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����eCHIS NTD Training Material

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Contents

    • NTD Screening Visit
    • HC NTD Screening Visit
    • NTD Mass Drug Administration
    • MDA Adverse Effect Follow-Up

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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

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Locations

Health Post

Health Center

  • Referral
  • Counselling

Eligible Clients

  • All suspected clients are eligible

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HP App

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Disease Module

HC App

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Disease Referrals

NTD Screening

NTD Screening (Client not on the list)

Referral

Action Card

Services

NTD Screening

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Mass Drug Administration

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MDA Adverse Effect Follow-up

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MDA Adverse Effect Follow-up

Counseling

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Scenario...

Health Post

  • NTD screening
  • Health Center Action Card
  • NTD Mass Drug Administration
  • MDA Adverse Effect Follow-up

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Scenario...

Health Center

  • NTD Screening for clients referred from HP
  • NTD screening for clients who directly visits to HCs (Client not on the list)
  • MDA Adverse Effect Follow-up

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eCHIS Home Screen

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Tapping on Start button takes you to the home screen

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NTD 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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NTD 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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Disease Module

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Disease

Tapping on Disease menu button will take you to the list of households screen

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Disease Module

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Select the household where the client exists. It will take you to the list of clients in that household

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Disease Module

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Select the Client for NTD Screening

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Disease Module

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NTD Screening Visit

Tapping on NTD Screening Visit menu button will take you to a form to fill in screening details of the client

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NTD Screening

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NTD Screening Visit

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  • You are conducting the screening visit now
  • Screening is at HP
  • Client identified by HAD
  • The client has swelling of one or both breasts, swelling of one or both hands/arms, forefoot edema with lymph ooze , splaying of the forefoot with liquids coming out and itching in the legs.
  • Create referral and provide counseling for the client.

Fikir Hailu Reda

Female

Age = 25

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Basic Screening Info

You are conducting the screening visit now

Screening is at HP

Client identified by HEW

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NTD Disease Symptoms

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The client has

Swelling of one or both breasts

The client has

swelling of one or both hands/arms

The client has a forefoot edema with lymph ooze

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NTD Disease Symptoms

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The client has

Splaying of the forefoot with liquids coming out

The client has

Burning sensation in the skin

Client has a Lymphatic Filariasis and Posoconiosis

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Referral

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Referral reason

Create referral

Finish the form

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Summary Info

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Illness type displayed on the clients list

Summarized info displayed on client detail

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Practice

Follow the same steps and do screening for the following clients.

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Note: You need to register the members first.

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Practice...

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  • You are conducting the screening visit Yes
  • Screening is at HP
  • Client identified by HDA
  • The client has extreme itching, skin rashes, bumps under the skin, at least one eyelash rubs on the eyeball and evidence of recent removal of in turned eyelash or epilation.
  • NTD disease classification Onchocerchiasis and TT
        • Create referral: Yes

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Tadesse Ayalew Melaku, Male, Age = 40

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Practice...

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Hawi Bira Wendimu , Female, Age =30

  • You are conducting the screening visit Yes
  • Screening is at HP
  • Client identified by HEW
  • The client has Itching of the skin usually at night, skin Rash, fever and swelling and pain on the legs, and worms coming out of skin
  • NTD disease classification Scabies and Guinea worm
  • Create referral: Yes

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Practice...

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Tiru Tesfa Abebe, Female, Age = 6

  • You are conducting the screening visit now
  • Screening is at HP
  • Client identified by HDA
  • The client has watery stools(diarrhea) with or without abdominal pain, blood or mucous in the stools with or without abdominal pain,, worm coming out of mouth, nose or anus or present in stools, rectal prolabse, and nail clubbing symptoms.
  • NTD disease classification SCH and STH
  • Create referral: Yes

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Practice...

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Ali Hashim Murad, Male = 35

  • You are conducting the screening visit now
  • Screening is at HP
  • The client has Lymphadenopathy (swollen or enlarged lymph nodes), development of cutaneous papules that evolve in to nodules, break down to form ulcer, heal with scaring and extensive midfacial destruction specially in the ears, nose and mouse areas.
  • NTD disease classification Visceral Leishmaniasis, Cutaneous Leishmaniasis, and Mucocutaneous Leishmaniasis
  • Create referral Yes

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Sync both apps

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

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NTD Screening and Follow-up

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HC NTD Screening Visit

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Case Description

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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 NTD Screening: Lymphatic Filariasis and Podoconiosis

Fikir Hailu Reda

Female

Age = 25

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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

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HC NTD Screening Visit ...

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Referred Clients List

Details of screening visit at HP

NTD 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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Action Card from HC

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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

Fikir Hailu Reda

Female

Age = 25

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Approve Action Card

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Select Client

From the list

Tap on the

Approve NTD Action Card Menu

Confirm the

Action Card

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NTD Follow-up at HP

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

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Practice

Follow steps and do NTD Screening at HC for the following clients.

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Note: You need to register the members first, do NTD screening and refer the client to HC.

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Case Description

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  • Open HC App and Sync the app
  • Open Disease referrals
  • 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 NTD screening: Soil transmitted helminthiasis
          • Refer to hospital : No
          • Next Appointment Location: Health Post
          • Confirm next follow up date
  • Sync the app

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Hailu Melaku

Shambel

Male

Age = 75

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NTD Mass Drug Administration at HP

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NTD Mass Drug Administration

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Disease Household Service

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

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NTD Mass Drug Administration

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  • Open Disease Household Services at HEW app
  • Open HEW App and Sync the app
  • The head of the household should be listed there
  • Select the household and click the NTD Mass Drug Administration visit module
  • You are conducting the MDA visit now
  • NTD diseases planning to conduct MDA: Trachoma, Onchocerciasis, Soil Transmitted Helminthiasis (STH), Schistomiasis (SCH), Lymphatic Filariasis (LF)

Fikir Hailu Reda

Female

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NTD Screening Visit

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  • Height: 160 cm
  • Has the client been very sick recently? No
  • Is the Woman pregnant now? Yes
  • Provide recommended medication for the client

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Basic Info

You are conducting the MDA visit now

NTD diseases planning to conduct the MDA

Onchocerciasis administered : 1 time per year

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Client’s General Status

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Client has been very sick recently: No

Height of the client: 160 cm

Is the woman pregnant: Yes

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Medications

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TT Medication recommended for the client

SCH Medication recommended for the client

STH Medication recommended for the client

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Cont…

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Onchocerciasis Medication is not recommended for pregnant woman

LF Medication is not recommended for pregnant woman

Any challenges during the MDA: NO

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Practice

Follow the same steps and do NTD MDA for the following clients.

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Note: You need to register the members first.

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Case Description

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  • Open Disease Household Services at HEW app
  • Open HEW App and Sync the app
  • The head of the household should be listed there
  • Select the household and click the NTD Mass Drug Administration visit module
  • You are conducting the MDA visit now
  • NTD diseases planning to conduct MDA: Trachoma, Onchocerciasis, Soil Transmitted Helminthiasis (STH), Schistomiasis (SCH), Lymphatic Filariasis (LF)
  • Height: 96 cm
  • Has the client been very sick recently? No

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Kidus Melaku

Shambel

Male

Age = 4

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Case Description

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  • Open Disease Household Services at HEW app
  • Open HEW App and Sync the app
  • The head of the household should be listed there
  • Select the household and click the NTD Mass Drug Administration visit module
  • You are conducting the MDA visit now
  • NTD diseases planning to conduct MDA: Trachoma, Onchocerciasis, Soil Transmitted Helminthiasis (STH), Schistomiasis (SCH), Lymphatic Filariasis (LF)
  • Height: 120 cm
  • Has the client been very sick recently? No
  • Is the Woman pregnant now? No

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Hiwot Melaku

Shambel

Female

Age = 14

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Case Description

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  • Open Disease Household Services at HEW app
  • Open HEW App and Sync the app
  • The head of the household should be listed there
  • Select the household and click the NTD Mass Drug Administration visit module
  • You are conducting the MDA visit now
  • NTD diseases planning to conduct MDA: Trachoma, Onchocerciasis, Soil Transmitted Helminthiasis (STH), Schistomiasis (SCH), Lymphatic Filariasis (LF)
  • Height: 154 cm
  • Has the client been very sick recently? No
  • Is the Woman pregnant now? No

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Selam Melaku

Shambel

Female

Age = 24

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MDA Adverse Effect Follow-up at HP

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Case Description

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  • Open HEW App and Sync the app
  • Open Disease module
  • The client should be listed inside the household
  • Select the client and tap MDA Adverse Reaction module
  • Received medications and List of NTD diseases should be shown as a Summary
  • Are you conducting the visit: Yes
  • Where is the MDA adverse effect being conducted: HP

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Note: Client must receive NTD Mass Drug Administration treatment in order to conduct the follow-up visit.

Fikir Hailu

Reda

Female

Age = 25

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Case Description

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  • Client has symptoms of: headache, nausea, vomiting, and Diarrhea
  • Adverse reaction (ADR) of the medication: Serious
  • Create referral for the client: Yes

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Outcome of Adverse Effect

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Administered NTD diseases during MDA

Are you conducting MDA now: Yes

Summary information from NTD MDA

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...Cont

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Symptoms presented: Headache

Symptoms presented: Nausea

Symptoms presented: Vomiting

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...Cont

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Adverse reaction: Serious

Summary of Symptoms

Create referral Yes

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Sync both apps

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

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HC MDA Adverse Effect Follow-up

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HC MDA Adverse Effect Follow-up

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HC NTD Screening Visit ...

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Referred Clients List

Details of screening visit at HP

MDA Adverse Effect Visit at HC

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Outcome of Diagnosis

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Symptoms shown after received the treatment

Summary information from HP

Medications Received

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Cont…

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Screening date at HC

Decision made: Client needs further diagnosis at HC/Hospital

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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Action Card from HC

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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

Fikir Hailu

Reda

Female

Age = 25

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Approve Action Card

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Select Client

From the list

Tap on the

Approve MDA Adverse Effect Action Card Menu

Confirm the

Action Card

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Practice

Follow the same steps and do MDA Adverse Effect for the following clients.

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Note: You need to provide NTD MDA first.

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Case Description

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  • Open HEW App and Sync the app
  • Open Disease module
  • The client should be listed inside the household
  • Select the client and tap MDA Adverse Reaction module
  • Received medications and List of NTD diseases should be shown as a Summary
  • Are you conducting the visit: Yes
  • Where is the MDA adverse effect being conducted: HP
  • Client has symptoms of: Abdominal Pain, Tiredness, and Rash
  • Adverse reaction (ADR) of the medication: Serious
  • Create referral for the client: Yes

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Kidus Melaku

Shambel

Male

Age = 4

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Case Description

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  • Open HEW App and Sync the app
  • Open Disease module
  • The client should be listed inside the household
  • Select the client and tap MDA Adverse Reaction module
  • Received medications and List of NTD diseases should be shown as a Summary
  • Are you conducting the visit: Yes
  • Where is the MDA adverse effect being conducted: HP
  • Client has symptoms of: Constipation, Swelling, Itching, and Tiredness
  • Adverse reaction (ADR) of the medication: Mild
  • Create referral for the client: Yes

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Hiwot Melaku

Shambel

Female

Age = 14

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�Thank You