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HMIS 123: DISTRICT/HSD MONTHLY REPORT
Start Date: 06/2006
End Date: 07/2007
Total no. of Health Units with Outpatient facilities in the district: FUNCTIONAL

1. OPD ATTENDANCE AND LABORATORY TESTS TOTALS FOR THE MONTH

OUTPATIENT ATTENDANCE LABORATORY TESTS
Category
0-4 Years
5 and over
Category
No. of tests done
No. Positive
0-4 Yrs 5Yrs > 0-4 Yrs 5Yrs >

2. OUTPATIENT DIAGNOSES

Diagnosis
5 and over
Epidemic-Prone
Diseases
Other Emerging Infectious Diseases CHICKENPOX Other Emerging Infectious Diseases MUMPS & Other Emerging Infectious Diseases CHIKEN POX Other Emerging Infectious Diseases CHICKEN POX Infectious/Comm
unicable Diseases
Maternal and
Prenatal Diseases
Haemorrhage Related to Pregnancy (APH and/or Perinatal conditions (in New borns 0 to 28 days) Emergencies
Non_communicabl
e Diseases
Gastro-Intestinal Disorders (Non-infective) Severe Malnutrition (Marasmus, Kwashiorkor, Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for District) WOUNDS, EAR INFECTIONS, BONES & Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for District) EAR INFECTION, WOUNDS & BURNSOther Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for Other Diagnoses (specify Priority Diseases for
3. MCH AND FP ACTIVITIES

ANTENATAL/POSTNATAL CLINIC
CHILD HEALTH
Category
Category

MATERNITY
Category
FAMILY PLANNING USERS
NewUsers
Revisits
Deliveries HIV positive who swallowed ARVs Babies born with low birth weight (<2.5kg) Babies (born to HIV positive mothers) given Total number of fisrt visit clients
CONTRACEPTIVES DISPENSED
TETANUS IMMUNISATION
dispensed at dispensed by

CHILD IMMUNISATION
FROM THE OPERATING THEATRE
Category
4. PMTCT, HCT AND ART
PMTCT SERVICES
Number of Pregnant Women Given ARVs for Prophylaxis(PMTCT) Number of Pregnant Women Given ARVs for Treatment Number of Pregnant Women Positive for HIV Individuals
Individuals
Individuals
18Yrs and
<5 Yrs
5- <18 Yrs
ACTIVITY
ART
SERVICES

SERVICES

Received HIV Results (from the laboratory) HIV Positive Cases Started on Cotrimoxazole (CTX) 5. ESSENTIAL DRUGS, VACCINES AND CONTRACEPTIVES
Total number of
HUs that had a
stockout of the item
6. OUTREACH ACTIVITIES
Outreach activities planned for the month Outreach activities conducted in the month Outreach activities planned for the month Outreach activities conducted in the month Outreach activities planned for the month Outreach activities conducted in the month 7. FINANCIAL SUMMARY
Funds requested
Funds received
Funds spent
40944228
8. MANAGEMENT
No. of meetings/activities No. of meetings/activities Meeting of Health Unit management committee Meeting of Health Unit management committee Village health committee meetings attended by representatives of the health unit Parish health committee meetings attended by representatives of the health unit LC III or LC V Committee meetings attended by a representatives of the health unit Support supervision visits by the district/HSD Health team 9. LIST OF STAFF MEMBERS WHO DID NOT RECEIVE SALARY LAST MONTH
Number of staff who did not receive salary last month: Computer No.
10. MONTHLY MONITORING
Remember to plot cumulative graphs for the indidcators listed below. Graphs are found in the Distrct Database. Copies should be
11. COMMENTS
2/16/2009
--------------------- (MOH use below this line) ---------------------
Date received by 28th of the following month

Source: http://www.karamojahealthdatacenter.org/wp-content/uploads/2009/12/Annual-Report-2006-2007.pdf

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