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Incentive Logic:
- ASHA receives ₹15 for each malaria slide collected under the NVBDCP per FMR Code 3.1.1.4.1
- ASHA receives ₹75 per confirmed case for ensuring the treatment of malaria-positive patients. per FMR Code 3.1.1.4.1
Note :
On the card, display "Suspected" in
yellow"Yellow" color.
The form remains editable in the "Suspected" statuses. For all other statuses, it is view-only.
- This should be a Transactional record with Visit Number and Date in the Calendar Year.
If a case is Confirmed, the form becomes read-only (no edits allowed).
After screening, confirmed cases will be maintained in a separate line listing under the module titled "Follow-up for Confirmed Cases," where editing options will be available.
Name of Data Field | Field Type | Value/ Options | Validation/ Logic/ Condition | ||||
House Hold No. | Numeric |
| Search by household number. | ||||
Head of Family Member Name | Text Box |
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Mobile No. | Numeric |
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Name | Text Box |
| Auto-populated from "Enumeration FM" First Name, Middle Name, Last Name. | ||||
Father's Name / Husband Name | Text Box |
| If Gender = Female and Marital Status = Married, auto-populate from Spouse Name. If Gender = Male, auto-populate from Father’s Name. | ||||
Age | Text Box |
| Auto-populated from "Enumeration FM" | ||||
Gender | Text Box |
| Auto-populated from "Enumeration FM" | ||||
Mobile No. | Text Box |
| Auto-populated from "Enumeration FM" | ||||
ABHA ID | Text Box |
| Auto-populated from "Enumeration FM" | ||||
Malaria Screening Date | Calendar Picker |
| Allow belated dates till last 3 months from todays date and not Not greater than Today's Date . | ||||
| Status | Radio Button | Select:
| If "'Status" ' = "Dead" then disable all below fields and Enable only these fields & Date of Death and , Place of Death to be entered in previous "Follow Up point"and Reason for Death Select default value "Not Applicable"Default is Not Applicable | ||||
| Date of Death | Calendar | If 'Status' = "Dead" then enable Mandatory Allow belated dates till last 3 months from todays date and Not greater than Today's Date | |||||
| Place of Death | Text Box |
| Drop Down | Select:
| If 'Status' = "Dead" then enable Mandatory | ||
Other Place of Death | Text Box |
| Applicable If 'Status' = "Dead" Enable only if "Other" is selected above | ||||
| Reason for Death | Drop Down | Select:
| If 'Status' = "Dead" then enable Mandatory | ||||
Other Reason for Death | Text Box |
| Applicable If 'Status' = "Dead" Enable only if "Other" is selected above | ||||
Symptoms | Multi-Select Choices |
| Fever more than two weeks, Flu-like illness, Shaking chills, | Symptoms | Multi-Select Choices |
| Fever more than two weeks, Flu-like illness, Shaking chills, Headache, Muscle aches, Tiredness, Nausea, Vomiting, Diarrhea (Yes/No) Default is "No" |
Case Status | Drop Down | Option: 1.Suspected, 2. Confirmed, 3. Not Confirmed, 4. Treatment Given. | If any of the above symptoms are "Yes" then select "Suspected" First Entry: Only "Suspected" can be selected. Test id not Done but symptoms are present then Suspected Any Test is Positive, Confirmed If Test are Negative Not confirmed Color Indications for Malaria Cases:
| ||||
| Rapid Diagnostic Test (RDT) | Radio button | Option
| If you have performed an RDT, If positive, put a plus (+) in red; If negative, put a dash (-).in green If you have not performed an RDT, put a cross X in Yellow | ||||
| Date of Test | Calendar | Mandatory if above field RDT is selected Allow belated dates till last 3 months from todays date and Not greater than Today's Date | |||||
| Malaria Slide Test Pf | Radio button | Option
| Default not performed If you have performed an Malaria Slide Test, If positive, put a plus (+) in red; If negative, put a dash (-).in green If you have not performed, put a cross X in Yellow | ||||
| Malaria Slide Test Pv | Radio button | Option
| Default not performed If you have performed an Malaria Slide Test, If positive, put a plus (+) in red; If negative, put a dash (-).in green If you have not performed, put a cross X in Yellow | ||||
| Date of Test | Calendar | Mandatory if above field RDT is selected Allow belated dates till last 3 months from todays date and Not greater than Today's Date | |||||
Case Status | Drop Down | Option: 1.Suspected, 2. Confirmed, 3. Not Confirmed, 4. Treatment Given. | If any of the above symptoms are "Yes" then select "Suspected" First Entry: Only "Suspected" can be selected. Test id not Done but symptoms are present then Suspected Any Test is Positive ,Confirmed If Test are Negative , any No test Performed is "Not confirmed" | Malaria Case Count (Variable) | Text Box |
| For Lab Test: |
Referred To | Drop Down |
| Options: Primary Health Centre, Community Health Centre, District Hospital, Medical College and Hospital, Referral Hospital, Other Private Hospital, Other, None. | ||||
Other Referred Facility | Text Box |
| Required only if "Referred To" = "Other". | ||||
Remarks | Text Box |
| Optional field for additional notes. | ||||
Date of Visit by Supervisor | Calendar |
| Allow belated dates till last 3 months from todays date and Not greater than Today's Date | ||||
Incentive Logic |
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| For Lab Test: Malaria = X+1 for every unique confirmed case in the current month, for particular house hold "X" is a Variable |
3.12.2 Kala Azar Module
The Kala Azar sub-module focuses on early detection, treatment and tracking of Kala Azar cases at the village community level. It ensures accurate case status updates, referral options, treatment initiation, and structured follow-up at different points of the treatment cycle.
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