Page History

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The options in the "Status of Women" field should be based on Age criteria as defined in the below 4 conditions:

List of 12 Comprehensive Primary Health Care (CPHC) Services

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In the mHWC App with reference to the above Comprehensive Care workflow diagram, all 12 CPHC services are split in to 3 parts to easily manage the workflow and service delivery as follows:

I. General OPD services

1. Management of Communicable diseases including National Health Programmes.
2. Management of Common Communicable Diseases and Outpatient care for acute simple illnesses and minor ailments.
3. Emergency Medical Services.

II. Other CPHC services:

1. Screening, Prevention, Control and Management of Non-Communicable diseases.
2. Care for Common Ophthalmic and ENT problems.
3. Basic Oral health care.
4. Elderly and Palliative health care services.
5. Screening and Basic management of Mental health ailments.

III. RMNCH+A services:

1. Care in pregnancy and child-birth

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1. .
2. Neonatal and infant health care services.
3. Childhood and adolescent health care services.
4. Family planning, Contraceptive services and other Reproductive Health Care services.

All 12 CPHC services are handled and managed based on Gender, Age and Status of Woman.

• Beneficiary record can be fetch by search or new registration and by clicking on the beneficiary card, CHO will have the option to select General OPD services or other CPHC services.
• The RMNCH+A services are available under a separate section "RMNCH" tab adjacent to the home tab.
• In RMNCH+A module there two sub-categories of services are available based on below condition:
  • Maternal Health services: Gender is Female and Age between 15 years to 49 years
  • Child Care services: Age < 15 year

• Maternal Health services include:
• Family Planning services
  • Eligible couple Registration
  • Eligible couple Tracking
• Maternal care services
  • Pregnancy Identification and Registration
  • Antenatal Care
• Maternal services include:
• Family Planning services
  • Eligible couple Registration
  • Eligible couple Tracking
• Maternal Health services
  • Pregnancy Identification and Registration
  • Antenatal Care
  • Delivery
  • Postnatal Care
• Child Care services include:
  • Newborn Registration
  • HBNC Services
  • HBYC Services
  • Routine Immunization
  • Adolescent Care
• In Other CPHC services:
  Subcategories:
  • Based
  upon
  • on Age and
  Gender, show the following list of items.
for all Age groups, all Genders: Care for common ENT problems, Care for Common Ophthalmic problems, Basic Oral health care, Screening and Basic management of Mental health ailments.
• • Gender, services are available by selecting
  • Subcategory and relevant
  • Reason for visit and relevant specialty screening form is enabled

Patient Visit flow

Under 'Visit Details': Category: 1. Out Patient care or 2. Other CPHC services is selected

Selecting "New Chief complaint" or "Follow up" is required

1. Out Patient care

• Select "New Chief complaint" or "Follow up"
• Capture Vitals
• Proceed to Prescription 

2. Other CPHC services

• Select "New Chief complaint" or "Follow up"
• Select Subcategory
• Select Reason for visit
• Proceed to open relevant specialty screening form
• Capture Vitals
• Proceed to Prescription

 3. RMNCH+A services

• All these services are available under RMNCH section
• To avail these services go to RMNCH tab
• Respective beneficiary line listing is available under relevant sub-section, after beneficiary registration or search

Other CPHC services are based on selection of items in the 'Subcategory', as follows:

1. If 'Subcategory' is "Care for common ENT problems" is selected then show the following list of items in 'reason Reason for visit'

• Ear
• Nose
• Throat

After the reason for visit is selected, then add chief complaint.

Based on the selection of above item in the 'Reason for visit', below relevant specialty screening form opens:

• If Ear If ear is selected, enable Ear diagnosis and Management form
• If nose Nose is selected, enable Nose diagnosis and Management form
• If throat Throat is selected, enable Throat diagnosis and Management form

2. If 'Subcategory' is "Care for common ophthalmology problems" is selected then show the following list of items in 'reason Reason for visit'

• Screening
• Symptomatic
• First aid for eye injury, trauma

After the reason for visit is selected, then add chief complaint.Based on the selection of above item in the 'Reason for visit', below relevant specialty screening form opens:

• If Screening is selected enable module on "Screening for blindness and refractive errors"
• If Symptomatic, "Case identification" and "Treatment and follow up" fields must be completed.
• If First aid for eye injury, trauma is selected, enable "Screening for Injury and Trauma"

3. If  If 'Subcategory' is "Basic Oral Health Care" is selected then show the following list of items in 'reason for visit'

• Dental

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Based on the selection of above item in the 'Reason for visit', below relevant specialty screening form opens:

• Oral Health form

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4. If 'Subcategory' is "Screening and Basic Management of Mental Health Ailments" is selected, then show the following list of items in 'reason for visit'

• Emotional or behavioural concerns- Fatigue/Sleep Disturbances/low mood
• Substance use related concerns
• Thoughts of self-harm or suicide
• Memory loss or confusion
• Seizures / fits or loss of consciousness

After the reason for visit is selected, then add chief complaint.Based on the selection of above item in the 'Reason for visit', below relevant specialty screening form opens:

• • If Emotional or behavioural concerns is selected, enable PHQ 9 form.
  • If Substance use related concerns is selected, enable Substance Use screening form.
  • If Thoughts of self-harm or suicide is selected, enable PHQ 9 form followed by Suicide Risk screening form.
  • If Memory loss or confusion is selected, enable Dementia screening checklist.
  • If Seizures / fits or loss of consciousness is selected, enable Epilepsy screening checklist.
• Age & and Gender Conditions
  • If Age < 11 years, Mental Health screening forms shall not open; system shall enable referral workflow only.
  • If Age 11–18 years, adolescent alcohol use mental health screening shall be enabled with referral to AFHC / RKSK as applicable
  • If Age ≥ 18 years, full mental health screening shall be enabled.
  • If Female and Post-partum (≤12 months), depression screening shall be auto-prompted when CMD screening is enabled.
  • Suicide risk screening shall apply to all beneficiaries aged ≥11 years, irrespective of gender.
• Elderly and Palliative Health- Age & Gender Flow

If 5. If 'Subcategory' is "Elderly & Palliative Health Care" is selected, then show the following list of items in 'reason Reason for visit', based on age and condition.

Reason for Visit – Elderly & Palliative Health
• General geriatric complaints
• Functional decline or dependency
• Memory loss or confusion
• Persistent pain
• Distressing symptoms (breathlessness, nausea, fatigue, etc.)
• Caregiver support or counselling needs
System Behaviour After Reason for Visit SelectionAfter the reason for visit is selected, then add chief complaint.

Based on the selection of above item in the 'Reason for visit', below relevant specialty screening form opens:

• • If General geriatric complaints are selected, enable Elderly Health Assessment form.
  • If Functional decline or dependency is selected, enable Functional assessment and counselling section.
  • If Memory loss or confusion is selected, enable Dementia screening checklist.
  • If Persistent pain or Distressing symptoms is selected, enable Palliative care assessment and symptom management section.
  • If Caregiver support or counselling needs are selected, enable Psychosocial and caregiver support section.
• Age
&
• and Gender Conditions
  • • Elderly Health components shall be enabled only if Age ≥ 60 years, irrespective of gender.
    • Palliative Care components shall be available for all age groups and all genders, based on clinical need.
    • Referral shall be enabled if symptoms are severe or beyond CPHC scope.

Synopsis of other CPHC service: Sub Category and Reason for Visit

RMNCHA+A: Family Planning services

Eligible Couple Tracking

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