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Mother Child Tracking System (MCTS) Karnataka, India Thursday, July 5, 12

Mother’Child’Tracking’System (MCTS) - …...2014/02/12  · Primary'Health'Center sub$center Household MO ANM ASHA Women&&&Children 2 3 4 1 Auxiliary’Nurse’Midwives!(sub&centers)

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Mother  Child  Tracking  System(MCTS)

Karnataka,  India

Thursday, July 5, 12

Thursday, July 5, 12

Primary'Health'Center

sub$center

Household

MO

ANM

ASHA

Women&&&Children

2

3

4

1

Auxiliary  Nurse  Midwives  (sub-­‐centers)Professional  Staff  with  6  months+  training

ASHAVoluntary  Community  Health  Care  Workers

Medical  Officer  Primary  Health  Care  Center  (PHC)

NaAonal  Rural  Health  Mission  (NRHM)

Eligible  CouplesAll  women  of  reproducDve  age  registered  as  an

Eligible  Couple

Thursday, July 5, 12

#ili~ (~~~~~)~)'~O.~i~ ~ ~o:D ~~ ~ro;)~~d~ ~~f""\l 2( (.:l~ n~F~~CM Net!t.3e~) '-- ----'

~~~~ ~~~rn ~M~7l~~~om~~~ ;;:l~11~~ ~~~~ ~~~~

20~~958

I M~o~ nz;lF"r-$(50~ ~~cm~./ o:m~)

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Thayi  CardThursday, July 5, 12

#ili~ (~~~~~)~)'~O.~i~ ~ ~o:D ~~ ~ro;)~~d~ ~~f""\l 2( (.:l~ n~F~~CM Net!t.3e~) '-- ----'

~~~~ ~~~rn ~M~7l~~~om~~~ ;;:l~11~~ ~~~~ ~~~~

20~~958

I M~o~ nz;lF"r-$(50~ ~~cm~./ o:m~)

<iifil~D "'I~D

ANC :!lorov:'---------'rn~<5F"t:5o~~n~ :!lorov

;IjO)o:m~v wo::::on~.) ,.

t:).~.~~. O<J~F":!lorov:'I-------,1 cm;;~N "'I~}:3~ :!lorov:1;::::::::~o:::l.)&.~cmm:!lru: o::::cm~1'-_--'ti.r.lo~r-$ :!lorov: .noc!~ m:!lru: .wOO'Ol:!l: .

~eh~ ~~ 1 ~eh~ ~onc! 1 "'I~O 1~=~w~v~v:!l : ~~to~ 1 1 ~td~ 1 1 o:mt;lvW.:l51:=====:

~~ht~ 1 1 ~t:5w 1 1 "'I~O LI _-----'

wtir.lln: nV&.r-$D ~o~ O::::vO::::;!jO)cmD 0<JW.:lF"5ruD "'I~O Do:::l.)row~m:!lru: m~ D noro D

~~COIn ~r()wc::l~5: 1 1 1 1 1 ~O ~~~ ~eOt:5r-$ :!lorov·..· · · · · ·..·..· ·..· .

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Me:3~ ~~~ ~N.>O~: LI __ 1__ 1_---'1~cmcm d~d roo~: D Neet:3 a5efi ~N.>O~: IL __ I __ I _--'

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Thayi  Card

Thayi  CardNumber

Thursday, July 5, 12

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Thayi  CardThursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

 THO/  PHC

Manual  Data  Entry  from  Thayi  Card  Mother/Pregnancy  Registra5onDelivery  /  Child  Registra5on

ANM

   MCTS  

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

 THO/  PHC

Manual  Data  Entry  from  Thayi  Card  Mother/Pregnancy  Registra5onDelivery  /  Child  Registra5on

Annex  1  &  2  from  Thayi  cardcollected  1-­‐2  /  week

ANM

   MCTS  

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

 THO/  PHC

Manual  Data  Entry  from  Thayi  Card  Mother/Pregnancy  Registra5onDelivery  /  Child  Registra5on

Annex  1  &  2  from  Thayi  cardcollected  1-­‐2  /  week

ANM

   MCTS  WEB

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

 THO/  PHC    MCTS  WEB

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

 THO/  PHC

Manual  Data  Entry  from  Thayi  Card  Mother/Pregnancy  Registra5onDelivery  /  Child  Registra5on

Annex  1  &  2  from  Thayi  cardcollected  1-­‐2  /  week

ANM

   MCTS  WEB

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

 THO/  PHC

Manual  Data  Entry  from  Thayi  Card  Mother/Pregnancy  Registra5onDelivery  /  Child  Registra5on

Annex  1  &  2  from  Thayi  cardcollected  1-­‐2  /  week

ANM

   MCTS  WEB

SMS  ReportsANC  Visits,  Delivery,  Child  Immuniza5on,

S5ll  Births

SMS

ANM

Thursday, July 5, 12

Pregnancy  RegistraAon  /  ANC1

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

 THO/  PHC

Manual  Data  Entry  from  Thayi  Card  Mother/Pregnancy  Registra5onDelivery  /  Child  Registra5on

Annex  1  &  2  from  Thayi  cardcollected  1-­‐2  /  week

ANM

   MCTS  WEB

SMS  ReportsANC  Visits,  Delivery,  Child  Immuniza5on,

S5ll  Births

SMS

ANM

SMS

SMS  Reminders  /Monthly  AcAon  PlanANC  Visits,  Delivery,  Child  Immuniza5on,

S5ll  Births

WorkPlan

Generated  Reports

ANM

Thursday, July 5, 12

4252 789456123 OPV1 101210ANM  ID THAYI  CARD  # SERVICE  CODE DATE

Thursday, July 5, 12

Delivery/Child  RegistraAon

DistricVZ;'l~: Talukl...,~tl Year/c::i~F Mother Card Nol 2055958...,~ ~t!"F ~o~,;·

Primary Health Centrel .1 Sub Center/W~5eog 1 Village/a5~~qic:J:l5 eMe~ 5eog

Namel Ii~F~ Ne® ~reF 05;!jct: Husband Name I lio~c:j 05~ro• :::!:;

--Address lli~FIT! ~e® ~fClF ,:)Qt);!j: Date of Birth of pregnant womenl Age Ic::i®~

Ii2:FIT! Ne® iIDWd t:Jc::E05/• :£ c....

JSY Beneficiary Caste: I~w;::;<c:3elcpt,<)ot~c:loi:e I Yes I ~ SC 1 1

ST 11 Others 1ze<)o

Phone No of Whom loSJ'<;oMOWil~ fJO~6 Phone No I ~o;;m~ ;!jO~6 Linked facility for delivery10~j;:loe;OQ50!c:3affiJ"a~~o/~~a ~~F~ ~oofjo;i).) oilu~ eMeTh ;!jo~oj.)e2

alM c:iT:lt31.iMr.;! ex: ~ oj.)m;;ufj .v ...

1 sc IlpHCI ICHCII TH 11 OH 1 IpVTIName of ANM /wwi1woo;jo il5fJo:: PhoneNoofANM;)wi1cJOO:::lCi11'iio:::lO~ ::;o.ti"Name of Facility/ ~~ ffiMoi""i:Tle;~~;j ::l~

Name of ASHAj::1m5<~Fo:!F~ il5::;dJ PhoneNoofASHAlt:~~~F53Fx')MO;;r::r.::;o~; LMP Date / ar.~~ ~~~ O;:E05c

----------~-------------------------------------------------~------------------------------------

District/ee; Talukl...,~tl Mother Card Nol 205595~M ...,~ ~t!"r ~o~1i

Primary Health Centrel Sub Center/ero~5fo~ Village/a5~~qic:J:l5 eMe~ 5wg

City/Mohalla/c:!~re ~a5I!_:], Year/c::i~F OUTCOME NOS [QJmwDJW[]J0= Still Birth

DATE OF DELlVERY/ffiM()jj;)d t:JMlO5 DELIVERY TYPE()jj;)c::i5~';0.i:l ffiMo:mM 1 Normal 1 1 CS 11 Instrumental/ Forcees 1

XPLACE OF DELIVERY / il5M~d ~Q DATEOF DISCHARGE SEX (Male/Female)/ mro;);J ~oK~~1£!3'F ::10ClNolO5I Home I I Public I I Private I llio~ 1 1 05~ 1

Date of JSY Payment / COMPLICATIONS1 Yes 1 []£J WEIGHT AT BIRTH (kg)

23w;:fc::1~o:-.c:i';,I.,OONolOo M~M ffiMo.te (~N,I.,otln c;l)roc:l~M5)

BREAST FEEDING WITHIN I HOUR I Yes I [EQJ Blood Group/O~d roo~ffiMoiJ<)d I ~,I.,c:ir.JQ71 ~~o:t wi:lalclrn~;:;i~Mo.te

BCG/~AI~ (t:JMlO5) OPV O/L,;.;c:l-O(t:J~05) HEP-BI-a3C:::~elW;::;<-~1 (t:JMlC5)

Abortion Type / T1QF~3d 5e'; I MTP<12I I MTP>12I I Spontaneous I

Thursday, July 5, 12

Home  delivery  Rs.  500  (~  $10  USD)

For  InsAtuAonal  Delivery  (Rural  Areas)  

Rs.  600-­‐700  ($12  USD)

Registered  private  hospital  for  caesarean-­‐secAon  

Rs.  1500  ($26  USD)

Mothers  and  ASHA’s  IncenAvised---------------------------------~----------------------------------------------------------------------~--------

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Thursday, July 5, 12

Madilu  Kits  Given  to  BPL  Mothers  at  BirthThursday, July 5, 12

Thursday, July 5, 12

Current  DrishA  System

   MCTS  CommCare

ANM

DrishA  (MoTECH)

Thayi  FormsSchedules  /  Work  Plans

DrishA  Android

PaDent  Data

ASHA Women&&&Children

SMS  Reminders

Thayi  Forms(XML)

Thayi  Form  Data(SMS)

IVR  Reminders

Thursday, July 5, 12

Mother/Child  Client  Registry

Thursday, July 5, 12

Maternal Child

Immunization

Growth Monitoring

BirthFamily Planning

Expected Date of Delivery

Client  Registries

ANC Services

Pregnancy Status Vital Events

Last SeenLast Seen

Thursday, July 5, 12