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����eCHIS NCD Training Material

April 2022

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Contents

    • NCD Screening Visit
    • HC NCD Screening Visit

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Overview

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Overview

Health Post

Client

HEW

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Health Center

Screening

Action Card

Referral

Referral

Counselling

Follow-up

Community

Higher Facility

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Services

Services Administered

  • Screening

Locations

Health Post

Health Center

  • Referral
  • Counselling

Eligible Clients

  • All suspected clients are eligible

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Scenario...

Health Post

  • NCD screening
  • Health Center Action Card

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Scenario...

Health Center

  • NCD Screening for clients referred from HP
  • NCD screening for clients who directly visits to HCs (Client not on the list)

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eCHIS Home Screen

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In order to start screening tapping on Start button takes you to the home screen

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NCD Screening Visit at �HP

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Client Files

Tapping on Client Files menu button will take you to the list of modules screen

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NCD Screening Visit for Cardiovascular Disease

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  • You are conducting the screening visit now
  • Screening is at HP
  • Client identified by HEW,Check the available functional equipments you have on hand
  • Identify for which illness would you like to screen the client
  • Now we are screening for CVD
  • Follow basic screening questions on next slide

Fitsum Tefera Abebe

Male

Age = 40

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Basic Screening Info

You are conducting the screening visit now

Screening is at HP

Client identified by Himself/Herself

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NCD Screening Visit

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Check the available functional Equipments

Choose the illness CVD

Weight : 80 kg

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NCD Screening visit

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Height : 1.7

Waist Circumference:120

Hip Circumference :100

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NCD Screening Visit

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According to the information the client is Overweight

Client smokes 12 Cigarettes per day

Started smoking before 10 years and no desire to quit.

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Risk Assesment

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Not eat adequate fruits and fast foods

Not consume alcoholic beverages regularly , Chew Chat

Serving fruits per day 1 and not exposed to bio-mass fuel air pollution

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Risk Assesment

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Engaged in risk sexual behavior and have family history of CVD

Unknown family History of Diabetes, Asthma, COPD/allergy

No family history of Breast Cancer, Mental illness and Obesity

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Screening Results

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According to the risk assessment the system will suggest the client to be screened for different disease’s

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Screening Results

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Screen the client for Hypertension

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CVD Screening Results

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No Diabetes

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NCD Screening visit Diabetes

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No Diabetes Symptoms

No Diabetes Complications

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NCD Screening visit Diabetes

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NCD Screening visit

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NCD Screening visit

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Provide Counseling

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NCD Screening visit

Finis

Finish the form

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Hypertension

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NCD Screening visit at HP:

  • Name: ErmiasTefera Abebe
  • Gender: Male
  • Age: 56 years old
  • Weight: 70 Kg
  • Height: 1.72
  • BP: 140/80
  • Screening location : Health post
  • Illness to screen: Hypertension
  • Signs and symptoms: at least one
  • Waist circumference : 90
  • Hip Circumference: 93
  • Client has no other symptoms
  • Create referral
  • Taken all recommended actions
  • Counseling messages

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Cont’d

Complete NCD Risk Assessment before NCD Screening

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2

3

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Cont’d

According to the symptoms the system suggests to screen the

client for Hypertension and other diseases

Summary of screening result

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Cont’d

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Referral

Take all the recommended actions

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Cont’d

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Set Appointment location

Follow-up Date and Finish the form

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Eye Disease

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NCD Screening visit at HP:

  • Name: Abel Tefera Abebe
  • Gender: Male
  • Age: 10 years old

  • Go to disease module and select NCD screening visit
  • Client comes to Hp by it self
  • Assume the HEW has BP apparatus, urine dipistick,weight scale and Thermometer
  • Screen the client for Eye Disease
  • Reduction of vision on the left eye
  • Does not use spectacles
  • Has double vision, ocular pain, no tearing, no ocular discharge
  • Gross eye conditions no ocular trauma, blurred vision haziness of vision
  • No photo phobia, no family history of glaucoma/refractive error, No ocular surgery

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Eye Disease

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NCD Screening visit at HP:

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Eye Disease

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NCD Screening visit at HP:

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Follow the scenario on page 39 for Eye Disease screening

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NCD Screening :Eye Disease Cataract Screening

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Cataract Screening

The client has:

  • Clouded or blurred vision
  • double vision
  • sensitivity to light and glare
  • headache due to changes in vision
  • central opacification of the lens

Continue Cataract screening for the client Abel Tefera Abebe,

Input early symptoms of cataract

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Cont’d

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Next to Cataract Screening , screen the client for Trachoma

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Trachoma Screening

The client has:

  • Blurring of vision
  • Fear of light

NCD Screening :Eye Disease Trachoma Screening

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Continue Trachoma screening for the client Abel Tefera Abebe,

Input Early symptoms of Trachoma

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NCD Screening :Eye Disease Refractive Error Screening

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active Error screening

Continue refractive error screening

for the client Abel Tefera Abebe

Input Early symptoms of refractive error

Refractive Error screening

The client has:

  • Blurred vision
  • Headache
  • Double vision
  • Cloudy vision

Explain the Snellen’s chart procedure to the client

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NCD Screening :Eye Disease Glacoma Screening

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active Error screening

Continue Glacoma screening

for the client Abel Tefera Abebe

Input Early symptoms of Galcoma

Glacoma Screening

The client has:

  • No glaucoma symptoms
  • No glaucoma emergency symptoms

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NCD Screening :Eye Disease Eye Injuries and Harmful practices Screening

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active Error screening

Continue Eye injuries and harmful practices screening

for the client Abel Tefera Abebe

Input Early symptoms of Eye injuries and harmful practices

Eye injuries and Harmful practices screening

The client has:

  • No eye injury symptoms

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NCD Screening :Other Eye Disease Screening

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active Error screening

Continue other eye disease screening for the client Abel Tefera Abebe

Input Symptoms of other eye diseases like Leukocoria,

Other Eye Disease Screening

The client has:

  • His eyes are looking in different directions (Squint)

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NCD Screening :Other Eye Disease Screening

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Continue entering Symptoms of other eye diseases like Retinoblastoma,Corneal Scar, Strabisumus(squint),Orbital masses and Ptosis(dropping of eye lid),

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NCD Screening :Eye Disease Screening results

The screening result is red for Eye Disease classification Eye Health, Cataract, Trachoma, Refractive error, Glaucoma and other eye diseases

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NCD Screening :Eye Disease Screening results

Referral

Finish the form

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Breast Cancer

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NCD Screening Visit at Health post :Breast Cancer

  • Name: Sara Bogale Getachew
  • Gender: Female
  • Age: 25 years old

  • Illness to screen: Breast Cancer
  • Signs and symptoms: at least one
  • Positive Clinical Breast Exam (CBE) finding
  • Provided reassurance service
  • Client has no other symptoms
  • Create referral
  • Taken all recommended actions
  • Counseling messages

Applicable for 15+ years old women

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NCD Screening Visit at Health post

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2

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Complete NCD Risk Assessment

before NCD screening

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NCD Screening Visit at Health post

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Signs and symptoms as a job aid

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6

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NCD Screening Visit at Health post

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Summary of Screening Result

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NCD Screening Visit at Health post

Referral

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NCD Screening Visit at Health post

Cervical Cancer

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NCD Screening Visit at Health post: Cervical Cancer

  • Name: Abebech Bogale Getachew
  • Gender: Female
  • Age: 30 years old

  • Illness to screen: Cervical Cancer
  • No history of HIV
  • Client currently has or has history of more vaginal discharge (with bad odor) than normal
  • Client has no history of STD
  • Client has no other symptoms
  • Create referral
  • Taken all recommended actions
  • Counseling messages

Applicable for 15+ years old women

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NCD Screening Visit at Health post: Cervical Cancer

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Complete NCD Risk Assessment

before NCD screening

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3

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NCD Screening Visit at Health post: Cervical Cancer

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Eligibility: age (30 – 49) or HIV positive Signs and symptoms

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NCD Screening Visit at Health post: Cervical Cancer

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Summery of Screening Result

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NCD Screening Visit at Health post: Cervical Cancer

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Referral

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Mental Health Disorders

  • Mental Illness
  • Substance Use Disorder
  • Neurological Disorder
  • Developmental and Behavioral Disorder

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NCD Screening Visit at HP: Mental Illness

  • Name: Haile Bogale Getachew
  • Gender: Male
  • Age: 20 years old

  • Illness to screen: Mental Health Disorder
  • Mental Health Disorder to screen: Mental Illness
  • Client has
  • >= 2 Psychosis symptoms/characters or
  • >= 3 Mania symptoms/characters or
  • >= 3 Depression symptoms/characters or
  • had intended, planned or attempted suicide
  • Client has no other symptoms
  • Create referral
  • Taken all recommended actions
  • Counseling messages

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NCD Screening Visit at HP: Mental Illness

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Complete NCD Risk Assessment

before NCD screening

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NCD Screening Visit at HP: Mental Illness

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symptoms/characters

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NCD Screening Visit at HP: Mental Illness

Summery of Screening Result

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NCD Screening Visit at HP: Mental Illness

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Referral

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  • NCD Screening Visit at HP: Substance Use Disorder

  • Name: Haile Bogale Getachew
  • Gender: Male
  • Age: 20 years old

  • Illness to screen: Mental Health Disorder
  • Mental Health Disorder to screen: Substance Use Disorder
  • Client has one or more Alcohol Use Disorder symptoms/characters
  • Client has no other symptoms
  • Client is motivated to stop alcohol
  • Create referral
  • Taken all recommended actions
  • Counseling messages

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  • NCD Screening Visit at HP: Substance Use Disorder

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2

Complete NCD Risk Assessment

before NCD screening

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  • NCD Screening Visit at HP: Substance Use Disorder

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5

symptoms/characters

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  • NCD Screening Visit at HP: Substance Use Disorder

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Summery of Screening Result

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  • NCD Screening Visit at HP: Substance Use Disorder

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Referral

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  • NCD Screening Visit at HP:

Neurological Disorder

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NCD Screening Visit at HP: Neurological Disorder

  • Name: Haile Bogale Getachew
  • Gender: Male
  • Age: 20 years old

  • Illness to screen: Mental Health Disorder
  • Mental Health Disorder to screen: Neurological Disorder
  • Client had convulsive movementor fits/seizures
  • Client has no other symptoms
  • Create referral
  • Taken all recommended actions
  • Counseling messages

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NCD Screening Visit at HP: Neurological Disorder

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2

Complete NCD Risk Assessment

before NCD screening

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NCD Screening Visit at HP: Neurological Disorder

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5

symptoms/characters

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NCD Screening Visit at HP: Neurological Disorder

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Summery of Screening Result

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NCD Screening Visit at HP: Neurological Disorder

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Referral

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NCD Screening Visit at HP:

Developmental and Behavioral Disorder

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  • Name: Haile Bogale Getachew
  • Gender: Male
  • Age: 20 years old

  • Illness to screen: Mental Health Disorder
  • Mental Health Disorder to screen: Developmental and Behavioral Disorder
  • Client has
  • → Intellectual disability(ID) symptoms/characters or
  • → >= 1 Autism and related disorders(AD) symptoms/characters or
  • → ADHD symptoms/characters or
  • → Conduct Disorders(CD) symptoms/characters
  • Client has no other symptoms
  • Create referral
  • Taken all recommended actions
  • Counseling messages

NCD Screening Visit at HP: Developmental and Behavioral Disorder

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NCD Screening Visit at HP: Developmental and Behavioral Disorder

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Complete NCD Risk Assessment

before NCD screening

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NCD Screening Visit at HP: Developmental and Behavioral Disorder

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5

symptoms/characters

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NCD Screening Visit at HP: Developmental and Behavioral Disorder

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Summery of Screening Result

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NCD Screening Visit at HP: Developmental and Behavioral Disorder

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Referral

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NCD Screening at HC

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NCD Screening at HC: Breast Cancer

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Client referred from Health Post

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NCD Screening at HC: Breast Cancer

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NTD NCD Screening Visit Summary of HP screening

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NCD Screening at HC: Breast Cancer

  • Name: Sara Bogale Getachew
  • Gender: Female
  • Age: 25 years old

  • Full MRN Number: 00001/14
  • Date of health center screening: today
  • Categories of symptoms Based on HC screening: Any of the NCD diseases
  • Illness is urgent
  • Client not referred to hospital
  • Someone need to follow up client again for this illness
  • Next follow up appointment: Health Post
  • Select next follow up date
  • Select Health Worker completed NCD visit

NTD NCD Visit Form

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NCD Screening and Follow-up for CVD

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  • Open HC App and Sync the app
  • Open Disease Referrals module
  • The client should be listed there
  • Select the client and tap the NTD NCD screening visit Module
  • Most recent visit date and HEW screening classification should be shown as a Summary
  • Follow the form and enter MRN No, date of HC screening
  • Outcome of NCD Screening: Cardiovascular Disease

Fitsum Tefera Abebe

Male

Age = 40

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... Cont’d

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          • Refer to hospital : No
          • Next Appointment Location: Health Post
          • Confirm next follow up date
  • Sync the app
  • Go to HC referral app
  • Tap on Disease referrals
  • Select the client Fisum Tefera Abebe from the list

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HC NCD Screening Visit ...

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Referred Clients List

Details of screening visit at HP

NCD Screening Visit at HC

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Outcome of Diagnosis

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Date of Health center screening

Screening result

Summary information from HP

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Cont…

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Someone needs to follow-up the client

Next appointment Health post

Select responsible focal person

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Sync both apps

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  • Sync eCHIS HC App
  • Go to HEW Application and Sync HEW App

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Health Center Action Card at HP

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  • Go to HEW App and Sync the app
  • Go to 'Health Center Action Cards‘
  • Select the action card sent from HC
  • View summary of the action card sent from HC

(Client info, action card info, illness info)

  • Check 'Confirmed‘
  • Finish the form
  • Go to Disease module
  • Select the client

Fitsum Tefera Abebe

Male

Age = 40

Action Card from HC

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Approve Action Card

Select Client

From the list

Tap on the

Approve NCD Action Card Menu

Confirm the

Action Card

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NCD Follow-up at HP

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  • HEW will conduct follow-up and counseling for the client

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  1. Do Health post screening visits for Rehumatic Heart Disease,

Diabetes Mellitus and Asthma and COPD.

2. Do the referral for Diabetes Mellitus

3. Do a follow-up appointment for the referred client

Exercise

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Questions?

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Thank you!