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Incentive Logic:

  1. ASHA receives ₹15 for each malaria slide collected under the NVBDCP per FMR Code 3.1.1.4.1
  2. 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

 

 

Mobile No.

Numeric

 

 

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 .

Beneficiary StatusRadio Button

Select:

  • Not Applicable
  • Cured 
  • Death

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 DeathCalendar 

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 DeathText Box 

 

Drop Down

 Select:

  • Home
  • Facility
  • Other

 If 'Status' = "Dead" then enable

Mandatory

Other Place of Death

 Text Box

 

Applicable If 'Status' = "Dead"

Enable only if "Other" is selected above
Required only if "Other" is selected.

Reason for DeathDrop Down

 Select:

  • Fever
  • other Disease
  • Other

If 'Status' = "Dead" then enable

Mandatory

Other Reason for Death

 Text Box

 

Applicable If 'Status' = "Dead"

Enable only if "Other" is selected above
Required only if "Other" is selected.

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. 
Second Entry: User can select "Confirmed" or "Not Confirmed". 
If previous status was "Confirmed", display "Treatment Started".

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:

  1. Suspected Case – ⚠️ (Warning symbol ) or 🔍 (Magnifying glass for investigation)and color Yellow) 
  2. Confirmed Case – 🦟 (Mosquito symbol ) or 🛑 (Red stop sign for alertand color Red)
  3. Not Confirmed – ✅ (Green check mark) 
  4. Treatment Given – 💊 (Pill symbol ) or 🏥 (Hospital symbol)and color Blue)
Rapid Diagnostic Test (RDT)Radio button

Option 

  1. Positive
  2. Negative
  3. Not performed

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 TestRDTCalendar

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 PfRadio button

Option 

  1. Positive
  2. Negative
  3. Not Performed

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 PvRadio button

Option 

  1. Positive
  2. Negative
  3. Not Performed

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 Slide TestCalendar

Mandatory if above field RDT is selected

Allow belated dates till last 3 months from todays date and Not greater than Today's Date

Slide No

Auto Calculate: 

 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. 
Second Entry: User can select "Confirmed" or "Not Confirmed". 
If previous status was "Confirmed", display "Treatment Started".

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: Malaria = Malaria +1 for every unique confirmed case in the current month. for particular house hold
For Treatment: Malaria = Malaria +1 for every unique treatment given in the current month.

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

 

 

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.

Allow belated dates till last 3 months from todays date and Not greater than Today's Date

Incentive Logic
Malaria Case Count (Variable)

 

 

For Lab Test: Malaria = X+1 for every unique confirmed case in the current month, for particular house hold
For Treatment: Malaria = X+1 for every unique treatment given in the current month.

"X" is a Variable

  • A separate line listing titled "Follow-up for Confirmed Cases". Upon clicking this, users will be able to update treatment details, including treatment start date, progress tracking, completion date, and referrals.
  • Auto-populate below Patient Details on the Card:

  1. Patient Name – Full name of the patient.

  2. Age and Gender– Display as "Age and Gender

  3. Ben ID – Display Beneficiary ID

  4. Date of Diagnosis – The date when the malaria case was confirmed.

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

Date of Starting TreatmentDate Picker
Cannot be a future date; must be on or after the test date.
Treatment GivenRadio Button

Options:

1.Pf

2.Pv

Mandatory field.
Pf - Day-wise TrackingCheckbox

Options:

Day 1, 

Day 2,

Day 3

Available only if "Pf" is selected under Treatment Given. At least one day must be selected.
Pv - Day-wise TrackingCheckbox

Options:

Day 1,

Day 2,

Day 3,

Day 4

Available only if "Pv" is selected under Treatment Given. At least one day must be selected.
Date of Completion of TreatmentDate PickerDD/MM/YYYYCannot be before the "Date of Starting Treatment".
Date of ReferralDate PickerDD/MM/YYYYOptional. If entered, must be after the "Date of Starting Treatment".

  1. Follow-up for Confirmed Cases will be a separate section under the system.

  2. Users must select whether the treatment is for Pf (Plasmodium falciparum) or Pv (Plasmodium vivax).

  3. Based on the selection:

    • Pf will show tracking options for Day 1, Day 2, Day 3.

    • Pv will show tracking options for Day 1, Day 2, Day 3, Day 4.

  4. Date of Completion of Treatment must be recorded and validated to ensure it follows the treatment start date.

  5. Date of Referral can be entered if applicable, but it must be after treatment initiation.

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.

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

 

 

Mobile No.

Numeric

 

 

Data Field Text Box

Name Text Box
Auto-populated from "Enumeration FM" (First, Middle, Last Name)
Father's/Husband's Name Text Box
"If Gender = Female and Marital Status = Married, auto-populate from 'Spouse Name'. If Gender = Male, auto-populate from 'Father Name'"
AgeNumeric
Auto-populated from "Enumeration FM"
Gender Text Box
Auto-populated from "Enumeration FM"
Type of House Text Box
Auto-populated from "Enumeration HH"
Caste Text Box
Auto-populated from "Enumeration HH"
Mobile No.Numeric
Auto-populated from "Enumeration FM"
ABHA IDNumeric
Auto-populated from "Enumeration FM"
Visit Date 

Calendar

 

 Allow belated dates till last 3 months from todays date and Not greater than Today's Date

Beneficiary StatusSpinner

 Select:

  • Not Applicable
  • Recovering
  • Cured
  • Dead
  • Recurrence of Symptoms

If "Status" not equal to "Dead" in previous "Follow Up point"

If 'Status' = "Dead" then disable all below fields and

Enable only these fields Date of Death, Place of Death and Reason for Death

Select default value "Not Applicable"

Date of DeathCalendar 

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 DeathDrop Down

 Select:

  • Home
  • Facility
  • Other

 If 'Status' = "Dead" then enable

Mandatory

Other Place of Death

 Text Box

 

Applicable If 'Status' = "Dead"

Enable only if "Other" is selected above
Required only if "Other" is selected.

Reason for DeathDrop Down

 Select:

  • Fever
  • other Disease
  • Other

If 'Status' = "Dead" then enable

Mandatory

Other Reason for Death

 Text Box

 

Applicable If 'Status' = "Dead"

Enable only if "Other" is selected above
Required only if "Other" is selected.

Kala Azar Case StatusSpinner

Select:

  • Suspected
  • Confirmed Not
  • Confirmed
  • Treatment Started


First time user will select "Suspected" option only and from second time the user will select either "Confirmed" or "Not Confirmed". The system will display the "Treatment Started" only if  the previous status was "Confirmed".

Define variable Kala Azar Case with default value = 0 and for every unique confirmed case in the current month Kala Azar Case = Kala Azar Case +1

Kala Azar 

Rapid Diagnostic Test (RDT)

Radio button

Option 

  1. Positive
  2. Negative
  3. Not performed

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 TestCalendar

Mandatory if above field RDT is selected

Allow belated dates till last 3 months from todays date and Not greater than Today's Date

Follow Up PointSpinner

 Single Select

1, 2, 3, 4, 5, 6 

If "Kala Azar Case" = "Treatment Started"

If "Status" not equal to "Dead" in previous "Follow Up point"

Disabled the option (1,2,3,4,5,6) once selected

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

 

 

Mobile No.

Numeric

 

 

Data Field Text BoxName Text BoxAuto-populated from "Enumeration FM" (First, Middle, Last Name)Father's/Husband's Name Text Box"If Gender = Female and Marital Status = Married, auto-populate from 'Spouse Name'. If Gender = Male, auto-populate from 'Father Name'"AgeNumericAuto-populated from "Enumeration FM"Gender Text BoxAuto-populated from "Enumeration FM"Type of House Text BoxAuto-populated from "Enumeration HH"Caste Text BoxAuto-populated from "Enumeration HH"Mobile No.NumericAuto-populated from "Enumeration FM"ABHA IDNumericAuto-populated from "Enumeration FM"Date Numeric Display Today's Date and should be non-editableKala Azar Case StatusRadio Button 

Suspected, Confirmed, Not Confirmed, Treatment Started
Single Select Radio Button

First time user will select "Suspected" option only and from second time the user will select either "Confirmed" or "Not Confirmed". The system will display the "Treatment Started" only if  the previous status was "Confirmed".

Define variable Kala Azar Case with default value = 0 and for every unique confirmed case in the current month Kala Azar Case = Kala Azar Case +1

Referred ToDrop Down

 Options

Primary Health Centre, Community Health Centre, District Hospital, Other Private Hospital, Medical College and Hospital, Referral Hospital,

Othe

Other


Other Referred Facility

Text

 Text Box

 

If

Required only if "Referred To" = "Other"

3.12.3 AES/JE Module

This sub-module facilitates the tracking and management of AES/JE cases through household searches, individual case tracking, referral management, and status updates to ensure effective case monitoring.

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

Kala Azar Case Status DateCalendar

 

 

Mobile No.

Numeric

Follow Up PointRadio Button

 

 

Is there a "सुअर बाराह" near the house ?Radio ButtonValue/Options

If "Kala Azar Case" = "Treatment Started"

If "Status" not equal to "Dead" in previous "Follow Up point"

1, 2, 3, 4, 5, 6 Yes, No
Single Select Radio Button

Disabled the option (1,2,3,4,5,6) once selected

Follow Up DateCalendar 

If "Kala Azar Case" = "Treatment Started"

If "Status" not equal to "Dead" in previous "Follow Up point"

StatusRadio Button 

If "Status" not equal to "Dead" in previous "Follow Up point"

Recovering, Cured, Dead, Recurrence of Symptoms, Other
Single Select Radio Button

OtherText Box 

If "Status" = "Other"

Name Text Box
Auto-populated from "Enumeration FM" (First, Middle, Last Name)
Father's/Husband's Name Text Box
"If Gender = Female and Marital Status = Married, auto-populate from 'Spouse Name'. If Gender = Male, auto-populate from 'Father Name'"
AgeNumeric
Auto-populated from "Enumeration FM"
GenderText Box
Auto-populated from "Enumeration FM"
Type of HouseText Box
Auto-populated from "Enumeration HH"
CasteText Box
Auto-populated from "Enumeration HH"
Mobile No.Numeric
Auto-populated from "Enumeration FM"
ABHA IDNumeric-Auto-populated from "Enumeration FM"
Visit Date 

Calendar

 

 Allow belated dates till last 3 months from todays date and Not greater than Today's Date

Beneficiary StatusSpinner

 Select:

  • Not Applicable
  • Recovering
  • Cured
  • Dead
  • Recurrence of Symptoms
RemarksText Box If "Kala Azar Case" = "Treatment Started"

If "Status" not equal to "Dead" in previous "Follow Up point"

3.12.3 AES/JE

This sub-module facilitates the tracking and management of AES/JE cases through household searches, individual case tracking, referral management, and status updates to ensure effective case monitoring.

If 'Status' = "Dead" then disable all below fields and

Enable only these fields Date of Death, Place of Death and Reason for Death

Select default value "Not Applicable"

Date of DeathCalendar 

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 DeathDrop Down

 Select:

  • Home
  • Facility
  • Other

 If 'Status' = "Dead" then enable

Mandatory

Other Place of Death

 Text Box

 

Applicable If 'Status' = "Dead"

Enable only if "Other" is selected above
Required only if "Other" is selected.

Reason for DeathDrop Down

 Select:

  • Fever
  • other Disease
  • Other

If 'Status' = "Dead" then enable

Mandatory

Other Reason for Death

 Text Box

 

Applicable If 'Status' = "Dead"

Enable only if "Other" is selected above
Required only if "Other" is selected.

AES / JE  Case StatusSpinner

Single Select:

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

 

 

Mobile No.

Numeric

 

 

Is there a "सुअर बाराह" near the house ?Radio ButtonValue/OptionsYes, No
Single Select Radio Button
Name Text BoxAuto-populated from "Enumeration FM" (First, Middle, Last Name)Father's/Husband's Name Text Box"If Gender = Female and Marital Status = Married, auto-populate from 'Spouse Name'. If Gender = Male, auto-populate from 'Father Name'"AgeNumericAuto-populated from "Enumeration FM"GenderText BoxAuto-populated from "Enumeration FM"Type of HouseText BoxAuto-populated from "Enumeration HH"CasteText BoxAuto-populated from "Enumeration HH"Mobile No.NumericAuto-populated from "Enumeration FM"
ABHA IDNumeric-Auto-populated from "Enumeration FM"
Date Numeric Display Today's Date and should be non-editable
AES / JE  Case StatusRadio Button 

Suspected, Confirmed, Not Confirmed, Treatment Started
Single Select Radio Button

First time user will select "Suspected" option only and from second time the user will select either "Confirmed" or "Not Confirmed". The system will display the "Treatment Started" only if  the previous status was "Confirmed".

Define variable Kala Azar AES / JE Case with default value = 0 and for every unique confirmed case in the current month Kala Azar AES / JE Case = Kala Azar AES / JE Case +1

Referred ToDrop Down 

Primary Health Centre, Community Health Centre, District Hospital, Other Private Hospital, Medical College and Hospital, Referral Hospital, Other, None Single Select Radio Button

OtherText Box 

If "Referred To" = "Other"

 AES / JE Case Status DateCalendar 

 Mandatory

Follow Up PointSpinner

 Single Select

1, 2, 3, 4, 5, 6 

If "AES / JE

Follow Up PointRadio Button 

If "Kala Azar Case" = "Treatment Started"

If "Status" not equal to "Dead" in previous "Follow Up point"1, 2, 3, 4, 5, 6 

Single Select Radio ButtonDisabled the option (1,2,3,4,5,6) once selected

Follow Up DateCalendar 

If "Kala Azar Case" = "Treatment Started"

If "Status" not equal to "Dead" in previous "Follow Up point"

StatusRadio Button 

If "Status" not equal to "Dead" in previous "Follow Up point"

Recovering, Cured, Dead, Recurrence of Symptoms, Other
Single Select Radio Button

Referred ToDrop Down

 Options

Primary Health Centre, Community Health Centre, District Hospital, Other Private Hospital, Medical College and Hospital, Referral Hospital, Other


Other Referred Facility

 Text Box

 

Required only if "Referred To

OtherText Box If "Status

" = "Other"









3.12.4 Filaria Module

The Filaria sub-module tracks filariasis cases by capturing household and individual details, home visit dates, affected body parts, medication distribution under the Mass Drug Administration (MDA) program, and any reported side effects of treatment

...