����eCHIS TB Training Material
Dec, 2022
Qabiyyee
2
Overview
Health Post
Health Center
Higher Facility
Community
HEW
User
3
Screening
Action Card
Referral
Referral
Prevention Activities
Counselling
Follow-up
Services
Services Administered
Locations
Eligible Clients
Health Post
Health Center
4
HP App
Disease Module
TB Screening
Latent TB Infection Follow-up
Management of IP Interrupters
DS TB Intensive Phase Follow-up
DS TB Continuation Phase Follow-up
HC App
Disease Referrals
Initial Diagnosis Result
Sputum/Clinical Examination
Referral
Action Card
Services
TB Screening (Client not on the list)
HC TB Treatment Status
HC TB Interrupter Outcome
Scenario...
Health Post
6
Scenario...
Health Center
7
Screening & Follow Up of Pulmonary TB Patients
8
eCHIS Home Screen
9
Tapping on Start button takes you to the home screen
TB Screening Visit at HP
10
Client Files
Tapping on Client Files menu button will take you to the list of modules screen
Disease Module
11
Disease
Tapping on Disease menu button will take you to the list of households screen
Disease Module
12
Select the household where the client exists. It will take you to the list of clients in that household
Disease Module
13
Select the Client for TB Screening
Disease Module
14
Select the Client for TB Screening
Disease Module
15
TB Screening Visit
Tapping on TB Screening Visit menu button will take you to a form to fill in screening details of the client
TB Screening Visit
16
Addis Yidenek Behailu
Male
Age = 32
Basic Screening Info
You are conducting the screening visit now
Screening is at HP
Client identified by HEW
17
Adult Vital Signs
18
This is not a contact
Screening of a TB case
The client has cough, Stained sputum, Chest pain
Client has a presumed
TB status
Child (< 1 Year) Vital Signs
19
This is not a contact
Screening of a TB case
The client has cough, Stained sputum, Chest pain
Client has fever and has presumed
TB status
Referral
20
Referral reason
Create referral
Finish the form
Summary Info
21
Illness type displayed on clients list
Summarized info displayed on client detail
Practice
Follow the same steps and do screening for the following clients.
Note: You need to register the members first.
22
Practice...
23
Abdissa Behailu Memher, Male, Age = 38
Practice...
24
Helen Behailu Memher , Female, Age = 27
Practice...
25
Alem Behailu Memher, Female, Age = 30
Practice...
26
Selam Ydenek Behailu, Female, = 15
Practice...
27
Yared Ydenek Behailu, Male, = 18
Sync both apps
28
Pulmonary TB-Bacteriologically
29
Abdissa Behailu
Male
Age = 32
... Cont’d
30
Outcome of Diagnosis
31
Lab Result
Pulmonary/
Extrapulmonary
Drug Susceptibility
...Cont
32
Bacteriologically confirmed Pulmonary TB
...Cont
33
Cont…
34
Medication based on
weight and age
Someone needs to
Follow up the client
Select Health Post
Sync both apps
35
Action Card from HC
36
Abdissa Behailu
Male
Age = 32
Approve Action Card
37
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Start the Intensive Phase
38
Abdissa Behailu
Male
Age = 32
Cont…
39
Abdissa Behailu
Male
Age = 32
Intensive Phase Follow up
40
Go to Disease Module->
Select Client ->
DS TB IP Follow Up
Confirm the start
Date of the IP
Previous screening info
Summary Information
41
HC Screening Info
Summary Information
Confirm the
Action Card
Provide/Record Missed Dose
42
Medications
43
Record Multiple Missed Doses
44
Next Follow Up
45
Provide Multiple Doses
46
Repeat the process and provide medications for Four(4) days
(You can select future dates)
IP - End of Second Month
47
Notification screen will appear to inform the HEW about the completion of the Intensive Phase and refer the client to the HC for Sputum Test.
Create referral : Yes
Sync both apps
48
Referral to HC
49
Abdissa Behailu
Male
Age = 32
Disease Referral
50
Sputum Exam Result will be displayed for Bacteriologically Confirmed TB type cases
Sputum Exam Result
51
Cont...
52
cont’d
If the client’s Sputum Examination is Smear +ve at the end of the intensive phase, the health professionals at the HC will decide whether the client should continue the Intensive Phase or refer them to health facilities for further treatment
Cont...
54
Action Card from HC
55
Abdissa Behailu
Male
Age = 32
Cont...
56
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Start the Continuation Phase
57
Abdissa Behailu
Male
Age = 32
Cont…
58
Go to Disease Module-> Select Client
-> DS TB CP Follow Up
Start Date of CP
Summary Information
59
HC Screening Info
Summary information
Someone needs to
Follow up the client
Medication
60
Provide Multiple Doses
61
Provide medications for six days
and Confirm
CP - End of Sixth Month
62
Notification screen will appear to inform the HEW about the completion of the Continuation Phase and refer the client to the HC for Sputum Test.
Create referral : Yes
Sync both apps
63
Referral to HC
64
Abdissa Behailu
Male
Age = 32
Disease Referral
65
Final Sputum Exam Result will be displayed for Bacteriologically Confirmed TB type cases
Final Month Sputum Exam
66
Cont…
67
Action Card from HC
68
Abdissa Behailu
Male
Age = 32
Cont…
69
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Clinically Confirmed Pulmonary Cases
70
Pulmonary TB-Clinically
71
Alem Behailu
Female
Age = 30
Cont…
72
Outcome of Diagnosis
73
Lab Result
Pulmonary/
Extrapulmonary
Drug Susceptibility
Cont...
74
Medication Screen
75
Medication based on
weight and age
Someone needs to
Follow up the client
Select Health Post
Sync both apps
76
Action Card from HC
77
Alem Behailu
Female
Age = 30
Cont…
78
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Start the Intensive Phase
79
Alem Behailu
Female
Age = 30
Cont…
80
Alem Behailu
Female
Age = 30
Cont…
81
Go to Disease Module->
Select Client ->
DS TB IP Follow Up
Previous CP Screening
Summary Information
Summary Information
82
HC Screening Info
Summary Information
Someone needs to
Follow up the client
Provide Multiple Dose
83
Cont…
84
Repeat the process and provide medications for 60 days(maximum 1 week at a time ) until all medication taken by the client
(You can select future dates)
Medication Screen
85
HC Screening Info
Confirm through Direct Observed Treatment
IP - End of Treatment
86
Notification screen will appear to inform the HEW about the completion of the Intensive Phase and refer the client to the HC for further investigation.
Create referral : Yes
Sync both apps
87
Referral to HC
88
Alem Behailu
Female
Age = 30
TB Clinical Visits
89
Cont...
90
Sync both apps
91
Action Card from HC
92
Alem Behailu
Female
Age = 30
Cont…
93
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Start Continuation Phase
94
Abdissa Behailu
Male
Age = 32
Cont…
95
Go to Disease Module->
Select Client ->
DS TB CP Follow Up
Previous CP Screening
Summary Information
Provide Multiple Doses
96
Cont…
97
Repeat the process and provide medications for 120 days(maximum 1 week at a time ) until all medication taken by the client
(You can select future dates)
CP - End of Fifth Month
98
Notification screen will appear to inform the HEW about the completion of the continuation Phase and refer the client to the HC for further investigation.
Create referral : Yes
Sync both apps
99
Referral to HC
100
Alem Behailu
Female
Age = 30
TB Clinical Visit
101
Sync both apps
102
Action Card from HC
103
Alem Behailu
Female
Age = 30
Continue Continuation Phase
104
Alem Behailu
Male
Age = 30
Cont…
105
Go to Disease Module->
Select Client ->
DS TB CP Follow Up
Previous CP Screening
Summary Information
Provide Multiple Dose
106
Cont…
107
Repeat the process and provide medications for 30 days(maximum 1 week at a time ) until all medication taken by the client
(You can select future dates)
CP - End of Sixth Month
108
Notification screen will appear to inform the HEW about the completion of the Intensive Phase and refer the client to the HC for further investigation.
Create referral : Yes
Sync both apps
109
Disease Referral
110
Final Sputum Exam Result will be displayed for Clinically Confirmed TB type cases
Final Month Sputum Exam
111
Cont…
112
Action Card from HC
113
Alem Behailu
Female
Age = 30
Cont…
114
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Latent TB Cases
115
Latent TB Infection
116
Selam Ydenek
Female
Age = 15
Cont…
117
TB Initial Diagnosis Result
118
Current illness information from HP
Screening date at HC
Outcome of Diagnosis
119
Lab Result
Weight
Latent TB Infection treatment
Cont…
120
Approve Action Card
121
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Latent TB Follow Up
122
Medication Screen
123
Summary Information
Medication based on
weight and age
provide medication maximum for 1 week until all medication is taken
Drug Resistant TB Cases
124
Drug Resistant TB
125
Yared Ydenek
Female
Age = 18
Cont…
126
TB Initial Diagnosis Result
127
Current illness information from HP
Screening date at HC
Outcome of Diagnosis
128
Lab Result
Pulmonary/
Extrapulmonary
Drug Resistant
Cont…
129
Sync both apps
130
Approve Action Card
131
Select Client
From the list
Tap on the
Approve TB Action Card Menu
Confirm the
Action Card
Extra Pulmonary Cases
132
Extra Pulmonary TB
133
TB Screening made at HP
Yonas Befikadu Tilaye
Male
Age = 27
…Cont’d
134
HC App
The remaining follow up procedures for Intensive and Continuation Phases are similar with Pulmonary Cases
Outcome of Diagnosis
135
Diagnosis Result
DS/DR Type
Extra pulmonary TB
Outcome of Diagnosis
136
Referral to Hospital
Client needs follow up
& treatment
Next Visit Location =
Health Center
Sync both apps
137
HEW App
138
Treatment Status
139
TB Treatment and Follow up was set to take place at the HC
Yonas Befikadu Tilaye
Male
Age = 27
…Cont
140
Record treatment status for a client who was diagnosed with Extra Pulmonary TB and
Treatment location was at HC
…Cont
141
The TB Treatment Status form can be used to :
HP Continuation Phase Interrupters
142
Treatment of Interrupters
143
Nathan Behailu
Male
Age = 46
cont...
144
Select the Missed doses
Option
Duration of interruption = 21 days
Select Multiple Dose
cont...
145
Interruption Reason
Create Referral = “Yes”
Notification
HC TB Interrupter Outcome
146
HC TB Interrupter Visit
Nathan Behailu
Male
Age = 46
…Cont
147
Record the following details:
cont...
148
Sputum Result
Next Follow up Location: HP
HC’s Decision
Treatment Follow Up at HC
149
Screen the client at HP
150
Bethlehem Hailu
Female
Age = 19
Receive the referred client at HC
151
Bethlehem Hailu
Female
Age = 19
Cont…
152
HC Outcome of Diagnosis
153
Diagnosis Result
DS/DR Type
Extra pulmonary TB
HC Outcome of Diagnosis
154
DOT Supporter
Refer to Hospital : No
Intensive Phase Follow
Location
Thank You
155