Business Requirements Document (BRD)
Sakhi 2.0
Version 2.4.0

Document Revision History

Date	Version Number	Author	Approved By	Document change reference
02 Jun 2025	2.4.0	Madhava Ramu		Existing BRD with details of all comprehensive ASHA modules
04 Jun 2025		Madhava Ramu		Revised draft with changes in HBNC, Eligible couple Tracking module
04 Jul 2025		Madhava Ramu		changes related to death reports in Edit beneficiary, ANC, Abortion, Delivery Outcome, PNC and Child sections
21 Jul 2025		Madhava Ramu		Revised draft with changes in death reports

Definitions, Acronyms, and Abbreviations

S. No	Term / Acronym / Abbreviation	Full form/ Definition
1	FLW	Frontline Health Workers; i.e. ASHA, ANM and AWW
2	ASHA	Accredited Social Health Activist
3	ANM	Auxiliary Nurse Mid-Wife
4	AWW	Anganwadi Worker
5	MO/ MOIC	Medical Officer/ MOIC – Medical Officer In charge
6	RCH	Reproductive and Child Health
7	VHND/ VHSND VHSNC	Village Health Nutrition Day / Village Health Sanitation and Nutrition Day Village Health, Sanitation, and Nutrition Committee
8	NDD	National Deworming Day
9	M/O	Mandatory/Optional
10	EC	Eligible couple
11	PW	Pregnant Woman
12	HRP HRPW	High Risk Pregnancy High Risk Pregnant Woman
13	ANC	Antenatal Care: A pregnant Woman has 3 stages first trimester, second trimester and third trimester.
14	PNC	Postnatal Care: Post Delivery period for Mother and Infant up 42 Days.
15	LMP	Last Menstrual Period
16	EDD	Expected Date of Delivery
17	DOB	Date of Birth
18	LBW	Low Birth Weight Baby
19	RMNCH+A	Reproductive, Maternal, Newborn, Child and Adolescent Health
20	RMNCAH+N	Reproductive, Maternal, Newborn, Child, Adolescent Health Plus Nutrition
21	HBNC	Home Based Newborn Care
22	HBYC	Home-Based Care for Young Child
23	SNCU	Special Newborn Care Units
24	NCD	Non-Communicable Diseases
25	CBAC	Community Based Assessment Checklist
26	CDR	Child Death Review
27	MDSR MDR	Maternal Death Surveillance and Response Maternal Death Review
28	MCTS	Mother and Child Tracking System
29	NHM	National Health Mission
30	NRHM	National Rural Health Mission
31	NUHM	National Urban Health Mission
32	NIC	National Informatics Centre
33	CDC	Centers for Disease Control and Prevention
34	NDCP	National Disease Control Programme
35	NCVBDC	The National Center for Vector Borne Diseases Control
36	NVBDCP	National Anti-Malaria Program (NAMP) renamed as National Vector Borne Disease Control Program
37	IHIP	Integrated Health Information Platform
38	IDSP	Integrated Disease Surveillance Programme
39	TB	Tuberculosis
40	DSTB	Drug-Sensitive Tuberculosis
41	DRTB	Drug-Resistant Tuberculosis
42	TPT	Tuberculosis Preventive Treatment
43	NYP¹	Ni-kshay Poshan Yojana
44	NYP²	"Patients for NPY" can refer to patients diagnosed with diseases related to Neuropeptide Y (NPY), such as obesity, anxiety, neurodegenerative disorders, and epilepsy, where NPY plays a role in the pathology. It can also refer to patients benefiting from the Ni-kshay Poshan Yojana (NPY), an Indian government scheme providing nutritional support to tuberculosis patients
45	WRA	Women of Reproductive Age
46	NIPI	National Iron Plus Initiative
47	WIFS	Weekly Iron and Folic Acid Supplementation It's a public health program in India that provides free iron and folic acid tablets to adolescent boys and girls.
48	NRC	Nutrition Rehabilitation Center
49	SAM	Severe Acute Malnutrition
50	MUAC	Mid-upper Arm Circumference; Identification of SAM Children using MUAC Tape
51	MAM	Moderate Acute Malnutrition
52	MAA	The Mothers' Absolute Affection program A meeting refers to a community-based program focused on promoting breastfeeding, maternal and child health.
53	NLEP	National Leprosy Eradication Programme
54	PB	Paucibacillary (PB) leprosy
55	MB	Multibacillary (MB) leprosy
56	NPCB	National Programme for Control of Blindness
57	MPV	Mission Parivar Vikas

Introduction

Document Purpose

The purpose of this document is to capture and describe business and application requirements of "Sakhi Android mobile application for ASHAs". Which is being designed for android smart phones and tablets. This document will help the organization to collect and analyze all the various ideas that have come up to define the system, its requirements with respect to its intended users. It also describes functional and nonfunctional requirements, design constraints and other factors necessary to provide a complete and comprehensive description of the application's scope and requirements. Also, we should predict and sort out how we hope this product will be used in order to gain a better understanding of the System.
The Scope of the document is confined to capturing the requirements of the application and its interaction with other related applications.
NOTE: This version of BRD / SRS is subject to changes depending on the feedback provided during the course of document evaluations by various stakeholders. A final version of BRD will be shared once there is an official sign-off by the stakeholders on agreeing to freeze the requirements.

About Piramal Swasthya

Piramal Swasthya Management and Research Institute (PSMRI), an initiative under the aegis of Piramal Foundation. Is one of the largest not-for-profit organizations in India. Piramal Swasthya is contributing with its experience and expertise of building innovative solutions that impact at scale.
Piramal Swasthya is focused on bridging the public healthcare gaps by supplementing and complementing the Government of India's vision to meet Universal Health Coverage. In the primary public healthcare space with a focus on Maternal, Child and Adolescent Health and Non-communicable Diseases. Piramal Swasthya has more than a decade-long experience in operating several healthcare innovations at scale, which are addressing the primary healthcare needs of the most underserved and marginalized populations across India. Piramal Swasthya is operational in 21 States in India through 35 innovative public healthcare delivery programs and has served more than 112 million beneficiaries so far.
One such innovation is AMRIT (Accessible Medical Records via Integrated Technologies) which is a digital health platform developed by Piramal Swasthya that stores electronic health records of beneficiaries for the use of public primary healthcare service delivery and decision-making. The platform enables the connection between beneficiaries, health facilities, and frontline workers in an integrated ecosystem through technology.
Services and features under AMRIT Platform:
HWC Application: A comprehensive application with 12 Service packages.
MMU Application: Offline and Online Application to support operations in outreach programs.
HIHL Application: Helpline CRM to support services like 104, 1097, MCTS and ECD with inbound and outbound facility.
Telemedicine Solution: Video consulting facility.
Smart Phone Applications: Sakhi/ Utprerona Android Mobile App ASHAs.
Point of Care Device: AMRIT is integrated with PoCT devices like Fetosense and Healthcube etc.
ABDM compliant: and AMRIT is integrated with ABDM for ABHA with all three (M1, M2, M3) milestones.

Background

Background of ASHA Concept

The Government of India launched National Rural Health Mission (NRHM) in 2005 to address the health needs of rural population, especially the vulnerable sections of society. The Sub Centre (SC) is the most peripheral level of contact with the community under the public health infrastructure. This caters to a population norm of 5000, but is effectively serving much larger population at the SC level.
Thus, provision for a new band of community based functionaries, named as Accredited Social Health Activist (ASHA) was made to fill this void. ASHA is the first port of call for any health related demands of the rural population, especially women and children, who find it difficult to access health services.
ASHA is volunteer health activists in the communities, who is creating awareness on health and its social determinants and mobilize the community towards local health planning and increased utilization and accountability of the existing public health services. She is a promoter of good health practices.
ASHA will be entitled for Performance Based Incentives fixed by the NRHM State HQ for prefixed activities only. The performance based incentives required to be given on monthly basis to ASHA.
The role, responsibilities, profile and compensation package for ASHA is given below.

Roles & Responsibilities of ASHA

The roles and responsibilities of an ASHA include the functions of a healthcare facilitator, a service provider and a health activist. Broadly, her functions involve providing preventive, promotive and basic curative care in a role complementary to other health functionaries; educating and mobilizing communities particularly those belonging to marginalized communities, for adopting behavior related to better health and create awareness on social determinants, enhancing better utilization of health services; participation in health campaigns and enabling people to claim health entitlements. She is also providing a minimum package of curative care as appropriate and feasible for that level and making timely referrals for further treatment.
Her roles and responsibilities are as follows:

ASHA have to take steps to create awareness and provide information to the community on determinants of health such as proper diet and nutrition, basic sanitation and hygienic practices, healthy living and working conditions, information on existing health services and the need for timely utilization of health and family welfare services at doorsteps.
ASHA have to conduct home visits of the pregnant women/mother/newborn under Home Based Post Natal Care (HBPNC), and they are supposed to counsel pregnant women on birth preparedness, importance of safe delivery, breastfeeding and complementary feeding, immunization, contraception and prevention of common infections including Reproductive Tract Infection/Sexually Transmitted Infection (RTIs/STIs) and care of the young child.
ASHA have to mobilize the community and facilitate them in accessing health and health related services available at the village/sub-center and other public health facilities, such as Routine Immunization (RI), Ante Natal Check-ups (ANCs), Post Natal Check-ups (PNCs), sanitation and other services being provided by the Government.
ASHA have to work with the Village Health Sanitation Nutrition Committee/Village Level Committee (VHSNC/VLC) of the Gram Panchayat to facilitate a comprehensive village health plan with ANM, AWWs and PRI members.
ASHA have to mobilize targeted community once in a month for the celebration of Village Health Nutrition Days (VHND) at their Aanganwadi Centre. The ANM, AWW, Members of VHSNC and community people are expected to participate in the celebration of VHND.
ASHA have to arrange escort/accompany pregnant women & children requiring treatment/ admission to the nearest pre- identified health facility i.e. Primary Health Centre/Community Health Centre/ First Referral Unit (PHC/CHC /FRU).
ASHA have to provide primary medical care for minor ailments such as diarrhoea, fevers, and first aid for minor injuries. ASHA are also acting as Dot Providers of Directly Observed Treatment Short-course (DOTS) under Revised National Tuberculosis Control Program (RNTCP).
ASHA are also acting as a Depot Holder for essential provisions being made available to every habitation like Oral Rehydration Therapy (ORS), Iron Folic Acid Tablet (IFA), chloroquine, Disposable Delivery Kits (DDK), Contraceptives (Condoms, Oral Pills, Emergency Pills), etc. Provision of Drug Kit and HBPNC Kit has been made for ASHA. Contents of the Drug/HBPNC Kits are based on the recommendations of the expert/technical advisory group set up by the Govt of India.
ASHAs' role as a service provider is being enhanced subsequently. The state makes provision of graded training to ASHA for providing newborn care and management of a range of common ailments particularly childhood illnesses.
ASHA are expected to provide first information about the births and deaths in her village and any unusual health problems/disease outbreaks in the community to the SC/PHC/CHC or directly to the District Authorities or even to the State HQ at the NRHM Help Line.
Fulfillment of all these roles by ASHA are envisaged through continuous training and up- gradation of their skills over the years.

ASHA is expected to fulfill her role through below 5 major activities in the community

Home Visits
Attending Village Health and Nutrition Day (VHND)
Visits to the health facility
Holding village level meeting
Maintain records

About the ASHA application

ASHAs usually use multiple registers for beneficiary registration, enumeration, data collection. This leads to challenges of manual errors, loss of data and data accuracy.
In this context Piramal Swasthya has developed a Mobile application for ASHA workers to digitalize and reduce the manual work.
Sakhi/Utprerona is an Android mobile application specially designed for healthcare programs and consultation services render by ASHAs' to serve pregnant women, mothers and newborns in India. This ultimately eliminates pen and paperwork by ASHAs and carries out entering beneficiaries' data in a digitalized process with increased ease and accuracy of data. It is named Sakhi in Bihar State and Utprerona in Assam State.

Purpose

The Sakhi/Utprerona application is designed to enable ASHAs to capture household beneficiary-level data, including data on noncommunicable diseases (NCD), maternal and child health, family planning, and immunization, amongst others. The purpose of the application is to digitally empower ASHAs to reduce duplication and manual labor and in turn, increase their efficiency. The application aims to create a continuum of care for the beneficiaries by creating a longitudinal form of Electronic Health Records (EHR) and ensure timely and accurate data collection from the ground that can be used for decision-making not only by the ASHA but also by health officials at the block, district, and the state level.

Scope of Work

Currently the scope of project is limited with high level below items planned in phase wise activities:

ASHA functional Modules
Comprehensive RMNCH+A Module
Disease control Modules
Automating ASHA Incentive master claim form
ASHA Dashboard
ASHA Work Plan

Users of the system

S. No	Primary Actor	Role
1	ASHA	Household survey, Registration, Follow-ups and mobilization
2	ANM	Primary Care, Maternal Care and Immunization

In Scope ASHA Functional Modules

Household Enumeration
Family Members Registration
Eligible Couple Registration
Eligible Couple Tracking
Maternal Health

Pregnant Women Registration
Antenatal Care
Delivery Outcome
Postnatal Care
Abortion list

Child Care

Infant and Child Registration
Infant list - HBNC
Children list - HBYC
Routine Immunization
Adolescent Care

Non-Communicable Diseases (NCD) screening
Tuberculosis (TB) screening
Disease control Module
High-risk Assessment Module

Pregnant Women Assessment and Follow-up
Non-Pregnant Women Assessment and Follow-up

Death Reports

General Deaths
Child Deaths - CDR
Maternal Deaths - MDSR
Non-maternal Deaths

ASHA Dashboard
ASHA Work Plan (To-do List)

FLW App overview of comprehensive modules

Workflow diagram of FLW App

App Functionality

This app supports multiple Languages, like Hindi, English and Assamese. Which is maintained through the "strings" file for every language.

Household and beneficiary Registration Functionality

While registering beneficiary, app has two flows.

Newborn/Child/Adolescent typically till 14 years.
General Registration is from 15 years and above.

Lists sections and type of Lists and condition

Different types of lists are created based on the beneficiary registrations. These are defined in the following data fields: "Age", "Gender", "Marital Status", "CBAC Score" and family folder concept.

All Household List
All Beneficiaries List
Eligible Couple List: 15 years to 49 years, female, married
Pregnancy Women List: Women list who are pregnant
Postnatal Care (PNC) List: Women who delivered and with 42 days of after delivery date.
NCD List: All beneficiaries but CBAC Form access is not given
NCD Eligible List: All Beneficiary both Male and Female whose age > = 30 years and excluding PW; with CBAC Form access
NCD Priority List: Beneficiary age > = 30 years and CBAC assessment score is greater than 4
NCD Non-Eligible List: Beneficiary age > = 30 years and CBAC assessment score is less or equals to 4
Reproductive Age List: List of Women who are eligible for give birth/ ability to get pregnant /eligible for reproduction. I.e. Women belonging to age group of 15 – 49 years.

Process of Generating Beneficiary Ids

App is reserving 500 beneficiary IDs in the local database; these IDs are generated using an API (generateBeneficiaryIDs) based on the algorithm defined in AMRIT. Generation of beneficiary Ids happen while logging in to the app by passing a count in API (currently passing count 100 as static value). So, in the response we will get 100 beneficiary IDs and stores in the local database, which we will call as "reserved beneficiary IDs".
Online Beneficiary Registration: When a beneficiary is registered online then it takes "new beneficiary ID" and generates directly from the server. This doesn't take any ID from the reserved beneficiary ID.
Offline Beneficiary Registration: When a beneficiary is getting registered offline then it takes the "beneficiary ID" from the reserved beneficiary IDs and when app gets the network it gets replaced with online beneficiary ID and the online beneficiary ID gets replaced and saved in the mobile.
HHID Generation:
Household Id (HHID) is created based on the logic in the code. Logic of generating HHID is below:
(DD(date))(MM(Month))(YYYY(Year))(HH(Hour))(MM(Minute))(SS(Seconds))(AshaId)
Example: House Hold Id: 22012023072323539

Door-to-door Survey

System Validations

New Household Registration

Incentive Logic: ASHA will receive an extra ₹1500 for completing the household line listing at the beginning of the year and updating it after every six months

Family Details

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	First Name of Head of the family	Textbox	Is Mandatory	Input method: Speech to Text feature Accept alphabets only Character limit 50 All letter should be in caps
2	Last Name/ Surname	Textbox		Input method: Speech to Text feature Accept alphabets only Character limit 50 All letter should be in caps
3	Mobile No of Head of the family	Textbox	Is Mandatory	Accept numbers only Accept 10 digits only Should not start form zero Should start with digit 6, 7, 8 or 9 Should Not accept all same digits
4	House No	Textbox		"House No", as this is an Unique serial number maintained by ASHA in her register for every House. Don't accept duplicate "House No", validate with existing number Accept numbers only Accept up to 3 digits only On the Household card show "House No", highlight with red circle background
5	Ward No	Textbox		Allow Alphanumeric Character and special Characters Character limit 100
6	Ward Name	Textbox		Allow Alphanumeric Character and special Characters Character limit 100
7	Mohalla Name	Textbox		Allow Alphanumeric Character and special Characters Character limit 100
8	Economic Status	Spinner	Is Mandatory Choose: APL BPL Don't know

House Hold Details

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Type of Residential area	Spinner	Choose: Rural Urban Tribal Tea Garden Other
2	Other Type of Residential area	Textbox		Enable if other is selected above Is Mandatory if other is selected above Allow Alphanumeric Character and special Characters Character limit 100
3	Type of House	Spinner	Is Mandatory Choose: Kuchha Pucca None Other
4	House ownership	Spinner	Is Mandatory Choose: Yes No

House Hold Amenities

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Separate Kitchen	Spinner	Is Mandatory Choose: Yes No
2	Type of Fuel used for cooking	Spinner	Is Mandatory Choose: Firewood, Crop Residue, Cow Dung Cake, Coal, Kerosene, LPG, Other
3	Other type of fuel used for cooking	Textbox		Enable if other is selected above Is Mandatory if other is selected above Allow Alphanumeric Character and special Characters Character limit 100
4	Primary Source of water	Spinner	Is Mandatory Choose: Tap Water, Handpump Inside House, Handpump Outside House, Well, Tank, River, Pond, Other
5	Other Source of Water	Textbox		Enable if other is selected above Is Mandatory if other is selected above Allow Alphanumeric Character and special Characters Character limit 100
6	Availability of Electricity	Spinner	Is Mandatory Choose: Electricity Supply, Generator, Solar Power, Kerosene Lamp, Other
7	Other Availability of electricity	Textbox		Enable if other is selected above Is Mandatory if other is selected above Allow Alphanumeric Character and special Characters Character limit 100
8	Availability of Toilet	Spinner	Is Mandatory Choose: Flush Toilet with Running Water, Flush Toilet without Water, Pit Toilet with Running Water Supply, Pit Toilet without Water Supply, Other, None
9	Other Availability of Toilet	Textbox		Enable if other is selected above Is Mandatory if other is selected above Allow Alphanumeric Character and special Characters Character limit 100
	After Household registration is completed, show below alert in pop: "Do you want to proceed with registration of Head of the family"; "Yes" or "No" If "Yes", navigate to the Beneficiary Registration If "No", land back to Household list screen

Family member Registration

In family members registration, priority should be given first to Head of the Family (HoF), once HoF member is registered allow other family members registration.
After Household registration is completed, check whether HoF is registered or not, if HoF is not registered take to HoF registration else family member registration
There should be relationship with HoF while registering family members to auto fill some details
There should also be relationship with Wife/ Husband/ Father, etc while registering respective member to auto fill some details

Beneficiary Registration

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
	** Every Beneficiary Registration should be linked with any one of the Household (HHID)**
	** Beneficiary Registration is two types, based on the Age, that is as below Adult Registration: Age 15 years and above Newborn/ Child/ Adolescent Registration: Age 0 to less than 15 Years * Based on the selected Age, fields in the form changes respectively as mentioned here in the logic column
I	Adult Registration (Age 15 years and above)
1	Head of family Registration OR Family Member Registration			Show this sub heading based on the type of member registration
2	Photo	Camera	Is Optional	Should have face detection/ Facial recognition Camera should identify & capture human face but not any objects Show an Alert if Photo is not captured, just as reminder but Not Mandatory Alert: "Do you like to Take Photo", Yes or No If "Yes", open Camera; If "No", go to next
3	Date of Registration	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 should not allow date less than 1/1/2020 should not allow to update in edit or once submitted
4	First Name	Textbox	Is Mandatory	In case of HoF registration, auto select from HH details Input method: Speech to Text feature Accept alphabets only Character limit 50 All letter should be in caps
5	Last Name/ Surname	Textbox	Is Mandatory	In case of HoF registration, auto select from HH details Input method: Speech to Text feature Accept alphabets only Character limit 50 All letter should be in caps
6	Beneficiary Status	Radio Button	Choose: Alive Death Default value is “Alive”	Enable only in the “Edit” Beneficiary screen Default value is “Alive” If “Death” is selected, enable below four fields and mark it mandatory 1. Date of Death 2. Time of Death (Not Mandatory) 3. Reason for Death 4. Place of Death or Other Place of Death And finally, if “Death” is selected, then show this record in Death Reports Show this record in the ‘Death’ register section Indicate as ‘Death’ on the card with Icon & record should not be editable. After submit, If 'Death' is reported for Gender is Female, Age is 15-49 Years and 'Reason for Death' is Not "Maternal Death", then show this record in the 'Death Reports' >> "Non-Maternal Deaths". After submit, If 'Death' is reported for Gender is Female, Age is 15-49 Years and 'Reason for Death' is "Maternal Death", then navigate to 'MDSR' section and open 'MDSR' form. After submit, If 'Death' is reported for Age is 0 to less than 15 Years, then navigate to 'CDR' section and open 'CDR' form. After submit, If 'Death' is reported for other than above category (i.e. Gender is Female, Age is 15-49 Years and Gender is Male, Age above 15 Years), then show this record in the 'Death Reports' >> "General Deaths". Show Alert: Cause of Death to be reported to ANM/MPW/PHC for death review.
7	Date of Death	Date picker	§ Conditionally Mandatory	Show only above value is “Death” and it is Mandatory By default, date is null Not greater than Today’s Date Accept ‘Date of Death’ after date of registration Auto-populate, if ‘Death’ is reported from ANC or Delivery Outcome or PNC or Child sections
8	Time of Death	Time picker	Not Mandatory	Show only above value is “Death”
9	Reason for Death (Type of Death)		Conditionally Mandatory Select: Maternal Death Natural Death Accident Infectious Disease Animal Bite Death Suicide Undetermined	Show only above value is “Death” and it is Mandatory If Gender is Female, and Age is 15-49 Years, show “Maternal Death” in dropdown list otherwise hide If ‘Death’ is reported from ANC or Delivery Outcome or PNC section, then auto select “Maternal Death”
10	Place of Death		Conditionally Mandatory Choose: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Death	Show only above value is “Death” and it is Mandatory If ‘Place of Death’ is selected as “Other Place of Death” then enable below field “Other Place of Death” and is mandatory. Auto-populate, if ‘Death’ is reported from ANC or Delivery Outcome or PNC or Child sections
11	Other Place of Death	Textbox	Conditionally Mandatory	Enable only above value is “Other Place of Death”
12	Relationship with head of family		Self	Place of order of this field should change bases on the type of registration, as below In case of HoF registration, auto select "Self" and show it here or just show title In case of family member registration, show this field after "Gender" field
	Select: Date of Birth OR Age
13	Date of Birth	Calendar Date Picker	Is Mandatory	Auto Calculate 'Age' based on the DOB entered Allow Age 15 years and above
14	Age (in Years)	Textbox	Is Mandatory	Auto Calculate 'Date of Birth' based on the Age entered Allow Age 15 years and above Character limit 2
15	Gender	Spinner	Is Mandatory Choose: Male Female Transgender	Based on the Gender selected, show below family relationships If Gender is female and Age is 10 Years to less than 15 Years then also show in Adolescent section If Gender is male and Age is 10 to 19 Years then also show in Adolescent section
16	Relationship with head of family	Spinner	Is Mandatory Choose: (this is sample List, get this list form old app or currently what we have) Example: for Male Son, Husband, Father, Nephew, Son-in-law, Brother, Grandson, Grand Father, Father-in-law, others Example: for Female Wife, Daughter, Mother, Niece, Daughter-in-law, Sister, Grand Daughter, Grand Mother, Mother-in-law, others	In case of HoF registration, hide this field (NA) In case of family member registration, show this field after "Gender" field Show all family relationships based on the Gender criteria, as below When Gender is Male or Transgender, show all male relationships When Gender is Female, show all Female relationships Whomever you are registering his/her relation should selected here
17	Other Relationship with head of family	Textbox		In case of HoF registration, hide this field (NA) Enable if other is selected above Is Mandatory if other is selected above Enable if other is selected above Is Mandatory if other is selected above
18	Mobile Number of	Spinner	Is Mandatory Choose: Self, Husband, Father, Mother, Family head, others	In case of HoF registration, hide this field (NA) If married and Male show Wife If married and Female show Husband If unmarried don't show above both
19	Enter Relation with Mobile Number	Textbox		In case of HoF registration, hide this field (NA) Enable if other is selected above Is Mandatory if other is selected above Enable if other is selected above Is Mandatory if other is selected above
20	Mobile Number	Textbox	Is Mandatory	In case of HoF registration, auto select from HH details Show after 'Mobile Number of' is selected If "Family head" is selected above, then auto populate Mobile Number of 'Head of the family' Similarly, for other relationships Husband" or "Wife"
21	Marital Status	Spinner	Is Mandatory Choose: Unmarried Married Divorced Separated Widow Widower	Not Applicable for Newborn/ Child/ Adolescent (Age 0 to less than 15 Years) Show this field once above Gender is selected If "Unmarried" is selected hide below three fields from S. No. 15, 16, 17 If "Unmarried" is selected, 'Status of Woman' is based on the below condition (Adolescent/ No Applicable) Based on the 'Gender' values in this dropdown list should change as follows: In case of 'Gender' = "Female" show "Widow" and hide "Widower" In case of 'Gender' = "Male" show "Widower" and hide "Widow" Above in field 'Relationship with head of family' is selected as "Husband" or "Wife" then auto select "Married" If "Married" is selected, show option to add Spouse details (Husband/ Wife); i.e. open new tab on top to add "Spouse" details (enable a floating icon to open/ add "Spouse" details) In case of "Unmarried", allow to edit this field and update, open/ add "Spouse" details
	Spouse Details	Tab		If "Married" is selected, show option to add Spouse details (Husband/ Wife); i.e. open this new tab on top to add "Spouse" details (enable a floating icon to open/ add "Spouse" details) Below entered Husband's/ Wife's Name and Age at Marriage should reflect in this screen and vise versa
22	Husband's/ Wife's Name	Textbox	Is Conditionally Mandatory	In case of "Married" and any one is already registered, then auto select Name from 'Husband' or 'Wife' details; base on the Relationship with Hof Input method: Speech to Text feature Hide this field in case of 'Marital Status' = "Unmarried" Optional (Not Mandatory) in case of 'Marital Status' = "Divorced" Based on the Gender show label name as: 'Husband's' or 'Wife's Name' Accept alphabets only Character limit 50 All letter should be in caps
	Select: Date of Marriage OR Age at Marriage
23	Date of Marriage	Calendar Date Picker	Is Mandatory	In case of "Married" and 'Husband' or 'Wife' any one is already registered, then auto select from 'Husband' or 'Wife' details; Auto Calculate 'Age at Marriage' based on the Date of Marriage entered Hide this field in case of 'Marital Status' = "Unmarried" Show only when below 'Age at Marriage' is equal to above 'Actual Age'
24	Age at Marriage	Textbox	Is Mandatory	Hide this field in case of 'Marital Status' = "Unmarried" Accept numbers only Character limit 2 digits Allow Age greater or equals to 15 Years Marriage Age should Not be greater than actual Age
25	Do you have Children?	Radio button	Is Mandatory Default value is “No” Choose: Yes No	If "Yes" is selected, then open new tab on top to add "Children" details (enable a floating icon to open/ add "Children" details)
	Children Details	Tab		Children means to add Son or Daughter Age between 0 to 15 Years only. If 'Do you have Children?' is "Yes", then open this new tab on top to add "Children" details (enable a floating icon to open/ add "Children" details)
26	Father's Name	Textbox	Is Conditionally Mandatory	Base on the Relationship with Hof, in case of Son or Daughter auto populate Name Input method: Speech to Text feature Optional (Not Mandatory) in case of 'Gender' = "Female" and 'Marital Status' = "Married" and Not Mandatory for Age 15 Years and above Accept alphabets only Character limit 50 All letter should be in caps
27	Mother's Name	Textbox	Is Conditionally Mandatory	Base on the Relationship with Hof, in case of Son or Daughter auto populate Name Input method: Speech to Text feature Optional (Not Mandatory) in case of 'Gender' = "Female" and 'Marital Status' = "Married" and Not Mandatory for Age 15 Years and above Accept alphabets only Character limit 50 All letter should be in caps
28	Community	Spinner	Is Mandatory Choose: General SC ST OBC OC Not Given	By default, auto select get form HoF But it should be editable
29	Religion	Spinner	Is Mandatory Choose: Hindu Muslim Christian Sikhism Buddhism Jainism Parsi Other Not disclosed	By default, auto select get form HoF But it should be editable
30	RCH ID	Textbox		12-digit unique number Accept numeric (integer) value only Character limit up to 12 Show this field only for 'Gender' = "Female" for Age less than 55 Years and 'Gender' = "Male" for Child (Age 0 to less than 15 Years) That field is Not Applicable for 'Gender' = "Male" for Age above 15 Years)
II	Below field are only applicable for Newborn/ Child/ Adolescent Registration (Age is 0 to less than 15 Years)
	Select: Date of Birth OR Age
31	Date of Birth	Calendar Date Picker	Is Mandatory	Auto Calculate 'Age' based on the DOB entered Allow Age 0 to less than 15 Years
32	Age	Textbox	Is Mandatory	Auto Calculate 'Date of Birth' based on the Age entered Allow Age 0 to less than 15 Years Character limit 2 It is Mandatory to select below 'Age Unit' If Age is greater than 3 Years and less than 15 Years (>3 and < 15 Years), then enable these three (S. No. 34, 35) fields below: Is the Child Registered at School? Type of School/ Institution
33	Age Unit	Textbox	Is Mandatory Choose: Days (s) Month (s) Year (s)	When 'Age' is selected above, it is Mandatory to select 'Age Unit' In case of 'Date of Birth' is entered, auto select related value "Days (s)/ Month (s), Year (s)"
34	Is the Child Registered at School?	Spinner	Is Mandatory for child Age 3 to 6 Years Choose Yes No	Enable this field, if Age is greater than 3 Years and less than 15 Years If "Yes" is selected, then enable 'Type of School' and Mandatory Is Mandatory for child Age 3 - 6 Years
35	Type of School	Spinner	Is conditionally Mandatory Choose: Anganwadi Primary School Secondary School Private School	Enable if "Yes" is selected above and Mandatory Is Mandatory for child Age 3 - 6 Years
	Birth Details
36	Child RCH ID	Textbox		12-digit unique number Accept numeric (integer) value only Character limit up to 12
37	Birth Certificate No.	Text Box	Default value should be Null	Accept numeric value and special characters Character limit 50
38	Place of Birth	Spinner	Choose: Home Sub-Centre PHC CHC Sub-District Hospital, District Hospital, Medical College Hospital In Transit Private Hospital Accredited Private Hospital Other	Enable this field, if child Age is "1" Day to "3" Years
	Birth Certificate	File upload	Option to upload one image at a time	Update with latest images
	Birth Certificate	View images	Option to view images
39	Submit	Button		If 'Death' is reported, then record should allowed to edit in any module and No visits are allowed in ECT, ANC, PNC, Immunization, HBNC, HBYC, etc. sections. If 'Death' is reported for Gender is Female, Age is 15-49 Years and 'Reason for Death' is Not "Maternal Death", then show this record in the 'Death Reports' >> "Non-Maternal Deaths". If 'Death' is reported for Gender is Female, Age is 15-49 Years and 'Reason for Death' is "Maternal Death", then navigate to 'MDSR' section and open 'MDSR' form. If 'Death' is reported for Age is 0 to less than 15 Years, then navigate to 'CDR' section and open 'CDR' form. If 'Death' is reported for other than above category (i.e. Gender is Female, Age is 15-49 Years and Gender is Male, Age above 15 Years), then show this record in the 'Death Reports' >> "General Deaths".

Note:

Maintain the history of married couple details like: date of marriage, No of live children and date of birth, age and gender of all children and status of sterilisation.
In the Household and all Beneficiaries section, on any married Beneficiary card, should have option to add/ view 'Spouse' details and add/ view 'Children' details and No of live children with gender.
In the Household and all Beneficiaries section, on Head of family member card indicate with HoF tag and show count of family members with clickable button.
In the All Household section on the Household card show "House No", as this is an Unique serial number maintained by ASHA in her register for every House.

Acceptance Criteria for add / edit beneficiary:

In case of married and if Spouse details (Husband/ Wife) are already registered, do not show option to add Husband/ Wife
In unmarried case, allow to edit and update Spouse details (Husband/ Wife) and Children details
In case of unmarried HoF member do not show option to add Husband/ Wife
In case of married, allow to edit date of marriage or age at marriage in Husband/ Wife details, but subject to reset/ change in Children age details based on the maximum child age allowed condition
Children details are allowed to update any time like Child RCH ID, Birth Certificate No, Place of Birth and School details.

Children details tab

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Total No. of Children Born	Custom Number Picker	Default Value 0 Value: 0 to 10	Definition: Live + Dead Children Auto-populate Total No. of Children (Son & Daughter) in Eligible couple Registration section Auto increment the value, when this Women give Birth to a Baby and after Child registration
2	No. of Live Children	Custom Number Picker	Default Value 0 Value: 0 to 10	Definition: only Live Children Auto-populate Total No. of Live Children (Son & Daughter) in Eligible couple Registration section Auto increment the value, when this Women give Birth to a Baby and after Child registration
3	Details of 1st Child	label		Applicable only If Total No. of Live Children Born = “1” Then repeat the below 4 fields based on the “No of Live Children” (i.e. S. No. 4, 5, 6, 7, 8, 9) with respective Child count
4	First Name of 1st Child	Textbox	Is Mandatory	Input method: Speech to Text feature Accept alphabets only Character limit 50 All letter should be in caps
5	Surname of 1st Child	Textbox	Is Mandatory	Auto-populate from Father or Mother details
6	1st Child Date of Birth	Calendar Date Picker	Is Mandatory	Logic or Formula to calculate maximum Child Age: Child Age (Son/ Daughter) = Mother Age - (Age at Marriage + 7 month) Example: Mother Age: 27 years; Age at Marriage = 18 years; 27 years = 26 years and 12 months Now subtract: (26 years and 12 months) - (18 years and 7 months) = maximum Child Age is 8 years and 5 months Auto Calculate 'Age' based on the DOB entered Allow Age 0 to less than 15 Years
7	1st Child Age	Custom Number Picker	Is Mandatory	Auto Calculate 'Date of Birth' based on the Age entered Allow Age 0 to less than 15 Years Character limit 2
8	1st Child Gender	Spinner	Is Mandatory Choose: Male Female
9	Gap between Date of marriage and 1st child	Text Box		The difference between Date of Marriage and 1st child date of birth in Years (Auto calculate and display)
10	Details of 2nd Child	label		Applicable only If Total No. of Live Children Born = “2” Age of 2nd Child (Son/ Daughter) should be greater then 1st Child (Minimum 12 Months gap is required)
11	First Name of 2nd Child	Textbox	Is Mandatory	Input method: Speech to Text feature Accept alphabets only Character limit 50 All letter should be in caps
12	Surname of 2nd Child	Textbox	Is Mandatory	Auto-populate from Father or Mother details
13	2nd Child Date of Birth	Calendar Date Picker	Is Mandatory	Age of 2nd Child (Son/ Daughter) should be greater then 1st Child (Minimum 12 Months gap is required) Auto Calculate 'Age' based on the DOB entered Allow Age 0 to less than 15 Years
14	2nd Child Age	Custom Number Picker	Is Mandatory	Age of 2nd Child (Son/ Daughter) should be greater then 1st Child (Minimum 12 Months gap is required) Auto Calculate 'Date of Birth' based on the Age entered Allow Age 0 to less than 15 Years Character limit 2
15	2nd Child Gender	Spinner	Is Mandatory Choose: Male Female
16	Gap between 1st child and 2nd child	Text Box		The difference between 1st child date of birth and 2nd child date of birth in month (Auto calculate and display)
17	Total No of Male Children	Text Box	Read only field	Auto calculate count based on above Male Children selected Enable only if 'Total No. of Live Children' data field is greater than "0". Auto increment the value, when this Women give Birth to a Baby Boy (Male) from Child registration section
18	Total No of Female Children	Text Box	Read only field	Auto calculate count based on above Female Children selected Enable only if 'Total No. of Live Children' data field is greater than "0". Auto increment the value, when this Women give Birth to a Baby Girl (Female) from Child registration section
19	Relationship with head of family	Spinner	Is Mandatory Choose: (this is sample List, get this list form old app or currently what we have) Example: for Male Son, Husband, Father, Nephew, Son-in-law, Brother, Grandson, Grand Father, Father-in-law, others Example: for Female Wife, Daughter, Mother, Niece, Daughter-in-law, Sister, Grand Daughter, Grand Mother, Mother-in-law, others	If Father or Mother is HoF, then child gender is Male select "Son" or child gender is Female select "Daughter" else in case of other relationships ask to select Show all family relationships based on the Gender criteria, as below: When Gender is Male or Transgender, show all male relationships When Gender is Female, show all Female relationships Whomever you are registering his/her relation should selected here
20	other details			other details like: Contact Number, Community, Religion, auto fill it from Father / Mother record. details like: RCH Id, Is the Child Registered at School?, Birth Certificate, etc show in the individual view & edit section
21	Submit	Button		Update the Spouse and Children details in the family folder Spouse details are mandatory for adding Children details Children details should be updated in both Beneficiary and EC records.

Status of Woman

Condition: For Beneficiaries whose Gender is "Female" and Age should be 15 years and above and where Beneficiary Status is "Alive".

Definition:

Eligible Couple, Pregnant Woman, Postnatal Mother and Permanently Sterilised this status of woman is applicable for Women between Age 15 to 49 Years.
Elderly Woman: Women Age 50 years and above
Adolescent Girl: Girls between Age 10-19 years

S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

1

Status of Women

Spinner

Is Mandatory
Choose:

Eligible Couple (1)
Pregnant Woman (2 & 3)
Postnatal Mother (4)
Elderly Woman (5)
Adolescent Girl (6)
Permanently Sterilised (7)
Not Applicable (8)

The options in the "Status of Women" field should be based on Age criteria as per four conditions defined in the below table and based on 'Marital Status'.
“Not Applicable” choice is applicable only in “unmarried” case
Disable if Marital Status = “Unmarried” and default value is “Not Applicable”
If Age is 15-19 Years and Marital Status = “Unmarried” then default value is “Adolescent Girl”
If Age is 20-49 Years and Marital Status = “Unmarried” then default value is “Not Applicable”
If Age is 50 Years and above and Marital Status = “Unmarried” then default value is “Elderly Woman”
If Age is 20-49 Years then ‘Status of Women’ = “Not Applicable” and in this case Edit of ‘Status of Women’ is allowed as per below age criteria conditions, in “Married” case
If Age is 15-19 Years then ‘Status of Women’ = “Adolescent Girl” and in this case Edit of ‘Status of Women’ is allowed as per below age criteria conditions, in “Married” case
If Gender is female and Age is 15-19 Years then also show in Adolescent section

Old List Items:

Eligible Couple (1)
Antenatal Mother (2)
Delivery Stage (3)
Postnatal Mother-Lactating Mother (4)
Menopause Stage (5)
Other (6)

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

Condition-1

Condition-2

Condition-3

Condition-4

Show only "Adolescent Girl" for age 15 to 19 years and 'Marital Status' = “Unmarried”

Elderly Women (Age 50 years and above)

Women Age 20 to 49 Years and 'Marital Status' = “Married”

If Age is 15 to 19 years and 'Marital Status' = “Married” show only below options:

Eligible Couple
Pregnant Woman
Postnatal Mother
Permanently Sterilised

After age 20 years, the "Adolescent Girl" option should be disabled

Display "Elderly Woman" only for individuals age 50 years and above.

Show only below options:

Eligible Couple
Pregnant Woman
Postnatal Mother
Permanently Sterilised

Conditions in Edit Beneficiary:

In beneficiary record, “Age” edit is allowed only with in the age group of selected ‘Status of Women’ category
Edit of ‘Status of Women’ is not allowed

i.e. if ‘Status of Women’ = “Eligible Couple” then “Age” edit is allowed between Age 15-49 Years

Unmarried case:

If Gender is female, Age is 15-19 Years then ‘Status of Women’ is “Adolescent Girl” and Marital Status = “Married” in this case Edit of ‘Status of Women’ is allowed as per above age criteria conditions

If Gender is female and Age is 20-49 Years then ‘Status of Women’ is “Not Applicable” and Marital Status = “Married” in this case Edit of ‘Status of Women’ is allowed as per above age criteria conditions

Acceptance Criteria:

If Gender is female, Age is 15-19 Years and Marital Status = “Unmarried” show only Adolescent Girl
If Gender is female, Age is 15-19 Years and Marital Status = “Married” show EC, PW, Postnatal Mother and Permanently Sterilised
If Gender is female, Age is 20-49 Years and Marital Status = “Married” show EC, PW, Postnatal Mother and Permanently Sterilised
If Gender is female, Age is 20-49 Years and Marital Status = “Unmarried” show only “Not Applicable”
If Gender is female and Age is 20 and above, do not show Adolescent Girl.
If Gender is female and Age is 50 and above, show only Elderly Woman.
If Gender is female and Age is 15-19 Years then also show in Adolescent section

OTP Consent Mechanism

Enter the "Mobile Number of the Head of the Family" and enable the green "Send OTP" button to request an OTP via SMS. If it fails, use the "Refresh" button to resend it. In online mode, this button is available in New Household and Family Member Registrations, and shows a "Verify OTP" button in All Beneficiaries if pending. OTPs are 4 digits and must be entered within 15 minutes; valid OTPs show "OTP Verified successfully," while invalid or expired ones show "Session Expired," requiring a new request. In offline mode, the button is disabled; forms can be saved as drafts with an orange "Verify OTP" button, which opens the consent form for editing. Household submissions won't sync or generate an ID until consent is verified. OTP status is indicated with an orange icon for "Pending," a red icon for "Not Done," and a green icon for "Done.

Name of Data Field	Field Type	Field Type	Validation/ Logic/ Condition
Contact Number of /Mobile Number of Head of Family	Text		After entering the "Mobile number of the Head of the Family," enable the "Send OTP" button
Send OTP	Button		This Button should be in green on right corner below Contact Number. It initiates a request to generate OTP & send OTP Via SMS to the Registered mobile number In case of failed attempt, clicking on "Refresh button"
Refresh	Button		Regenerate OTP and send to the Registered mobile number
OTP Verification	Textbox		A) Online Mode 1.New Household Registration: After entering the "Mobile number of the Head of the Family," enable the "Send OTP" button in green on right corner 2.Family Member Registration: Under "Members," after entering the Contact Number, enable the "Send OTP" button in green. 3.All Beneficiaries: If OTP verification is pending, display a navigation button to "Verify OTP." 4.OTP Verification Details Allowed OTP: Numerical codes only, 4 digits long. Verification Process: Verify OTP against the generated code. Set a 15-minute time limit for OTP entry. Valid OTP within timeframe: Display "OTP Verified successfully." Invalid OTP or timeout: Display "Session Expired" ASHA needs to request a new OTP in subsequent visits. Not validated from server: Keep in draft mode 5.Enable Mode (During Internet Availability) Display a green "Send OTP" button. If no OTP is received, allow editing of the mobile number and resending the OTP. C)Offline Mode 1.New Registration: After entering the mobile number, Disable the "Send OTP" button. Allow form submission and save as draft. On the card, display a "Verify OTP" navigation button beside the contact number in orange. This beneficiary should not sync to the server. Clicking the button opens the consent form in edit mode with no data loss. 2.Household Submission Do not sync or generate an ID until the Head of Family's consent management is completed and verified.. D)OTP Verification Status Indicators 1.Verification Pending: Orange icon with text beside the contact number. 2.Verification Not Done: Red icon with text in the right corner of the card. 3.Verification Done: Green icon with text. Additional Features Auto-Submit: Automatically submit once all OTP digits are entered. Auto-Close: Close the card after OTP verification attempt (successful or unsuccessful).

Eligible Couple Module

Married couple wherein the wife is in the reproductive age group (i.e. 15 - 49 years of age) are considered as Eligible Couple (EC).
Registration of an Eligible couple is done by ASHA after a door to door survey in her catchment area every year.
Eligible couple Tracking is done by ASHA after registering couple, in every financial year on monthly basis till Woman is conceived.
This module includes:

Eligible Couple Registration
Eligible Couple Tracking

Nayi Pehal Kit:

This is an initiative under Mission Parivar Vikas (MPV) aimed at guiding newly married couples towards informed and healthy family planning choices. Through the distribution of a specially designed Nayi Pehel Kit, couples receive essential contraceptives and information on delaying the first pregnancy, maintaining proper birth spacing, and adopting healthy lifestyle practices. The initiative empowers couples to begin their married life with awareness and confidence, while also helping reduce the unmet need for family planning in high fertility districts.

ASHA receives an incentive of Rs. 100 per Nayi Pahal kit distribution to newly married couple.

Eligible couple Registration

Condition: If Status of Woman is "Eligible Couple" and Beneficiary Status is "Alive".

Woman Name:	Age	No of Children
Husband Name:	Date of Marriage:	Age at Marriage:
Phone No.	RCH Id:	Last LMP Date:

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Date of Registration	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 beneficiary registration should not allow to update in edit or once submitted
2	RCH ID No. of Woman	Text Box	Default as 0	Auto-populate form beneficiary details, if id is available or enter here and update in the beneficiary record/ table 12-digit unique number Accept numeric (integer) value only Character limit up to 12
3	Name of Woman	Text Box	Read only	Auto fill from beneficiary details
4	Name of Husband	Text Box	Read only	Auto fill from beneficiary details
5	Current Age of Woman	Custom Number Picker	Read only	Auto fill from beneficiary details
6	Age of Woman at Marriage	Custom Number Picker	Read only	Auto calculate from beneficiary details Read only
	Is Nayi Pahal kit hand overed to couple?	Radio button	Yes/ No	Show only 'No of Children' = "0" (Applicable only for newly married couple) If "Yes" is selected enable and show below fields
	Nayi Pahal kit handover Date	Calendar Date Picker	Is conditionally Mandatory Choose the date from the calendar Format: dd-mm-yyyy Default value null	Enable only if 'Is Nayi Pahal kit hand overed to couple?' = "Yes" Not greater than Today's Date Accept date greater or equal to Date of beneficiary registration should not allow to update in edit or once submitted Show an Alert! Please upload photo of "couple with Nayi Pahal kit", to claim your Incentive. Incentive Logic: If ASHA handovers Nayi Pahal kit to newly married couple then ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 57, "Incentive for Distributing Naye Pahel Kit", Rs. 100 per kit / per ASHA.
	ASHA Photo with couple while hand overing Nayi Pahal kit	File upload	Option to upload 2 images	Enable only if 'Is Nayi Pahal kit hand overed to couple?' = "Yes"
	Nayi Pahal kit Photo	View Image	Option to view images	Enable only if 'Is Nayi Pahal kit hand overed to couple?' = "Yes"
	Details of Woman	label
7	Bank AC No or Post Office AC No	Edit Text Box	Default value 0	Accept numeric (integer) values only Accept value greater than 0 (Account Number Accepting the value greater than zero) Character limit of 20 digits
8	Bank Name	Text Box		Accept alphabets Character limit 50
9	Branch Name	Text Box		Accept alphabets Character limit 50
10	IFSC Code	Text Box		11-digit alpha numeric code Not Mandatory, even Account Number is entered
11	Total No. of Children Born	Read only Text Box	Default Value 0	Definition: Live + Dead Children Auto-populate Total No. of Children (Son & Daughter) from beneficiary details Auto increment the value, when this Women give Birth to a Baby and after Child registration
12	No. of Live Children	Read only Text Box	Default Value 0	Definition: only Live Children Auto-populate Total No. of Live Children (Son & Daughter) from beneficiary details Auto increment the value, when this Women give Birth to a Baby and after Child registration
13	Details of 1st Child	Read only Text Box		Applicable only If Total No. of Live Children Born = “1” Auto-populate Age, DoB and Gender details of 1st Child (Son/ Daughter) from beneficiary details Then repeat the below 4 fields based on the “No of Live Children” (i.e. S. No. 14, 15, 16, 17) with respective Child count
14	1st Child Date of Birth	Read only Text Box	Read only Field	Auto-populate DoB of 1st Child (Son/ Daughter) from beneficiary details Auto Calculate 'Age' based on the DOB entered
15	1st Child Age	Read only Text Box	Read only Field	Auto-populate Age of 1st Child (Son/ Daughter) from beneficiary details Auto Calculate 'Date of Birth' based on the Age entered Character limit 2
16	1st Child Gender	Read only	Read only Field Choose: Male Female	Auto-populate Gender of 1st Child (Son/ Daughter) from beneficiary details
17	Gap between Date of marriage and 1st child	Read only Text Box	Read only Field	The difference between Date of Marriage and 1st child date of birth in Years (Auto calculate and display)
18	Details of 2nd Child	label	Read only Field	Applicable only If Total No. of Live Children Born = “2” Auto-populate Age, DoB and Gender details of 2nd Child (Son/ Daughter) from beneficiary details
19	2nd Child Date of Birth	label	Read only Field	Auto-populate DoB of 2nd Child (Son/ Daughter) from beneficiary details Auto Calculate 'Age' based on the DOB entered
20	2nd Child Age	label	Read only Field	Auto-populate Age of 2nd Child (Son/ Daughter) from beneficiary details Auto Calculate 'Date of Birth' based on the Age entered Character limit 2
21	2nd Child Gender	label	Read only Field Choose: Male Female	Auto-populate Gender of 2nd Child (Son/ Daughter) from beneficiary details
22	Gap between 1st child and 2nd child	label	Read only Field	The difference between 1st child date of birth and 2nd child date of birth in month (Auto calculate and display)
23	Total No of Male Children	label	Read only Field	Read only field Show value based on above selection Accept only if 'Total No. of Live Children' data field is greater than "0". Auto increment the value, when this Women give Birth to a Baby Boy (Male) from Child registration section
24	Total No of Female Children	label	Read only Field	Read only field Show value based on above selection Accept only if 'Total No. of Live Children' data field is greater than 0. Auto increment the value, when this Women give Birth to a Baby Girl (Female) from Child registration section
25	Submit	Button		Children details should be updated in both Beneficiary and EC records. If "Total No of Children" is "0", then show an Alert "Children details should be registered form Parents card using "Add Children"."

Eligible couple Tracking

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

Woman Name:	Age	No of Children
Husband Name:	Date of Marriage:	Age at Marriage:
Phone No.	RCH Id:	Last LMP Date:

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1.	Date of Visit	Calendar Date Picker	Is Mandatory Choose the date from the calendar Format: dd-mm-yyyy	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 Monthly only 1 Visit is allowed
2.	Financial Year	Auto-populated	Default Null	Depends on Date of visit visit date based Financial Year
3.	Visit Month	Label	Select Month Default value is current Month	Auto select current Month And should be editable
	LMP Date	Calendar Date Picker		Not greater than Today's Date Accept date backing up to 6 Months
4.	Is Pregnancy Test done?	Radio Button	Default Value null Yes No Don't Know (Remove)	If "Is Pregnancy Test done?" = "Yes", then the "Pregnancy Test Result" field should be enabled and made mandatory. If “Is Pregnancy Test done?” = “No”, then hide the field ‘Is the Woman Pregnant?’ and If “Is Pregnancy Test done?” = “No” OR “Don’t Know”, then enable “Are you using any Family Planning Method?” field below.
5.	Pregnancy Test Result	Radio Group	Choose: Negative Positive Default value Null	Default Value null If ‘Pregnancy Test Result’ = “Positive” then the field ‘Is the Woman Pregnant?’ set to “Yes” and 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 ‘Is the Woman Pregnant?’ set to “No” and hide this field and then enable “Are you using any Family Planning Method?” field below.
6.	Is the Woman pregnant?	Radio Group	Default Value null Yes No Don't Know (Remove)	If "No", enable "Are you using any 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"
7.	Are you using any Family Planning Method? or Do you want to use any Planning Method?	Radio Group	Choose: Yes / No	Default Value null if "Yes" is chosen, enable "Method of Contraception" field below
8.	Method of Contraception	Spinner	Self ANTRA Injection Copper T (IUCD) Condom Mala N Chaya ECP MALE STERILIZATION FEMALE STERILIZATION MiniLap Any Other Method	'No of Children' = "0", then hide these three items in the dropdown list "FEMALE STERILIZATION", "MALE STERILIZATION" and "Minilap" Default Value null Open "Any Other Method" Text Box on selection of "Any Other Method" option and is mandatory. If “ANTRA Injection” is selected, then enable three fields below ‘ANTRA Injection’ “Dose”, “Date of Injection” and “Due date of next Injection” If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" is selected, then update 'Status of Women' to "Permanently Sterilised" and move Women record out of EC and ECT section. On selecting "ANTRA Injection" or any "Sterilisation Method" show alert box: Show an Alert! respectively as below: “Please upload MCA Card photo to claim your Incentive” “Please upload Discharge summary photo to claim your Incentive” Incentive Logic: 1. If limiting after 2nd child (only for recent 2nd child) and 'Method of Contraception' is selected as "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap", ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 45, "Ensuring limiting after 2 child", Rs. 1000 per case. 2. Antara Prog: ASHA receives incentive as follows: In Incentive Master Claim form under 'Family Planning' section these below activities "ASHA incentive for accompanying the client for Injectable MPA (Antara Prog) administration"; S. No. 38 to 42. for 1st dose, ASHA receives Rs. 100 incentive for activity S. No. 38 in claim from for 2nd dose, ASHA receives Rs. 100 incentive for activity S. No. 39 in claim from for 3rd dose, ASHA receives Rs. 100 incentive for activity S. No. 40 in claim from for 4th dose, ASHA receives Rs. 100 incentive for activity S. No. 41 in claim from for more than 4th dose, ASHA receives Rs. 100 incentive for activity S. No. 42 in claim from 3. Social Marketing: ASHA also receives following incentives under 'Family Planning' section: Incentive of Rs. 1 per patient for Home Delivery Contraceptive-Condom Incentive of Rs. 1 per patient for Home Delivery Contraceptive-Oral pills (if "Chaya" is selected) Incentive of Rs. 2 per patient for Home Delivery Contraceptive-EC
	Any Other Method	Edit Text Box	Default Value Null	Accept alphabets only Character limit 50
	Date of Sterilisation	Calendar	Conditionally Mandatory	Enable only If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" is selected, and is Mandatory Not greater than Today's Date Accept date back up to 2 months Show an Alert! Please upload "Discharge Summary" photo copy to claim your Incentive.
	ANTRA Injection - Dose	Spinner	Conditionally Mandatory Select options: 1st Dose 2nd Dose 3rd Dose 4th Dose 5th Dose to 10th Dose	Enable only “ANTRA Injection” is selected above for first time show "Dose-1" and next "Dose-2" and next as follows for continuation of dose Auto select the applicable Dose If gap is more than 120 days between any 2 doses then restart form "Dose-1"; i.e. beneficiary has to start again from 1st dose
	Date of ANTRA Injection	Calendar	Conditionally Mandatory Format: dd-mm-yyyy	Enable only “ANTRA Injection” is selected above Not greater than Today's Date Accept date back up to 2 months for "Dose-1" and for next Dose validate form 1st dose Show an Alert! Please upload "MPA Card" photo copy to claim your Incentive.
	Due date of next Injection	Label		Enable only “ANTRA Injection” is selected above The difference between two doses should not be less than 75 days and more than 120 days. If gap is more than 120 days between any 2 doses then restart form "Dose-1"; i.e. beneficiary has to start again from 1st dose Auto-calculate next due date & grace period Next due date & grace period calculation formula: Next due date = Date of ANTRA Injection + 76 Days up to Date of ANTRA Injection + 120 Days
	MPA Card Applicable for ANTRA Injection	File upload		Enable only if ‘Method of Contraception’ = “ANTRA Injection” is selected.
	MPA Card	View Image	Option to view images	Enable only if ‘Method of Contraception’ = “ANTRA Injection” is selected.
	Discharge Summary Applicable for Sterilisation Method	File upload	Option to upload 2 images	Enable only If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" is selected
	Discharge Summary	View Image	Option to view images	Enable only If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" is selected
	Submit	Button		If “ANTRA Injection” dose is selected and submitted, then in line listing on the Beneficiary card Indicate with "ANTRA" label and Next due date. If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" is selected, then update 'Status of Women' to "Permanently Sterilised" and move Women record out of EC and ECT section. 'Is the Woman pregnant?' is "Yes", then update 'Status of Woman' to "Pregnant Woman" and navigate to 'Pregnant Woman' registration section, else continue in EC Tracking
	ANTRA Injection Details	Table		Applicable only for Beneficiaries “ANTRA Injection” is taken Show under "view" visit details screen Show following details in the tabular format: Dose, Date, Next due date for every Injection dose

Maternal Health

Step 1: ASHA capture beneficiary details in survey register during door-to-door survey twice in a year and register are updated on monthly basis.
Step 2: ANM develop village profile in RCH register.
Step 3: ANM creates duelist from RCH register or MCP card after consultation with ASHA every month at the end of VHSND session and are updated at the beginning of the session

ASHA uses the "Nikshay Kit" to confirm pregnancy of women at sub-center or VHSND site or home visit.
After confirmation of pregnancy, ANM register beneficiary and issues MCP card to pregnant women.

Step 4: Anti Natal Check-up: ANM examine pregnant women and update MCP card and ASHA updates due list which is verified by ANM. The ANC is performed to identify the HRP case.

Pregnant Women Registration

Condition: If Status of Woman is "Pregnant Women" and Beneficiary Status is "Alive".

S. No	Name of data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Date of Registration	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 beneficiary registration Don't allow date not less than 280 days from Today's Date Do not allow to update in edit or once submitted
2	RCH ID No. of Woman	Text Box	Default as 0	Auto-populate form beneficiary details, if id is available or enter here and update in the beneficiary record/ table 12-digit unique number Accept numeric (integer) value only Character limit up to 12
3	Name of Pregnant Women			Auto-populate
4	Name of Husband			Auto-populate
5	Current Age of Woman			Auto-populate
6	LMP Date	Calendar	Is Mandatory	Accept date not less than 280 days from Today's Date Not greater than Today's Date And this LMP Date is editable For Edit LMP: any one of the conditions is applicable Allow to edit till 26 Weeks of Pregnancy Or till ANC-2 is not submitted Whichever is first
7	Weeks of Pregnancy at the time of PW Registration	Text Box		Auto Calculated based on the LMP date and date of PW registration and convert to weeks Read only
8	EDD	Text Box		Auto Calculated based on the LMP date Formula: LMP Date + 280 days
9	Blood Group	Spinner	Choose: A +ve B +ve AB +ve O +ve A -ve B -ve AB -ve O -ve
10	Weight of PW (Kg)	Number Picker		Accept numeric (integer) value only Accept values from 30 to 200 Weight of PW (Kg) at time of PW Registration
11	Hight of PW (Cm)	Number Picker		Accept numeric (integer) value only Accept values from 50 to 200 Hight of PW (cm) at time of PW Registration
12	VDRL/RPR Test result	Spinner	Choose: Reactive Non-Reactive Test Not Done
13	Date of VDRL/RPR Test done	Calendar	Choose the date from the calendar Date Format: dd-mm-yyyy	Accept date equal to or greater than Date of PW Registration. Accept Date of PW registration minus one year Not greater than Today's Date Disable if "Test Not Done"
14	HIV Test result	Spinner	Choose: Reactive Non-Reactive Test Not Done
15	Date of HIV Test done	Calendar	Choose the date from the calendar Date Format: dd-mm-yyyy	Accept date equal to or greater than Date of PW Registration. Not greater than Today's Date Disable if "Test Not Done" Accept Date of PW registration minus one year
16	HBsAg Test result	Spinner	Choose: Positive Negative Test Not Done
17	Date of HBsAg Test done	Calendar	Choose the date from the calendar Date Format: dd-mm-yyyy	Accept date equal to or greater than Date of PW Registration. Not greater than Today's Date Disable if "Test Not Done" Accept Date of PW registration minus one year
18	Past Illness	Multi select checkbox list	Is Mandatory Choose: None TB Diabetes Hypertension Heart Disease Epileptic STI/RTI Hepatites-B Asthama Any Other	Default value is "None" If any other is selected "None" should unselect.
19	Any other	Textbox	Accept alphabets only Character limit 50	Enable if other is selected above Is Mandatory if other is selected above
20	Is this your 1st pregnancy?	Spinner	Mandatory Choose: Yes No	If "Yes" is selected, then disable below field from S. No. 21, 22, 23. If "No" is selected, then enable below all fields from S. No. 21, 22, 23.
21	Total no. of previous Pregnancy	Number Picker		Accept numeric Accepts values from 0 to 15
22	Any complications in Last Pregnancy	Spinner	Choose: None Convulsions APH Pregnancy Induced Hypertension (PIH) Repeated Abortion Stillbirth Congenital Anomaly Caesarean Section Blood Transfusion Twins Obstructed Labour PPH Any Other	Enable if "No" is selected in "Is this your 1st pregnancy?" Default value is "None" If "Any other" is selected enable below field 'Any other Complication' and is mandatory
23	Any other Complication	Text Box	Accept alphabets only Character limit 50
24	Is Identified as HRP cases?	Radio button	Choose: Yes No	If "Yes" is selected, enable below field "Who had identified HRP?" and is Mandatory If "Yes" then Add the Woman name in the "HRP List" Display the name in the PMSMA list Highlight the Pregnant Women in Red colour in the Pregnant Women List Then flag as HRP Case and show in scheduler till Delivery
25	Who had identified as HRP?	Spinner	Is conditionally Mandatory Choose: ANM CHO PHC – MO Specialist at Higher Facility	Enable only if "Yes" is selected above, If "Yes" is selected above, then it is Mandatory

Ante Natal care

The definition and schedule (Standard protocol) for antenatal visits during pregnancy are as follows:

ANC 1 (1^st Visit): Within 12 weeks of pregnancy
ANC 2 (2^nd visit): Within 14 to 26 weeks of pregnancy
PMSMA Visit is applicable for all Pregnant Women whose ANC 1 is done and PW who are Identified as HRP cases
ANC 3 (3^rd visit): Within 28 to 32 weeks of pregnancy
ANC 4 (4^th visit): Between 36 to 40 weeks / expected date of delivery (EDD)

In case of high-risk pregnancy, PW may go for more than four visits to the Primary health facility for ANC checkups.
Condition:

Perform 4 ANC Visits, after each ANC checkup move the record to next ANC
Allow access to view and edit each ANC Visit
For each ANC Visit, show ANC completed list and ANC due list
On the Pregnant Women card, show option to Add next visit and view ANC Visit

Logic for ANC due list of Pregnant Women:

ANC 1: List of Women whose Pregnant Women Registration is done and 'weeks of pregnancy' is < = 12 weeks (84 Days from LMP Date)
ANC 2: List of Women whose ANC 1 is done and 'weeks of pregnancy' is > = 14 weeks (98 Days from LMP Date) and < 28 weeks (195 Days from LMP Date)
PMSMA Visit: List of Women whose ANC 1 is done and 'weeks of pregnancy' is > = 14 weeks (98 Days from LMP Date) and < = 40 weeks (280 Days from LMP Date) and PW who are Identified as HRP cases
ANC 3: List of Women whose ANC 2 is done and 'weeks of pregnancy' is > = 28 weeks (196 Days from LMP Date) and < 36 weeks (251 Days from LMP Date)
ANC 4: List of Women whose ANC 3 is done and 'weeks of pregnancy' is > = 36 weeks (252 Days from LMP Date) and < = 40 weeks (280 Days from LMP Date)

ANC Visit
Photo	Name:	w/o:	Age:
	Phone No.		RCH Id:
	LMP	EDD	Weeks of Pregnancy

ANC Visit data entry form: here some of the fields differ from visit to visit based on the given logic.

S. No.	Name of data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	ANC Date	Date Picker	Is Mandatory Choose the date from the calendar Format: dd-mm-yyyy Default date is Null	Accept Date after 5 weeks from LMP Date Date less than 4 weeks from Last ANC Date must not be allowed. Accept date greater than Last ANC Date. Not greater than Today's Date And Not greater than Date "42 weeks of Pregnancy"; i.e. maximum Date is 42 weeks from LMP Date
2	Weeks of Pregnancy	Text Box	Read only	Auto calculated Auto Calculate from LMP date to till current ANC Date and convert to weeks Read only
	Place of ANC Visit	Spinner	Choose: Sub-Centre VHND/ VHSND PHC CHC District Hospital Medical College Hospital
3	ANC Period	Spinner	Choose: ANC 1 ANC 2 ANC 3 ANC 4 ANC 5 ANC 6 ANC 7 ANC 8 ANC 9	Should be editable, based on User choice Default Value is auto select based on below conditions Display ANC 1, if "ANC Date" is within 12 weeks from LMP Date. Display ANC 2, if "ANC Date" is between 14- 26 weeks from LMP Date. Display ANC 3, if "ANC Date" is between 28-32 weeks from LMP Date. Display ANC 4, if "ANC Date" is between 36 weeks up to EDD from LMP Date. Incentive Logic: ASHA is eligible for below two incentives, based on below condition: 1. ANC registration within 1st Trimester means above "Weeks of Pregnancy" should be below or equal 12 weeks. In Incentive Master Claim Form under 'Maternal Health' section, S. No. 16 "ASHA incentive for ANC registration within 1st Trimester", Rs. 50 per case. 2. Full ANC means, if any 4 ANC Visits are completed for a Pregnant Woman. In Incentive Master Claim Form under 'Maternal Health' section, S. No. 17 "ASHA incentive for ensuring Full ANC", Rs. 100 per case. Full ANC form: Generate a PDF Form with below details once Full ANC is completed, and should be available for download on Ben card and in the 'Incentive' section on the line listing card. ANC Visit, Date, Week of Pregnancy, TT1/ TT2/ TT Booster, BP, Hb, Urine, No of IFA, Doctor Name
4	Abortion If Any	Radio Group	Choose: No Yes Default Value is "No"	Enable up 24 Weeks of Pregnancy only and hide this Abortion related fields after 24 Weeks of Pregnancy Default Value is "No" If "Yes" is selected then, open "Abortion Type", "Abortion Date" and "Abortion Facility" data field and are mandatory. If "Yes", then move Woman record to "Abortion" list and also If "Yes", then Woman should be again moved to Eligible couple Tracking section If "Yes" is selected then, hide these below fields (S. No. 14 to 34, are Not required) "Weight of PW (Kg)", "BP of PW (mm Hg) – Systolic/Diastolic"," Pulse Rate", "HB (gm/dl)", "Fundal Height / Size of the Uterus (in weeks)", "Urine Albumin", "Random Blood Sugar Test", "Date of Td / TT (1^st Dose)", "Date of Td / TT (2^nd Dose)", "Date of Td / TT (Booster Dose)", "No. of Folic Acid Tabs given", "Any High Risk conditions", "High Risk conditions", "Referral Facility", "Is HRP Confirmed?", "Who had identified as HRP?", "Has the pregnant woman delivered?", "Next ANC Visit Date". If "Yes" is selected, disable next ANC and PMSMA visits (disable "Add ANC visit" and "Add PMSMA visit") Incentive Logic: If Abortion is marked as "Yes", ASHA is eligible for below incentive after submitting 'Abortion case' form. In Incentive Master Claim Form under 'Maternal Health' section, S. No. 18 "ASHA incentive for Comprehensive Abortion Care", Rs. 150 per case.
5	Abortion Type	Spinner	Conditionally Mandatory Choose: Induced Spontaneous Incomplete Default value – 0	If Abortion is "Yes" this field is Mandatory
6	Abortion Date (Date of Termination)	Date Picker	Conditionally Mandatory Choose the date from the calendar Format: dd-mm-yyyy Default date is Null	If Abortion is "Yes" this field is Mandatory Accept date between 5 weeks to 24 weeks from LMP Date Not greater than Today's Date
7	Abortion Facility (Place of Abortion)	Spinner	Conditionally Mandatory Choose: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Abortion	If Abortion is "Yes" this field is Mandatory
8	Maternal Death (Reason for Death)	Radio Button	Choose: No Yes	Default value is "No" If “Yes” is selected, enable below three fields and mark it mandatory Probable Cause of Death Date of Death Place of Death If "Yes" is selected, then move this record 'MDSR' section If "Yes" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Date of Death ”, "Place of Death" and "Reason for Death” in Beneficiary table and sync to AMRIT. If "Yes" is selected then, hide these below fields (S. No. 14 to 34, are Not required) "Weight of PW (Kg)", "BP of PW (mm Hg) – Systolic/Diastolic"," Pulse Rate", "HB (gm/dl)", "Fundal Height / Size of the Uterus (in weeks)", "Urine Albumin", "Random Blood Sugar Test", "Date of Td / TT (1^st Dose)", "Date of Td / TT (2^nd Dose)", "Date of Td / TT (Booster Dose)", "No. of Folic Acid Tabs given", "Any High Risk conditions", "High Risk conditions", "Referral Facility", "Is HRP Confirmed?", "Who had identified as HRP?", "Has the pregnant woman delivered?", "Next ANC Visit Date". If "Yes" is selected, disable next ANC and PMSMA visits (disable "Add ANC visit" and "Add PMSMA visit")
9	Probable Cause of Death	Spinner	Choose from A. ECLAMPSIA B. HAEMORRHAGE C. HIGH FEVER D. ABORTION E. OTHER	If "OTHER" is selected, then enable "Other Death Cause" Text Box below and is mandatory. Probable Cause of Death means Reason for Death
10	Other Death Cause	Text Box	Accept only alphabets Character limit 50	Enable only if "OTHER" is selected above and is mandatory.
11	Date of Death	Calendar	Choose the date from the calendar Format: dd-mm-yyyy Default date is Null	Show only above 'Maternal Death' “Yes” and is Mandatory Not greater than Today's Date Should be less than EDD Greater than LMP date Greater than last visit date
12	Place of Death		Conditionally Mandatory Choose: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Death	Show only above 'Maternal Death' “Yes” and is Mandatory If ‘Place of Death’ is selected as “Other Place of Death” then enable below field “Other Place of Death” and is mandatory.
13	Other Place of Death	Textbox	Conditionally Mandatory	Enable only above value is “Other Place of Death”
14	Weight of PW (Kg)	Custom Number Picker	Accept numeric (integer) value only Values from 30 to 200
15	BP of PW (mm Hg) – Systolic	Edit Text Box	Accept numeric (integer) value only Values from 50 to 300 Default value 0	Default Value: to be null if no data is entered Mandatory if "BP Diastolic (mm Hg)" filled. Systolic: < 90 or >= 140 is HRP Case
16	BP of PW (mm Hg) - Diastolic	Edit Text Box	Accept numeric (integer) value only Values from 30 to 200 Default Value 0	Default Value: to be null if no data is entered. Mandatory if "BP Systolic (mm Hg)" filled. Systolic should be greater than Diastolic Diastolic: < 60 or >= 90 is HRP Case
17	Pulse Rate (BPM)	Edit Text Box		Accept decimal numbers only, up to one decimal place Accept values up to 3 digits Allow range minimum 40.0 to maximum 200.0 BPM
18	HB (gm/dl)	Custom Number Picker	Default Value: to be null if no data is entered	Accept decimal numbers only, up to one decimal place Accept values from 2.0 to 16.0 Severe Anemia (Hemoglobin is less than 7 gm/dl)
19	Fundal Height / Size of the Uterus (in weeks)	Custom Number Picker	Must accept numeric (integer) value only Character limit 2 Default value null	Disable field up to 12 Weeks of Pregnancy. Accept numeric (integer) value only Accept values up to 2 digits Do not allow decimals
20	Urine Albumin	Radio button	Choose: Absent Present	Default Value - null
21	Random Blood Sugar Test	Radio button	Choose: Not Done Done	. Default Value - null
22	Date of Td / TT (1^st Dose)	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Accept date between 5 weeks from LMP Date up to 36 Week of LMP Not greater than Today's Date Default Value: to be null if no data is entered. Disable this data field if "Date of TD Booster Dose" is entered in the Last ANC Visit.
23	Date of Td / TT (2^nd Dose)	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Accept date after 4 weeks from TD 1 Date up to 36 weeks of LMP If Td1 (1^st dose) is given then display the Given Date If Td2 (1^st dose) is given then display the Given Date If "TD 2^nd Dose" is given in the Last ANC Visit, then display a message "All TD doses are given" Not greater than Today's Date Default Value: to be null if no data is entered. Enable this data field if "Date of TD 1^st Dose" is entered in the Last ANC Visit. Disable this data field if "Date of TD Booster Dose" is entered in the Last ANC Visit. If "TD 2^nd Dose" is given in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.
24	Date of Td / TT (Booster Dose)	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Accept date between 5 weeks from LMP Date up to up to 36 Week of LMP Not greater than Today's Date Default Value: to be null if no data is entered. Disable this data field if "Date of TD 1^st Dose" is entered in the Last ANC Visit. If "Date of TD Booster Dose" is entered in the Last ANC Visit, then message as "All TD doses have been given" must appear alongside the data field.
25	No. of Folic Acid Tabs given	Custom Number Picker	Must accept numeric (integer) value only Default Value 0	Disable field if Weeks of Pregnancy is greater than 12 weeks Accept value up to 60 No
26	No. of IFA tabs given	Custom Number Picker	Must accept numeric (integer) value only Default Value 0	Disable field up to 12 Weeks of Pregnancy. Default Value: to be null if no data is entered Accept value up to 400 No
27	Any High Risk conditions	Radio Button	Options Yes No	If "Yes" is selected, then enable "High Risk conditions" drop down below If "Yes", then flag this Woman as HRP Case and show in the scheduler till Delivery If "Yes", add this Woman card in PMSMA section for ePMSMA ANC visits
28	High Risk conditions	Drop Down List	Choose: NONE HIGH BP (SYSTOLIC >=140 AND OR DIASTOLIC >=90 mmHg) CONVULSIONS VAGINAL BLEEDING FOUL SMELLING DISCHARGE SEVERE ANAEMIA (HB <7 gm/dl) DIABETES TWINS OTHER	If "OTHER" is selected, then enable "Any Other High Risk conditions" Text Box below and is mandatory. Default value is "NONE"
29	Any other High Risk conditions	Text Box	Accept alphabets only Character limit 50
30	Referral Facility	Spinner	Choose: Primary Health Centre Community Health Centre District Hospital Other Private Hospital
31	Is HRP Confirmed?	Radio Button	Choose: No Yes	If "Is HRP Confirmed?" = "Yes" then Add the Woman name in the "HRP List" Display the name in the PMSMA list Highlight/ indicate the Pregnant Women in Red colour/ with HRPW icon in the Pregnant Women List Then flag as HRP Case and show in scheduler till Delivery
32	Who had identified as HRP?	Spinner	Is conditionally Mandatory Choose: ANM CHO PHC – MO Specialist at Higher Facility	Enable only if "Yes" is selected above, If "Yes" is selected above, then it is Mandatory If 'HRP is Confirmed', then on Women card, show option to Add and view ePMSMA ANC Visits and Add this Women card in PMSMA section for ePMSMA ANC visit
33	Has the pregnant woman delivered?	Radio Button	Choose: Yes No	Default value "No" Disable up to 22 weeks of pregnancy. If "Yes" is selected, then move record to 'Delivery Outcome' Section
34	MCP Card - ANC page/ section	File upload	Option to upload Two images	Update with latest images
35	MCP Card	View Image	Option to view images	show latest images
36	Next ANC Visit Date	Calendar	Choose the date from the calendar Format: dd-mm-yyyy	Greater than Today's Date Should be < = EDD Greater than current visit date Show this PW on this Date in the To-do List
37	Submit	Button		If 'Abortion' is marked as "Yes", navigate to 'Abortion List' and open 'Abortion case' form. If 'Maternal Death' is marked as "Yes", navigate to 'MDSR' section and open 'MDSR' form. If 'Abortion' or 'Maternal Death' is marked as "Yes", disable next ANC, PMSMA and ePMSMA visits (disable "Add ANC visit" and "Add PMSMA visit" in ANC and ePMSMA sections) If 'HRP is Confirmed', then Add this Women card in PMSMA section for ePMSMA ANC visit If "Has the pregnant woman delivered?" is "Yes", then move record to 'Delivery Outcome' Section On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "MCP Card - ANC page/ section" photo copy to claim your Incentive."

PMSMA

Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

To provide fixed - day assured, comprehensive and quality antenatal care, universally to all pregnant women on the 9th of every month, including preventive, diagnostic, screening, identification, line listing and appropriate management of high-risk pregnancies and treatment, at least once during the second or third trimester by OBGY specialists/ Skilled Medical Officers at Govt. health facilities, with voluntary support from private Practitioners.

Extended PMSMA (ePMSMA):

MoHFW has issued guidelines for extended PMSMA to be implemented across the States/UTs.
Under this initiative, now PMSMA will be organised on 9^th, 10^th and 23^rd of every month at PMSMA facilities in the state with special focus on missed out HRP cases or those requiring frequent follow ups.

ASHA incentives under ePMSMA

Case-based incentives to ASHA

Rs.100/- per HRP for mobilization of HRPs for a maximum of three follow up ANC visits to PMSMA clinics/nearest facility for check up by a doctor/Obstetrician
Rs.500/- per HRP on achieving a healthy outcome for both mother and baby 45th day post-delivery after due verification by concerned ANM and MO.

ePMSMA ANC Visits

Apart from five regular ANC visits, and one ANC visit under PMSMA, this visit happens during 2nd and 3rd trimester, if the Pregnant Women is identified as HRP in PMSMA visit, additional three ANC visits are performed under ePMSMA.

Condition:

One PMSMA ANC visit is applicable for all Pregnant Women after regular ANC -1 visit, this option is already available in ANC section
New feature ePMSMA ANC visits is the option to perform four additional ANC visits under PMSMA is required, i.e. option to Add additional four PMSMA ANC visits
In ANC section, on the Pregnant Women card, show option to Add next visit, view and edit PMSMA ANC visit
PMSMA section: New section with line listing of HRPW for ePMSMA ANC visits; i.e. those Pregnant Women who are identified as HRP in regular ANC visits or HRP identified in PMSMA ANC visits are added in the PMSMA section for ePMSMA ANC visits
In PMSMA section, on the high-risk Pregnant Women card, show option to Add next visit, view and edit PMSMA ANC visit

Photo	Name:	w/o:	Age:
	Phone No.		RCH Id:
	LMP	EDD	Weeks of Pregnancy

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	PMSMA visit Date	Date Picker	Is Mandatory Choose the date from the calendar Format: dd-mm-yyyy Default date is Null	Accept Date equal to or after regular ANC-1 visit Date Date less than 1 weeks from Last PMSMA visit Date must not be allowed. Accept date greater than Last PMSMA visit Date. Accept date minimum 1 week between 2 PMSMA visits Not greater than Today's Date And Not greater than Date "42 weeks of Pregnancy"; i.e. maximum Date is 42 weeks from LMP Date
2	PMSMA Visit	Dropdown	Choose: ANC 1 ANC 2 ANC 3 ANC 4	Default value is select. If any ‘ANC Visit’ or previous visit is submitted, then don’t show that ‘ANC Visit’ in the spinner for next visit ‘ANC Visit’ should be incremental
	Details of Pregnant women
3	MCTS Number/RCH Number (if Registration Number is not available)	Textbox		Auto-populate 'RCH Number' form PW record
4	Does the beneficiary have an MCP card?	Radio button	Select: Yes No
5	If No is selected, MCP card is given	Radio button	Select: Yes No
6	Husband's Name	Textbox		Auto-populate from ANC section
7	Address	Textbox	Non-Mandatory	Auto-populate from beneficiary details
8	Mobile number	Textbox	Auto populate from 'Beneficiary Registration'	Auto-populate from beneficiary details
9	Write the number of ANC's done before delivery	Textbox	Non-Mandatory	Auto-Populate from ANC section calculate No of ANC visits
	Status of the Mother
10	Weight (Kg)	Textbox	Mandatory	Accept numbers only Values from 30 to 200 Character limit 3
11	BP of PW (mm Hg) – Systolic	Edit Text Box	Accept numeric (integer) value only Values from 50 to 300 Default value 0	Default Value: to be null if no data is entered Mandatory if "BP Diastolic (mm Hg)" filled. Systolic: < 90 or >= 140 is HRP Case
12	BP of PW (mm Hg) - Diastolic	Edit Text Box	Accept numeric (integer) value only Values from 30 to 200 Default Value 0	Default Value: to be null if no data is entered. Mandatory if "BP Systolic (mm Hg)" filled. Systolic should be greater than Diastolic Diastolic: < 60 or >= 90 is HRP Case
13	Abdominal Check-up (Gestational Age in weeks)	Textbox		Auto calculated Weeks of Pregnancy: Auto Calculate from LMP date to till current PMSMA visit Date and convert to weeks Read only Formula: Calculate the difference between "PMSMA visit Date" and "LMP Date" and display information in weeks
	Fetal Status
14	Fetal heart rate per minute	Textbox		Accept decimal numbers only, up to one decimal place Accept values up to 3 digits Allow range minimum 40.0 to maximum 200.0 BPM
15	Twins pregnancy	Radio Button	Choose: Yes No
	Investigations
16	Urine Albumin	Radio button	Choose: Absent Present	Default Value - null
17	Hemoglobin	Textbox	Default Value: to be null if no data is entered	Accept decimal numbers only, up to one decimal place Accept values from 2.0 to 16.0 Severe Anemia (Hemoglobin is less than 7 gm/dl)
18	HIV Test	Textbox		Auto-populate "HIV Test result" from 'Pregnant Woman' section
19	VDRL Test	Textbox		Auto-populate "VDRL Test result" from 'Pregnant Woman' section
20	HBsAg (Hepatitis B) Test	Textbox		Auto-populate "HBsAg Test result" from 'Pregnant Woman' section
21	Malaria	Radio button	Choose: Negative Positive Test Not Done	Default Value is "Negative"
22	Was the HIV test done during ANC Checkup?	Radio Button	Choose: Yes No	Auto-populate from 'Pregnant Woman' section mark "Yes", if "HIV Test" is done
23	Swollen condition	Radio Button	Choose: Yes No
24	Blood sugar test	Radio Button	Choose: Yes No
25	Ultrasound	Radio Button	Choose: Yes No
	Intervention Details
26	Iron Folic Acid	Radio Button	Choose: Yes No
27	Calcium supplementation	Radio Button	Choose: Yes No
28	Tetanus Toxoid	Radio Button	Choose: 1st Dose 2nd Dose Booster Dose
	LMP
29	Last Menstrual Period	Textbox		Last Menstrual Period (LMP) Auto populate form PW record
30	Expected Date of Delivery	Textbox		Expected Date of Delivery (EDD) Auto populate form PW record
	Identification of high-risk factors
31	Identification of high-risk symbols	Radio Button	Choose: Yes No	If "Yes", select the reason given below If "Yes", show an alert in the pop-up with below message "HRP Case, please visit the nearest HWC or call 104" If "Yes", add this Woman card in PMSMA section for ePMSMA ANC visits Incentive Logic: ASHA is eligible for below incentive, based on below condition: 1. If "Yes", then High risk is identified at PMSMA Site: In Incentive Master Claim Form under 'Maternal Health' section, S. No. 22 "EPMSMA - IF HRPW identified at PMSMA Site", Rs. 100 per case.
32	If yes, select high-risk condition	Dropdown	Choose: HIGH BP (SYSTOLIC >=140 AND OR DIASTOLIC >=90 mmHg) CONVULSIONS VAGINAL BLEEDING FOUL SMELLING DISCHARGE SEVERE ANAEMIA (HB <7 gm/dl) DIABETES TWINS OTHER	If "OTHER" is selected, then enable "Any Other High Risk conditions" Text Box below and is mandatory.
33	Any other High Risk conditions	Text Box	Accept alphanumeric characters only Character limit 50
34	Pregnant in high risk category treated	Radio Button	Choose: Yes No
35	Pregnant in high risk category was referred	Radio Button	Choose: Yes No
	Advice
36	Preparation for birth and complications, nutrition and family planning	Radio Button	Choose: Yes No
37	Name of Medical Officer in charge	Textbox	Accept alphabets only Character limit 50
38	Submit	Button		Check all validation and Mandatory fields Incentive Logic: ASHA is eligible for below two incentives, based on below condition: 1. If High-risk is identified at PMSMA Site: In Incentive Master Claim Form under 'Maternal Health' section, S. No. 22 "EPMSMA - IF HRPW identified at PMSMA Site", Rs. 100 per case. 2. For delivery of identified High-risk Pregnant Woman (HRPW) at PMSMA Site (Incentive is applicable after delivery): In Incentive Master Claim Form under 'Maternal Health' section, S. No. 21 "EPMSMA - instt delivery", Rs. 500 per case.

Abortion list

Abortion list section contains list of Women whose 'Abortion' status is marked as "Yes" in the above 'ANC' section.

Filter: This section should contain 'Year' and 'Month' filters on top to fetch line listing of Women, by default select current Year and Month

CAC Form: option to download PDF format of 'CAC Form' for selected month

Sort: show latest record on top in the line listing

Incentive: ASHA is eligible for incentive under "Comprehensive Abortion Care", Rs. 150 per case.

Condition:

Show list of Women whose 'Abortion' status is marked as "Yes" in the 'ANC' section.

on the beneficiary card show Date of Abortion and Weeks of Pregnancy, by clicking on the card navigate to fill below form Abortion case form:

Abortion Case
Photo	Name:	Husband Name:	Age:
Phone No.	RCH Id	Abortion Date	Weeks of Pregnancy

Abortion case visit data entry form: Provide Add, view and Edit options and all this below form details should be part of last ANC visit in which Abortion is conformed.

S. No.	Name of data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Visit Date	Date Picker	Is Mandatory Choose the date from the calendar Format: dd-mm-yyyy	Date is editable Default value Today's Date Not greater than Today's Date Accept date greater then or equal to Date of Abortion
2	Weeks of Pregnancy	Textbox/ label		Auto-fill from ANC details and read only fields (Not editable)
3	Abortion Date (Date of Termination)	Textbox/ label
4	Abortion Type	Textbox/ label	Select: Induced Spontaneous Incomplete
5	Abortion Facility (Place of Abortion)	Textbox/ label	Select: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Abortion
	Comprehensive Abortion Care (CAC Form) format
6	Serial no as per Admission/ Evacuation register	Text Box		Accept numeric value and special characters Character limit 10
7	Method of Termination	Spinner	Options MVA EVA MMA Others
8	Termination done by	Spinner	Options Doctor Nurse
9	Post Abortion Contraception Is PAIUCD inserted after an abortion?	Radio button	Options Yes No	Incentive Logic: If "Yes" is selected, eligible for below Incentive In Incentive Master Claim Form under 'Family Planning' section S. No. 47, "For motivating PAIUCD", Rs. 150 per Abortion case
10	Remarks	Multiline Text Box		Allow Alphanumeric Character and special Characters Character limit 100
11	Abortion Discharge Summary	File upload	Option to upload Two images	Update with latest images
12	Abortion Discharge Summary	View Image	Option to view images	show latest images
13	Submit	Button		validate mandatory fields before submission On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Discharge Summary" photo copy to claim your Incentive."
	CAC Form			If Abortion is "Yes" only, applicable for Incentive claim CAC Form: should be available to download in PDF format for selected month in this section and the 'Incentive' section under 'Supporting Documents' This is a consolidated form to be generated for all Abortion cases in a month, with below columns: CAC Form format: Serial no as per Admission/ Evacuation register, Type of Abortion, Date of Termination, Duration of Pregnancy, Method of Termination, Termination done by, Facility, Post Abortion Contraception, Remarks

Micro Birth Plan

High Risk Assessment >> Pregnant Women Section >> Assess High Risk in PW
The Micro Birth Plan is a detailed, personalized plan created for pregnant women to ensure safe delivery. The plan includes:

Identifying the Place of Delivery: Determining the safest Facility for childbirth.
Arranging Transportation: Ensuring reliable transport to the delivery site.
Organizing Blood Donors: Preparing for emergencies by arranging blood donors.

This plan aims to reduce maternal and neonatal risks, ensuring a safer birthing experience.
It Should have Offline capability

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
Micro Birth Plan
1	Name of the PW			Auto-populate
2	Age			Auto-populate
3	Contact No. 1 Contact No. 2	Text Box		Contact No. 1: This number should Auto-fill Contact No. 2: This should be free text and Non-Mandatory; Accept numeric (integer) value only Accept 10 digits only Should not start form zero Should start with digit 6, 7, 8 or 9 Should Not accept all same digits
4	SC/HWC/TG Hosp	Text Box		Accept alpha-numeric values Character limit 100 All letter should be in caps
5	Block	Text Box		Accept alpha-numeric values Character limit 100 All letter should be in caps
6	Husband's Name			Auto-Populate
9	Nearest SC/HWC	Text Box		Accept alpha-numeric values Character limit 100 All letter should be in caps
10	Nearest 24*7 PHC	Text Box		Accept alpha-numeric values Character limit 100 All letter should be in caps
11	Nearest FRU	Text Box		Accept alpha-numeric values Character limit 100 All letter should be in caps
12	Nearest USG centre	Text Box		Accept alpha-numeric values Character limit 100 All letters should be in caps
13	Blood Group	Spinner	Choose: A +ve B +ve AB +ve O +ve A -ve B -ve AB -ve O -ve	Auto Fill if available OR Select form Spinner
14	Blood donors identified	Text Box		Accept alphabets only Character limit 50 All letter should be in caps
15	Birth Companion	Text Box		Accept alphabets only Character limit 50 All letter should be in caps
16	Person who will take care of Children, if any when the PW is admitted for delivery	Text Box		Accept alphabets only Character limit 50 All letter should be in caps
17	Name and Contact number of VHSND/Community member for support during emergency	Text Box		Accept alphabets only Character limit 100 All letter should be in caps
18	Mode of transportation in case of labor Pain	Text Box		Accept Alpha-numeric values Character limit 100 All letter should be in caps
19	Submit	Button		Once submitted, change the Color of button "Micro Birth Plan" to Orange on the Card

The Miro Birth Plan Form Template Format
Below is a format for a Miro Birth Plan template that can be shared on WhatsApp with staff either on Business Account or Directly
While sharing on what's app show in the Caption: in the Caption
Micro-Birth plan "Header"
ASHA Name: Auto-populate
Sub-centre: Auto-populate in SC/HWC/TG Hosp field

Delivery Outcome

Condition: In ANC visit, if 'Is pregnant woman delivered' is "Yes", open these details.

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Date of Delivery	Date Picker	Mandatory Default value is null Choose the date from the calendar Format: dd-mm-yyyy	Accept date 21 weeks from LMP Date Accept date greater or equal to Date of Last ANC Date. Accept date equal to or up to 25 days from EDD. Not greater than Today's Date
2	Time of Delivery	Time Picker	Accept numeric (integer) values only. Format: hh-mm Default value is null
3	Place of Delivery	Spinner	Mandatory Select: District Hospital Community Health Centre Primary Health Centre Sub Centre Other Public Facility Accredited Private Hospital Other Private Hospital Home Sub District Hospital Medical College Hospital In Transit	Institutional delivery: means delivery in any Public Facility; Place of delivery is other than "Home", "In Transit" and "Other Private Hospital". Incentive Logic: ASHA is eligible for below Incentives for Delivery component based on following conditions: Pregnant Woman should be conformed as High-risk Pregnant Woman (HRPW) in ANC / PMSMA visits and Institutional delivery then, In Incentive Master Claim form under 'Maternal Health' section, S. No. 20, "ASHA incentive for ensuring Institutional delivery of identified HRP", Rs. 100 per case. Pregnant Woman should be conformed as High-risk Pregnant Woman (HRPW) in PMSMA ANC visit and Institutional delivery then, In Incentive Master Claim form under 'Maternal Health' section, S. No. 21, "EPMSMA - instt delivery", Rs. 500 per case. ASHA Incentive under JSY: Conditions: a. This 'JSY Incentive' claim is applicable only for 1st, 2nd, 3rd and 4th Delivery; b. Identify first this is which Delivery? c. If 'Total no of Live children' is "0" to "3" and current Delivery can be 1st/ 2nd/ 3rd/ 4th child. d. This 'JSY Incentive' for "Antenatal Component" and "Institutional Delivery" both are applicable only after Delivery. e. "Antenatal Component" means completion of any 4 ANC visits and this activity incentive claim is applicable for all, i.e. 'Place of delivery' can be any place. In Incentive Master Claim Form under 'ASHA Incentive under JSY' section, from S. No. 28 to 37, ASHA is eligible for below Incentives only after delivery, based on residential type Rural or Urban: JSY incentive for ASHA for 1st Delivery (Rural) for Antenatal Component, Rs. 300 per case. JSY incentive for ASHA for 1st Delivery (Rural) for facilitating Institutional Delivery, Rs. 300 per case. JSY incentive for ASHA for 2nd Delivery (Rural) for Antenatal Component, Rs. 300 per case. JSY incentive for ASHA for 2nd Delivery (Rural) for facilitating Institutional Delivery, Rs. 300 per case. JSY incentive for ASHA for 3rd Delivery (Rural) for Antenatal Component, Rs. 200 per case. JSY incentive for ASHA for 3rd Delivery (Rural) for facilitating Institutional Delivery, Rs. 200 per case. JSY incentive for ASHA for 4th Delivery (Rural) for Antenatal Component, Rs. 100 per case. JSY incentive for ASHA for 4th Delivery (Rural) for facilitating Institutional Delivery, Rs. 100 per case. JSY incentive (Urban) for Antenatal Component, Rs. 200 per case. JSY incentive (Urban) for facilitating Institutional Delivery, Rs. 200 per case. Note: Type of residential area is Rural or Urban is considered from ASHA profile.
4	Type of Delivery	Drop Down List	Mandatory Choose: Normal Caesarean Assisted	Mandatory
5	Complications during Delivery?	Radio Button	Options as Yes / No	Default value is "No" If "Yes", Enable below field "Delivery Complication" and is mandatory
6	Delivery Complication	Spinner	Choose: PPH RETAINED PLACENTA OBSTRUCTED DELIVERY PROLAPSED CORD TWINS PREGNANCY CONVULSIONS DEATH Other Delivery Complication DON'T KNOW	Enable only above field "Delivery Complication" = "Yes" and is mandatory Default value is select. If "Other Delivery Complication" is selected then open below 'Text Box' for "Other Delivery Complication" and is mandatory If “Death” is selected, enable below three fields and mark it mandatory Probable Cause of Death Date of Death Place of Death If "Death" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Death Date”, "Place of Death" and “Reason for Death” in Beneficiary table and sync to AMRIT If "Death" is selected, then move this record to 'MDSR' section If "Death" is selected, then don't move this record to PNC section If "Death" is selected, case is closed
7	Other Delivery Complication	Text Box	Accept only alphabets and special character. Character limit 50	Enable only "Other Delivery Complication" is selected above and is mandatory
8	Date of Death	Calendar	Default value is null Choose the date from the calendar Format: dd-mm-yyyy	Show only above 'Death' is selected and is Mandatory Not greater than Today's Date Greater than LMP date
9	Place of Death		Conditionally Mandatory Choose: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Death	Show only above 'Death' is selected and is Mandatory If ‘Place of Death’ is selected as “Other Place of Death” then enable below field “Other Place of Death” and is mandatory.
10	Other Place of Death	Textbox	Conditionally Mandatory	Enable only above value is “Other Place of Death”
11	Probable Cause of Death (Reason for Death)	Spinner	Choose: Eclampcia Haemorrahge Obstructed Labour Prolonged Labour High Fever Other	If "Other" is selected, then Open "Other Death Cause" Text Box and is mandatory. Probable Cause of Death means Reason for Death
12	Other Death Cause	Text Box	Accept only alphabets and special character. Character limit 50
13	Outcomes of Delivery	Custom Number Picker	Mandatory Accept numeric (integer) value only. Values from 0 – 6.	The term "outcome of delivery" refers to the final result of a birth, the baby may liveborn or stillborn Outcomes of Delivery is equal to sum of Live Births and Still Births.
14	Live Birth	Custom Number Picker	Mandatory Accept numeric (integer) value only Value from 0-6	Accept value less than or equal to "Outcomes of Delivery" only "Live Birth" babies should move to 'Infant Registration' section
15	Still Birth	Custom Number Picker	Mandatory Accept numeric (integer) value only Value from 0-6	Accept value less than or equal to "Outcomes of Delivery" "Still Birth" babies should NOT move to 'Infant Registration' section "Still Birth" means "Still Birth" baby is death during delivery
16	Date of Discharge	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Not greater than Today's Date. Not less than Date of Delivery.
17	Discharge Time	Time Picker	Accept numeric (integer) values only. Format: hh-mm Default value - null
18	MCP Card ANC page/ section	File upload	Option to upload Two images	Update with latest images
19	MCP Card	View Image	Option to view images	show latest images
20	Delivery Discharge Summary	File upload	Option to upload Four images	Update with latest images Show an Alert! Please upload "Delivery Discharge Summary" photo to claim your Incentive.
21	Delivery Discharge Summary	View Image	Option to view images	show latest images
22	Is the Pregnant Woman a JSY Beneficiary?	Radio Button	Choose: Yes / No
23	Need to generate PDF of JSY payment voucher	PDF		Enable only if PW is JSY Beneficiary
24	Submit	Button		If "Death" is selected, then don't move this record to PNC section If "Death" is selected, case is closed If 'Death' is selected, navigate to 'MDSR' section and open 'MDSR' form. Other than "Death", normally after submit move this record to PNC section and based on 'Outcomes of Delivery' create baby(s) records in the 'Infant' registration section On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "MCP Card - ANC page/ section" and "Discharge Summary" photo copy to claim your Incentive."

Post-Natal Care Visits of Mother

Condition:

In ANC visit, if 'Is pregnant woman delivered' is "Yes", open these details.
If in Delivery Outcome section 'Delivery Complication' = "Death", then do NOT show this Woman in list.

Note: After Delivery + 42 days, Woman should be again moved to Eligible couple Tracking (ECT) section, so

After submission of 42nd Day PNC visit or after 60 Days from Date of Delivery, and No Permanently Sterilised method is selected in any PNC visits, then update 'Status of Women' to "Eligible Couple" and move Woman record to 'Eligible Couple' and 'Eligible Couple Tracking' section.

PNC Visit
Photo	Name:	w/o:	Age:
	Phone No.		RCH Id:
	Date of Delivery:

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition

	PNC Period	Spinner	Mandatory Choose: 1st Day 3rd Day 7th Day 14th Day 21st Day 28th Day 42nd Day/ 6th Week	Default value is select. If any ‘Visit Day’ or previous visit is submitted, then don’t show that ‘Visit Day’ in the spinner for next visit ‘Visit Day’ should be incremental
	PNC Visit Date	Calendar	Choose the date from the calendar Format: dd-mm-yyyy	Auto-populate this due date by calculating using below logic After selecting above ‘PNC Period’ and calculate this date from ‘date of Delivery’ Not greater than Today's Date Not less than Date of Delivery Date of ‘next visit’ should be incremental Date of ‘next visit’ should not be less than ‘previous visit’ date (always should be greater than ‘previous visit’ date) 1st Day - Accept date equal to Date of Delivery 3rd Day – date should be equal to 3^rd day after delivery 7th Day – date should be between Delivery + 7 (-3 and +3 ) in days 14th Day - date should be between Delivery + 14 (-3 and +3) in days. 21st Day - date should be between Delivery + 21 (-3 and +3 ) in days. 28th Day - date should be between Delivery + 28 (-3 and +3 ) in days 42nd Day - date should be between Delivery + 42 (-3 and +3 ) in days
	No. of IFA Tablets given	Custom Number Picker	Default value 0	Accept numeric (integer) value only Accept value greater than 0 Accept value up to 400
	Any Method of Postpartum Contraception (PPC)	Radio Button	Options as Yes / No	Open "PPC Method" data field on selection of Yes option.
	Method of Contraception	Spinner	Choose: POST PARTUM IUCD (PPIUCD) CONDOM MALE STERILIZATION FEMALE STERILIZATION POST PARTUM STERILIZATION (PPS) MiniLap Any Other Method	Default value is select If "Any Other Method" is selected then enable "Any other Contraception Method" Text Box below and is mandatory. On selecting any of this option other then "CONDOM" and "Any other Method" show this alert box: Show an Alert! Please upload "Delivery Discharge Summary" photo to claim your Incentive. If 'Method of Contraception' is "MALE STERILIZATION" or "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap" is selected, then from next PNC visits fields 'Any Method of Postpartum Contraception (PPC)', 'Method of Contraception' and 'Date of Sterilisation' should be disables and show last visit details. If 'Method of Contraception' is "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap" is selected, then update 'Status of Women' to "Permanently Sterilised" after submission of 42nd Day PNC visit or after 60 Days from Date of Delivery Incentive Logic: 1. If current delivered baby is 2nd child and 'Method of Contraception' is selected as "FEMALE STERILIZATION" or "MALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap", ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 45, "Ensuring limiting after 2 child", Rs. 1000 per case. 2. If 'Method of Contraception' is "POST PARTUM IUCD (PPIUCD)" is selected, ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 46, "For motivating a woman for PPIUCD insertion", Rs. 150 per case. 3. If 'Method of Contraception' is "FEMALE STERILIZATION" is selected, ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 51, "For motivating Female sterilization", Rs. 300 per case. 4. If 'Method of Contraception' is "POST PARTUM STERILIZATION (PPS)" is selected, ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 52, "For motivating a woman for PPS", Rs. 400 per case. 5. If 'Method of Contraception' is "Minilap" is selected, ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 53, "For Motivating Minilap", Rs. 300 per case. 6. If 'Method of Contraception' is "MALE STERILIZATION" is selected, ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Family Planning' section S. No. 54, "For motivating Male sterilization", Rs. 400 per case.
6	Any other Contraception Method	Text Box	Accept alphabets, numeric and special character. Character limit 50
	Date of Sterilisation	Calendar	Conditionally Mandatory	Enable only If 'Method of Contraception' is "FEMALE STERILIZATION" or "MALE STERILIZATION" or "Minilap" or "POST PARTUM STERILIZATION (PPS)" is selected, and is Mandatory Not greater than Today's Date Accept date Not less than Date of Delivery
	Any Danger Signs? Any High-risk identified?	Radio Button	Choose: Yes No	Default value is "No" If "Yes" is selected, open 'Mother Danger Signs' dropdown and is mandatory. Incentive Logic: If "Yes" means High risk identified in post-natal period and 'Mother Danger Signs' is selected, then ASHA is eligible for below Incentive: In Incentive Master Claim Form under 'Maternal Health' section S. No. 27, "ASHA incentive for identification for High Risk cases in the post natal period", Rs. 250 per case.
	Mother Danger Signs	Spinner	Choose: PPH - Excessive bleeding FEVER SEPSIS SEVERE ABDOMINAL PAIN SEVERE HEADACHE OR BLURRED VISION DIFFICULT BREATHING Any Other Excessive bleeding, i.e. soaking more than 2–3 pads in 20–30 minutes after delivery. Yellowness of urine, skin or eyes Pale skin or eyes, Giddiness or weakness Cracked and painful nipples Convulsions Fever Easy fatiguability /not feeling well Swelling on face, hands and legs Severe abdominal pain Difficulty in breathing Foul-smelling lochia Inability to pass urine after delivery Abnormal behaviour Urinary burning along with pain and swelling in lower limbs Dribbling or leakage of urine Incontinence of stool	Open "Other Danger Sign" Text Box on selection of "Any Other" option and is mandatory. Default Value is "None"
	Other Danger Sign	Edit Text Box	Accept alphabets only Character limit up to 50
	Referral Facility	Spinner	Choose: Primary Health Centre Community Health Centre District Hospital Other Private Hospital	Is Mandatory, if Any Danger Signs? is "Yes"
	Mother Death	Radio Button	Choose: Yes No	Default value is "No" If "Yes" is selected, then Disable next PNC Visits (Disable "Add PNC Visit") and Case is Closed If “Yes” is selected, enable below three fields and mark it mandatory Probable Cause of Death Date of Death Place of Death If "Yes" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Death Date”, "Place of Death" and "Reason for Death” in Beneficiary table and sync to AMRIT If "Yes" is selected, then move this record to 'MDSR' section
	Date of Death	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Show only above value 'Mother Death' = "Yes" and is mandatory Not greater than Today's Date Not less than Delivery Date
	Probable Cause of Mother Death	Spinner	Choose: ECLAMPSIA HAEMORRHAGE (PPH) ANAEMIA HIGH FEVER Any Other	Show only above value 'Mother Death' = "Yes" Open "Other Death Cause" Text Box on selection of "Any Other" option and is mandatory.
	Other Death Cause	Edit Text Box	Accept alphabets only Character limit 50	Show only above value "Any Other" is selected
	Place of Death	Spinner	Choose: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Death	Show only above value 'Mother Death' = "Yes" and is mandatory If ‘Place of Death’ is selected as “Other Place of Death” then enable below field “Other Place of Death” and is mandatory.
	Other Place of Death	Textbox	Conditionally Mandatory	Enable only above value “Other Place of Death” is selected
	Remarks	Multiline Text Box	Accept alphabets, numeric and special characters Character limit 250
	Delivery Discharge Summary	File upload	Option to upload Four images	Update with latest images
	Delivery Discharge Summary	View Image	Option to view images	show latest images
	Submit	Button		If 'Mother Death' is "Yes", then Disable next PNC Visits (Disable "Add PNC Visit") If 'Mother Death' is "Yes", navigate to 'MDSR' section and open 'MDSR' form. On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Delivery Discharge Summary" photo copy to claim your Incentive." If 'Method of Contraception' is "FEMALE STERILIZATION" or "POST PARTUM STERILIZATION (PPS)" or "Minilap" is selected, then update 'Status of Women' to "Permanently Sterilised" after submission of 42nd Day PNC visit or after 60 Days from Date of Delivery After submission of 42nd Day PNC visit or after 60 Days from Date of Delivery, and No Permanently Sterilised method is selected in any PNC visits, then update 'Status of Women' to "Eligible Couple" and move to show Woman record in 'Eligible Couple' and 'Eligible Couple Tracking' section

Child Care

Infant Registration

Should capture the details of Infants from Delivery Outcome section
From 'Delivery Outcome' section based on the value (No of Live Births) of "Outcomes of Delivery" and "Live Births", Infant Registration should be multiplied, that is for each of the "Live Birth" baby one new 'Infant Registration' section should be created automatically.
Example: for 2 "Live Birth" babies there should be 2 'Infant Registration'

Photo	Woman Name:	w/o:	Age:
	Phone No.		Mother RCH Id:
	Date of Delivery:

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Name of Baby		default Name is 'Baby of' <Mother Name>	Auto-populate, default Name is 'Baby of' <Mother Name> Or 'Baby-1 of' <Mother Name>, 'Baby-2 of' <Mother Name>,
2	Baby Term	Text Box	Mandatory Full Term Preterm	Auto calculate using below formula: select Full Term: if Date of Delivery is between 37 completed weeks to less than 42 completed weeks w.r.t LMP Date. select Preterm: if Date of Delivery is less than 37 completed weeks w.r.t LMP Date. i.e. calculate No of weeks from Date of Delivery to LMP Date
3	Sex of Baby	Radio Button	Mandatory Male Female
4	Weight at Birth (kg)	Custom Number Picker	Mandatory Accept numeric (integer) value up to one decimal place only Values from 0.5 to 7.0	If Weight of Baby is Less than 2.5 kg, then treat as Low birth weight (LBW) Baby Then flag as LBW Baby Case and show in scheduler till DoB + 42 days
5	Baby Cried Immediately after Birth	Radio Button	Mandatory Yes No Default - null	Default value null Open "If No, Resuscitation Done" data field on selection of No option and is mandatory.
6	If No, Resuscitation Done	Radio Button	Conditional Mandatory Yes No Default - null	Default value null Mandatory if “No” is selected in above field “Baby Cried Immediately after Birth”
7	Breast feeding started within 1 hour of birth	Radio Button	Mandatory Choose from Yes - Y/No - N
8	Any birth defect seen at birth?	Radio Button	Options as Yes / No	Open "Any defect seen at birth" data field on selection of Yes option.
9	Defect seen at birth	Spinner	Choose: Cleft Lip / Cleft Palate Club Foot Down's Syndrome Hydrocephalus Imperforate Anus Neural Tube Defect (Spinal Bifida) Other	If "Other" is selected, Open "Other defect seen at birth"
10	Other defect seen at birth	Text Box	Accept only alphabets and special character Character limit 50
11	Was Corticosteroid Inj. given?	Radio Button	Choose: Yes No Don't Know Default - null	Default value null
12	Referred to higher facility	Radio Button	Select: § Yes § No Default – “No”
13	Is Baby discharge from SNCU?	Radio Button	Mandatory Select: § Yes § No Default – “No”	Default value is “No” Note: This selected value should be auto-populated in the HBNC section
14	Discharge Summary	File upload	§ Option to upload Four images	Update with latest images Show an Alert! Please upload "Delivery Discharge Summary" photo to claim your Incentive.
15	Discharge Summary	View Image	§ Option to view images
16	Submit	Button		On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Discharge Summary" photo copy to claim your Incentive."

Child Registration

This Child Registration should be linked to the House hold of Mother and add in the beneficiary list
Based on the No of Infants Registration with respective to a Mother, Child Registrations should be multiplied, that is for each of the Infants, one new 'Child Registration' section should be created automatically.
Example: for 2 Babies are born in a delivery there should be 2 'Child Registration' cards

Child Registration should should be autoincrement count of total no of children born

Maintain the history of married couple details like: date of marriage, No of live children and date of birth, age and gender of all children and status of sterilisation.

Incentive Logic:

1. If gap between Marriage and 1^stChild is greater then or equals to 2 years (>= 2 years), then ASHA is eligible for below Incentive:

In Incentive Master Claim form under 'Family Planning' section these below activities "Ensuring delaying 2 years for first child birth after marriage"; S. No. 44, Rs. 500 Per case.

2. If gap between 1st and 2nd child is greater then or equals to 3 years (>= 3 years), then ASHA is eligible for below Incentive:

In Incentive Master Claim form under 'Family Planning' section these below activities "Ensuring 3 years gap between 1st and 2nd child birth"; S. No. 43, Rs. 500 Per case.

Photo

Mother Name:

Father Name:

Age:

Gender:

Phone No.

Mother RCH Id:

Child RCH Id:

Date of Birth:

Child Registration data elements, should have Add, view and edit options

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
	Date of Registration	Date Picker	Choose the date from the calendar Format: dd-mm-yyyy	Not greater than Today's Date Date of Registration should be taken after or equal date of birth Not allowed to edit this date
	Name of Child	Edit Text Box	Fetch from Infant registration	Name is allowed to Edit Default Name is 'Baby of' <Mother Name> Auto-populate, default Name is 'Baby of' <Mother Name>, Or 'Baby-1 of' <Mother Name>, 'Baby-2 of' <Mother Name>, Accept alphabets only Character limit 50
	RCH ID No. of Child	Text Box		12 digit unique number Character limit up to 12
	Date of Birth			Auto-populate, from Infant details
	Gender of Child	Radio button	Option: Male / Female	Auto-populate, from Infant details
	Mother's Name	Text Box		Auto-populate, from Infant details
	Father's Name	Text Box		Auto-populate, from Infant details
	Whose Mobile Number			Auto-populate, from beneficiary details
	Mobile No.	Text Box		Auto-populate, from beneficiary details
	Birth Certificate No.	Text Box	Default value should be Null	Accept numeric value and special characters Character limit 50
	Weight at Birth (kg)	Custom Number Picker	Accept numeric (integer) values only, up to 1 decimal place. Values from 0.5 to 7.0	Auto-populate, from Infant details
	Place of Birth	Spinner	Choose: Home Sub-Centre PHC CHC Sub-District Hospital, District Hospital, Medical College Hospital In Transit Private Hospital Accredited Private Hospital Other
	Gap between Date of marriage and 1st child	Text Box	Read only Field	The difference between Date of Marriage and 1st child date of birth in Years and Months (Auto calculate and display) This is applicable in case of 1st child Incentive Logic: If gap between Marriage and 1^stChild is greater then or equals to 2 years (>= 2 years), then ASHA is eligible for below Incentive: In Incentive Master Claim form under 'Family Planning' section these below activities "Ensuring delaying 2 years for first child birth after marriage"; S. No. 44, Rs. 500 Per case.
	Gap between 1st child and 2nd child	Text Box	Read only Field	Enable only in case of 2nd child The difference between 1st child date of birth and 2nd child date of birth in Years and Months (Auto calculate and display) This is applicable in case of 2nd child Incentive Logic: If gap between 1st and 2nd child is greater then or equals to 3 years (>= 3 years), then ASHA is eligible for below Incentive: In Incentive Master Claim form under 'Family Planning' section these below activities "Ensuring 3 years gap between 1st and 2nd child birth"; S. No. 43, Rs. 500 Per case.
	Birth Certificate of	Spinner	Choose: 1st child Birth Certificate 2nd child Birth Certificate	Update in the "Birth Certificate" file in the respective child Beneficiary record/ table.
	Birth Certificate	File upload	Option to upload one image at a time	Update with latest images Show an Alert! Please upload "Birth Certificate" photo copy to claim your Incentive.
	Birth Certificate	View images	Option to view images
	Submit			Generate Beneficiary Id for Child registered This Child Registration should be linked to the House hold of Mother and add in the beneficiary list. Autoincrement count of total no of children and live children Mother's record Maintain the history of married couple details like: date of marriage, No of live children and date of birth, age and gender of all children and status of sterilisation. On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Birth Certificate" photo copy to claim your Incentive."

HBNC: Home Based Newborn Care

Home Based Newborn Care (HBNC) programme was launched aiming to reduce Neonatal mortality and morbidity rates especially in rural, remote areas where access to care is largely unavailable or located faraway.
Under this programme, ASHA to make visits to all newborns according to specified schedule up to first 42 days of life. This includes six visits in case of institutional deliveries and seven visits in case of home deliveries (1st Day) on 3rd, 7th, 14th, 21st, 28th and 42nd days after birth. Additional visits for babies who are pre-term, low birth weight or ill and SNCU discharged babies will be conducted.

During the visit, ASHA will do the following activities:

Information and skills to the mother and family on how to do better care of newborn, on special care for low weight babies, on how to identify danger signs and promote exclusive breastfeeding and immunization
Examining every newborn for prematurity and low birth weight, identification of illness, anything unusual in baby, provision of appropriate care at home, refer to ANM or nearest health facilities as defined in the protocols
Follow up for sick newborns after they are discharged from facilities
recording of weight of the newborn in Mother Child Protection (MCP) card
ensuring BCG, 1st dose of OPV and DPT vaccination
both the mother and the newborn are safe till 42 days of the delivery, and
registration of birth has been done
Counseling the mother on postpartum care, recognition of postpartum complications and enabling referral
Counseling the mother for adoption of an appropriate family planning method

Note:
Condition:

Show this HBNC section only for beneficiaries whose Age is 0 to 42 Days and and Beneficiary Status is "Alive" and HBNC visit transactional history records.
Once HBNC is selected, show below subsections (Home Visit cards):
- Home Visit Card: Day – 1 to Day – 42
- Enable sequentially one after another seven ‘Home Visit’ cards for 1st,3rd, 7th, 14th, 21st, 28thand 42nd days
- Do not enable / show at a once all seven Home Visit cards
- First enable Day – 1 ‘Home Visit’ card, after submitting Day-1 form then enable Day – 3 ‘Home Visit’ card, like this enable one after another up to Day – 42 ‘Home Visit’ card
- It is mandatory to submit Day – 1, Day – 3, Day – 7 and Day-42 ‘Home Visit’ cards
- After Day – 7 visit, Day –14, Day –21 and Day –28 visits are not mandatory
- After Day – 7 visit, Day –14, Day –21, Day –28 and Day-42 ‘Home Visit’ cards should be enabled

Incentive Logic:

ASHA is eligible for below Incentives for HBNC services based on following conditions:

1. ASHA incentive of Rs. 250 per case for Providing HBNC services up to 42 days after birth for all babies including babies discharged from SNCU; for claim consider, only these 4 visits (Day – 1, Day – 3, Day – 7 and Day-42 Home visits), ASHA has to complete these 4 visits then she is eligible for this Incentive.

In Incentive Master Claim Form under 'Child Health' section S. No. 1, "Providing HBNC up to 42 days after birth / discharge from SNCU", Rs. 250 per case is applicable.

2. ASHA Incentive of Rs. 200 per case for follow up of SNCU discharge babies and for follow up of LBW babies, applicable only for "SNCU discharged" and "Low birth weight (LBW)" babies, ASHA has to complete these 7 home visits (five home visits Day – 1 to Day – 42), then ASHA is eligible for this Incentive.

In Incentive Master Claim Form under 'Child Health' section S. No. 3, "Incentive to ASHA for follow up of SNCU discharge babies and for follow up of LBW babies", Rs. 200 per case is applicable.

Table: 1

Name of Baby		Baby details auto-populate If Name is not registered; Auto-populate, default Name is ‘Baby of’ <Mother Name> Or ‘Baby-1 of’ <Mother Name>, ‘Baby-2 of’ <Mother Name>
Photo	Mother’s Name:	Father’s Name:	Date of birth, Age and Gender
	Phone No.	RCH Id (Child):	RCH Id (Mother):
	Indicate as LBW baby in case

Care of Baby - Home Visit Card

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	HBNC Visit Day	Spinner	§ Mandatory Choose: 1st Day 3rd Day 7th Day 14th Day 21st Day 28th Day 42nd Day/ 6th Week	Default value is select. If any ‘Visit Day’ or previous visit is submitted, then don’t show that ‘Visit Day’ in the spinner for next visit ‘Visit Day’ should be incremental
2	HBNC due Date	label	Show date as per schedule visit	§ Auto-populate this due date by calculating using below logic § After selecting above ‘HBNC Visit Day’ and calculate this date from ‘date of Delivery’ Logic for HBNC due Date: § 1st Day: date equal to date of Delivery or Birth of Baby (DoD). § 3rd Day: date equal to 3^rd day after delivery date (DoD + 2 days). § 7th Day: date equal to 7^th day after delivery date (DoD + 6 days). § 14th Day: date equal to 14^th day after delivery date (DoD + 13 days). § 21st Day: date equal to 21^st day after delivery date (DoD + 20 days). § 28th Day: date equal to 28^th day after delivery date (DoD + 27 days). § 42nd Day: date equal to 42^nd day after delivery date (DoD + 41 days). § Not greater than Today’s Date § Not less than Date of Delivery
3	Visit Date	Calendar	§ Mandatory § Choose the date from the calendar § Format: dd-mm-yyyy	§ By default, date is null. § or date when HBNC Visit is due § Not greater than Today’s Date § Accept ‘Visit Date’ on or after date of Delivery or Birth of Baby § Visit Date should be greater than or equals to above respective ‘HBNC due Date’ § Date of ‘next visit’ should be incremental § Date of ‘next visit’ should not be less than ‘previous visit’ date (always should be greater than ‘previous visit’ date)
4	Is the Baby alive?	Radio Button	Choose: § Yes § No Default value is “Yes”	Default value is “Yes” If “No” is selected, enable below three fields and mark it mandatory Date of Death Reason for Death Place of Death If “No” is selected, next follow-up home visits should be disabled (i.e. Visit day 3,7,14,21,28,42). If “No” is selected, disable all below fields form S. No. 9 to 24. If "No" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Date of Death ”, "Place of Death" and “Reason for Death” in Beneficiary table and sync to AMRIT If 'No' is selected, No HBYC visits and No Immunization visits, i.e. Don't show this Child record in the HBYC and Immunization section. Show Alert: Cause of Death to be reported to ANM/MPW/PHC for Child death review.
5	Date of Death	Date picker	§ Conditionally Mandatory	§ Show only above value is “No” § By default, date is null § Not greater than Today’s Date § Accept ‘Date of Death’ on or after date of Delivery or Birth of Baby
6	Reason for Death	Spinner	§ Conditionally Mandatory
7	Place of Death	Spinner	Conditionally Mandatory Choose: Home Subcenter PHC CHC District Hospital Medical College Hospital Private Hospital In Transit Other Place of Death	If ‘Place of Death’ is selected as “Other Place of Death” then enable below field “Other Place of Death” and is mandatory.
8	Other Place of Death	Textbox	Conditionally Mandatory	Enable only above value is “Other Place of Death”
9	Baby Weight (kg)	Custom Number Picker	§ Mandatory § Accept numeric (integer) value up to one decimal place only § Values from 0.5 to 7.0	If Weight of Baby is Less than 2.5 kg, then treat as Low birth weight (LBW) Baby § Then flag as LBW Baby Case and show in scheduler till DOB + 42 days or HBNC all Day-42 visit is submitted. Show Alert: § If the weight of the baby is less than 2.5 kg, then advise the mother to provide extra warmth to the baby and feed the baby more frequently. § If the weight is less than 1.8 kg then refer the baby to Sick Newborn care unit at the nearest health facility and also conduct extra home visits as per the high-risk baby form. § If the baby (low birth weight or normal) is not gaining weight then refer to SNCU at the nearest health facility.
10	Urine passed	Radio Button	Mandatory Select: § Yes § No § Default - null
11	Stool passed	Radio Button	Mandatory Select: § Yes § No § Default - null
12	Diarrhoea	Radio Button	Mandatory Select: § Yes § No Default - null
13	Vomiting	Radio Button	Conditional Select: § Yes § No Default - null
14	Convulsions	Radio Button	Mandatory Select: § Yes § No Default - null
15	Activity	Radio Button	Select: § Good § Lethargic Default – null
16	Sucking	Radio Button	Select: § Good § Poor Default – null
17	Breathing	Radio Button	Select: § Fast § Difficult Default – null
18	Chest Indrawing	Radio Button	Select: § Present § Absent Default – null
19	Temperature	Text Box		Show Alert: Action to be taken by ASHA: § If the temperature is < 97 degree F^o then advice the mother to keep the baby warm by increasing the room temperature, providing skin to skin contact, putting the baby in a warm bag and frequently feeding the baby. § If the temperature is < 95.9 degree F^o, then give the above mentioned advice and once the baby is warmer then clothe the baby and place in a pre-warmed bed close to the mother. § If the temperature is > 99 degree F⁰ (fever) then look for signs of sepsis. In case signs of sepsis are not present manage only with 1/4th of a spoon of Paracetamol and immediately refer to the SNCU at the nearest health facility.
20	Jaundice	Radio Button	Mandatory Select: § Yes § No Default – null
21	Condition of Umbilical Stump		§ Drying and Color Change § Falling Off § Appears Infected with redness § Swelling § Foul-smelling discharge § Tenderness
22	Is Baby discharge from SNCU?	Radio Button	Mandatory Select: § Yes § No Default – “No”	Default value is “No” Auto-populated form ‘Infant Registration’ Note: source of this value should be auto-populated form ‘Infant Registration’ section is there is a record available.
23	Discharge Summary or MCP Card: Care of Baby page/ section	File upload	§ Option to upload Four images	§ Update with latest images
24	Discharge Summary or MCP Card	View Image	§ Option to view images
25	Submit	Button		If 'Death' is reported, then Disable next HBNC Visits (Disable "Add HBNC Visit") If 'Death' is reported, navigate to 'CDR' section and open 'CDR' form. If 'Death' is reported, No HBYC visits and No Immunization visits, i.e. Don't show this Child record in the HBYC and Immunization section On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Discharge Summary" or "MCP Card" photo copy to claim your Incentive." Incentive Logic: ASHA is eligible for below Incentives for HBNC services based on following conditions: 1. ASHA incentive of Rs. 250 per case for Providing HBNC services up to 42 days after birth for all babies; for incentive claim consider only these 4 visits (Day – 1, Day – 3, Day – 7 and Day-42 Home visits), ASHA has to complete these 4 visits then she is eligible for this Incentive. In Incentive Master Claim Form under 'Child Health' section S. No. 1, "Providing HBNC up to 42 days after birth / discharge from SNCU", Rs. 250 per case is applicable. 2. ASHA Incentive of Rs. 200 per case for follow up of SNCU discharge babies and for follow up of LBW babies, applicable only for "SNCU discharged" is "Yes" or "Low birth weight (LBW)" babies is "Yes", ASHA has to complete these 7 home visits (five home visits Day – 1 to Day – 42), then ASHA is eligible for this Incentive. In Incentive Master Claim Form under 'Child Health' section S. No. 3, "Incentive to ASHA for follow up of SNCU discharge babies and for follow up of LBW babies", Rs. 200 per case is applicable.

HBYC: Home Based Care for Young Child

Home-Based Care for Young Child Programme (HBYC) was launched as part of National Health Mission and POSHAN Abhiyan for promotion of health and nutrition of young children (3-15 months), for reducing child morbidity and mortality and for promotion of growth and Early Childhood Development. Under HBYC, ASHA provides incentivized five home visits on 3rd, 6th, 9th, 12th and 15th months. ASHAs are being paid incentive for HBYC category child for five scheduled home visits.
During the visit, ASHA will do the following activities:

Counseling for exclusive breast feeding till 6 months and continued breast feeding with adequate complementary feeding afterward
Counseling of mothers and caregivers and support to identify and manage problems related to nutrition and health in their child
Facilitate for early identification of delay in growth and development of children by using the MCP card
Support in prevention and management of common childhood illnesses
Assist in prompt referral of sick children to health facilities for management of complications and follow ups

Incentive Logic:

ASHA is eligible for below Incentives for HBYC services based on following conditions:

ASHA Incentive of Rs. 250 per case for babies up to 15 months, ASHA has to complete these 5 home visits (five home visits on 3rd, 6th, 9th, 12th and 15th month), then ASHA is eligible for this Incentive.

In Incentive Master Claim form under 'Child Health' section S. No. 2, "Incentive to ASHA for quarterly visits of HBYC", Rs. 250 per case is applicable.

Table: HBYC visit form

Show this HBYC section only for beneficiaries whose Age is between 3-15 months and Beneficiary Status is "Alive".

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	HBYC Visit	Spinner	Mandatory Choose: 3 Months 6 Months 9 Months 12 Months 15 Months	§ Default value is select. § If any ‘Visit’ or previous visit is submitted, then don’t show that ‘Visit’ in the spinner for next visit § ‘Visit’ should be incremental
2	HBYC due Date Month and Year	label	Show date as per schedule visit	§ Auto-populate this due date by calculating using below logic § After selecting above ‘HBYC Visit’ and calculate this date from ‘date of Delivery’ Logic for HBYC due Date: 3rd Month: date equal to 3 Months after date of birth (DoB + 3 Months). § Not greater than Today’s Date § Not less than Date of Delivery or birth
3	HBYC Visit Date	Calendar	§ Mandatory § Choose the date from the calendar § Format: dd-mm-yyyy	§ By default, date is null. § or date when HBYC Visit is due § Not greater than Today’s Date § Accept ‘Visit Date’ on or after date of Delivery or Birth of Baby § Visit Date should be greater than or equals to above respective ‘HBYC due Date’ § Date of ‘next visit’ should be incremental § Date of ‘next visit’ should not be less than ‘previous visit’ date (always should be greater than ‘previous visit’ date)
4	Is the Baby alive?	Radio Button	Choose: § Yes § No Default value is “Yes”	§ Default value is “Yes” § If “No” is selected, enable below three fields and mark it mandatory 1. Date of Death 2. Reason for Death 3. Place of Death If “No” is selected, next follow-up home visits should be disabled (i.e. Visit Month 6th, 9th, 12th, 15th). and No HBYC visits and No Immunization visits, i.e. Don't show this Child record in the HBYC and Immunization section. If “No” is selected, disable all below fields form S. No. 9 to 30. If "No" is selected, update 'Beneficiary Status' = "Death" in the Beneficiary record, with “Date of Death ”, "Place of Death" and “Reason for Death” in Beneficiary table and sync to AMRIT Finally, If “No” is selected, then move this record to Death Reports >> Child Death Review (CDR) section Show an Alert: Cause of Death to be reported to ANM/MPW/PHC for Child death review.
5	Date of Death	Date picker	§ Conditionally Mandatory	§ Show only above value is “No” § By default, date is null § Not greater than Today’s Date § Accept ‘Date of Death’ on or after date of Delivery or Birth of Baby
6	Reason for Death		§ Conditionally Mandatory
7	Place of Death		Conditionally Mandatory Choose: § Home § Subcenter § PHC § CHC § District Hospital § Any other place	If ‘Place of Death’ is selected as “Any other place” then enable below field “Other Place of Death” and is mandatory.
8	Other Place of Death	Textbox	Conditionally Mandatory	Enable only above value is “Any other place”
9	Baby Weight (kg)	Custom Number Picker	§ Mandatory § Accept numeric (integer) value up to one decimal place only § Values from 0.5 to 7.0	If Weight of Baby is Less than 2.5 kg, then treat as Low birth weight (LBW) Baby § Then flag as LBW Baby Case and show in scheduler till DOB + 42 days Show Alert: § If the weight of the baby is less than 2.5 kg, then advise the mother to provide extra warmth to the baby and feed the baby more frequently. § If the weight is less than 1.8 kg then refer the baby to Sick Newborn care unit at the nearest health facility and also conduct extra home visits as per the high-risk baby form. § If the baby (low birth weight or normal) is not gaining weight then refer to SNCU at the nearest health facility.
10	Is the child sick?		Mandatory Select: § Yes § No Default - null	Applicable for 3,6,9,12,15 months child. If selected No, continue ahead If selected yes, give option of “refer” to the nearest mapped facility.
11	Is the child exclusively breast feeding?	Radio Button	Mandatory Select: § Yes § No § Default - null	Applicable for child up to <6 months child
12	Is the mother counseled for exclusive breast feeding?		Mandatory Select: § Yes § No Default - null	If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
13	Has the child started complimentary feeding?	Radio Button	Mandatory Select: § Yes § No § Default - null	Applicable for >6 months and above.
14	Is the mother counseled for complimentary feeding?		Mandatory Select: § Yes § No Default - null	If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
15	Is the Weight of the child recorded by AWW?	Radio Button	Mandatory Select: § Yes § No Default - null	Applicable for 3,6,9,12,15 months child. If yes, continue ahead. If no, ASHA should flag it and raise the alert.
16	Is there any developmental delay?		Mandatory Select: § Yes § No Default - null	Applicable for 3,6,9,12,15 months child. If no, continue ahead. If yes, ASHA should flag it and raise the alert. Raise alert for ASHA to refer to the nearest mapped facility.
17	Is Measles Vaccine given?		Mandatory Select: § Yes § No Default - null	· Applicable for 9,12,15 months child. · If yes, continue ahead. If no, ASHA should flag it and raise the alert. · Raise alert for ASHA to refer to the nearest mapped facility. · If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
18	Is Vitamin A given		Mandatory Select: § Yes § No Default - null	· Applicable for 9,15 months child. · If yes, continue ahead. If no, ASHA should flag it and raise the alert. · Raise alert for ASHA to refer to the nearest mapped facility. · If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
19	Is ORS available at home?		Mandatory Select: § Yes § No Default - null	· Applicable for 3,6,9,12,15 months child · If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
20	Is IFA syrup available at home?		Mandatory Select: § Yes § No Default - null	· Applicable for 3,6,9,12,15 months child · If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
21	Is ORS given?		Mandatory Select: § Yes § No Default - null	Applicable for 3,6,9,12,15 months child If yes, continue ahead. If no, raise alert Incentive of Rs 100 to ASHA (Chhattisgarh) for ORS distribution and support during Diarrhea Control Fortnight
22	Is IFA syrup given?		Mandatory Select: § Yes § No Default - null	· Applicable for 6,9,12,15 months child · If yes, continue ahead. If no, raise alert
23	Is counseling for handwashing given?		Mandatory Select: § Yes § No Default - null	Applicable for 3,6,9,12,15 months child If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
24	Is counseling for parenting given?		Mandatory Select: § Yes § No Default - null	· Applicable for 3,6,9,12,15 months child · If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
25	Is counseling for family planning given?		Mandatory Select: § Yes § No Default - null	· Applicable for 3,6,9,12,15 months child · If yes, continue ahead. If no, raise alert for ASHA to do counselling of the mother
26	Diarrhoea episode in the last two weeks	Radio Button	Conditional Select: § Yes § No Default - null	· Applicable for 3,6,9,12,15 months child. · If no, continue ahead. If yes, ASHA should flag it and raise the alert. · Raise alert for ASHA to refer to the nearest mapped facility.
27	Any episode of cough, breathlessness or difficulty in breathing (pneumonia symptoms)	Radio Button	Mandatory Select: § Yes § No Default - null	· Applicable for 3,6,9,12,15 months child. · If no, continue ahead. If yes, ASHA should flag it and raise the alert. · Raise alert for ASHA to refer to the nearest mapped facility.
28	Temperature	Text Box		show Alert: Action to be taken by ASHA: § If the temperature is < 97 degree F^o then advice the mother to keep the baby warm by increasing the room temperature, providing skin to skin contact, putting the baby in a warm bag and frequently feeding the baby. § If the temperature is < 95.9 degree F^o, then give the above mentioned advice and once the baby is warmer then clothe the baby and place in a pre-warmed bed close to the mother. § If the temperature is > 99 degree F⁰ (fever) then look for signs of sepsis. In case signs of sepsis are not present manage only with 1/4th of a spoon of Paracetamol and immediately refer to the SNCU at the nearest health facility.
29	MCP Card: Child care page/ section	File upload	§ Option to upload Two images	§ Update with latest images
30	MCP Card	View Image	§ Option to view images
31	Submit	Button	§	If 'Death' is reported, then Disable next HBYC Visits (Disable "Add HBYC Visit") If 'Death' is reported, navigate to 'CDR' section and open 'CDR' form. If 'Death' is reported, No HBYC visits and No Immunization visits, i.e. Don't show this Child record in the HBYC and Immunization section On click show alert box: Show an Alert! "Please upload MCP card photo copy to claim your Incentive" If 'Is the Baby alive?' is "No" is selected, then move this record to Death Reports >> Child Death Review (CDR) section Incentive Logic: ASHA is eligible for below Incentives for HBYC services based on following conditions: ASHA Incentive of Rs. 250 per case for babies up to 15 months, ASHA has to complete these 5 home visits (five home visits on 3rd, 6th, 9th, 12th and 15th month), then ASHA is eligible for this Incentive. In Incentive Master Claim form under 'Child Health' section S. No. 2, "Incentive to ASHA for quarterly visits of HBYC", Rs. 250 per case is applicable.

Child Health Interventions

Child Health intervention activities and linked incentives

The module is designed to capture and validate activities performed by ASHAs related to Child health interventions such as SAM (Severe Acute Malnutrition) referrals and follow-ups, IDCF (Intensified Diarrhoea Control Fortnight) prophylactic distribution, NIPI (National Iron Plus Initiative) mobilization and compliance.

Condition:

Create a New section with title "Children under 5 Years" where Beneficiary Status is "Alive" and show line listing of all Children up 5 Years.
In the line listing on Child card show options to Add, View and Edit details for "Check SAM", "ORS" and "IFA" based on the condition.
For Children between 6 Months to 5 Years of age, show options to Add, View and Edit details for "Check SAM" and "IFA"
For Children between 0 to 5 Years of age, show options to Add, View and Edit details for "ORS"

1. SAM (Severe Acute Malnutrition)

Infants and children who are 6 to 59 months of age and have a mid-upper arm circumference (MUAC) <115 mm (<11.5 cm), or a weight-for-height/length <-3 Z-scores of the WHO Child Growth Standards median, or have bilateral pitting oedema, should be referred for full assessment at a treatment centre (NRC) for the management of severe acute malnutrition.
ASHA will receive Rs 150 per case as an incentive for identifying severely malnourished children in the community, referring the identified SAM child and facilitating their admission to Nutrition Rehabilitation Centers (NRCs), and conducting critical follow-up visits to prevent relapse.

Steps and stages in referral process of SAM cases to NRC:

ASHA identifies the SAM cases by checking MUAC measurement and Weight-for-Height Status; Status is "Check SAM"
If MUAC is ≤11.5 cm and 'Weight-for-Height Status' is "SAM", then ASHA has to refer Child to NRC; Status is "Referred to NRC"
SAM Child Admits at NRC; Status is "NRC Admitted"
After Child discharges from NRC; Status is "Follow up SAM"
ASHA has to follow-up NRC discharged Child; Status is "Check SAM"

Name of Child		Beneficiary ID, Age and Gender
Photo	Mother’s Name:	Father’s Name:	Date of birth
	Phone No.	RCH Id (Child):	RCH Id (Mother):
	Indicate as LBW baby in case

S. No.	Name of data field	Field type	Value/ Options	Validation/ Logic/ Condition
1	Visit Date	Calendar	Mandatory Choose the date from the calendar Format: dd-mm-yyyy	By default, date is null. Not greater than Today’s Date Visit Date should be greater than date of Birth of Child Not allowed in Edit
	Visit	label	Visit-1, Visit-2, to Visit-n Read only	Autoincrement Visit-1 to Visit-n based on the visits Any Visit continues if 'Is Child referred to NRC?' is "Yes" and 'Referral >> Admission >> Follow-ups' and this visit cycle ends when 'SAM Status' is "Improved" else Visit end if 'Is Child referred to NRC?' is "No"
2	MUAC (Mid-upper Arm Circumference) measurement	Text box	0.0 – 30.0 cm Mandatory	Mandatory Accept decimal numbers only, up to one decimal place Accept values up to 2 digits Allow range minimum 0.0 to maximum 30.0 cm If MUAC is ≤11.5 cm then ASHA needs to refer the child to NRC as SAM case If MUAC is ≤11.5 cm then, show Alert: "Please refer the Child to NRC as SAM case"
3	Weight-for-Height Status	Dropdown	Mandatory Select: Normal Moderate SAM	Mandatory If selected "SAM", then show Alert: "Please refer the Child to NRC as SAM case"
4	Is Child referred to NRC?	Radio button	Mandatory Select: Yes/ No Default is "No"	If MUAC is ≤11.5 cm, then select "Yes" and Above 'Weight-for-Height Status' is "SAM", then select "Yes" If "Yes" then enable below field S. No. 5 If "No", then disable below field S. No. 5 to 12 If "Yes", update Child Status to "Referred to NRC" and on the card rename button to "Referred to NRC"
5	Is Child Admitted in NRC?	Radio button	Yes/ No	If "Yes", then enable below field S. No. 6 to 10 If "No", then disable below field S. No. 6 to 12 If "Yes", update Child Status to "NRC Admitted" and on the card rename button to "NRC Admitted"
6	NRC Admission Date	Calendar	Choose the date from the calendar Format: dd-mm-yyyy	Enable only if “Yes” is selected above 'Admitted in NRC' By default, date is null. Not greater than Today’s Date Admission date should be greater than date of Birth of Child
7	Is Child discharged from NRC?	Radio button	Yes/ No	Enable only if “Yes” is selected for the above 'Admitted in NRC' If "Yes", update Child Status to "Follow up SAM" and on the card rename button to "Follow up SAM"
8	NRC discharge Date	Calendar	Choose the date from the calendar Format: dd-mm-yyyy	Enable only if “Yes” is selected for the above 'discharged from NRC' By default, date is null. Not greater than Today’s Date Discharge date should be greater than NRC Admission date
9	Follow up Visit Date	Calendar	Mandatory in follow up visit Choose the date from the calendar Format: dd-mm-yyyy	Enable only after status is changed to "Follow up SAM" (after 'discharged from NRC' and for Follow-up visits) By default, date is null. Not greater than Today’s Date Follow up visit Date should be greater than NRC discharge date Schedule of follow up visits: Four follow up visits are required after discharge from NRC: 1st follow up visit: 1 week after discharge 2nd follow up visit: after 15 days from date of 1st follow up visit 3rd follow up visit: after 15 days from date of 2nd follow up visit 4th follow up visit: after 15 days from date of 3rd follow up visit
10	Follow up Visit Outcome/ SAM Status	Dropdown	Mandatory in follow up visit Select: Improved No Change Relapse	Enable only after status is changed to "Follow up SAM" (after 'discharged from NRC' and for Follow-up visits) These Follow up Visits are sub set of main visit Mandatory if follow up visit entered If "Improved" is selected, then update Status to "Check SAM" and on the card rename button to "Check SAM" other wise "Follow up SAM" Allow to add next Follow up Visits and continue till SAM Status = "Improved" Note: one Visit cycle of SAM case is completed
11	Discharge Summary or MCP Card	File upload	§ Option to upload Four images	§ Update with latest images
12	Discharge Summary or MCP Card	View Image	§ Option to view images
13	Submit	Button		Maintain history of every visit of SAM case cycle (Check SAM >>Referral >> Admission >> Follow-ups) Incentive Logic: ASHA is eligible for below Incentives for Child services based on following conditions: ASHA Incentive per case for Referral + Admission + Follow-ups of SAM Child, after 'Follow-up Visit Date' is submitted then ASHA is eligible for this Incentive. In Incentive Master Claim form under 'Child Health' section S. No. 4, "ASHA incentive for referral of SAM cases to NRC and for follow up of discharged SAM children from NRC", Rs. 150 per case is applicable.
14	SAM Visit Record History of SAM case	Table		Maintain history of Follow up visits: S. No, Follow up date, SAM Status

SAM Visit Work flow:

2. Intensified Diarrhoea Control Fortnight (IDCF)

The Intensified Diarrhoea Control Fortnight (IDCF) is a nationwide campaign launched by the Ministry of Health and Family Welfare (MoHFW), Government of India in 2014 under the National Health Mission (NHM). Its primary goal is to reduce child morbidity and mortality due to diarrhoea among under-five children by ensuring universal access to ORS (Oral Rehydration Solution) and Zinc supplementation.
ASHA is incentivized Rs.1 per ORS packet distribution in the community during IDCF which is typically conducted twice a year, Pre-monsoon (June–July) and Post-monsoon (October–November).

Distribution of ORS packets to children under five years:

For Children between 0 to 5 Years of age, show options to Add, View and Edit details for "ORS"

S. No.	Name of data field	Field type	Value/ Options	Validation/ Logic/ Condition
1	Visit Date	Calendar	Mandatory Choose the date from the calendar Format: dd-mm-yyyy	By default, date is null. Not greater than Today’s Date
2	No. of ORS packets distributed	Numeric picker	0-20	Mandatory field Rs. 1 to be calculated as incentive per ORS packet distributed
3	Submit	Button		Incentive = Rs. 1 per ORS packet distributed Incentive Logic: ASHA is eligible for below Incentives for distributed of ORS packet: In Incentive Master Claim form under 'Child Health' section S. No. 9, "Incentive for IDCF for prophylactic distribution of ORS to family with under-five children.", Rs. 1 per ORS packet distributed is applicable.

3. NIPI (National Iron Plus Initiative) mobilization and compliance

The National Iron Plus Initiative (NIPI) is the program for which ASHA workers can receive incentives for mobilizing children for Iron and Folic Acid (IFA) supplementation. ASHA is eligible for NIPI Incentive for mobilizing children and/or ensuring compliance and reporting, bi-weekly IFA supplementation is provided for children between 6 Months to 5 Years.

ASHA is eligible for incentive of Rs. 100 per month for mobilizing children for NIPI-related activities.

Distribution of IFA supplementation to children under five years:

For Children between 6 Months to 5 Years of age, show options to Add, View and Edit details for "IFA"

S. No.	Name of data field	Field type	Value/ Options	Validation/ Logic/ Condition
1	Date of provision of IFA Bottle	Calendar	Mandatory Choose the date from the calendar Format: dd-mm-yyyy	By default, date is null. Not greater than Today’s Date Next IFA Bottle should be after 1 month (allow monthly 1 bottle)
2	MCP Card IFA page/ section	File upload	§ Option to upload 1 image	§ Update with latest images
3	MCP Card	View Image	§ Option to view images
4	Submit	Button		Show date wise provision of IFA Bottle in the below table Incentive Logic: ASHA is eligible for below Incentives for distributed of IFA bottles: In Incentive Master Claim form under 'Child Health' section S. No. 11, "NIPI Incentive for mobilizing children and/or ensuring compliance and reporting (6-59 months)", Rs. 100 per month for distribution of IFA bottles.
5	Table			show Year wise list of issue of bottles: Bottle 1 and Date

Immunization

This Immunization modules should be available for only below two types of beneficiaries

ANC Women
Children between age group of 0 to 16 years where Beneficiary Status is "Alive"

In the Immunization due list Module show below two sub-sections

ANC Women: show all women whose who are in ANC section
Children: show all Children between age group of 0 to 16 years where Beneficiary Status is "Alive", show separately children with below Age group:

Birth Dose Vaccines Babies
6 Weeks Vaccines Children
10 Weeks Vaccines Children
14 Weeks Vaccines Children
9-12 Months Vaccines Children
16-24 Months Vaccines Children
5-6 Years Vaccine Children
10 Years Vaccine Children
16 Years Vaccine Children
Catch-Up Vaccines (Missing Vaccines)

When respective child is selected from list, based on the above age corresponding Immunization list is shown as per schedule:

Vaccine Taken: in Green colour;
Vaccine Due: in Orange colour;
Vaccine Overdue: in Red colour

Immunization schedule as per above Age groups

S No	Age	Vaccine Name	Due date	ASHA Incentive Logic
1	Birth Dose	OPV 0 BCG Hepatitis B 0 VITAMIN K	DoB	Incentive Logic: ASHA incentive for ensuring for Full Immunization (0–1 year): Under the “Immunization” section activity, S. No. 12, the term “Full Immunization (0–1 year)” applies when a child receives all of the following eight vaccines before reaching one year of age: BCG 1^st Dose OPV - 1 OPV - 2 OPV - 3 Pentavalent - 1 Pentavalent - 2 Pentavalent - 3 Measles – 1 For each case/ child of full Immunization as defined above, an ASHA incentive of Rs. 100 is applicable.
2	6 Weeks	OPV-1 PENTAVALENT -1 ROTA 1 IPV 1	DoB + 6 Week
3	10 Weeks	OPV 2 ROTA 2 Pentavalent 2	DoB + 10 Week
4	14 Weeks	OPV 3 Rota 3 Pentavalent 3 IPV 2	DoB + 14 Week
5	9-12 Months	Measles 1 JE 1 Vitamin A – 1	DoB + 9 Month
6	16-24 Months	Measles 2 OPV Booster DPT Booster 1 JE 2 Vitamin A – 2 Vitamin A – 3	DoB + 16 Month	Incentive Logic: Ensuring for complete Immunization (1 - 2 years): Under the “Immunization” section activity, S. No. 13, the term “complete Immunization (1 - 2 years)” applies when a child receives all of the following Three vaccines before reaching two year of age: Measles - 2 OPV Booster DPT Booster 1 For each case/ child of complete Immunization as defined above, an ASHA incentive of Rs. 75 is applicable.
7	5-6 Years	DPT Booster 2 Vitamin A - 3 Vitamin A - 4 Vitamin A - 5 Vitamin A - 6 Vitamin A - 7 Vitamin A - 8 Vitamin A – 9	DoB + 5 Years For each dose of Vitamin A minimum 6 months gap is required	Incentive Logic: Ensuring for DPT immunization (5 years): Under the “Immunization” section activity, S. No. 14, the term “Ensuring for DPT immunization (at 5 years)” applies when a child receives “DPT Booster 2” vaccines at age between 5 - 6 years. For each case/ child as defined above, an ASHA incentive of Rs. 50 is applicable.
8	10 Years	TD Dose	DoB + 10 Years
9	16 Years	TD Dose	DoB + 16 Years

Immunization data entry screen

For every above Vaccine below fields are applicable:

S No	Name of the Data Field	Field Type	Value/option	Validation/ Logic/ Condition
Child details
1	Name		default Name is ‘Baby of’ <Mother Name>	Name of Baby/ Child or Auto-populate, default Name is ‘Baby of’ <Mother Name>
2	Mother’s Name	Label		Auto-populate
3	Father’s Name	Label		Auto-populate
4	Date of birth of Baby	Label		Auto-populate
5	Age	Label		Auto-populate
6	Gender	Label		Auto-populate
7	Beneficiary Id	Label		Auto-populate
8	Child RCH Id	Label		Auto-populate
9	Mother RCH Id	Label		Auto-populate from Mother details
10	Mobile No	Label		Auto-populate: Mother’s/ Father’s/ HoF Mobile No
Vaccine Details
11	Dose Name	Label		Auto-Populate from Master
12	Vaccine Name	Label		Auto-Populate from Master
13	Vaccine due Date	Label		Auto-Populate from Master
14	Date of Vaccination	Calendar	Mandatory Choose the date from the calendar Format: dd-mm-yyyy	By default, date is null. or date when Vaccine is due Not greater than Today’s Date Accept date between "Date logic" mentioned in below table 'Immunization schedule Date logic"
15	Vaccinated Place	Spinner	Choose: Sub-Centre PHC CHC Sub-District Hospital, District Hospital, Medical College Hospital Private Hospital Accredited Private Hospital VHND/ VHSND/ U-WIN Session Other
16	Vaccinated By	Spinner	Choose: ANM CHO Staff Nurse MO
17	MCP Card Immunization page/ section	File upload	Option to upload Two images	Update with latest images
18	MCP Card	View Image	Option to view images
19	Submit	Button		On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "MCP Card - Immunization page/ section" photo copy to claim your Incentive."

Immunization schedule Date logic

Vaccine Name	Due date	Date Logic	Dependencies	Due date Work Plan	Over Due period
Birth Dose
OPV 0 Dose	DoB	DoB + 15 Days	No	DoB	DoB + 15 Days
BCG	DoB	DoB + 1 Year	No	DoB	DoB + 1 Year
Hepatitis B 0	DoB	DoB + 1 day	No	DoB	DoB + 1 day
Vit K	DoB	DoB + 1 day	No	DoB	DoB + 1 day
6 Weeks dose
OPV 1	DoB + 6 Week	Accept date between 6 weeks form date of Birth to 2 Years	No	DoB + 6 Week	DoB + 2 Yrs
Pentavalent 1	DoB + 6 Week	Accept date between 6 weeks form date of Birth to 1 Year	No	DoB + 6 Week	DoB + 1 Yrs
ROTA 1	DoB + 6 Week	Accept date between 6 weeks form date of Birth to 1 Year	No	DoB + 6 Week	DoB + 1 Yrs
IPV 1	DoB + 6 Week	Accept date between 6 weeks form date of Birth to 1 Year	No	DoB + 6 Week	DoB + 1 Year
10 Weeks dose
ROTA 2	ROTA 1 + 4 Week	1. Accept date after interval of 4 weeks (28 Days) from date of Rota 12. Accept date between 10 weeks from Date of Birth up to 1yrs from Date of Birth	ROTA 1	DoB+10 Week	DoB + 1 Year
OPV 2	OPV1 + 4 Week (age > 6 week)DoB + 10 Week (Age <= 2 Year)	1. Accept date after interval of 4 weeks (28 Days) from date of OPV 12. Accept date between 10 weeks from Date of Birth up to 2 Years from Date of Birth	OPV1	DoB+10 Week	DoB + 2 Yrs
Pentavalent 2	Penta 1 + 4 Week (age > 6 week)DoB + 10 Week (Age <= 1 Year)	1. Accept date after interval of 4 weeks (28 Days) from date of Pentavalent 12. Accept date between 10 weeks from Date of Birth up to 1 Year from Date of Birth	Pentavalent 1	DoB+10 Week	DoB + 1 Year
14 Weeks dose
OPV 3	OPV2 + 4 Week	1. Accept date after interval of 4 weeks (28 Days) from date of OPV 2.2. Accept date between 14 weeks from Date of Birth up to 2yrs from Date of Birth	OPV2	DoB+14 Week	DoB + 2 Yrs
Pentavalent 3	Penta 2 + 4 Week	1. Accept date after interval of 4 weeks (28 Days) from date of Pentavalent 2.2. Accept date between 14 weeks from Date of Birth up to 1 Year from Date of Birth	Pentavalent 2	DoB+14 Week	DoB + 1 Year
ROTA 3	ROTA 2 + 4 Week	1. Accept date after interval of 4 weeks (28 Days) from date of Rota 22. Accept date between 14 weeks from Date of Birth up to 1yrs from Date of Birth	ROTA 2	DoB+14 Week	DoB + 1 Yrs
IPV 2	IPV 1 + 8 Week	Accept date after interval of 8 weeks (56 Days) from date of IPV 1 up to 1 yrs from Date of Birth	IPV 1	DoB+14 Week	DoB + 1 Yrs
9-12 Months
Measles – 1	DoB + 9 Month	Accept date between completed 9 months from date of birth maximum up to 5yrs from date of birth	No	DoB + 9 Month	DoB + 5 Yrs
JE Vaccine – 1	DoB + 9 Months	Accept date between completed 9 months from date of birth maximum up to 1yr from date of birth	No	DoB + 9 Months	DoB + 1 Yrs
Vitamin A – 1	DoB + 9 Months	Accept date between completed 9 months from date of birth maximum up to 5yrs from date of birth	No	DoB + 9 Months	DoB + 5 Yrs
16-24 Months
Measles – 2	DoB + 16 Months	Accept date between 16 months to 24 months from Date of Birth maximum up to 5yrs from Date of Birth	No	DoB + 16 Months	DoB + 5 Yrs
OPV Booster	DoB + 16 Month	Accept date between 16 months to 24 months from date of birth maximum up to 2yrs from date of birth	No	DoB + 16 Month	DoB + 2 Yrs
DPT Booster -1	DoB + 16 Month	Accept date between 16 months to 24 months from date of birth maximum up to 7yrs from date of birth	No	DoB + 16 Month	DoB + 7 Yrs
JE Vaccine – 2	DoB + 16 Months	Accept date between 16 months to 24 months from Date of Birth maximum up to 5yrs from Date of Birth	No	DoB + 16 Months	DoB + 5 Yrs
Vitamin A – 2	Vitamin A1 + 9 Months	1. Accept date between 16 months from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 9 months from date of VITAMIN A-1	Vitamin A1	DoB + 16 Month	DoB + 5 Yrs
Vitamin A – 3	Vitamin A2 + 6 Months	1. Accept date between 2 Yrs from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-2	Vitamin A2	DoB + 2 Yrs	DoB + 5 Yrs
5-6 Years
DPT Booster – 2	Dob + 5 Years	Accept date between 5yrs to 7yrs from date of birth	No	Dob + 5 Years	DoB + 7 Yrs
Vitamin A – 4	Vitamin A3 + 6 Months	1. Accept date between 2 Yrs and 6 Month from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-3	Vitamin A3	DoB + 2.5 Yrs	DoB + 5 Yrs
Vitamin A – 5	Vitamin A4 + 6 Months	1. Accept date between 3 Yrs from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-4	Vitamin A4	DoB + 3 Yrs	DoB + 5 Yrs
Vitamin A – 6	Vitamin A5 + 6 Months	1. Accept date between 3 Yrs and 6 months from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-5	Vitamin A5	DoB + 3.5 Yrs	DoB + 5 Yrs
Vitamin A – 7	Vitamin A6 + 6 Months	1. Accept date between 4 Yrs from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-6	Vitamin A6	DoB + 4 Yrs	DoB + 5 Yrs
Vitamin A – 8	Vitamin A7 + 6 Months	1. Accept date between 4 Yrs and 6 Month from date of birth maximum up to 5yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-7	Vitamin A7	DoB + 4.5 Yrs	DoB + 5 Yrs
Vitamin A – 9	Vitamin A8 + 6 Months	1. Accept date between 5 Yrs from date of birth maximum up to 7yrs from date of birth2. Accept date after interval of 6 months from date of VITAMIN A-8	Vitamin A8	DoB + 5 Yrs	DoB + 7 Yrs

Immunization schedule for Pregnant Woman

S. No.	Vaccine/Vitamin/Medicine	Minimum period as per NIS	Max. period for' Due' Work plan	Period for 'Over Due' work plan
	Td-1	Early in pregnancy	Up to 36 weeks of pregnancy	Not to be given after 36 weeks of Pregnancy
	Td-2	4 weeks after Td-1	4 weeks after Td-1	Not to be given after 36 weeks of Pregnancy
	Td- Booster**	Early in pregnancy	Up to 36 weeks of pregnancy	Not to be given after 36 weeks of Pregnancy
	Td 10*	10 years	10 years	Not to be given after the age of 16 years
	Td 16*	16 years	16 years	Not to be given after the age of 16 years
	Tab. Folic Acid (FA)*	Within 12 weeks of pregnancy	Up to 12 weeks of pregnancy	Not to be given after 12 weeks of Pregnancy
	Tab. Iron Folic Acid (IFA)	From 12 weeks of pregnancy onwards	Up to expected date of delivery (EDD)	—
	Tab. Iron Folic Acid (IFA)	After the date of delivery	Up to 42 days of delivery	Not to be given after 42 days of delivery

*If a pregnant woman has already been immunized with two doses of Inj. Tetanus-Diphtheria during her previous pregnancy (within the past three years), then only one dose of Inj. Td (as Booster dose) is required as early as possible during her current pregnancy.

Death Reports

In India, ASHAs play a crucial role in reporting births and deaths within their communities. They are expected to provide the first information about these events to the relevant authorities, like the Sub-center (SC), Primary Health Center (PHC), or Community Health Center (CHC). ASHAs also maintain records of these events, in this section death events are recorded.

Death Reports section is categorized into below three sub-sections:

General Deaths
Maternal Deaths
Non-maternal Death
Child Deaths

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	General Deaths			Navigate to the line listing of General Deaths sub-section: Show list of all beneficiaries, where Age 15 years and above and other than Maternal Deaths
2	Maternal Deaths (MDSR: Maternal Death Surveillance and Response)		Enable button on beneficiary card to Add/ Edit / View MDSR Form	Navigate to the line listing of Maternal Deaths sub-section: Show only list of Women where ‘Death’ is reported from ANC or Delivery Outcome or PNC section or from beneficiary section where 'Cause of death' is "Maternal Death" on every beneficiary card, enable button to Add/ Edit / View MDSR Form
3	Non-Maternal Deaths			Navigate to the line listing of Non-Maternal Deaths sub-section: Show only list of Women where ‘Death’ is reported in Age group 15-49 years and 'Cause of death' is "Non-Maternal Death"
4	Child Deaths (CDR: Child Death Review)		Enable button on beneficiary card to Add/ Edit / View CDR Form	Navigate to the line listing of Child Deaths sub-section: Show list of beneficiaries, where Infant Death or Child Death is noticed, between Age group 0 to less than 15 years. on every beneficiary card, enable button to Add/ Edit / View CDR Form

Child Death Review

Condition:

Show list of beneficiaries (children), where Child Death is noticed, between Age group 0 to less than 15 years in the Beneficiary list, i.e. 'Beneficiary Status' = "Death".
or other conditions like, Infant Death or Child Death is noticed in HBNC or HBYC section; i.e. HBNC section ‘Is the Baby alive?’ = “No” or HBYC section ‘Is the Child alive?’ = “No”.

Incentive: ASHA is eligible for an incentive amount Rs. 100 (per case) for reporting Child death, under the “Child Health” section activity, S. No. 5, "Child Death Reporting".

Child Death Review (CDR) Form

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Visit Date	Date picker	Mandatory
2	Name of the child	Textbox	Auto-populate from Beneficiary details	Auto-populate from Beneficiary details
3	Date of Birth	Textbox
4	Age (Years, Months, Days)	Textbox
5	Gender	Radio Button:	Select: Female Male	Auto-populate from Beneficiary details
6	Mother's Name	Textbox
7	Father's Name	Textbox
8	Complete Address
9	Address	Textbox
10	House Number	Textbox
11	Mohalla/Colony	Textbox
12	Village/Town/City
13	Block
14	District/Tehsil
15	State
16	PIN code	Textbox
17	Landmarks, if any	Textbox
18	Phone number of parents/family member (Living in same household)			Auto-populate from Beneficiary details
19	Landline	Textbox
20	Mobile Number	Textbox		Auto-populate from Beneficiary details
21	Date of Death	Textbox		Auto-populate from Beneficiary details
22	Place of Death	Textbox		Auto-populate from Beneficiary details
23	Name of First Informant	Textbox	ASHA Name of ASHA	Auto-populate
24	Time (Timing of informing)	Time picker		Time is editable Time in 12-hour format (AM/ PM)
25	Date of Notification	Date picker		Date is editable Default value Today's Date Not greater than Today's Date Accept date greater then or equal to Date of Death
26	CDR form from ANM	File upload	Option to upload Two images/ PDF	file size limit maximum 5 MB
27	CDR form	View Image	Option to view images
28	Death Certificate	File upload	Option to upload Two images/ PDF	file size limit maximum 5 MB
29	Death Certificate	View Image	Option to view images
30	Submit	Button		On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Death Certificate" photo copy to claim your Incentive."

Maternal Death Surveillance and Response

Maternal death, all deaths of women in the age group of 15 to 49 years irrespective of the cause i.e. maternal or non-maternal will be notified by the primary informant to the ANM and Block Medical Officer/Health Officer-Incharge of a Zonal area/equivalent, within 24 hours of death. The ASHA will be designated as the Primary informant for reporting deaths of women in her village/coverage area.

ASHA has to report the death to ANM by filling up below format (MDSR Form)

ASHAs are entitled to an incentive amount Rs. 200 for reporting within 24 hours of occurrence of death of any women in age group 15-49 years to Block Medical Officer and ANM.

Incentive: ASHA is eligible for an incentive amount Rs. 200 (per case) for reporting Maternal death, under the “Maternal Health” section activity, S. No. 23, "ASHA Incentive for maternal death reporting".

Condition:

Show only list of "Women" from below sections with this condition:

In ANC visits the field 'Maternal Death' = "Yes" or
In Delivery Outcome section 'Delivery Complication' = "Death" or
In PNC section 'Mother Death' = "Yes" or 'Beneficiary Status' = "Death"

Maternal Death Surveillance and Response (MDSR) Form

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Name of State	Label		Auto-populate from Beneficiary details
2	Name of District	Label
3	Name of Block	Label
4	Name of village/ Description of location	Label
5	Name of the deceased woman	Label
6	Name of Husband	Label
7	Name of Father	Label
8	Age of the woman	Label
9	RCH ID	Label
10	Mobile No	Label
11	Date of death	Label
12	Time of death	Label
13	Place of death	Label
14	When did death occur
	a. During pregnancy	Label	Yes/ No	Yes, if death is reported from ANC, else No
	b. During delivery	Label	Yes/ No	Yes, if death is reported from Delivery Outcome, else No
	c. Within 42 days after delivery	Label	Yes/ No	Yes, if death is reported from PNC, else No
	d. During abortion or within 6 weeks after abortion	Label	Yes/ No	Yes, if death is reported from ANC - abortion, else No
15	Cause of death	Label	Select: Suspected Maternal death Non-maternal death	If either a, b, c, d, is "Yes" in above S. No. 14, then "Suspected maternal death" If all- a, b, c, d, is "No" in above S. No. 14 ; then "Non-maternal death" Auto-populate from Beneficiary details or ANC or PNC or Delivery Outcome section
16	Name of reporting Person	Label		Auto-populate (Name of ASHA)
17	Designation	Label	ASHA
18	Verification by ANM of the respective Sub-center that death of women occurred during pregnancy or within 42 days of delivery/abortion:
19	Name of ANM	Label
20	Name of the sub center	Label		Auto-populate (Name of ASHA' sub center)
21	Date	Date picker		Date is editable Default value Today's Date Not greater than Today's Date Accept date greater then or equal to Date of Death
22	MDSR form from ANM	File upload	Option to upload Two images/ PDF	file size limit maximum 5 MB
23	MDSR form	View Image	Option to view images
24	Death Certificate	File upload	Option to upload Two images/ PDF	file size limit maximum 5 MB
25	Death Certificate	View Image	Option to view images
26	Submit	Button		On click show an alert box with below message and "Yes" and "No" click buttons: Show an Alert! "Reminder! Do you want to upload "Death Certificate" photo copy to claim your Incentive."

Disease Control

Non-Communicable Diseases

Community Based Assessment Checklist (CBAC) Form

NCD (Non-Communicable Diseases) Eligible List:
Show all Beneficiary both Male and Female whose age > = 30 years where Beneficiary Status is "Alive" and excluding Pregnant Women.

CBAC screen is applicable yearly once for Beneficiary
And this CBAC Form is applicable to screen these Beneficiaries.
This CBAC Form, assessment check should be done yearly once,
Edit is applicable – but once approved by ANM/MO/ CHO, edit is not applicable
Maintain the history of submitted CBAC Form for viewing, year wise

After CBAC screening, ASHA can refer the suspected cases (If score is > 4) to the HWC facility for further clinical screening. All referral cases should be line listed separately in a section titled "NCD Referrals". Logic to do this is for ease of access to follow-up of case by ASHA and incentive calculation for ASHA. Should capture the start date and end of treatment date from HWC (6 months).

Incentive:

ASHA is eligible for incentive of Rs. 10, for population enumeration, CBAC filling and mobilizing for NCD screening
ASHA is eligible for incentive of Rs. 50, once the beneficiary completes the treatment diagnosed with Hypertension, Diabetes Mellitus & 3 common cancers(Oral, Breast, Cervical), if the beneficiary referred to HWC.

S No	Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
	CBAC Form
	Date	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 beneficiary registration should not allow to update in edit or once submitted CBAC screen is applicable yearly once for Beneficiary
	Name	Textbox		Auto fill from Beneficiary details Show: First Name + Last Name Read only
	Age	Textbox		Auto fill from Beneficiary details Read only
	Sex	Textbox		Auto fill from Beneficiary details Read only
	Part A: Risk Assessment
1	What is your Age? (in Age)	Spinner	Is Mandatory Choose: 30 – 39 40 - 49 50 – 59 60 and Above	Auto-populate Age from 'Beneficiary' registration: Score Logic: "Score" is a variable whose Default Score value is "0". If 30 <= Age <= 39 then display "1" If 40 <= Age <= 49 then display "2" If 50 <= Age <= 59 then display "3"If 60 <= Age then display "4"
2	Do you smoke or consume smokeless products such as gutka or khaini	Spinner	Is Mandatory Choose: Never Used to consume in the past sometime now Daily	Score Logic: If option selected "Never" then display "0" If option selected "Used to consume in the past sometime now" then display "1" If option selected = "Daily" then display "2"
3	Do you consume alcohol daily	Spinner	Is Mandatory Choose: Yes No	Score Logic: If "No" then display "0" or If "Yes" then display "1"
4	Measurement of Waist (in cm)	Spinner	Is Mandatory Condition: Show values in the Spinner based on Gender: For Male: Choose: 90 cm or less 91 - 100 cm More than 100 cm For Female: Choose: 80 cm or less 81 - 90 cm More than 90 cm	Score Logic: If "Gender" = "Female" and "Waist length" <= 80 then display "0" If "Gender" = "Female" and 81 <= "Waist length" <= 90 then display "1" If "Gender" = "Female" and "Waist length" > 90 then display "2" If "Gender" = "Male" and "Waist length" <= 90 then display "0" If "Gender" = "Male" and 91 <= "Waist length" <= 100 then display "1" If "Gender" = "Male" and "Waist length" > 100 then display "2"
5	Do you under take any physical activity for minimum of 150 minutes in a week	Spinner	Is Mandatory Choose: At least 150 min in a week Less than 150 min in a week	Score Logic: If "At least 150 min in a week" then display "0" or If "Less than 150 min in a week" then display "1"
6	Do you have any family history (any one of your parents or siblings) of high BP / Diabetes / Heart Disease	Spinner	Is Mandatory Choose: Yes No	Score Logic: If "No" then display "0" or If "Yes" then display "2"
7	Total Score	Label		Total Score Formula: Sum of all above score. Based on the "Total Score" display a message in pop-up as show below: If score is > 4 "Refer to NCD screening day / VHSND/ HWC for NCD screening (Priority)" If score is < = 4 "Refer to NCD screening day / VHSND/ HWC for NCD screening (Less Priority)" If score is > 4, Provide an option to refer to HWC facility, with a dialog box "Do you want to refer to HWC facility?" with "No" or "Yes" options. If referred, then move the beneficiary to "NCD Referrals" section.
	Part B1: Early Detection Ask if Patient has any of these symptoms
	If "Yes" is selected below then display a pop-up message, "Suspected NCD case, please visit nearest HWC or call 104."
	* If "Yes" is selected for any one of the questions below with "*" then show a pop-up message "Refer to MO and collect the Sputum sample"
	If "Yes" is selected for any one of the questions below with "" then show a pop-up message "Refer to MO or inform ANM/MPW to tracing of all family members"
1	Shortness of Breath	Spinner	Is Mandatory Choose: Yes No
2	Coughing More than 2 weeks *	Spinner	Is Mandatory Choose: Yes No
3	Blood in Sputum *	Spinner	Is Mandatory Choose: Yes No
4	Fever > 2 weeks *	Spinner	Is Mandatory Choose: Yes No
5	Loss of Weight *	Spinner	Is Mandatory Choose: Yes No
6	Night Sweats *	Spinner	Is Mandatory Choose: Yes No
7	Are you currently taking Anti TB drugs **	Spinner	Is Mandatory Choose: Yes No
8	Anyone in Family Currently Suffering from TB **	Spinner	Is Mandatory Choose: Yes No
9	History of TB *	Spinner	Is Mandatory Choose: Yes No
10	Recurrent of ulceration on Palm or Sole	Spinner	Is Mandatory Choose: Yes No
11	Recurrent of tingling on Palm or Sole	Spinner	Is Mandatory Choose: Yes No
12	Cloudy or Blurred Vision	Spinner	Is Mandatory Choose: Yes No
13	Difficulty in reading	Spinner	Is Mandatory Choose: Yes No
14	Pain in eyes lasting for more than weeks	Spinner	Is Mandatory Choose: Yes No
15	Redness in eyes for more than weeks	Spinner	Is Mandatory Choose: Yes No
16	Difficulty in Hearing	Spinner	Is Mandatory Choose: Yes No
17	History of Fits	Spinner	Is Mandatory Choose: Yes No
18	Difficulty in Opening Mouth	Spinner	Is Mandatory Choose: Yes No
19	Ulcers in Mouth Not Healed in 2 weeks	Spinner	Is Mandatory Choose: Yes No
20	Growth in Mouth Not Healed in 2 weeks	Spinner	Is Mandatory Choose:
21	Any white or red Patch in Mouth Not Healed in 2 weeks	Spinner	Is Mandatory Choose: Yes No
22	Pain while chewing	Spinner	Is Mandatory Choose: Yes No
23	Any change in Tone of Voice	Spinner	Is Mandatory Choose: Yes No
24	Any hypo pigmented patches or discolour lesions with loss of sensation	Spinner	Is Mandatory Choose: Yes No
25	Any thickened skin	Spinner	Is Mandatory Choose: Yes No
26	Any nodules skin	Spinner	Is Mandatory Choose: Yes No
27	Any Patch or Discoloration on Skin	Spinner	Is Mandatory Choose: Yes No
28	Recurrent numbness on palm or sole	Spinner	Is Mandatory Choose: Yes No
29	Clawing of fingers in hand or feet	Spinner	Is Mandatory Choose: Yes No
30	Tingling and numbness in hand / or feet	Spinner	Is Mandatory Choose: Yes No
31	Inability to close eye lid	Spinner	Is Mandatory Choose: Yes No
32	Difficulty in Holding Objects in hands or Fingers	Spinner	Is Mandatory Choose: Yes No
33	Weakness in feet that cause difficulty in walking	Spinner	Is Mandatory Choose: Yes No
	Part B2: Women Only
1	Lump in the Breast	Spinner	Is Mandatory Choose: Yes No
2	Bleeding after Menopause	Spinner	Is Mandatory Choose: Yes No	If option selected is "Yes" then display "Inform ASHA Facilitator."
3	Blood Stained Discharge from the Nipple	Spinner	Is Mandatory Choose: Yes No
4	Bleeding after intercourse	Spinner	Is Mandatory Choose: Yes No
				In 'Part B2: Women Only' section, if "Yes" is selected for any one of the questions (S. No. 1 to 4) Provide an option to refer to HWC facility, with a dialog box "Do you want to refer to HWC facility?" with "No" or "Yes" options. If referred, then move the beneficiary to "NCD Referrals" section.
	Part B3: Elderly Specific
1	Feeling unsteady while standing or walking	Spinner	Is Mandatory Choose: Yes No	If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment "
2	Suffering from any physical disability that restrict movement	Spinner	Is Mandatory Choose: Yes No	If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment "
3	Needing help from others to perform every day activities such as eating, getting dressed, grooming, bathing, walking, or using the toilets	Spinner	Is Mandatory Choose: Yes No	If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment "
4	Forgetting names of yours, near ones or your own home address	Spinner	Is Mandatory Choose: Yes No	If option selected is "Yes" then display "Send the patient to MOIC of nearest health center for treatment "
				In 'Part B3: Elderly Specific' section, if "Yes" is selected for any one of the questions (S. No. 1 to 4) Provide an option to refer to HWC facility, with a dialog box "Do you want to refer to HWC facility?" with "No" or "Yes" options. If referred, then move the beneficiary to "NCD Referrals" section.
	Part C: Risk factor for COPD
1	Type of Fuel Used for Cooking	Spinner	Choose: Wood, Crop Residue, Gobar Gas, Coal, Kerosene oil, LPG
2	Occupational Exposure	Spinner	Choose: Crop residue burning / burning of garbage – leaves/working in industries with smoke, gas and dust exposure such as brick kilns and glass factories etc.
	Part D: PHQ2
	Over the last two weeks bothered by the following problem?
1	Little interest or pleasure in doing things?	Spinner	Choose: Not at all several days more than half the days nearly every day	Score Logic: If option selected is "Not at all" then display "0" If option selected is "several days" then display "1" If option selected is "more than half the days" then display "2" If option selected is "nearly every day" then display "3"
2	Feeling down, depressed or hopeless?	Spinner	Choose: Not at all several days more than half the days nearly every day	Score Logic: If option selected is "Not at all" then display "0" If option selected is "several days" then display "1" If option selected is "more than half the days" then display "2" If option selected is "nearly every day" then display "3"
3	Total Score	Label		Total Score formula: Sum of all the above score If "Total Score" is more than "3" then display pop up message "Refer the person to MOIC for treatment." If score is > 3, in Part D: PHQ2 it is a "NCD Referrals" Provide an option to refer to HWC facility, with a dialog box "Do you want to refer to HWC facility?" with "No" or "Yes" options. If referred, then move the beneficiary to "NCD Referrals" section.
	Submit	Button		1. If score is > 4, in Part A: Risk Assessment it is a "NCD Referrals" 2. In 'Part B2: Women Only' section, if "Yes" is selected for any one of the questions (S. No. 1 to 4) 3. In 'Part B3: Elderly Specific' section, if "Yes" is selected for any one of the questions (S. No. 1 to 4) 4. If score is > 3, in Part D: PHQ2 it is a "NCD Referrals" In all above 4 cases: Provide an option to refer to HWC facility, with a dialog box "Do you want to refer to HWC facility?" with "No" or "Yes" options. If referred, then move the beneficiary to "NCD Referrals" section.

Communicable Diseases

Tuberculosis

Tuberculosis (TB) is a bacterial disease.
There are mainly two types of TB patients:

DS-TB (Drug-Sensitive) These are less severe case where the treatment is done for 6 months.
DR-TB (Drug-Resistant) These are less severe case where the treatment is done for 9-24 months.

Role of ASHA

The primary task of ASHA is to identify the suspected TB case and take them to nearest PHC.
In PHC LT (Lab Technician)/ STS (Senior Treatment Supervisor) checks and confirms the disease.
After confirmation the patient receives an I'd card and medicine.
ASHA fills and maintains a "Treatment card" (Annexure 1) of the patient and need to do the regular follow-ups till full recovery.

Incentive Logic:

ASHA will only receive an incentive of Rs. 500 once the TB is confirmed.
In case of DS-TB ASHA receives an incentive of Rs. 1000 after successful treatment of 3 months.
In case of DR-TB ASHA receives an incentive of Rs. 2000 after successful treatment of 6 months and after successful completion of the treatment ASHA receives Rs. 3000 extras, which makes total incentive amount as (Rs. 2000 + Rs. 3000) Rs. 5000.

TB Screening

In this section show all beneficiaries irrespective of any age group and gender where Beneficiary Status is "Alive".
Maintain a separate list for TB Suspected cases for further follow-ups.

S No	Early Detection of Tuberculosis (TB) Ask if Patient has any of these symptoms
	* If "Yes" is selected for any one of the questions below with "*" then show a pop-up message "Refer to MO and collect the Sputum sample". Show these beneficiaries to 'Suspected TB cases' section
	If "Yes" is selected for any one of the questions below with "" then show a pop-up message "Refer to MO or inform ANM/MPW to tracing of all family members"
1	Date	Calendar Date Picker	Is Mandatory	Default value Today's Date Not greater than Today's Date Accept date greater or equal to Date of beneficiary registration should not allow to update in edit or once submitted
2	Name	Textbox		Auto fill from Beneficiary details Show: First Name + Last Name Read only
3	Age	Textbox		Auto fill from Beneficiary details Read only
4	Sex	Textbox		Auto fill from Beneficiary details Read only
5	Coughing More than 2 weeks *	Spinner	Is Mandatory Choose: Yes No
6	Blood in Sputum *	Spinner	Is Mandatory Choose: Yes No
7	Fever > 2 weeks *	Spinner	Is Mandatory Choose: Yes No
8	Loss of Weight *	Spinner	Is Mandatory Choose: Yes No
9	Night Sweats *	Spinner	Is Mandatory Choose: Yes No
10	History of TB *	Spinner	Is Mandatory Choose: Yes No
11	Are you currently taking Anti TB drugs **	Spinner	Is Mandatory Choose: Yes No	Inform to ANM / MPW/ MO for tracing of Family members
12	Anyone in Family Currently Suffering from TB **	Spinner	Is Mandatory Choose: Yes No	Inform to ANM / MPW/ MO for tracing of Family members
13	Submit	Button

Suspected TB cases

Maintain a separate list of Suspected TB cases based on above assessment check.
This section should contain only Suspected TB cases

S. No	Name of data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
1	Date	Calendar Date Picker	Is Mandatory	Default value Today's Date Not greater than Today's Date Accept date greater or equal to Date of beneficiary registration should not allow to update in edit or once submitted
2	Name	Textbox		Auto fill from Beneficiary details Show: First Name + Last Name Read only
3	Age	Textbox		Auto fill from Beneficiary details Read only
4	Sex	Textbox		Auto fill from Beneficiary details Read only
5	Is Sputum sample collected?	Spinner	Is Mandatory Choose: Yes No
6	Sputum sample submitted at	Spinner	Choose: DMC SC PHC	Enable if "Yes" is selected for 'Is Sputum sample collected?'
7	Nikshay ID	Textbox		Enable if "Yes" is selected for 'Is Sputum sample collected?'
8	Sputum Test result	Spinner	Choose: Positive Negative	Enable if "Yes" is selected for 'Is Sputum sample collected?' If Test is positive refer to MO Show alert Message: "Refer to MO"
9	Referred to facility	Spinner	Is Mandatory Choose: Yes No
10	Facility Referral follow-ups	Textbox
11	Submit	Button

ASHA KPI Dashboard

The landing page includes a top navigation bar with menu options:

Dashboard
Home
Work Plan (To do List)

ASHA Dashboard

It will include sections that track and display the following data:
1.Micro Birth Plan.
2.EC Registration.
3.NCD
4.HRP
5.HRNP
6.LBW
7.TB
8.Pregnant Women Registered

	EC Registration
	Pregnant Women Registered	ANC	HRPW	HRPW and Non PW (suspected HRP and HRP)
				LBW
	NCD	TB

S No	Name of the Data Field	Field Type	Value/option	Validation/ Logic/ Condition
1		Button	< Calendar>	Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing.
2	EC Registration	Text box		Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing.
3	NCD	Text box		Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing.
4	HRPW	Textbox		Auto – Populate the Count Upon clicking, Navigate to the Beneficiary line listing. Logic/ formula: HRPW identified in regular ANC visits and HRPW identified in PMSMA ANC visits
5	HRNP			Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing
6	Low Birth Weight Babies			Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing
7	TB			Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing
8	Pregnant Women Registered			Auto – Populate the Count Upon clicking, Navigate to the Beneficiary card line listing

ASHA Work Plan

The landing page includes a top navigation bar with menu options:
ASHA Work Plan (To do List):
This helps ASHAs plan, organize, and track their daily activities related to healthcare service delivery in their communities. The scheduler assists in ensuring timely and efficient execution of tasks, managing appointments, and maintaining records of interactions and interventions with beneficiaries.

Top Bar (light colour)

"Workplan" should be placed on the left and set as the default active view.
"Overdue Task" should be positioned on the right corner .

Increment Date Button: This button allows the user to move to the next date or previous date to view tasks for different days.
Alerts: overdue tasks to be displayed prominently in the header section.
Categories: Categories are clearly listed and clickable. Each category displays the number of tasks due, on clicking, fetch a form displaying Name, Gender, Age, Husband's Name, contact number, and Ben ID; clicking again navigates to the Beneficiary card.
Scrollable Work List: A scrollable list of tasks
Data must be saved persistently across logins using local storage or syncing with a server, and should only be lost if the ASHA uninstalls the app or uses a different app version.

Features: (Categories)

Color Coding Task: Use different colors for Task below
ANC Due Count
VHSND Due Count
Pregnant Women Immunization Due Count
Child Immunization Due Count PNC
HBNC Due Count
HBYC Due Count
EC Tracking Due Count
CBAC due list Due Count
PMSMA Due Count

Calendar <dd/mm/yy>			Overdue Task(2!)
ANC (5)			VHSND (Due date)
PW Immunization (1) current date			Child Immunization (2) 6wks to 24wks on current
HBNC Due Count			HBYC Due Count
PNC()			CBAC List Due Count(Dashboard)
Micro Birth Plan selected date			EC Tracking
PMSMA Due count ()

S No	Name of the Data Field	Field Type	Value/option	Validation/ Logic/ Condition
1	Increment Calendar Date	Button	< Calendar>	Today's Date must be displayed prominently and can be navigated by clicking "Less than" (<) and "More than" (>) buttons to show the previous and later dates, respectively and populate the respective Work plan records based on selected date
2	Overdue Tasks() (Currently On Hold)	Text box		Auto – Populate the Count Fetch the Pending records and display it on current date Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
3	EC Tracking ()	Text box		Auto – Populate the Count Formulas: Women Due for EC = Selected Date - Last Visit Date = 30 days Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
4	ANC () ANC1() ANC2() ANC3() ANC4()	Label		Auto – Populate the Count, ANC1, ANC2, ANC3, ANC4 must show the independent records Formulas: ANC = Sum of count of (ANC1 + ANC2 + ANC3 + ANC4+ANC5+ANC6+ANC7+ANC8). (ANC = Sum of count of all ANCs) ANC 1: List of Women due for ANC1 (Pregnant Women Registration is done) ANC 2: List of Women whose ANC 1 is done and Due for ANC 2 ANC 3: List of Women whose ANC 2 is done and due for ANC3 ANC 4: List of Women whose ANC 3 is done and and due for ANC4 Upon clicking, show the Line listing Forms must be Scrollable
	Micro Birth Plan (0)	Textbox		Auto – Populate the Count, Formulas: Micro Birth Plan Due: Calculate the due date as 2 weeks before the EDD Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
5.	VHSND () Due date(Every Wednesday)			Auto-Populate next VHSND "Due Date" on VHSND card Calendar: Auto Populate the VHSND date, with the default set to the upcoming Wednesday, showing all activities due until that date. (Date Format- "dd/mm") Due Dates: (a)Pregnant Women due for TD Doses: 1.Td(Dose 1)- List of Pregnant Women who are Due for Td 1 between >=5 and <36 Weeks and fall on the Selected Date 2.Td(Dose 2)- List of Pregnant Women who are Due for Td 1 between >=5 and <36 Weeks and fall on the Selected Date b) Children Due for Immunization ()On Wed , Show the list children who are due for 6wks as on Wednesday to 24 months
6	PNC()	Textbox		Auto – Populate the Count, Formulas:AS on the Select day display who is due for respective PNC PNC 1: Due Date "Date of Delivery" + 1 day PNC 2:Due Date = "Date of Delivery" + 7 days PNC 3:Due Date = "Date of Delivery" + 14 days PNC 4:Due Date = "Date of Delivery" + 42 days Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
7	PW Immunization ()	Textbox		Auto – Populate the Count, Formula: Td-1 Due Date = LMP Date + 36 weeks Td-2 Due Date = (Date of Td-1 + 4weeks) + 36 weeks Td Booster = LMP Date + 36 weeks Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
8	Child Immunization ()	Textbox		Auto – Populate the Count, Child Immunization Due () Please refer 3.6.3 Section "Immunization schedule Date logic for Dues" Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
9	CBAC Due Count(Dashboard)	Textbox		Auto – Populate the Count, Formula: CBAC Due Date=Date of Last Screening +365 days Upon clicking, fetch a form displaying Name, Gender, Age, Husband's Name, Contact number, and Ben ID; clicking again navigates to the Beneficiary card. Forms must be Scrollable
	PMSMA ()	Text Box		Auto – Populate the Count, Calendar: Auto Populate the PMSMA date, with the default set to the upcoming due date "9^th" of every Month The woman is in 2nd or 3rd trimester and that the visit is due on the 9th of the month Formula: PMSMA Due Date: Falls between LMP + 13 weeks (start of 2nd trimester) and LMP + 39 weeks (end of 3rd trimester).

High Risk Cases
Here Show due list of beneficiaries based on Today's date:

Show count of High Risk Pregnant Women
Show count of High Risk Babies
Show count of Low Birth Weight Babies

ASHA Incentives

ASHA workers receive various incentives for their work in promoting public health, which includes a combination of fixed monthly incentives and task-based payments for various healthcare activities for specific tasks completed, and the amounts vary based on the activity. These incentives are provided under the National Health Mission (NHM) and other state-specific programs. This incentive payment process may vary from state to state, basically activities are common but incentive amount and master claim form to claim incentives will differ.

About ASHA Incentives:

1. Fixed Monthly Incentives:

ASHAs receive a fixed monthly incentive for routine activities, with some states providing additional incentives.

2. Routine Activities:
ASHAs receive incentives for various routine tasks like preparing and updating lists of pregnant women, eligible couples, and children due for immunization, as well as for maintaining family folders and vital event registers (births and deaths). and eligible for incentives for various activities like antenatal care, institutional deliveries, immunization, family planning, disease control (including TB, Leprosy, and vector-borne diseases), and NCD screening.

3. Community Engagement:
Incentives are also provided for ASHAs who mobilize communities for events like Village Health Sanitation and Nutrition Days, family planning campaigns, and other health-related activities.

ASHA Incentive Claim Process and Tracking

ASHAs are entitled for performance based incentives fixed by the NHM State HQ for prefixed activities only. The performance based incentives required to be given on monthly basis to ASHA.

This incentive master claim form format, number of activities, incentive amount activities are different for every state, so this incentive management system should be configurable to support States specific need and requirements.

Incentive claim form should be calculated on monthly basis, that is claim form should be generated for every month
At any point of time should be able to generate master claim form for selected month
Every activity has time period, for Incentive claim activity end date is important, that is activity visit date is considered to claim incentive in that particular month
Should maintain the status of ASHA Incentive claim (Processed, Pending, Rejected, etc.)
Since some of the activities start and end up after 3 months, 6 months, 9 months and 2 Years, 5 years, so we need to track this activities when it is ended, based on the end date of activity that activity amount can be claimed in that month.
ASHA activities for incentive claim varies from State to State, i.e. State wise >> ASHA wise >> select Month incentive claim should be generated
For selected month, activity wise number of claims and sum of claim amount should be calculated
This incentive activities screen should support Multi-language, based on the specific State requirement
Every Activity should be associated with activity unique code, State, District, Role (ASHA/ ASHA Supervisor/ Block Coordinator, etc.), State activity code, FMR code, activity order serial number as per claim form, activity category (Child Health/ Immunization/ Maternal Health, etc.), activity incentive amount, location (Rural/ Urban) and Type (Community/ Institutional).

To automate the incentive master claim form

In the FLW App, the primary objective is to generate incentive claim form for the activities completed by the ASHA in that particular month. This will help ASHA to reduce her manual work of filling her incentives claim form.

For calculating the incentive of several activities refer to this document BRD for ASHA Incentive Logic, under section of system validation table under the 'validation section' mentioned as "Incentive Logic".

This entire incentive logic should be calculated in the backend business model and on hitting the "Create Incentive" button generate the incentives master claim form in the PDF format and should be available for download.

Some of the sample activities related to incentive are below:

Fixed Monthly Incentives:

S No	Incentive Activity details
1	ASHA Monthly Routine Activities Every ASHA is eligible for an incentive amount Rs. 2000 per month, under S. No. 61 of master claim form.
2	Additional Incentive to ASHA under State Govt. Budget Additional Rs. 1000/- incentive to ASHA under State Govt. Budget Every ASHA is eligible for an incentive amount Rs. 1000 per month, under S. No. 84 of master claim form.
3	ASHA is eligible for an incentive amount Rs. 10 per case, for ABHA No registration of beneficiaries. ASHA is eligible for incentive under the “Other Incentives” section activity, S. No. 82, "Incentive for ABHA ID Creation".
4	Every ASHA is eligible for an incentive amount Rs. 100 per month, towards Mobile bill reimbursement. ASHA is eligible for incentive under the “Other Incentives” section activity, S. No. 83, "Mobile bill reimbursement of ASHA".

Mockup screen of incentive section:

Screen-1:

For selected month and Year, show list of activities eligible for claim, followed by number of claims and sum of claim amount.

Screen-2:

For selected activities, hitting on claim count, navigate to next screen and show list of beneficiaries falling under that activity incentive and

on hitting on the beneficiary record navigate to the visit details screen.

Village/ ASHA Meetings

Purpose:

The Village/ ASHA Meetings module ensures capturing details of various meetings attended by ASHA like attending or participating in village-level meetings or activities. This module includes forms for various activities such as VHND, VHNC, U-WIN sessions and PHC Review Meetings, etc. This validates respective activities required for incentive allocation.

Summary:

This module provides ASHA with a structured way to record their participation in village-level meetings and activities. Each activity is represented as a clickable card. These cards serve as quick access points to respective forms.

Features on Home Screen:

Clickable Cards: VHND, VHNC, and PHC Review Meetings are clickable
Overdue Highlighting: If a form submission is overdue, the respective card will be highlighted for user attention.
Navigation to Forms: Clicking a card will navigate the user to the respective data entry form.
Validation Rules: Ensures mandatory fields are correctly filled before submission to maintain data integrity.

S No	Name of Data Field	Field Type	Validation/ Logic/ Condition
1	VHND	Clickable Card	Navigates to VHND form on click. If overdue, display "Overdue" in red.
2	VHNC	Clickable Card	Navigates to VHNC form on click. If overdue, display "Overdue" in red.
3	PHC Review Meeting	Clickable Card	Navigates to PHC Review Meeting form on click. If overdue, display "Overdue" in red.
4	Adolescent Health Day (AHD)	Clickable Card	Navigates to ADH form on click. If overdue, display "Overdue" in red.
5	National Deworming Day (NDD)	Clickable Card	Navigates to National Deworming Day form on click. If overdue, display "Overdue" in red.
6	U-WIN Sessions	Clickable Card	Navigates to U-WIN Sessions on click
7	MAA Meeting	Clickable Card	Navigates to MAA Meeting on click
8	Saas Bahu Sammelan	Clickable Card	Navigates to Saas Bahu Sammelan Meeting on click

VHND / VHSND

VHND stands for Village Health and Nutrition Day (and its successor, the Chhaya Integrated Village Health and Sanitation and Nutrition Day - CiVHSND), an initiative in India that organizes monthly health events in villages to provide integrated, community-based health services. These events are held at local Anganwadi Centers (AWCs) or Sub-Centres and involve front-line health workers to deliver essential services like immunizations, maternal and child health care, nutrition counseling, and health education to rural communities.

VHNDs are held once a month, usually on Wednesdays or Saturdays, (and for those villages that have been left out, on any other day of the same month) in each ASHA area. On the appointed day, ASHAs, AWWs, and other will mobilize the villagers, especially women and children, to assemble at the nearest AWC/ HWC.

Feature:

This feature enables ASHA workers to log their participation in VHND sessions. The system to ensure all mandatory fields are correctly filled before submission, preventing incomplete entries.

Incentive Logic: ASHA receives an incentive of Rs. 200 per session for successfully mobilizing beneficiaries and attending the Village Health and Nutrition Day (VHND).

Name of the Data Field	Field Type	Value/option	Validation/ Logic/ Condition
VHND Date	Date Picker	MM/YYYY	Mandatory Accept back date up to 2 Months Not greater than Today’s Date Allow Monthly 1 or more sessions
Place	Dropdown	Options: Anganwadi Centre HWC School Community center
No. of Beneficiaries Attended	Numeric	0-999	ASHA will receive an incentive of Rs. 200 per VHND session only if the VHND Date, Place, and Number of Beneficiaries Attended are correctly filled.
Meeting Photos/ MoM Copy	File Upload		Option to upload maximum Five images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button		When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 200 per VHND session for successfully mobilizing beneficiaries and attending the Village Health and Nutrition Day (VHND) as per FMR code 3.1.1.6.1

VHSNC

VHSNC refers to the Village Health, Sanitation, and Nutrition Committee, a key initiative under India's National Rural Health Mission (NRHM). This community-based committee works to improve health awareness, access to health services, and overall well-being by addressing local health needs, facilitating community-based planning and monitoring, and promoting collective action on health-related issues at the village level.

The VHSNC comprising the ASHA, the AWW, the ANM, and the PRI representatives.

Description:

This feature allows ASHA workers to log their participation in VHSNC meetings. The system ensures all mandatory fields are correctly filled before submission, preventing incomplete entries.

Data Field Details & Validation Logic

Name of Data Field	Field Type	Value/Option	Validation/ Logic/ Condition
VHSNC Date	Date Picker	MM/YYYY	Mandatory Accept back date up to 2 Months Not greater than Today’s Date Allow Monthly 1 or more sessions
Place	Dropdown	Options: HWC School Anganwadi Centre Community center
No. of Participants Attended	Numeric	0-999	Mandatory, only numeric allowed
Meeting Photos/ MoM Copy	File Upload		Option to upload maximum Five images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button	-	When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 150 per meeting for Convening and guiding monthly Village Health Sanitation and Nutrition meeting. as per FMR code 3.1.1.6.1

PHC Review Meeting

Purpose:

To ensure ASHA workers accurately log their attendance at PHC review meetings by validating required fields before allowing submission.

Description:

This feature records ASHA workers’ participation in PHC review meetings. The system enforces validation rules to ensure completeness before submission, preventing incomplete entries.

Data Field Details & Validation Logic:

Name of Data Field	Field Type	Value/Option	Validation/ Logic/ Condition
PHC Review Meeting Date	Date Picker	DD/MM/YYYY	Mandatory Accept back date up to 2 Months Not greater than Today’s Date Allow Monthly 1 Meeting
Place	Text Box	HWC
No. of Participants Attended	Numeric	0-999	Mandatory, only numeric allowed
Meeting Photos/ MoM Copy	File Upload		Option to upload maximum Five images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button		When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention.

Adolescent Health Day

Adolescent Health Day (AHD), there isn't a single global day, but rather an Adolescent Health and Wellness Day (AHWD), popularly known as "Yuva Samwad" is a community-based strategy in India, under the National Adolescent Health Program (Rashtriya Kishor Swasthya Karyakram - RKSK), observed at various times, often quarterly, to promote adolescent health through awareness programs, preventive care, and addressing issues like nutrition, mental health, and sexual health. These days are part of a broader effort to improve the health and well-being of adolescents by fostering community involvement and awareness.

Purpose:

To record the date and place where the ASHA has mobilized adolescents and the community for the Adolescent Health Day (AHD).

Overview:

The AHD Mobilization feature enables ASHAs to record whether they have mobilized for an Adolescent Health Day. If mobilized, they can enter the place and date of the event, with an incentive of ₹100 provided.

Name of Data Field	Field Type	Field Type	Validation/ Logic/ Condition
Mobilized for AHD	Radio Button	Option: Yes No	If yes, then enable “Place” and “Date” Fields
AHD Date	Calendar		Mandatory, enable if mobilized for AHD is "Yes" Not greater than Today’s Date Accept back date up to 2 Months Yearly Four AHD sessions, allow quarterly one session in the Calendar Year
AHD Place	Dropdown	Options: School Anganwadi Centre Community center	Mandatory, enable if mobilized for AHD is "Yes"
Upload Image	File Upload		Option to upload Two images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button		When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 100 per ADH per ASHA for mobilizing adolescents to AHD. ASHA is eligible for incentive under the "Adolescent Health" section activity, S. No. 60, "Incentive for mobilizing adolescents and community for AHD"

National Deworming Day

National Deworming Day (NDD) is an annual public health initiative in India observed on February 10th with a follow-up round on August 10th to combat intestinal worm infections (Soil-Transmitted Helminths) in children aged 1 to 19 years.

This Sub-module supports deworming of children at the community level, ensuring the coverage of out-of-school children through ASHA-led mobilization. It tracks deworming status, location of administration (school/home visit), age group eligibility, ensuring proper monitoring of the deworming process.

Add ASHA Incentive for National Deworming Day for mobilizing out of school children Rs.100 per ASHA per round/ session.

Yearly two NDD sessions, half-yearly one round/ session (i.e. February 10th and August 10th)

Name of Data Field	Field Type	Value/ Options	Validation/ Logic/ Condition
Deworming Round Done?	Radio Button	Options: Yes No	Mandatory field. If "Yes" is selected show next fields.
Date of NDD	Calendar Picker		Mandatory if "Deworming Done?" = Yes Not greater than Today’s Date Accept back date up to 2 Months select default Dates: Round-1: February 10th Round-2: August 10th Allow yearly two times (in the Calendar Year) in the month of February and August after 10th
Place of NDD	Dropdown	Options: School Anganwadi Centre Community center Home Visit	Mandatory if "Deworming Done?" = Yes.
Upload Image	File Upload		Option to upload Two images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button		When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 100 per ASHA per session for mobilizing children to NDD. ASHA is eligible for incentive under the “Child Health” section activity, S. No. 8, "Incentive for National Deworming Day for mobilising out of school children"

U-WIN Session

Purpose

To capture the U-WIN sessions for the routine immunization camps.

Data Field Details & Validation Logic

Name of Data Field	Field Type	Value/Option	Validation/ Logic/ Condition
U-WIN session Date	Date Picker	DD/MM/YYYY	Mandatory Accept back date up to 2 Months Not greater than Today’s Date Allow Monthly 1 or more sessions
Place	Dropdown	Options: HWC School Anganwadi Centre Community center
No. of Participants Attended	Numeric	0-999	Mandatory, only numeric allowed
Upload Image	File Upload	Maximum 2 photos	Option to upload Two images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button	-	When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up message: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 150 per meeting for mobilizing and guiding for routine immunization camps as per U-WIN sessions. ASHA is eligible for incentive under the “Immunization” section activity, S. No. 15, "Mobilization of children in every session site".

The Mothers' Absolute Affection Meeting

The Mothers' Absolute Affection (MAA) program is a nationwide, intensified breastfeeding promotion, to revitalize breastfeeding practices through health systems. Its goals include increasing breastfeeding rates by building an enabling environment, providing skilled support to mothers via healthcare workers like ASHAs and trained ANMs, promoting optimal breastfeeding practices from birth, and improving lactation support services in public health facilities.

Community engagement by ASHAs for breastfeeding promotion, who will conduct mothers’ meetings. Breastfeeding mothers requiring more support will be referred to a health facility or the ANM sub-centre or the Village Health and Nutrition Day (VHND) organized every month at the village level;
Celebration of World Breastfeeding Week (WBW) from 1st to 7th August every year across the country to increase engagement and create positive momentum for breastfeeding with diverse stakeholders.

Data Field Details & Validation Logic:

Name of Data Field	Field Type	Value/Option	Validation/ Logic/ Condition
MAA Meeting Date	Date Picker	DD/MM/YYYY	Mandatory Not greater than Today’s Date Accept back date up to 2 Months Yearly Four MAA Meetings, allow quarterly one session in the Calendar Year
Place	Dropdown	Options: HWC Anganwadi Centre Community center
No. of Participants Attended	Numeric	0-999	Mandatory, only numeric allowed
Meeting Photos/ MoM Copy	File Upload	Maximum 2 photos	Option to upload maximum Five images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button		When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 100 per ASHA per quarterly meeting for conducting quarterly MAA meeting. ASHA is eligible for incentive under the “Child Health” section activity, S. No. 7, "Incentive for quarterly mothers' meeting under MAA".

Saas Bahu Sammelan

This is a community-based meeting organized at the village level to bring together Mothers (Bahus) of children under two years of age and their Mothers-in-law (Saas). Saas Bahu Sammelan is aimed to facilitate improved communication between mothers-in-law and daughters-in-law through interactive games and exercises and building on their experiences it can be scaled up so as to bring about changes in their attitudes and beliefs about reproductive and sexual health.

Feature:

The objective is to create a supportive family environment for maternal, newborn, and child health. These sessions promote dialogue on essential practices such as exclusive breastfeeding, complementary feeding, immunization, growth monitoring, hygiene, and care during illness. By engaging both generations, the Sammelan strengthens family support for the child’s healthy upbringing and empowers mothers to adopt positive health behaviors.

Per Sub Centre one Saas Bahu Sammelan to be conducted monthly. For this ASHA will get incentive of Rs.100 per sammelan.

Data Field Details & Validation Logic:

Name of Data Field	Field Type	Value/Option	Validation/ Logic/ Condition
Saas Bahu Sammelan Date	Date Picker	DD/MM/YYYY	Mandatory Not greater than Today’s Date Accept back date up to 2 Months Monthly one Sammelan (Meeting), allow Monthly one Meeting in the Calendar Year
Place	Dropdown	Options: HWC Anganwadi Centre Community center
No. of Participants Attended	Numeric	0-999	Mandatory, only numeric allowed
Sammelan Photos/ MoM Copy	File Upload	Maximum 2 photos	Option to upload maximum Five images Allow only file formats (JPEG, PNG, PDF) Allow maximum file size 5 MB
Submit	Button		When the Submit button is clicked, check if all mandatory fields are filled. If any field is missing, show a pop-up: "Please fill all mandatory fields before submitting." Highlight the unfilled mandatory fields in red for user attention. Incentive logic: Upon Submit, Add ASHA incentive of Rs. 100, for 1 Sammelan every month/ per ASHA conducting monthly one Sammelan. ASHA is eligible for incentive under the “Family Planning” section activity, S. No. 56, "Incentive to mobilize Saas Bahu Sammelan', 1 Sammelan every month/ per ASHA.

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BRD Sakhi Mobile App

Introduction

Document Purpose

About Piramal Swasthya

Background

Background of ASHA Concept

Roles & Responsibilities of ASHA

ASHA is expected to fulfill her role through below 5 major activities in the community

About the ASHA application

Purpose

Scope of Work

Users of the system

In Scope ASHA Functional Modules

FLW App overview of comprehensive modules

Workflow diagram of FLW App

App Functionality

Household and beneficiary Registration Functionality

Lists sections and type of Lists and condition

Process of Generating Beneficiary Ids

Door-to-door Survey

System Validations

New Household Registration

Family Details

House Hold Details

House Hold Amenities

Family member Registration

Beneficiary Registration

Status of Woman

OTP Consent Mechanism

Eligible Couple Module

Eligible couple Registration

Eligible couple Tracking

Maternal Health

Pregnant Women Registration

Ante Natal care

PMSMA

ePMSMA ANC Visits

Abortion list

Micro Birth Plan

Delivery Outcome

Post-Natal Care Visits of Mother

Child Care

Infant Registration

Child Registration

HBNC: Home Based Newborn Care

HBYC: Home Based Care for Young Child

Child Health Interventions

Immunization

Immunization schedule as per above Age groups

Immunization data entry screen

Immunization schedule Date logic

Immunization schedule for Pregnant Woman

Death Reports

Child Death Review

Maternal Death Surveillance and Response

Disease Control

Non-Communicable Diseases

Community Based Assessment Checklist (CBAC) Form

Communicable Diseases

Tuberculosis

TB Screening

Suspected TB cases

ASHA KPI Dashboard

ASHA Dashboard

ASHA Work Plan

ASHA Incentives

Village/ ASHA Meetings

VHND / VHSND

VHSNC

PHC Review Meeting

Adolescent Health Day

National Deworming Day

U-WIN Session

The Mothers' Absolute Affection Meeting

Saas Bahu Sammelan