blood & Rhesus HMIS MCH 005: column 25:Blood Screening For Blood & Rhesus group (A): Total,
group (A) INTEGRATED ANTENATAL Tally all pregnant women in column 25: Blood screening: (Blood group)
REGISTER with code “A” .
For Blood & Rhesus group (A): Rhesus A+,
Tally all pregnant women in column 25: Blood Screening: (Rh) with code
“A+”.
AN15: Blood & Rhesus HMIS MCH 005: column 25:Blood Screening For Blood & Rhesus group (B): Total,
group (B) INTEGRATED ANTENATAL Tally all pregnant women in column 25: Blood screening: (Blood group)
REGISTER with code “B” .
For Blood & Rhesus group (B): Rhesus B+,
Tally all pregnant women in column 25: Blood Screening: (Rh) with code
“B+”.
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN17: No. of pregnant HMIS MCH 005: column 8: ANC Visit and Tally pregnant women in column 8: ANC visit with code “1” and
women who were tested INTEGRATED ANTENATAL column 25: Blood Screening documented HB results in column 25: Blood Screening; (HB)
for Anaemia using Hb REGISTER
Test at ANC 1st Contact
: visit
AN18: No. of pregnant HMIS MCH 005: column 8: ANC Visit and Tally all pregnant women in column 8: ANC visit with code “1” with
women with Anaemia INTEGRATED ANTENATAL column 25: Blood Screening documented HB results (Hb<10g:dl) in column 25: Blood Screening;
(Hb<10g:dl) at ANC 1st REGISTER (HB)
Contact : visit
AN19: No. of pregnant HMIS MCH 005: column 11: Gestational age and Tally all pregnant women in column 11: Gestational age 36 weeks and
women who were tested INTEGRATED ANTENATAL column 25: Blood Screening above with documented HB results in column 25: Blood Screening;
for anaemia using Hb test REGISTER (HB)
at ANC after 36 weeks
AN20: No. of pregnant HMIS MCH 005: column 11: Gestational age and Tally all pregnant women in column 11: Gestational age above 36
women with Anaemia INTEGRATED ANTENATAL column 25: Blood Screening weeks with documented HB results (Hb <10g:dl) in column 25:
(Hb <10g:dl) at ANC after REGISTER Blood Screening; (HB)
36 weeks
AN21: Pregnant Women HMIS MCH 005: column 8: ANC visits Tally all pregnant women whose ANC is “1” in column 8; ANC visit,
47
contact : visit (all Folic Iron:Folic Acid:
Acid recommended Combined
during 1st trimester)
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
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2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN22: Pregnant Women HMIS MCH 005: column 11: Gestation Age Tally all pregnant women in column 11: Gettation Age above 36 weeks
receiving at least 30 INTEGRATED ANTENATAL with documented 30 tablets of both folic acid, Iron Sulphate or
tablets of Folic Acid REGISTER column 33: Number Of Pills
combined in column 33: Number Of Pills Iron/Folic Acid/Combined.
and Iron Sulphate at Iron:Folic Acid:
ANC after 36 weeks of Combined
gestation
AN23: Pregnant Women HMIS MCH 005: column 8:ANV visit Tally all pregnant in column 8: ANC Visit with code “1” and column
receiving LLINs at ANC INTEGRATED ANTENATAL 31 with code “Y” .
1st visit column 31:LLIN
REGISTER
AN24: No. of pregnant HMIS MCH 005: column 23:WOA U:S scan For Total U:S scan done;
women who received INTEGRATED ANTENATAL done , Tally all pregnant women in column 23: WOA U:S scan dane with
obstetric-ultra sound REGISTER documented gestation age
scan during any ANC visit column 11 :Gestational age
in the reporting month For No. done before 24 weeks of gestation and below:
Tally all pregnant women in column 23: WOA U:S scan done with
documented gestation age below 24 weeks.
AN25: No. of pregnant HMIS MCH 005: column 32: Mabendazole For Total:
women dewormed or INTEGRATED ANTENATAL Tally all pregnant women in column 32: Mabendazole with code ”√”
receiving mebendazole column 11 :Gestational age
REGISTER After 28 weeks of gestation:
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN26: Pregnant Women HMIS MCH 005: column 2: Syphilis & Hep B For No. tested for syphilis:
tested for syphilis for INTEGRATED ANTENATAL Test Tally all pregnant women in column 27: Syphilis & Hep B test Results
the first time in this REGISTER
Results (W-Syphilis) with codes Rx, +Ve and NR
pregnancy
For No. tested positive:
Tally all pregnant women in column 27: Syphilis & Hep B test Results
(W-Syphilis) with codes Rx, and +Ve
For No. started syphilis treatment:
Tally all pregnant women in column 27: Syphilis & Hep B test Results
(W-Syphilis) with codes Rx
AN27: Male partners HMIS MCH 005: column 27 :Syphilis & Hep B For No. tested for Syphilis:
tested for syphilis INTEGRATED ANTENATAL Test Tally all pregnant women in column 27: Syphilis & Hep B test Results
REGISTER
Results (P-Syphilis) with codes Rx, +Ve and NR
For No. tested positive:
Tally all pregnant women in column 27: Syphilis & Hep B test Results
(P-Syphilis) with codes Rx, and +Ve
49
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
50
2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN28: Pregnant women HMIS MCH 005: column 27 :Syphilis & Hep B For No. tested for Hepatitis B: Tally all pregnant women in column 27:
tested for Hepatitis B. INTEGRATED ANTENATAL Test Syphilis & Hep B test Results (W-Hepatitis B) with codes Rx, +Ve and NR
REGISTER For No. tested positive:Tally all pregnant women in column 27: Syphilis &
Results
Hep B test Results (W-Hepatitis B) with codes Rx, and +VeFor No. started
syphilis treatment:Tally all pregnant women in column 27: Syphilis & Hep
B test Results (W-Hepatitis B) with codes Rx
AN29: Pregnant women HMIS MCH 005: column 5 :Age, 8 :ANC visit For Total Newly Tested for HIV:Tally all pregnant women in column
newly tested for HIV in INTEGRATED ANTENATAL and 16 :eMTCT Status 16: eMTCT status-(W-Initial results) with codes “TR” and “TRR” with the
this pregnancy at any REGISTER respective age disaggregation in column 5: Age ForNewly Tested for
ANC visit (TR & TRR) HIV at ANC1: Tally all pregnant women in column 8: ANC visit with code
“1”, and column 16: eMTCT status-(W-Initial results) with codes “TR” and
“TRR” with the respective age disaggregation in column 5: Age
AN30: Pregnant Women HMIS MCH 005: column 5 :Age, 8 :ANC visit For Total Newly Tested Positive for HIV:Tally all pregnant women in
tested HIV+ for 1st time INTEGRATED ANTENATAL and 16 :eMTCT Status column 16: eMTCT status-(W-Initial results) with codes “TRR” with the
this pregnancy (TRR) at REGISTER respective age disaggregation in column 5: Age ForNewly Tested
any ANC Visit Positive for HIV at ANC1: Tally all pregnant women in column 8: ANC
visit with code “1”, and column 16: eMTCT status-(W-Initial results) with
codes “TRR” with the respective age disaggregation in column 5: Age
AN31: HIV+ Pregnant HMIS MCH 005: column 5: Age, Tally all HIV+ pregnant women in column 16: eMTCT status with code
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN34: HIV+ pregnant HMIS MCH 005: column 5:Age, Total ART-K during the month:
women already on ART INTEGRATED ANTENATAL
column 8: ANC Visit, Tally all pregnant women in column 8: ANC visit with code “1” and column
before 1st ANC (ART-K) REGISTER 20: ART with code “ART-K” with the respective age disaggregation in
column 16: W-Initial result,
column 5.
column 18 : Viral load and 20
Viral Load Samples collected during the month:
:ART.
Tally all pregnant women in column 8: ANC visit with code “1” and column
20: ART with code “ART-K” with documented VL samples collection
date in column 18: CD4, VL & WHO Clinical Stag with the respective age
disaggregation in column 5: Age.
Viral Load results Returned during the month:
Not avaulable in the primary source document, but it can be Tallied from
ART-client file for all pregnant women with “ART-K” in column 20 and VL
results returned date on the VL result slip respective age disaggregation.
Viral Load Suppressed during the month:
Tally all pregnant women in column 8: ANC visit with code “1” and column
20: ART with “ART-K” with documented VL result above 1000copies:ml
51
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
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2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN35: Pregnant women HMIS MCH 005: column 16 :W-Initial result. For Total (TR+&TRR+):
who re-tested later in INTEGRATED ANTENATAL Tally all pregnant women in column 16: eMTCT status (W-Initial result).
pregnancy REGISTER with code “TR+ and TRR+”
For HIV+ (TRR+):
Tally all pregnant women in column 16: eMTCT status (W-Initial result).
with code “TRR+”
AN36: HIV+ pregnant HMIS MCH 005: column 20 :ART Tally all HIV+ pregnant women in column 16: eMTCT status- (Initial
women given ARV INTEGRATED ANTENATAL Facility results) with code “TRR, TRR√ TRR+, TRRK” with documented
prophylaxis for the un REGISTER infant ARV prophylaxis in column 20: ART-(Infant Arv Prophylaxis)
born infants for the 1st
time in ANC
AN37: Pregnant women HMIS MCH 005: column 16: eMTCT Status For Total:
given self-testing kits for INTEGRATED ANTENATAL Tally all pregnant women in column 16: eMTCT status-(W-STK Given?)
their male partners REGISTER with code “Yes”
For Tests returned HIV+:
Tally all pregnant women in column 16: rMTCT status (P-STK result) with
code “POS”
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN38: Male partners HMIS MCH 005: column 16: eMTCT status:. For Total tested (TR&TRR):
received HIV test results INTEGRATED ANTENATAL Tally all male partners column 16: eMTCT status (P-Facility result).with
in eMTCT REGISTER codes “TR and TRR”
53
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
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54
2.1: ANTENATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
AN42: Pregnant HMIS MCH 005: column 16:W-Initial result For Maternal Nutrition Counselling Total:
women who received INTEGRATED ANTENATAL
column 21: Infant & Young Tally all pregnant women in Column 21: Infant & Young Child Feeding
Counselling REGISTER Counselling & Maternal Nutrition Counselling- (Maternal Nutrition
Child Feeding
Counselling) with code “Yes”
Counselling &
For Maternal Nutrition Counselling HIV+:
Maternal Nutrition
Tally all pregnant women in Column 21: Infant & Young Child Feeding
Counselling Counselling & Maternal Nutrition Counselling- (marternal nutrition
counselling) with code “Yes” column 16: eMTCT status (Facility result
with code “TRR, TRR+, TRRK, TRR√”
For Infant feeding Counselling Total:
Tally all pregnant women in Column 21: Infant & Young Child Feeding
Counselling & Maternal Nutrition Counselling- (Infant feeding
Counselling) with code “Yes”
For Infant feeding Counselling HIV+:
Tally all pregnant women in Column 21: Infant & Young Child Feeding
Counselling & Maternal Nutrition Counselling- (Infant feeding counselling)
with code “Yes” column 16: eMTCT status (Facility result with code “TRR,
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA01: Admissions HMIS MCH 006: column 1: DOA Tally all women in column 1: DOA that received maternity services
INTEGRATED MATERNITY with a date within the reporting period
REGISTER
MA02: Referrals to HMIS MCH 006: column 3 : ANC No/Ref In No/ For Total referals:
maternity unit INTEGRATED MATERNITY C:Ref In- Tally all women referred in this facility in column 3: ANC/ Ref IN No/C:ref
REGISTER In with code Ref IN for referrals in from the unit and C:Ref IN: for referrals
from the community..
For From community services:
Tally all women referred to this unit from community in column 3:
Referrals IN/OUT with code C:RefIN.
MA03: Maternity referrals HMIS MCH 006: column 47:CONDITION OF Tally only women with code “R” in column 47: Condition of the
out INTEGRATED MATERNITY MOTHER ON DISCHARGE: Mother at Discharge
REGISTER
56
2.2 MATERNITY
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA04: Deliveries in unit HMIS MCH 006: column 21:DATE OF For MA04a. Total:
INTEGRATED MATERNITY DELIVERY, Tally all mothers in delivery information section with documented date of delivery
REGISTER in column 21: Date of delivery with in the reporting period based on age groups
COLUMN 32:WEIGHT (WT): in column 7: Age
COLUMN 42:CONDITION OF For MA04b Live births:
BABY AT DISCHARGE: Tally all mothers in information section in column 21: Live births with code “Y”.
For MA04b. Live births < 2.5kg:
Tally all child in information section in column 32: weight (kg) with documented
wight below 2.5 kgs.
For MA04c Fresh still birth:
Tally all mothers in child information section in column 42: Condition of the baby
at discharge with code FSB
For MA04c. Fresh still birth < 2.5kg:
Tally all mothers child information section in column 42: Condition of the baby
at discharge with code FSB with weight below 2.5kg in column 32: weight (kg).
For MA04d. Macerated still birth:
Tally all mothers in child information section in column 42: Condition of the baby
at discharge with code MSB.
For MA04d. Macerated still birth <2.5kg:
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA05: Pre-Term Births HMIS MCH 006: column 13: Term (T)/Pre- For Total:
INTEGRATED MATERNITY Term(P) Tally all mothers that had a Pre-Term delivery in column 13: Term (T)/Pre-
REGISTER
column 21: Live birth Term(P) with code “P”
57
weight babies(<2.5kg INTEGRATED MATERNITY code “KMC” in column 29: Source of Warmth
column 29: Source of Warmth
initiated on REGISTER
Kangaroo(KMC)
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
58
2.2 MATERNITY
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA08: Live babies at HMIS MCH 006: Column 42: Condition of Baby Tally all babies in column 42: Condition of the baby at discharge with
discharge INTEGRATED MATERNITY at discharge code “AL”,”AL-R” and “AL-T”.
REGISTER
MA09: No. of Babies HMIS MCH 006: Column 42: Condition of Baby Tally all babies in column 42: conditions of the baby at discharge with
born with defect INTEGRATED MATERNITY at discharge code “BDF”
REGISTER
MA10: No. of Babies HMIS MCH 006: column 41: LLINs Given To Tally all babies in column 41: LLINs Given to baby with code “Y”
received LLIN INTEGRATED MATERNITY baby
REGISTER
MA11: Newborn deaths HMIS MCH: 006 Column 42: Condition of Baby Tally all babies in column 42: Condition of the baby at discharg with
(0-7 Days) INTEGRATED MATERNITY at discharge code ‘NND’ in HMIS MCH: 006 and all babies in column 27: Status at
REGISTER and HMIS MCH 28 days and date with code “DD” in HMIS MCH 011.
coulumn 27: Status at 7 Days
011: NEWBORN INPATIENT
and Date
REGISTER
MA12: Neonatal Death HMIS MCH 011: NEWBORN Column 28: Status at 28 Days Tally all babies in column 28: Status of the baby at discharge with
8-28 days REGISTER and Date code “DD”.
MA13: Maternal deaths HMIS MCH 006: colum 47:Condition of Mother Tally all women in column 47: condition of the mother at discharge
INTEGRATED MATERNITY at discharge with code "DD" disaggregate based on the age in column 7: Age
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA14: No. of mothers HMIS MCH 006: column 30:Breast Fed Less or For Total:
who initiated INTEGRATED MATERNITY
Equal to 1Hr Tally all women in column 30: Breast Fed Less or
breastfeasting within the REGISTER
1st hour after delivery. column 16 :eMTCT-W Equal to 1Hr with code “Y”
For HIV+:
Tally all women in column 30: Breast Fed Less or
Equal to 1Hr with code “Y” and column 16; eMTCT status W initial results
with any of these codes “TRR,TRR+,TRRK,TRR√”
MA15: Women tested for HMIS MCH 006: column 16:eMTCT For Total (TR & TRR):
HIV in labour 1st time this INTEGRATED MATERNITY Tally all women in Column 16: eMTCT-W Initial results with codes TR &
Pregnancy REGISTER TRR
For HIV+ (TRR):
Tally all women in Column 16:eMTCT -W Initial results with codes TRR
MA16: Women re-tested HMIS MCH 006: column 16:eMTCT For Total (TR+ & TRR+):
for HIV in labour INTEGRATED MATERNITY Tally all women in Column 16: eMTCT-W Initial results with codes TR+ &
REGISTER TRR+
59
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
60
2.2 MATERNITY
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA18: Male partners HMIS MCH 006: column 16: eMTCT-P For Total (TR & TRR):
received HIV test results INTEGRATED MATERNITY Tally all women in Column 16: eMTCT-P Initial results with codes TR &
in the maternity setting. REGISTER TRR
For HIV+ (TRR):
Tally all women in Column 16:eMTCT -P Initial results with codes TRR
MA19: HIV+ male HMIS MCH 006: Column16:eMTCT-P-ART Tally all women in Column 16: eMTCT-P Initial results with ART codes
partners initiated on ART INTEGRATED MATERNITY Code “ART”
in the maternity setting REGISTER
MA20: Number of HMIS MCH 006: Column 16:eMTCT-P and W Tally all women in column 16: eMTCT (W&P) initial results discordant
discordant couples INTEGRATED MATERNITY for woman and partner
identified in maternity. REGISTER
MA21: Mothers Received HMIS MCH 006: column 46:Counselling at For Maternal Nutrition Counselling Total:
nutrition Counselling INTEGRATED MATERNITY Tally all pregnant women in Column 46: Maternal Nutrition Counselling
Discharge and 45:INFANT
REGISTER with code “Yes”
AND YOUNG CHILD FEEDING
For Maternal Nutrition Counselling HIV+:
Tally all pregnant women in Column 46: Maternal Nutrition Counselling-
with code “Yes”and column 16: eMTCT-W initial results with code “TRR,
TRR+, TRR√”
For Infant feeding Counselling Total:
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA22: Deliveries to HIV+ HMIS MCH 006: colum 16:eMTCT and column For Total:
women in unit INTEGRATED MATERNITY 21: Date of delivery/Live birth Tally all women in column 16:eMTCT-W initial results with code (TRR,
REGISTER TRR+ & TRR√) and column 21: Date of delivery with in the reporting
period
For HIV+:
Tally all women in column 16:eMTCT-W initial results with code (TRR,
TRR+ & TRR√) and column 21: Live birth with code “Y” with date of
delivery with in the reporting period
MA23: HIV Exposed HMIS MCH 006: column 33: RISK STATUS: For Total:
infants given ARVs INTEGRATED MATERNITY ARVs ADMINISTERED: Tally women in column 33: ARV administered to the baby with code ‘Y’.
REGISTER DURATION
For Number of high-risk infants 12 weeks:
Tally all women in column 33: Risk status with code HIGH and “Y” for
ARV administration to the baby
MA24: No. of babies with HMIS MCH 006: Column 25: APGAR SCORE Tally all women in column 25: Apgar score with code-’A’
Birth asphyxia INTEGRATED MATERNITY (A:S):
REGISTER
61
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
62
2.2 MATERNITY
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA26: Number received HMIS MCH 006: column 40: PNC At 6Hrs Baby:
PNC check at 6 hours INTEGRATED MATERNITY Tally all babies in column 40: PNC at 6Hrs with code “Y”
after birth. REGISTER
For mother:
Tally all mothers in column 40: PNC at 6Hrs with documented BP or
bleeding “Y/N”
MA27: Number received HMIS MCH 006: column 44: PNC At 24Hrs Baby:
PNC within 24 hours. INTEGRATED MATERNITY Tally all babies in column 44: PNC at 24Hrs with code “Y”
REGISTER
For mother:
Tally all mothers in column 44: PNC at 24Hrs with documented BP or
bleeding “Y/N”
MA28: Uterotonics used HMIS MCH 006: column 22: ACTIVE For Oxytocin:
in management of 3rd INTEGRATED MATERNITY MANAGEMENT OF 3RD Tally all women in column 22: Active Management of 3rd stage of Labour
stage of labour. REGISTER STAGE OF LABOUR: with code 1,
For Misoprosto:
Tally all women in column 22: Active Management of 3rd stage of Labour
with code 2
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PN01.PostNatal HMIS MCH 008: column 2:CLIENT NO: For age group:
Attendances INTEGRATED POSTNATAL coloumn 9:Timing for PNC visit Tally all postnatal attendances in column 2: Clent No. dissagregate by
REGISTER age in column 6: Age
For Timing:
Tally all postnatal attendances with a tick (√’) in column 9: Timing for
PNC visit dissagregate by time 24 hours, 6 days, 6 weeks and 6 months
PN02. Referrals to PNC HMIS MCH 008: colum 2: CLIENT NO: Referrals to Facility:
unit INTEGRATED POSTNATAL Tally all postanatal attendances in column 2: Clent No. with client
REGISTER numbers starting with “R”.
For referrals from community services:
Tally all postnatal attendances in column 26: with the name of clinic or
facility where the client has been ferred to for other services.
PN03. Breast feeding HMIS MCH 008: Column 14: EMTCT code For TR & TRR:
mothers tested for HIV INTEGRATED POSTNATAL Tally all postnatal attendances in column 14: eMTCT- W with code (TR
1st time during Postnatal REGISTER & TRR).
For TRR:
Tally all postnatal attendances in column 14: eMTCT- W with code (TRR).
63
For TRR+:
Tally all postnatal attendances in column 14: eMTCT- W with code (TRR+).
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
64
2.3 POSTNATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PN05 HIV+ women HMIS MCH 008: Column 15: ART codes For Total HIV+:
initiating ART in Postnatal INTEGRATED POSTNATAL Tally all postnatal attendance in column14: eMTCT code -W (TRR, TRR+ &
REGISTER TRRK) and column15: ART -W- with code- ‘ART’.
For New Positives (TRR):
Tally all postnatal attendance in column14: eMTCT code -W (TRR) and
column15: ART -W- with code- ‘ART’.
For Positives on re-test (TRR+):
Tally all postnatal attendance in column14: eMTCT code -W (TRR+) and
column15: ART -W- with code- ‘ART’.
For Positives but never initiated in ANC, Labour and Delivery
(TRRK):
Tally all postnatal attendance in column14: eMTCT code -W (TRRK) and
column15: ART -W- with code- ‘ART’.
PN06. HIV+ HMIS MCH 008: Column 26: HIV+ FSG Tally all postnatal attendances in column 16: eMTCT -W with codes
breastfeeding mothers INTEGRATED POSTNATAL enrolment (TRR, TRR+, TRR√) and column 26: HIV+ FSG enrolment with code
newly enrolled in MCH REGISTER “FSG”
groups
PN07. Mother-baby pairs HMIS MCH 008: Column 26: Y enrolled in Tally all postnatal attendances in column 16: eMTCT -W with codes
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PN08. Male partners HMIS MCH 008: Column 14: EMTCT code P For TR & TRR:
received HIV test results INTEGRATED POSTNATAL Tally all postnatal attendance in column 14: eMTCT- P with code (TR &
in the postnatal setting REGISTER TRR).
For TRR:
Tally all postnatal attendance in column 14: eMTCT- P with code (TRR).
PN09 HIV+ male partners HMIS MCH 008: Column15:ART-P Tally all postnatal attendance in column14: eMTCT code -P (TRR,
initiated on ART in the INTEGRATED POSTNATAL TRR+ & TRRK) and column15: ART code -P- with code- ‘ART’.
postnatal setting REGISTER
PN10. Breast feeding HMIS MCH 008: Column 15: eMTCT code For Total:
mothers given self- INTEGRATED POSTNATAL Tally all postnatal attendances in column 14: eMTCT code-W-(Given HIV
testing kits for their male REGISTER STK Kit?) with code “Y”
partner For Tests returned HIV+:
Tally all postnatal attendances in column 14: eMTCT code-P-( HIV STK
results) with code “POS”.
For Tests returned HIV negative:
Tally all postnatal attendances in column 14: eMTCT code-P-( HIV STK
results) with code “NEG”
65
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
66
2.3 POSTNATAL
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PN12. Cancer of the HMIS MCH 008: column 11: Status of Breast Clients screened for Cancer of the Breast:
breast INTEGRATED POSTNATAL Tally postnatal attendances in column 11: Status of Breast with codes
REGISTER FOM and SS
Clients with pre-malignant conditions of breast:
Tally postnatal attendances in column 11: Status of Breast with codes
FOM
PN13. Cancer of the HMIS MCH 008: column 12: Status of Cervix Clients screened for Cancer of the Cervix:
Cervix INTEGRATED POSTNATAL Tally all postnatal attendances in column 12: Status of Cervix with codes-
REGISTER FOM and SS
Clients with pre-malignant conditions of cervix:
Tally all postnatal attendances in column 12: Status of Cervix with codes-
FOM and SS
PN14. Lactating mothers HMIS MCH 008: column 21: Weight (kg), MUAC For Total:
who received Nutritional INTEGRATED POSTNATAL (cm + color code), INR no Tally all postnatal attendances in mother information section column 21:
assessment. REGISTER =column 14: eMTCT code Weight (kg), MUAC (cm + color code), INR no. with documented MUAC-
codes ‘R’,’Y’,’G’ andmeasurements in centimeters(CM).
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PN15. Postnatal HMIS MCH 008: Column 23: Infant Feeding For Total Maternal Nutritional :
mothers who received INTEGRATED POSTNATAL Tally all postnatal attendances in Column 23: Infant Feeding Options,
Options, IYCF, Maternal
Counselling REGISTER IYCF, Maternal Nutrition counseling with code-’Y’ under Maternal
Nutrition counseling
Nutritional Counselling
For HIV+ Maternal Nutritional :
Tally all postnatal attendances in column 14: eMTCT code-W- with codes
“TRR,TRR+,TRRK,TRR√” and Column 23: Infant Feeding Options, IYCF,
Maternal Nutrition counseling with code-’Y’ under Maternal Nutritional
Counselling
For Total Infant Feeding :
Tally all postnatal attendances in Column 23: Infant Feeding Options,
IYCF, Maternal Nutrition counseling with code-’Y’ under Infant Feeding
PN15. Postnatal HMIS MCH 008: Column 23: Infant Feeding For HIV+ Infant Feedingl :
mothers who received INTEGRATED POSTNATAL Tally all postnatal attendances in column 14: eMTCT code-W- with codes
Options, IYCF, Maternal
Counselling REGISTER “TRR,TRR+,TRRK,TRR√” and Column 23: Infant Feeding Options, IYCF,
Nutrition counseling
Maternal Nutrition counseling with code-’Y’ under Infant Feeding
2.4: EXPOSED INFANT DIAGNOSIS (EID) SERVICES
67
documented date of collection within the reporting month
Column 18, and 20
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2.0: MATERNAL AND CHILD HEALTH SERVICES
68
2.4: EXPOSED INFANT DIAGNOSIS (EID) SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ED01: .Exposed infants HMIS ACP 017: HIV-Exposed Column 16: PCR Test 1st PCR within 2 months:
Tested for HIV below 18 Infant register column 17: Date DBS collected Tally all HEIs in the 1st PCR test section in column 16: PCR Test with
months of age by 1st PCR and Dispatched a (Tick √) and column 17: Date DBS collected and Dispatched with a
Column 18: Age at 1st DBS documented date of collection within the reporting month with age in
(Months ) column 18: Age at 1st DBS (Months)
Column 20: Results Tested HIV+:
column 21: Date results Tally all HEIs in the 1st PCR test section in column 20: Results with code
received POS and column 21: Date results received that fall within the reporting
month
Column 18: Age at DBS Tested HIV+ within 2 months:
(Months)
Tally all HEIs in the 1st PCR test section in column 20: Results with code
Column 20: Results POS and documented age within 2 months in column 18: Age within the
reporting month.
ED02: .Exposed Infants HMIS ACP 017: HIV-Exposed Column 23: PCR Test 2nd PCR Total :
Tested for HIV by 2nd Infant register
Column 24: Date DBS Tally all HEIs in the 2nd PCR test section in column 23: PCR test with
PCR
collected and Dispatched Tick (√) and with a documented data in column 24.Date DBS collected
and Dispatched within the reporting month
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ED03: Exposed Infants HMIS ACP 017: HIV-Exposed Column 30: PCR Test 3rd PCR Total :
Tested for HIV by 3rd Infant register
Column 31: Date DBS collected Tally all HEIs in the 3rd PCR test section in column 30: PCR test with
PCR
and Dispatched Tick (√) and with a documented data in column 31.Date DBS collected
and Dispatched within the reporting month
Column 30: PCR Test 3rd PCR HIV+:
Column 34: Result Tally all HEIs in the 3rd PCR test section in column 30: PCR test with Tick
Column 35: Date Results (√) and column 34: Results with code POS with a documented data in
Received column 35: Date results received within the reporting month.
ED04: 1st DNA/PCR HMIS ACP 017: HIV-Exposed Column 16: 1st PCT test Total results returned:
results returned Infant register Column 20: Results Tally all HEIs in 1st PCR test section with a Tick (√) in column 16: 1st PCR
Column 21: Date results and column 20: Result with codes (POS + NEG) with documented date
received in column 21: Date results received within the reporting month
Column 16: 1st PCR Results returned within 2 weeks:
column 17: Date DBS collected Tally all HEIs in 1st PCR test section with a Tick (√) in column 16: 1st
and Dispatched PCR and column 20: Result with codes (POS + NEG) with documented
column 21: Date results date in column 21: Date results received within two weeks from date of
69
Column 22: Date given to and column 20: Result with codes (POS + NEG) with documented date
caregiver in column 22: Date given to caregiver within the reporting month
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
70
2.4: EXPOSED INFANT DIAGNOSIS (EID) SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ED05: 2nd DNA/PCR HMIS ACP 017: HIV-Exposed Column 23: PCR test Total results returned:
results returned Infant register Column 27: Result Tally all HEIs in 2nd PCR test section with a Tick (√) in column 23: PCR
Column 28: date results test and column 27: Result with codes (POS + NEG) with documented
received date in column 28: Date results received within the reporting month
Column 23: PCR test Results returned within 2 weeks:
Column 27: Results Tally all HEIs in 1st PCR test section with a Tick (√) in column 23: PCR
test and column 27: Result with codes (POS + NEG) with documented
Column 24: Date DBS date in column 28: Date results received within two weeks from date of
collected and Dispatched collection in column 24: Date DBS collected and Dispatched
Column 23: PCR test Results given to caregiver:
column 27: Results Tally all HEIs in 2nd PCR test section with a Tick (√) in column 23: PCR
column 29: Date given to tset and column 27: Result with codes (POS + NEG) with documented
caregiver date in column 29: Date given to caregiver within the reporting month
ED06: DNA/PCR 6 HMIS ACP 017: HIV-Exposed Column 30: PCR Test Total results returned:
weeks after cessation Infant register Column 34: Result Tally all HEIs in 3rd PCR test section with a Tick (√) in column 30: PCR
of breastfeeding results test (3rd PCR test) and column 34: Result with codes (POS + NEG)
returned. Column 35: Date Results with documented date in column 35: Date results received within the
Received reporting month
ED06: DNA/PCR 6 HMIS ACP 017: HIV-Exposed Column 30: PCR test Results given to caregiver:
weeks after cessation Infant register
Column 34: Results Tally all HEIs in 3rd PCR test section with a Tick (√) in column 30: PCR
of breastfeeding results tset (3rd PCR test) and column 34: Result with codes (POS + NEG) with
returned. Column 36: Date given to
documented date in column 36: Date given to caregiver within the
caregiver
reporting month
ED07: HIV exposed HMIS ACP 017: HIV-Exposed Column 7 :NVP given for the Tally all HEIs in Column 7 (NVP given for the 1st time at MBCP) with code
infants given ARV Infant register 1st time at MBCP "Y" with documented date of initiation within the reporting period.
prophylaxis for the first
time at mother care point
ED08: Number of HIV+ HMIS ACP 017: HIV-Exposed Column 39: Outcome Total HIV+ infants from EID enrolled on ART:
infants from EID enrolled Infant register Tally all HEIs in column 39: Outcome-Enrolled with code “Y” with date of
on ART.
enrollment within reporting month.
Column 38: Visit details Within 2 Months:
Column 39: Outcome Tally all HEIs in column 39: Outcome-Enrolled with code “Y” with date of
enrollment within reporting month and most recent visit age in column
39: Visit details within 2 month of age
ED09: HIV exposed HMIS ACP 017: HIV-Exposed Column 8: Date & Age at HIV exposed started on CPT:
71
Tally all HEIs in column 8: Date & Age at Cotrim Initiation (Weeks) with
documented started date on CPT within reporting month and age within
2 month.
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
72
2.4.1 OUTCOMES OF HIV EXPOSED INFANTS REGISTERED 24 MONTHS AGO
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
OE01.Total number of HMIS ACP 017: HIV-Exposed Column 1: Exposed Infant Tally all HEI registered in the cohort making 24 months in column 1:
HEIs registered in birth Infant register Number Exposed Infant Number with in the reporting period.
cohort
OE02.HEIs that initiated HMIS ACP 017: HIV-Exposed Column 7: Date & Age at NVP Tally all HEIs making 24 months of age in reporting month in column
ARV prophylaxis for Infant register Initiation (Months) 7: Date and Age at NVP initiation with documented age between 0-6
eMTCT between 0-6 weeks after birth.
weeks in the cohort
OE03.HEIs that initiated HMIS ACP 017: HIV-Exposed Column 7: Date & Age at NVP Tally all HEIs making 24 months of age in reporting month in column
ARV prophylaxis for Infant register Initiation (Months) 7: Date and Age at NVP initiation (Infant risk status) code HIGH with
eMTCT between 12 documented age 12 weeks after birth.
weeks(High risk profiles)
in the cohort
OE04.HEIs that received HMIS ACP 017: HIV-Exposed Column 8: Date & Age at Tally all HEIs making 24 months of age in the reporting month from
CTX prophylaxis at the Infant register Cotrim Initiation (Weeks) column 8: Date & Age at Cotrim Initiation (Weeks) and with documented
age within 2 months in age within 2 months
the cohort
OE05.HEIs that had a 1st HMIS ACP 017: HIV-Exposed Column 16: PCR Test Tally all HEIs making 24 months of age in the reporting month with tick
DNA/PCR done within 2 Infant register (√) in column 16: PCR test with documented age within 2 months in
Column 18: Age at 1st DBS
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
OE07.HEIs that had DNA/ HMIS ACP 017: HIV-Exposed Column 30: PCR Test, Tally all HEIs making 24 months of age in the reporting month with tick
PCR at 6 weeks after Infant register (√) in column 30: PCR test with documented age within 2 months in
Column32: Age at 3rd DBS
cessation column 32.Age at 1st DBS and column 33: Infant feed atatus coded NLB
Column 33: Infant feeding (No Longer Breastfeeding)
status
OE08Number of HMIS ACP 017: HIV-Exposed Column 38: Visit details Tally all HEIs making 24 months of age in the reporting month from
HIV exposed infants Infant register column 38: visit details with documented visit within the reporting month
exclusively breastfed breast fed for the first 6 months
for the first 6 completed
months during the
reporting period .
OE09Number of HIV HMIS ACP 017: HIV-Exposed Column 38: Visit details Tally all HEIs making 24 months of age in the reporting month from
exposed infants who Infant register column 38: visit details with documented visit within the reporting month
were reported to be breast fed for the first one year
breast fed up to one year.
2.4.2 FINAL TEST RESULTS –HEI Outcomes at 24 months.
OE10.Number of HIV HMIS ACP 017: HIV-Exposed Column 20: Date results Total:
exposed infants tested Infant register received
73
Column ,37: Rapid test result
Column 39: Outcome Tally all HEIs making 24 months of age in the reporting month with code
“Y” in column 39: Outcome-Enrolled?:
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
74
2.4.2 FINAL TEST RESULTS –HEI Outcomes at 24 months.
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
OE11.Number of HIV HMIS ACP 017: HIV-Exposed Column 39: Outcome Tally all HEIs making 24 months of age in the reporting month with tick
exposed infants who Infant register (√) in column 39: Outcome-Died-Negative:
died before 18 months of
age.
OE12.Number of HIV HMIS ACP 017: HIV-Exposed Column 39: Outcome Tally all HEIs making 24 months of age in the reporting month with tick
exposed infants tranfered Infant register (√) in column 39: Outcome-Transferred:
before 18 months of age.
OE13Number of HIV HMIS ACP 017: HIV-Exposed Column 39: Outcome Tally all HEIs making 24 months of age in the reporting month with tick
exposed infants lost Infant register (√) in column 39: Outcome-Lost:
to follow up before 18
months of age.
OE14.Number of HIV HMIS ACP 017: HIV-Exposed column 39: Outcome Tally all HEIs making 24 months of age in the reporting month with tick
exposed infants who Infant register (√) in column 39: Outcome-Discharged Neg:
were discharged HIV- on
final rapid test.
OE15.Number of HEIs HMIS ACP 017: HIV-Exposed Column 37: Rapid test results Tally all HEIs making 24 months of age in the reporting month in column
whose final HIV status is Infant register 39: Outcome with no outcome documented and no rapid test results in
unknown Column 39: Outcome
column 37: Rapid test results.
2.5 EARLY RETENTION MONITORING FOR EMTCT WOMEN
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ER02. EMTCT mothers HMIS ACP 005 ART Column 4: Transfer in:-eMTCT For Total Number:
known to be active on REGISTER status Tally all mothers initiated on ART in column 4: Transfer IN:-eMTCT status
ART treatment 2 months with code eMTCT for cohort completing two months in the reporting
after ART initiative month
Net Current cohort:
Tally all mothers in column: ‘Month 2’ in follow up section with
documented ARV regimen or a forward arrow.
ER02. EMTCT mothers HMIS ACP 005 ART Column 4: Transfer in:-eMTCT For Total Number:
known to be active on REGISTER status Tally all mothers initiated on ART in column 4: Transfer IN:-eMTCT
ART treatment 3 months status with code eMTCT for the cohort completing three months in the
after ART initiative reporting month
Net Current cohort:
Tally all mothers in column: ‘Month 3’ in follow up section with
documented ARV regimen or a forward arrow.
76
2.6.3 INTEGRATED SERVICES IN FAMILY PLANNING
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PI01: Number of HMIS EPI 007 : CHILD Column 14: Infants screened Tally all infacts screened for HIV exposure in both columns 14 and
Infants screened REGISTER for HIV exposure column 19 -Infant Screened For HIV Exposure with code "Y" and a
for HIV-exposure at corresponding vaccination date within the reporting month
Column 19: Infants screened
DPT1,2,3 and measles
for HIV exposure
immunisation during
month.
PI02:Number HMIS EPI 007 : CHILD Column 14: exposed Tally all infants screened for HIV and found to be exposed in both
of HIV-exposed REGISTER columns 14 and column19: Exposed with code "Y" and a corresponding
Column 19: exposed
Infants identified at vaccination date within the reporting month
immunisation in the
month
PI03:Number of HIV- HMIS EPI 007 : CHILD Column 14: Tested Tally all infants screened for HIV and found to be exposed in both
exposed Infants tested REGISTER columns 14 and column19: Tested with code "Y" and a corresponding
Column 19: Tested
during immunisation in vaccination date within the reporting month
the month
PI04:Number of HMIS EPI 007 : CHILD Column 21: Maternal eMTCT For Total (TR &TRR):
breastfeeding women REGISTER status Tally all infants in column 21: Maternal eMTCT status with code TR or
tested for HIV for the first TRR and a corresponding vaccination date within the reporting month
time at immunisation.
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PI05:Number of HMIS EPI 007 : CHILD Column 21: Maternal eMTCT For Total (TRK &TRRK):
breastfeeding women REGISTER status Tally all infants in column 21: Maternal eMTCT status with code TRK or
with a known HIV status TRRK and a corresponding vaccination date within the reporting month
at immunisation.
For TRRK:
Tally all infants in Column 21: Maternal eMTCT status with code TRRK
and a corresponding vaccination date within the reporting month
PI06:Number of HMIS EPI 007 : CHILD Column 21: Maternal eMTCT For Total (TR+ &TRR+):
breastfeeding women REGISTER status Tally all infants in column 21: Maternal eMTCT status with code TR+ or
with re tested for HIV at TRR+ and a corresponding vaccination date within the reporting month
immunisation.
For TRR+:
Tally all infants in Column 21: Maternal eMTCT status with code TRR+
and a corresponding vaccination date within the reporting month
PI07:Number of HMIS EPI 007 : CHILD Column 21: Maternal eMTCT Tally all infants in column 21: Maternal eMTCT status with ART code
breastfeeding REGISTER status ART and a corresponding vaccination date within the reporting
women identified at month
immunization initiating
77
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.0: MATERNAL AND CHILD HEALTH SERVICES
78
2.7 CHILD HEALTH SERVICES
A facility should have 3 separate copies of the child health register. 1) for static, 2) Outreach 3) In school
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CH01: Vit A supplement HMIS EPI 007: Child Register Column 22: Vitamin A Tally all clients with a tick in 1st Dose Administered in column 22: Vitamin
(1st dose) Administration A Administration, disagregate by age and sex
CH02: Vit A supplement HMIS EPI 007: Child Register Column 22: Vitamin A Tally all clients with a tick in 2nd Dose Administered in column 22:
(2nd dose) Administration Vitamin A Administration, disagregate by age and sex
CH03: Dewormed HMIS EPI 007: Child Register Column 23: Deworming Tally all clients with a tick in 1st Dose Administered in column 23:
(1st dose) Deworming, disagregate by age and sex
CH04: Dewormed HMIS EPI 007: Child Register Column 23: Deworming Tally all clients with a tick in 2nd Dose Administered in column 23:
(2nd dose) Deworming, disagregate by age and sex
VP02: HPV2-Dose 2 HMIS EPI 008: HPV register Column 9:Age, column 11 HPV Tally all clients in HPV 2nd dose, column 11 HPV indicating Point of contact
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
DOSES
1. HMIS MCH 005: Integrated 1.column 29: Tetanus A. Pregnant women
TD01: Td1-Dose 1
Postnatal Register Diptheria Dose (TD), Using the HMIS MCH 008: INTEGRATED POSTNATAL REGISTER: Tally
2.Column 11: Dose & Td Date all clients in column 29: Tetanus Diptheria Dose (TD) with respective TD-
TD02: Td2-Dose 2 2. HMIS EPI 010: Tetanus
doses in the reporting period. This should be done for both Static and
Diphtheria (Td) Vaccine
Outreach copies of the registers.
TD03: Td3-Dose 3 Register,
B.Non Pregnant women
Using the HMIS EPI 010: TETANUS DIPHTHERIA (Td) VACCINE REGISTER:
TD04: Td4-Dose 4
Tally all clients in column 11: Dose & Td Date with respective TD-doses in
the reporting period. This should be done for both Static and Outreach,
TD05: Td5-Dose 5 Immunization in School copies of the registers
DOSES
CL01: BCG HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 11 Date BCG was given, disaggregate by age
and nutritional status, column in column 9 and sex in column 7
11:Date BCG was given
79
Td(PAB)
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.7 CHILD HEALTH SERVICES
80
2.7.3 CHILD IMMUNISATION
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
DOSES
CL04: Polio 1 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 11 Date BCG was given, disaggregate by age
and nutritional status, column in column 9 and sex in column 10
12 Dates polio 1
CL05: Polio 2 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 11 Date BCG was given, disaggregate by age
and nutritional status, column in column 9 and sex in column 11
12 Dates polio 2
CL06: Polio 3 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 12 Dates polio 2 was given, disaggregate by
and nutritional status, column age in column 9 and sex in column 12
12 Dates BCG polio 3
CL07: IPV HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 13:Date IPV was given, disaggregate by age
and nutritional status, column in column 9 and sex in column 13
13:Date IPV was given
CL08: DPT-HepB+Hib 1 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 14:DPT-HepB+Hib 1 was given, disaggregate
and nutritional status, column by age in column 9 and sex in column 14
14:DPT-HepB+Hib 1 was given
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
DOSES
CL10: DPT-HepB+Hib 3 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 14 :Date DPT-HepB+Hib 3 was given,
and nutritional status, column disaggregate by age in column 9 and sex in column 16
14 :Date DPT-HepB+Hib 3
was given
CL11: PCV 1 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 15: Date PCV 1 was given, disaggregate by
and nutritional status, column age in column 9 and sex in column 17
15: Date PCV 1 was given
CL12: PCV 2 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 15: Date PCV 2 was given, disaggregate by
and nutritional status, column age in column 9 and sex in column 18
15: Date PCV 2 was given
CL13: PCV 3 HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 15: Date PCV 3 was given, disaggregate by
and nutritional status, column age in column 9 and sex in column 19
15: Date PCV 3 was given
CL14: Rotavirus 1 Vaccine HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 16:Date Rota virus 1 was given, disaggregate
and nutritional status, column by age in column 9 and sex in column 20
81
16:Date Rota virus 2 was given
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.7 CHILD HEALTH SERVICES
82
2.7.3 CHILD IMMUNISATION
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
DOSES
CL16: Measles (MR1) HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in column 17: Date measles vaccine and nutrition
and nutritional status, column assessment (MR1) was given, disaggregate by age in column 9 and sex
17: Date measles vaccine and in column 22
nutrition assessment (MR1)was
given
CL17: Measles 2 (MR2) HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in ,column 17: Date measles vaccine and nutrition
and nutritional status,column assessment (MR2), was given, disaggregate by age in column 9 and
17: Date measles vaccine and sex in column 23
nutrition assessment (MR2),C
olumn 19: Date of measles
Rubella 2 was given
CL18: Fully immunized by HMIS EPI 007: Child Register Column 7:Sex, column 9:Age Tally all patients in ,column 18: Fully immunized by 1 year was given,
1 year and nutritional status,column disaggregate by age in column 9 and sex in column 23
18: Fully immunized by 1 year,
Column 19: Date of measles
Rubella 2 was given
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ANTIGEN
WT01: BCG HMIS EIP 016: Vaccine And column 3: Stock at Hand, A. Open Balance
Injection Materials Control column 4: Doses Received,
Book (Vimcb) column 17: Total Balance, Go to the last date recorded in column 1 for the reporting period and
column 15: Doses wasted, read the value of stock at hand in column 3 as the opening Balance
column 18: Remarks
B. Received
WT02: Polio (OPV) HMIS EIP 016: Vaccine And column 3: Stock at Hand,
Injection Materials Control column 4: Doses Received, Sum all doses received in Column 4 within the reporting period
Book (Vimcb) column 17: Total Balance,
column 15: Doses wasted, C. Closing Balance
column 18: Remarks Go to the last date recorded in column 1 for the reporting period and
WT03: IPV HMIS EIP 016: Vaccine And column 3: Stock at Hand, read the value of Total balance in column 17 as the Closing Balance
Injection Materials Control column 4: Doses Received, D. Doses in Closed Vials (CV)
Book (Vimcb) column 17: Total Balance,
column 15: Doses wasted, Go to the Remarks Column 18, and sum all doses in Closed Vials (CV) for
column 18: Remarks
the reporting period
WT04: DPT+HepB+Hib HMIS EIP 016: Vaccine And column 3: Stock at Hand,
Doses in Open Vials (OV)
Injection Materials Control column 4: Doses Received,
Book (Vimcb) column 17: Total Balance, Go to the Remarks Column 18, and sum all doses in Open Vials(OV) for
column 15: Doses wasted,
WT05: PCV HMIS EIP 016: Vaccine And column 3: Stock at Hand,
Injection Materials Control column 4: Doses Received,
83
Book (Vimcb) column 17: Total Balance,
column 15: Doses wasted,
column 18: Remarks
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.7 CHILD HEALTH SERVICES
84
2.7.4 VACCINE AVAILABILITY AND WASTAGE
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ANTIGEN
WT06: Rotavirus HMIS EIP 016: Vaccine And column 3: Stock at Hand, A. Open Balance
Injection Materials Control column 4: Doses Received,
Book (Vimcb) column 17: Total Balance, Go to the last date recorded in column 1 for the reporting period and
column 15: Doses wasted, read the value of stock at hand in column 3 as the opening Balance
column 18: Remarks
B. Received
WT07: Measles HMIS EIP 016: Vaccine And column 3: Stock at Hand,
Injection Materials Control column 4: Doses Received, Sum all doses received in Column 4 within the reporting period
Book (Vimcb) column 17: Total Balance,
column 15: Doses wasted, C. Closing Balance
column 18: Remarks Go to the last date recorded in column 1 for the reporting period and
WT08: Td HMIS EIP 016: Vaccine And column 3: Stock at Hand, read the value of Total balance in column 17 as the Closing Balance
Injection Materials Control column 4: Doses Received, D. Doses in Closed Vials (CV)
Book (Vimcb) column 17: Total Balance,
column 15: Doses wasted, Go to the Remarks Column 18, and sum all doses in Closed Vials (CV) for
column 18: Remarks
the reporting period
WT09: HPV HMIS EIP 016: Vaccine And column 3: Stock at Hand,
Doses in Open Vials (OV)
Injection Materials Control column 4: Doses Received,
Book (Vimcb) column 17: Total Balance, Go to the Remarks Column 18, and sum all doses in Open Vials(OV) for
column 15: Doses wasted,
column 18: Remarks the reporting period
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CC01: Number of high HMIS EPI 014: Monthly Sum the No. of high
temperature alarms Temperature Review Report Column 7: Refrigerator
alarms in Column 7: Refrigerator
CC02: Number of low HMIS EPI 014: Monthly Sum the No. of low
temperature alarms Temperature Review Report Column 7: Refrigerator
alarms in Column 7: Refrigerator for the Reporting period
CC03: Number of cold HMIS EPI 014: Monthly Tally the Serial Numbers in Column 5: Serial Number
chain refrigerators Temperature Review Report Column 5: Serial Number
available
85
at immunisation during
the month
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
2.7 CHILD HEALTH SERVICES
86
2.7.6 EPI/EID/PMTCT INTEGRATION
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PI03: Number of HIV- HMIS EPI 007: Child Register Column 14: Tested Tally all Clients with code Y in Column 14: Tested which is in the last row
exposed infants tested after the date
during immunisation
during the month
PI04: Number of HMIS MCH 008: Integrated Column 14: eMTCT Code Tally all Clients with Code T in Column 14: eMTCT Code for the reporting
breastfeeding women Postnatal Register period
tested for HIV for the first
time at immunization
PI05: Number of HMIS MCH 008: Integrated Column 14: eMTCT Code Tally all Clients with Code TR√ or TRRK in Column 14: eMTCT Code for
breastfeeding women Postnatal Register the reporting period
with a known HIV status
at immunization
PI06: Number of HMIS MCH 008: Integrated Column 14: eMTCT Code Tally all Clients with Code TR+ or TRR+ in Column 14: eMTCT Code for
breastfeeding women Postnatal Register the reporting period
re-tested for HIV at
immunization
PI07. Number of HIV+ HMIS MCH 008: Integrated Column 15: ART Code/Pre- Tally all Clients with Code ART in Column 15: ART Code/Pre-ART-No
breastfeeding women Postnatal Register ART-No
88
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HT01: Number of HMIS ACP 019: HIV TESTING Column 7: ENTRY POINT FOR Linked to HIV Care:
individuals (by Entry Point SERVICES REGISTER HEALTH FACILITY TESTING Tally Number of Clients Linked to HIV Care by entry point in the
for Health facility testing) Column 3: Age/Sex, Marital facility using the codes provided at the bottom of the HMIS ACP 019:
status HIV TESTING SERVICES REGISTER with their respective age-group
Column 16: HIV Test Results and gender, for all those clients that have “2” in Column 16: HIV Test
Column 19: Already known Results, and have “N” in Column 19: Already known HIV Positive and
HIV Positive also have “Y” and a Reg# in Column 26: Referred for enrollment in
Column 26: Referred for Care. Include only clients who tested HIV Positive in the reporting
enrollment in Care (Y/N) Reg month that have been linked to HIV Care.
#. from Linkage register
HT02: Number HMIS ACP 019: HIV TESTING Column 8: Community Testing Tested for HIV:
of individuals (by SERVICES REGISTER points Tally Number of clients tested for HIV by entry point in the community
Entry Point for using the codes provided at the bottom of the HMIS ACP 019: HIV
Column 3: Age/Sex, Marital
Community testing) TESTING SERVICES REGISTER with their respective age-group and
status
gender, for all those clients that have “Y” in Column 14: Tested for
Column 14: Tested for HIV HIV.
HIV Index Testing:
Report all HIV Index Testing done at the community under “Home-
based Testing” entry point
HT03. Total HMIS ACP 019: HIV TESTING Sum all Health Facility and Community HTS entry points by Tested for
number of SERVICES REGISTER HIV, New HIV Positive and Linked to HIV Care, by their respective age-
Individuals group and gender.
HT04. Number of HMIS ACP 019: HIV TESTING Column 6: HTS Approaches Health Facility:
individuals (by PITC SERVICES REGISTER Column 7: ENTRY POINT FOR Tally clients in all health facility entry points with their
Testing approach) HEALTH FACILITY TESTING respective age-group and gender, for all those clients
Column 3: Age/Sex, Marital that have code “2” in Column 6: HTS Approaches
status
89
respective age-group and gender, for all those clients
Column 3: Age/Sex, Marital that have code “2” in Column 6: HTS Approaches
status
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
4.0 HIV/AIDS TESTING SERVICES (HTS)
90
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HT05: Number of HMIS ACP 019: Column 6: HTS Approaches Health Facility:
individuals(by CICT/VICT HIV TESTING SERVICES
Column 7: ENTRY POINT FOR Tally clients in all health facility entry points with their
Testing approach) REGISTER
HEALTH FACILITY TESTING respective age-group and gender, for all those clients
Column 3: Age/Sex, Marital that have code “1” in Column 6: HTS Approaches
status
HT07:Number of HMIS ACP 019: HIV TESTING Column 11: Client Tested for Tally all clients that have “Y” in Column 11: Client Tested for the first time
individuals tested for the SERVICES REGISTER the first time in the HMIS ACP 019: HIV TESTING SERVICES REGISTER with their
first time ever Column 3: Age/Sex, Marital respective age-group and gender.
status
91
16: HIV Test Results
Column 24: Presumptive TB
Cases
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
4.0 HIV/AIDS TESTING SERVICES (HTS)
92
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HT11. Number of HMIS ACP 019: HIV TESTING Column 3: Age/Sex, Marital Tally Number of clients with “Y” in Column 12: Client tested more than
Individuals tested more SERVICES REGISTER status once in the last 12 mths? in the HMIS ACP 019: HIV TESTING SERVICES
than once in the last 12 REGISTER with their respective age-group and gender, for all those
Column 12: Client tested more
months clients that have “Y” in Column 14: Tested for HIV
than once in the last 12 mths?
Column 14: Tested for HIV
HT12: Number of HMIS ACP 019: HIV TESTING Column 3: Age/Sex, Marital Tally Number of clients with “Y” in Column 20: Counseled and Tested as
individuals who were SERVICES REGISTER status a couple in the HMIS ACP 019: HIV TESTING SERVICES REGISTER with
Counselled and Tested their respective age-group and gender, for all those clients that have “Y”
Column 14: Tested for HIV
together as a Couple in Column 14: Tested for HIV
Column 20: Counseled and
Tested as a couple
HT13:Number of HMIS ACP 019: HIV TESTING Column 3: Age/Sex, Marital Tally Number of clients with “Y” in Column 21: Received results as a
individuals who were SERVICES REGISTER status couple in the HMIS ACP 019: HIV TESTING SERVICES REGISTER with
Tested and Received their respective age-group and gender, for all those clients that have “Y”
Column 14: Tested for HIV
results together as a in Column 14: Tested for HIV and have “Y” in Column 15: Received HIV
Couple Column 15: Received HIV results
results
Column 21: Received results
as a couple
93
Special Categories their respective age-group and gender, for all those clients that have “Y”
Column 10: Special Category
in Column 14: Tested for HIV
Column 14: Tested for HIV
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
4.0 HIV/AIDS TESTING SERVICES (HTS)
94
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HT18: Number of HMIS ACP 019: HIV TESTING Tested for HIV:
Column 10: Special Category
individuals SERVICES REGISTER
Tally Number of clients tested for HIV for each Special Category
Column 3: Age/Sex, Marital
using the codes provided for in Column 10: Special Category at the
status
bottom of the HMIS ACP 019: HIV TESTING SERVICES REGISTER
Column 14: Tested for HIV with their respective age-group and gender, for all those clients that
have “Y” in Column 14: Tested for HIV.
Column 3: Age/Sex, Marital Tally Number of clients Tested HIV Positive for each Special Category
status using the codes provided for in Column 10: Special Category at the
bottom of the HMIS ACP 019: HIV TESTING SERVICES REGISTER
Column 14: Tested for HIV
with their respective age-group and gender, for all those clients that
Column 16: HIV Test Results have “Y” in Column 14: Tested for HIV, and have “2” in Column 16:
HIV Test Results
Column 10: Special Category Linked to HIV Care:
Column 3: Age/Sex, Marital Tally Number of Clients Linked to HIV Care for each Special Category
status using the codes provided for in Column 10: Special Category at the
bottom of the HMIS ACP 019: HIV TESTING SERVICES REGISTER with
Column 14: Tested for HIV
their respective age-group and gender, for all those clients that have “Y”
Column 16: HIV Test Results in Column 14: Tested for HIV, have “2” in Column 16: HIV Test Results and
Column 18: Common Name/ Tally Number of Partners Notified with all Partners that have a contact
Age in Years date in Column 24: Notification Contact information in the HMIS ACP
021: ASSISTED PARTNER NOTIFICATION (APN) REGISTER with their
Column 19: Sex
respective age-group and gender. Include only new partners elicited
Column 24: Notification in the reporting month that have been notified.
Contact information
APN-HT2: Number of HMIS ACP 021: ASSISTED Column 17: Partner Name Total:
partners tested PARTNER NOTIFICATION
(APN) REGISTER: Column 18: Common Name/ Tally Number of Partners Tested with all Partners that have a “Date
Age in Years Tested” recorded in Column 24: Notification Contact information
in the HMIS ACP 021: ASSISTED PARTNER NOTIFICATION (APN)
Column 19: Sex REGISTER with their respective age-group and gender, and also have
95
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
4.0 HIV/AIDS TESTING SERVICES (HTS)
96
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
APN-HT2: Number of HMIS ACP 021: ASSISTED Column 17: Partner Name HIV Positive:
partners tested PARTNER NOTIFICATION
Column 18: Common Name/ Tally Number of Partners Tested HIV Positive with all Partners that have
(APN) REGISTER:
Age in Years “Positive” recorded in Column 25: HIV Testing information (Status/
Results) in the HMIS ACP 021: ASSISTED PARTNER NOTIFICATION
Column 19: Sex
(APN) REGISTER with their respective age-group and gender and
Column 24: Notification have “1.Partner has tested for HIV” in Column 24: Notification Contact
Contact information (Date information (Codes for case closure:)
Tested)
Column 25: HIV Testing
information (Status/Results)
APN-HT21. Number of HMIS ACP 021: ASSISTED Column 17: Partner Name Already in HIV care:
HIV-positive partners PARTNER NOTIFICATION
Column 18: Common Name/ Tally Number of Partners Already in HIV Care with all Partners that
(APN) REGISTER:
Age in Years have code “2=Already known HIV Positive on ART” recorded in
Column 26: If HIV Positive in the HMIS ACP 021: ASSISTED PARTNER
Column 19: Sex
NOTIFICATION (APN) REGISTER with their respective age-group and
Column 26: If HIV Positive gender.
Column 18: Common Name/ Tally Number of Partners Linked to HIV Care/ART with all Partners that
Age in Years have code “1=Newly identified(link to care & record clientNumber)”
HIVST-HT23. Number of HMIS LAB 016: DAILY Column 9: Age Sum number of individuals who report a Positive HIV Self-Test by adding
individuals who report a ACTIVITY REGISTER FOR all those clients where we have code “R” recorded in Column 20: HIV
Positive HIV Self-Test RECORDING HIV TESTS Column 10: Sex SELF TESTING KIT under Results in the HMIS LAB 016: DAILY ACTIVITY
Column 20: HIV SELF REGISTER FOR RECORDING HIV TESTS with their respective age-group
HIVST-HT24. Number HMIS LAB 016: DAILY Column 9: Age Sum number of individuals with confirmed positive results with the
of individuals with ACTIVITY REGISTER FOR National algorithm by adding all those clients where we have code
97
Column 10: Sex
confirmed positive RECORDING HIV TESTS “POS” recorded in Column 21: FINAL RESULTS under Results in the
results with the National Column 21: FINAL RESULTS HMIS LAB 016: DAILY ACTIVITY REGISTER FOR RECORDING HIV TESTS
algorithm (Results) with their respective age-group and gender of the client.
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
5.0 SAFE MALE CIRCUMCISION (SMC)
98
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
SM01:Number of Males HMIS ACP 030: SAFE MALE Column 4: Age HIV Positive (+Ve):
Counselled and Tested CIRCUMCISION REGISTER
Column 7.2 HTS To get the number of Males Counselled and Tested HIV Positive at
for HIV at SMC site
the SMC site, tally all males with “2 – Tested Positive” or “4 – Positive
linked to HIV Care” in Column 7.2 HTS with their respective age-
group.
99
“5-Shang Ring size” or “6-Other (Specify)” in Column 8.1 Procedure
and “Outreach/Camp (OR)” in Column 6: Mode Of Delivery with their
respective age-group.
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
5.0 SAFE MALE CIRCUMCISION (SMC)
100
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
SM04. Number of HMIS ACP 030: SAFE MALE Column 8.1 Procedure Technique-within 48 hours(0-48) Facility:
males Circumcised who CIRCUMCISION REGISTER
Column 6: Mode Of Delivery To get the number of Males Circumcised who Returned for Follow Up
Returned for Follow Up FOLLOW– UP
at the Facility within 0-48 hours, tally all males with “Y” in Column 9.1:
Column 9.1: 48 Hours
48 Hours, and have “Facility (F)” in Column 6: Mode Of Delivery by
the respective SMC Technique used.
Column 6: Mode Of Delivery To get the number of Males Circumcised who Returned for Follow
Up during Outreaches within 0-48 hours, tally all males with “Y” in
Column 9.1: 48 Hours
Column 9.1: 48 Hours, and have “Outreach/Camp (OR)” in Column 6:
Mode Of Delivery by the respective SMC Technique used.
Column 6: Mode Of Delivery To get the number of Males Circumcised who Returned for Follow
Up during outreaches within 7 days (>0-7), tally all males with “Y” in
Column 9.1: 48 Hours
Column 9.1: 48 Hours, and/or “Y” in Column 9.2: 3-7 days, and/or “Y”
Column 9.2: 3-7 days in Column 9.3: 8-14 days, with “Outreach/Camp (OR)” in Column 6:
Mode Of Delivery by the respective SMC Technique used.
Column 9.3: 8-14 days
Technique-Beyond 14 days (Facility):
Column 8.1 Procedure
To get the number of Males Circumcised who Returned for Follow Up
Column 6: Mode Of Delivery at the Facility beyond 14 days, tally all males with “Y” in Column 9.4:
Column 9.4: >14 days >14 days, and have “Facility (F)” in Column 6: Mode Of Delivery by the
respective SMC Technique used
Column 6: Mode Of Delivery To get the number of Males Circumcised who Returned for Follow Up
during Outreaches beyond 14 days, tally all males with “Y” in Column
Column 9.4: >14 days
101
9.4: >14 days, and have “Outreach/Camp (OR)” in Column 6: Mode Of
Delivery by the respective SMC Technique used
HMIS 105: HEALTH UNIT OUTPATIENT MONTHLY REPORT
5.0 SAFE MALE CIRCUMCISION (SMC)
102
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
SM05. Number of HMIS ACP 030: SAFE MALE Adverse events- Moderate (Facility):
Column 8.1 Procedure
males Circumcised who CIRCUMCISION REGISTER
To get the number of Males Circumcised who Experienced one or
Experienced one or more Column 6: Mode Of Delivery
more moderate Adverse Events at the Facility, tally all males with “M”
Adverse Events Column 10.4: Grade of Adverse in Column 10.4: Grade of Adverse Events, and have “Facility (F)” in
(Report only Moderate or Events Column 6: Mode Of Delivery by the respective SMC Technique used
Severe AEs)
Adverse events- Moderate (Outreach):
Column 8.1 Procedure
To get the number of Males Circumcised who Experienced one or
Column 6: Mode Of Delivery more moderate Adverse Events during Outreaches, tally all males with
Column 10.4: Grade of Adverse “M” in Column 10.4: Grade of Adverse Events, and have “Outreach/
Events Camp (OR)” in Column 6: Mode Of Delivery by the respective SMC
Technique used
Column 6: Mode Of Delivery To get the number of Males Circumcised who Experienced one or
more severe Adverse Events at the Facility, tally all males with “S”
Column 10.4: Grade of Adverse in Column 10.4: Grade of Adverse Events, and have “Facility (F)” in
Events Column 6: Mode Of Delivery by the respective SMC Technique used
Adverse events- Severe (Outreach):
Column 8.1 Procedure
To get the number of Males Circumcised who Experienced one or more
Column 6: Mode Of Delivery
SM07. Number of clients HMIS ACP 030: SAFE MALE To get the Number of clients who received Td First dose (Td1), tally all
who received Td CIRCUMCISION REGISTER Column 7.3: Date Of Td males with "Date Of Td1" in Column 7.3: Date Of Td
To get the Number of clients who received Td Second dose (Td2), tally all
Column 7.3: Date Of Td
males with "Date Of Td2" in Column 7.3: Date Of Td
Objective: Reports the quarterly attendance figures for HIV Care/ART, Nutrition and TB
Services.
Timing: Due 7th October, 7th January, 7th April, 7th July
Copies: Three Copies. Original stays at the health unit, 1 copy is sent to the District and
the third copy is sent to the HSD
PROCEDURE:
1). All health units providing HIV Care/ART, PEP, PrEP and TB/Leprosy services or
any of the three services must submit the HEALTH UNIT QUARTERLY REPORT
(HMIS 106a).
Section 1A -HIV Care/ART Services and 1B-ART Quarterly Cohort Analysis Report Cross
Sectional Report
Page 11 – 12 contain sub-section 1C-Post Exposure Prophylaxis (PEP) and Sub-Section
1D-PrEP
Page 13 – 21 contains Section 2 - Tuberculosis/Leprosy Services
104 Standard Operating Procedures For Collection and Aggregation of HMIS Data
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
PRE-ART AND LINKAGES/HIV CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC01: No. of new clients HMIS HIV 020: Pre-ART Column 16/ Patient clinic No. Tally all clients by age (Column 5) and sex (Column 6) with a patient ID
enrolled in HIV care and Linkages register and 17/Date and status at recorded in col 16 and whose date of enrolment in col 17 top cell falls
at this facility during enrolment within the reporting period, but exclude code 5 = TI (transfer in).
the reporting quarter
(Exclude transfer in)
HC02: No. of pregnant Linkage & Pre-ART register Column 16/ Patient clinic No. Tally each female client (Col 6=F) aged 10 years and above (Col 5)
& lactating women – HMIS HIV 020 and 17/Date and status at newly enrolled in HIV care with a patient ID in Col 16 and status at
enrolled into care during enrolment enrolment (Col 17 Bottom cell = 2 or 4) from the first to the last day of
the reporting quarter. the reporting period as indicated in Col 17 top cell.
(Subset of row HC01 Record total number under cell y
above) Tally total number by age and record under respective cells h, j, l, n,
p, r, t, v & x
HC03a: No. of clients Linkage & Pre-ART register Column 16/ Patient clinic Tally each newly enrolled client in HIV care with a patient ID in Col
newly Enrolled in HIV – HMIS HIV 020 No, 17/Date and 21/ status at 16 and Col 21 = 1 or 2 or 3C or 3G or 3L or 3M or 3X or 3O or 4 or 5;
Care – Screened for TB enrolment and TB status at from the first to the last day of the reporting period as indicated in
(Subset of row HC01 enrolment Col 17 top cell.
above) Record total number under cell y
Tally total number by age (Col 5) and sex (Col 6) and record under
cells a – x
105
Tally total number by age (Col 5) and sex (Col 6) and record under
cells a – x
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
106
PRE-ART AND LINKAGES/HIV CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC04: No. of active Linkage & Pre-ART register Column 16/ Patient clinic Tally all clients enrolled in HIV care (Regardless of when they enrolled)
clients in Pre-ART by – HMIS HIV 020 No, 26/Enrolment/Art start with a patient ID in Column 16 AND client not yet initiated on ART by
the end of the reporting information If enrolled in end of reporting period (Col 26 ART start date is missing) AND the
quarter facility: DD/MM/YYYY - Date of client was seen at least once within the reporting period (FU status =
enrollment in HIV care DD/MM/ “√=Seen” for either Col 27 or 28 or 29 or 30 or 31 or 32 falling within
YYYY - Date ready to start ART the reporting period)
DD/MM/YYYY - ART start Date, Record total number under cell y
27/ M1, 28/ M2, 29/ M3, 30/
Tally total number by age (Col 5) and sex (Col 6) and record under
Q2, 31/ Q3 and 32/Q 4
cells a – x
HC05: No. of active Linkage & Pre-ART register Column 19/ WHO Clinical stage Tally all clients identified under HC04 AND, Either Col 19 = WHO
clients in Pre-ART with – HMIS HIV 020 Record stage at Enrolment and stage III / IV or Col 22 bottom cell <200cells/cc or child under 5 years
confirmed Advanced 22 CD4 Baseline Date of Test/ (Col 5 < 5 years)
Disease by the end of the CD4 count Record total number under cell y
reporting quarter
Tally total number by age (Col 5) and sex (Col 6) and record under
cells a – x
HC06: No. of CrAg Linkage & Pre-ART register Column 22/ CD4 Baseline Date Tally all clients whose CD4 level count is < 200cells/cc and Serum CrAg
positive clients identified – HMIS HIV 020 of test/CD4 count Column results in column 23 is positive during the reporting period
during the reporting 23/ Serum CrAg if CD4<=
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC07: No. of TB LAM Linkage & Pre-ART register Column 21: TB status at Tally all clients with TB with code 4 in column 21 and those whose results
positive clients initiated – HMIS HIV 020 enrolement. CD4 and Column in column 24 is positve with the reporting period.
on TB Treatment 24: TB-LAM if presumptive TB
and CD4 <=200c/cc or WHO
stage IIIor IV date of test/
results
HC08: No. of CrAg Linkage & Pre-ART register Column 9/ Lumber puncture Tally all clients registered from the first to the last day of the reporting
positive clients initiated – HMIS HIV 020 done( use codes below) Date period as indicated in Col 1, CSF crag positive results in column 9
on Fluconazole Pre- test Done/ CSF Crag Results AND Col 10 = CCM treatment start date falling withing the reporting
emptive Therapy and 10/ Treatment given/ period.
pre- emptive therapy/CCM Record total number under cell y
Treatment
Tally total number by age and sex (Col 4) and record under cells a – x
107
Record this in cell y
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
108
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC10: No. of newly HMIS ACP 020: LINKAGE Column 1: Registration Tally all Clients whose result is in column 23 is positive their Fluconazole
identified positives that AND PRE-ART REGISTER Number Record TI for clients start date in column 25 with the reporting period.
are initiated on ART in transferring from care or
the same quarter ART in another health facility.
Column 3: Unique ID (NIN),
Column 6: Sex, Column 7:
Address: District/ Sub-county/
ParishVillage/Zone, Column16:
Patient Clinic No.,Column 17:
Date and status at enrollment.
HC11: No. of clients HMIS ACP 005 ART Column 1:ART start Date Identify the 3 treatment cohorts (Month and Year) corresponding to
started on ART at this REGISTER Column 4: Transfer in / the 3 months of the reporting period. Ascertain that the date recorded
facility during the quarter eMTCT status, Clients’ special under Col 1 falls within the first and last date of each of the 3 months
category, Column 6: Sex (M/F), Tally all new clients started on ART during the 3 treatment cohorts
Column 7: Age (yrs) at ART
Exclude any Transfer in client i.e. Col 4 Top cell = TI
initiation ( write age in months
if child <2yrs) Record total number under cell y
Tally total number by age (Col 7) and sex (Col 6) and record under
cells a – x
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC12: No. of pregnant & HMIS ACP 005 ART Column 1:ART start Date, Identify the 3 treatment cohorts (Month and Year) corresponding to
Lactating women started REGISTER Column 4: Transfer the 3 months of the reporting period. Ascertain that the date recorded
on ART at this facility in / eMTCT status, Clients’ under Col 1 falls within the first and last date of each of the 3 months
during the quarter special category Column 6:Sex Tally all new clients started on ART during the 3 treatment cohorts
(M/F), Column 7: Age (yrs) at AND sex (Col 6) = Female AND eMTCT status (Col 4) Middle cell = P
ART initiation ( write age in or BF AND Age (Col 7) ≥10 years
months if child <2yrs)
HC12: No. of pregnant & HMIS ACP 005 ART Column 1:ART start Date, Exclude any Transfer in client i.e. Col 4 Top cell = TI
Lactating women started REGISTER Column 4: Transfer Record total number under cell y
on ART at this facility in / eMTCT status, Clients’
Tally total number by age (Col 7) and record under cells h, j, l, n, p, r,
during the quarter special category Column 6:Sex
t, v, x
(M/F), Column 7: Age (yrs) at
ART initiation ( write age in
months if child <2yrs)
HC13: No. of new clients HMIS ACP 005 ART Column 1:ART start Date, Identify the 3 treatment cohorts (Month and Year) corresponding to
started on ART with REGISTER Column 4: Transfer in / eMTCT the 3 months of the reporting period. Ascertain that the date recorded
baseline CD4 status, Clients’ special category under Col 1 falls within the first and last date of each of the 3 months
Column 6:Sex (M/F), Column Tally all new clients started on ART during the 3 treatment cohorts
109
Tally total number by age (Col 7) and sex (Col 6) and record under
cells a – x
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
110
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC14: Median CD4 count HMIS ACP 005 ART Column 7: Age (yrs) at ART For all new clients started on ART with baseline CD4 identified under
at ART initiation (5yrs+) REGISTER initiation ( write age in months HC10 above, list the CD4 cell value recorded in Col 11 Top cell for only
if child <2yrs) Column 11: those aged 5 years and above (Col 7 = 5yrs+)
CD4/%age CrAg TB LAM Arrange all listed CD4 cell values starting with the smallest to the
biggest in value
HC14: Median CD4 count HMIS ACP 005 ART Column 7: Age (yrs) at ART Identify the CD4 cell value occupying the middle position from the list
at ART initiation (5yrs+) REGISTER initiation ( write age in months above. This is the median CD4 Tally
if child <2yrs) Column 11: If there are 2 CD4 cell values occupying the middle positions, add
CD4/%age CrAg TB LAM these 2 values and divide by 2 to obtain median CD4 Tally
Record median CD4 Tally under cell y
HC15: No. of new clients HMIS ACP 005 ART Column 1:ART start Date, Identify the 3 treatment cohorts (Month and Year) corresponding to
started on ART with REGISTER Column 4: Transfer in / the 3 months of the reporting period. Ascertain that the date recorded
baseline CD4 < 200 eMTCT status, Clients’ special under Col 1 falls within the first and last date of each of the 3 months
category, Column 6: Sex Tally all new clients started on ART during the 3 treatment cohorts
(M/F), Column 7: Age (yrs) at AND Col 11 Top cell has a CD4 value < 200 cells/ml
ART initiation ( write age in
Exclude any Transfer in client i.e. Col 4 Top cell = TI
months if child <2yrs), Column
11: CD4/%age CrAg TB LAM Record total number under cell y
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC16a: No. of new clients HMIS ACP 005 ART Column 1/ART start Date, 4: Identify the 3 treatment cohorts (Month and Year) corresponding to
with a baseline CD4 <200 REGISTER Transfer in / eMTCT status, the 3 months of the reporting period. Ascertain that the date recorded
that accessed TB LAM Clients’ special category, 6/ under Col 1 falls within the first and last date of each of the 3 months
Sex (M/F), 7/ Age (yrs) at ART Tally all new clients started on ART during the 3 treatment cohorts
initiation ( write age in months if AND Col 11 Top cell has a CD4 value < 200 cells/ml AND Col 11 Bottom
child <2yrs) and 11/CD4/%CrAg cell has either Pos or Neg recorded
TB LAM
HC16a: No. of new clients HMIS ACP 005 ART Column 1/ART start Date, 4: Exclude any Transfer in client i.e. Col 4 Top cell = TI
with a baseline CD4 <200 REGISTER Transfer in / eMTCT status, Record total number under cell y
that accessed TB LAM Clients’special category, 6/
Sex (M/F), 7/ Age (yrs) at ART Tally total number by age (Col 7) and sex (Col 6) and record under
initiation ( write age in months if cells a – x
child <2yrs) and 11/CD4/%CrAg
TB LAM
HC16b: No. of New clients HMIS ACP 005 ART Column 1/ART start Date, 4: Identify the 3 treatment cohorts (Month and Year) corresponding to
with baseline CD4<=200 REGISTER Transfer in / eMTCT status, the 3 months of the reporting period. Ascertain that the date recorded
positive for TB LAM Clients’ special category, 6/ under Col 1 falls within the first and last date of each of the 3 months
Sex (M/F), 7/ Age (yrs) at ART Tally all new clients started on ART during the 3 treatment cohorts
initiation ( write age in months if
111
Record total number under cell y
Tally total number by age (Col 7) and sex (Col 6) and record under
cells a – x
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
112
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC16c: No. of New clients HMIS ACP 005 ART Column 1:ART start Date, 4: Identify the 3 treatment cohorts (Month and Year) corresponding to
with baseline CD4<=200 REGISTER Transfer in / eMTCT status, the 3 months of the reporting period. Ascertain that the date recorded
positive for TB LAM Clients’ special category, under Col 1 falls within the first and last date of each of the 3 months
treated for TB Column 6:Sex (M/F), 7/ Age Tally all new clients started on ART during the 3 treatment cohorts
(yrs) at ART initiation ( write age
AND Col 11 Top cell has a CD4 value < 200 cells/ml AND Col 11 Bottom
in months if child <2yrs) and
cell has Pos recorded and code 4 in column 16 “TB status”
Column11: CD4/%CrAg TB LAM
HC16c: No. of New clients HMIS ACP 005 ART Column 1:ART start Date, 4: Exclude any Transfer in client i.e. Col 4 Top cell = TI
with baseline CD4<=200 REGISTER Transfer in / eMTCT status, Record total number under cell y
positive for TB LAM Clients’ special category,
Tally total number by age (Col 7) and sex (Col 6) and record under
treated for TB Column 6:Sex (M/F), 7/ Age
cells a – x
(yrs) at ART initiation ( write age
in months if child <2yrs) and
Column11: CD4/%CrAg TB LAM
HC16d: No. of new clients HMIS ACP 005 ART Column 1: ART start Date, 4: Identify the 3 treatment cohorts (Month and Year) corresponding to
with a baseline CD4 <200 REGISTER Transfer in / eMTCTstatus, the 3 months of the reporting period. Ascertain that the date recorded
that accessed CrAg Clients’ special category, under Col 1 falls within the first and last date of each of the 3 months
Column 6:Sex (M/F), 7/ Age Tally all new clients started on ART during the 3 treatment cohorts
(yrs) at ART initiation ( write age AND Col 11 Top cell has a CD4 value < 200 cells/ml AND Col 11 Middle
in months if child <2yrs) and
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
"HC16e: No. of New HMIS ACP 005 ART Column 1: ART start Date, 4: Identify the 3 treatment cohorts (Month and Year) corresponding to
clients with baseline REGISTER Transfer in / eMTCTstatus, the 3 months of the reporting period. Ascertain that the date recorded
CD4<=200 positive for Clients’ special category, under Col 1 falls within the first and last date of each of the 3 months
CRAG “ Column 6:Sex (M/F), 7/ Age Tally all new clients started on ART during the 3 treatment cohorts
(yrs) at ART initiation ( write AND Col 11 Top cell has a CD4 value < 200 cells/ml AND Col 11 Middle
age in months if child <2yrs) cell has Pos recorded
and Column11: CD4/%CrAg TB Exclude any Transfer in client i.e. Col 4 Top cell = TI
LAM"
Record total number under cell y
Tally total number by age (Col 7) and sex (Col 6) and record under
cells a – x
HC16f: No. of New clients HMIS ACP 005 ART Column 1:ART start Date, Identify the 3 treatment cohorts (Month and Year) corresponding to
with baseline CD4<=200 REGISTER Column 4: Transfer the 3 months of the reporting period. Ascertain that the date recorded
positive for CRAG treated in / eMTCT status, Clients’ under Col 1 falls within the first and last date of each of the 3 months
with fluconazole special category, Column Tally all new clients started on ART during the 3 treatment cohorts
6:Sex (M/F), Column7: Age (yrs) AND Col 11 Top cell has a CD4 value < 200 cells/ml AND Col 11 Middle
at ART initiation ( write age cell has either Pos recorded and fluconazole start date in column 15
in months if child <2yrs) and falls within the reporting period.
Column11: CD4/%CrAg TB LAM Exclude any Transfer in client i.e. Col 4 Top cell = TI
113
cells a – x
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
114
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC17: Cumulative No. of HMIS 106a: HEALTH UNIT From the previous HMIS 106a Get the total number of clients started on ART at this facility during the
individuals ever started QUARTERLY REPORT report, HC09: Cumulative No. quarter (HC11 cell y) ADD it to Cumulative No. of clients ever enrolled
on ART (HC09 + HC11) of clients ever enrolled on ART on ART at this facility at the end of the previous quarter (HC09 cell y)
at this facility at the end of the Record total number under cell y
previous quarter
HC18: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
on 1st line ARV regimen REGISTER Column 7: Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND ARV
if child <2yrs) code cell has code with prefix 1, 3 or 4 for that month follow up visit
Record total number under cell y
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC19: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
on 2nd line ARV regimen REGISTER Column7/ Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND ARV
if child <2yrs) code cell has code with prefix 2, 5 or 8 for that month follow up visit
Record total number under cell y
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC20: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
on 3rd line or higher ARV REGISTER Column7/ Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
regimen initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND ARV
if child <2yrs) code cell has code with prefix 6, 7 or 9 for that month follow up visit
Record total number under cell y
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC21: No. of active clients HMIS ACP 005 ART Column 6: Sex (M/F) and Tally ALL clients with FU Status = A recorded at least once within the
on ART with Advanced REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
Disease by the end of the initiation ( write age in months Transfer out or Stopped after the Alive status AND ADH cell = 3a or
reporting quarter if child <2yrs) 3b or 3c or 3d or 3e at the last visit within the reporting period
Record total number under cell y
Tally total number by age (Col 7 for the first 2 quarters after ART
initiation and age cell updated every 6 months thereafter) and sex
(Col 6) and record under cells a – x
HC22: No. of ART HMIS ACP 005 ART Column 4: Transfer in/ eMTCT, For each treatment cohort of clients, identify those with TI recorded
115
Tally total number by age (Col 7) and sex (Col 6) and record under
if child <2yrs)
cells a – x
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
116
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC23: Number of ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = D1/D2/D3/D4/D5/D6/D7 recorded for any
clients that died during REGISTER Column7:Age (yrs) at ART of the months within the reporting quarter.
the quarter initiation ( write age in months Note: The date when the client died should fall within the reporting
if child <2yrs) period
Record total number under cell y
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC24: Number of ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = L recorded for ALL three months of the
clients that were lost REGISTER Column7:Age (yrs) at ART reporting quarter.
to follow-up during the initiation ( write age in months Record total number under cell y
quarter if child <2yrs)
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC25: No. of clients who HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = TO recorded as the last follow up status
were Transferred OUT REGISTER Column7:Age (yrs) at ART within the reporting quarter
during the quarter initiation ( write age in months Record total number under cell y
if child <2yrs)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC26: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 2/3/4/5/6/7/8 excluding Infant
expected contact by the appropriate) Column 5: Age (Exposed) in Col (2)
end of the quarter (record completed months<2 Record total number under cell y
years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
Column 16: Out come by end
cells a – x
of the quarter when patient
missed appointment FOR
REPORTING
HC27a: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 2 excluding Infant (Exposed)
expected contact by appropriate) Column 5: Age in Col (2)
outcome after tracing (record completed months<2 Record total number under cell y
– confirmed as silently years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
transferred Column 16: Out come by end
cells a – x “
of the quarter when patient
missed appointment FOR
117
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
118
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC27b: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 7 excluding Infant (Exposed) in
expected contact by appropriate) Column 5: Age Col (2)
outcome after tracing – (record completed months<2 Record total number under cell y
tracing attempts initiated years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
but incomplete Column 16: Out come by end
cells a – x
of the quarter when patient
missed appointment FOR
REPORTING
HC27c: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 6 excluding Infant (Exposed)
expected contact by appropriate) Column 5: Age in Col (2)
outcome after tracing – (record completed months<2 Record total number under cell y
unable to be located years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
Column 16: Out come by end
cells a – x
of the quarter when patient
missed appointment FOR
REPORTING
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC27d: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 3 excluding Infant (Exposed)
expected contact by appropriate) Column 5: Age in Col (2)
outcome after tracing – (record completed months<2 Record total number under cell y
stopped taking ARVs years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
Column 16: Out come by end
cells a – x
of the quarter when patient
missed appointment FOR
REPORTING
HC27e: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 8 excluding Infant (Exposed)
expected contact by appropriate) Column 5: Age in Col (2)
outcome after tracing – (record completed months<2 Record total number under cell y
No attempt to trace years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
Column 16: Out come by end
119
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
120
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC27f: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no clinical APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with outcome by end of quarter when
contact since last REGISTER 2: Service point( tick patient missed appointment (Col 16) = 5 excluding Infant (Exposed)
expected contact by appropriate) Column 5: Age in Col (2)
outcome after tracing - (record completed months<2 Record total number under cell y
Died years),Column 6: Sex (M/F),
Tally total number by age (Col 5) and sex (Col 6) and record under
Column 16: Out come by end
cells a – x
of the quarter when patient
missed appointment FOR
REPORTING
HC28a: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
clinical contact since REGISTER 2: Service point( tick (Col 19) = 1 excluding Infant (Exposed) in Col (2)
last expected contact appropriate) Column 5: Age Record total number under cell y
confirmed dead after (record completed months<2
Tally total number by age (Col 5) and sex (Col 6) and record under
tracing by cause of death years),Column 6: Sex (M/F),
cells a – x
- TB Column 19: Cause of dealth
HC28b: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC28c: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
clinical contact since REGISTER 2: Service point( tick (Col 19) = 3 excluding Infant (Exposed) in Col (2)
last expected contact appropriate) Column 5: Age Record total number under cell y
confirmed dead after (record completed months<2
Tally total number by age (Col 5) and sex (Col 6) and record under
tracing by cause of death years),Column 6: Sex (M/F),
cells a – x
– Infectious Diseases Column 19: Cause of dealth
other than TB
HC28d: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
clinical contact since REGISTER 2: Service point( tick (Col 19) = 4 excluding Infant (Exposed) in Col (2)
last expected contact appropriate) Column 5: Age Record total number under cell y
confirmed dead after (record completed months<2
Tally total number by age (Col 5) and sex (Col 6) and record under
tracing by cause of death years),Column 6: Sex (M/F),
cells a – x
– HIV non infectious Column 19: Cause of dealth
diseases
HC28e: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
121
cells a – x
– Natural causes Column 19: Cause of dealth
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
122
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC28f: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
clinical contact since REGISTER 2: Service point( tick (Col 19) = 6 excluding Infant (Exposed) in Col (2)
last expected contact appropriate) Column 5: Age Record total number under cell y
confirmed dead after (record completed months<2
Tally total number by age (Col 5) and sex (Col 6) and record under
tracing by cause of death years),Column 6: Sex (M/F),
cells a – x
– Non natural causes Column 19: Cause of dealth
HC28g: No. of ART HMIS ACP 007 MISSED Column 1: Missed appointment For client whose missed appointment date (Col 1) falls within the
patients with no APPOINTMENT TRACKING date; DD/MM/YY, Column reporting quarter, Tally client with Cause of Death (if outcome is died)
clinical contact since REGISTER 2: Service point( tick (Col 19) = 7 excluding Infant (Exposed) in Col (2)
last expected contact appropriate) Column 5: Age Record total number under cell y
confirmed dead after (record completed months<2
Tally total number by age (Col 5) and sex (Col 6) and record under
tracing by cause of death years),Column 6: Sex (M/F),
cells a – x
– Unknown Column 19: Cause of dealth
HC29: No. of active on HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
ART eligible to receive REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
CPT/Dapsone at the last initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND CTX cell
visit in the quarter if child <2yrs) = Y or N at the last recorded follow up visit during the quarter
Record total number under cell y
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC30: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
and eligible who received REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
CPT/Dapsone at the last initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND CTX cell
visit in the quarter if child <2yrs) = Y at the last recorded follow up visit during the quarter
Record total number under cell y
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC31: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
screened for TB at last REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
visit in the quarter initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND TB status
if child <2yrs) cell = 1 or 2 or 3C or 3G or 3L or 3M or 3X or 3O or 4 or 5 at the last
recorded follow up visit during the quarter
Record total number under cell y
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
123
if child <2yrs) cell = 2 or 3C or 3G or 3L or 3M or 3X or 3O or 4 first documented at
a follow-up visit during the quarter
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
124
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC32: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Record total number under cell y
with presumptive TB REGISTER Column7:Age (yrs) at ART Tally total number by age (Col 7 for clients who are less than six
during the quarter initiation ( write age in months months on ART or current age as updated every 6 months on ART)
if child <2yrs) and sex (Col 6) and record under cells a – x
HC33: No. active on ART HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
diagnosed with TB during REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
the quarter initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND TB status
if child <2yrs) cell = 3C or 3G or 3L or 3M or 3X or 3O, or 4 at any of the follow up
visit during the quarter
Record total number under cell y
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC34a: No. active on HMIS ACP 005: ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
ART started on TB REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
treatment during the initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND TB
HMIS TB 009: HEALTH
quarter (New & relapse if child <2yrs) and Column status cell = 4 for the first time during the quarter AND 3rd Cell of Col
UNIT TB REGISTER
TB cases)- Newly started 10: Date started on first line 16 (Anti-TB drug start date) corresponds to a date within the quarter
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC34a: No. active on HMIS ACP 005: ART Column 6: Sex (M/F) and Reconcile the identified New and Relapse cases TB cases from ART
ART started on TB REGISTER Column7:Age (yrs) at ART register with the those registered in the Unit TB register under Column
treatment during the initiation ( write age in months 11(N or R) & Column 10 for date started on first line treatment and must
HMIS TB 009: HEALTH
quarter (New & relapse if child <2yrs) and Column fall within the reporting period
UNIT TB REGISTER
TB cases)- Newly started 10: Date started on first line
TB treatment during the treatment and Column 11: Type
quarter of TB patient-N,R,TF &TL, THU
HC34b: No. active on HMIS ACP 005 ART Column 6: Sex (M/F) and Tally client with FU Status = A recorded at least once within the
ART started on TB REGISTER Column7:Age (yrs) at ART reporting quarter AND no addition FU Status of death, Self-transfer,
treatment during the initiation ( write age in months Transfer out or Stopped recorded after the Alive status AND TB status
quarter (New & relapse if child <2yrs) Column 10: Date cell = 4 before the beginning of the reporting quarter AND 3rd Cell
TB cases)- previously on started on first line treatment of Col 16 (Anti-TB drug start date) corresponds to a date before the
TB treatment during the and Column 11: Type of TB reporting quarter
quarter patient-N,R,TF &TL, THU and Record total number under cell y
Column 16: Code 4: Currently
Tally total number by age (Col 7 for clients who are less
on TB treatment
than six months on ART or current age as updated every 6
months on ART) and sex (Col 6) and record under cells a – x
Reconcile the identified new TB cases from ART register with the
125
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
126
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC35a: No. of ART clients HMIS ACP 005 ART Column 1: ART start Date, Extract data from the ART REGISTER, column 1 “ART start date” by
started on TPT during the REGISTER Column 6: Sex, Column 7: Age age group.
quarter – Newly started ( years) at ART initiation (write Extract data from the ART REGISTER, col 1, 6, 7 and 14. Tally all clients
on ART age in months if child <2 years) with ART start date falling within the reporting period, FU Status = A,
and column 14: TPT/B6 plus TPT status =””H1” and TPT start date in column 14 corresponds to a
status date within the quarter.
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
The data for this data element should not include the transfer in
since these clients were already enrolled in the facility they have
transferred from.
HMIS TB 011 : TB Column 3: Age, Column 4: Sex, Extract data from the TPT register, column 10 “”TPT Initiation” date
PREVENTIVE THERAPY Column 6a: already on ART by corresponds to the dates within the reporting period and with a tick
(TPT) REGISTER the start of the quarter (if HIV+): (√) in column (6a) –upper cell (New on ART).
New on ART during the quarter Tally total number by age (Col 3) and Sex (Col 4) and record under
( if HIV+) and Column 10: Date cells a – x
( DD/MM/YYYY), Weight (Kg),
TPT Regimen: H-Isonlizid.
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC35b: No. of ART clients HMIS ACP 005 ART Column 6: Sex, Column 7: Age Extract data from the ART REGISTER, column 6, 7 and 14.
started on TPT during the REGISTER ( years) at ART initiation (write Tally all clients who were on ART before the beginning of the reporting
quarter – Previously on age in months if child <2 years) period, FU Status = A, TPT status =””H1” and TPT start date in column
ART and column 14: TPT/B6 plus 14 corresponds to a date within the quarter.
status
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HMIS TB 011 : TB Column 3: Age, Column 4: Sex, Extract data from the TPT register, column 10 “”TPT Initiation” date
PREVENTIVE THERAPY Column 6a: already on ART by corresponds to the dates within the reporting period and with a tick
(TPT) REGISTER the start of the quarter (if HIV+): (√) in column (6a) –upper cell (Already on ART).
New on ART during the quarter Tally total number by age (Col 3) and Sex (Col 4) and record under
( if HIV+) and Column 10: Date cells a – x”
( DD/MM/YYYY), Weight (Kg),
TPT Regimen: H-Isonlizid.
RH-Rifampicin/Isonlizid, HP-
Rifapentine/isoniazid. Dose
(mg)
128
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC36: No. of ART clients HMIS ACP 005 ART Column 6:Sex (M/F), Extract data from the ART REGISTER, column 6,7 and 14.
who were started on REGISTER Column7:Age (yrs) at ART Tally all clients who started TPT 6months ago as indicated by TPT
TPT 6 months ago initiation ( write age in months start date in column 14.
if child <2yrs) Column 14: TPT/
Tally all clients who were started TPT 6 months before the beginning
B6 plus status
of the reporting period, FU Status = A, TPT status =””H1” and TPT start
date in column 14. This data element is targeting those ART clients
who started TPT 6 months prior to the reporting period. For example,
if you are compiling the January-March 2020 report, consider those
clients whose TPT start date falls July-Sept 2019 in column 14.
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HMIS TB 011 : TB Column 3: Age, Column 4: Sex, Extract data from the TPT REGISTER, column 3,4, 6a and 10.
PREVENTIVE THERAPY Column 6a: already on ART by Tally all clients who started TPT 6months ago as indicated by TPT
(TPT) REGISTER the start of the quarter (if HIV+): start date in column 10 and have a tick (√) in column 6a.
New on ART during the quarter
Tally all clients who were started TPT 6 months before the beginning of
( if HIV+) and Column 10: Date
the reporting period. This data element is targeting those ART clients
( DD/MM/YYYY), Weight (Kg),
who started TPT 6 months prior to the reporting period. For example,
TPT Regimen: H-Isonlizid.
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC37: No. of ART HMIS ACP 005 ART Column 6:Sex (M/F), Extract data from the ART REGISTER, column 6,7 and 14.
clients who successfully REGISTER Column7:Age (yrs) at ART Tally all clients whose FU Status = A, TPT status =””H4” documented
completed TPT during initiation ( write age in months for the first time within the reporting quarter on the follow up page
the quarter if child <2yrs) Column 14: TPT/ and TPT stop date in column 14 corresponds to a date within the
B6 plus status reporting quarter.
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HMIS TB 011 : TB Column 3: Age, Column 4: Sex, Extract data from the TPT REGISTER, column 3,4, 6a and 10.
PREVENTIVE THERAPY Column 6a: already on ART by Tally all clients with tick (√) in column 6a, a tick (√) in column 18
(TPT) REGISTER the start of the quarter (if HIV+): “completed” cell and completed TPT during the reporting period as
New on ART during the quarter indicated by TPT date in column 10.
( if HIV+) and Column 10: Date
Tally total number by age (Col 3) and sex (Col 6) and record under
( DD/MM/YYYY), Weight (Kg),
cells a – x
TPT Regimen: H-Isonlizid.
RH-Rifampicin/Isonlizid, HP-
Rifapentine/isoniazid. Dose
(mg) and Column 18: Outcome
129
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
130
HIV ART CARE SERVICES
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC38: No. active on ART HMIS ACP 005 ART Summarise data from the follow up page of the ART REGISTER by
assessed for Malnutrition REGISTER age/sex disaggregates.
at their visit in quarter Tally all clients whose FU Status = A with Nutrition status “”N, MAM,
SAM, SAMO and O”” on the follow up page.
Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x.
HC39: No. active on ART HMIS ACP 005 ART Column 6:Sex (M/F), Summarise data from the follow up page of the ART REGISTER by
who are Malnourished REGISTER Column7:Age (yrs) at ART age/sex disaggregates. Tally all clients whose FU Status = A with
(MAM+SAM) at their last initiation ( write age in months Nutrition status “”MAM, SAM or SAMO”” on the follow up page.
visit in the quarter if child <2yrs) Tally total number by age (Col 7 for clients who are less than six
months on ART or current age as updated every 6 months on ART)
and sex (Col 6) and record under cells a – x
HC40: No. active on ART HMIS NUT 001L Column 6: Age, Column 7: Sex, Summarise data from the column 6, 7, 17 21 and 22 of the INTEGRATED
who are Malnourished INTEGRATED NUTRITION Column17: Nutritional status NUTRITION REGISTER by age/sex disaggregates.
(MAM+SAM) at their last REGISTER at enrolment, Column 21: ART Tally all clients with code “”ART”” in column 21, code “”MAM or SAM
visit in the quarter who services at enrolment Column or SAMO or ++”” in column 17, code “”pos”” in column 20, and code
received Therapeutic/ 22: Enrolements and revisits “”(RUTF) or F75 or F100 or ReSoMal or FBF”” in the supplementary
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC41a: No. active on ART HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
who had a viral load test REGISTER 7: Age (yrs) at ART initiation Tally all clients whose FU Status = A with VL status code “S or NS” for
at 6 months post ART with age in months if child is month 6 on the follow up page.
initiation – Total tested <2yrs.
Tally total number by age (Col 7 or current age as updated every 6
months on ART) and sex (Col 6) and record under cells a – x
This data element is targeting those ART clients who have made
6 months on ART during the reporting period. For example, if you
are compiling the Jan-Mar 2020 report, consider the July-Sept 2019
cohort. The viral load status must be based on the viral load testing
algorithm.
HC41b: No. active on ART HMIS ACP 005 ART Column 6: Sex Column Tally all clients whose FU Status = A with VL status code “S” for month
who had a viral load test REGISTER 7: Age (yrs) at ART initiation 6 on the follow up page.
at 6 months post ART with age in months if child is Tally total number by age in Col 7 or current age as updated every 6
initiation – Suppressed <2yrs. months on ART and sex (Col 6) and record under cells a – x.
viral load
This data element is targeting those ART clients who have made
6 months on ART during the reporting period. For example, if you
are compiling the Jan-Mar 2020 report, consider the July-Sept 2019
131
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
132
VIRAL LOAD (VL)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC42a: Number of HMIS ACP 005 ART Column 6: Sex Column Summarise data from the follow up page of the ART REGISTER by
clients on ART who had REGISTER 7: Age (yrs) at ART initiation age/sex disaggregates.
a viral load test during with age in months if child is Tally all clients whose FU Status = A with at least one VL status code
the past 12 months (most <2yrs. “S or NS” in any month during the past 12 months on the follow up
recent test) – Total tested page.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
For example, if we are compiling the January-March 2020 report,
Tally all clients who had a VL test at any one time during the months
of April 2019- March 2020.
HC42b: Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the follow up page of the ART REGISTER by
on ART who had a viral REGISTER 7: Age (yrs) at ART initiation age/sex disaggregates.
load test during the past with age in months if child is Tally all clients whose FU Status = A with most recent VL status code
12 months (most recent <2yrs. “S” in any month during the past 12 months on the follow up page.
test) – Suppressed viral
Tally total number by age in Col 7 or current age as updated every 6
load
months on ART and sex (Col 6) and record under cells a – x.
For example if we are compiling the Jan-Mar 2020 report, Tally all
clients who had VL test at any one time during the months of April
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC43a: No. active on ART HMIS ACP 005 ART Column 6: Sex Column Summarise data from the follow up page of the ART REGISTER by
who had a viral load test REGISTER 7: Age (yrs) at ART initiation age/sex disaggregates.
at 12 months post ART with age in months if child is Tally all clients whose FU Status = A with VL status code “S” or “NS”
initiation – Total tested <2yrs. at month 12 on the follow up page.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
This data element is targeting those ART clients who have made 12
months on ART during the reporting period. For example, if you are
compiling the January-March 2020 report, consider the January-
March 2019 cohort.
HC43b No. active on ART HMIS ACP 005 ART Column 6: Sex Column Summarise data from the follow up page of the ART REGISTER by
who had a viral load test REGISTER 7: Age (yrs) at ART initiation age/sex disaggregates.
at 12 months post ART with age in months if child is Tally all clients whose FU Status = A with VL status code “S” at month
initiation – Suppressed <2yrs. 12 on the follow up page.
viral load
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
This data element is targeting those ART clients who have made 12
133
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
134
VIRAL LOAD (VL)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC44a: Number of non- HMIS ACP 005 ART Column 6: Sex Column Summarise data from the follow up page of the ART REGISTER by
suppressed ART clients REGISTER 7: Age (yrs) at ART initiation age/sex disaggregates.
who had a repeat VL with age in months if child is Tally all clients whose FU Status = A, with VL status code “NS” during
test that remained <2yrs. the reporting quarter and had the same code NS before the reporting
non-suppressed in the period on the follow up page.
reporting period – Total
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
This data element is targeting those ART clients who had a non-
suppressed VL result before the reporting period and have had
a another non suppressed VL test result during the quarter. For
example, if you are compiling the January-March 2020 report,
consider those clients that had a non-suppressed VL result before
January 2020 and have had another VL test during January-March
2020 and the results are non-suppressed.
HC44b Number of non- HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
suppressed ART clients REGISTER 7: Age (yrs) at ART initiation Tally all clients whose FU Status = A, with non-suppressed VL results
who had a repeat VL with age in months if child is and switch date from 1st to 2nd line regimen falls within the reporting
test that remained <2yrs and Column 19: 2nd Line period in column 19.
non-suppressed in Regimen
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC44c Number of non- HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
suppressed ART clients REGISTER 7: Age (yrs) at ART initiation Tally all clients with non-suppressed VL results and switch date from
who had a repeat VL with age in months if child is 2nd t0 3rd line regimen falls within the reporting period in column 20.
test that remained <2yrs and Column 20: 3rd Line
Tally total number by age in Col 7 or current age as updated every 6
non-suppressed in regimen
months on ART and sex (Col 6) and record under cells a – x.
the reporting period –
Switched from 2nd to 3rd
HC45a Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
failing on ART who had REGISTER 7: Age (yrs) at ART initiation Tally all clients whose FU status = A, ARV code cell has code with
HIV Drug Resistance Test with age in months if child is prefix 1, 3 or 4 for that month follow up visit and HIVDR test sample
in the reporting period – <2yrs. collection date falls within the reporting period.
1st line regimen
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC45b Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
failing on ART who had REGISTER 7: Age (yrs) at ART initiation Tally all clients whose FU status = A, ARV code cell has code with
HIV Drug Resistance Test with age in months if child is prefix 2, 5 or 8 for that month follow up visit
in the reporting period – <2yrs and Column 19: HIVDR
135
months on ART and sex (Col 6) and record under cells a – x.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
136
VIRAL LOAD (VL)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC45c: Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
failing on ART who had REGISTER 7: Age (yrs) at ART initiation Tally all clients whose FU status = A, ARV code cell has code with
HIV Drug Resistance Test with age in months if child is prefix 6, 7 or 9 for that month follow up visit and HIVDR test sample
in the reporting period – <2yrs and Column 20: HIVDR collection date falls within the reporting period in column 20.
3rd line regimen test
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC46: Number of non- HMIS ACP 005 ART Column 6: Sex Column Summarise data from the follow up page of the ART REGISTER by
suppressed Clients that REGISTER 7: Age (yrs) at ART initiation age/sex disaggregates.
received CD4 test with age in months if child is Tally all clients whose FU Status = A with VL status code “NS” in any
<2yrs month during the past 12 months on the follow up page.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
For example, if we are compiling the January-March 2020 report,
Tally all clients who had VL test at any one time during the months of
April 2019- March 2020.
HC46 Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Sex/ Summarise data from the VIRAL LOAD NON-SUPPRESSED REGISTER
suppressed Clients that LOAD NON-SUPPRESSED eMTCT Column 8: CD4 result by age/sex disaggregates.
received CD4 test REGISTER Tally all clients with non-suppressed VL whose CD4 sample collection
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC47a: Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Sex/ Extract data from the VIRAL LOAD NON-SUPPRESSED REGISTER,
suppressed Clients with LOAD NON-SUPPRESSED eMTCT Column 8: CD4 result column 5, 6, 8 and 11 by age/sex.
CD4 test <200 that – REGISTER Column 11: TB LAM Test Tally all clients with non-suppressed viral load with documented CD4
Accessed TB LAM Tally <=200 in column 8 and had a TB LAM screening code “Y” in
column 11.
Tally total number by age in Col 5 and sex (Col 6) and record under
cells a – x.
The date for CD4 sample collection should fall within the reporting
period.
HC47b Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Sex/ Extract data from the VIRAL LOAD NON-SUPPRESSED REGISTER,
suppressed Clients with LOAD NON-SUPPRESSED eMTCT Column 8: CD4 result column 5, 6, 8 and 11 by age/sex.
CD4 test <200 that – REGISTER Column 11: TB LAM Test Tally all clients with non-suppressed viral load with documented CD4
Positive for TB LAM Tally <=200 in column 8 and had a TB LAM test result “Pos” in column
11. The date for CD4 sample collection should fall within the reporting
period.
Tally total number by age in Col 5 and sex (Col 6) and record under
cells a – x.
138
VIRAL LOAD (VL)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC47c Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Sex/ Extract data from the VIRAL LOAD NON-SUPPRESSED REGISTER,
suppressed Clients with LOAD NON-SUPPRESSED eMTCT Column 8: CD4 result column 5, 6, 8 and 11 by age/sex.
CD4 test <200 that – REGISTER Column 11: TB Treatment Tally all clients with non-suppressed viral load with documented CD4
Positive for TB LAM and Tally <=200 in column 8, and TB treatment code “Y” in column 11.
started TB treatment
The date for CD4 sample collection should fall within the reporting
period.
Tally total number by age in Col 5 and sex (Col 6) and record under
cells a – x.
The date for TB treatment initiation should fall within the reporting
period.
HC48a Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Sex/ Extract data from the VIRAL LOAD NON-SUPPRESSED REGISTER,
suppressed Clients with LOAD NON-SUPPRESSED eMTCT Column 8: CD4 result column 5, 6, 8 and 11 by age/sex.
CD4 test <200 that – REGISTER Column 11: CrAg Results Tally all clients with non-suppressed viral load with documented CD4
Accessed CrAg Tally <=200 in column 8 and had a serum CrAg screening code “Y”
in column 11.
The date for CD4 sample collection should fall within the reporting
period.
Tally total number by age in Col 5 and sex (Col 6) and record under
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC48b Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Sex/ Extract data from the VIRAL LOAD NON-SUPPRESSED REGISTER,
suppressed Clients with LOAD NON-SUPPRESSED eMTCT Column 8: CD4 result column 5, 6, 8 and 11 by age/sex. Tally all clients with non-suppressed
CD4 test <200 that – REGISTER Column 11: TB LAM Test viral load with documented CD4 Tally <=200 in column 8 and had
Positive for CrAg a CrAg test result “Pos” in column 11. The date for CD4 sample
collection should fall within the reporting period.
Tally total number by age in Col 5 and sex (Col 6) and record under
cells a – x.
The date for TB treatment initiation should fall within the reporting
period.
HC48c Number of non- HMIS ACP 001: VIRAL Column 5: Age Column 6: Extract data from the VIRAL LOAD NON-SUPPRESSED REGISTER,
suppressed Clients with LOAD NON-SUPPRESSED Sex/eMTCT Column 8: CD4 column 5, 6, 8 and 11 by age/sex.
CD4 test <200 that – REGISTER result Column 11: treated with Tally all clients with non-suppressed viral load with documented CD4
Positive for CrAg and Fluconazole Tally <=200 in column 8, had a CrAg test result “Pos” and Treated
initiated on fluconazole with Fluconazole code “Y” in column 11.
The date for CD4 sample collection should fall within the reporting
period.
Tally total number by age in Col 5 and sex (Col 6) and record under
139
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
140
DIFFERENTIATED SERVICE DELIVERY MODEL (DSDM)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC49a: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART by DSDM REGISTER 7: Age (yrs) at ART initiation Tally all active clients whose FU status = A and the last recorded
approach at the end of with age in months if child is DSDM code “FBIM” on the follow up page that falls within the
the reporting period – <2yrs. reporting period.
FBIM Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC49b: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART by DSDM REGISTER 7: Age (yrs) at ART initiation Tally all active clients whose FU status = A and the last recorded
approach at the end of with age in months if child is DSDM code “FBG” on the follow up page that falls within the reporting
the reporting period – <2yrs. period.
FBG Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC49c: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART by DSDM REGISTER 7: Age (yrs) at ART initiation Tally all active clients whose FU status = A and the last recorded
approach at the end of with age in months if child is DSDM code “FTDR” on the follow up page that falls within the
the reporting period – <2yrs. reporting period.
FTDR Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC49e: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART by DSDM REGISTER 7: Age (yrs) at ART initiation
Tally all active clients whose FU status = A and the last recorded
approach at the end of with age in months if child is
DSDM code “CCLAD” on the follow up page that falls within the
the reporting period – <2yrs.
reporting period.
CCLAD
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC50a: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART achieving viral REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with most recent VL status code
load suppression – FBIM with age in months if child is
“S” based on the viral load testing algorithm and DSDM code “FBIM”
<2yrs.
at the end of the reporting period.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC50b: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART achieving viral REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with VL status code “S” based on
load suppression – FBG with age in months if child is
the viral load testing algorithm and DSDM code “FBG” at the end of
<2yrs.
the reporting period.
141
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
142
DIFFERENTIATED SERVICE DELIVERY MODEL (DSDM)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC50c: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART achieving viral REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with VL status code “S” based on
load suppression – FTDR with age in months if child is
the viral load testing algorithm and DSDM code “FTDR” at the end of
<2yrs.
the reporting period.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC50d: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART achieving viral REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with VL status code “S” based on
load suppression – CDDP with age in months if child is
the viral load testing algorithm and DSDM code “ CDDP “ at the end
<2yrs.
of the reporting period.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC50e: Number active HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
on ART achieving viral REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with VL status code “S” based on
load suppression – with age in months if child is
the viral load testing algorithm and DSDM code “ CCLAD “ at the end
CCLAD <2yrs.
of the reporting period.
Tally total number by age in Col 7 or current age as updated every 6
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC51a: Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
newly enrolled in each REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with DSDM code “ FBIM”
DSD approach during the with age in months if child is
reporting quarter – FBIM <2yrs. documented for the 1st time during the reporting period
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC51b: Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
newly enrolled in each REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with DSDM code “ FBG”
DSD approach during the with age in months if child is
reporting quarter – FBG <2yrs. documented for the 1st time during the reporting period
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC51c: Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
newly enrolled in each REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with DSDM code “FTDR”
DSD approach during the with age in months if child is
reporting quarter – FTGR <2yrs. documented for the 1st time during the reporting period
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
143
the reporting quarter – <2yrs.
CDDP Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
144
DIFFERENTIATED SERVICE DELIVERY MODEL (DSDM)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC51e: Number of clients HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
newly enrolled in each REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A with DSDM code “CCLAD”
DSD approach during with age in months if child is
documented for the 1st time during the reporting period
the reporting quarter – <2yrs.
CCLAD Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC52a: Number of TB/ HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
HIV clients receiving their REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A, with TB status code “4” and
TB drug refills – FBIM with age in months if child is
DSDM code “FBIM” within the reporting period.
<2yrs.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC52b: Number of TB/ HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
HIV clients receiving their REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A, with TB status code “4” and
TB drug refills – FBG with age in months if child is
DSDM code “FBG” within the reporting period.
<2yrs.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC52c: Number of TB/ HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
HIV clients receiving their REGISTER 7: Age (yrs) at ART initiation
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC52d: Number of TB/ HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
HIV clients receiving their REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A, with TB status code “4” and
TB drug refills – CDDP with age in months if child is
DSDM code “CDDP” within the reporting period.
<2yrs.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC52e: Number of TB/ HMIS ACP 005 ART Column 6: Sex Column Summarise data from the ART REGISTER by age/sex disaggregates.
HIV clients receiving their REGISTER 7: Age (yrs) at ART initiation
Tally all clients whose FU Status = A, with TB status code “4” and
TB drug refills – CCLAD with age in months if child is
DSDM code “CCLAD” within the reporting period.
<2yrs.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and sex (Col 6) and record under cells a – x.
HC53: No. of Clients HMIS ACP 032: FACILITY Column 4: Age (yrs) Column 5: Summarise data from the FACILITY COMMUNITY REFERAL REGISTER
Referred from the COMMUNITY REFERAL Sex (M/F) Column 16: Service(s) by age/sex disaggregates.
Community to the Facility REGISTER reffered for
Tally all clients with service code “1-14” in column 16 within the
for HIV Care Services
reporting period.
The date in column 2 should fall within the reporting period.
Tally total number by age in Col 4 and sex (Col 5) and record under
145
Community to the Facility REGISTER column 17: Services provided
Tally all clients with service code “1-14” in column 16 and code “Y” for
for HIV Care Services ( y/N)
services provided in column 17.
and Received Services
The date in column 2 should fall within the reporting period.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1A - HIVCARE/ART Services
146
DIFFERENTIATED SERVICE DELIVERY MODEL (DSDM)
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
HC55: No. of Clients HMIS ACP 032: FACILITY Column 2: Date Column 4: Summarise data from the FACILITY COMMUNITY REFERAL REGISTER
Referred from the Health COMMUNITY REFERAL Age ( yrs) column 5: Sex by age/sex disaggregates.
Facility to the Community REGISTER (M/F) Column 22: Services for
Tally all clients with services for referral code “15-28” in column 22
for HIV Care and Support referral
within the reporting period.
Services
The date in column 2 should fall within the reporting period.
Tally total number by age in Col 4 and sex (Col 5) and record under
cells a – x.
HC56: No. of Clients HMIS ACP 032: FACILITY Column 2: Date Column 22: Summarise data from the FACILITY COMMUNITY REFERAL REGISTER
Referred from the Health COMMUNITY REFERAL Services for referral and by age/sex disaggregates.
Facility to the Community REGISTER Column 25: Upon feedback
Tally all clients with services provided in column 25.
for HIV Care and Support what services were provided
Services and Received The date in column 2 should fall within the reporting period.
Services Tally all clients with services for referral code “15-28” in column 22
and documented services provided in column 25. The date in column
2 should fall within the reporting period.
CAO1 all patients 6 HMIS ACP 005 ART Column 1: ART this Date and Identify the 3 treatment cohorts (Month and Year) corresponding to
months: Started on ART REGISTER Column month 6: Follow up the 6 months prior to the reporting period using the legend table.
in this clinic- original status Column 4: TI Column Ascertain that the date recorded under Col 1 falls within the first and
cohort 7: Age ( yrs) at ART intiation ( last date of each of the 3 months.
write age in months if child is
Tally all new clients started on ART during the 3 treatment cohorts
<2yrs
Exclude any Transfer in client i.e. Col 4 Top cell = TI
Tally total number by age in Col 7 and record appropriately.
CAO1 all patients 6 HMIS ACP 005 ART Column 11: CD4%age CrAg TB column 11 “CD%, CrAg/TB LAM” for age groups 5yrs+ for the cohort
months: Fraction of REGISTER LAM under review.
clients 5yrs & above with List CD4 Tallys for all clients aged 5 yrs and above with a documented
CD4 ≤ 200 CD4 in column 11.
147
The Tally for those CD4s <=200 is 1 (which is 148) and the Tally for all
the CD4s is 5 then the fraction will be 1/5.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
148
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CAO1 all patients 6 HMIS ACP 005 ART Column 7: Age ( yrs) at ART column 11 “CD%, CrAg/TB LAM” for age groups 5yrs+ for the cohort
months: Median CD4 for REGISTER intiation ( write age in months under review.
5 years and above with if child is <2yrs and Column 11: List CD4 Tallys for all clients aged 5 yrs and above in column 7 with a
available CD4 CD4%age documented CD4 in column 11.
Arrange all listed CD4 cell values starting with the smallest to the
biggest in value
Identify the CD4 cell value occupying the middle position from the list
above. This is the median CD4 Tally
If there are 2 CD4 cell values occupying the middle positions, add
these 2 values and divide by 2 to obtain median CD4 Tally
Document by age in Col 7 accordingly.
CAO1 all patients 6 HMIS ACP 005 ART Column 1: ART start Date column 4 for the cohort under review.
months: Transfers In (TI) REGISTER Column 4: TI Column Column Identify the 3 treatment cohorts (Month and Year) corresponding to
Add + 7:Age ( yrs) at ART intiation ( the 6 months prior to the reporting period using the legend table.
write age months if child <2yrs)
Ascertain that the date recorded under Col 1 falls within the first and
last date of each of the 3 months.
Tally all clients with code “TI” in column 4 during the 3 treatment
cohorts.
CAO1 all patients 6 HMIS ACP 005 ART This data element is obtained by adding the original cohort to the transfer
months: Net current REGISTER in (TI) and subtract the transfer out (TO)
cohort (N)
(Column 3+TI-TO)
CAO1 all patients 6 HMIS ACP 005 ART Column month 6: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Stopped REGISTER and Column 7: Age ( yrs) at ART
Tally all clients with last recorded follow up status code “S” for
initiation ( write age in months
Stopped on the follow up page by the end of the reporting period.
if child is 2> yrs
This should only include those clients that stopped ART on or before
149
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
150
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CAO1 all patients 6 HMIS ACP 005 ART Column month 6: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Died REGISTER and Column 7: Age ( yrs) at ART
Tally all clients with last recorded follow up status code “D1 or D2 or
initiation ( write age in months
D3 or D4 or D5 or D6 or D7” on the follow up page by the end of the
if child is 2> yrs
reporting period. This should only include those clients that died on
or before 6 months post ART initiation.
Tally total number by age in Col 7 or current age as updated every
6months on ART and record appropriately.
CAO1 all patients 6 HMIS ACP 005 ART Column Month 6: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Lost (missed REGISTER Column 7: Age ( yrs) at ART
Tally all clients with last recorded follow up status code “L” for Lost
appointment) initiation ( write age in months
on the follow up page by the end of the reporting period. This should
if child is 2> yrs
only include those clients that Lost on or before 6 months post ART
initiation.
Tally total number by age in Col 7 or current age as updated every
6months on ART and record appropriately.
CAO1 all patients 6 HMIS ACP 005 ART Column month 6: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Lost to Follow- REGISTER and Column 7: Age ( yrs) at ART
Tally all clients with last recorded follow up status code “LTFU” for
up (DROP) initiation ( write age in months
Lost to Follow-up on the follow up page by the end of the reporting
if child is 2> yrs
period. This should only include those clients who were Lost to
Follow-up on or before 6 months post ART initiation.
CAO1 all patients 6 HMIS ACP 005 ART NA This is equal to No. cohort alive and on ART divided by Net Current
months: Percent of REGISTER Cohort (NNC) multiplied by 100
cohort alive and on ART
[ (On Rx) / N * 100 ]
EMTCT mothers 6 HMIS ACP 005 ART Column 1: ART start date, Summarise data from the follow up page of the ART REGISTER.
months: Record months/ REGISTER Column month 3: FU status and
Identify the 3 treatment cohorts (Month and Year) corresponding to
year when cohort started Column month 6: FU status
the 6 months prior to the reporting period using the legend table.
(3 months period)
Record 3 months and the year.
Record the first date of the cohort i.e. the dd/mm/yy.
For example if you are compiling the Jan-Mar 2020 report, record
151
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
152
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EMTCT mothers 6 HMIS ACP 005 ART Column 1: ART start Date, Summarise data from the follow up page of the ART REGISTER.
months: Started on ART REGISTER Column month 3: FU status, Identify the 3 treatment cohorts (Month and Year) corresponding to
in this clinic- original Column month 6: FU status the 6 months prior to the reporting period using the legend table.
cohort and Column 4: TI
Ascertain that the date recorded under Col 1 falls within the first and
last date of each of the 3 months.
Tally all new clients started on ART during the 3 treatment cohorts
with eMTCT status code “P or BF” in column 4.
Exclude any Transfer in client i.e. Col 4 Top cell = TI
EMTCT mothers 6 HMIS ACP 005 ART Column 11: CD4%age CrAg TB Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Fraction of REGISTER LAM LAM” for pregnant and lactating women for the cohort under review. List
clients 5yrs & above with CD4 Tallys for all clients aged 5 yrs and above in column 11. The Tally for
CD4 ≤ 200 those CD4s <=200, is the numerator and the Tally for all the CD4s is the
denominator. For example, if you have a list of CD4s eg 300, 690, 222,
148, 825, The Tally for those CD4s <=200 is 1(which is 148) and the Tally
for all the CD4s is 5 then the fraction will be 1/5.
EMTCT mothers 6 HMIS ACP 005 ART Column 4: eMTCT and Column Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Median CD4 for REGISTER 11: CD4%age LAM” for pregnant and lactating women for the cohort under review.
5 years and above with List CD4 Tallys for all clients with eMTCT status code “P or BF” in
available CD4 column 4 with a documented CD4 in column 11.
Arrange all listed CD4 cell values starting with the smallest to the
EMTCT mothers 6 HMIS ACP 005 ART NA This data element is obtained by adding the original cohort to the
months: Net current REGISTER transfer in (TI) and subtract the transfer out (TO)
cohort (N)
(Column 3+TI-TO)
EMTCT mothers 6 HMIS ACP 005 ART Column 4: eMTCT and Column Summarise data from the ART REGISTER for the cohort under review.
months: Stopped REGISTER month 6: FU staus
Tally all clients whose eMTCT status code = “P or BF” in column 4 with
last recorded FU status code “S” for Stopped on the follow up page
by the end of the reporting period. This should only include those
pregnant and breastfeeding that stopped ART on or before 6 months
post ART initiation.
153
This should only include those pregnant and breastfeeding that died
ART on or before 6 months post ART initiation.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
154
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EMTCT mothers 6 HMIS ACP 005 ART Column 4: eMTCT and Column Summarise data from the ART REGISTER for the cohort under review.
months: Lost (missed REGISTER month 6: FU staus
Tally all clients whose eMTCT status code = “P or BF” in column 4
appointment)
with last recorded FU status code “L” for Lost on the follow up page
by the end of the reporting period. This should only include those
pregnant and breastfeeding that Lost on or before 6 months post
ART initiation.
EMTCT mothers 6 HMIS ACP 005 ART Column 4: eMTCT and Column Summarise data from the ART REGISTER for the cohort under review.
months: Lost to Follow- REGISTER month 6: FU staus
Tally all clients whose eMTCT status code = “P or BF” in column 4
up (DROP)
with last recorded FU status code “LTFU” for Lost to Follow-up on the
follow up page by the end of the reporting period. This should only
include those pregnant and breastfeeding who were Lost to Follow-
up on or before 6 months post ART initiation.
EMTCT mothers 6 HMIS ACP 005 ART Column 4: eMTCT and Column Summarise data from the ART REGISTER for the cohort under review.
months: No. of Cohort REGISTER month 6: FU staus
Tally all clients whose eMTCT status code = “P or BF” in column 4 with
Alive and on ART (On Rx)
last recorded FU status code “A” for Active on the follow up page by
end of reporting period. This should only include those pregnant and
breastfeeding that are active on ART 6 months post ART initiation.
EMTCT mothers 6 HMIS ACP 005 ART NA This is equal to No. cohort alive and on ART divided by Net Current
months: Percent of REGISTER Cohort (NNC) multiplied by 100
155
For example if you have a list of CD4s e.g. 300, 690, 222, 148, 825, The
Tally for those CD4s <=200 is 1 and the Tally for all the CD4s is 5 then the
fraction will be 1/5.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
156
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CAO2a all patients 12 HMIS ACP 005 ART Column 7: Age (yrs) at ART Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Median CD4 for REGISTER initiation ( write age in months LAM” for age groups 5yrs+ in col 7 for the cohort under review.
5 years and above with if child is <2 yrs )Column 11:
List CD4 Tallys for all clients with with a documented CD4 in column
available CD4 CD4%age C4Ag TB LAM
11.
Arrange all listed CD4 cell values starting with the smallest to the
biggest in value
Identify the CD4 cell value occupying the middle position from the list
above. This is the median CD4 Tally
If there are 2 CD4 cell values occupying the middle positions, add
these 2 values and divide by 2 to obtain median CD4 Tally.
Document by age in Col 7 accordingly.
CAO2a all patients 12 HMIS ACP 005 ART Column Month 12: FU status Summarise data from the ART REGISTER, column 4 for the cohort under
months: Transfers In (TI) REGISTER Column 4: Transfer In and review. Tally all clients with code “TI” in column 4 under review
Add + Column 7: Age (yrs) at ART
Tally total number by age in Col 7 and record appropriately.
initiation ( write age in months
if child is <2 yrs
CAO2a all patients 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Transfers Out REGISTER and Column 7: Age (yrs) at ART
Tally all clients with code “TO” on the follow up page. This should
(TO) Subtract - initiation ( write age in months
CAO2a all patients 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Stopped REGISTER and Column 7: Age (yrs) at ART
Tally all clients with follow up status code “S” for Stopped on the
initiation ( write age in months
follow up page. This should only include those clients that stopped
if child is <2 yrs
ART before 12 months on ART.
Tally total number by age in Col 7 or current age as updated every
6months on ART and record appropriately.
CAO2a all patients 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Died REGISTER and Column 7: Age (yrs) at ART
Tally all clients with follow up status code “D1 or D2 or D3 or D4 or D5
initiation ( write age in months
or D6 or D7” for died on the follow up page. This should only include
if child is <2 yrs
those clients that died ART before 12 months on ART.
Tally total number by age in Col 7 or current age as updated every
6months on ART and record appropriately.
CAO2a all patients 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review. T
157
Tally total number by age in Col 7 or current age as updated every
6months on ART and record appropriately.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
158
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CAO2a all patients 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Lost to Follow- REGISTER and Column 7: Age (yrs) at ART
Tally all clients with follow up status code “LTFU” for Lost to Follow-
up (DROP) initiation ( write age in months
up on the follow up page at month 12. This should only include those
if child is <2 yrs
clients who were Lost to Follow-up before 12 months on ART.
Tally total number by age in Col 7 or current age as updated every 6
months on ART and record appropriately.
CAO2a all patients 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: No. of Cohort REGISTER
Tally all clients with follow up status code “A” for Active on the follow
Alive and on ART (On Rx)
up page. This should only include those clients that are active on ART
at month 12 months.
CAO2a all patients HMIS ACP 005 ART NA This is equal to No. cohort alive and on ART divided by Net Current
12 months: Percent of REGISTER Cohort (NNC) multiplied by 100
cohort alive and on ART
[ (On Rx) / N * 100 ]
EMTCT mothers 12 HMIS ACP 005 ART Column 1: ART start Date and Summarise data from the follow up page of the ART REGISTER.
months: Record months/ REGISTER Column month 12: FU
Identify the 3 treatment cohorts (Month and Year) corresponding to
year when cohort started
the 12 months prior to the reporting period using the legend table.
(3 months period)
160
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU staus Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Median CD4 for REGISTER Column 4: eMTCT, Column LAM” for for pregnant and lactating women for the cohort under review.
5 years and above with 7: Age (yrs) at ART initiation (
List CD4 Tallys for all clients with eMTCT status code “P or BF” in
available CD4 write age in months if child is
column 4 with a documented CD4 in column 11.
<2 yrs and
Arrange all listed CD4 cell values starting with the smallest to the
biggest in value
Identify the CD4 cell value occupying the middle position from the list
above. This is the median CD4 Tally
If there are 2 CD4 cell values occupying the middle positions, add
these 2 values and divide by 2 to obtain median CD4 Tally
Document by age in Col 7 accordingly.
The data for this data element should not include the transfer in since
these clients’ CD4s are considered at the facility where they have
transferred from.
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER, column 4 for the cohort under
months: Transfers In (TI) REGISTER Column 4: TI/eMTCT review. Tally all clients with eMTCT code “P or BF and TI” in column 4
Add + under review.
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Stopped REGISTER and Column 4: eMTCT
Tally all clients whose eMTCT status code = “P or BF” in column 4 with
FU status code “S” for Stopped on the follow up page. This should
only include those pregnant and breastfeeding that stopped ART
before 12 months on ART.
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Died REGISTER and Column 4: eMTCT
Tally all clients whose eMTCT status code = “P or BF” in column 4
with FU status code “D1 or D2 or D3 or D4 or D5 or D6 or D7” for died
on the follow up page. This should only include those pregnant and
breastfeeding that died ART before 12 months on ART.
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU and Summarise data from the ART REGISTER for the cohort under review.
months: Lost (missed REGISTER Column 4: eMTCT
Tally all clients whose eMTCT status code = “P or BF” in column 4
appointment)
with FU status code “L” for Lost on the follow up page. This should
161
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
162
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU and Summarise data from the ART REGISTER for the cohort under review.
months: Lost to Follow- REGISTER Column 4: eMTCT
Tally all clients whose eMTCT status code = “P or BF” in column 4
up (DROP)
with FU status code “LTFU” for Lost to Follow-up on the follow up
page. This should only include those pregnant and breastfeeding
who were Lost to Follow-up before 12 months on ART.
EMTCT mothers 12 HMIS ACP 005 ART Column month 12: FU and Summarise data from the ART REGISTER for the cohort under review.
months: No. of Cohort REGISTER Column 4: eMTCT
Tally all clients whose eMTCT status code = “P or BF” in column 4 with
Alive and on ART (On Rx)
FU status code "A" for Active on the follow up page. This should only
include those pregnant and breastfeeding that are active on ART at
month 12.
EMTCT mothers 12 HMIS ACP 005 ART NA This is equal to No. cohort alive and on ART divided by Net Current
months: Percent of REGISTER Cohort (NNC) multiplied by 100
cohort alive and on ART
[ (On Rx) / N * 100 ]
CAO3a all patients 24 HMIS ACP 005 ART Column 1: ART start Date and Summarise data from the follow up page of the ART REGISTER.
months: Record months/ REGISTER Column month 24: FU status Identify the 3 treatment cohorts (Month and Year) corresponding to
year when cohort started the 24 months prior to the reporting period using the legend table.
(3 months period)
Record the first date of the cohort under review i.e. the dd/mm/yy.
CAO3a all patients HMIS ACP 005 ART Column 11: CD4%age CrAg TB Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
24 months: Fraction of REGISTER LAM LAM” for age groups 5yrs+ for the cohort under review. List CD4 Tallys
clients 5yrs & above with for all clients aged 5 yrs and above in column 11. The Tally for those CD4s
CD4 ≤ 200 <=200, is the numerator and the Tally for all the CD4s is the denominator.
For example if you have a list of CD4s eg 300, 690, 222, 148, 825, The
Tally for those CD4s <=200 is 1 and the Tally for all the CD4s is 5 then
the fraction will be 1/5.
164
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CAO3a all patients 24 HMIS ACP 005 ART Column 7: Age (yrs) at ART Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Median CD4 for REGISTER initiation ( write age in months LAM” for age groups 5yrs+ for the cohort under review.
5 years and above with if child is < 2yrs) Column 11:
List CD4 Tallys for all clients with with a documented CD4 in column
available CD4 CD4%age CrAg TB LAM
11.
Arrange all listed CD4 cell values starting with the smallest to the
biggest in value
Identify the CD4 cell value occupying the middle position from the list
above. This is the median CD4 Tally
If there are 2 CD4 cell values occupying the middle positions, add
these 2 values and divide by 2 to obtain median CD4 Tally.
Document by age in Col 7 accordingly.
CAO3a all patients 24 HMIS ACP 005 ART Column 4: Transfer in Summarise data from the ART REGISTER, column 4 for the cohort under
months: Transfers In (TI) REGISTER review. Tally all clients with code “TI” in column 4 under review
Add +
CAO3a all patients 24 HMIS ACP 005 ART Column month 24: FU Summarise data from the ART REGISTER for the cohort under review.
months: Transfers Out REGISTER
Tally all clients with code “TO” on the follow up page. This should
(TO) Subtract -
only include those clients that transferred out before 24 months on
ART.
CAO3a all patients 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Died REGISTER Column 7: Age ( yrs) at ART
Tally all clients with follow up status code “D1 or D2 or D3 or D4 or D5
initiation ( write age in month if
or D6 or D7” for died on the follow up page. This should only include
child is < 2yrs)
those clients that died ART before 24 months on ART. Tally total
number by age in Col 7 or current age as updated every 6months on
ART and record appropriately.
CAO3a all patients 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Lost (missed REGISTER Column 7: Age ( yrs) at ART
Tally all clients with follow up status code “L” for Lost on the follow
appointment) initiation ( write age in month if
up page. This should only include those clients that Lost before 24
child is < 2yrs)
months on ART. Tally total number by age in Col 7 or current age as
updated every 6months on ART and record appropriately.
CAO3a all patients 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
165
by age in Col 7 or current age as updated every 6months on ART and
record appropriately.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1B - ART COHORT ANALYSIS
166
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
CAO3a all patients 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: No. of Cohort REGISTER and Column 7: Age ( yrs) at
Tally all clients with follow up status code “A” for Active on the follow
Alive and on ART (On Rx) ART initiation ( write age in
up page. This should only include those clients that are active on ART
month if child is < 2yrs)
at month 24 months. Tally total number by age in Col 7 or current age
as updated every 6months on ART and record appropriately.
CAO3a all patients 24 HMIS ACP 005 ART NA This is equal to No. cohort alive and on ART divided by Net Current
months: Percent of REGISTER Cohort (NNC) multiplied by 100
cohort alive and on ART
[ (On Rx) / N * 100 ]
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the follow up page of the ART REGISTER.
months: Record months/ REGISTER Column 1: ART start Date
Identify the 3 treatment cohorts (Month and Year) corresponding to
year when cohort started
the 24 months prior to the reporting period using the legend table.
(3 months period)
Record the first date of the cohort under review i.e. the dd/mm/yy.
For example if you are compiling the Jan-Mar 2020 report, record
the cohort under review is Jan-Mar 2018 so record 1/1/2018 for this
data element.
EMTCT mothers 24 HMIS ACP 005 ART Column 11: CD4%age Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Fraction of REGISTER LAM” for pregnant and lactating women for the cohort under review. List
clients 5yrs & above with CD4 Tallys for all clients aged 5 yrs and above in column 11. The Tally for
CD4 ≤ 200 those CD4s <=200, is the numerator and the Tally for all the CD4s is the
denominator. For example if you have a list of CD4s eg 300, 690, 222,
148, 825, The Tally for those CD4s <=200 is 1 and the Tally for all the
CD4s is 5 then the fraction will be 1/5.
168
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER, column 11 “CD%, CrAg/TB
months: Median CD4 for REGISTER Column 4: eMTCT Column 7: LAM” for pregnant and lactating women for the cohort under review.
5 years and above with Age ( yrs) at ART initiation (
List CD4 Tallys for all clients with eMTCT status code “P or BF” in
available CD4 write age in month if child is <
column 4 with a documented CD4 in column 11.
2yrs) column 11: CD4%age
Arrange all listed CD4 cell values starting with the smallest to the
biggest in value
Identify the CD4 cell value occupying the middle position from the list
above. This is the median CD4 Tally
If there are 2 CD4 cell values occupying the middle positions, add
these 2 values and divide by 2 to obtain median CD4 Tally
Document by age in Col 7 and record appropriately.
EMTCT mothers 24 HMIS ACP 005 ART NA The data for this data element should not include the transfer in since
months: Transfers In (TI) REGISTER these clients’ CD4s are considered at the facility where they have
Add + transferred from.
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER, column 4 for the cohort under
months: Transfers Out REGISTER and Column 4: TI and eMTCT review. Tally all clients with eMTCT code “P or BF and TI” in column 4
(TO) Subtract - under review.
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Net current REGISTER and Column 4: eMTCT
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Lost (missed REGISTER and Column 4: eMTCT Tally all clients whose eMTCT status code = “P or BF” in column 4
appointment) with FU status code “D1 or D2 or D3 or D4 or D5 or D6 or D7” for died
on the follow up page. This should only include those pregnant and
breastfeeding that died ART before 24 months on ART.
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: Lost to Follow- REGISTER and Column 4: eMTCT Tally all clients whose eMTCT status code = “P or BF” in column 4
up (DROP) with FU status code “L” for Lost on the follow up page. This should
only include those pregnant and breastfeeding that Lost before 24
months on ART.
EMTCT mothers 24 HMIS ACP 005 ART Column month 24: FU status Summarise data from the ART REGISTER for the cohort under review.
months: No. of Cohort REGISTER and Column 4: eMTCT Tally all clients whose eMTCT status code = “P or BF” in column 4
Alive and on ART (On Rx) with FU status code “LTFU” for Lost to Follow-up on the follow up
page. This should only include those pregnant and breastfeeding
169
cohort alive and on ART
[ (On Rx) / N * 100 ]
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1C - POST EXPOSURE PROPHYLAXIS (PEP)
170
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PE01: Exposures HMIS ACP 025: POST Column 1: Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility at EXPOSURE PROPHYLAXIS column 1 and 8 "Occupational (O)-(N-S/SP)" disaggregated by Age/
the end of the quarter; Column 8: Exposure/
REGISTER Sex. Tally all those clients whose date of registration in column 1 falls
Occupational exposure: Occupational (O)-(N-S/SP)
within the reporting period WITH code N-S for occupation exposure.
Needle stick injuries
PE01: Exposures HMIS ACP 025: POST Column 1: Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility at EXPOSURE PROPHYLAXIS column 1 and 8 "Others" disaggregated by Age/Sex. Tally all those
the end of the quarter; Column 8: Exposure/Others
REGISTER clients whose date of registration in column 1 falls within the reporting
Occupational exposure: (specify)
period with type of exposure specified as surgical blade injuries in
Surgical blade injuries
column 8 under others.
PE01: Exposures HMIS ACP 025: POST Column 1:Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility EXPOSURE PROPHYLAXIS column 1 and 8 "Occupational (O)-(N-S/SP)" disaggregated by Age/
at the end of the quarter Column 8: Exposure/
REGISTER Sex. Tally all those clients whose date of registration in column 1 falls
Occupational exposure: Occupational (O)-(N-S/SP)
within the reporting period WITH code SP for occupation exposure.
Blood/ Body Fluid
splashes
PE01: Exposures HMIS ACP 025: POST Column 1:Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility at EXPOSURE PROPHYLAXIS column 1 and 8 "Others" disaggregated by Age/Sex. Tally all those
the end of the quarter; Column 8: Exposure/
REGISTER clients whose date of registration in column 1 falls within the reporting
Occupational exposure: Others(specify)
period with type of occupational exposure specified except those
Others
that have been reported in PE01a, PE01b and PE01c above.
PE01: Exposures HMIS ACP 025: POST Column 1:Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility at EXPOSURE PROPHYLAXIS column 1 and 8 disaggregated by Age/Sex. Tally all those clients
the end of the quarter; Column 8: Exposure/Road
REGISTER whose date of registration in column 1 falls within the reporting period
Non-Occupational traffic accidents (RTA)
with code RTA in column 8 "Road traffic accidents (RTA)".
causes: Road Traffic
Accidents
PE01: Exposures HMIS ACP 025: POST Column 1: Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility at EXPOSURE PROPHYLAXIS column 1 and 8 disaggregated by Age/Sex. Tally all those clients
the end of the quarter; Column 8: Exposure/Human
REGISTER whose date of registration in column 1 falls within the reporting period
Non-Occupational Bites (HB).
with code HB in column 8 "Human Bites (HB)".
causes: Human Bites
PE01: Exposures HMIS ACP 025: POST Column 1: Date Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
reported at this facility at EXPOSURE PROPHYLAXIS column 1 and 8 disaggregated by Age/Sex. Tally all those clients
the end of the quarter; Column 8: Exposure/
REGISTER whose date of registration in column 1 falls within the reporting period
Non-Occupational Others(specify)
type of Non-occupational exposure specified except those that have
causes: Other causes
been reported in PE01f, PE01g and PE01h above.
172
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PE02: Number eligible HMIS ACP 025: POST Column 8: Exposure/ Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
clients initiated on PEP; EXPOSURE PROPHYLAXIS Occupational (O)-(N-S/SP) column 14 disaggregated by Age/Sex. Tallying all clients with
Occupational Exposure REGISTER occupational exposure in column 8 and code "Y" in column 14. Tally
Column 14/ Eligible
all those clients whose date of registration falls within the reporting
period.
Number eligible clients initiated on PEP; Occupational Exposure
should be less or equal to Exposures reported at this facility at the
end of the quarter; Occupational exposure: Needle stick injuries,
Surgical blade injuries, Blood/ Body Fluid splashes
PE02: Number eligible HMIS ACP 025: POST Column 8/Exposure/Sexual Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
clients initiated on PEP; EXPOSURE PROPHYLAXIS Exposure (SE)- (R/D) column 14 disaggregated by Age/Sex. Tallying all clients with code
Rape/Sexual assault or REGISTER "R or D" in column 8 and code "Y" in column 14. Tally all those clients
defilement Column 14/ Eligible for ARVs
whose date of registration falls within the reporting period.
Number eligible clients initiated on PEP; Rape/Sexual assault or
defilement should be less or equal to Non-Occupational causes:
Rape/Sexual assault or defilement
PE02: Number eligible HMIS ACP 025: POST Column 8/Exposure/Sexual Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
clients initiated on EXPOSURE PROPHYLAXIS Exposure (SE)- (R/D) column 14 disaggregated by Age/Sex. Tallying all clients with code
PEP; Non-Occupational REGISTER “R or D” in column 8 and code “Y” in column 14. Tally all those clients
causes Column 14/ Eligible for ARVs
whose date of registration falls within the reporting period.
PE03: Clients that HMIS ACP 025: POST Column 18/ Follow up Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
completed full course of EXPOSURE PROPHYLAXIS column 18 disaggregated by Age/Sex. Tally all clients with code “Y”
PEP REGISTER in column 18 “Completion of PEP Course.
Report only those clients who have completed PEP during the
reporting period
PE04: Clients that HMIS ACP 025: POST Column 18/ Follow up Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
completed the first 3 EXPOSURE PROPHYLAXIS column 18 disaggregated by Age/Sex. Tally clients with advance
follow up visits (1wk, REGISTER reaction response, an HIV test result and psychological symptom
4wks, 3 months) response in column 18 “4 weeks and 3 months”. Tally the client once
even If he/she has responses for both 4weeks and 3months.
All these services should have been provided within the reporting
period.
173
the reporting period.
HMIS 106A: HEALTH UNIT QUARTERLY REPORT
1C - POST EXPOSURE PROPHYLAXIS (PEP)
174
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
PE06: Individuals that HMIS ACP 025: POST Column 18/ Follow up Extract data from the POST EXPOSURE PROPHYLAXIS REGISTER,
experienced serious side EXPOSURE PROPHYLAXIS column 18 "AR" disaggregated by Age/Sex. Consider only clients with
effects REGISTER Y. Tally all those clients whose date of registration falls within the
reporting period.
PRO2: Total number HMIS ACP 027_ PrEP Column 9/ Category of Extract data from PrEP FACILITY REGISTER disaggregated by Age/
eligible for PREP FACILITY REGISTER Sex. Count clients with a KP/PP category specified in column 9, an
KP/PP (Use Codes)
HIV negative test result date in column 10, Creatinine normal test
Column 10/Baseline HIV test results in column 11, Hep B code "N" indicated in column 12. The
Column 11/ Creatinine test result dates for HIV and creatinine date should fall within the
reporting period.
Column 12/ Hep B
Total number eligible for PREP should be less or equal to Total
number of clients screened for PREP eligibility and risk assessment
PRO3: Total number of HMIS ACP 027_ PrEP Column 14/ PrEP/ARVs Extract data from PrEP FACILITY REGISTER disaggregated by Age/
176 Standard Operating Procedures For Collection and Aggregation of HMIS Data
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
1. CENSUS INFORMATION
Carry out the following procedures for each of the wards (Male Medical, Female Medical, Paediatrics, Maternity/Obstetric, Male Surgical, Female Surgical, TB,
Psychatric, emergency, gynaecology, acute care,palliative, eye,ICU,Nutrition, ENT,Orthopaedic, others)
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CI01: No of Beds inpatient census summary Tally the number of Beds in the Ward
HMIS IPD 003 In patient Tally all patients whose final status is died with DD in the reporting
CI03: No. of Death column 19: Final status
Register period
CI05: Average length of calculate Average length of stay by C104 (Patient days divide) by
stay C102 (No. of admissions )
CI06: Average
Calculate C104 Patient days divide by No. of days in a month
Occupancy
2. REFERRALS
177
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
2. REFERRALS
178
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
3. SURGICAL PROCEDURE
OBSTETRICS/GYANAECOLOGY
HMIS MCH 013: Obstetrics, Tally all patients in colunm 15 whose operation code done is (1) for
SP02: Obstetric fistula Gynaecology and Fisitula VVF repair, (2) RVF repair, (3) for combined VVF/
colunm 15: Operation done
repair (RVF, VVF, RVVF) Opertations Theatre RRF repair, (4) for Ureteric Implantation, (5) for Diversion Pouch (6) for
Register Stress Sling and (7) for Others.
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CARDIOTHORACIC SURGERY
HMIS SUR 003: Operating Tally all patients Iin column 11 whose surgical procedure is described
CS01. Thoracotomy column 11: operation procedure
Theatre Register as Thoracotomy.
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
PR01. Skin Grafting column 11: operation procedure
Theatre Register as skin grafting
179
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
180
PAEDIATRIC SURGERY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
PS01. Ramsteidts HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
column 11: operation procedure
Procedure Theatre Register as Ramsteidts Procedure
PS02. Excision of Sacro- HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
coccygeal teratome Theatre Register Excision of Sacro-coccygeal teratome
PS03. PSARP (Posterior HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
Saggital Anorectoplasty) Theatre Register PSARP (Posterior Saggital Anorectoplasty)
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
PS04. Pull through column 11: operation procedure
Theatre Register as Pull through
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
PS05. Kasai Procedure column 11: operation procedure
Theatre Register as Kasai Procedure
PS06. Gastroschisis HMIS SUR 003: Operating Tally all patients n column 11 whose surgical procedure is described as
column 11: operation procedure
repair Theatre Register Gastroschisis repair
PS07. Diaphragmatic HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
hernia repair Theatre Register Diaphragmatic hernia repair
PS08. Tracheal-
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
eosophageal fistula column 11: operation procedure
Theatre Register as Tracheal-eosophageal fistula repair
PS09. Congenital cyst HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
excision Theatre Register Congenital cyst excision
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
PAEDIATRIC SURGERY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
PS10. Congenital hernia HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
repair Theatre Register Congenital hernia repair
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
PS11. Cut down column 11: operation procedure
Theatre Register as Cut down
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
OC01. Cataract Surgery column 11: operation procedure
Theatre Register as Cataract Surgery
OC02. Glaucoma HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
column 11: operation procedure
Surgery Theatre Register Glaucoma Surgery
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
OC03. Orbital Surgery column 11: operation procedure
Theatre Register Orbital Surgery
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
OC04. Oculoplasty column 11: operation procedure
Theatre Register Oculoplasty
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
OC05. Eye lid Operation column 11: operation procedure
Theatre Register Eye lid Operation
OC06. Opthalmic laser HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
column 11: operation procedure
OC07. Strabismus HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
column 11: operation procedure
Surgery Theatre Register Strabismus Surgery
181
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
182
PAEDIATRIC SURGERY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
OC08 Trachoma Surgery HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
column 11: operation procedure
for TT Theatre Register Trachoma Surgery for TT
OC09 Other Extra Ocular HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
column 11: operation procedure
Surgeries Theatre Register Ocular Surgeries
ORTHOPEADICS
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
OR01. Sequestrectomy column 11: operation procedure
Theatre Register Sequestrectomy
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
OR02. Spine surgery column 11: operation procedure
Theatre Register Spine surgery
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
OR03. Arthroplasty column 11: operation procedure
Theatre Register Arthroplasty
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described
OR04. Arthrotomy column 11: operation procedure
Theatre Register as Arthrotomy
OR05. Limb HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described as
column 11: operation procedure
disarticulation Theatre Register Limb disarticulation
HMIS SUR 003: Operating Tally all patients in column11 whose surgical procedure is described
OR08. Corrective HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
osteotomies Theatre Register Corrective osteotomies
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
ORTHOPEADICS
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
OR09. Arthrodesis column 11: operation procedure
Theatre Register as Arthrodesis
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
OR10. Arthroscopy column 11: operation procedure
Theatre Register as Arthroscopy
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
OR11. Internal fixation column 11: operation procedure
Theatre Register as Internal fixation
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
OR12. Soft tissue releases column 11: operation procedure
Theatre Register as Soft tissue releases
NEURO SURGERY
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
NS01. Craniotomy column 11: operation procedure
Theatre Register as Craniotomy
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
NS02. Burr Hole column 11: operation procedure
Theatre Register as Burr Hole
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
NS03. Cranioplasty column 11: operation procedure
Theatre Register as Cranioplasty
183
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
184
NEURO SURGERY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
NS06. Spina-bifida HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
column 11: operation procedure
surgery Theatre Register as Spina-bifida surgery
NS07. EVD (External HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
Ventricular Drainage) Theatre Register EVD (External Ventricular Drainage)
NS08. Elevation of HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
depressed skull fracture Theatre Register Elevation of depressed skull fracture
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
NS09. VP shunts column 11: operation procedure
Theatre Register as VP shunts
ENT SURGERY
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
TS01. Tracheostomy column 11: operation procedure
Theatre Register as Tracheostomy
TS02. HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
column 11: operation procedure
Adenotonsillectomy Theatre Register as Adenotonsillectomy
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
TS03. Nasal surgery column 11: operation procedure
Theatre Register as Nasal surgery
TS04. Laryngological HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
TS05. Otological surgery column 11: operation procedure
Theatre Register as Otological surgery
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
ENT SURGERY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
TS06. ENT endoscopic HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
surgery Theatre Register ENT endoscopic surgery
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
TS07. Other ENT sur column 11: operation procedure
Theatre Register as Other ENT sur
ENDOCRINE SURGER
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
ES01: Thyroidectomy column 11: operation procedure
Theatre Register as .Thyroidectomy
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
ES02: Mastectomy column 11: operation procedure
Theatre Register as Mastectomy
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
ES03: Adrenalectomy column 11: operation procedure
Theatre Register as .Adrenalectomy
UROLOGY
UR01: Open HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
column 11: operation procedure
Prostatectomy Theatre Register as Open Prostatectomy
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
UR03: Endo-urology column 11: operation procedure
185
Theatre Register as Endo-urology
UR04: Renal surgery HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
(Nephrectomy etc.) Theatre Register Renal surgery (Nephrectomy etc.)
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
186
UROLOGY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
UR05: Urinary stone HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
column 11: operation procedure
Surgery Theatre Register as Urinary stone Surgery
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
UR06: Pyeloplasty column 11: operation procedure
Theatre Register as Pyeloplasty
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
UR07: Ureteric surgery column 11: operation procedure
Theatre Register as Ureteric surgery
UR08: Radical HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
column 11: operation procedure
cystectomy Theatre Register as Radical cystectomy
UR09: Testicular
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
Surgery (Orchidopexy, column 11: operation procedure
Theatre Register Testicular Surgery (Orchidopexy, ochidectomy ,BSO )
ochidectomy ,BSO )
UR10: Urine diversion HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described as
column 11: operation procedure
(SPC, Nephrostomy) Theatre Register Urine diversion (SPC, Nephrostomy)
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
UR11: Urethroplasty column 11: operation procedure
Theatre Register as Urethroplasty
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
UR13: Genitoplasty column 11: operation procedure
Theatre Register as Genitoplasty
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
UROLOGY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS SUR 003: Operating Tally all patients in column 11 whose surgical procedure is described
UR14: Varicocoelectomy column 11: operation procedure
Theatre Register as Varicocoelectomy
UR15: Hypospadias HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
repair Theatre Register as Hypospadias repair
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
UR16: Epispadias repair column 11: operation procedure
Theatre Register as Epispadias repair
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
UR17: Bladder exstropy column 11: operation procedure
Theatre Register as Bladder exstropy
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
UR18: Kidney transplant column 11: operation procedure
Theatre Register as Kidney transplant
GASTRO-INTESTINAL TRACT
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI01: Cholecystectomy column 11: operation procedure
Theatre Register as Cholecystectomy
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI02: Gastric Surgery column 11: operation procedure
Theatre Register as Gastric Surgery
187
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI06: Liver transplant column 11: operation procedure
Theatre Register as Liver transplant
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
188
GASTRO-INTESTINAL TRACT
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI07: Colectomy column 11: operation procedure
Theatre Register as Colectomy
GI08: Laproscopic HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
Surgery Theatre Register as Laproscopic Surgery
GI09: Endoscopic HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
Surgery Theatre Register as Endoscopic Surgery
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI10: Colostomy column 11: operation procedure
Theatre Register as Colostomy
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI11: Herniorrhaphy column 11: operation procedure
Theatre Register as Herniorrhaphy
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
GI12: Appendicectomy column 11: operation procedure
Theatre Register as Appendicectomy
ORAL SURGERY
OS01: Hemi- HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
Mandibulectomy Theatre Register as Hemi-Mandibulectomy
OS02:Total HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
OS03: Segmental HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
Resection of Mandible Theatre Register as Segmental Resection of Mandible
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
3. SURGICAL PROCEDURE
ORAL SURGERY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
OS04: Salivary gland HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
Surgery Theatre Register as Salivary gland Surgery
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
OS05: Neck dissection column 11: operation procedure
Theatre Register as Neck dissection
OS06: Partial- HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
glossectomy Theatre Register as Partial-glossectomy
OS07: Excision biopsy of HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
tumour Theatre Register as Excision biopsy of tumour
HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
OT01: Debridement column 11: operation procedure
Theatre Register as Debridement
OT02: Incision and HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
drainage of abscesses Theatre Register as Incision and drainage of abscesses
OT03: Safe Male HMIS SUR 003: Operating Tally all patients in Column 11 whose surgical procedure is described
column 11: operation procedure
Circumcision Theatre Register as Safe Male Circumcision
189
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
4. UTILIZATION OF SPECIAL SERVICES:
190
4A. BLOOD
carry out the following procedures for each of the blood products (Whole blood, Packed Cells, Platelets, Fresh Frozen plasma, Cryoprecipitates
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Do the same for all patients requested for; severe malaria,Obstetrics, Gynaecology, Accidents, Cancer cases, sickle cell Anaemia and Iron Deficiency Anaemia (IDA)
according to: Whole blood, packed cells, plateletes, Fresh Frozen plasma, Cryo precipitates , age group and gender
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
191
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
5. RADIOLOGY AND IMAGING SECTION
192
5.1 X- RAY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
Column 7: Age and Sex,Column
RA02. CXR (chest x-ray) Nuclear Medicine and Be Examined Or Special Notes, column 11: X-Ray (Analog, CR, Digital)
11: X-Ray (Analog, CR, Digital)
Imaging Register whose investigation to be done is plain radiography
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
Column 7: Age and Sex,Column
RA03. Plain abdomen Nuclear Medicine and Be Examined Or Special Notes, column 11: X-Ray (Analog, CR, Digital)
11: X-Ray (Analog, CR, Digital)
Imaging Register whose investigation to be done is plain radiography
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
Column 7: Age and Sex,Column
RA04. Spine Nuclear Medicine and Be Examined Or Special Notes, column 11: X-Ray (Analog, CR, Digital)
11: X-Ray (Analog, CR, Digital)
Imaging Register whose investigation to be done is Plain abdomen
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
Column 7: Age and Sex,Column
RA05. Upper limbs Nuclear Medicine and Be Examined Or Special Notes, column 11: X-Ray (Analog, CR, Digital)
11: X-Ray (Analog, CR, Digital)
Imaging Register whose investigation to be done is plain radiography
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
Column 7: Age and Sex,Column
RA07. Skull Nuclear Medicine and Be Examined Or Special Notes, column 11: X-Ray (Analog, CR, Digital)
11: X-Ray (Analog, CR, Digital)
Imaging Register whose investigation to be done is Skull
HMIS IMG 002: Radiology, Tally all patients in Column 7: Age and sex, colunm 10: Part Of Body To
Column 7: Age and Sex,Column
RA08. Pelvis Nuclear Medicine and Be Examined Or Special Notes, column 11: X-Ray (Analog, CR, Digital)
11: X-Ray (Analog, CR, Digital)
Imaging Register whose investigation to be done is Pelvis
Column 7: Age and sex,Column Tally all Patients in Column 7: Age and sex and Column 15: Fluoroscopy
HMIS IMG 002: Radiology,
FG01. Barium swallow Nuclear Medicine and 15: Fluoroscopy (Oral, Rectal, IV) whose value is Barium Swallow
Imaging Register (Oral, Rectal, IV),
Column 7: Age and sex,Column Tally all Patients in Column 7: Age and sex and Column 15: Fluoroscopy
HMIS IMG 002: Radiology,
FG02. Barium meal Nuclear Medicine and 15: Fluoroscopy (Oral, Rectal, IV) whose value is Barium meal
Imaging Register (Oral, Rectal, IV),
Column 7: Age and sex,Column Tally all Patients in Column 7: Age and sex and Column 15: Fluoroscopy
193
HMIS IMG 002: Radiology,
FG04. Small bowel 15: Fluoroscopy
Nuclear Medicine and (Oral, Rectal, IV) whose value is Small bowel enema
enema
Imaging Register (Oral, Rectal, IV),
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
5. RADIOLOGY AND IMAGING SECTION
194
5.2 FLUOROSCOPY GASTROINTESTINAL TRACT
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Column 7: Age and sex,Column Tally all Patients in Column 7: Age and sex and Column 15: Fluoroscopy
HMIS IMG 002: Radiology,
FG05. Barium enema Nuclear Medicine and 15: Fluoroscopy (Oral, Rectal, IV) whose value is Barium enema
Imaging Register (Oral, Rectal, IV),
Column 7: Age and sex,Column Tally all Patients in Column 7: Age and sex and Column 15: Fluoroscopy
HMIS IMG 002: Radiology,
FG07. Sonogram/ 15: Fluoroscopy
Nuclear Medicine and (Oral, Rectal, IV) whose value is Sonogram/ Fistulogram
Fistulogram
Imaging Register (Oral, Rectal, IV),
Column 7: Age and sex,Column Tally all Patients in Column 7: Age and sex and Column 15: Fluoroscopy
HMIS IMG 002: Radiology,
FG08. Loopogram/ 15: Fluoroscopy
Nuclear Medicine and (Oral, Rectal, IV) whose value is Loopogram/ Colostogram
Colostogram
Imaging Register (Oral, Rectal, IV),
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IMG 002: Radiology, Column 7: Age and sex,Column
WS01. Pre-operative Tally all patients in Column 7: Age and sex and Column 10: Part of body
Nuclear Medicine and 10: Part of body to be examined
cholangiography or special notes, to be examined or special notes is Pre-operative cholangiography
Imaging Register
HMIS IMG 002: Radiology, Column 7: Age and sex,Column
WS02. Postoperative Tally all patients in Column 7: Age and sex and Column 10: Part of body
Nuclear Medicine and 10: Part of body to be examined
(T-tube) cholangiography or special notes, to be examined or special notes is Pre-operative cholangiography
Imaging Register
WS03. Percutaneous HMIS IMG 002: Radiology, Column 7: Age and sex,Column Tally all patients in Column 7: Age and sex and Column 10: Part of body
extraction of retained Nuclear Medicine and 10: Part of body to be examined
or special notes, to be examined or special notes is Pre-operative cholangiography
biliary calculi Imaging Register
WS04. Endoscopic HMIS IMG 002: Radiology, Column 7: Age and sex,Column Tally all patients in Column 7: Age and sex and Column 10: Part of body
retrograde cholangio Nuclear Medicine and 10: Part of body to be examined
or special notes, to be examined or special notes is Pre-operative cholangiography
pancreatography (ERCP) Imaging Register
WS05. Percutaneous HMIS IMG 002: Radiology, Column 7: Age and sex,Column Tally all patients in Column 7: Age and sex and Column 10: Part of body
transhepatic Nuclear Medicine and 10: Part of body to be examined
or special notes, to be examined or special notes is Pre-operative cholangiography
cholangiography (PTCH) Imaging Register
195
HMIS IMG 002: Radiology, Column 7: Age and sex,Column
TR02. Percutaneous Tally all patients in Column 7: Age and sex and Column 10: Part of body
Nuclear Medicine and 10: Part of body to be examined
renal puncture or special notes, to be examined or special notes is Percutaneous renal puncture
Imaging Register
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
5. RADIOLOGY AND IMAGING SECTION
196
5.4 URINARY TRACT
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IMG 002: Radiology, Column 7: Age and sex,Column Tally all patients in Column 7: Age and sex and Column 10: Part of body
MC01. Reproductive
Nuclear Medicine and 10: Part of body to be examined to be examined or special notes is Micturating cystourethrography of
system
Imaging Register or special notes, the reproductive system
HMIS IMG 002: Radiology, Column 7: Age and sex,Column
MC02. Tally all patients in Column 7: Age and sex and Column 10: Part of body
Nuclear Medicine and 10: Part of body to be examined
Hysterosalpingography to be examined or special notes is Hysterosalpingography
Imaging Register or special notes,
HMIS IMG 002: Radiology, Column 7: Age and sex,Column
Tally all patients in Column 7: Age and sex and Column 10: Part of body
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
197
Scan
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
5. RADIOLOGY AND IMAGING SECTION
198
5.6 COMPUTED TOMOGRAPHY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
5.7 MAMOGRAPHY
Column 7: Age and sex, colunm Tally all Patients with a film size in column 16: Mammography/
HMIS IMG 002: Radiology, 10: Part Of Body To Be Examined
MA01. Diagnostic Nuclear Medicine and Or Special Notes, column 16: Ductography, whose column 10: Part Of Body To Be Examined or
Mammography/ Special Notes is Diagnosis and segrate by Column 7: Age and Sex
Imaging Register
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Column 7: Age and sex, Tally all Patients with a film size in column 16: Mammography/
HMIS IMG 002: Radiology, colunm 10: Part Of Body To Be Ductography, whose column 10: Part Of Body To Be Examined or
MA03. Galactography Nuclear Medicine and Examined Or Special Notes, Special Notes is Galactography or ductography and segrate by
Imaging Register column 16: Mammography/ Column 7: Age and Sex
Ductography
199
Imaging Register Magnetic Resonance Imaging is Abdoment and segrate by Column 7: Age and Sex
(MRI)
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
5. RADIOLOGY AND IMAGING SECTION
200
5.8 MAGNETIC RESONANCE IMAGING (MRI)
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
5.9 ULTRASOUND
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all patients in Column 10: whose Part Of Body To Be Examined
UL06. Cranial Nuclear Medicine and 10: Part Of Body To Be Examined Or Special Notes is brain/Cranial ultrasound, dissagregate by Column
Imaging Register Or Special Notes 7: Age and Sex
UL07. Endocavitary
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all patients in Column 10: whose Part Of Body To Be Examined
ultrasound (transvaginal,
Nuclear Medicine and 10: Part Of Body To Be Examined Or Special Notes is Endocavitary ultrasound (transvaginal, transrectal,
transrectal,
Imaging Register Or Special Notes transesophageal ), dissagregate by Column 7: Age and Sex
transesophageal )
201
Imaging Register
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
5. RADIOLOGY AND IMAGING SECTION
202
5.10 INTERVENTION PROCEDURE TYPES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with Diagnostic in Column 17: Interventional
IP01. Diagnostic Nuclear Medicine and 17: Interventional procedures procedures and dissagregate by Column 7: Age and Sex
Imaging Register (a) (Diagnostic or Therapeutic)
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with Therapeutic in Column 17: Interventional
IP02.Therapeutic Nuclear Medicine and 17: Interventional procedures procedures and dissagregate by Column 7: Age and Sex
Imaging Register (a) (Diagnostic or Therapeutic)
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with an Ultra sound code in Column 14: Ultrasound
IM01. Ultrasound guided Nuclear Medicine and 14: Ultrasound and dissagregate by Column 7: Age and Sex
Imaging Register
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with a tick in Column 12: CT Scan and dissagregate by
IM02. CT guided Nuclear Medicine and 12: CT Scan Column 7: Age and Sex
Imaging Register
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with a code in Column 15: Fluoroscopy and
IM03. Fluoroscopy Nuclear Medicine and 15: Fluoroscopy dissagregate by Column 7: Age and Sex
Imaging Register
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with a tick in Column 13: Magnetic Resonance Imaging
IM04. MRI guided Nuclear Medicine and 13: Magnetic Resonance Imaging (MRI) and dissagregate by Column 7: Age and Sex
HMIS IMG 002: Radiology, Column 7: Age and sex, column Tally all Patients with a film size in column 16: Mammography/
IM05. Stereotactic biopsy Nuclear Medicine and 16: Mammography/
Ductography, disagregrate by Column 7: Age and Sex
Imaging Register Ductography
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
6.1 COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
EP01. Malaria
column 4:age, column 5:
Tally all patients in column 17 whose diagnosis at discharge is Malaria
HMIS IPD 003: Inpatient sex, column 17: Diagnosis at
EP01a.Total and those in column 19 whose final status is died 'DD' disagregate by
Register discharge, and column 19: Final
age and sex
status
HMIS LAB 011: HC IV &
EP01b.Confirmed General Hospital Daily
4,18,19,20 Parasitology
(Microscopic & RDT) Activity Laboratory
Register
column 4: Age, column 5:Sex,
Tally all patients in column 17 whose diagnosis at discharge is due
HMIS IPD 003: Inpatient column 17: Diagnosis at
EP07. Measles to Measles and those in column 19 whose final status is died 'DD'
Register discharge, column 19: Final
disagregate by age and sex
status
column 4: Age, column 5:Sex,
Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient column 17: Diagnosis at
EP08. Neonatal tetanus Neonatal tetanus and those in column 19 whose final status is died
Register discharge, column 19: Final
203
EP09. Plague to Plague and those in column 19 whose final status is died 'DD'
Register discharge, column 19: Final
disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
204
6.1 COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
6.1.3 HEPATITIS
205
HP02. Liver cirrhosis HMIS IPD 003: Inpatient column 17: Diagnosis at
to Liver cirrhosis related to HCV and those in column 19 whose final
related to HCV Register discharge, column 19: Final
status is died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
206
6.1 COMMUNICABLE DISEASES
6.1.3 HEPATITIS -
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
6.1.4 MENINGITIS
6.1.4 MENINGITIS
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
207
NT02. Lymphatic HMIS IPD 003: Inpatient column 17: Diagnosis at
Lymphatic Filariasis (hydrocele) and those in column 19 whose final
Filariasis (hydrocele) Register discharge, column 19: Final
status is died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
208
6.1 COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
column 4: Age, column 5:Sex,
Tally all patients in column 17 whose diagnosis at discharge is due to
NT04. Urinary HMIS IPD 003: Inpatient column 17: Diagnosis at
Urinary Schistosomiasis and those in column 19 whose final status is
Schistosomiasis Register discharge, column 19: Final
status died 'DD' disagregate by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
NT05. Intestinal HMIS IPD 003: Inpatient column 17: Diagnosis at
Intestinal Schistosomiasis and those in column 19 whose final status is
Schistosomiasis Register discharge, column 19: Final
status died 'DD' disagregate by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
NT07. Nodding HMIS IPD 003: Inpatient column 17: Diagnosis at
Nodding Syndrome and those in column 19 whose final status is died
Syndrome Register discharge, column 19: Final
status 'DD' disagregate by age and sex
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Tally all patients in column 8: Age, Column 9: Sex, Column 23: Final
New Born,
ND02. Neonatal Sepsis HMIS MCH 011: New Born Diagnosis whose diagnosis at discharge is due to Neonatal Sepsis
column 8: Age, Column 9: Sex,
8-28days Inpatient Register 8-28 days and those whose final status is died 'DD' disagregate by
Column 23: Final Diagnosis
age and sex
New Born, Tally all patients in column 8: Age, Column 9: Sex, Column 23: Final
ND03. Neonatal HMIS MCH 011: New Born
column 8: Age, Column 9: Sex, Diagnosis whose diagnosis at discharge is due to Neonatal Pneumonia
Pneumonia Inpatient Register
Column 23: Final Diagnosis and those whose final status is died 'DD' disagregate by age and sex
New Born, Tally all patients in column 8: Age, Column 9: Sex, Column 23: Final
ND04.Neonatal HMIS MCH 011: New Born
column 8: Age, Column 9: Sex, Diagnosis whose diagnosis at discharge is due to Neonatal Meningitis
Meningitis Inpatient Register
Column 23: Final Diagnosis and those whose final status is died 'DD' disagregate by age and sex
New Born, Tally all patients in column 8: Age, Column 9: Sex, Column 23: Final
HMIS MCH 011: New Born
ND05.Neonatal Jaundice column 8: Age, Column 9: Sex, Diagnosis whose diagnosis at discharge is due to Neonatal Jaundice
Inpatient Register
Column 23: Final Diagnosis and those whose final status is died 'DD' disagregate by age and sex
209
requires mgt) Pre-term
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
210
6.1 COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Tally all patients in column 8: Age, Column 9: Sex, Column 23: Final
New Born,
ND07.Other Neonatal HMIS MCH 011: New Born Diagnosis whose diagnosis at discharge is due to Other Neonatal
column 8: Age, Column 9: Sex,
Conditions Inpatient Register Conditions and those whose final status is died 'DD' disagregate by
Column 23: Final Diagnosis
age and sex
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
211
column 19: Final status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
212
6.1 COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
213
CV01: Hypertension HMIS IPD 003: Inpatient column 17: Diagnosis at
Hypertension (newly diagnosed cases) and those in column 19 whose
(newly diagnosed cases) Register discharge, column 19: Final
final status is died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
214
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
215
CR03: Pulmonary HMIS IPD 003: Inpatient column 17: Diagnosis at
Pulmonary Fibrosis and those in column 19 whose final status is died
Fibrosis Register discharge, column 19: Final
'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
216
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
6.2.4 Cancers
6.2.4 CANCERS
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
217
leukaemia status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
218
6.2 NON COMMUNICABLE DISEASES
6.2.4 CANCERS
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
219
died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
220
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
221
died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
222
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
223
HMIS IPD 003: Inpatient column 17: Diagnosis at
EC03: Refractive errors Ophthalmic Neonatorum and those in column 19 whose final status is
Register discharge, column 19: Final
died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
224
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
225
status is died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
226
6.2 NON COMMUNICABLE DISEASES
6.2.10 INJURIES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient column 17: Diagnosis at discharge, Animal bites and those in column 19 whose final status is died 'DD'
IN04: Animal bites
Register column 19: Final status disagregate by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due
HMIS IPD 003: Inpatient column 17: Diagnosis at discharge, to Domestic and those in column 19 whose final status is died 'DD'
IN04a: Domestic
Register column 19: Final status disagregate by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient column 17: Diagnosis at discharge, Wild and those in column 19 whose final status is died 'DD' disagregate
IN04b: Wild
Register column 19: Final status by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due
HMIS IPD 003: Inpatient column 17: Diagnosis at discharge, to Insects and those in column 19 whose final status is died 'DD'
IN04c: Insects
Register column 19: Final status disagregate by age and sex
227
Register column 19: Final status disagregate by age and sex
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
228
6.2 NON COMMUNICABLE DISEASES
6.2.11 TOXICOLOGY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due
TX01: Organophosphate HMIS IPD 003: Inpatient column 17: Diagnosis at to Organophosphate poisoning and those in column 19 whose final
poisoning Register discharge, column 19: Final status is died 'DD' disagregate by age and sex
status
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient column 17: Diagnosis at Drug overdose and those in column 19 whose final status is died 'DD'
TX02: Drug overdose
Register discharge, column 19: Final disagregate by age and sex
status
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient column 17: Diagnosis at Rat Poisoning and those in column 19 whose final status is died 'DD'
TX03: Rat Poisoning
Register discharge, column 19: Final disagregate by age and sex
status
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient column 17: Diagnosis at Snake poison and those in column 19 whose final status is died 'DD'
TX04: Snake poison
Register discharge, column 19: Final disagregate by age and sex
status
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
229
'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
230
6.2 NON COMMUNICABLE DISEASES
6.2.13 NEUROLOGY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
6.2.13 NEUROLOGY
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
231
LD03: Diseases of the HMIS IPD 003: Inpatient column 17: Diagnosis at
Diseases of the skin and those in column 19 whose final status is died
skin Register discharge, column 19: Final
'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
232
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
LD04: Muscular skeletal column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient
and connective tissue column 17: Diagnosis at discharge, Muscular skeletal and connective tissue diseases and those in column
Register
diseases column 19: Final status 19 whose final status is died 'DD' disagregate by age and sex
LD05:Genital urinary column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient
system diseases (non- column 17: Diagnosis at discharge, Genital urinary system diseases (non- infective) and those in column
Register
infective) column 19: Final status 19 whose final status is died 'DD' disagregate by age and sex
LD06: Congenital Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex,
malformations HMIS IPD 003: Inpatient Congenital malformations and chromosome abnormalities and those
column 17: Diagnosis at discharge,
and chromosome Register in column 19 whose final status is died 'DD' disagregate by age and
column 19: Final status
abnormalities sex
LD07: Complications column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient
of medical and surgical column 17: Diagnosis at discharge, Complications of medical and surgical care and those in column 19
Register
care column 19: Final status whose final status is died 'DD' disagregate by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due
LD08: Benign HMIS IPD 003: Inpatient
column 17: Diagnosis at discharge, to Benign neoplasm’s (all types) and those in column 19 whose final
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
LD09: Coetaneous HMIS IPD 003: Inpatient
column 17: Diagnosis at discharge, Coetaneous ulcers and those in column 19 whose final status is died
ulcers Register
column 19: Final status 'DD' disagregate by age and sex
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
233
'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
234
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is due to
HMIS IPD 003: Inpatient
ME06a: Totals column 17: Diagnosis at discharge, Acute sepsis and those in column 19 whose final status is died 'DD'
Register
column 19: Final status disagregate by age and sex
column 4: Age, column 5:Sex, Tally all patients in column 17 whose diagnosis at discharge is All others
HMIS IPD 003: Inpatient
ME07: All others column 17: Diagnosis at discharge, and those in column 19 whose final status is died 'DD' disagregate by
Register
column 19: Final status age and sex
6.2.16 Maternal Conditions
column 7: Age, column 43:
MC01: Abortions due to Tally all mothers in column 43 whose final diagnosis is Abortions due
HMIS MCH 006: Integrated Mothers Final Diagnosis, column
Gender Based Violence to Gender Based Violence (GBV) and whose condition of mother on
Matenity Register 47: Conditon of Mother on
(GBV) discharge in column 47 is died 'DD'. Disagregate by age.
Discharge
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
235
etc Discharge by age.
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
236
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex, Cancer of the cervix(newly diagnosed cases), disaggregate by age
GC01. Cancer of the
HMIS IPD 003: Inpatient column 17: Diagnosis at
cervix(newly diagnosed Death
Register discharge, column 19: Final
cases)
status Tally all patients in column 17 whose diagnosis at discharge is due to
Cancer of the cervix(newly diagnosed cases) and those in column 19
whose final status is died ‘DD’ disaggregate by age
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex, Cancer of the cervix (re-attendance), disaggregate by age
GC02. Cancer of the HMIS IPD 003: Inpatient column 17: Diagnosis at
cervix (re-attendance) Register discharge, column 19: Final Death
status Tally all patients in column 17 whose diagnosis at discharge is due to
Cancer of the cervix (re-attendance) and those in column 19 whose
final status is died ‘DD’ disaggregate by age
238
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex, Cancer of the breast, disaggregate by age
GC03: Cancer of the HMIS IPD 003: Inpatient column 17: Diagnosis at
breast Register discharge, column 19: Final Death
status Tally all patients in column 17 whose diagnosis at discharge is due to
Cancer of the breast and those in column 19 whose final status is died
‘DD’ disaggregate by age
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex, Tubal Ovarian mass/cancer, disaggregate by age
GC04.Tubal Ovarian HMIS IPD 003: Inpatient column 17: Diagnosis at
mass/cancer Register discharge, column 19: Final Death
status Tally all patients in column 17 whose diagnosis at discharge is due to
Tubal Ovarian mass/cancer and those in column 19 whose final status
is died ‘DD’ disaggregate by age
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex, Pelvic Inflammatory Disease (PID), disaggregate by age
GC05. Pelvic
HMIS IPD 003: Inpatient column 17: Diagnosis at
Inflammatory Disease Death
Register discharge, column 19: Final
(PID)
status Tally all patients in column 17 whose diagnosis at discharge is due to
Pelvic Inflammatory Disease (PID) and those in column 19 whose final
status is died ‘DD’ disaggregate by age
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
column 4: Age, column 5:Sex, Uterine Fibroids, disaggregate by age
HMIS IPD 003: Inpatient column 17: Diagnosis at
GC06. Uterine Fibroids Death
Register discharge, column 19: Final
status Tally all patients in column 17 whose diagnosis at discharge is due to
Uterine Fibroids and those in column 19 whose final status is died ‘DD’
239
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
240
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
Cases
Tally all patients in column 17 whose diagnosis at discharge is due to
Other Gynaecological conditions, disaggregate by age
column 4: Age, column 5:Sex,
GC07. Other
HMIS IPD 003: Inpatient column 17: Diagnosis at Death
Gynaecological
Register discharge, column 19: Final
conditions Tally all patients in column 17 whose diagnosis at discharge is due to
status
Other Gynaecological conditions and those in column 19 whose final
status is died ‘DD’ disaggregate by age
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
241
died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
6. NUMBER OF ADMISSIONS AND DEATHS BY DIAGNOSIS
242
6.2 NON COMMUNICABLE DISEASES
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
7. MENTAL HEALTH
column 4: Age, column 5:Sex,
Tally all patients in column 17, whose diagnosis at discharge is Anxiety
HMIS IPD 003: Inpatient column 17: Diagnosis at
MH01: Anxiety Disorders Disorders and those in column 19 whose final status is died 'DD'
Register discharge, column 19: Final
disagregate by age and sex
status
243
related dementia and those in column 19 whose final status is died
Register discharge, column 19: Final
'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
7. MENTAL HEALTH
244
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
MH10: Alcohol related column 4: Age, column 5:Sex,
Tally all patients in column 17, whose diagnosis at discharge is Alcohol
Dementia HMIS IPD 003: Inpatient column 17: Diagnosis at
related Dementia and those in column 19 whose final status is died
Register discharge, column 19: Final
'DD' disagregate by age and sex
status
MH11: Dementia due column 4: Age, column 5:Sex, Tally all patients in column 17, whose diagnosis at discharge is
to Cerebral Vascular HMIS IPD 003: Inpatient column 17: Diagnosis at Dementia due to Cerebral Vascular Disease (Diabetes, Hypertension)
Disease (Diabetes, Register discharge, column 19: Final and those in column 19 whose final status is died 'DD' disagregate by
Hypertension) status age and sex
245
'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
7. MENTAL HEALTH
246
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
247
MH30: Attempted HMIS IPD 003: Inpatient column 17: Diagnosis at
Attempted Suicide/Self-harm and those in column 19 whose final
Suicide/Self-harm Register discharge, column 19: Final
status is died 'DD' disagregate by age and sex
status
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
8. RISK BEHAVIOUR
248
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
HMIS IPD 003: Inpatient column 4: Age, column 5:Sex, Tally all patients in column 14 with a tick in Tobacco Use section.
RB02: Tobacco use
Register column 14: Tobacco/ Alcohol use Disagregate by age and sex
TB02: No. of
HMIS IPD 003: Inpatient column 4: Age, column 5:Sex, Tally all patients in column 15; section ; presume TB case with code
presumptive TB cases
Register column 15 TB 'Yes'. Disagregate by age and sex
identified
TB03: No. of
HMIS IPD 003: Inpatient column 4: Age, column 5:Sex, Tally all patients in column 15: section ; Lab. TB Result with code 'pos'.
presumptive cases
Register column 15 TB Disagregate by age and sex
diagnosed with TB
NA02. No. of clients with SAM (with complications) admitted into treatment and discharged as;
Column 6: Age, Column 7: Sex, Tally all Clients with Code SC or C in column 25: Exit Outcome,
NA02a: Successfully HMIS NUT 001: Integrated
Column 12: Pregnancy/Lactating disagregate by Column 6: Age, Column 7: Sex, Column 12: Pregnancy/
Treated this month Nutrition Register
Status, column 25: Exit Outcome Lactating Status
NA02b: Defaulted from Column 6: Age, Column 7: Sex, Tally all Clients with Code DF-C or DF-U in column 25: Exit Outcome,
249
HMIS 108: HEALTH UNIT INPATIENT MONTHLY REPORT
10. NUTRITION INPATIENT SERVICES
250
CODE: DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO: NAME HOW TO EXTRACT DATA FROM PRIMARY DATA SOURCE
NA02c: Died during Column 6: Age, Column 7: Sex, Tally all Clients with Code D in column 25: Exit Outcome, disagregate
HMIS NUT 001: Integrated
treatment within this Column 12: Pregnancy/Lactating by Column 6: Age, Column 7: Sex, Column 12: Pregnancy/Lactating
Nutrition Register
month Status, column 25: Exit Outcome Status
Standard Operating Procedures For Collection and Aggregation of HMIS Data 251
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
252
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA: Malaria HMIS OPD 002 Colunm16: Diagnosis Tally all cases diagonised with malaria in colunm 16 (Diagnosis) at the
(diagnosed) OUTPATIENT REGISTER end of the reporting week
DY.Dysentery HMIS OPD 002 Colunm16: Diagnosis Repeat the same process for respective cases as in Malaria case
OUTPATIENT REGISTER diagnosed above
SA.Severe Acute HMIS OPD 002 Colunm16: Diagnosis
Respiratory OUTPATIENT REGISTER
Infection (SARI)
AF.Acute Flaccid HMIS OPD 002 Colunm16: Diagnosis
Paralysis OUTPATIENT REGISTER
AB.Animal Bites HMIS OPD 002 Colunm16: Diagnosis
(suspected rabies) OUTPATIENT REGISTER
MG.Bacterial HMIS OPD 002 Colunm16: Diagnosis
Meningitis OUTPATIENT REGISTER
1: Cases
CH.Cholera HMIS OPD 002 Colunm16: Diagnosis
OUTPATIENT REGISTER
GW.Guinea Worm HMIS OPD 002 Colunm16: Diagnosis
OUTPATIENT REGISTER
ME.Measles HMIS OPD 002 Colunm16: Diagnosis
OUTPATIENT REGISTER
NT.Neonatal tetanus HMIS OPD 002 Colunm16: Diagnosis
1: Cases
OUTPATIENT REGISTER
DG - Dengue HMIS OPD 002 Colunm16: Diagnosis
OUTPATIENT REGISTER
IL- Influenza like HMIS OPD 002 Colunm16: Diagnosis
illness OUTPATIENT REGISTER
HP- Acute viral HMIS OPD 002 Colunm16: Diagnosis
253
OC - HMIS OPD 002 Colunm16: Diagnosis
Onchocerciasis OUTPATIENT REGISTER
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
254
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
BU - Buruli ulcer HMIS OPD 002 Colunm16: Diagnosis Repeat the same process for respective cases as in Malaria case
OUTPATIENT REGISTER diagnosed above
LF- Lymphatic HMIS OPD 002 Colunm16: Diagnosis
Filariasis OUTPATIENT REGISTER
NO- Noma HMIS OPD 002 Colunm16: Diagnosis
OUTPATIENT REGISTER
HN- Human HMIS OPD 002 Colunm16: Diagnosis
nfluenza due to a OUTPATIENT REGISTER
new sub type
SS-Severe Acute HMIS OPD 002 Colunm16: Diagnosis
Respiratory OUTPATIENT REGISTER
Syndrome (SARS)
SP- Smallpox HMIS OPD 002 Colunm16: Diagnosis
OUTPATIENT REGISTER
1: Cases
DD- Diarrhoea with HMIS OPD 002 Colunm16: Diagnosis
dehydration <5 OUTPATIENT REGISTER
PN- Severe HMIS OPD 002 Colunm16: Diagnosis
pneumonia <5 OUTPATIENT REGISTER
TX- Human African HMIS OPD 002 Colunm16: Diagnosis
Trypanosomiasis OUTPATIENT REGISTER
TR- Trachoma HMIS OPD 002 Colunm16: Diagnosis
1: Cases
IMMUNISATION
REPORTING FORM
DR. Rifampicin HMIS 009 Unit TB Register Colunm 1& 23: Unit TB No. Tally all patients with a unit TB No. in Colunm 1 and has Y in colunm
resistant TB cases &Diagnosed with DR TB 23.
AR- Adverse Drug HMIS PHAR 011 ADVERSE Part A : category Tally all ticked suspected ADR
Reactions (ADR) DRUG REACTIONS
AND ADVERSE
EVENTS FOLLOWING
255
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
256
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
MA: Malaria HMIS IPD 003 INPATIENT Colunm 17& 19: Diagnosis At Tally all Malaria diagnosises in colunm 17 and ticked in the final Status
(diagnosed) REGISTER Discharge & FINAL STATUS DD of colunm 19
DY.Dysentery Reapete the same process for respective cases as abovefor Malaria
SA.Severe Acute
Respiratory
Infection
(SARI)
AF.Acute Flaccid
Paralysis
AB.Animal Bites
(suspected rabies)
MG.Bacterial
2: Death
Meningitis
CH.Cholera
GW.Guinea Worm
ME.Measles
NT.Neonatal tetanus
PL. Plague
TF. Typhoid Fever
HB. Hepatitis B
2: Death
OC -
Onchocerciasis
BU - Buruli ulcer
LF- Lymphatic
Filariasis
NO- Noma
257
SS-Severe Acute
Respiratory
Syndrome (SARS)
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
258
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
SP- Smallpox Reapete the same process for respective cases as abovefor Malaria
DD- Diarrhoea with
dehydration <5
PN- Severe
pneumonia <5
TX- Human African
Trypanosomiasis
TR- Trachoma
SC- Schistosomiasis
DP- Diphtheria
WC- Pertussis
(Whooping cough)
2: Death
BC- Brucellosis
KA- Kala azar
NS- Nodding
Syndrome
AE.dverse Events HMIS PHAR 011 ADVERSE Part A -category & part D- Tally all ticked AEFI in the event and product section and ticked died
Following Immuniza DRUG REACTIONS Outcome in part D (outcome and comments section )
tion (AEFI) AND ADVERSE
EVENTS FOLLOWING
2: Death
INTEGRATED MATERNITY at Discharge
REGISTER
ND. Early Neonatal HMIS IPD 003 INPATIENT Colunm 17& 19: Diagnosis At Tally all Early Neonatal death case in colunm 17 and ticked in the final
deaths 0-7 days REGISTER Discharge & FINAL STATUS Status DD of colunm 19
AR- Adverse Drug HMIS PHAR 011 ADVERSE Part A -category & part D- Tally all ticked suspected ADR in the event and product section and
Reactions (ADR) DRUG REACTIONS Outcome ticked died in part D (outcome and comments section )
AND ADVERSE
EVENTS FOLLOWING
259
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
260
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
OPD New HMIS OPD 002 Colunm 15: Tick Classification Tally all ticks in colunm 15 of new attendance
Attendance OUTPATIENT REGISTER
Total OPD HMIS OPD 002 Colunm 15: Tick Classification Add the tallies in colunm 15 for both new attendance and re-attendance
Attendance OUTPATIENT REGISTER
APT.
Expected eMTCT HMIS ACP 006 PATIENT Colunm 6: Type of care Tally all ANC ticks for the clinic dates with in the reporting week
Mothers on app APPOINTMENT BOOK
eMTCT Missed HMIS ACP 006 PATIENT Colunm 7: Patient attended Tally all those with no tick in colunm 7
appointments APPOINTMENT BOOK
Suspected malaria HMIS OPD 002 Colunm 13: Malaria Test Tally all patients with yes in the sub colunm fever
(fever) OUTPATIENT REGISTER
Cases tested with HMIS OPD 002 Colunm 13: Malaria Test Tally all patients with RDT in the sub colunm Tests done
RDT OUTPATIENT REGISTER
RDT Positive Cases HMIS OPD 002 Colunm 13: Malaria Test Tally all patients marked pos who had an RDT test in the sub colunm
OUTPATIENT REGISTER results.
Cases tested with HMIS OPD 002 Colunm 13: Malaria Test Tally all patients with B/S in the sub colunm Tests done
Microscopy OUTPATIENT REGISTER
MAT.
Microscopy Positive HMIS OPD 002 Colunm 13: Malaria Test Tally all patients with pos who had an B/S test in the sub colunm
Cases OUTPATIENT REGISTER results.
Not tested cases HMIS OPD 002 Colunm 13 & 17: Malaria Test & Tally all patients with N/A in colunm 13(Malaria test) sub colunm results
treated OUTPATIENT REGISTER Prescription who had malaria prescription in colunm 17
TB.
Bacteriologically TB HMIS 009 Unit TB Register Colunm 1&9:Unit TB No. & Tally all patients with a unit TB number in colunm 1 and should be
cases registered Disease classification Class marked P-BC in colunm 9 with in the reporting week
Bacteriologically HMIS 009 Unit TB Register Colunm 1,9&16: Unit TB No., Tally all patients with a unit TB number in colunm 1, should be marked
261
contacts traced and TRACING REGISTER Cough? colunm 8 with Yor N
screened
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
262
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
ACT (Tablets) HMIS PHAR 001 STOCK Colunm 4, 12 & 18: Item Pick stock card with an item description ACT (Tablets) in colunm 4 with
CARD Description, Date & Balance in the respective period in colunm 12 and record recent balance on
on hand hand of ACT from colunm 18 in the reporting week
ORS (Sackets) HMIS PHAR 001 STOCK Colunm 4, 12 & 18: Item Pick stock card with an item description ORS in colunm 4 with in the
CARD Description, Date & Balance respective period in colunm 12 and record recent balance on hand of
on hand ORS from colunm 18 in the reporting week
Measles Vaccine HMIS FORM 017d Colunm 17: Total Balance Pick the figure in colunm 17 for the vaccine name measles
Doses VACCINE AND INJECTION
MATERIALS CONTROL
BOOK (VIMCB)
Amoxicillin HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item Pick stock card with an item description Amoxicillin Dispersible
Dispersible 250mg CARD Description, Date & Balance 250mg Tablets in colunm 4 with in the respective period in colunm 12
Tablets on hand and record recent balance on hand of Amoxicillin Dispersible 250mg
TRA.
Tablets from colunm 18 in the reporting week
Depot medroxy HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item Pick stock card with an item description Depot medroxy progesterone
progesterone CARD Description, Date & Balance acetate (DMPA) injectables in colunm 4 with in the respective period
acetate (DMPA) on hand in colunm 12 and record recent balance on hand of Depot medroxy
injectables progesterone acetate (DMPA) injectablesfrom colunm 18 in the
reporting week
IV artesunate 60 HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item Pick stock card with an item description IV artesunate 60 mg vials in
mg vials CARD Description, Date & Balance colunm 4 with in the respective period in colunm 12 and record recent
ARV.
Nevirapine HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item
suspension-bottle CARD Description, Date & Balance
of 10 MI/1(100Ml) on hand
Tenofovir / HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item
Lamivudine / CARD Description, Date & Balance
Dolutegravir packs on hand
of 30 tabs
263
HMIS 033B: HEALTH UNIT WEEKLY EPIDEMIOLOGICAL
SURVEILLANCE REPORT
264
CODE - DATA ELEMENT PRIMARY DATA SOURCE COLUMN NO/NAME HOW TO EXTRACT DATA FROM SOURCE
RH Blisters of 28 HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item Repeat as above for the respective items
tablets CARD Description, Date & Balance
on hand
R(75) H(50) Z(150) HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item
Blisters of 28 CARD Description, Date & Balance
tablets on hand
INH 300mg Blisters HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item
of 28 tablets CARD Description, Date & Balance
on hand
INH 100mg blisters HMIS PHAR 001: STOCK Colunm 4, 12 & 18: Item
of 10 tablets CARD Description, Date & Balance
on hand
No of samples HMIS TB 010 TB Colunm 13: Examination Tally all patients with results in colunm 13
GP.
tested LABORATORY REGISTER Results
No of samples HMIS LAB 003 Specimen type Tally all patients with sputum specimen in the specimen type colunm
rejected LABORATORY SPECIMEN
REJECTION FORM
Total MTB detected HMIS TB 010 TB colunm 13: Examination Tally all patients with code T in sub colunm Gene Expert of colunm 13
LABORATORY REGISTER Results
Total No. Rif R HMIS TB 010 TB colunm 13: Examination Tally all patients with code RR in sub colunm Gene Expert of colunm
TPT.
contacts of TB evaluation and TPT 23
patients Eligible for
TPT
Number of children HMIS TB 011 TB Colunm 3, &10: Age & Tally all children aged 0-4 years in colunm 3 who are initiated on TPT
0 – 4 yrs who are PREVENTIVE THERAPY Initiation Date in colunm 10
contacts of TB (TPT) REGISTER
patients initiated on
TPT
266 Standard Operating Procedures For Collection and Aggregation of HMIS Data