This tracking is done for every Eligible couple on monthly basis with below questioner

S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

Date of Visit

Calendar
Date Picker
  • Is Mandatory
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Default value Today's Date
  • Not greater than Today's Date
  • Accept date greater or equal to Date of EC registration
  • should not allow to update in edit or once submitted

Financial Year

Auto-populated
  • Default Null
  • Depends on Date of visit
  • visit date based Financial Year

Visit Month

Spinner

Select Month
Default value is current Month
  • Auto select current Month
  • And should be editable

Is Pregnancy Test done?

Radio Button
  • Default Value null
  • Yes
  • No
  • Don't Know - D
  • If "Is Pregnancy Test done?" = "Yes", then open "Pregnancy Test Result" data field and is mandatory.
  • If "Is Pregnancy Test done?" = "No", then hide this field 'Is the Woman Pregnant?'

Pregnancy Test Result

Radio Group

Choose:

  • Negative
  • Positive
    Default value Null
  • Default Value null
  • If 'Pregnancy Test Result' = "Positive" then

    'Is the Woman Pregnant?'="Yes"
    then move the EC to 'Pregnant Woman' section for PW Registration
  • Then, Status of Woman should change to "Pregnant Woman"
  • If 'Pregnancy Test Result' = "Negative" then enable "Are you using Family Planning Method?" field below.

Is the woman pregnant?

Radio Group
  • Default Value null
  • Yes - Y
  • No - N
  • Don't Know - D
  • If "No", enable "Are you using Family Planning Method?" field below.
  • If "Yes", then move the EC to 'Pregnant Woman' section for PW Registration
  • Then, Status of Woman should change to "Pregnant Woman"

Are you using Family Planning Method?

Radio Group
  • Options as

    Yes / No
  • Default Value null
  • if "Yes" is chosen, enable "Method of Contraception" field below

Method of Contraception

Spinner
  • Self
  • ANTRA Injection
  • Copper T (IUCD)
  • Condom
  • Mala N
  • Chaya
  • ECP
  • Any Other Method
  • Default Value null
  • Open "Any Other Method" Text Box on selection of "Any Other Method" option and is mandatory.
  • The difference between two doses should not be less than 75 days and more than 120 days.
  • If gap is more than 120 days, the beneficiary has to register for 1st dose
    <ac:structured-macro ac:name="unmigrated-wiki-markup" ac:schema-version="1" ac:macro-id="05488a72-924c-4316-bc46-0be35d5749f2"><ac:plain-text-body><![CDATA}st^ dose, ASHA receives Rs. 100 per as an incentive. [FMR Code 3.1.1.2.8]; S.No. 28 \]></ac:plain-text-body></ac:structured-macro>
    to 31 in claim from
    <ac:structured-macro ac:name="unmigrated-wiki-markup" ac:schema-version="1" ac:macro-id="bee5cec2-dd69-4fd1-90d7-031edca3ea13"><ac:plain-text-body><![CDATA}st^ dose, ASHA receives Rs. 100 per as an incentive. [FMR Code 3.1.1.2.8]; S.No. 28 \]></ac:plain-text-body></ac:structured-macro>
    to 31 in claim from
    <ac:structured-macro ac:name="unmigrated-wiki-markup" ac:schema-version="1" ac:macro-id="9fa50c54-d430-433c-84e0-568788d083ff"><ac:plain-text-body><![CDATA* If beneficiary receives the ANTRA injection 3rd dose, ASHA receives Rs. 100 per as an incentive. [FMR Code 3.1.1.2.8]; S.No. 28 \]></ac:plain-text-body></ac:structured-macro>
    to 31 in claim from
    <ac:structured-macro ac:name="unmigrated-wiki-markup" ac:schema-version="1" ac:macro-id="43a55928-6297-489f-9471-6921687547c5"><ac:plain-text-body><![CDATA* If beneficiary receives the ANTRA injection 4th dose, ASHA receives Rs. 100 per as ani ncentive. [FMR Code 3.1.1.2.8]; S.No. 28 \]></ac:plain-text-body></ac:structured-macro>
    to 31 in claim from
  • ASHAs receives Incentives of Rs 150 per patient if women chooses for PPIUCD insertion.(FMR Code 3.1.1.2.4)
  • ASHAs receives Incentives of Rs 150 per patient if women chooses PAIUCD (FMR code 3.1.1.2.5) Top of Form


  • ASHAs receives Incentives of Rs 1 per patient for Home Delivery Contraceptive-Condom
  • ASHAs receives Incentives of Rs 1 per patient for Home Delivery Contraceptive-Oral pills
  • ASHAs receives Incentives of Rs 2 per patient for Home Delivery Contraceptive-EC
  • ASHAs receives Incentives of Rs 200 per patient /Per ASHA For motivating Female sterilization(MFR Code 1.2.2.1.a)
  • ASHAs receives Incentives of Rs 300 per patient For motivating a woman for PPS(MFR Code 1.2.2.1.a)
  • ASHAs receives Incentives of Rs 200 per patient For Motivating Minilap(MFR Code 1.2.2.1.a)
  • ASHAs receives Incentives of Rs 300 per patient For motivating Male sterilization

Any Other Method

Edit Text Box
  • Default Value Null
  • Accept alphabets only
  • Character limit 50


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