Paper-based forms in use for collecting newborn related data; partly usable as legend for figures 2–4
Type | Description |
Notification forms | B1—Birth notification |
D1—Death notification | |
Health record booklet | MoH 216—Mother and Child Booklet—remains with mother and/or child |
Index card | MoH 268—Inpatient Diagnostic Disease Index—rarely in use |
Registers* | MoH 301—Inpatient Register—general inpatient register, improvised for use in NBU |
MoH 333—Maternity Register | |
MoH 373—Inpatient Neonatal Register—pilot | |
MoH 406—Post Natal Care Register | |
MoH 510—Immunisation Permanent Register | |
MoH 511—Child Welfare Clinic Register | |
Tally sheets | MoH 702—Immunisation Tally Sheet |
MoH 704—Child Health and Nutrition Information System (CHANIS) Tally Sheet for Child Health Welfare Clinics | |
Summary forms | MoH 373—Inpatient Neonatal Summary Form—pilot |
MoH 504—Integrated Disease Surveillance and Response (IDSR)—monthly report | |
MoH 505—Integrated Disease Surveillance and Response (IDSR)—weekly report | |
MoH 710—Immunisation Services Uptake Summary | |
MoH 711 A and B—Integrated Reproductive and Child Health Summary | |
MoH 717—Monthly Workload Report for Health Facilities | |
MoH 718—Inpatient Morbidity and Mortality Summary | |
Other hospital forms | Facility/ward internal transfer form |
Daily bed return (DBR) form | |
Improvised forms or records | Newborn Unit (NBU) Admissions Record |
NBU Discharge/Exit Form | |
Mortality and Cause of Death Register | |
Kangaroo Mother Care (KMC) Register—sometimes provided by NGOs | |
Abandoned Babies Register |
*All registers contain individual data, but none of this individual data is entered into DHIS2 at present except as summary (aggregate), see figures 3 and 4.