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NIDS 2010 01 July

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					No   Indicator Name                         Target   Numerator                 Denominator




1    Utilisation rate - PHC (annualised)     3.5     PHC total headcount       Total population




     Utilisation rate under 5 years - PHC            PHC headcount under 5
2                                            5.5                               Population under 5 years
     (annualised)                                    years




     Professional Nurse clinical work                PHC cases seen by         Professional Nurse
3                                            40
     load - PHC                                      Professional nurse        clinical work days




4    Doctor clinical work load - PHC         30      PHC cases seen by doctor Doctor clinical work days
4   Doctor clinical work load - PHC        30    PHC cases seen by doctor Doctor clinical work days




                                                 Fixed clinics supported by
    Fixed clinics supported by a doctor                                       Total number of fixed
5                                                a doctor at least once a
    at least once a week rate                                                 clinics
                                                 week




    CHCs/CDCs with resident doctor               CHCs/CDCs with resident      Total number of
6                                         100%
    rate                                         doctor                       CHCs/CDCs




                                                 Fixed PHC facilities that
    Fixed PHC facilities with a monthly                                       Total number of fixed
7                                         100%   were visited by a
    supervisory visits rate                                                   PHC facilities
                                                 supervisor




                                                 Inpatients days + 1/2 Day
8   Usable bed utilisation rate - total   75%                                 Usable bed days
                                                 patients
                                                      Inpatients days + 1/2 Day
8   Usable bed utilisation rate - total      75%                                  Usable bed days
                                                      patients




                                                                                  Separations (Day
                                          DH: 3.5 RH:
                                                                                  patients + Inpatients
                                          4.8         Inpatients days + 1/2 Day
9   Average length of stay - total                                                discharges + Inpatients
                                            TH 5.5    patients
                                                                                  deaths + Inpatients
                                              CH: 5.5
                                                                                  transfers out)
                                                                           deaths + Inpatients
                                        CH: 5.5
                                                                           transfers out)




                                                                           Sum of :
                                                                                 - OPD headcount
     OPD clinic new case not referred             OPD headcount - new      new cases not referred
10
     rate                                         cases not referred                    - OPD
                                                                           headcount new cases
                                                                           referred




                                                  Children under 5 years   PHC headcount under 5
11   Weighing rate under 5 years        90%
                                                  weighed                  years
     Not gaining weight rate under 5          Not gaining weight under 5 Child under 5 years
12
     years                                    years                      weighed




     Underweight for age rate under 5         Underweight for age under Child under 5 years
13
     years                                    5 years - new cases       weighed




     Underweight for age under 5 years        Underweight for age under
14                                                                      Population under 5 years
     incidence (annualised)                   5 years - new cases




     Severe malnutrition under 5 years        Severe malnutrition under
16                                       1%                               Population under 5 years
     incidence (annualised)                   5 years - new ambulatory
     Diarrhoea without dehydration       Diarrhoea without
17   incidence under 5 years             dehydration under 5 years Population under 5 years
     (annualised)                        - new ambulatory




     Diarrhoea with dehydration          Diarrhoea with
18   incidence under 5 years             dehydration under 5 years Population under 5 years
     (annualised)                        - new ambulatory




     Diarrhoea incidence under 5 years   Diarrhoea under 5 years -
19                                                                   Population under 5 years
     (annualised)                        new ambulatory
     Pneumonia incidence under 5 years    Pneumonia under 5 years -
20                                                                  Population under 5 years
     (annualised)                         new ambulatory




     Severe malnutrition case fatality    Severe malnutrition under   Severe malnutrition
21
     rate under 5 years                   5 years - death             under 5 years - admitted




                                          Diarrhoea with            Diarrhoea with
     Diarrhoea with dehydration case
22                                        dehydration under 5 years dehydration under 5
     fatality rate under 5 years
                                          - death                   years - admitted




     Pneumonia case fatality rate under   Pneumonia under 5 years - Pneumonia under 5
23
     5 years                              death                     years - admitted
                                             Inpatients death under 1   Inpatients separations
24   Facility mortality under 1 year rate
                                             year                       under 1 year




                                             Inpatients death under 5   Inpatients separations
25   Facility mortality under 5 years rate
                                             years                      under 5 years




     Vitamin A coverage 6-11 months          Vitamin A supplement to 6- Target population under
26
     (annualised)                            11 months infants          1 year




     Vitamin A coverage 12-59 months         Vitamin A supplement to    Target population 12-59
27
     (annualised)                            12-59 months children      months multiplied by 2
                                                Vitamin A supplement to
     Vitamin A coverage - new (post
28                                              women within 8 weeks      Delivery in facility
     partum) mothers
                                                after delivery




     Immunisation coverage under 1              Immunised fully under 1   Target population under
29                                        90%
     year (annualised)                          year - new                1 year




                                                                          Target population under
30   BCG dose coverage (annualised)       90%   BCG doses under 1 year
                                                                          1 year




                                                                          Target population under
31   OPV 1st dose coverage (annualised)   90%   OPV 1st doses
                                                                          1 year



     OPV 3rd dose coverage                                                Target population under
32                                        90%   OPV 3rd doses
     (annualised)                                                         1 year



     HepB 1st dose coverage                                               Target population under
33                                        90%   HepB 1st doses
     (annualised)                                                         1 year


     HepB 3rd dose coverage                                               Target population under
34                                        90%   HepB 3rd doses
     (annualised)                                                         1 year




     DTP-Hib 1st dose coverage                  DTP-Hib 1st doses to      Target population under
35                                        90%
     (annualised)                               children under 1 year     1 year




     DTP-Hib 3rd dose coverage                  DTP-Hib 3rd doses to      Target population under
36                                        90%
     (annualised)                               children under 1 year     1 year
                                                DTP-Hib 1st doses - DTP-
37   DTP-Hib 1-3 doses drop-out rate     0.05                            DTP-Hib 1st doses
                                                Hib 3rd doses




                                                DTP-Hib 3rd doses -
     DTP-Hib 3 - Measles 1 doses drop-
38                                       5%     Measles 1st doses under     DTP-Hib 3rd doses
     out rate
                                                1 year




     Measles 1st dose under 1 year              Measles 1st doses under     Target population under
39                                       90%
     coverage (annualised)                      1 year                      1 year




     Measles 2nd dose coverage                                              Target population of 1
40                                       80%    Measles 2nd dose
     (annualised)                                                           year olds




     Td dose coverage at 6 years                Td doses to children at 6   Target population at 6
41                                       80%
     (annualised)                               years                       years




     Td dose coverage at 12 years                                           Target population at 12
42                                       80%    Td doses at 12 years
     (annualised)                                                           years



     PCV7 1st dose coverage                     PCV7 1st doses to           Target population under
43                                       90%
     (annualised)                               children under 1 year       1 year


     PCV7 3rd dose coverage                     PCV7 3rd doses to           Target population under
44                                       90%
     (annualised)                               children under 1 year       1 year



                                                RV 1st doses to children    Target population under
45   RV 1st dose coverage (annualised)   90%
                                                under 1 year                1 year
                                               RV 2nd doses to children   Target population under
46   RV 2nd dose coverage (annualised)   90%
                                               under 1 year               1 year




     DTaP-IPV/Hib 1st dose coverage            DTaP-IPV/Hib 1st doses     Target population under
47                                       90%
     (annualised)                              to children under 1 year   1 year




     DTaP-IPV/Hib 3rd dose coverage            DTaP-IPV/Hib 3rd doses     Target population under
48                                       90%
     (annualised)                              to children under 1 year   1 year




     DTaP-IPV/Hib 4th dose coverage            DTaP-IPV/Hib 4th doses
49                                       80%                              Target population 1 year
     (annualised)                              to children at 18 months
                                                Contraceptive years
     Couple year protection rate                                          Female target
50                                        70%   dispensed (including
     (annualised)                                                         population 15-44 years
                                                sterilisations)




                                                                          Expected pregnant
                                                                          women in catchment
                                                Terminations of
51   Termination of Pregnancy rate                                        population (proxy
                                                Pregnancy performed
                                                                          children under 1 year *
                                                                          1.3)




                                                                          10 percent of female
     Cervical cancer screening coverage         Cervical smear in woman
52                                        40%                             target population 30
     (annualised)                               30 years and older
                                                                          years and older
                                                    Antenatal 1st visits before
53   Antenatal visits before 20 weeks rate   70%                                  Antenatal 1st visits
                                                    20 weeks




                                                                                  Potential antenatal
                                                                                  clients in population
54   Antenatal coverage (annualised)         80%    Antenatal 1st visits
                                                                                  (proxy Children under 1
                                                                                  year * 1.15)




     Antenatal visits per antenatal client
55                                           400%   Antenatal total visits        Antenatal 1st visits
     rate
     Antenatal visits per antenatal client
55                                               400%      Antenatal total visits       Antenatal 1st visits
     rate




                                                                                        Potential antenatal
     Tetanus Toxoid coverage of                            Tet Tox 2nd/Booster          clients in population
56                                               100%
     pregnant women (annualised)                           doses to pregnant woman      (proxy Children under 1
                                                                                        year * 1.15)




                                                  MDG
57   Maternal mortality rate in facility      38/100,000 Maternal deaths in facility    Live births in facility
                                               live births




                                                                                        All expected deliveries
                                              100% MDG
58   Delivery rate in facility (annualised)               Delivery in facility          (proxy: Children under 1
                                              target 2015
                                                                                        year * 1.07)




     Delivery rate in facility under 18                    Delivery in facility under
59                                                10%                                   Delivery in facility
     years                                                 18 years
     Delivery rate in facility under 18              Delivery in facility under
59                                          10%                                     Delivery in facility
     years                                           18 years




                                          DH:15 %
                                          RH:25 %    Caesarean section in
60   Caesarean section rate                                                         Deliveries in facility
                                          TH: 30 %   facility
                                          CH :50 %




                                                     Live birth in facility under
61   Low birth weight rate in facility      10%                                     Live birth in facility
                                                     2500g
62   Still birth rate in facility           2%   Still births in facility      Total births in facility




                                                 Still births in facility +
63   Perinatal mortality rate in facility   3%   Inpatients death (early       Total births in facility
                                                 neonatal)




64   Neonatal mortality rate in facility    1%   Inpatients death (neonatal) Total births in facility
64   Neonatal mortality rate in facility   1%   Inpatients death (neonatal) Total births in facility




     Postnatal Care mother visits within          Postnatal care mother
65                                                                                Delivery in facility
     6 days rate                                within 6 days from delivery




     Postnatal Care baby visits within 6        Postnatal care baby within
66                                                                         Live birth in facility
     days rate                                  6 days from birth
                                              Antenatal client HIV 1st    Antenatal client eligible
67   Antenatal client HIV 1st test rate
                                              test                        for HIV 1st test CALC




     Antenatal client HIV 1st test positive    Antenatal client HIV 1st    Antenatal client HIV 1st
68
     rate                                           test positive                    test




                                              Antenatal client HIV re-test
     Antenatal client HIV re-test at 32       at 32 weeks rate             Antenatal client HIV 1st
69
     weeks rate                                                            test negative
                                             Antenatal client HIV re-test
     Antenatal client HIV re-test at 32      at 32 weeks rate             Antenatal client HIV 1st
69
     weeks rate                                                           test negative




                                             Antenatal client HIV re-test
     Antenatal client HIV re-test positive                                Antenatal client HIV re-
70                                           positive at 32 weeks or
     at 32 weeks rate                                                     test at 32 weeks or later
                                             later




                                                                          Antenatal client eligible
                                             Antenatal client CD4 1st     for CD4 1st test
71   Antenatal client CD4 1st test rate
                                             test
                                                                  Antenatal client (NOT
     Antenatal client initiated on AZT   Antenatal client
72                                                                on HAART) HIV test
     during antenatal care rate          INITIATED on AZT
                                                                  positive - total




     Baby Co-Trimoxazole around 6        Baby initiated on Co-    Live birth to HIV positive
73
     weeks uptake rate                   Trimoxazole at 6 weeks   woman




     Baby PCR test around 6 weeks        Baby PCR test around 6   Live birth to HIV positive
74
     uptake rate                         weeks                    woman
     Baby PCR test around 6 weeks               Baby PCR test around 6       Live birth to HIV positive
74
     uptake rate                                weeks                        woman




     Baby PCR test positive around 6            Baby PCR test positive at    Baby PCR test around 6
75                                         5%
     weeks rate                                 6 weeks                      weeks




     Baby HIV antibody test around 18           Baby HIV antibody test at
76                                                                           Baby PCR test negative
     months uptake rate                         18 months




     Baby HIV antibody test around 18           Baby HIV antibody test       Baby HIV antibody test
77
     months positive rate                       positive at 18 months        at 18 months




     Antenatal client initiated on HAART        Antenatal client initiated   Antenatal client eligible
78
     rate                                       on HAART                     for HAART
     Baby initiated on HAART under 18            Baby initiated on HAART
79                                                                           Baby eligible for HAART
     months rate                                 under 18 months




     Antenatal client delivering on              Antenatal client on HAART Antenatal client eligible
80
     HAART rate                                  at delivery               for HAART




     Antenatal client Nevirapine uptake          Antenatal client who took   Live birth to HIV positive
81                                        100%
     rate                                        Nevirapine during labour    woman




     Antenatal client on AZT before              Antenatal client on AZT     Live birth to HIV positive
82                                        100%
     labour uptake rate                          before labour               woman
                                                Baby given Nevirapine         Live birth to HIV positive
83   Baby Nevirapine uptake rate          95%
                                                within 72 hours after birth   woman




                                                                              Population 15 years an
84   STI treated new episode incidence          STI treated new episode
                                                                              older




                                                                              STI treated - new
85   STI partner treatment rate           40%   STI partner treated - new
                                                                              episode




     Male condom distribution rate                                            Male population 15
86                                        15    Male condoms distributed
     (annualised)                                                             years and older




                                                                              HIV test positive new
     New HIV positive patients screened         HIV positive new patients
87                                                                            (excl ANC) + ANC client
     for TB rate                                screened for TB
                                                                              tested HIV positive new
                                                                                  HIV test positive new
     New HIV positive patients with                  HIV positive new patients
88                                                                                (excl ANC) + ANC client
     confirmed TB rate                               with confirmed TB
                                                                                  tested HIV positive new




     HIV testing rate (excluding                     HIV client tested            HIV pre-test counselled
93
     antenatal)                                      (excluding antenatal)        (excluding antenatal)




     HIV prevalence among clients                    HIV test positive - new      HIV client tested
94
     tested (excluding antenatal)                    (excluding antenatal)        (excluding antenatal)




                                                     Suspected TB cases with      PHC headcount 5 years
89   TB case finding index             1-2 percent
                                                     sputum sent                  and older




                                                     Suspected TB cases           Suspected TB cases
90   TB suspects smear positive rate   ~10 percent
                                                     smear positive               with sputum sent




                                                     Suspected TB cases
     Treatment start among TB smear                                               Suspected TB cases
91                                        95%        smear positive - treatment
     positive rate                                                                smear positive
                                                     start
                                            Suspected TB cases
     Treatment start among TB smear                                      Suspected TB cases
91                                    95%   smear positive - treatment
     positive rate                                                       smear positive
                                            start




     Smear result turn-around time          Sputum results received
92                                    70%                                All sputum samples sent
     under 48 hours rate                    within 48 hours




                                            Mental health visits under   PHC headcount under 5
95   Mental health case load                18 years + Mental health     years + PHC headcount
                                            visits18 years and older     5 years and older
                               Mental health visits under   PHC headcount under 5
95   Mental health case load   18 years + Mental health     years + PHC headcount
                               visits18 years and older     5 years and older
     Mental health visits 18 years and   Mental health visits 18   Mental health visits -
96
     older rate                          years and older           total
                                           Hypertension cases put on PHC headcount 5 years
97    Hypertension detection rate
                                           treatment - new           and older




      Hypertension high risk cases         High risk hypertension      Population 40 years and
98
      incidence rate                       cases- new                  older




                                           Diabetes mellitus cases     PHC headcount 5 years
99    Diabetes mellitus detection rate
                                           put on treatment - new      and older




      Diabetes high risk cases incidence   High risk diabetes cases-   Population 40 years and
100
      rate                                 new                         older




                                           Asthma cases under 18
101   Asthma under 18 years rate                                       Asthma cases - total
                                           years -new
                                     Asthma cases put on
102   Asthma detection rate                                     PHC total headcount
                                     treatment - new




                                     Epilepsy cases under 18
103   Epilepsy under 18 years rate                              Epilepsy cases - total
                                     years




                                     Epilepsy cases put on
                                     treatment -new (Sum of
104   Epilepsy detection rate        Epilepsy cases under 18    PHC total headcount
                                     years and Epilepsy
                                     cases18 years and older)
                                     Epilepsy cases put on
                                     treatment -new (Sum of
104   Epilepsy detection rate        Epilepsy cases under 18    PHC total headcount
                                     years and Epilepsy
                                     cases18 years and older)




      Expenditure per patients day                              Patients day equivalent -
105                                  Expenditure - Total
      equivalent (PDE)                                          Total
                                                          Total number of
106   Complaints resolution rate   Complaints resolved
                                                          complaints received




                                                          Separations
                                                            Sum of :
                                                                  - Day patients
                                                                  - Inpatient
107   Nosocomial infection rate    Nosocomial infection
                                                          discharges
                                                                       - Inpatient
                                                          deaths                   -
                                                          Inpatient transfers out
                                                                               Total capacity of
                                                                               theatres (Scheduled
                                                                               capacity 60 min × 8
                                                                               hours × 21 days x
                                                 Theatre time = total
                                                                               number of theatres +
                                                 number of minutes
108   Theatre utilisation rate                                                 Emergency/after-hour
                                                 theatres were occupied in
                                                                               capacity 60 min x 24
                                                 a month
                                                                               hours x 30.42 days x
                                                                               number of theatres used
                                                                               for emergency/after-
                                                                               hour surgery)




      Dental extractions to restorations
109                                        50%   Tooth extractions             Tooth restorations
      ratio




                                                                               Total catchment
110   Dental utilisation coverage                Dental visits
                                                                               population




                                                                               All fixed facilities
111   Any ARV drug stock out rate          0%    Any ARV drug stock out
                                                                               reporting

                                                                               All fixed facilities
112   Any TB drug stock out rate           0%    Any TB drug stock out
                                                                               reporting

                                                 Any tracer item drug stock- All fixed facilities
113   Tracer items stock-out rate          0%
                                                 out                         reporting
                                                  Total number of birth
114   Birth Defects Incidence rate                                            Live births in facility
                                                  defects cases




                                                  Total birth defects cases
      Birth Defects Incidence rate -              whose mother was under      Delivery in facility -
115
      mothers under 18 years                      18 years on the date of     under 18 years
                                                  delivery




                                                  Total birth defects cases
      Birth Defects Incidence rate -              whose mother was 35         Delivery in facility 35
116
      mothers 35 years and older                  years and older on the      years and older
                                                  date of delivery




                                       2400 per
117   Cataract surgery rate                       Cataract surgery total      Total population
                                        mil pop
                                                                      Rehab clients on
118   Wheelchair issued rate              Wheelchair issued - new     register requiring
                                                                      wheelchair




                                                                      Rehab clients on
119   Hearing aid issued rate             Hearing aid issued - new    register requiring
                                                                      hearing aid




                                                                      Clients on register
120   Walking aid issued rate             Walking aids issued - new
                                                                      requiring walking aid




                                          Newly diagnosed HIV pos
                                          patients (excluding         HIV test positive new
121   CD4 testing rate
                                          antenatal clients) with     (excluding antenatal)
                                          Blood drawn for CD4




                                                                      HIV test positive new
                                          HIV positive new patients
      HIV positive new patients started                               (excl ANC) + ANC client
122                                       started on INH prevention
      INH prevention therapy rate                                     tested HIV positive new
                                          therapy
                                                                      + ANC re-test positive
                                          HIV positive new patients
      HIV positive new patients started                                 (excl ANC) + ANC client
122                                       started on INH prevention
      INH prevention therapy rate                                       tested HIV positive new
                                          therapy
                                                                        + ANC re-test positive




                                          HIV positive new patients     HIV test positive new
      HIV positive new patients started
123                                       started on Co-trimoxazole     (excl ANC) + ANC client
      Co-trimoxazole prophylaxis rate
                                          prophylaxis                   tested HIV positive new




      HIV positive adult (15 years and
                                          Adult patients initiated on   HIV positive patients
124   older) patients eligible for ART
                                          ART                           eligible for ART.
      starting ART rate
      HIV positive adult (15 years and
                                             Adult patients initiated on   HIV positive patients
124   older) patients eligible for ART
                                             ART                           eligible for ART.
      starting ART rate




      HIV positive children under 15 years   Children under 15 years       HIV positive children
125
      eligible for ART starting ART rate     initiated on ART              eligible for ART




      ART patients at baseline requiring     CD4 below 100 (adults) or Total number of CD4
126
      fast tracking rate                     15 percent TLC (paeds)    counts taken at baseline
      ART patients with viral load under    Viral load under 400         Total number of viral
127
      400 copies at 6 months rate           copies/mL at 6 months        loads done at 6 months




      ART patients with viral load under    Viral load under 400         Total number of viral
128
      400 copies at 12 months rate          copies/mL at 12 months       loads done at 12 months




      ART patients with annual viral load   Annual Viral load < 400      Total number of annual
129
      under 400 copies rate                 copies/mL                    viral loads done




      ART patients with CD4 counts          CD4 counts above 200
                                                                         Total number of CD4
130   above 200 cells/microL or 20          cells/microL or 20 percent
                                                                         counts done at 6 months
      percent TLC at 6 months rate          TLC at 6 months
       ART patients with CD4 counts         CD4 counts above 200           Total number of CD4
 131   above 200 cells/microL or 20         cells/microL or 20 percent     counts done at 12
       percent TLC at 12 months rate        TLC at 12 months               months




       ART patients with CD4 counts         CD4 counts above 200           Total number of CD4
 132   above 200 cells/microL or 20         cells/microL or 20 percent     counts done at 24
       percent TLC at 24 months rate        TLC at 24 months               months




                                                                           Total number of Adults
       Adult ART patients on Regimen 1 at   Adults continuing first-line   on Regimen: First line
 133
       6 months rate                        regimen at 6 moths             regimen PLUS second
                                                                           line regimen at 6 months




                                                                           Total number of
                                                                           Children on Regimen -
       Children on ART on Regimen 1 at 6    Children continuing first-
 134                                                                       First line regimen PLUS
       months rate                          line regimen at 6 moths
                                                                           second line regimen at 6
                                                                           months



                                                                           Total number of Adults
                                                                           on Regimen: First line
       Adult ART patients on Regimen 1 at   Adults continuing first-line
135                                                                        regimen PLUS second
       12 months rate                       regimen at 12 moths
                                                                           line regimen at 12
                                                                           months


                                                                           Total number of
                                                                           Children on Regimen -
       Children on ART on Regimen 1 at      Children continuing first-
136                                                                        First line regimen PLUS
       12 months rate                       line regimen at 12 moths
                                                                           second line regimen at
                                                                           12 months
                                                                             Total number of
                                                                             Children on Regimen -
       Children on ART on Regimen 1 at        Children continuing first-
136                                                                          First line regimen PLUS
       12 months rate                         line regimen at 12 moths
                                                                             second line regimen at
                                                                             12 months



                                                                             Total number of Adults
                                                                             on Regimen: First line
       Adult ART patients on Regimen 1 at     Adults continuing first-line
137                                                                          regimen PLUS second
       24 months rate                         regimen at 24 moths
                                                                             line regimen at 24
                                                                             months



                                                                             Total number of
                                                                             Children on Regimen -
       Children on ART on Regimen 1 at        Children continuing first-
138                                                                          First line regimen PLUS
       24 months rate                         line regimen at 24 moths
                                                                             second line regimen at
                                                                             24months




       Patients on TB treatment at start of   Patients on TB treatment       Total number of patients
 139
       ART rate                               at start of ART                starting ART treatment




                                                                           Total number of patients
       ART patients still on treatment at 6   Patients still on regimen at
 140                                                                       starting ART treatment 6
       months rate                            6 months
                                                                           months ago
      ART patients still on treatment at 6    Patients still on regimen at
140                                                                        starting ART treatment 6
      months rate                             6 months
                                                                           months ago




                                                                           Total number of patients
      ART patients still on treatment at 12   Patients still on regimen at
141                                                                        starting ART treatment
      months rate                             12 months
                                                                           12 months ago




                                                                           Total number of patients
      ART patients still on treatment at 24   Patients still on regimen at
142                                                                        starting ART treatment
      months rate                             24 months
                                                                           24 months ago




                                                                          Total number of patients
      ART patients lost to follow-up at 6     Lost to follow-up between
143                                                                       that started ART
      months rate                             3 and 6 months
                                                                          treatment 6 months ago
                                                                                     Total number of patients
      ART patients lost to follow-up at 6               Lost to follow-up between
143                                                                                  that started ART
      months rate                                       3 and 6 months
                                                                                     treatment 6 months ago




                                                                                     Total number of patients
      ART patients lost to follow-up at 12              Lost to follow-up between
144                                                                                  starting ART treatment
      months rate                                       6 and 12 months
                                                                                     12 months ago




                                                                                     Total number of patients
      ART patient mortality within first 3              Patients that died first 3
145                                                                                  starting ART treatment 3
      months rate                                       months of treatment
                                                                                     months ago




                                                                                     Total number of patients
      ART patient mortality within first 6              Patients that died first 6
146                                                                                  starting ART treatment 6
      months rate                                       months of treatment
                                                                                     months ago




147   Incidence of TB cases (annualised)     500 / 100K Total new TB cases           Total population
      Incidence of new smear positive                New smear positive
148                                                                              Total population
      PTB (annualised)                               pulmonary TB cases


                                                     Pulmonary TB cases with     Total TB cases
149   Primary TB 0-7 years rate
                                                     no smear 0-7 years          registered during period


                                           50-70     Smear positive pulmonary
150   Smear positivity rate                                                      All pulmonary TB cases
                                           percent   TB cases




                                                                                 Pulmonary TB cases
                                                     PTB cases with
151   Bacteriological coverage                1                                  excluding children with
                                                     bacteriological testing
                                                                                 no smear 0-7 years




                                                     New smear positive TB       New smear positive TB
152   New smear positive PTB cure rate      85%
                                                     cases - cured               cases - total (outcome)




                                                     New smear positive TB
                                                                                 New smear positive TB
153   New smear positive PTB death rate              cases - died during
                                                                                 cases - total (outcome)
                                                     treatment




                                                     New smear positive TB
      New smear positive PTB defaulter                                           New smear positive TB
154                                       <5 percent cases - defaulted from
      rate                                                                       cases - total (outcome)
                                                     treatment




                                                                                 Re-treatment smear
      Re-treatment smear positive PTB                Re-treatment smear
155                                                                              positive TB cases - total
      cure rate                                      positive TB cases - cured
                                                                                 (outcome)




                                                     Re-treatment smear          Re-treatment smear
      Re-treatment smear positive PTB
156                                                  positive TB cases -         positive TB cases - total
      success rate
                                                     completed or cured          (outcome)




                                                     Re-treatment smear          Re-treatment smear
      Re-treatment smear positive PTB
157                                                  positive TB cases - died    positive TB cases - total
      death rate
                                                     during treatment            (outcome)
                                                    Re-treatment smear           Re-treatment smear
      Re-treatment smear positive PTB
157                                                 positive TB cases - died     positive TB cases - total
      death rate
                                                    during treatment             (outcome)




                                                    Re-treatment smear           Re-treatment smear
158   Re-treatment PTB defaulter rate               positive TB cases -          positive TB cases - total
                                                    defaulted from treatment     (outcome)



      TB patients counselled for HIV                TB patients counselled for
159                                           85%                                Total TB cases
      (ETR) rate                                    HIV - VCT




160   TB patients tested for HIV (ETR) rate   85%   TB patients tested for HIV   Total TB cases




      TB patients tested positive for HIV           TB patients tested positive TB patients tested for
161
      (ETR) rate                                    for HIV                     HIV




                                                                               New confirmed MDR-TB
      Confirmed new MDR-TB cases                    New confirmed MDR-TB
162                                                                            cases started on
      successfully treated rate                     cases successfully treated
                                                                               treatment




                                                                                 Confirmed XDR-TB
      Confirmed new XDR-TB cases                    Confirmed XDR-TB cases
163                                                                              cases started on
      successfully treated rate                     successfully treated
                                                                                 treatment


      New MDR-TB cases who died                     New MDR-TB cases who         MDR-TB cases started
164
      during the treatment rate                     died during treatment        on treatment - total


                                                                                 Confirmed MDR-TB
      Confirmed XDR-TB cases who died               Confirmed XDR-TB cases
165                                                                              cases started on
      during treatment rate                         who died during treatment
                                                                                 treatment - total


                                                    MDR-TB cases started on      MDR-TB cases eligible
166   MDR-TB cases started on ART rate
                                                    ART                          for ART - total


                                                    XDR-TB cases started on      XDR-TB cases eligible
167   XDR-TB cases started on ART rate
                                                    ART                          for ART - total




      Rostered Ambulances per 1000
168                                                                            Total population
                                                    Total number of rostered ambulances
      people
                                                     P1 calls with
      P1 calls with a response of time <15           response times less than 15
169                                           80%                                  All emergency calls
      minutes in an urban area                       min in urban area




                                                     P1 calls with
      P1 calls with a response time of <40           response times less than 40
170                                           80%                                  All emergency calls
      minutes in a rural area                        min in urban area




      All calls with a response time within          All calls with a response
171                                           100%                                 All emergency calls
      60 minutes                                     time within 60 minutes
      All calls with a response time within          All calls with a response
171                                           100%                               All emergency calls
      60 minutes                                     time within 60 minutes
                                          Comments on indicator                                    Reporting
       Indicator definition                                                    Indicator Group                    Level
                                            formula/definition                                     Frequency




The rate at which PHC services
are utilised by the catchment      Utilisation may depend on many
population, represented as the     things like accessibility, acceptably
average number of visits per       and appropriateness of services, as
                                                                            Management              Monthly      Output
person per year in the             well as the legacy of apartheid with its
catchment population. The          gross inequity in resources and
denominator is usually Census-     personnel.
derived population estimates.




The rate at which PHC services
are utilised by clients 5 years    To determine overall utilisation
and older in the catchment         patterns, in particular relevant for the
population, represented as the     move towards equity in the health
average number of PHC visits       sector. Utilisation may depend on          Management         Monthly       Output
per year per person 5 years or     many things like accessibility,
older in the catchment             acceptably and appropriateness of
population. The denominator is     services.
usually Census-derived




The average number of patients     Nurse work load are relevant for
seen per Professional Nurse        analysing utilisation patterns,
                                                                              Management         Monthly       Input
per Professional Nurse clinical    efficiency, needs for more/less staff,
work day                           more training, etc.




                                   Doctor workload are relevant for
                                   analysing utilisation patterns,
The number of patients seen
                                   efficiency, needs for more/less staff, Management             Monthly       Input
per doctor per clinical work day
                                   more training, etc. Equitable workload
                                   is important for both staff and patients.
                                    Doctor workload are relevant for
                                    analysing utilisation patterns,
The number of patients seen
                                    efficiency, needs for more/less staff, Management      Monthly   Input
per doctor per clinical work day
                                    more training, etc. Equitable workload
                                    is important for both staff and patients.




Proportion of fixed clinics
supported by a doctor at least                                                Management             Input
once a week




Proportion of CHCs/CDCs with
                                                                              Management   Monthly   Input
a resident doctor




Proportion of fixed PHC
facilities visited by a dedicated
clinic supervisor, who performs                                               Management   Monthly   Process
a visits according to the clinic
supervision manual




A measure of the average
number of beds that are
                                    This indicator can also be applied to
occupied - expressed as the
                                    specialty areas like surgery, medical,
proportion of all available bed
                                    gynae, orthopaedics etc. at certain       Headcount
days, which is calculated as the                                                           Monthly   Output
                                    levels of care. Too see list of           Inpatients
number of actual beds
                                    specialities per level of care click on
multiplied by the average
                                    button below:
number of days in a month
(30.42).
A measure of the average
number of beds that are
                                   This indicator can also be applied to
occupied - expressed as the
                                   specialty areas like surgery, medical,
proportion of all available bed
                                   gynae, orthopaedics etc. at certain       Headcount
days, which is calculated as the                                                          Monthly   Output
                                   levels of care. Too see list of           Inpatients
number of actual beds
                                   specialities per level of care click on
multiplied by the average
                                   button below:
number of days in a month
(30.42).




                               Comment: the calculation here is an
                               approximation - it assumes (1) a day
The average number of patients
                               patients occupies a bed for half a day
days that an admitted patients                                        Headcount
                               (2) it uses `Inpatients days` for all                      Monthly   Output
spends in hospital before                                             Inpatients
                               inpatients occupying a bed during the
separation
                               month for the calculation, when
                               strictly speaking it should use inp
                                       inpatients occupying a bed during the
separation
                                       month for the calculation, when
                                       strictly speaking it should use inp




                                   GUIDE FOR USE: Patients with OPD
OPD clinic new cases (seeking follow-up visits and Emergency
medical attention for a condition patients are not counted in
for the first time) that report to denominator.                     To
the OPD department without         determine utilisation patterns and to
being referred from a PHC          what extent patients are `bypassing`
facility or doctor (including      PHC facilities and go directly to OPD
General Practitioners) during      sections in hospitals.
                                                                         Headcount
the reporting period as the                                                                       Monthly   Output
                                                           PHC           Outpatients
proportion of the OPD new
visits total. OPD headcount new    headcounts at hospitals have been
cases- total. Sum of :             dropped as it caused a lot of
• OPD headcount-new case           confusion (what should be regarded
referred                           as PHC at hospital level) and more
• OPD headcount -new case not importantly has financial implications
referred                           (OPD headcounts counted as part of
                                   PDE and PHC headcounts not). PHC
                                   headcounts should only be counted




                                       Regular weighing of all children is
The proportion of PHC
                                       vital for growth monitoring. Weight of
headcount under 5 years that
                                       a child under 5 is the single most
were weighed and the weight
                                       important indicator of the well-being
plotted onto the Road to Health                                                    Child Health   Monthly   Output
                                       of a child. Since children weighed
Card/Booklet, the patients folder
                                       should be counted only ONCE per
or a relevant register for the first
                                       month, it is unlikely that this indicator
time this month
                                       will reach 100%
The proportion of children
weighed who had an episode of
                                                                          Child Health   Monthly   Outcome
growth faltering/failure during
the period




The proportion of all children
under 5 years weighed who
were identified as being
BELOW the third centile but
EQUAL TO or OVER 60 percent
                                                                          Child Health   Monthly   Outcome
of Estimated Weight for Age
(EWA) on the Road-to-Health
Card/Booklet, EXCLUDING new-
born babies. Include any such
chi




The incidence of children whose
weight-for-age is below the -2
line but above the -3 line on the                                         Child Health   Monthly   Outcome
weight-for-age chart on the
Road-to-Health Card/Booklet




                                    This group include Marasmus,
                                    Kwashiorkor and similar cases of
The number of severely              clinical malnutrition. All of these
malnourished children detected      cases must be considered as serious
                                                                          Child Health   Monthly   Outcome
per 1,000 population under 5        malnutrition cases, and such children
years                               will often be hospitalised. The
                                    hospitals should NOT count such
                                    children referred from a PHC facility
The number of diarrhoea cases
with no dehydration under 5
years per 1,000 children under                                           Child Health   Monthly   Outcome
5 years in the catchment
population




Diarrhoea cases with no
dehydration under 5 years per
                                                                         Child Health   Monthly
1,000 children under 5 years in
the catchment population




Children with diarrhoea per
1,000 children in the catchment
population. Diarrhoea is
formally defined as 3 or more      USE: To determine the health status
watery stools in 24 hours, but    of children and identify potential
                                                                         Child Health   Monthly   Outcome
any episode diagnosed and/or      environmental hazards (e.g.
treated as diarrhoea after an     contamination of water sources).
interview with the adult
accompanying the child should
be counted.
The number of children under 5
years diagnosed with
                                   Child Health             Outcome
pneumonia, per 1,000 children
in the catchment population




The proportion of all admissions
under 5 years due to severe        Child Health   Monthly   Outcome
malnutrition that died




The proportion of all admissions
under 5 years due to diarrhoea     Child Health   Monthly   Outcome
with dehydration that died




The proportion of all admissions
under 5 years due to               Child Health   Monthly   Outcome
pneumonia that died
The proportion of inpatients
under 1 year that died during     Child Health   Monthly   Outcome
their stay in the facility




The proportion of inpatients
under 5 years that died during    Child Health   Monthly   Outcome
their stay in the facility




Proportion of infants 6-11
months receiving vitamin A
100,000 units. Note that all
infants are supposed to get the
dose as soon as reaching 6        Nutrition      Monthly   Outcome
months of age as possible, so
the denominator will be all
infants under 1 year from the
Census data

Proportion of children 12-59
months receiving vitamin A
200,000 units twice a year. The
                                  Nutrition      Monthly   Outcome
denominator is therefore the
target population 1-4 years
multiplied by 2.
Proportion of newly delivered
mothers receiving a single dose
                                                                           Nutrition      Monthly   Outcome
of 200,000 units vitamin A prior
to 8 weeks after delivery.




The proportion of all children in
the target area under one year
who complete their primary
course of immunisation. A
                                                                           Immunisation   Monthly
Primary Course includes BCG,
OPV 1,2 & 3, DTP-Hib 1,2 & 3,
HepB 1,2 & 3, and 1st measles
(usually at 9 months).



The proportion of expected live
                                    Many babies are born in hospital
born babies that received BCG
                                    maternity wards that currently might   Immunisation   Monthly
under 1 year of age (note:
                                    not be submitting PHC data.
usually given right after birth)



The proportion of children under
                                                                           Immunisation   Monthly
1 immunised with OPV dose 1



The proportion of children under
                                                                           Immunisation   Monthly
1 immunised with OPV dose 3


The proportion of children who
received their first Hepatitis B
                                                                           Immunisation   Monthly
doses normally at 14 weeks) -
annualised
The proportion of children who
received their third Hepatitis B
                                                                           Immunisation   Monthly
doses normally at 14 weeks) -
annualised

The proportion of children who
received their first DTP-Hib
                                                                           Immunisation   Monthly
doses normally at 6 weeks) -
annualised

The proportion of children who
received their third DTP-Hib
                                                                           Immunisation   Monthly
doses normally at 14 weeks) -
annualised
The proportion of children who
dropped out of the
immunisation schedule between
the first doses (normally at 6
                                                                          Immunisation   Monthly
weeks) and the third doses
(normally at 14 weeks). The
DTP-Hib numbers are used for
this purpose.

The proportion of children who
dropped out of the
immunisation schedule between
the third doses (normally at 14
weeks / 3.5 months) and the                                               Immunisation   Monthly
first measles doses normally at
9 months). The DTP-Hib
numbers are used for this
purpose.



                                  Numerator should include ONLY 1st
The proportion of children who
                                  doses given as part of the regular
received their 1st measles
                                  Primary Course of Immunisation, not     Immunisation   Monthly
doses normally at 9 months) -
                                  mass campaign vaccination or
annualised
                                  emergency doses at 6 months.



                                  All 2nd doses given should be
                                  counted, EXCEPT measles vaccines
The proportion of children who
                                  given as part of a mass vaccination
received their 2nd measles
                                  campaign. CONTEXT: The 1st              Immunisation   Monthly
doses normally at 18 months) -
                                  measles dose is only around 85
annualised
                                  percent effective, so the 2nd dose is
                                  important as a booster.

The proportion of children who
received their DT booster dose
                                                                          Immunisation   Monthly
at around 5 years of age
(annualised)

The proportion of children who
received their Td booster dose
                                                                          Immunisation   Monthly
at around 12 years of age
(annualised)

The proportion of children who
received their first PCV7 doses
                                                                          Immunisation   Monthly
normally at 6 weeks) -
annualised
The proportion of children who
received their third PCV7 doses
                                                                          Immunisation   Monthly
normally at 9 months) -
annualised

The proportion of children who
received their first RV doses
                                                                          Immunisation   Monthly
normally at 6 weeks) -
annualised
The proportion of children who
received their second RV doses
                                   Immunisation   Monthly
normally at 14 weeks) -
annualised




The proportion of children under
1 year who received their first
DTaP-IPV/Hib (Pentaxim) 1st        Immunisation   Monthly
dose, normally at 6 weeks -
annualised




The proportion of children under
1 year who received their first
DTaP-IPV/Hib (Pentaxim) 3rd        Immunisation   Monthly
dose, normally at 14 weeks -
annualised




The proportion of children 1
year of age who received their
first DTaP-IPV/Hib (Pentaxim)      Immunisation   Monthly
4th dose, normally at 18 months
- annualised
                                    The Couple Year Protection Rate
The rate at which couples           must not be mixed up with another
(specifically women) are            common indicator called 'Women
protected against pregnancy         Year Protection Rate', they are            Reproductive
                                                                                              Monthly   Output
using modern contraceptive          defined differently. Also note that this   Health
methods INCLUDING                   indicator primarily focuses on the
sterilisations                      REPRODUCTIVE aspects and
                                    underplays STI aspects of




The number of Termination of
                                    Only count TOPs performed by
Pregnancies performed in a
                                    professional staff in a health facility,   Reproductive
health facility as the proportion                                                             Monthly   Output
                                    not the so called `back-street             Health
of all expected pregnancies in
                                    abortions`.
the catchment population



Women 30 years and older with
a cervical (pap) smear done for
screening purposes according
to the national policy of
                                                                               Reproductive
screening all women in this age                                                               Monthly   Output
                                                                               Health
category every 10 years, as the
proportion of all women 30
years and older in the target
population
                                     The causes of late booking visits
The proportion of women who
                                     need to be determined, and facilities
have a booking visits first visit)
                                     where this indicator is low should     Reproductive
before they are 20 weeks                                                                     Monthly   Output
                                     systematically interview latecomers to Health
(about half way) into their
                                     find out why they did not show up
pregnancy
                                     earlier.




The proportion of pregnant
women coming for at least one
antenatal visit. The census          This indicator must be analysed
number of children under one         together with the indicator 'Antenatal
year factorised by 1.15 is used      visits per antenatal client'. Low
as a proxy denominator - the         antenatal coverage should prompt
                                                                              Reproductive
extra 0.15 (15%) is a rough          public campaigns etc, whereas a low
                                                                              Health
estimate to cater for late           number of visits per antenatal client is
miscarriages (~10 to 28 weeks),      more likely related to quality of care
still births (after 28 weeks         (women see little reason to come for
gestation), and infant mortality.    repeated visits).




                                     The health policy target is that every
The total number of antenatal
                                     pregnant women should have at least
visits over the number of first                                             Reproductive
                                     4 antenatal visits, one booking visit                   Monthly   Process
antenatal visits (equivalent to                                             Health
                                     and at least one visit in each
number of antenatal clients)
                                     trimester.
                                    The health policy target is that every
The total number of antenatal
                                    pregnant women should have at least
visits over the number of first                                            Reproductive
                                    4 antenatal visits, one booking visit                      Monthly   Process
antenatal visits (equivalent to                                            Health
                                    and at least one visit in each
number of antenatal clients)
                                    trimester.




he proportion of pregnant
women receiving Tetanus
Toxoid 2nd dose or booster
dose. The census number of
children under one year
factorised by 1.15 is used as a     The choice of 2nd/Booster doses
proxy denominator - the extra       instead of 3rd/Booster dose (or even     Reproductive
                                                                                               Monthly
0.15 (15%) is a rough estimate      later doses) is based on international   Health
to cater for late miscarriages      standards.
(~10 to 28 weeks), still births
(after 28 weeks gestation), and
infant mortality.




Number of women who died as
a result of childbearing, during
pregnancy or within 42 days of
                                                                             Maternal Health   Monthly   Outcome
delivery or termination of
pregnancy, per 100,000 live
births



The proportion of deliveries
taking place in health facilities
under supervision of trained
personnel. The number of
children under one year,            USE: To monitor accessibility of
factorised by 1.07 due to infant    maternity and obstetrics services.
                                                                             Maternal Health   Monthly   Outcome
mortality, is used as an            COMMENTS: Born Before Arrivals
estimated proxy denominator         (BBAs) are not included here.
for expected deliveries per
month.




The proportion of pregnant
women below the age of 18                                                    Maternal Health   Monthly   Outcome
years at delivery
The proportion of pregnant
women below the age of 18            Maternal Health   Monthly   Outcome
years at delivery




The number of caesarean
section deliveries, expressed as
                                     Maternal Health   Monthly   Outcome
the proportion of total deliveries
in facility




The proportion of babies born
alive in a health facility who
weigh less than 2.5 kgs. The
incidence rate of low weight
babies are a prime indicator of
all kinds of maternal health and     Maternal Health   Monthly
lifestyle problems. Low birth
weight babies are caused by
many factors including poor
maternal health, smoking by the
mother etc.
The number of still births,
expressed as the proportion of         Maternal Health   Monthly
total births




The number of perinatal deaths
per 1000 births. Perinatal
                                       Maternal Health   Monthly
deaths are still births and early
neonatal deaths




Number of inpatient deaths
within the first 28 days of life per   Maternal Health   Monthly
1,000 live births
Number of inpatient deaths
within the first 28 days of life per                                          Maternal Health    Monthly
1,000 live births




Number of mothers that receive
postnatal care within 6 days of
                                       6 days postnatal critical time to check
delivery after discharge from                                                  Maternal Health      Monthly    Process
                                        for birth complications and infection
place of delivery as proportion
of all deliveries in facility




Number of babies that receive
postnatal care within 6 days of
birth after discharge from place                                              Maternal Health    Monthly      Process
of birth as proportion of all live
births in facility
Antenatal clients HIV tested for
the first time during current
pregnancy as the proportion of         PMTCT   Monthly      Output
antenatal clients eligible for first
HIV tests.




Antenatal clients tested HIV
positive as the proportion of
antenatal clients HIV tested for       PMTCT      Monthly    Outcome
the first time during current
pregnancy




Antenatal clients re-tested for
HIV at 32 weeks gestation (or
later) as the proportion of
antenatal clients tested
negative for first HIV tests done
during current pregnancy.
Antenatal client who tested            PMTCT   Monthly      Output
negative for the first HIV test
done during her current
pregnancy: All antenatal clients
who were tested for HIV for the
first time MINUS those that
tested positive at their first test.
Antenatal clients re-tested for
HIV at 32 weeks gestation (or
later) as the proportion of
antenatal clients tested
negative for first HIV tests done
during current pregnancy.
Antenatal client who tested            PMTCT   Monthly   Output
negative for the first HIV test
done during her current
pregnancy: All antenatal clients
who were tested for HIV for the
first time MINUS those that
tested positive at their first test.




Antenatal clients re-tested
positive for HIV at 32 weeks
gestation (or later) as the
                                       PMTCT   Monthly   Outcome
proportion of antenatal clients
re-tested for HIV at 32 weeks
(or later).




HIV positive antenatal clients
(NOT on HAART) CD4 tested
for the first time during current
pregnancy as the proportion of
antenatal clients eligible for first   PMTCT   Monthly
CD4 tests. Antenatal clients
with positive HIV status (NOT
on HAART) are eligible for first
CD4
HIV positive antenatal clients
(NOT on HAART) initiated on
AZT during antenatal care as
the proportion of antenatal
clients (NOT on HAART) who
tested HIV positive during
current pregnancy. Antenatal
                                      PMTCT   Monthly   Output
client (NOT on HAART) who
tested HIV positive during her
current pregnancy. All antenatal
clients (NOT on HAART) who
tested positive for first HIV tests
PLUS clients re-tested positive
at 32 weeks or later.




Babies initiated on Co-
Trimoxazole 6 weeks after birth
(to prevent opportunistic
                                      PMTCT   Monthly   Output
infections) as the proportion of
live births to HIV positive
women.




Babies PCR tested 6 weeks
after birth as the proportion of
live births to HIV positive
                                      PMTCT   Monthly   Outcome
women.
Babies PCR tested 6 weeks
after birth as the proportion of
live births to HIV positive
                                   PMTCT   Monthly   Outcome
women.




Babies tested PCR positive 6
weeks after birth as the
                                   PMTCT   Monthly   Impact
proportion of babies PCR tested
at 6 weeks.




Babies tested for HIV antibodies
around 18 months after birth as
the proportion of babies under
18 months who tested PCR
negative.
Babies under the age of 18         PMTCT   Monthly   Output
months who tested PCR
negative: All babies who were
PCR tested (first tests + repeat
tests) MINUS all babies who
tested PCR positive.



Babies tested positive for HIV
antibodies around 18 months
after birth as the proportion of   PMTCT   Monthly   Outcome
babies tested for HIV antibodies
around 18 months.




HIV positive antenatal clients
initiated on HAART as the
proportion of HIV positive
antenatal clients with CD4         PMTCT   Monthly   Output
counts under the specified
threshold and/or WHO staging
of 4
HIV positive babies that was       Not part of 16 final NIDS indicators
initiated on HAART as The          for PMTCT, but HAST cluster advised
                                                                             PMTCT   Monthly   Output
proportion of all HIV positive     that this is very important indicator for
babies                             ART campaign




The proportion of all antenatal    This may be viewed as an ART data,
clients eligible for HAART who     but is crucial for monitoring effective
                                                                             PMTCT   Monthly   Outcome
were on HAART at time of           implementation of ART guidelines in
delivery                           pregnant women




HIV positive antenatal clients
(NOT on HAART) who took            This data is collected at point of
Nevirapine during labour as the    delivery only and NOT during              PMTCT   Monthly   Outcome
proportion of live births to HIV   antenatal care.
positive women




HIV positive antenatal clients
(NOT on HAART) on AZT for          This data is collected at point of
any period before labour as the    delivery only and NOT during              PMTCT   Monthly   Outcome
proportion of live births to HIV   antenatal care.
positive women
Babies (including BBAs and
known home deliveries) given
Nevirapine within 72 hours after                                         PMTCT   Monthly   Outcome
birth as the proportion of live
births to HIV positive women.




                                    A number of patients counted here, in
The proportion of people 15         particular women, who present with
years and older that have been      symptoms of STIs and are being
                                                                          STI    Monthly
treated for a new episode of an     treated using the Syndromic
STI (annualised)                    Approach do not necessarily have an
                                    STI but another type of infection.




The proportion of all new STI
episodes treated that came with                                          STI     Monthly   Outcome
a partner slip.




The number of male condoms
distributed - to patients at the
facility or through other                                                STI     Monthly   Output
channels - per male 15 years
and older




The proportion of all new clients
tested HIV positive that were                                            VCT     Monthly   Output
screened for TB
The proportion of all new clients
tested HIV positive that were       VCT          Monthly   Outcome
confirmed for TB




The proportion of clients,
excluding antenatal clients,
receiving pre-test counselling      VCT          Monthly   Output
who accepted testing and were
tested for HIV

The proportion of clients,
excluding antenatal clients,
                                    VCT          Monthly   Outcome
tested for HIV that were found
to be positive




The proportion of PHC clients 5
years and older suspected of
                                    TB control   Monthly   Outcome
TB with sputum samples sent to
the laboratory




The proportion of suspected
cases with sputum sent that         TB control   Monthly   Outcome
were smear positive




The proportion of confirmed TB
cases with a positive sputum        TB control   Monthly   Process
that started treatment
The proportion of confirmed TB
cases with a positive sputum                                               TB control      Monthly   Process
that started treatment




The proportion of all sputum
                                  GUIDE FOR USE: Highly useful
samples sent where the result
                                  indicator for the quality and reach of
was received at the facility                                               TB control      Monthly   Process
                                  laboratory and
within 48 hours of sending the
                                  transport/communication services.
samples.




The number of mental health
visits as the proportion of PHC                                            Mental Health   Monthly   Outcome
total headcount
The number of mental health
visits as the proportion of PHC   Mental Health   Monthly   Outcome
total headcount
The proportion of all mental
health visits by clients 18 years   Mental Health   Monthly   Outcome
and older
Newly diagnosed hypertension
patients put on treatment as
                                 Chronic Care   Monthly   Output
proportion of PHC headcount 5
years and older




High risk hypertension cases
expressed per 1000 population    Chronic Care   Monthly   Outcome
40 years and older




Newly diagnosed diabetic
patients put on treatment as
                                 Chronic Care   Monthly   Output
proportion of PHC headcount 5
years and older




High risk diabetes cases
expressed per 1000 population    Chronic Care   Monthly   Outcome
40 years and older




The number of asthma cases
under 18 years as the            Chronic Care   Monthly   Outcome
proportion of all asthma cases
The number of asthma cases as
the proportion of PHC total        Chronic Care   Monthly   Output
headcount




The number of epilepsy cases
under 18 years as the              Chronic Care   Monthly   Outcome
proportion of all epilepsy cases




The number of asthma cases as
the proportion of PHC total        Chronic Care   Monthly   Output
headcount
The number of asthma cases as
the proportion of PHC total     Chronic Care   Monthly      Output
headcount




The average cost per patients
day equivalent, with patients
day equivalent calculated as
inpatients days + 0.5 x day
                                     Finance      Monthly    Process
patients (1/2 day patients) +
0.33 x OPD/Emergency total
headcount (1/3
OPD/Emergency headcount)
Proportion of complaints that
                                  Quality Control   Monthly   Process
are resolved within 25 days




The proportion of patients who
                                  Quality Control   Monthly   Outcome
develop a nosocomial infections
The total time (in minutes) that
theatres were in use as the
proportion of total theatre
capacity (in minutes) during the
reporting period. Total capacity
of theatres = Scheduled
capacity: 60 min × 8 hours × 21                                          Theatre        Monthly   Process
days x number of day theatres
plus Emergency/after-hour
capacity: 60 min x 24 hours x
30.42 days x number of
theatres used for
emergency/after-hour surgery



                               This is a key indicator of dental
                               service QUALITY - poor quality
                               services normally means a large
The rate between the number of
                               number of extractions compared to
teeth extracted and the number                                           Oral Health    Monthly   Output
                               restorations. Extractions are also a
of teeth restored
                               result of poor oral hygiene in general
                               combined with lack of regular dental
                               check-ups


                                   Count all dental visits, whether new
                                   or repeats. Good oral heath services
                                   will vary from community to
Dental visits per 1,000            community, since issues like fluorided
                                                                          Oral Health   Monthly   Outcome
population                         water and general oral hygiene have
                                   a major impact on tooth decay. One
                                   dental check-up per year should be
                                   regarded

The proportion of all fixed
facilities that had stock-out of                                         Stock outs     Monthly   Process
any ARV drug
The proportion of all fixed
facilities that had stock-out of                                         Stock outs     Monthly   Process
any TB drug
The proportion of all fixed
facilities that had stock-out of                                         Stock outs     Monthly   Process
any tracer item
Total number of common
                                       Common priority birth defects
priority birth defects cases (with
                                       include: Down Syndrome, neural tube
or without Birth Defects                                                         Human Genetics   Monthly   Outcome
                                       defects, Albinism, cleft lip / palate and
notification tool) in a facility per
                                       club feet.
1000 live births




Proportion of children with birth      There is a need to determine birth
defects delivered by mothers           defects cases in the age category of   Human Genetics      Monthly   Outcome
under 18 years                         18 years and below.




Proportion of children with birth There is a need to determine birth
defects delivered by mothers 35 defects cases in the age category of          Human Genetics      Monthly   Outcome
years and older                   35 years and older.




Number of Cataract operation
                                                                              Eye care            Monthly   Outcome
per million of the population
Wheelchairs issued as
proportion of clients requiring   Rehab Services   Monthly
wheelchair for the first time




Hearing aids issued as
proportion of clients requiring   Rehab Services   Monthly
hearing aid for the first time




Walking aids issued as
proportion of clients requiring   Rehab Services   Monthly
walking aid for the first time




The proportion of new HIV
positive cases that had blood     Pre-ART          Monthly   Output
drawn for a CD4 count




The proportion of clients newly
eligible for INH as prophylaxis
                                  Pre-ART          Monthly   Output
for TB that started treatment
this month
eligible for INH as prophylaxis
                                      Pre-ART   Monthly   Output
for TB that started treatment
this month




The proportion of HIV positive
clients newly eligible starting co-
                                      Pre-ART   Monthly   Output
trimoxazole prophylaxis this
month




Patients initiated on ART as the
proportion of all patients eligible
for ART. Eligible to start ART
criteria:
CD4 count <200cells/mm3
irrespective of clinical stage
OR
CD4 count ≤350cells/mm3
                                      Pre-ART   Monthly   Outcome
• In patients with TB/HIV
• Pregnant women
OR
WHO stage IV irrespective of
CD4 count
OR
MDR/XDR-TB irrespective of
CD4 count.
Patients initiated on ART as the
proportion of all patients eligible
for ART. Eligible to start ART
criteria:
CD4 count <200cells/mm3
irrespective of clinical stage
OR
CD4 count ≤350cells/mm3
                                                                          Pre-ART   Monthly   Outcome
• In patients with TB/HIV
• Pregnant women
OR
WHO stage IV irrespective of
CD4 count
OR
MDR/XDR-TB irrespective of
CD4 count.




Children (0-15 years) initiated
on ART as the proportion of all
HIV positive children eligible for
ART. Eligible to start ART are
- Infants HIV positive under one
year
- Children 1-5 years with clinical                                        Pre-ART   Monthly   Outcome
stage III or IV or CD4 ≤25
percent or absolute CD4 count<
750 cells/mm3
- Children 5-15 years with
clinical stage III and IV or CD4
≤350 cells/mm




The number of patients who are
initiating ART with a CD4 below
                                This indicator is a proxy indicator for
100 (adults) or 15 percent TLC                                            ART       Monthly   Output
                                pre-ART care programs
(paeds) as proportion of total
CD4 counts done at baseline
ART patients with viral load
<400 copies at 6 months as the
proportion of all Viral loads
done at 6 months. Patients with
viral load < 400 copies/ml at 6
months indicates that the HIV is     ART   Monthly   Outcome
not actively reproducing and
that the risk of disease
progression is low. Ideally most
patient's viral loads should have
dropped below 400 at 6 months.




ART patients with viral load
under 400 copies at 12 months
as the proportion of all Viral
loads done at 12 months.
Patients with viral load < 400
copies/ml at 12 months
indicates that the ART drugs         ART   Monthly   Outcome
are still effective to prevent HIV
actively reproducing and that
the risk of disease progression
is low. Ideally most patient's
viral loads should remain below
400 copies/ml at 12 months.




ART patients with viral load
under 400 copies with annual
viral load testing as proportion
of all Viral loads done annually.
Patients with viral load under
400 copies/ml indicates that the     ART   Monthly   Outcome
HIV is not actively reproducing
and that the risk of disease
progression is low. Ideally most
patient's viral loads should
remain below 400 copies/ml.


ART patients with CD4 counts
above 200 cells/µl or 20 percent
TLC at 6 months as proportion
of total CD4 counts done at 6
months. CD4 count at 6 months
helps to monitor the
                                     ART   Monthly   Outcome
effectiveness of HIV treatment.
A CD4 count above 200 is
usually an indication of
improvement in the state of the
immune system and the cells'
ability to fight infections.
ART patients with CD4 counts
above 200 cells/mL or 20
percent TLC at 12 months as
proportion of total CD4 counts
done at 12 months. CD4 count
at 12 months helps to monitor
                                  ART   Monthly   Outcome
the effectiveness of HIV
treatment. A CD4 count above
200 is usually an indication of
improvement in the state of the
immune system and the cells'
ability to fight infections.




ART patients with CD4 counts
above 200 cells/mL or 20
percent TLC at 24 months as
proportion of total CD4 counts
done at 24 months. CD4 count
at 24 months helps to monitor
                                  ART   Monthly   Outcome
the effectiveness of HIV
treatment. A CD4 count above
200 is usually an indication of
improvement in the state of the
immune system and the cells'
ability to fight infections.



Number of adult ART patients
on Regimen 1 at 6 months as
proportion of all patients on
                                  ART   Monthly   Output
Regimen (First line regimen
PLUS second line regimen) at 6
months


Number of children on ART on
Regimen 1 at 6 months as
proportion of total number of
                                  ART   Monthly   Output
children on Regimen (First line
regimen PLUS second line
regimen) at 6 months


Number of adult ART patients
on Regimen 1 at 12 months as
proportion of all patients on
                                  ART   Monthly   Output
Regimen (First line regimen
PLUS second line regimen) at
12 months

Number of children on ART on
Regimen 1 at 12 months as
proportion of total number of
                                  ART   Monthly   Output
children on Regimen (First line
regimen PLUS second line
regimen) at 12 months
Number of children on ART on
Regimen 1 at 12 months as
proportion of total number of
                                                                       ART     Monthly   Output
children on Regimen (First line
regimen PLUS second line
regimen) at 12 months

Number of adult ART patients
on Regimen 1 at 24 months as
proportion of all patients on
                                                                       ART     Monthly   Output
Regimen (First line regimen
PLUS second line regimen) at
24 months

Number of children on ART on
Regimen 1 at 24 months as
proportion of total number of
                                                                       ART     Monthly   Output
children on Regimen (First line
regimen PLUS second line
regimen) at 24 months




Number of patients on TB
treatment at start of ART as
                                                                       ART     Monthly   Output
proportion of total number of
patients starting ART treatment




ART patients still on treatment
at 6 months as proportion of      A 6 month time lag will be used in the
                                                                         ART   Monthly   Output
total number of patients that     set-up of the indicator in the DHIS
started treatment 6 months ago
at 6 months as proportion of     A 6 month time lag will be used in the
                                                                        ART   Monthly   Output
total number of patients that    set-up of the indicator in the DHIS
started treatment 6 months ago




ART patients still on treatment
at 12 months as proportion of   A 12 month time lag will be used in
                                                                        ART   Monthly   Output
total number of patients that   the set-up of the indicator in the DHIS
started treatment 12 months ago




ART patients still on treatment
at 24 months as proportion of   A 24 month time lag will be used in
                                                                        ART   Monthly   Output
total number of patients that   the set-up of the indicator in the DHIS
started treatment 12 months ago




Number of ART patients lost to
follow-up at 6 months as
                                 A 6 month time lag will be used in the
proportion of total number of                                           ART   Monthly   Outcome
                                 set-up of the indicator in the DHIS
patients that started ART
treatment 6 months ago
Number of ART patients lost to
follow-up at 6 months as
                                  A 6 month time lag will be used in the
proportion of total number of                                            ART         Monthly     Outcome
                                  set-up of the indicator in the DHIS
patients that started ART
treatment 6 months ago




Number of ART patients lost to
follow-up at 12 months as
                                  A 12 month time lag will be used in
proportion of total number of                                             ART        Monthly     Outcome
                                  the set-up of the indicator in the DHIS
patients that started ART
treatment 12 months ago




Number of patients that died
first 3 months of treatment as
                                  A 3 month time lag will be used in the
proportion of total number of                                            ART         Monthly     Outcome
                                  set-up of the indicator in the DHIS
patients starting ART treatment
3 months ago




Number of patients that died
first 6 months of treatment as
                                  A 6 month time lag will be used in the
proportion of total number of                                            ART         Monthly     Outcome
                                  set-up of the indicator in the DHIS
patients starting ART treatment
3 months ago




New TB cases per 100,000
people in the catchment                                                 TB ETR_Net   Quarterly   Outcome
population
                               The total population includes children
New smear positive Pulmonary
                               but the challenge is that children less
TB cases per 100,000 people in                                         TB ETR_Net      Quarterly   Outcome
                               than 7 are not included in the
the catchment population
                               numerator.
                                     The denominator refers to the TB
Primary TB as the proportion of
                                     cases that were diagnosed during the TB ETR_Net   Quarterly   Output
all TB cases
                                     reporting period.

Smear positive Pulmonary TB
as the proportion of all                                                TB ETR_Net     Quarterly   Outcome
pulmonary TB cases



Pulmonary TB cases with
bacteriological testing as the
                                                                        TB ETR_Net     Quarterly   Output
proportion of all pulmonary TB
cases



New smear positive PTB cases
that were cured as the
proportion of all new smear                                             TB ETR_Net     Quarterly   Outcome
positive PTB cases (including
those moved in)


New smear positive PTB cases
where the patients died as the
proportion of all new smear                                             TB ETR_Net     Quarterly   Outcome
positive PTB cases (including
those moved in)



New smear positive PTB cases
where the patients defaulted as
the proportion of all new smear                                         TB ETR_Net     Quarterly   Outcome
positive PTB cases (including
those moved in)




Re-treatment smear positive
PTB cases that were cured as
the proportion of all re-treatment                                      TB ETR_Net     Quarterly   Outcome
smear positive PTB cases
(including those moved in)



Re-treatment smear positive
PTB cases that were cured or
that completed treatment as the
                                                                        TB ETR_Net     Quarterly   Outcome
proportion of all re-treatment
smear positive PTB cases
(including those moved in)

Re-treatment smear positive
PTB cases where the patients
died as the proportion of all re-
                                                                        TB ETR_Net     Quarterly   Outcome
treatment smear positive PTB
cases (including those moved
in)
Re-treatment smear positive
PTB cases where the patients
died as the proportion of all re-
                                                                          TB ETR_Net      Quarterly   Outcome
treatment smear positive PTB
cases (including those moved
in)
Re-treatment smear positive
PTB cases where the patients
defaulted as the proportion of
                                                                          TB ETR_Net      Quarterly   Outcome
all re-treatment smear positive
PTB cases (including those
moved in)

TB patients who were            The angle this indicator takes is that
counselled for HIV (VCT) as the from the TB entry, there is still an HIV TB ETR_Net       Quarterly   Output
proportion of all TB patients   entry point considered


TB patients tested for HIV       The angle this indicator takes is that
(VCT) as the proportion of all   from the TB entry, there is still an HIV TB ETR_Net      Quarterly   Output
TB patients that were counselled entry point considered


TB patients tested positive for     The angle this indicator takes is that
HIV as the proportion of all TB     from the TB entry, there is still an HIV TB ETR_Net   Quarterly   Outcome
patients that were tested           entry point considered.




The proportion of all new MDR-
TB cases successfully treated                                             TB EDR_Net      Quarterly
during the reporting period




The proportion of all new xDR-
TB cases successfully treated                                             TB EDR_Net      Quarterly
during the reporting period

The proportion of MDR-TB
patients who die during the                                               TB EDR_Net      Quarterly
reporting period

The proportion of XDR-TB
patients who die during the                                               TB EDR_Net      Quarterly
reporting period


The proportion of MDR-TB
                                                                          TB EDR_Net      Quarterly
cases started on ART


The proportion of XDR-TB
                                                                          TB EDR_Net      Quarterly
cases started on ART




Number of all rostered         Track the proportion of ambulances
                                                                                  EMS     Monthly
ambulances per 1000 population available per 1000 population
Percentage of P1 call outs to
urban locations with response      Monitor response times within
                                                                   EMS   Monthly
times within national urban        national urban target
target (15 mins)




Percentage of P1 call outs to
rural locations with response      Monitor response times within
                                                                   EMS   Monthly
times within national rural target national rural target
(40 mins)




Percentage of all call outs with
                                   Monitor Response times          EMS   Monthly
response times within 60min
Percentage of all call outs with
                                   Monitor Response times   EMS   Monthly
response times within 60min
   Measuring       Informing
progress towards    National
                                     Routine Data Elements                  Data Element definition
  MDGs? If Yes        Strat
   which MDG       Plan/APP

                                                                  All individual patients not yet reached five
                                                                  years (60 months) of age attending the
                                                                  facility during the reporting period (usually
                                                                  month) for Primary Health Care. Each
                               PHC headcount under 5 years
                                                                  patient is counted once for each day they
                                                                  appear at the facility, regardless of the
                                                                  number of services provided on the day(s)
                                                                  they were seen.
                     APP
                                                               All individual patients five years (60
                                                               months) and older attending the facility
                                                               during the reporting period (usually month)
                                                               for Primary Health Care. Each patient is
                               PHC headcount 5 years and older
                                                               counted once for each day they appear at
                                                               the facility, regardless of the number of
                                                               services provided on the day(s) they were
                                                               seen.


                                                                  All individual patients not yet reached five
                                                                  years (60 months) of age attending the
                                                                  facility during the reporting period (usually
                                                                  month) for Primary Health Care. Each
                   APP         PHC headcount under 5 years
                                                                  patient is counted once for each day they
                                                                  appear at the facility, regardless of the
                                                                  number of services provided on the day(s)
                                                                  they were seen.


                                                                  A patient/client (child or adult) seen by a
                               PHC cases seen by Professional
                                                                  professional nurse for a Primary Health
                               nurse
                                                                  Care service

                                                                  The number of actual work days by
                   APP                                            Professional Nurses, irrespective of rank,
                               Professional Nurse clinical work   used to perform clinical services in the
                               days                               facility during the reporting period (usually
                                                                  month). One actual work day is normally
                                                                  equivalent to an 8-hour shift (40 hours).



                                                                  A patient/client (child or adult) seen by a
                               PHC cases seen by doctor           doctor for a Primary Health Care curative
                                                                  service (diagnosis and treatment)



                   APP
APP
                                            The number of actual work days by
                                            doctors, irrespective of rank or specialty,
                                            used to perform clinical services in the
      Doctor clinical work days
                                            facility during the reporting period (usually
                                            month). One actual work day is normally
                                            equivalent to an 8-hour shift (40 hours)



                                            The number of fixed clinics open at least 4
      Fixed clinics supported by a          days per week for at least 8 hours per day
      doctor at least once a week - total   where a doctor is supporting clinical
APP                                         services at least once per week

                                            The total number of fixed clinics in the
      Fixed clinics - total                 province open at least 4 days per week for
                                            at least 8 hours per day

                                       The number of CHCs or CDCs in the
      CHCs/CDCs with resident doctor -
                                       province with at least one full-time doctor
APP   total
                                       The total number of CHCs or CDCs in the
      CHCs/CDCs - total
                                       province

                                            The number of visits to the facility by a
                                            dedicated clinic supervisor, who performs
      Supervisor visits this month
                                            a visits according to the clinic supervision
APP                                         manual

                                            The total number of fixed clinics in the
      Fixed clinics - total                 province open at least 4 days per week for
                                            at least 8 hours per day


                                            Inpatient days - Total is the number of
                                            days spent in the institution for all
                                            inpatients during the reporting period.
                                            Inpatient days exclude lodgers. A day is
                                            measured at midnight. Thus: A patient
                                            admitted and separated on the same date
                                            has zero patient days, and is counted as a
                                            DAY patient. A patient separated on the
      Inpatient days - total
                                            date following the date of admission, has
                                            one patient day, and so on. A patient on
                                            leave at midnight is not counted as a
                                            patient day. A patient admitted and then
                                            dying or being transferred out on the same
                                            day has zero patient days, but the patient
                                            is regarded as an inpatient and is NOT
                                            counted as a day patient.




APP
                                 A day patient is an admitted patient who
                                 receives hospital treatment and is
APP                              admitted and separated from the hospital
                                 on the same date (he/she does not occupy
                                 a bed at midnight). The definition of a Day
      Day patients - Total
                                 Patient excludes patients who were
                                 intended to stay overnight but left of their
                                 own accord, patients who died, or patients
                                 who were transferred to another hospital
                                 on the first day of their stay.



                                 Usable beds are beds actually available
                                 for use within the facility (regardless of
                                 whether they are occupied by a patient or
                                 lodger). Include acute care beds, chronic
                                 care beds, maternity beds for antenatal
      Usable beds - total        and postnatal care, surgical days beds,
                                 and temporary beds. Exclude delivery
                                 beds, surgical tables, recovery trolleys,
                                 cots for normal neonates (well baby cots),
                                 stretchers, chairs and recliners (e.g. as
                                 used for renal dialysis patients etc.).



                                 Inpatient days - Total is the number of
                                 days spent in the institution for all
                                 inpatients during the reporting period.
                                 Inpatient days exclude lodgers. A day is
                                 measured at midnight. Thus: A patient
                                 admitted and separated on the same date
                                 has zero patient days, and is counted as a
                                 DAY patient. A patient separated on the
      Inpatient days - total
                                 date following the date of admission, has
                                 one patient day, and so on. A patient on
                                 leave at midnight is not counted as a
                                 patient day. A patient admitted and then
                                 dying or being transferred out on the same
                                 day has zero patient days, but the patient
                                 is regarded as an inpatient and is NOT
                                 counted as a day patient.



                                 A day patient is an admitted patient who
                                 receives hospital treatment and is
                                 admitted and separated from the hospital
                                 on the same date (he/she does not occupy
                                 a bed at midnight). The definition of a Day
      Day patients - Total
                                 Patient excludes patients who were
                                 intended to stay overnight but left of their
                                 own accord, patients who died, or patients
APP                              who were transferred to another hospital
                                 on the first day of their stay.


                                 An inpatient death - Total is a death
      Inpatient deaths - Total   recorded against any admitted patient
                                 during the reporting period.
                                        A Inpatient Transfer Out is an admitted
                                        patient in the hospital who is directed or
                                        physically transferred to another hospital
                                        for immediate admission there. It excludes
                                        patients referred to a primary health care
      Inpatient discharges - Total
                                        clinic, community health centre or any
                                        other primary health care facility. It also
                                        excludes patients referred to other
                                        hospitals for a specialist OPD visit and
                                        similar.


                                        A Inpatient Transfer Out is an admitted
                                        patient in the hospital who is directed or
                                        physically transferred to another hospital
                                        for immediate admission there. It excludes
                                        patients referred to a primary health care
      Inpatient transfers out - total
                                        clinic, community health centre or any
                                        other primary health care facility. It also
                                        excludes patients referred to other
                                        hospitals for a specialist OPD visit and
                                        similar.



                                        A headcount of all outpatients attending an
                                        outpatient clinic, seeking medical attention
      OPD headcount - new case not      for a condition for the first time at this
      referred                          facility, without being referred from a PHC
                                        facility or doctor (including General
                                        Practitioners).

APP

                                        A headcount of all outpatients attending an
                                        outpatient clinic, seeking medical attention
                                        for a condition for the first time at this
      OPD headcount - new case
                                        facility, that was seen in a PHC facility or
      referred
                                        by a doctor (including General
                                        Practitioners) and have a referral letter
                                        from the PHC facility or doctor.



                                        A child weighed and the weight plotted
      Child under 5 years weighed       onto the Road to Health card, the patients
                                        folder and other relevant recording


                                        All individual patients not yet reached five
                                        years (60 months) of age attending the
                                        facility during the reporting period (usually
                                        month) for Primary Health Care. Each
      PHC headcount under 5 years
                                        patient is counted once for each day they
                                        appear at the facility, regardless of the
                                        number of services provided on the day(s)
                                        they were seen.
                                                   A child under 5 years that has not gained
                                                   weight compared to the weight recorded at
                Not gaining weight under 5 years
                                                   least one month earlier on the Road-to-
                                                   Health Card
MDG 1

                                                   A child weighed and the weight plotted
                                                   onto the Road to Health Card/Booklet, the
                Child under 5 years weighed
                                                   patient folder and a relevant register for
                                                   the first time this month



                                                  he weight-for-age chart in the Road-to-
                                                  Health Card/Booklet shows body-weight
                Underweight for age under 5 years relative to age in comparison to the
                - new case                        median (0-line). A child whose weight-for-
                                                  age is below the -2 line but above the -3
                                                  line is underweight.
MDG1, Ind 1.8



                                                   A child weighed and the weight plotted
                                                   onto the Road to Health Card/Booklet, the
                Child under 5 years weighed
                                                   patient folder and a relevant register for
                                                   the first time this month




                                                  he weight-for-age chart in the Road-to-
                                                  Health Card/Booklet shows body-weight
                Underweight for age under 5 years relative to age in comparison to the
MDG1, Ind 1.9
                - new case                        median (0-line). A child whose weight-for-
                                                  age is below the -2 line but above the -3
                                                  line is underweight.




                                                    A new child found to weigh less than 60
                                                    percent of Estimated Weight for Age
                                                    (EWA), or to suffer from Marasmus,
                Severe malnutrition under 5 years -
MDG 1                                               Kwashiorkor, or similar, AND DIED.
                death
                                                    EXCLUDING new-born babies. Severe
                                                    malnutrition might also be denoted as
                                                    CLINICALLY malnourished. `Ambulatory`
                                                The number of children with diarrhoea with
                                                NO visible dehydration. Diarrhoea occurs
                                                when stools contain more water than
                                                normal. Mothers usually know whether
                                                their children have diarrhoea. Diarrhoea
             Diarrhoea without dehydration      with NO visible dehydration is present
MDG4 Proxy
             under 5 years - new ambulatory     when the child has diarrhoea with not
                                                enough signs to classify as severe or mild
                                                dehydration. `Ambulatory` means that the
                                                patient is able to walk (or equivalent
                                                condition for infants not yet walking) as
                                                opposed to bedridden.

                                                The number of children with diarrhoea
                                                presenting with severe or mild
                                                dehydration. Diarrhoea occurs when stools
                                                contain more water than normal. Mothers
                                                usually know whether their children have
                                                diarrhoea. Dehydration is present when a
             Diarrhoea with dehydration under
MDG4 Proxy                                      diarrhoea is accompanied by two of the
             5 years - new ambulatory
                                                following signs: lethargic or unconscious,
                                                sunken eyes, not able to drink or drinking
                                                poorly or drinking eagerly , skin pinch goes
                                                back very slowly, restless / irritable, and or
                                                thirsty. `Ambulatory` means that the
                                                patient is able to walk (or equivalent

                                                The number of children with diarrhoea with
                                                NO visible dehydration. Diarrhoea occurs
                                                when stools contain more water than
                                                normal. Mothers usually know whether
                                                their children have diarrhoea. Diarrhoea
             Diarrhoea without dehydration      with NO visible dehydration is present
             under 5 years - new ambulatory     when the child has diarrhoea with not
                                                enough signs to classify as severe or mild
                                                dehydration. `Ambulatory` means that the
                                                patient is able to walk (or equivalent
                                                condition for infants not yet walking) as
                                                opposed to bedridden.



MDG4 Proxy                                      The number of children with diarrhoea
                                                presenting with severe or mild
                                                dehydration. Diarrhoea occurs when stools
                                                contain more water than normal. Mothers
                                                usually know whether their children have
                                                diarrhoea. Dehydration is present when a
                                                diarrhoea is accompanied by two of the
             Diarrhoea with dehydration under
                                                following signs: lethargic or unconscious,
             5 years - new ambulatory
                                                sunken eyes, not able to drink or drinking
                                                poorly or drinking eagerly , skin pinch goes
                                                back very slowly, restless / irritable, and or
                                                thirsty. `Ambulatory` means that the
                                                patient is able to walk (or equivalent
                                                condition for infants not yet walking) as
                                                opposed to bedridden.
                                                 The number of children with pneumonia.
                                                 Pneumonia is defined as cough or difficult
                                                 and fast breathing and any one of the
                                                 following general danger signs: child
                                                 unable to drink or breastfeed, child vomits
                                                 everything, child has convulsions during
                                                 this illness, child is lethargic or
                                                 unconscious or chest drawing or stridor in
             Pneumonia under 5 years - new       a calm child.
MDG4 Proxy
             ambulatory
                                                 The definition of fast breathing depends on
                                                 the age of the child:
                                                 age 1 week up to 2 months: 60 breaths per
                                                 minute or more = fast breathing
                                                 age 2 months up to 12 months: 50 breaths
                                                 per minute or more
                                                 age 12 months up to 5 years: 40 breaths
                                                 per minute or more


                                                 The weight-for-age chart in the Road-to-
                                                 Health Card/Booklet shows body-weight
                                                 relative to age in comparison to the
             Severe malnutrition under 5 years -
                                                 median (0-line). A child whose weight-for-
             new ambulatory
                                                 age is below the -3 line is severely
                                                 underweight. Clinical signs of Marasmus
                                                 and/or Kwashiorkor might be observed.

MDG4 Proxy
                                                 A child under 5 years found to weigh less
                                                 than 60% of Estimated Weight for Age
                                                 (EWA), or to suffer from Marasmus,
             Severe malnutrition under 5 years - Kwashiorkor, or similar, EXCLUDING new-
             admitted                            born babies, that were admitted. Severe
                                                 malnutrition might
                                                 also be denoted as CLINICALLY
                                                 malnourished.

                                                 Children being diagnosed for diarrhoea
             Diarrhoea with dehydration under    with severe or mild dehydration,
             5 years - death                     admitted as an inpatient, and dying during
                                                 the stay.
MDG4 Proxy

                                                 Children being diagnosed for diarrhoea
             Diarrhoea with dehydration under
                                                 with severe or mild dehydration and
             5 years - admitted
                                                 admitted as an inpatient.


                                                 Children being diagnosed with pneumonia,
             Pneumonia under 5 years - death
                                                 admitted as an inpatient, and then died.
MDG4 Proxy
             Pneumonia under 5 years -           Children being diagnosedwith Pneumonia
             admitted                            and admitted as an inpatient.
                                                       An inpatients death under 1 year is a
                                                       death recorded against any admitted
                                                       patients under 1 year during the reporting
                   Inpatients death under 1 year
                                                       period. This include the death of newborn
                                                       babies, even if they are not admitted
                                                       separate from their mothers.

                                                       An Inpatient discharge under 1 year is any
MDG4 Proxy                                             admitted patient under 1 year who
                                                       complete a hospital stay that includes at
                   Inpatient discharge under 1 year    least one night and are discharged to their
                                                       usual residence including home, family,
                                                       prison, hostel etc. It excludes deaths and
                                                       transfers
                                                       The number of inpatients under 1 year
                   Inpatient transfer out under 1 year transferred to another hospital during the
                                                       reporting period.

                                                       An inpatient death under 5 years is a
                                                       death recorded against any admitted
                                                       patient under 5 years during the reporting
                   Inpatient death under 5 years
                                                       period. This include the death of newborn
                                                       babies, even if they are not admitted
                                                       separate from their mothers.

                                                       An inpatient death under 5 years is a
                                                       death recorded against any admitted
MDG4 Proxy
                                                       patient under 5 years during the reporting
                   Inpatient discharge under 5 years
                                                       period. This include the death of newborn
                                                       babies, even if they are not admitted
                                                       separate from their mothers.

                                                        The number of inpatients under 5 years
                                                        transferred to another hospital during the
                   Inpatient transfer out under 5 years reporting period. This includes those under
                                                        1 year, even if they are captured
                                                        separately.




                                                       The number of Vitamin A doses, 100,000
                   Vitamin A supplement to 6-11
             APP                                       units, given once to infants aged at least 6
                   months infant
                                                       months and not yet 12 months




                                                       Vitamin A doses of 200,000 units given to
                   Vitamin A supplement to 12-59
                                                       each child every six months from 12 to 59
                   months child
                                                       months
                                                     The number of Vitamin A doses, 200,000
                   Vitamin A supplement to woman
                                                     units, given to women within 8 weeks after
                   within 8 weeks after delivery
                                                     delivery


             APP
                                                     Delivery in facility is the total number of
                                                     women who delivered in a health facility
                                                     under the supervision of trained
                   Delivery in facility
                                                     medical/nursing staff. Note that this
                                                     number can be less than the Total Births
                                                     in facility if multiple births occur.



                                                      A child who have completed his/her
                                                      primary course of immunisation before the
                                                      age of one. A Primary Course includes
MDG4 Proxy   APP   Immunised fully under 1 year - new BCG, OPV 1, DTP-Hib 1 / Pentaxim 1,
                                                      OPV 2 & 3 + DTP-Hib 2 & 3 / Pentaxim 2 &
                                                      3, HepB 1,2 & 3, and 1st measles dose
                                                      before 1 year.




                                                     BCG (tuberculosis) vaccine given to a
                   BCG dose under 1 year             child under 1 year of age - preferably
                                                     immediately after birth.



                                                     OPV (Poliomyelitis) vaccine 1st dose given
                   OPV 1st dose                      to a child under one year, preferably
                                                     around 6 weeks after birth


                                                     OPV (Poliomyelitis) vaccine 3rd dose
                   OPV 3rd dose                      given to a child under one year, preferably
                                                     around 14 weeks after birth


                                                     Hepatitis B vaccine 1st dose given to a
                   HepB 1st dose                     child under one year - preferably at around
                                                     6 weeks after birth

                                                     Hepatitis B vaccine 3rd dose given to a
                   HepB 3rd dose                     child under one year - preferably at around
                                                     14 weeks after birth


                                                     DTP-Hib (Diphtheria/Tetanus/Pertussis-
                                                     Haemophilus influenzae B) vaccine 1st
                   DTP-Hib 1st dose
                                                     dose given to a child under one year -
                                                     preferably at around 6 weeks after birth


                                                     Hepatitis B vaccine 3rd dose given to a
                   DTP-Hib 3rd dose                  child under one year - preferably at around
                                                     14 weeks after birth
                                                      DTP-Hib (Diphtheria/Tetanus/Pertussis-
                                                      Haemophilus influenzae B) vaccine 1st
                   DTP-Hib 1st dose
                                                      dose given to a child under one year -
                                                      preferably at around 6 weeks after birth

                                                      Hepatitis B vaccine 3rd dose given to a
                   DTP-Hib 3rd dose                   child under one year - preferably at around
                                                      14 weeks after birth
                                                      Hepatitis B vaccine 3rd dose given to a
                   DTP-Hib 3rd dose                   child under one year - preferably at around
                                                      14 weeks after birth


MDG4 Proxy
                                                      Measles vaccine 1st dose given to a child
                   Measles 1st dose under 1 year      under one year of age (preferably at 9
                                                      months after birth)




                                                      Measles vaccine 1st doses given to a child
MDG4         APP   Measles 1st doses under 1 year     under one year of age (preferably at 9
                                                      months after birth)




                                                      Measles vaccine 2nd doses given to a
                   Measles 2nd dose                   child above one year of age (preferably at
                                                      18 months)




                                                      Td booster dose given to a child around 6
                                                      years of age. Note that this
                   Td dose at 6 years
                                                      replaced DT booster dose at 5 years from
                                                      February 2008.


                                                      Td last booster doses given to children
                   Td dose at 12 years
                                                      around 12 years of age.


                                                      Pneumococcal (PCV7) vaccine 1st dose
             APP   PCV7 1st dose                      given to a child under one year, preferably
                                                      around 6 weeks after birth.

                                                      Pneumococcal (PCV7) vaccine 3rd dose
                   PCV7 3rd dose                      given to a child under one year, preferably
                                                      around 9 months after birth.

                                                      Rota Virus (RV) vaccine 1st doses given to
                   RV 1st doses to children under 1   a child under one year, preferably around
             APP
                   year                               6 weeks after birth and NOT later than 14
                                                      weeks after birth
                                   Rota Virus (RV) vaccine 2nd doses given
RV 2nd doses to children under 1   to a child under one year, preferably
year                               around 14 weeks after birth and NOT later
                                   than 24 weeks after birth


                                   DTaP-IPV/Hib (also known as Pentaxim)
                                   1st dose vaccination 1st dose given to a
                                   child under one year - preferably at around
                                   6 weeks after birth. This vaccine provides
                                   protection against against diphtheria,
                                   tetanus, pertussis, poliomyelitis and
                                   invasive infections caused by
DTaP-IPV/Hib 1st dose              Haemophilus influenzae type b (such as
                                   meningitis, septicaemia, cellulitis, arthritis,
                                   epiglottitis, pneumopathy and
                                   osteomyelitis). The vaccine contains
                                   acellular pertussis and inactivated polio
                                   vaccine, both of which have been found to
                                   be effective and have a better side effect
                                   profile.


                                   DTaP-IPV/Hib (also known as Pentaxim)
                                   3rd dose given to a child under one year -
                                   preferably at around 14 weeks after birth.
                                   This vaccine provides protection against
                                   against diphtheria, tetanus, pertussis,
                                   poliomyelitis and invasive infections
                                   caused by Haemophilus influenzae type b
DTaP-IPV/Hib 3rd dose
                                   (such as meningitis, septicaemia, cellulitis,
                                   arthritis, epiglottitis, pneumopathy and
                                   osteomyelitis). The vaccine contains
                                   acellular pertussis and inactivated polio
                                   vaccine, both of which have been found to
                                   be effective and have a better side effect
                                   profile.



                                   DTaP-IPV/Hib (also known as Pentaxim)
                                   4th dose vaccination given to a child older
                                   than 1 year preferably around 18 months.
                                   This vaccine provides protection against
                                   against diphtheria, tetanus, pertussis,
                                   poliomyelitis and invasive infections
                                   caused by Haemophilus influenzae type b
DTaP-IPV/Hib 4th dose
                                   (such as meningitis, septicaemia, cellulitis,
                                   arthritis, epiglottitis, pneumopathy and
                                   osteomyelitis). The vaccine contains
                                   acellular pertussis and inactivated polio
                                   vaccine, both of which have been found to
                                   be effective and have a better side effect
                                   profile.
                                                      Intra Uterine Contraceptive Device (IUCD)
                   IUCD inserted
                                                      inserted into a woman




                                                      A packet (cycle) of oral contraceptives
                                                      issued to a woman between 15 and 45
                   Oral pill cycle
                                                      years, each containing pills for one cycle
                                                      (28 days)
                                                      Medroxyprogesterone acetate (Depo
                                                      Provera / Petogen) injection given to a
                   Medroxyprogesterone injection      woman between 15 and 45 years. This
                                                      injection provides contraceptive protection
                                                      for 3 months

                                                      Any Norethisterone enantate (Nuristerate)
MDG5
                                                      injection given to a woman between 15
                   Norethisterone enanthate injection
                                                      and 45 years. This injection provides
                                                      contraceptive protection for 2 months


                                                      Any planned operative procedure that
                   Sterilisation - female
                                                      results in a woman being sterilised



                                                      Male condoms from the stock of the facility
                                                      which were given out at distribution points
                   Male condoms distributed           at the facility or elsewhere in the
                                                      community (i.e. campaigns, non-traditional
                                                      outlets etc.).



                                                      Any planned operative procedure that
                   Sterilisation - male               results in a man being sterilised (also
                                                      called vasectomy)




                   Termination of Pregnancy           A Termination of Pregnancy performed
                   performed                          under safe conditions in a health facility




                                                    A cervical (pap) smear done for women
                                                    between thirty and sixty years for
                                                    screening purposes ccording to the
                                                    national policy of screening all women in
                   Cervical smear in woman 30 years
MDG5 Proxy   APP                                    this age category every 10 years.
                   and older
                                                    Diagnostic smears or repeat smears are
                                                    NOT included, and the smear must be of
                                                    sufficient quality to enable screening (e.g.
                                                    include endo-cervical cells).
                                                           A first visit by a pregnant woman to a
                                                           health facility for the primary purpose of
                                                           receiving antenatal care, often referred to
                                                           as a `booking visit`, that occur before 20
                                                           weeks after conception. The actual
                       Antenatal 1st visit before 20 weeks
                                                           protocol followed during the visit might
                                                           vary, but it should include relevant
                                                           screening procedures, laboratory tests
                                                           (e.g. for syphilis), and counselling / health
                                                           promotion (the latter often done in groups).

MDG 5 Ind 5.5    APP

                                                            A first visit by a pregnant woman to a
                                                            health facility for the primary purpose of
                                                            receiving antenatal care, often referred to
                                                            as a `booking visit`, that occur at 20 weeks
                       Antenatal 1st visit 20 weeks or      after conception or later. The actual
                       later                                protocol followed during the visit might
                                                            vary, but it should include relevant
                                                            screening procedures, laboratory tests
                                                            (e.g. for syphilis), and counselling / health
                                                            promotion (the latter often done in groups).



                                                           A first visit by a pregnant woman to a
                                                           health facility for the primary purpose of
                                                           receiving antenatal care, often referred to
                                                           as a `booking visit`, that occur before 20
                                                           weeks after conception. The actual
                       Antenatal 1st visit before 20 weeks
                                                           protocol followed during the visit might
                                                           vary, but it should include relevant
                                                           screening procedures, laboratory tests
                                                           (e.g. for syphilis), and counselling / health
MDG 5, Ind 5.5                                             promotion (the latter often done in groups).


                                                            A first visit by a pregnant woman to a
                                                            health facility for the primary purpose of
                                                            receiving antenatal care, often referred to
                       Antenatal 1st visit 20 weeks or
                                                            as a 'booking visit', that occur at 20 weeks
                       later
                                                            after conception or later. The actual
                                                            protocol followed during the visit might
                                                            vary,


                                                           A first visit by a pregnant woman to a
                                                           health facility for the primary purpose of
                                                           receiving antenatal care, often referred to
                                                           as a `booking visit`, that occur before 20
                                                           weeks after conception. The actual
                       Antenatal 1st visit before 20 weeks
                                                           protocol followed during the visit might
                                                           vary, but it should include relevant
                                                           screening procedures, laboratory tests
                                                           (e.g. for syphilis), and counselling / health
                                                           promotion (the latter often done in groups).
MDG 5, Ind 5.5
MDG 5, Ind 5.5

                                                          A first visit by a pregnant woman to a
                                                          health facility for the primary purpose of
                                                          receiving antenatal care, often referred to
                       Antenatal 1st visit 20 weeks or
                                                          as a 'booking visit', that occur at 20 weeks
                       later
                                                          after conception or later. The actual
                                                          protocol followed during the visit might
                                                          vary,

                                                          Any antenatal visit other than a first
                       Antenatal follow-up visit
                                                          antenatal visit.




                                                          The second Tet Tox doses given to a
                                                          pregnant women. Women who have proof
                                                          of being fully immunised during a previous
                       Tet Tox 2nd/Booster dose to
                                                          pregnancy are considered fully immunised
                       pregnant woman
                                                          after receiving one booster dose of tetanus
                                                          toxoid during this pregnancy. All others are
                                                          regarded




                                                          Number of women who die as a result of
                                                          childbearing, during pregnancy or within
                       Maternal death if facility
                                                          42 days of delivery or termination of
                                                          pregnancy
MDG 5, Target                                             Live birth is the complete expulsion or
                 APP                                      extraction from its mother of a product of
5a, Ind 5.1
                                                          conception, irrespective of the duration of
                       Live birth in facility -total      the pregnancy, which, after such
                                                          separation, breathes or shows any other
                                                          evidence of life, such as beating of the
                                                          heart, pulsati




                                                          Delivery in facility is women who delivered
                                                          in a health facility under the supervision of
MDG 5, Target
                       Delivery in facility               trained medical/nursing staff. Note that this
5a, Ind 5.2
                                                          number can be less than the Total Births
                                                          in facility if multiple births occur.




                                                           Delivery in facility to woman under 18
                                                           years is the number of women delivering in
                       Delivery in facility to woman under a health facility under the supervision of
                       18 years                            trained medical/nursing staff, and where
                                                           the mother is under 18 years on the day of
                                                           delivery.
MDG 5, Target
                 APP
5b, Ind 5.4
MDG 5, Target
                APP
5b, Ind 5.4
                                                            Delivery in facility is the total number of
                                                            women who delivered in a health facility
                                                            under the supervision of trained
                       Delivery in facility
                                                            medical/nursing staff. Note that this
                                                            number can be less than the Total Births
                                                            in facility if multiple births occur.


                                                            A Caesarean Section delivery in facility is
                                                            the removal of the foetus, placenta and
                                                            membranes by means of an incision
                                                            through the abdominal and uterine walls -
                       Caesarean section in facility        obviously only done in health facilities by
                                                            doctors. This be further divided into i)
                                                            Caesarean section in labour and ii)
                                                            Caesarean section, no labour also known
MDG 5, Target 5a APP                                        as an elective Caesarean section.


                                                            Delivery in facility is the total number of
                                                            women who delivered in a health facility
                                                            under the supervision of trained
                       Delivery in facility
                                                            medical/nursing staff. Note that this
                                                            number can be less than the Total Births
                                                            in facility if multiple births occur.


                                                            Live birth is the complete expulsion or
                                                            extraction from its mother of a product of
                                                            conception, irrespective of the duration of
                                                            the pregnancy, which, after such
                                                            separation, breathes or shows any other
                                                            evidence of life, such as beating of the
                                                            heart, pulsation of the umbilical cord, or
                       Live birth in facility under 2500g   definite movement of involuntary muscles,
                                                            whether or not the umbilical cord has been
                                                            cut or the placenta is attached.
                                                              The weight range relates to the weight of
                                                            the baby immediately after delivery. The
                                                            most common ranges are under 2500g
                                                            versus 2500g and over, but the low weight
                                                            range might be sub-divided further.


                                                            Live birth is the complete expulsion or
                                                            extraction from its mother of a product of
                                                            conception, irrespective of the duration of
                                                            the pregnancy, which, after such
                                                            separation, breathes or shows any other
                       Live birth in facility
                                                            evidence of life, such as beating of the
                                                            heart, pulsation of the umbilical cord, or
                                                            definite movement of involuntary muscles,
                                                            whether or not the umbilical cord has been
                                                            cut or the placenta is attached.
                                                      Still birth resulting from a delivery in a
                                                      facility under supervision. Still birth is
                                                      death prior to the complete expulsion or
                   Still birth in facility            extraction from its mother of a product of
                                                      conception; the death is indicated by the
                                                      fact that after such
                                                      separation the foetus
                                                      Sum of live births in facility and still births
                   Total births in facility
                                                      in facility


                                                      Still birth resulting from a delivery in a
                                                      facility under supervision. Still birth is
                                                      death prior to the complete expulsion or
                                                      extraction from its mother of a product of
                                                      conception; the death is indicated by the
                                                      fact that after such separation the foetus
                                                      does not breathe or show any evidence of
                                                      life, such as beating of the heart, pulsation
                                                      of the umbilical cord or definite movement
                                                      of the involuntary muscles. Still births
                                                      should only be counted when the foetus is
                   Still birth in facility
                                                      of 26 or more weeks gestational age
MDG 5, Target 5a
                                                      and/or weighs 500g or more.
                                                         A still-born foetus might have been dead
                                                      for a while (maserated) or died just before
                                                      or during expulsion or extraction (fresh)
                                                      from its mother.
                                                         The weight range relates to the weight of
                                                      the baby immediately after delivery. The
                                                      most common ranges are 500-999g, 1000-
                                                      1499g, 1500-2499g (or 1500-1999g and
                                                      2000-2499g), and 2500g and above.


                                                      Sum of Live births in facility and Still births
                   Total births in facility
                                                      in facility

                                                      An early neonatal death is a death to a live
                                                      born baby within 7 completed days after
                                                      birth. The neonatal period is exactly four
                                                      weeks or 28 completed days, with the first
                                                      7 days called the `early` neonatal period
                                                      and the period from 8-27 completed days
                   Inpatient death - early neonatal   the `late` neonatal period.
                                                        The weight range, if used, relates to the
                                                      weight of the baby immediately after
                                                      delivery. The most common ranges are
                                                      under 500g, 500-999g, 1000-1499g, 1500-
                                                      2499g (or 1500-1999g and 2000-2499g),
                                                      and 2500g and above.
                                                 A late neonatal death is a death to a live
                                                 born baby between 8 and 28 completed
                                                 days after birth. The neonatal period is
                                                 exactly four weeks or 28 completed days,
                                                 with the first 7 days called the `early`
                                                 neonatal period and the period from 8-28
             Inpatient death - late neonatal     completed days the `late` neonatal period.
                                                  The weight range, if used, relates to the
                                                 weight of the baby immediately after
                                                 delivery. The most common ranges are
                                                 under 500g, 500-999g, 1000-1499g, 1500-
                                                 2499g (or 1500-1999g and 2000-2499g),
                                                 and 2500g and above.


                                                 Sum of live births in facility and still births
             Total births in facility
                                                 in facility
                                                 The number of postnatal visits to a facility,
                                                 or a postnatal home visit by facility staff, by
             Postnatal care mother within 6
                                                 a mother within 6 days after delivery, and
             days after delivery
                                                 the purpose of the visit is for a postnatal
                                                 check-up
Strat Plan                                       Delivery in facility is the total number of
                                                 women who delivered in a health facility
                                                 under the supervision of trained
             Delivery in facility
                                                 medical/nursing staff. Note that this
                                                 number can be less than the Total Births
                                                 in facility if multiple births occur.

                                                 The number of postnatal visits to a facility,
                                                 or a postnatal home visit by facility staff, by
             Postnatal care baby within 6 days
                                                 a baby within 6 days after delivery, and the
             after birth
                                                 purpose of the visit is for a postnatal check-
                                                 up

                                                 Live birth is the complete expulsion or
                                                 extraction from its mother of a product of
                                                 conception, irrespective of the duration of
                                                 the pregnancy, which, after such
                                                 separation, breathes or shows any other
             Live birth in facility
                                                 evidence of life, such as beating of the
                                                 heart, pulsation of the umbilical cord, or
                                                 definite movement of involuntary muscles,
                                                 whether or not the umbilical cord has been
                                                 cut or the placenta is attached.

                                                 Antenatal client eligible for HIV testing
                                                 (NOT known positive) who was tested for
                                                 the first time during her current pregnancy.
             Antenatal client HIV 1st test
                                                 Antenatal clients should preferably be
                                                 tested at first antenatal visits but may be
                                                 tested for the first time at a subsequent fol
                                    A first visit by a pregnant woman to a
                                    health facility for the primary purpose of
                                    receiving antenatal care, often referred to
                                    as a `booking visit`, that occur before 20
                                    weeks after conception. The actual
Antenatal 1st visit before 20 weeks
                                    protocol followed during the visit might
                                    vary, but it should include relevant
                                    screening procedures, laboratory tests
                                    (e.g. for syphilis), and counselling / health
                                    promotion (the latter often done in groups).



                                     A first visit by a pregnant woman to a
                                     health facility for the primary purpose of
                                     receiving antenatal care, often referred to
                                     as a `booking visit`, that occur at 20 weeks
Antenatal 1st visit 20 weeks or      after conception or later. The actual
later                                protocol followed during the visit might
                                     vary, but it should include relevant
                                     screening procedures, laboratory tests
                                     (e.g. for syphilis), and counselling / health
                                     promotion (the latter often done in groups).

                                     HIV positive antenatal client who is on
Antenatal client on HAART at 1st
                                     HAART at the time of her first antenatal
visit
                                     visit.

                                 Antenatal client with known HIV positive
                                 status but not on HAART at her first
Antenatal client known HIV
                                 antenatal visit. In the absence of
positive but NOT on HAART at 1st
                                 documented proof, verbal confirmation of
visit
                                 HIV status is acceptable and a CD4 count
                                 test must be done.

                                     Antenatal client who tested positive for the
Antenatal client HIV 1st test
                                     first HIV test done during her current
positive
                                     pregnancy.

                                     Antenatal client eligible for HIV testing
                                     (NOT known positive) who was tested for
                                     the first time during her current pregnancy.
Antenatal client HIV 1st test
                                     Antenatal clients should preferably be
                                     tested at first antenatal visits but may be
                                     tested for the first time at a subsequent fol



                                     Antenatal client who was re-tested for HIV
Antenatal client HIV re-test at 32   at 32 weeks gestation or later after testing
weeks or later                       negative for HIV during an earlier
                                     antenatal visit.
                                     A pregnant woman who tested positive for
                                     HIV in the first HIV test done during the
                                     current pregnancy, and thus are among
Antenatal client HIV 1st test
                                     those eligible for PMTCT and possibly
positive
                                     HAART (depending on subsequent CD4
                                     count test and/or HIV staging), INH and co-
                                     trimoxazole prophy

                                     Antenatal client eligible for HIV testing
                                     (NOT known positive) who was tested for
                                     the first time during her current pregnancy.
Antenatal client HIV 1st test
                                     Antenatal clients should preferably be
                                     tested at first antenatal visits but may be
                                     tested for the first time at a subsequent fol

                                     Antenatal client who was re-tested positive
Antenatal client HIV re-test         for HIV at 32 weeks gestation or later after
positive at 32 weeks or later        testing negative for HIV during an earlier
                                     antenatal visit.


                                     Antenatal client who was re-tested for HIV
Antenatal client HIV re-test at 32   at 32 weeks gestation or later after testing
weeks or later                       negative for HIV during an earlier
                                     antenatal visit.



                                     HIV positive antenatal client (NOT on
                                     HAART) who was CD4 tested for the first
Antenatal client CD4 1st test        time during her current pregnancy
                                     (preferably on the same day her HIV
                                     status was confirmed positive).


                                    A first visit by a pregnant woman to a
                                    health facility for the primary purpose of
                                    receiving antenatal care, often referred to
                                    as a `booking visit`, that occur before 20
                                    weeks after conception. The actual
Antenatal 1st visit before 20 weeks
                                    protocol followed during the visit might
                                    vary, but it should include relevant
                                    screening procedures, laboratory tests
                                    (e.g. for syphilis), and counselling / health
                                    promotion (the latter often done in groups).



                                     A first visit by a pregnant woman to a
                                     health facility for the primary purpose of
                                     receiving antenatal care, often referred to
                                     as a `booking visit`, that occur at 20 weeks
Antenatal 1st visit 20 weeks or      after conception or later. The actual
later                                protocol followed during the visit might
                                     vary, but it should include relevant
                                     screening procedures, laboratory tests
                                     (e.g. for syphilis), and counselling / health
                                     promotion (the latter often done in groups).
                                    HIV positive antenatal client who is on
Antenatal client on HAART at 1st
                                    HAART at the time of her first antenatal
visit
                                    visit.

                                 Antenatal client with known HIV positive
                                 status but not on HAART at her first
Antenatal client known HIV
                                 antenatal visit. In the absence of
positive but NOT on HAART at 1st
                                 documented proof, verbal confirmation of
visit
                                 HIV status is acceptable and a CD4 count
                                 test must be done.

                                    HIV positive antenatal client (NOT on
                                    HAART) who was initiated on AZT at any
                                    stage during her current pregnancy before
Antenatal client initiated on AZT
                                    going into labour. This data should be
                                    collected during antenatal care only and
                                    NOT at point of delivery.

                                    Antenatal client who was re-tested positive
Antenatal client HIV re-test        for HIV at 32 weeks gestation or later after
positive at 32 weeks or later       testing negative for HIV during an earlier
                                    antenatal visit.

                                    A pregnant woman who tested positive for
                                    HIV in the first HIV test done during the
                                    current pregnancy, and thus are among
Antenatal client HIV 1st test
                                    those eligible for PMTCT and possibly
positive
                                    HAART (depending on subsequent CD4
                                    count test and/or HIV staging), INH and co-
                                    trimoxazole prophy

                                    Baby born to HIV positive woman who was
Baby initiated on Co-Trimoxazole    initiated on Co-Trimoxazole around 6
at 6 weeks                          weeks after birth to prevent opportunistic
                                    infections

                                    Live birth to HIV positive women. Includes
                                    babies born before arrival (BBA) at health
                                    facilities and babies born outside health
                                    facilities. Live birth is a baby, irrespective
                                    of the duration of the pregnancy, who
Live birth to HIV positive woman
                                    breathes or shows any other signs of life
                                    after birth. Women with unknown HIV
                                    status at delivery and tested during or after
                                    delivery and found HIV positive should
                                    also be counted.

                                    Baby born to HIV positive woman who was
                                    PCR tested for the first time around 6
                                    weeks after birth. Babies PCR tested for
                                    the first time between 4 and 12 weeks
Baby PCR test around 6 weeks        must be included. Do NOT include repeat
                                    tests.
                                     Live birth to HIV positive women. Includes
                                     babies born before arrival (BBA) at health
                                     facilities and babies born outside health
                                     facilities. Live birth is a baby, irrespective
                                     of the duration of the pregnancy, who
Live birth to HIV positive woman
                                     breathes or shows any other signs of life
                                     after birth. Women with unknown HIV
                                     status at delivery and tested during or after
                                     delivery and found HIV positive should
                                     also be counted.

                                  Baby born to HIV positive woman who
                                  tested PCR positive around 6 weeks after
Baby PCR test positive at 6 weeks birth for the first PCR test. Babies PCR
                                  tested for the first time between 4 and 12
                                  weeks must be included.

                                     Baby born to HIV positive woman who was
                                     PCR tested for the first time around 6
                                     weeks after birth. Babies PCR tested for
Baby PCR test around 6 weeks
                                     the first time between 4 and 12 weeks
                                     must be included. Do NOT include repeat
                                     tests.
                                     Baby born to HIV positive woman who was
Baby HIV antibody test at 18
                                     tested positive for HIV antibodies 18
months
                                     months after birth.
                                     Baby born to HIV positive woman who was
                                     PCR tested for the first time around 6
                                     weeks after birth. Babies PCR tested for
Baby PCR test around 6 weeks
                                     the first time between 4 and 12 weeks
                                     must be included. Do NOT include repeat
                                     tests.

                                  Baby born to HIV positive woman who
                                  tested PCR positive around 6 weeks after
Baby PCR test positive at 6 weeks birth for the first PCR test. Babies PCR
                                  tested for the first time between 4 and 12
                                  weeks must be included.

                                     Baby born to HIV positive woman who was
Baby HIV antibody test positive at
                                     tested positive for HIV antibodies 18
18 months
                                     months after birth.
                                     Baby born to HIV positive woman who was
Baby HIV antibody test at 18
                                     tested positive for HIV antibodies 18
months
                                     months after birth.
                                     HIV positive antenatal client who was
                                     initiated on HAART during her current
                                     pregnancy.

Antenatal client initiated on HAART Comment: This may be viewed as an ART
                                    data element but is crucial for monitoring
                                    effective implementation of the PMTCT
                                    program.

                                    HIV positive antenatal client with a CD4
Antenatal client eligible for HAART count under the specified threshold and/or
                                    a WHO staging of 4.
                       Baby initiated on HAART (under      Baby tested PCR positive under the age of
                       18 months)                          18 months who was initiated on HAART.

                                                           HIV positive baby under 18 months with a
                       Baby eligible for HAART             CD4 count under the specified threshold
                                                           and/or a WHO staging of 4.

                                                           HIV positive antenatal client who was on
                                                           lifelong ART at delivery in facility providing
                       Antenatal client on HAART at        delivery services (including BBAs)
                       delivery



                                                           HIV positive antenatal client with a CD4
                       Antenatal client eligible for HAART count under the specified threshold and/or
                                                           a WHO staging of 4.
                                                           HIV positive antenatal client (NOT on
                                                           HAART) who took Nevirapine during
                                                           labour. This data should be collected at
                       Antenatal client who took           point of delivery only and NOT during
                       Nevirapine during labour            antenatal care.




MDG 6, Target 6a APP                                       Live birth to HIV positive women. Includes
                                                           babies born before arrival (BBA) at health
                                                           facilities and babies born outside health
                                                           facilities. Live birth is a baby, irrespective
                                                           of the duration of the pregnancy, who
                       Live birth to HIV positive woman
                                                           breathes or shows any other signs of life
                                                           after birth. Women with unknown HIV
                                                           status at delivery and tested during or after
                                                           delivery and found HIV positive should
                                                           also be counted.

                                                           HIV positive antenatal client (NOT on
                       Antenatal client on AZT before      HAART) who was on AZT for any period
                       labour                              during her current pregnancy before going
                                                           into labour.

                                                           Live birth to HIV positive women. Includes
                                                           babies born before arrival (BBA) at health
                                                           facilities and babies born outside health
                                                           facilities. Live birth is a baby, irrespective
                                                           of the duration of the pregnancy, who
                       Live birth to HIV positive woman
                                                           breathes or shows any other signs of life
                                                           after birth. Women with unknown HIV
                                                           status at delivery and tested during or after
                                                           delivery and found HIV positive should
                                                           also be counted.
                                                            Baby born to HIV positive woman who
                                                            received Nevirapine within 72 hours after
                       Baby given Nevirapine within 72      birth. Also count babies not delivered in
                       hours after birth                    health facilities (BBAs and known home
                                                            deliveries) who were given Nevirapine
                                                            within 72 hours after birth.

                                                            Live birth to HIV positive women. Includes
MDG 6, Target 6a APP                                        babies born before arrival (BBA) at health
                                                            facilities and babies born outside health
                                                            facilities. Live birth is a baby, irrespective
                                                            of the duration of the pregnancy, who
                       Live birth to HIV positive woman
                                                            breathes or shows any other signs of life
                                                            after birth. Women with unknown HIV
                                                            status at delivery and tested during or after
                                                            delivery and found HIV positive should
                                                            also be counted.



                                                            A new episode of a symptomatic Sexually
                       STI treated - new episode            Transmitted Infection (STI) treated
                                                            according to the Syndromic Approach.




                                                            Any patient/client that presented with a
                                                            notification for STI treatment and received
                       STI partner treated - new            treatment for a suspected or confirmed
                                                            STI. ONLY the FIRST visit after a
                                                            notification is counted



                                                            A new episode of a symptomatic Sexually
                       STI treated - new episode            Transmitted Infection (STI) treated
                                                            according to the Syndromic Approach.




                       Male condoms distributed             Male Condoms distributed



                       HIV positive new patients            The number of HIV positive clients that
                       screened for TB                      have been screened for TB.
                       HIV test positive - new (excluding   Any client/patient tested positive for HIV
                       antenatal)                           for the first time, excluding antenatal clients

                                                            A pregnant woman who tested positive for
                                                            HIV in the first HIV test done during the
                                                            current pregnancy, and thus are among
                       Antenatal client tested HIV
                                                            those eligible for PMTCT and possibly
                       positive - new
                                                            HAART (depending on subsequent CD4
                                                            count test and/or HIV staging), INH and co-
                                                            trimoxazole prophy
HIV positive new patients with       The number of HIV positive patients
confirmed TB                         confirmed with TB.
HIV test positive - new (excluding   Any client/patient tested positive for HIV
antenatal)                           for the first time, excluding antenatal clients

                                     A pregnant woman who tested positive for
                                     HIV in the first HIV test done during the
                                     current pregnancy, and thus are among
Antenatal client tested HIV
                                     those eligible for PMTCT and possibly
positive - new
                                     HAART (depending on subsequent CD4
                                     count test and/or HIV staging), INH and co-
                                     trimoxazole prophy

HIV client tested (excluding         Any client/patient tested for HIV except
antenatal)                           antenatal clients

                                   All clients that have been pre-test
HIV pre-test counselled (excluding
                                   counselled for HIV/AIDS and then offered
antenatal)
                                   testing, excluding antenatal clients

HIV test positive - new (excluding   Any client/patient tested positive for HIV
antenatal)                           for the first time, excluding antenatal clients
HIV client tested (excluding         Any client/patient tested for HIV except
antenatal)                           antenatal clients

                                     Any case where one or more sputum
Suspected TB cases with sputum
                                     specimens were sent to the laboratory with
sent
                                     the possible diagnosis of tuberculosis


                                All individual patients five years (60
                                months) and older attending the facility
                                during the reporting period (usually month)
                                for Primary Health Care. Each patient is
PHC headcount 5 years and older
                                counted once for each day they appear at
                                the facility, regardless of the number of
                                services provided on the day(s) they were
                                seen.


                                 Any case where one or more sputum
                                 specimens of a patients were sent to the
Suspected TB case smear positive laboratory and the result of that patients is
                                 confirmed as a smear positive Pulmonary
                                 TB. It can be a new or a retreatment case



                                     Any case where one or more sputum
Suspected TB case with sputum
                                     specimens were sent to the laboratory with
sent
                                     the possible diagnosis of tuberculosis




Suspected TB case smear              Suspected TB case smear positive -
positive - treatment start           treatment start
                                 Any case where one or more sputum
                                 specimens of a patient were sent to the
Suspected TB case smear positive laboratory and the result of that patient is
                                 confirmed as a smear positive Pulmonary
                                 TB. It can be a new or a retreatment case

                                     The number of sputum samples where the
Sputum results received within 48
                                     result was received by the facility within 48
hours
                                     hours of sending the sample


All sputum samples sent              All sputum samples sent to the lab




                                     Any visit of a client who is younger then 18
                                     years, with identified mental health
                                     problems, and where this is the primary
                                     reason for the consultation. Cases
                                     counted relate to problems that can affect
                                     an individual psychologically, emotionally
                                     and/or physically and where there seems
                                     to be a need for mental health intervention
                                     (e.g. counselling, psychotropic medication
                                     or referral to a mental health
                                     worker/service). Typical examples are
Mental health visit under 18 years   mood disorders, anxiety, post traumatic
                                     stress disorder, schizophrenia, organic
                                     brain disease, dementia, substance abuse
                                     disorders, psychosis, mental handicap,
                                     attention defect disorders and enuresis.
                                     Bereavement, psychosomatic problems,
                                     relationship difficulties, stress and burn
                                     out, adjustment problems, behavioural
                                     problems in children and adolescents or
                                     any other problem that seriously affect the
                                     person psychologically, emotionally and/or
                                     physically would also qualify.
                                   Any visit of a client who is 18 years or
                                   older with identified mental health
                                   problems, and where this is the primary
                                   reason for the consultation. Cases
                                   counted relate to problems that can affect
                                   an individual psychologically, emotionally
                                   and/or physically and where there seems
                                   to be a need for mental health intervention
                                   (e.g. counselling, psychotropic medication
                                   or referral to a mental health
                                   worker/service). Typical examples are
Mental health visit 18 years and
                                   mood disorders, anxiety, post traumatic
older
                                   stress disorder, schizophrenia, organic
                                   brain disease, dementia, substance abuse
                                   disorders, psychosis, mental handicap,
                                   attention defect disorders and enuresis.
                                   Bereavement, psychosomatic problems,
                                   relationship difficulties, stress and burn
                                   out, adjustment problems, behavioural
                                   problems in children and adolescents or
                                   any other problem that seriously affect the
                                   person psychologically, emotionally and/or
                                   physically would also qualify.




                                   All individual patients not yet reached five
                                   years (60 months) of age attending the
                                   facility during the reporting period (usually
                                   month) for Primary Health Care. Each
PHC headcount under 5 years
                                   patient is counted once for each day they
                                   appear at the facility, regardless of the
                                   number of services provided on the day(s)
                                   they were seen.

                                All individual patients five years (60
                                months) and older attending the facility
                                during the reporting period (usually month)
                                for Primary Health Care. Each patient is
PHC headcount 5 years and older
                                counted once for each day they appear at
                                the facility, regardless of the number of
                                services provided on the day(s) they were
                                seen.
                                     Any visit of a client who is 18 years or
                                     older with identified mental health
                                     problems, and where this is the primary
                                     reason for the consultation. Cases
                                     counted relate to problems that can affect
                                     an individual psychologically, emotionally
                                     and/or physically and where there seems
                                     to be a need for mental health intervention
                                     (e.g. counselling, psychotropic medication
                                     or referral to a mental health
                                     worker/service). Typical examples are
Mental health visit 18 years and
                                     mood disorders, anxiety, post traumatic
older
                                     stress disorder, schizophrenia, organic
                                     brain disease, dementia, substance abuse
                                     disorders, psychosis, mental handicap,
                                     attention defect disorders and enuresis.
                                     Bereavement, psychosomatic problems,
                                     relationship difficulties, stress and burn
                                     out, adjustment problems, behavioural
                                     problems in children and adolescents or
                                     any other problem that seriously affect the
                                     person psychologically, emotionally and/or
                                     physically would also qualify.




                                     Any visit of a client who is younger then 18
                                     years, with identified mental health
                                     problems, and where this is the primary
                                     reason for the consultation. Cases
                                     counted relate to problems that can affect
                                     an individual psychologically, emotionally
                                     and/or physically and where there seems
                                     to be a need for mental health intervention
                                     (e.g. counselling, psychotropic medication
                                     or referral to a mental health
                                     worker/service). Typical examples are
Mental health visit under 18 years   mood disorders, anxiety, post traumatic
                                     stress disorder, schizophrenia, organic
                                     brain disease, dementia, substance abuse
                                     disorders, psychosis, mental handicap,
                                     attention defect disorders and enuresis.
                                     Bereavement, psychosomatic problems,
                                     relationship difficulties, stress and burn
                                     out, adjustment problems, behavioural
                                     problems in children and adolescents or
                                     any other problem that seriously affect the
                                     person psychologically, emotionally and/or
                                     physically would also qualify.
Hypertension cases put on           A client diagnosed with hypertension (high
treatment - new                     blood pressure) and put on treatment.

                                All individual patients five years (60
                                months) and older attending the facility
                                during the reporting period (usually month)
                                for Primary Health Care. Each patient is
PHC headcount 5 years and older
                                counted once for each day they appear at
                                the facility, regardless of the number of
                                services provided on the day(s) they were
                                seen.

                                  patients diagnosed with hypertension that
                                  has one ore more of the following
                                  conditions that puts the patients in the high
                                  risk category:
High risk hypertension cases- new     - Obese (BMI >30)
                                             - Smoking
                                                        - Dyslipidaemia
                                  (elevated blood cholesterol)
                                                                - Diabetes

                                    A client diagnosed with diabetes mellitus
Diabetes mellitus cases put on
                                    for the first time and put on
treatment - new
                                    treatment.

                                All individual patients five years (60
                                months) and older attending the facility
                                during the reporting period (usually month)
                                for Primary Health Care. Each patient is
PHC headcount 5 years and older
                                counted once for each day they appear at
                                the facility, regardless of the number of
                                services provided on the day(s) they were
                                seen.

                                    patients diagnosed with diabetes that has
                                    one ore more of the following conditions
                                    that puts the patients in the high risk
                                    category:                                 -
                                    Obese (BMI >30)
High risk diabetes cases- new
                                                - Smoking
                                                                - Dyslipidaemia
                                    (elevated blood cholesterol)
                                                                        -
                                    Hypertension
                                    A patients diagnosed with asthma (this
                                    facility or any other facility like a hospital)
Asthma cases under 18 years -       under 18 years , put on treatment for
new                                 asthma according the protocol and
                                    entered in the chronic register for the first
                                    time at this facility.
                                    A patient diagnosed with asthma (this
                                    facility or any other facility like a hospital)
Asthma case 18 years and older -    18 years and older, put on treatment for
new                                 asthma according the protocol and
                                    entered in the chronic register for the first
                                    time at this facility.
                                      A patients diagnosed with asthma (this
                                      facility or any other facility like a hospital)
Asthma cases under 18 years -         under 18 years , put on treatment for
new                                   asthma according the protocol and
                                      entered in the chronic register for the first
                                      time at this facility.
                                      A patient diagnosed with asthma (this
                                      facility or any other facility like a hospital)
Asthma case 18 years and older -      18 years and older, put on treatment for
new                                   asthma according the protocol and
                                      entered in the chronic register for the first
                                      time at this facility.

                                      All individual patients not yet reached five
                                      years (60 months) of age attending the
                                      facility during the reporting period (usually
                                      month) for Primary Health Care. Each
PHC headcount under 5 years
                                      patient is counted once for each day they
                                      appear at the facility, regardless of the
                                      number of services provided on the day(s)
                                      they were seen.

                                All individual patients five years (60
                                months) and older attending the facility
                                during the reporting period (usually month)
                                for Primary Health Care. Each patient is
PHC headcount 5 years and older
                                counted once for each day they appear at
                                the facility, regardless of the number of
                                services provided on the day(s) they were
                                seen.

                                      A patients diagnosed with epilepsy (this
                                      facility or any other facility like a hospital)
Epilepsy cases under 18 years -       under 18 years , put on treatment for
new                                   epilepsy according to protocol and entered
                                      in the chronic register for the first time at
                                      this facility.
                                   A patient diagnosed with asthma (this
                                   facility or any other facility like a hospital)
Epilepsy case 18 years and older - 18 years and older, put on treatment for
new                                epilepsy according the protocol and
                                   entered in the chronic register for the first
                                   time at this facility.
                                      A patients diagnosed with epilepsy (this
                                      facility or any other facility like a hospital)
Epilepsy cases under 18 years -       under 18 years , put on treatment for
new                                   epilepsy according to protocol and entered
                                      in the chronic register for the first time at
                                      this facility.
                                   A patient diagnosed with asthma (this
                                   facility or any other facility like a hospital)
Epilepsy case 18 years and older - 18 years and older, put on treatment for
new                                epilepsy according the protocol and
                                   entered in the chronic register for the first
                                   time at this facility.
                                  All individual patients not yet reached five
                                  years (60 months) of age attending the
                                  facility during the reporting period (usually
                                  month) for Primary Health Care. Each
PHC headcount under 5 years
                                  patient is counted once for each day they
                                  appear at the facility, regardless of the
                                  number of services provided on the day(s)
                                  they were seen.

                                All individual patients five years (60
                                months) and older attending the facility
                                during the reporting period (usually month)
                                for Primary Health Care. Each patient is
PHC headcount 5 years and older
                                counted once for each day they appear at
                                the facility, regardless of the number of
                                services provided on the day(s) they were
                                seen.

                                  Total expenditure in the facility or
Expenditure - Total               administrative unit - often referred to as
                                  `cost centre` - for the reporting period.

                                  Inpatient days - Total is the number of
                                  days spent in the institution for all
                                  inpatients during the reporting period.
Inpatient days - Total            Inpatient days exclude lodgers. A day is
                                  measured at midnight. Thus: A patient
                                  admitted and separated on the
                                  same date has zero patient d


                                  A day patient is an admitted patient who
                                  receives hospital treatment and is
                                  admitted and separated from the hospital
                                  on the same date (he/she does not occupy
                                  a bed at midnight). The definition of a Day
Day patients - Total
                                  Patient excludes patients who were
                                  intended to stay overnight but left of their
                                  own accord, patients who died, or patients
                                  who were transferred to another hospital
                                  on the first day of their stay.



                                  A headcount of all outpatients attending an
                                  outpatient clinic for a follow-up visit for an
                                  existing condition. This would include visits
OPD headcount - follow-up visit   to Service Groups like Physiotherapist,
                                  Dietitian, X-rays, etc - as well as previous
                                  ward attenders returning to the hospital for
                                  check-up.

                                  A headcount of all outpatients attending an
                                  outpatient clinic, seeking medical attention
OPD headcount - new case not      for a condition for the first time at this
referred                          facility, without being referred from a PHC
                                  facility or doctor (including General
                                  Practitioners).
                               A headcount of all outpatients attending an
                               outpatient clinic, seeking medical attention
                               for a condition for the first time at this
OPD headcount - new case
                               facility, that was seen in a PHC facility or
referred
                               by a doctor (including General
                               Practitioners) and have a referral letter
                               from the PHC facility or doctor.


                               All patients attending the
                               casualty/emergency/trauma unit in a
                               facility with conditions requiring emergency
Emergency total headcount      treatment. Typical examples are assaults,
                               gunshots, motor vehicle accidents, rape
                               cases, strokes and cardiac arrests,
                               drowning, poisoning, patients in shock.

                               Total number of complaints received
Complaints received
                               during the reporting period
                               Total number of complaints resolved within
Complaints resolved
                               25 days during the reporting period

                               Nosocomial infections (also known as
                               hospital- acquired infection) are infections
                               which are a result of treatment in a
Nosocomial infection - new     hospital, but not secondary to the patient's
                               original condition. Infections are
                               considered nosocomial if they first appear
                               48 hours or m


                               A day patient is an admitted patient who
                               receives hospital treatment and is
                               admitted and separated from the hospital
                               on the same date (he/she does not occupy
                               a bed at midnight). The definition of a Day
Day patients - Total
                               Patient excludes patients who were
                               intended to stay overnight but left of their
                               own accord, patients who died, or patients
                               who were transferred to another hospital
                               on the first day of their stay.

                               An inpatient death - Total is a death
Inpatient deaths - Total       recorded against any admitted patient
                               during the reporting period.

                               An Inpatient discharge - Total is any
                               admitted patient who complete a hospital
                               stay and are discharged to their usual
Inpatient discharges - Total   residence including home, family, prison,
                               hostel etc. It will include self discharges
                               (patient absconding), but exclude deaths
                               and transf
                                        A Inpatient Transfer Out is an admitted
                                        patient in the hospital who is directed or
                                        physically transferred to another hospital
      Inpatient transfers out - Total
                                        for immediate admission there. It excludes
                                        patients referred to a primary health care
                                        clinic, community health centre or any othe

                                        Total number of minutes all theatres were
                                        in use in the month. Theatre time is the
                                        time in minutes recorded in the theatre
      Theatre time in minutes           register for each theatre case. This
                                        excludes time in the recovery room and
                                        time spent to clean theatres after each
                                        case.
                                        The number of theatres operating on
      Theatre 8-hours
                                        normal week-days for 8 hours per day


                                        The number of emergency/after hours
      Theatre 24-hours                  theatres operating 24 hours per day 7
                                        days per week



                                        The actual number of teeth extracted
      Tooth extraction
                                        during the month by an Oral Health worker.



                                        The actual number of teeth that were
      Tooth restoration
                                        restored by an Oral Health worker




                                        All individual patients attending the Oral
                                        Health facility/unit during the reporting
                                        period. Each patients is counted once for
      Dental visit
                                        each day they appear, regardless of the
                                        number of services provided on the day(s)
                                        they were seen.



APP   Any ARV drug stock out            Any ARV drug stock out in fixed facility


APP   Any TB drug stock out             Any TB drug stock out in fixed facility


                                        Any tracer item drug stock-out in fixed
APP   Any tracer item drug stock-out
                                        facility
                                                                 Birth Defects is an abnormality of body
                                                                 structure or function that is present (not
                                                                 necessarily detectable at birth). The cause
                           Child with common priority Birth
                                                                 may be either genetic or environmental.
                           Defects
                                                                 Common priority birth defects include:
                                                                 Down Syndrome, neural tube defects,
                                                                 Albinism, club feet.


Yes (MDG 4)   Yes                                                Live birth is the complete expulsion or
                                                                 extraction from its mother of a product of
                                                                 conception, irrespective of the duration of
                                                                 the pregnancy, which, after such
                                                                 separation, breathes or shows any other
                           Live birth in facility
                                                                 evidence of life, such as beating of the
                                                                 heart, pulsation of the umbilical cord, or
                                                                 definite movement of involuntary muscles,
                                                                 whether or not the umbilical cord has been
                                                                 cut or the placenta is attached.

                                                                 Birth defects with mother under 18 years.
                                                                 Birth Defects is an abnormality of body
                                                                 structure or function that is present (not
                           Birth defects case - mother under
                                                                 necessarily detectable at birth). The cause
                           18 years
                                                                 may be either genetic or environmental.
                                                                 Down Syndrome, neural tube defects,
                                                                 Albinism, club feet.

                                                                 Delivery in facility to woman under 18
                                                                 years is the number of women delivering in
Yes (MDG 4)   Yes                                                a health facility under the supervision of
                           Delivery in facility under 18 years
                                                                 trained medical/nursing staff, and where
                                                                 the mother is under 18 years on the day of
                                                                 delivery.

                                                                 Birth defect case where mother was 35
                                                                 years and older. Birth Defects is an
                           Birth defects cases -mother 35        abnormality of body structure or function
                           years and older                       that is present (not necessarily detectable
                                                                 at birth). The cause may be either genetic
                                                                 or environmental.

                                                                 Delivery in facility to woman 35 years and
                                                                 older is the number of women delivering in
                           Delivery in facility 35 years and     a health facility under the supervision of
Yes (MDG 4)   Yes
                           older                                 trained medical/nursing staff, and where
                                                                 the mother is 35 years and older on the
                                                                 day of delivery.

                           Cataract surgery without IOL          Cataract surgery without intra- ocular lens
                           under 18 years performed              implant under the age of 18 years

                           Cataract surgery with IOL under       Cataract surgery with intra- ocular lens
              Strat Plan
                           18 years performed                    implant under the age of 18 years
              APP
                           Cataract surgery without IOL 18       Cataract surgery without intra- ocular lens
                           years and older planned               implant 18 years and older.
                           Cataract surgery with IOL 18          Cataract surgery with intra- ocular lens
                           years and older performed             implant 18 years and older
                                     Wheelchair issued to a patient that did not
Wheelchair issued - new
                                     have this before

                                    The number of rehabilitation clients on the
Rehab clients on register requiring
                                    rehab register who requires wheelchair for
wheelchair
                                    the first time


                                     Hearing aid issued to a patient that did not
Hearing aid issued - new
                                     have this before


                                    The number of rehabilitation clients on the
Rehab clients on register requiring
                                    rehab register who requires hearing aid for
hearing aid
                                    the first time

                                     Walking aid issued to a patient that did not
Walking aid issued - new
                                     have this before


                                    The number of rehabilitation clients on the
Rehab clients on register requiring
                                    rehab register who requires walking aid for
walking aid
                                    the first time

                                 Blood taken for CD4 count from newly
Newly diagnosed HIV pos patients diagnosed HIV positive patients excluding
(excl Pregnant women) with Blood pregnant women (counted under PMTCT
drawn for CD4                    data). Ideally all HIV positive patients
                                 should have CD4 count done for staging.

HIV test positive - new (excluding   Any client/patient tested positive for HIV,
antenatal)                           excluding antenatal clients.

                                     A pregnant woman who tested positive for
                                     HIV in the first HIV test done during the
                                     current pregnancy, and thus are among
Antenatal client tested HIV
                                     those eligible for PMTCT and possibly
positive - new
                                     HAART (depending on subsequent CD4
                                     count test and/or HIV staging), INH and
                                     Co-trimoxazole prophy

                                     The number of HIV positive clients started
                                     on INH prevention therapy during the
                                     reporting period. Criteria for excluding
HIV positive new patients started
                                     active TB refers to the 4 questions on the
on INH prevention therapy
                                     TB screening tool: - Do you have a cough?
                                     - Do you have weight loss - Do you sweat
                                     a lot at

                                     Any client/patient tested positive for HIV,
                                     excluding antenatal clients. GUIDE FOR
                                     USE: This can be set up as a calculated
HIV test positive - new (excluding
                                     element of client under 5 years tested
antenatal)
                                     positive plus client 5 years and older (ANC
                                     excluded) tested positive. CONTEXT:
                                     Monitoring HI
                                                      A pregnant woman who tested positive for
                                                      HIV in the first HIV test done during the
                                                      current pregnancy, and thus are among
                 Antenatal client tested HIV
                                                      those eligible for PMTCT and possibly
                 positive - new
                                                      HAART (depending on subsequent CD4
                                                      count test and/or HIV staging), INH and co-
                                                      trimoxazole prophy

                                                      The number of HIV positive clients started
                 HIV positive new patients started
                                                      on Co-trimoxazole prophylaxis during the
                 on Co-trimoxazole prophylaxis
                                                      reporting

                                                      Any client/patient tested positive for HIV,
                                                      excluding antenatal clients. GUIDE FOR
                                                      USE: This can be set up as a calculated
                 HIV test positive - new (excluding
                                                      element of client under 5 years tested
                 antenatal)
                                                      positive plus client 5 years and older (ANC
                                                      excluded) tested positive. CONTEXT:
                                                      Monitoring HI

                                                      A pregnant woman who tested positive for
                                                      HIV in the first HIV test done during the
                                                      current pregnancy, and thus are among
                 Antenatal client tested HIV
                                                      those eligible for PMTCT and possibly
                 positive - new
                                                      HAART (depending on subsequent CD4
                                                      count test and/or HIV staging)


                                                      New adult patients is the sum of the
                                                      following patients:
                 Adult patient started on ART
                                                      - ART naïve patients
                 during this month - new
                                                      - Treatment experienced patients
                                                      - Patients from the PEP




MDG 6, Ind 6.5
                                                       Eligible to start ART criteria:
                                                       CD4 count <200cells/mm3 irrespective of
                                                       clinical stage: All HIV positive patients with
                                                       CD4 count of <200cells/mm3 excluding TB
                                                       patients and pregnant women as these
                                                       patients have different staging criteria.
                                                       OR
                                                       CD4 count ≤350cells/mm3:
                                                       In patients with TB/HIV or All TB patients
                                                       or pregnant women with CD4 count
                                                       <350cells/mm3.
                                                       OR
                                                       MDR/XDR-TB irrespective of CD4
                                                       count.All HIV positive MDR/XDR cases
                                                       regardless of CD4 count or clinical
MDG 6, Ind 6.5
                                                       staging. MDR-TB (Multidrug Resistant TB)
                                                       describes strains of tuberculosis that are
                 HIV positive adult patient eligible   resistant to at least the two main first-line
                 for ART                               TB drugs - isoniazid and rifampicin. XDR-
                                                       TB, or Extensive Drug Resistant TB (also
                                                       referred to as Extreme Drug Resistance) is
                                                       MDR-TB that is also resistant to three or
                                                       more of the six classes of second-line drug
                                                       (WHO).
                                                       OR
                                                       WHO stage IV irrespective of CD4 count:
                                                       HIV Stage 4 is diagnosed if any of the
                                                       following diseases occur in a HIV positive
                                                       patient:
                                                       Unexplained severe wasting, stunting or
                                                       severe malnutrition not responding to
                                                       standard therapy, Pneumocystis
                                                       pneumonia, Recurrent severe bacterial
                                                       infections (such as empyema,
                                                       pyomyositis, bone or joint infection or
                                                       meningitis but excluding pneumonia),
                 New children under 15 years           Child (0-15 years) who is below minimum
                 started on treatment during this      threshold for eligibility to start ART that
                 month                                 has been initiated on ART

                                                   Baby born to HIV positive woman who
                                                   tested PCR positive around 6 weeks after
                 Baby PCR test positive at 6 weeks birth for the first PCR test. Babies PCR
                                                   tested for the first time between 4 and 12
MDG 6, Ind 6.5
                                                   weeks must be included.


                                                       Child 1-15 years eligible to start ART:

                 Child 1-15 years eligible for ART                       - Child 1-5 years with
                                                       clinical stage III or IV or CD4 ≤25% or
                                                       absolute CD4 count< 750 cells/mm3

                                                  Patient with CD4 below 100 (adults) or
                 ART CD4 below 100 (adults) or 15 15% TLC (paeds) should be fast-track
                 percent TLC (paeds) at baseline  patients that should receive ART within 2
                                                  weeks of clinical staging

                 ART CD4 counts taken at baseline Total number of CD4 counts taken at
                 (CDD)                            baseline
                                  Patients with voral load < 400 copies/ml at
ART Viral load under 400          6 months indicates that HIV is not actively
copies/mL (VLS) at 6 months       reproducing and that the risk of disease
                                  progression is low.




ART Viral load done (VLD) at 6    Total number of viral loads done at 6
months                            months




                                  Patients with viral load < 400 copies/ml at
ART Viral load under 400          12 months indicates that HIV is not
copies/mL (VLS) at 12 months      actively reproducing and that the risk of
                                  disease progression is low.




ART Viral load done (VLD) at 12   Total number of viral loads done at 12
months                            months




                                  Patients with viral load < 400 copies/ml at
 ART Viral load under 400         24 months indicates that HIV is not
copies/mL (VLS) at 24 months      actively reproducing and that the risk of
                                  disease progression is low.




ART Viral load done (VLD) at 24   Total number of viral loads done at 24
months                            months




ART CD4 counts above 200
                                  Patients with CD4 counts above 200
cells/microL or 20 percent TLC
                                  cells/μl or 20% TLC at 6 months
(CDA) at 6 months




ART CD4 counts done (CDD) at 6    Total number of CD4 counts done at 6
months                            months
ART CD4 counts above 200
                                  Patients with CD4 counts above 200
cells/microL or 20 percent TLC
                                  cells/μl or 20% TLC at 12 months
(CDA) at 12 months




ART CD4 counts done (CDD) at      Total number of CD4 counts done at 12
12 months                         months




ART CD4 counts above 200
                                  Patients with CD4 counts above 200
cells/microL or 20 percent TLC
                                  cells/μl or 20% TLC at 24 months
(CDA) at 24 months




ART CD4 counts done (CDD) at      Total number of CD 4 counts done at 24
24 months                         months




Adult continuing first-line ART   Adult patients on first line regimen alive
regimen (FLR) at 6 months         and on treatment after 6 months


Adult on second line ART regimen Adult on second line regimen alive and on
(SLR) at 6 months                treatment after 6 months


Child continuing first-line ART   Child on first line regimen alive and on
regimen (FLR) at 6 months         treatment after 6 months


Child on second line ART regimen Child on second line regimen alive and on
(SLR) at 6 months                treatment after 6 months


Adult continuing first-line ART   Adult patients on first line regimen alive
regimen (FLR) at 12 months        and on treatment after 12 months


Adult on second line ART regimen Adult on second line regimen alive and on
(SLR) at 12 months               treatment after 12 months


Child continuing first-line ART   Child on first line regimen alive and on
regimen (FLR) at 12 months        treatment after 12 months
Child on second line ART regimen Child on second line regimen alive and on
(SLR) at 12 months               treatment after 12 months


Adult continuing first-line ART    Adult patients on first line regimen alive
regimen (FLR) at 24 months         and on treatment after 24 months


Adult on second line ART regimen Adult patients on second line regimen
(SLR) at 24 months               alive and on treatment after 24 months


Child continuing first-line ART    Child on first line regimen alive and on
regimen (FLR) at 24 months         treatment after 24 months


Child on second line ART regimen Child on second line regimen alive and on
(SLR) at 24 months               treatment after 24 months



                                   Patients on TB treatment when starting
On TB treatment at start of ART
                                   ART




                                   New adult patients is the sum of the
                                   following patients:
Adult patient started on ART
                                   - ART naïve patients
during this month - new
                                   - Treatment experienced patients
                                   - Patients from the PEP



                                   New childeren is the sum of the following
                                   patients under 15 years:
                                                     - ART naïve patients

New child under 15 years started
on ART during this month                            - Treatment experienced
                                   patients.

                                           - Patients from the PEP
                                  programme
Adult continuing first-line ART   Adult patients on first line regimen alive
regimen (FLR) at 6 months         and on treatment after 6 months
Adult on second line ART regimen Adult on second line regimen alive and on
(SLR) at 6 months                 treatment after 6 months
Child continuing first-line ART   Child on first line regimen alive and on
regimen (FLR) at 6 months         treatment after 6 months
Child on second line ART regimen Child on second line regimen alive and on
(SLR) at 6 months                 treatment after 6 months
                                  The number of new adult patients 6
                                  months ago. New adult patients is the sum
New adult patients started on ART of the following patients:
6 moths ago                                         - ART naïve patients
                                                           - Treatment
                                  experienced patient
                                      The number of new children 6 months ago.
                                      New children is the sum of the following
New children under 15 years           patients under 15 years:
started on ART 6 moths ago                    - ART naïve patients
                                                     - Treatment experienced
                                      patients.

Adult continuing first-line ART       Adult patients on first line regimen alive
regimen (FLR) at 12 months            and on treatment after 12 months
Adult on second line ART regimen  Adult on second line regimen alive and on
(SLR) at 12 months                treatment after 12 months
Child continuing first-line ART   Child on first line regimen alive and on
regimen (FLR) at 12 months        treatment after 12 months
Child on second line ART regimen  Child on second line regimen alive and on
(SLR) at 12 months                treatment after 12 months
                                  The number of new adult patients12
                                  months ago. New adult patients is the sum
New adult patients started on ART of the following patients:
12 months ago                                       - ART naïve patients
                                                          - Treatment
                                  experienced patient
                                      The number of new children 12 months
                                      ago. New children is the sum of the
New children under 15 years           following patients under 15 years:
started on ART 12 months ago                              - ART naïve patients
                                                                   - Treatment
                                      experienced patients.
Adult continuing first-line regimen   Adult patients on first line regimen alive
at 24 months                          and on treatment at 24 months
Adult on second line regimen at       Adult patients on second line regimen
24 months                             alive and on treatment at 24 months
                                  Child on first line regimen alive and on
Child continuing first-line regimen
at 24months                       treatment at 24 months
Child on second line regimen at   Child on first line regimen alive and on
24months                          treatment at 24 months
                                  The number of new adult patients 24
                                  months ago. New adults is the sum of the
New adult patients started on ART following patients :
24 months ago                                 - ART naïve patients
                                                       - Treatment experienced
                                  patients.
                                  The number of new children 24 months
                                  ago. New children is the sum of the
New children under 15 years       following patients under 15 years:
started on ART 24months ago              - ART naïve patients
                                                - Treatment experienced
                                  patients.
                                  Number of patients who have not attended
ART Lost to follow-up between 3
                                  the ARV clinic for three months between 3
and 6 months (LTF)
                                  and 6 months
                                  The number of new adult patients 6
                                  months ago. New adult patients is the sum
New adult patients started on ART of the following patients:
6 moths ago                                       - ART naïve patients
                                                         - Treatment
                                  experienced patient
                                               The number of new children 6 months ago.
                                               New children is the sum of the following
             New children under 15 years       patients under 15 years:
             started on ART 6 moths ago                 - ART naïve patients
                                                               - Treatment experienced
                                               patients.
                                               Number of patients who have not attended
             ART Lost to follow-up between 6
                                               the ARV clinic for three months between 6
             and 12 months (LTF)
                                               and 12 months.
                                               The number of new adult patients12
                                               months ago. New adult patients is the sum
             New adult patients started on ART of the following patients:
             12 months ago                                     - ART naïve patients
                                                                      - Treatment
                                               experienced patient
                                               The number of new children 12 months
                                               ago. New children is the sum of the
             New children under 15 years       following patients under 15 years:
             started on ART 12 months ago                        - ART naïve patients
                                                                         - Treatment
                                               experienced patients.
                                               Number of patients discontinuing
             ART died (RIP) at 3 months
                                               treatment due to death at 3 months
                                               The number of new adult patients 3
                                               months ago. New adults is the sum of the
             New adult patients started on ART following patients :
             3 months ago                                     - ART naïve patients
                                                                     - Treatment
                                               experienced pat
                                               The number of new children 3 months
                                               ago. New children is the sum of the
             New children under 15 years       following patients under 15 years:
             started on ART 3 months ago                         - ART naïve patients
                                                                        - Treatment
                                               experienced patients.

             ART Died between 3 and 6          Number patients discontinuing treatment
             months (RIP)                      due to death between 3 and 6 months

                                               The number of new adult patients 6
                                               months ago. New adult patients is the sum
             New adult patients started on ART of the following patients:
             6 moths ago                                       - ART naïve patients
                                                                      - Treatment
                                               experienced patient
                                               The number of new children 6 months ago.
                                               New children is the sum of the following
             New children under 15 years       patients under 15 years:
             started on ART 6 moths ago                - ART naïve patients
                                                              - Treatment experienced
                                               patients.


Yes, MDG 6
             Total new TB cases                All new TB cases in the reporting period.
Target 8
Yes, MDG 6                New smear positive TB cases -    A total of new TB cases diagnosed
Target 8                  total (outcome)                  through smear

                          Pulmonary TB cases with no       The number of pulmonary TB cases with
Yes, MDG 6                smear 0-7 years                  no smear in children 0-7 years
Target 8
                          Total TB cases                   All TB cases in the reporting period
                          Smear negative pulmonary TB      The number of smear negative pulmonary
Yes, MDG 6                cases                            TB cases
Target 8                  Smear positive pulmonary TB
                                                           All smear positive pulmonary TB cases
                          cases
                          New smear positive TB cases -    A total of new TB cases diagnosed
                          total (outcome)                  through smear
                          Smear negative pulmonary TB      The number of smear negative pulmonary
Yes, MDG 6                cases                            TB cases
Target 8
                          All Pulmonary TB cases           All pulmonary TB cases in reporting period
                          Pulmonary TB cases with no       The number of pulmonary TB cases with
                          smear 0-7 years                  no smear in children 0-7 years
                          New smear positive TB cases -    The number of new smear positive TB
                          cured                            cases who were cured
Yes, MDG 6   Strat Plan
Target 8     APP          New smear positive TB cases -    A total of new TB cases diagnosed
                          total (outcome)                  through smear

                          New smear positive TB cases -    All patients that die while taking treatment
                          died during treatment            during the reporting period.
Yes, MDG 6
             Strat Plan
Target 8                  New smear positive TB cases -    A total of new TB cases diagnosed
                          total (outcome)                  through smear.

                                                           A defaulter is a person who has missed
                          New smear positive TB cases -
                                                           his or her scheduled dose of treatment for
                          defaulted from treatment
                                                           a period of # days.
Yes, MDG 6   Strat Plan
Target 8     APP
                          Total new TB cases               All new TB cases in the reporting period.


                          Re-treatment smear positive TB   The number of re-treatment smear positive
                          cases - cured                    TB cases who were cured

Yes, MDG 6
Target 8                  Re-treatment smear positive TB   The total number of re-treatment smear
                          cases - total (outcome)          positive TB cases with an outcome


                          Re-treatment smear positive TB   The number of re-treatment smear positive
                          cases - cured                    TB cases who were cured
                          Re-treatment smear positive TB   The number of re-treatment smear positive
Yes, MDG 6
                          cases - treatment completed      TB cases who completed their treatment
Target 8

                          Re-treatment smear positive TB   The total number of re-treatment smear
                          cases - total (outcome)          positive TB cases with an outcome

                          Re-treatment smear positive TB   The number of re-treatment smear positive
                          cases - died during treatment    TB cases who died during treatment
Yes, MDG 6
Target 8
Yes, MDG 6
Target 8
                   Re-treatment smear positive TB       The total number of re-treatment smear
                   cases - total (outcome)              positive TB cases with an outcome

                   Re-treatment smear positive TB       The number of re-treatment smear positive
                   cases - defaulted from treatment     TB cases who defaulted from treatment
Yes, MDG 6
Target 8
                   Re-treatment smear positive TB       The total number of re-treatment smear
                   cases - total (outcome)              positive TB cases with an outcome

                   TB patient pre-test counselled for   The number of TB patients pre-test
Yes, MDG 6         HIV (ETR)                            counselled for HIV (ETR)
Target 8
                   Total new TB cases                   All new TB cases in the reporting period.

                                                        The number of TB patients tested positive
                   TB patient tested for HIV (ETR)
Yes, MDG 6                                              for HIV (ETR)
Target 8
                   Total new TB cases                   All new TB cases in the reporting period.

                   TB patient tested positive for HIV   The number of TB patients tested positive
Yes, MDG 6         (ETR)                                for HIV (ETR)
Target 8                                                The number of TB patients tested positive
                   TB patient tested for HIV (ETR)
                                                        for HIV (ETR)

                   Confirmed MDR-TB case                The number of new confirmed MDR-TB
                   succsessfully treated - new          cases successfully treated - new


                   Confirmed MDR-TB case started        The number of new confirmed MDR-TB
                   on treatment - new                   cases started on treatment

                   Confirmed XDR-TB case                The number of confirmed XDR-TB cases
                   successfully treated                 successfully treated
                   Confirmed XDR-TB case started        The number of confirmed XDR-TB cases
                   on treatment                         started on treatment
                   MDR-TB case who died during          The number of new MDR-TB cases who
                   treatment - new                      died during treatment
                   Confirmed MDR-TB case started        The total number of confirmed MDR-TB
                   on treatment - total                 cases started on treatment
                   Confirmed XDR-TB case who died       The number of confirmed XDR-TB cases
                   during treatment                     who died during treatment
                   Confirmed MDR-TB case started        The number of new confirmed MDR-TB
                   on treatment - new                   cases started on treatment
                                                        The number of MDR-TB cases started on
                   MDR-TB case started on ART
                                                        ART
                   MDR-TB case eligible for ART -       The total number of MDR-TB cases
                   total                                eligible for ART
                                                        The number of XDR-TB cases started on
                   XDR-TB case started on ART
                                                        ART
                   XDR-TB case eligible for ART -       The total number of XDR-TB cases eligible
                   total                                for ART
                                                        The average number of rostered
                                                        ambulances at an ambulance station
                                                        during the reporting period. This is
             APP   EMS rostered ambulances
                                                        calculated by the number of rostered
                                                        ambulances during each shift divided by
                                                        the number of shifts.
                                           The number of code red calls in an urban
                                           area where the response time was under
                                           15 minutes. Response time is the time it
                                           takes an ambulance to reach an
                                           emergency medical scene, calculated from
      EMS code red with response           the time of the first call to the control room
      under 15 min - urban                 and up to the time of arrival on the scene.
                                           This should not take more then 15 minutes
                                           for an urban call. The control centre is
APP                                        expected to note the exact time of the first
                                           call and the exact time of arrival on the
                                           scene. Emergency Care Practitioner is
                                           expected to notify the control centre by
                                           The number of local urban or rural
                                           emergency ambulance trips, regardless of
      EMS Emergency trips total            the number of patients transported. This
                                           excludes inter-hospital transfers by
                                           ambulance or bus.


                                           The number of code red calls in a rural
                                           area where the response time was under
                                           40 minutes. Response time is the time it
                                           takes an ambulance to reach an
                                           emergency medical scene, calculated from
                                           the time of the first call to the control room
      EMS code red with response           up to the time of arrival on the scene. This
      under 40 min - rural                 should not take more then 40 minutes for
                                           a rural call. The control centre is expected
                                           to note the exact time of the first call and
APP                                        the exact time of arrival on the scene.
                                           Emergency Care Practitioner is expected
                                           to notify the control centre by radio when
                                           arriving on the scene.


                                           The number of local urban or rural
                                           emergency ambulance trips, regardless of
      EMS Emergency trips total            the number of patients transported. This
                                           excludes inter-hospital transfers by
                                           ambulance or bus.


                                           The number of calls where the response
                                           time was within 60 minutes. Response
                                           time is the time it takes an ambulance to
                                           reach an emergency medical scene,
                                           calculated from the time of the first call to
      EMS all calls with response within   the control room up to the time of arrival
      60 min                               on the scene. The control centre is
                                           expected to note the exact time of the first
                                           call and the exact time of arrival on the
APP                                        scene. Emergency Care Practitioner is
                                           expected to notify the control centre by
                                           radio when arriving on the scene.
APP




                                  The number of local urban or rural
                                  emergency ambulance trips, regardless of
      EMS Emergency trips total   the number of patients transported. This
                                  excludes inter-hospital transfers by
                                  ambulance or bus.
        Guide for use and Context




Include any child given individual
service(s) during e.g. a home or crèche
visit




Only the mother is counted with regard
to a delivery. DOTS visits to the facility
(NOT DOTS in
community/workplace/home) are
included in total headcount




Include any child given individual
service(s) during e.g. a home or crèche
visit.




Do not confuse this data element with
`Clinical days open during month` - the
two would only be equal when there is
only ONE nurse in the facility. Only days
PRIMARILY used to handle patients are
included, NOT days primarily used for
e.g. training courses



This data element should be collected in
all PHC facilities with full- or part-time
doctors.
This figure should include ONLY clinical
work (i.e. handling patients/clients),
including normal administrative work
related to patients/clients. Paid days
related to e.g. training courses, meetings
and other administrative issues




Dropping in for tea, delivering mail,
and/or delivering drugs and supplies do
NOT qualify as a supervisor visit, even
when done by the supervisor.
All children under five years should be
weighed whenever visiting a facility, but
the child should be COUNTED as
weighed only once per month even if
they come more frequently (e.g. for a
follow-up visit)




Include any child given individual
service(s) during e.g. a home or crèche
visit
All children under five years should be
weighed when visiting a clinic, but the
child should be recorded only ONCE
PER MONTH even if they come more
frequently (e.g. for a follow-up visit).

All children under five years should be
weighed whenever visiting a facility, but
the child should be COUNTED as
weighed only once per month even if
they come more frequently (e.g. for a
follow-up visit).
Only count each episode ONCE, do NOT
count repeat visits for the same episode
(incidence!). The child will also be
entered into the Malnutrition Register if
that is used at the facility. A child
previously identified as underweight for
age who recovered, but then become
underweight again should be counted
(new episode).
All children under five years should be
weighed whenever visiting a facility, but
the child should be COUNTED as
weighed only once per month even if
they come more frequently (e.g. for a
follow-up visit).

Only count each episode ONCE, do NOT
count repeat visits for the same episode
(incidence!). The child will also be
entered into the Malnutrition Register if
that is used at the facility. A child
previously identified as underweight for
age who recovered, but then become
underweight again should be counted
(new episode).
The child is only counted the first time it
presented with the current diarrhoea at
the facility (new case). Follow-up visits
for the same episode of diarrhoea should
not be counted here.




The child is only counted the first time it
presented with the current diarrhoea at
the facility (new case). Follow-up visits
for the same episode of diarrhoea should
not be counted here.




The child is only counted the first time it
presented with the current diarrhoea at
the facility (new case). Follow-up visits
for the same episode of diarrhoea should
not be counted here.




The child is only counted the first time it
presented with the current diarrhoea at
the facility (new case). Follow-up visits
for the same episode of diarrhoea should
not be counted here.
The child should be counted only for the
first visit presenting with pneumonia.
Follow-up visits for the same episode of
pneumonia should not be counted here.
Vitamin A boosts the immune system of
children
Each newly delivered mother should
receive a single dose of 200,000 units of
Vitamin A, preferably immediately after
delivery and not later than 8 weeks after
delivery.




The child should only be counted ONCE
as fully immunised when receiving the
last vaccine in the course - usually the
1st measles immunisation - AND there is
documentary proof of all required
vaccines (e.g. on the Road to Health
Card/Booklet).



All babies/infants receiving BCG should
be counted, including babies coming to
clinics after home deliveries and
babies/infants that got their BCG later
than usual due to e.g. temporary
shortages of vaccine.

Do not count possible repeat doses (e.g.
given during large vaccination
campaigns), only doses given and noted
on the Road-to-Health card.
Do not count possible repeat doses (e.g.
given during large vaccination
campaigns), only routine doses given
and noted on the Road-to-Health
card/Booklet
Other doses given to YOUNGER
children during an outbreak should NOT
be counted here, but 1st doses given to
children between 10 and 12 months
should be included. Also do not count
doses given as part of mass vaccination
campaigns

Other doses given to YOUNGER
children during an outbreak should NOT
be counted here, but 1st doses given to
children between 10 and 12 months
should be included. Also do not count
doses given as part of mass vaccination
campaigns.

Do not count doses given as part of
mass vaccination campaigns.
 Measles is an acute viral infection
transmitted by close respiratory contact
and may also spread via aerosolised
droplets. Most deaths occur from
secondary infections of the respiratory
and/

Only include DT doses given routinely,
including `mopping up` campaigns, but
NOT any doses given as part of mass
vaccination campaigns.

Only include Td doses given routinely,
including `mopping up` campaigns, but
NOT any doses given as part of mass
vaccination campaigns.
IUCDs are relatively uncommon in
developing countries, and the numbers
are small compared to e.g. injectable or
oral contraceptives. Facility numbers
above 10 during one reporting period
should be verified.




Ensure that Medroxyprogesterone and
Norethisterone enantate injections are
not mixed up.


Ensure that Medroxyprogesterone and
Norethisterone enantate injections are
not mixed up.

Count each case only in the facility
where the operation is actually
performed. Each sterilisation is on
average equivalent to 10 years

Condoms should preferably be counted
per box or per carton once they leave the
store of the facility, i.e. by using the local
stock register. Another method would be
to count stock at the beginning of each
reporting period (for instance month).
Add the nu

Count each case only in the facility
where the operation is actually
performed. Each sterilisation is on
average equivalent to 20 years

Count each case ONLY in the facility
where the termination is actually
performed. PHC facilities that want to
count clients counselled and referred
elsewhere for a TOP should use the data
element `Referred for Termination of
Pregnancy`.
A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. Maternal health.




A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit.




A visits purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. Maternal health.
Indicators like antenatal care coverage
gives an estimate of the proportion of
pregnant women who have presented for
first antenatal visits compare




A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. CONTEXT: Maternal
health. Indicators like antenatal care
coverage gives an estimate of the
proportion of pregnant women who have
presented for first antenatal visits




A visits purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. Maternal health.
Indicators like antenatal care coverage
gives an estimate of the proportion of
pregnant women who have presented for
first antenatal visits compare
A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. Maternal health.
Indicators like antenatal care coverage
gives an estimate of the proportion of
pregnant women who have presented for
first antenatal visits compared
Count only the first visit after delivery.
The postnatal protocol should be
followed.




Count only the first visit after delivery.
The postnatal protocol should be
followed.
A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. Maternal health.




A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit.




This element indicates the women who
fell pregnant while on HAART.




Count ONLY once on the day the HIV
test was confirmed positive




Each ANC client whose first HIV test was
negative should be re-tested at 32
weeks or later to detect late sero-
converters. The period between the first
test and re-test should be at least 6
weeks. If the 32 week re-test result is not
available on the ANC
Count ONLY once on the day the HIV
test was confirmed positive




Count ONLY once on the day the HIV
test was confirmed positive

Each ANC client whose first HIV test was
negative should be re-tested at 32
weeks or later to detect late sero-
converters. The period between the first
test and re-test should be at least 6
weeks. If the 32 week re-test result is not
available on the ANC

All antenatal clients with known HIV
positive status and NOT on HAART
should have a CD4 count test done,
preferably at the first antenatal visit




A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit. Maternal health.




A visit purely to take a pregnancy test
should NOT be counted as a first
antenatal visit.
This element indicates the women who
fell pregnant while on HAART.




Count ONLY once on the day the HIV
test was confirmed positive




Count ONLY once on the day the HIV
test was confirmed positive
Count ONLY once on the day the HIV
test was confirmed positive




Count ONLY once on the day the HIV
test was confirmed positive




Count ONLY once on the day the HIV
test was confirmed positive
This may be viewed as an ART data
element but is crucial for monitoring
effective implementation of the PMTCT
program.




Even if the antenatal client received
Nevirapine at a primary health care
facility during antenatal care, ONLY
clients who took Nevirapine during
labour, should be counted for this
element.




Although the antenatal client received
AZT during antenatal care, this data
should be collected at point of delivery
only and NOT during antenatal care
The data element counts new episodes,
not patients. Count ONLY NEW
episodes of a SYMPTOMATIC STI.




The patient/client can be symptomatic or
asymptomatic. If the patient presents
with a new episode of a symptomatic
STI, the new episode must ALSO be
counted under `STI treated – new
episode`. If the client is asymptomatic,
NO tally should be made


The data element counts new episodes,
not patients. Count ONLY NEW
episodes of a SYMPTOMATIC STI.

Male condoms from the stock of the
facility which were given out at
distribution points at the facility or
elsewhere in the community (i.e.
campaigns, non-traditional outlets etc.).
Each patients must be counted only
ONCE, regardless of the number of
sputum samples sent. Do NOT include
cases that are culture positive but smear
negative and where treatment is started.




Each patients must be counted only
ONCE, regardless of the number of
sputum samples sent. Do NOT include
cases that are culture positive but smear
negative.

Each patient must be counted only
ONCE, regardless of the number of
sputum samples sent. Do NOT include
cases that are culture positive but smear
negative and where treatment is started.

Any case where a patients confirmed as
a smear positive Pulmonary TB is
starting treatment. It can be a new or a
retreatment case
Each patient must be counted only
ONCE, regardless of the number of
sputum samples sent. Do NOT include
cases that are culture positive but smear
negative.

Saturdays and Sundays should be
excluded when assessing the number
received within 48 hours.

Include all samples, whether they are
samples from suspected cases or
samples from patients already on
treatment
Patients that fall in the high risk category
should be reported as "Hypertension
cases put on treatment new" as well as "
High risk hypertension case"




Patients that fall in the high risk category
should be reported as "Diabetes cases
put on treatment new" as well as " High
risk diabetes cases-new"
Do not count non-emergency cases that
attend the Casualty department after
hours when OPD is closed. Non-
emergency cases should be couted as
one of the OPD General Clinic data
elements (new cases with or without
referral letters or follow-up cases)
Whether any Anti-Retro-Viral drugs have
been out of stock at ANY time during the
reporting period
Whether any Tuberculosis drugs have
been out of stock at ANY time during the
reporting period
The child is only reported the first time
the birth defect is diagnosed.




The child is only reported the first time
the birth defect is diagnosed.
Do not count replacements of existing
wheelchairs, due to them being broken
or not functioning as expected

Do NOT count rehab clients requiring a
replacement wheelchair


Do NOT count replacements of existing
hearing aids, due to them being broken
or not functioning as expected


Do NOT count rehab clients requiring a
replacement hearing aid

Do NOT count replacements of existing
walking aids, due to them being broken
or not functioning as expected


Do NOT count rehab clients requiring a
replacement walking aid




Do not include follow-up CD4 tests here




Only count clients starting INH
prevention therapy for the first time
Only count clients starting Co-
trimoxazole prophylaxis for the first time




The data source for this data element
will be the ART register monthly report
Count only once when CD4 drops below
minimum threshold for all categories of
patients.




The data source for this data element
will be the ART register monthly report




THIS PMTCT data element is used for
proxy for infant HIV positive under 1 year




Count only once when CD4 drops below
minimum threshold for children 1-15
years as per data element definition
No               DE_Name                                                  Data Element definition                                               Guide for use and Context

                                       All individual patients five years (60 months) and older attending the facility during the
                                                                                                                                         DOTS visits to the facility (NOT DOTS in
     PHC headcount 5 years and         reporting period (usually month) for Primary Health Care. Each patient is counted once for
1    older                             each day they appear at the facility, regardless of the number of services provided on the
                                                                                                                                         community/workplace/home) are included
                                                                                                                                         in total headcount
                                       day(s) they were seen.
                                       All individual patients not yet reached five years (60 months) of age attending the facility
                                                                                                                                         Include any child given individual
                                       during the reporting period (usually month) for Primary Health Care. Each patient is
2    PHC headcount under 5 years
                                       counted once for each day they appear at the facility, regardless of the number of
                                                                                                                                         service(s) during e.g. a home or crèche
                                                                                                                                         visit.
                                       services provided on the day(s) they were seen.
                                       A day patient is an admitted patient who receives hospital treatment and is admitted and
                                       separated from the hospital on the same date (he/she does not occupy a bed at midnight).
3    Day patients - total              The definition of a Day Patient excludes patients who were intended to stay overnight but
                                       left of their own accord, patients who died, or patients who were transferred to another
                                       hospital on the first day of their stay.
                                       An inpatient death - Total is a death recorded against any admitted patient during the
4    Inpatient deaths - total
                                       reporting period.

                                       Inpatient days - Total is the number of days spent in the institution for all inpatients during
                                       the reporting period. Inpatient days exclude lodgers. A day is measured at midnight. Thus:
                                       A patient admitted and separated on the same date has zero patient days, and is counted
                                       as a DAY patient. A patient separated on the date following the date of admission, has
5    Inpatient days - total
                                       one patient day, and so on. A patient on leave at midnight is not counted as a patient day.
                                       A patient admitted and then dying or being transferred out on the same day has zero
                                       patient days, but the patient is regarded as an inpatient and is NOT counted as a day
                                       patient.

                                      An inpatient death under 1 year is a death recorded against any admitted patient under 1
6    Inpatient death under 1 year     year during the reporting period. This include the death of newborn babies, even if they
                                      are not admitted separate from their mothers.
                                      An inpatient death under 5 years is a death recorded against any admitted patient under 5
7    Inpatient death under 5 years    years during the reporting period. This include the death of newborn babies, even if they
                                      are not admitted separate from their mothers.
                                      An Inpatient discharge - Total is any admitted patient who complete a hospital stay and
                                      are discharged to their usual residence including home, family, prison, hostel etc. It will
8    Inpatient discharges - total
                                      include self discharges (patient absconding), but exclude deaths and transfers to other
                                      hospitals and step-down facilities.
                                      An Inpatient discharge under 1 year is any admitted patient under 1 year who complete a
                                      hospital stay that includes at least one night and are discharged to their usual residence
9    Inpatient discharge under 1 year
                                      including home, family, prison, hostel etc. It excludes deaths and transfers to other
                                      hospitals and step-down facilities.

                                       An inpatient death under 5 years is a death recorded against any admitted patient under 5
10 Inpatient discharge under 5 years years - including those under 1 year - during the reporting period. This include the death
                                       of new-born babies, even if they are not admitted separately from their mothers.
                                      A Inpatient Transfer Out is an admitted patient in the hospital who is directed or physically
                                      transferred to another hospital for immediate admission there. It excludes patients
11 Inpatient transfers out - total    referred to a primary health care clinic, community health centre or any other primary
                                      health care facility. It also excludes patients referred to other hospitals for a specialist
                                      OPD visit and similar.
     Inpatient transfer out under 1   The number of inpatients under 1 year transferred to another hospital during the reporting
12 year                               period.
     Inpatient transfer out under 5   The number of inpatients under 5 years transferred to another hospital during the
13 years                              reporting period. This includes those under 1 year, even if they are captured separately.

                                                                                                                                  Do not count non-emergency cases that
                                                                                                                                  attend the Casualty department after
                                      All patients attending the casualty/emergency/trauma unit in a facility with conditions     hours when OPD is closed. Non-
14 Emergency total headcount          requiring emergency treatment. Typical examples are assaults, gunshots, motor vehicle       emergency cases should be couted as
                                      accidents, rape cases, strokes and cardiac arrests, drowning, poisoning, patients in shock. one of the OPD General Clinic data
                                                                                                                                  elements (new cases with or without
                                                                                                                                  referral letters or follow-up cases)

                                      A headcount of all outpatients attending an outpatient clinic for a follow-up visit for an
                                      existing condition. This would include visits to Service Groups like Physiotherapist,
15 OPD headcount - follow-up visit    Dietitian, X-rays, etc - as well as previous ward attenders returning to the hospital for
                                      check-up.
                                      A headcount of all outpatients attending an outpatient clinic, seeking medical attention for
     OPD headcount - new case not
16 referred                           a condition for the first time at this facility, without being referred from a PHC facility or
                                      doctor (including General Practitioners).

                                      A headcount of all outpatients attending an outpatient clinic, seeking medical attention for
     OPD headcount - new case
17 referred                           a condition for the first time at this facility, that was seen in a PHC facility or by a doctor
                                      (including General Practitioners) and have a referral letter from the PHC facility or doctor.


                                      Usable beds are beds actually available for use within the facility (regardless of whether
                                      they are occupied by a patient or lodger). Include acute care beds, chronic care beds,
18 Usable beds - total                maternity beds for antenatal and postnatal care, surgical days beds, and temporary beds.
                                      Exclude delivery beds, surgical tables, recovery trolleys, cots for normal neonates (well
                                      baby cots), stretchers, chairs and recliners (e.g. as used for renal dialysis patients etc.).

     CHCs/CDCs with resident doctor
19 - total                            The number of CHCs or CDCs in the province with at least one full-time doctor

20 CHCs/CDCs - total                  The total number of CHCs or CDCs in the province
     Fixed clinics supported by a
                                      The number of fixed clinics open at least 4 days per week for at least 8 hours per day
21   doctor at least once a week -
                                      where a doctor is supporting clinical services at least once per week
     total
                                      The total number of fixed clinics in the province open at least 4 days per week for at least
22 Fixed clinics - total              8 hours per day
                                                                                                                                        This figure should include ONLY clinical
                                                                                                                                        work (i.e. handling patients/clients),
                                        The number of actual work days by doctors, irrespective of rank or specialty, used to
                                                                                                                                        including normal administrative work
23 Doctor clinical work days            perform clinical services in the facility during the reporting period (usually month). One
                                                                                                                                        related to patients/clients. Paid days
                                        actual work day is normally equivalent to an 8-hour shift (40 hours)
                                                                                                                                        related to e.g. training courses, meetings
                                                                                                                                        and other administrative issues.

     PHC case seen by Professional      A patient/client (child or adult) seen by a professional nurse for a Primary Health Care
24 Nurse                                service

                                                                                                                                        Do not confuse this data element with
                                                                                                                                        `Clinical days open during month` - the
                                        The number of actual work days by Professional Nurses, irrespective of rank, used to            two would only be equal when there is
     Professional Nurse clinical work
25 days                                 perform clinical services in the facility during the reporting period (usually month). One      only ONE nurse in the facility. Only days
                                        actual work day is normally equivalent to an 8-hour shift (40 hours).                           PRIMARILY used to handle patients are
                                                                                                                                        included, NOT days primarily used for
                                                                                                                                        e.g. training courses

                                                                                                                                      This data element should be collected in
                                        A patient/client (child or adult) seen by a doctor for a Primary Health Care curative service
26 PHC case seen by doctor              (diagnosis and treatment)
                                                                                                                                      all PHC facilities with full- or part-time
                                                                                                                                      doctors

                                                                                                                                        Dropping in for tea, delivering mail,
                                                                                                                                        and/or delivering drugs and supplies do
                                                                                                                                        NOT qualify as a supervisor visit, even
                                        The number of fixed PHC facility visited by a dedicated clinic supervisor, who performs a
27 Supervisor visit this month          visit according to the clinic supervision manual
                                                                                                                                        when done by the supervisor. This data
                                                                                                                                        element will always be a 0 (no visit this
                                                                                                                                        month) or a 1 (one or more visits this
                                                                                                                                        month)

                                                                                                                                        All children under five years should be
                                                                                                                                        weighed whenever visiting a facility, but
                                        A child weighed and the weight plotted onto the Road to Health Card/Booklet, the patient        the child should be COUNTED as
28 Child under 5 years weighed          folder and a relevant register for the first time this month                                    weighed only once per month even if they
                                                                                                                                        come more frequently (e.g. for a follow-
                                                                                                                                        up visit).
     Diarrhoea with dehydration         Children being diagnosed for diarrhoea with severe or mild dehydration,
29 under 5 years - death                admitted as an inpatient, and dying during the stay.
     Diarrhoea with dehydration         Children being diagnosed for diarrhoea with severe or mild dehydration and admitted as
30 under 5 years - admitted             an inpatient.

                                        The number of children with diarrhoea presenting with severe or mild dehydration.
                                        Diarrhoea occurs when stools contain more water than normal. Mothers usually know               The child is only counted the first time it
                                        whether their children have diarrhoea. Dehydration is present when a diarrhoea is               presented with the current diarrhoea at
     Diarrhoea with dehydration
31 under 5 years - new ambulatory       accompanied by two of the following signs: lethargic or unconscious, sunken eyes, not           the facility (new case). Follow-up visits for
                                        able to drink or drinking poorly or drinking eagerly , skin pinch goes back very slowly,        the same episode of diarrhoea should not
                                        restless / irritable, and or thirsty. `Ambulatory` means that the patient is able to walk (or   be counted here.
                                        equivalent condition for infants not yet walking) as opposed to bedridden.
                                      Sum of Diarrhoea with dehydration under 5 years - new ambulatory and Diarrhoea
32 Diarrhoea under 5 years - new      without dehydration under 5 years - new ambulatory
                                      The number of children with diarrhoea with NO visible dehydration. Diarrhoea occurs
                                                                                                                                     The child is only counted the first time it
                                      when stools contain more water than normal. Mothers usually know whether their children
                                                                                                                                     presented with the current diarrhoea at
     Diarrhoea without dehydration    have diarrhoea. Diarrhoea with NO visible dehydration is present when the child has
33 under 5 years - new ambulatory     diarrhoea with not enough signs to classify as severe or mild dehydration. `Ambulatory`
                                                                                                                                     the facility (new case). Follow-up visits for
                                                                                                                                     the same episode of diarrhoea should not
                                      means that the patient is able to walk (or equivalent condition for infants not yet walking)
                                                                                                                                     be counted here.
                                      as opposed to bedridden.
                                                                                                                                All children under five years should be
                                                                                                                                weighed when visiting a clinic, but the
                                      A child under 5 years that has not gained weight compared to the weight recorded at least
34   Not gaining weight under 5 years
                                      one month earlier on the Road-to-Health Card/Booklet
                                                                                                                                child should be recorded only ONCE PER
                                                                                                                                MONTH even if they come more
                                                                                                                                frequently (e.g. for a follow-up visit).


                                      The number of children with pneumonia. Pneumonia is defined as cough or difficult and
                                      fast breathing and any one of the following general danger signs: child unable to drink or
                                      breastfeed, child vomits everything, child has convulsions during this illness, child is
                                                                                                                                     The child should be counted only for the
                                      lethargic or unconscious or chest drawing or stridor in a calm child.
     Pneumonia under 5 years - new                                                                                                   first visit presenting with pneumonia.
35   ambulatory                                                                                                                      Follow-up visits for the same episode of
                                      The definition of fast breathing depends on the age of the child:
                                                                                                                                     pneumonia should not be counted here.
                                      age 1 week up to 2 months: 60 breaths per minute or more = fast breathing
                                      age 2 months up to 12 months: 50 breaths per minute or more
                                      age 12 months up to 5 years: 40 breaths per minute or more


     Pneumonia under 5 years -
36 admitted                           Children being diagnosedwith Pneumonia and admitted as an inpatient.

37 Pneumonia under 5 years - death Children being diagnosed with pneumonia, admitted and then died as an inpatient.
                                      A child under 5 years found to weigh less than 60% of Estimated Weight for Age (EWA),
     Severe malnutrition under 5      or to suffer from Marasmus, Kwashiorkor, or similar, EXCLUDING new-born babies, that
38   years - death                    were admitted and then died as an inpatient. Severe malnutrition might also be denoted
                                      as CLINICALLY malnourished.

                                                                                                                                     Only count each case when encountered
                                                                                                                                     for the FIRST time during that episode -
                                      The weight-for-age chart in the Road-to-Health Card/Booklet shows body-weight relative
                                                                                                                                     the child must NOT be counted again
     Severe malnutrition under 5      to age in comparison to the median (0-line). A child whose weight-for-age is below the -3
39   years - new ambulatory           line is severely underweight. Clinical signs of Marasmus and/or Kwashiorkor might be
                                                                                                                                     during repeat visits. Since such cases
                                                                                                                                     might be referred to a hospital, the
                                      observed.
                                                                                                                                     referral hospital should NOT count cases
                                                                                                                                     referred



                                      A child under 5 years found to weigh less than 60% of Estimated Weight for Age (EWA),
     Severe malnutrition under 5
40 years - admitted                   or to suffer from Marasmus, Kwashiorkor, or similar, EXCLUDING new-born babies, that
                                      were admitted. Severe malnutrition might also be denoted as CLINICALLY malnourished.
                                                                                                                              Only count each episode ONCE, do NOT
                                                                                                                              count repeat visits for the same episode
                                                                                                                              (incidence!). The child will also be
                                  he weight-for-age chart in the Road-to-Health Card/Booklet shows body-weight relative to
    Underweight for age under 5                                                                                               entered into the Malnutrition Register if
41 years - new case               age in comparison to the median (0-line). A child whose weight-for-age is below the -2 line
                                                                                                                              that is used at the facility. A child
                                  but above the -3 line is underweight.
                                                                                                                              previously identified as underweight for
                                                                                                                              age who recovered, but then become
                                                                                                                              underweight again should be counted
                                                                                                                              All babies/infants receiving BCG should
                                                                                                                              be counted, including babies coming to
                                  BCG (tuberculosis) vaccine given to a child under 1 year of age - preferably immediately    clinics after home deliveries and
42 BCG dose under 1 year          after birth.                                                                                babies/infants that got their BCG later
                                                                                                                              than usual due to e.g. temporary
                                                                                                                              shortages of vaccine.

                                  DTaP-IPV/Hib (also known as Pentaxim) 1st dose vaccination 1st dose given to a child
                                  under one year - preferably at around 6 weeks after birth. This vaccine provides protection
                                  against against diphtheria, tetanus, pertussis, poliomyelitis and invasive infections caused
43 DTaP-IPV/Hib 1st dose          by Haemophilus influenzae type b (such as meningitis, septicaemia, cellulitis, arthritis,
                                  epiglottitis, pneumopathy and osteomyelitis). The vaccine contains acellular pertussis and
                                  inactivated polio vaccine, both of which have been found to be effective and have a better
                                  side effect profile.


                                  DTaP-IPV/Hib (also known as Pentaxim) 3rd dose given to a child under one year -
                                  preferably at around 14 weeks after birth. This vaccine provides protection against against
                                  diphtheria, tetanus, pertussis, poliomyelitis and invasive infections caused by
44 DTaP-IPV/Hib 3rd dose          Haemophilus influenzae type b (such as meningitis, septicaemia, cellulitis, arthritis,
                                  epiglottitis, pneumopathy and osteomyelitis). The vaccine contains acellular pertussis and
                                  inactivated polio vaccine, both of which have been found to be effective and have a better
                                  side effect profile.

                                  DTaP-IPV/Hib (also known as Pentaxim) 4th dose vaccination given to a child older than 1
                                  year preferably around 18 months. This vaccine provides protection against against
                                  diphtheria, tetanus, pertussis, poliomyelitis and invasive infections caused by
45 DTaP-IPV/Hib 4th dose          Haemophilus influenzae type b (such as meningitis, septicaemia, cellulitis, arthritis,
                                  epiglottitis, pneumopathy and osteomyelitis). The vaccine contains acellular pertussis and
                                  inactivated polio vaccine, both of which have been found to be effective and have a better
                                  side effect profile.
                                  DTP-Hib (Diphtheria/Tetanus/Pertussis-Haemophilus influenzae B) vaccine 1st dose
46 DTP-Hib 1st dose               given to a child under one year - preferably at around 6 weeks after birth
                                  Hepatitis B vaccine 3rd dose given to a child under one year - preferably at around 14
47 DTP-Hib 3rd dose               weeks after birth
                                  Hepatitis B vaccine 1st dose given to a child under one year - preferably at around 6
48 HepB 1st dose                  weeks after birth
                                  Hepatitis B vaccine 3rd dose given to a child under one year - preferably at around 14
49 HepB 3rd dose                  weeks after birth
                                                                                                                         The child should only be counted ONCE
                                                                                                                         as fully immunised when receiving the
                                     A child who have completed his/her primary course of immunisation before the age of last vaccine in the course - usually the
    Immunised fully under 1 year -
50 new                               one. A Primary Course includes BCG, OPV 1, DTP-Hib 1 / Pentaxim 1, OPV 2 & 3 + DTP- 1st measles immunisation - AND there is
                                     Hib 2 & 3 / Pentaxim 2 & 3, HepB 1,2 & 3, and 1st measles dose before 1 year.       documentary proof of all required
                                                                                                                         vaccines (e.g. on the Road to Health
                                                                                                                         Card/Booklet).

                                                                                                                               Other doses given to YOUNGER children
                                                                                                                               during an outbreak should NOT be
                                                                                                                               counted here, but 1st doses given to
                                     Measles vaccine 1st dose given to a child under one year of age (preferably at 9 months
51 Measles 1st dose under 1 year     after birth)
                                                                                                                               children between 10 and 12 months
                                                                                                                               should be included. Also do not count
                                                                                                                               doses given as part of mass vaccination
                                                                                                                               campaigns.
                                                                                                                               Do not count doses given as part of mass
52 Measles 2nd dose                  Measles vaccine 2nd dose given to a child above one year of age (preferably at 18 moths)
                                                                                                                               vaccination campaigns.
                                                                                                                               Do not count possible repeat doses (e.g.
                                     OPV (Poliomyelitis) vaccine 1st dose given to a child under one year, preferably around 6 given during large vaccination
53 OPV 1st dose                      weeks after birth                                                                         campaigns), only doses given and noted
                                                                                                                               on the Road-to-Health card.

                                                                                                                               Do not count possible repeat doses (e.g.
                                     OPV (Poliomyelitis) vaccine 3rd dose given to a child under one year, preferably around   given during large vaccination
54 OPV 3rd dose                      14 weeks after birth                                                                      campaigns), only routine doses given and
                                                                                                                               noted on the Road-to-Health card/Booklet

                                     Pneumococcal (PCV7) vaccine 1st dose given to a child under one year, preferably
55 PCV7 1st dose                     around 6 weeks after birth.
                                     Pneumococcal (PCV7) vaccine 3rd dose given to a child under one year, preferably
56 PCV7 3rd dose                     around 9 months after birth.
                                     Rota Virus (RV) vaccine 1st dose given to a child under one year, preferably around 6
57 RV 1st dose                       weeks after birth and NOT later than 14 weeks after birth
                                     Rota Virus (RV) vaccine 2nd dose given to a child under one year, preferably around 14
58 RV 2nd dose                       weeks after birth and NOT later than 24 weeks after birth


                                                                                                                               Only include Td doses given routinely,
                                                                                                                               including `mopping up` campaigns, but
59 Td dose at 12 years               Td last booster doses given to children around 12 years of age.
                                                                                                                               NOT any doses given as part of mass
                                                                                                                               vaccination campaigns.



                                                                                                                               Only include DT doses given routinely,
                                     Td booster dose given to a child around 6 years of age. Note that this                    including `mopping up` campaigns, but
60 Td dose at 6 years                replaced DT booster dose at 5 years from February 2008.                                   NOT any doses given as part of mass
                                                                                                                               vaccination campaigns.
     Vitamin A supplement to 6-11      The number of Vitamin A doses, 100,000 units, given once to infants aged at least 6
61 months infant                       months and not yet 12 months
     Vitamin A supplement to 12-59     Vitamin A doses of 200,000 units given to each child every six months from 12 to 59
62 months child                        months
                                                                                                                           Each newly delivered woman should
                                                                                                                           receive a single dose of 200,000 units of
     Vitamin A supplement to woman The number of Vitamin A doses, 200,000 units, given to women immediately after delivery
63   within 8 weeks after delivery and not later than 8 weeks after delivery
                                                                                                                           Vitamin A, preferably immediately after
                                                                                                                           delivery and not later than 8 weeks after
                                                                                                                           delivery.

64 Antenatal 1st visit                 Sum of Antenatal 1st visit before 20 weeks and Antenatal 1st visit 20 weeks or later

                                                                                                                                       Count any follow-up antenatal visit where
                                                                                                                                       an antenatal protocol is followed, whether
65 Antenatal follow-up visit           Any antenatal visit other than a first antenatal visit.
                                                                                                                                       the woman is receiving other services
                                                                                                                                       (e.g. curative) or not.

                                       A first visit by a pregnant woman to a health facility for the primary purpose of receiving
                                       antenatal care, often referred to as a `booking visit`, that occur at 20 weeks after            A visit purely to take a pregnancy test
     Antenatal 1st visit 20 weeks or
66 later                               conception or later. The actual protocol followed during the visit might vary, but it should    should NOT be counted as a first
                                       include relevant screening procedures, laboratory tests (e.g. for syphilis), and counselling    antenatal visit.
                                       / health promotion (the latter often done in groups).

                                       A first visit by a pregnant woman to a health facility for the primary purpose of receiving
                                       antenatal care, often referred to as a `booking visit`, that occur before 20 weeks after        A visit purely to take a pregnancy test
     Antenatal 1st visit before 20
67 weeks                               conception. The actual protocol followed during the visit might vary, but it should include     should NOT be counted as a first
                                       relevant screening procedures, laboratory tests (e.g. for syphilis), and counselling / health   antenatal visit. Maternal health.
                                       promotion (the latter often done in groups).

                                       A cervical (pap) smear done for women between thirty and sixty years for screening
     Cervical smear in woman 30        purposes ccording to the national policy of screening all women in this age category
68   years and older                   every 10 years. Diagnostic smears or repeat smears are NOT included, and the smear
                                       must be of sufficient quality to enable screening (e.g. include endo-cervical cells).


                                                                                                                                       Condoms should preferably be counted
                                                                                                                                       per box or per carton once they leave the
                                       Male condoms from the stock of the facility which were given out at distribution points at      store of the facility, i.e by using the local
69 Male condoms distributed            the facility or elsewhere in the community (i.e. campaigns, non-traditional outlets etc.).      stock register. Another method would be
                                                                                                                                       to count stock at the beginning of each
                                                                                                                                       reporting period (for instance month).
                                                                                                                               IUCDs are relatively uncommon in
                                                                                                                               developing countries, and the numbers
                                                                                                                               are small compared to e.g. injectable or
                                                                                                                               oral contraceptives. Facility numbers
70 IUCD inserted                     Intra Uterine Contraceptive Device (IUCD) inserted into a woman
                                                                                                                               above 10 during one reporting period
                                                                                                                               should be verified.



                                                                                                                             Ensure that Medroxyprogesterone and
                                     Medroxyprogesterone acetate (Depo Provera / Petogen) injection given to a woman
71 Medroxyprogesterone injection     between 15 and 45 years. This injection provides contraceptive protection for 3 months
                                                                                                                             Norethisterone enantate injections are
                                                                                                                             not mixed up.
                                                                                                                             Ensure that Medroxyprogesterone and
     Norethisterone enanthate        Any Norethisterone enantate (Nuristerate) injection given to a woman between 15 and 45
72 injection                         years. This injection provides contraceptive protection for 2 months
                                                                                                                             Norethisterone enantate injections are
                                                                                                                             not mixed up.
                                                                                                                             Count each packet issued. This would
                                                                                                                             normally range from around 3 given to
                                                                                                                             e.g. new/young users that need closer
                                     A packet (cycle) of oral contraceptives issued to a woman between 15 and 45 years, each
73 Oral pill cycle                   containing pills for one cycle (28 days)
                                                                                                                             monitoring for side effects and up to 6
                                                                                                                             given to older women that have used pills
                                                                                                                             for many years without known side-
                                                                                                                             effects.

                                                                                                                               Count each case only in the facility where
74 Sterilisation - female            Any planned operative procedure that results in a woman being sterilised
                                                                                                                               the operation is actually performed.

                                     Any planned operative procedure that results in a man being sterilised (also called       Count each case only in the facility where
75 Sterilisation - male              vasectomy)                                                                                the operation is actually performed.

                                     The second Tet Tox dose given to a pregnant women. Women who have proof of being
     Tet Tox 2nd/Booster dose to     fully immunised during a previous pregnancy are considered fully immunised after
76   pregnant woman                  receiving one booster dose of tetanus toxoid during this pregnancy. All others are
                                     regarded as fully immunised against Tetanus Toxoid after 2 doses.

                                                                                                                               Count each case ONLY in the facility
                                                                                                                               where the termination is actually
                                                                                                                               performed. PHC facilities that want to
     Termination of Pregnancy
77 performed                         A Termination of Pregnancy performed under safe conditions in a health facility           count clients counselled and referred
                                                                                                                               elsewhere for a TOP should use the data
                                                                                                                               element `Referred for Termination of
                                                                                                                               Pregnancy`.
                                     HIV positive antenatal client who was on lifelong ART at delivery in facility providing
                                     delivery services (including BBAs)
     Antenatal client on HAART at
78 delivery


     Antenatal client eligible for   HIV positive antenatal client with a CD4 count under the specified threshold and/or a
79 HAART                             WHO staging of 4.
                                                                                                                                           This may be viewed as an ART data
     Baby initiated on HAART (under                                                                                                        element but is crucial for monitoring
80   18 months)
                                         Baby tested PCR positive under the age of 18 months who was initiated on HAART.
                                                                                                                                           effective implementation of the PMTCT
                                                                                                                                           program.
                                         HIV positive baby under 18 months with a CD4 count under the specified threshold and/or
81 Baby eligible for HAART               a WHO staging of 4.
     Antenatal client on HAART at 1st                                                                                                      This element indicates the women who
82 visit                                 HIV positive antenatal client who is on HAART at the time of her first antenatal visit.
                                                                                                                                           fell pregnant while on HAART.
     Antenatal client HIV re-test        Antenatal client who was re-tested positive for HIV at 32 weeks gestation or later after          Count ONLY once on the day the HIV
83 positive at 32 weeks or later         testing negative for HIV during an earlier antenatal visit.                                       test was confirmed positive.

                                                                                                                                           Although the antenatal client received
     Antenatal client on AZT before      HIV positive antenatal client (NOT on HAART) who was on AZT for any period during her             AZT during antenatal care, this data
84   labour                              current pregnancy before going into labour.                                                       should be collected at point of delivery
                                                                                                                                           only and NOT during antenatal care.

                                                                                                                                           Even if the antenatal client received
                                         HIV positive antenatal client (NOT on HAART) who took Nevirapine during labour. This
                                                                                                                                           Nevirapine at a primary health care
                                         data should be collected at point of delivery only and NOT during antenatal care.
     Antenatal client Nevirapine taken                                                                                                     facility during antenatal care, ONLY
85 during labour                                                                                                                           clients who took Nevirapine during
                                                                                                                                           labour, should be counted for this
                                                                                                                                           element.

                                         Live birth to HIV positive women. Includes babies born before arrival (BBA) at health
                                         facilities and babies born outside health facilities. Live birth is a baby, irrespective of the
86 Live birth to HIV positive woman      duration of the pregnancy, who breathes or shows any other signs of life after birth.
                                         Women with unknown HIV status at delivery and tested during or after delivery and found
                                         HIV positive should also be counted.

                                         Baby born to HIV positive woman who received Nevirapine within 72 hours after birth.
     Baby given Nevirapine within 72
87 hours after birth                     Also count babies not delivered in health facilities (BBAs and known home deliveries) who
                                         were given Nevirapine within 72 hours after birth.
     Baby initiated on Co-               Baby born to HIV positive woman who was initiated on Co-Trimoxazole around 6 weeks
88 Trimoxazole around 6 weeks            after birth to prevent opportunistic infections
                                         Baby born to HIV positive woman who was PCR tested for the first time around 6 weeks
                                         after birth. Babies PCR tested for the first time between 4 and 12 weeks must be included.
89 Baby PCR test around 6 weeks
                                         Do NOT include repeat tests.

                                         Baby born to HIV positive woman who tested PCR positive around 6 weeks after birth for
     Baby PCR test positive around 6                                                                                                       Count ONLY once on the day the HIV
90 weeks                                 the first PCR test. Babies PCR tested for the first time between 4 and 12 weeks must be
                                                                                                                                           test was confirmed positive.
                                         included.
     Baby HIV antibody test at 18        Baby born to HIV positive woman who was tested positive for HIV antibodies 18 months              Count ONLY once on the day the HIV
91 months                                after birth.                                                                                      test was confirmed positive.
     Antenatal client known HIV          Antenatal client with known HIV positive status but not on HAART at her first antenatal
92 positive but NOT on HAART at          visit. In the absence of documented proof, verbal confirmation of HIV status is acceptable
     1st visit                           and a CD4 count test must be done.
     Baby HIV antibody test positive     Baby born to HIV positive woman who was tested positive for HIV antibodies 18 months              Count ONLY once on the day the HIV
93   at 18 months                        after birth.                                                                                      test was confirmed positive.
                                         Antenatal client eligible for HIV testing (NOT known positive) who was tested for the first
94 Antenatal client HIV 1st test         time during her current pregnancy. Antenatal clients should preferably be tested at first
                                         antenatal visits but may be tested for the first time at a subsequent follow-up visit.

      Antenatal client HIV 1st test      Antenatal client who tested positive for the first HIV test done during her current             Count ONLY once on the day the HIV
95 positive                              pregnancy.                                                                                      test was confirmed positive.
                                                                                                                                         All antenatal clients with known HIV
                                         HIV positive antenatal client (NOT on HAART) who was CD4 tested for the first time
                                                                                                                                         positive status and NOT on HAART
96 Antenatal client CD4 1st test         during her current pregnancy (preferably on the same day her HIV status was confirmed
                                                                                                                                         should have a CD4 count test done,
                                         positive).
                                                                                                                                         preferably at the first antenatal visit.
                                         HIV positive antenatal client (NOT on HAART) who was initiated on AZT at any stage
97 Antenatal client initiated on AZT during her current pregnancy before going into labour. This data should be collected
                                         during antenatal care only and NOT at point of delivery.
                                                                                                                                         This may be viewed as an ART data
      Antenatal client initiated on      HIV positive antenatal client who was initiated on HAART during her current pregnancy.          element but is crucial for monitoring
98    HAART                                                                                                                              effective implementation of the PMTCT
                                                                                                                                         program.
                                                                                                                                         Each ANC client whose first HIV test was
                                                                                                                                         negative should be re-tested at 32 weeks
                                                                                                                                         or later to detect late sero-converters.
      Antenatal client HIV re-test at 32 Antenatal client who was re-tested for HIV at 32 weeks gestation or later after testing
99 weeks or later                        negative for HIV during an earlier antenatal visit.
                                                                                                                                         The period between the first test and re-
                                                                                                                                         test should be at least 6 weeks. If the 32
                                                                                                                                         week re-test result is not available on the
                                                                                                                                         ANC
                                          A Caesarean Section delivery in facility is the removal of the foetus, placenta and
                                          membranes by means of an incision through the abdominal and uterine walls - obviously
100   Caesarean section in facility       only done in health facilities by doctors. This be further divided into i) Caesarean section
                                          in labour and ii) Caesarean section, no labour also known as an elective Caesarean
                                          section.
                                          Delivery in facility to woman under 18 years is the number of women delivering in a health
101   Delivery in facility under 18 years facility under the supervision of trained medical/nursing staff, and where the mother is
                                          under 18 years on the day of delivery.
                                          Delivery in facility to woman 35 years and older is the number of women delivering in a
      Delivery in facility 35 years and
102   older
                                          health facility under the supervision of trained medical/nursing staff, and where the mother
                                          is 35 years and older on the day of delivery.
                                          Delivery in facility is women who delivered in a health facility under the supervision of
103   Delivery in facility                trained medical/nursing staff. Note that this number can be less than the Total Births in
                                          facility if multiple births occur.
                                          An early neonatal death is a death to a live born baby within 7 completed days after birth.
                                          The neonatal period is exactly four weeks or 28 completed days, with the first 7 days
                                          called the `early` neonatal period and the period from 8-27 completed days the `late`
104   Inpatient death - early neonatal    neonatal period.
                                          The weight range, if used, relates to the weight of the baby immediately after delivery.
                                          The most common ranges are under 500g, 500-999g, 1000-1499g, 1500-2499g (or 1500-
                                          1999g and 2000-2499g), and 2500g and above.
                                         Live birth is the complete expulsion or extraction from its mother of a product of
                                         conception, irrespective of the duration of the pregnancy, which, after such separation,
                                         breathes or shows any other evidence of life, such as beating of the heart, pulsation of the
105 Live birth in facility under 2500g   umbilical cord, or definite movement of involuntary muscles, whether or not the umbilical
                                         cord has been cut or the placenta is attached. The weight range relates to the weight of
                                         the baby immediately after delivery. The most common ranges are under 2500g versus
                                         2500g and over, but the low weight range might be sub-divided further.


                                         Live birth is the complete expulsion or extraction from its mother of a product of
                                         conception, irrespective of the duration of the pregnancy, which, after such separation,
106 Live birth in facility               breathes or shows any other evidence of life, such as beating of the heart, pulsation of the
                                         umbilical cord, or definite movement of involuntary muscles, whether or not the umbilical
                                         cord has been cut or the placenta is attached.

                                         A late neonatal death is a death to a live born baby between 8 and 28 completed days
                                         after birth. The neonatal period is exactly four weeks or 28 completed days, with the first 7
                                         days called the `early` neonatal period and the period from 8-28 completed days the `late`
107 Inpatient death - late neonatal      neonatal period.
                                          The weight range, if used, relates to the weight of the baby immediately after delivery.
                                         The most common ranges are under 500g, 500-999g, 1000-1499g, 1500-2499g (or 1500-
                                         1999g and 2000-2499g), and 2500g and above.
                                         The number of women who die while in a facility as a result of child-bearing, during
108 Maternal death in facility           pregnancy or within 42 days of delivery or termination of pregnancy
                                         A normal delivery in facility is a vaginal delivery, including vaginal breech, taking place in
109 Normal delivery in facility          a health facility under the supervision of trained medical/nursing staff.

                                         Still birth resulting from a delivery in a facility under supervision. Still birth is death prior to
                                         the complete expulsion or extraction from its mother of a product of conception; the death
                                         is indicated by the fact that after such separation the foetus does not breathe or show any
                                         evidence of life, such as beating of the heart, pulsation of the umbilical cord or definite
                                         movement of the involuntary muscles. Still births should only be counted when the foetus
112 Still birth in facility              is of 26 or more weeks gestational age and/or weighs 500g or more. A still-born foetus
                                         might have been dead for a while (maserated) or died just before or during expulsion or
                                         extraction (fresh) from its mother. The weight range relates to the weight of the baby
                                         immediately after delivery. The most common ranges are 500-999g, 1000-1499g, 1500-
                                         2499g (or 1500-1999g and 2000-2499g), and 2500g and above.


113 Total births in facility             Sum of Live births in facility and Still births in facility

      Postnatal care baby within 6       The number of postnatal visits to a facility, or a postnatal home visit by facility staff, by a        Count only the first visit after delivery.
110 days after birth                     baby within 6 days after delivery, and the purpose of the visit is for a postnatal check-up            The postnatal protocol should be followed.


      Postnatal care mother within 6     The number of postnatal visits to a facility, or a postnatal home visit by facility staff, by a Count only the first visit after delivery.
111 days after delivery                  mother within 6 days after delivery, and the purpose of the visit is for a postnatal check-up The postnatal protocol should be followed.
                                         Any visit of a client who is 18 years or older with identified mental health problems, and
                                         where this is the primary reason for the consultation. Cases counted relate to problems
                                         that can affect an individual psychologically, emotionally and/or physically and where
                                         there seems to be a need for mental health intervention (e.g. counselling, psychotropic
                                         medication or referral to a mental health worker/service). Typical examples are mood
      Mental health visit 18 years and
114 older                                disorders, anxiety, post traumatic stress disorder, schizophrenia, organic brain disease,
                                         dementia, substance abuse disorders, psychosis, mental handicap, attention defect
                                         disorders and enuresis. Bereavement, psychosomatic problems, relationship difficulties,
                                         stress and burn out, adjustment problems, behavioural problems in children and
                                         adolescents or any other problem that seriously affect the person psychologically,
                                         emotionally and/or physically would also qualify.



                                         Any visit of a client who is younger then 18 years, with identified mental health problems,
                                         and where this is the primary reason for the consultation. Cases counted relate to
                                         problems that can affect an individual psychologically, emotionally and/or physically and
                                         where there seems to be a need for mental health intervention (e.g. counselling,
                                         psychotropic medication or referral to a mental health worker/service). Typical examples
115   Mental health visit under 18 years are mood disorders, anxiety, post traumatic stress disorder, schizophrenia, organic brain
                                         disease, dementia, substance abuse disorders, psychosis, mental handicap, attention
                                         defect disorders and enuresis. Bereavement, psychosomatic problems, relationship
                                         difficulties, stress and burn out, adjustment problems, behavioural problems in children
                                         and adolescents or any other problem that seriously affect the person psychologically,
                                         emotionally and/or physically would also qualify.

                                         All individual patients attending the Oral Health facility/unit during the reporting period.
116 Dental visit                         Each patient is counted once for each day they appear, regardless of the number of
                                         services provided on the day(s) they were seen.
117 Tooth extraction                     The actual number of teeth extracted during the month by an Oral Health worker.
118 Tooth restoration                    The actual number of teeth that were restored by an Oral Health worker

      Tooth fissure sealant application The actual number of 6 and 12 year old children that received fissure sealant applications
119 (6-12 years)                        on their first and second permanent molar teeth by an Oral Health worker.

                                         A patient diagnosed with asthma (this facility or any other facility like a hospital) 18 years
      Asthma case 18 years and older
120 - new                                and older, put on treatment for asthma according the protocol and entered in the chronic
                                         register for the first time at this facility.
                                         A patient diagnosed with asthma (this facility or any other facility like a hospital) under 18
      Asthma case under 18 years -
121 new                                  years, put on treatment for asthma according the protocol and entered in the chronic
                                         register for the first time at this facility.
      Diabetes mellitus case put on      A client diagnosed with diabetes mellitus (in this facility or any other facility like a hospital)
122 treatment - new                      for the first time and put on treatment
      Diabetes-related amputation
123 case                                 Number of patients with amputations resulting from diabetes related complications
                                         A patient diagnosed with epilepsy (this facility or any other facility like a hospital) 18 years
      Epilepsy case 18 years and
124 older - new                          and older, put on treatment for epilepsy according the protocol and entered in the chronic
                                         register for the first time at this facility.
                                         A patient diagnosed with epilepsy (this facility or any other facility like a hospital) under 18
      Epilepsy case under 18 years -
125 new                                  years, put on treatment for epilepsy according to protocol and entered in the chronic
                                         register for the first time at this facility.
                                         Patient diagnosed with diabetes that has one ore more of the following conditions that
                                         puts the patient in the high risk category:                                                       Patients that fall in the high risk category
                                                                          - Obese (BMI >30)                                                should be reported as `Diabetes case put
126 High risk diabetes case - new                                                                       - Smoking                          on treatment new` as well as `High risk
                                                                                                                                           diabetes case - new`
                                                                      - Dyslipidaemia (elevated blood cholestrol)
                                                                                                       - Hypertension
                                         Patient diagnosed with hypertention that has one ore more of the following conditions that
                                         puts the patient in the high risk cate gory:
                                                                            - Obese (BMI >30)                                              Patients that fall in the high risk category
      High risk hypertension case -                                                                                                        should be reported as `Hypertension
127 new                                                                    - Smoking                                                       case put on treatment - new` as well as
                                                                                                                                           `High risk hypertension case - new`
                                           - Dyslipidaemia (elevated blood cholestrol)
                                                                                       - Diabetes
      Hypertension case put on           A client diagnosed with hypertension (in this facility or any other facility like a hospital) and
128 treatment - new                      put on treatment for the first time
      Cataract surgery with IOL 18
129 years and older performed            Cataract surgery with intra-occular lens implant 18 years and older
      Cataract surgery with IOL under
130 18 years performed                   Cataract surgery with intra-occular lens implant under the age of 18 years
      Cataract surgery without IOL 18
131 years and older planned              Cataract surgery without intra-occular lens implant 18 years and older.
      Cataract surgery without IOL
132 under 18 years performed             Cataract surgery without intra-occular lens implant under the age of 18 years

133 Diabetic laser follow-up treatment Diabetic laser follow-up treatment performed

134 Diabetic laser treatment initiated Diabetic laser treatment performed for the first time
      Glaucoma surgery 18 years and
135 older                                Glaucoma surgery 18 years and older
      Glaucoma surgery under 18
136 years                                Glaucoma surgery under 18 years
                                         Total expenditure in the facility or administrative unit - often referred to as `cost centre` -
137 Expenditure - total                  for the reporting period.
                                         Birth defect case where mother was 35 years and older. Birth Defects is an abnormality of
      Birth defects case - mother 35                                                                                                     The child is only reported the first time
138 years and older                      body structure or function that is present (not necessarily detectable at birth). The cause
                                                                                                                                         the birth defect is diagnosed.
                                         may be either genetic or environmental.

                                         Birth defects with mother under 18 years. Birth Defects is an abnormality of body structure
      Birth defects case - mother                                                                                                    The child is only reported the first time
139 under 18 years                       or function that is present (not necessarily detectable at birth). The cause may be either
                                                                                                                                     the birth defect is diagnosed.
                                         genetic or environmental. Down Syndrome, neural tube defects, Albinism, club feet.

                                         Birth Defects is an abnormality of body structure or function that is present (not
      Child with common priority Birth   necessarily detectable at birth). The cause may be either genetic or environmental.
140   Defects                            Common priority birth defects include: Down Syndrome, neural tube defects, Albinism,
                                         club feet.
                                                                                                                                 The data element counts new episodes,
                                        A new episode of a symptomatic Sexually Transmitted Infection (STI) treated according to
141 STI treated - new episode           the Syndromic Approach.
                                                                                                                                 not patients. Count ONLY NEW episodes
                                                                                                                                 of a SYMPTOMATIC STI.

                                                                                                                                      The patient/client can be symptomatic or
                                                                                                                                      asymptomatic. If the patient presents with
                                        Any patient/client that presented with a notification for STI treatment and received          a new episode of a symptomatic STI, the
142 STI partner treated - new           treatment for a suspected or confirmed STI. ONLY the FIRST visit after a notification is      new episode must ALSO be counted
                                        counted                                                                                       under `STI treated – new episode`. If the
                                                                                                                                      client is asymptomatic, NO tally should
                                                                                                                                      be made

      Sputum results received within    The number of sputum samples where the result was received by the facility within 48
143 48 hours                            hours of sending the sample
                                                                                                                                      Include all samples, whether they are
                                                                                                                                      samples from suspected cases or
144 All sputum samples sent             All sputum samples sent to the lab
                                                                                                                                      samples from patients already on
                                                                                                                                      treatment.

                                                                                                                                      Each patient must be counted only
                                                                                                                                      ONCE, regardless of the number of
                                                                                                                                      sputum samples sent. Do NOT include
      Suspected TB case with sputum     Any case where one or more sputum specimens were sent to the laboratory with the
145 sent                                possible diagnosis of tuberculosis
                                                                                                                                      cases that are culture positive but smear
                                                                                                                                      negative and where treatment is started.



                                                                                                                                      Each patient must be counted only
                                        Any case where one or more sputum specimens of a patient were sent to the laboratory          ONCE, regardless of the number of
      Suspected TB case smear
146 positive                            and the result of that patient is confirmed as a smear positive Pulmonary TB. It can be a     sputum samples sent. Do NOT include
                                        new or a retreatment case                                                                     cases that are culture positive but smear
                                                                                                                                      negative.
                                                                                                                                      Any case where a patient confirmed as a
      Suspected TB case smear                                                                                                         smear positive Pulmonary TB is starting
147 positive - treatment start          Suspected TB case smear positive - treatment start
                                                                                                                                      treatment. It can be a new or a
                                                                                                                                      retreatment case
148 Complaint received                  Total number of complaints received during the reporting period
149 Complaint resolved                  Total number of complaints resolved within 25 days during the reporting period

                                        Nosocomial infections (also known as hospital- aquired infection) are infections which are
                                        a result of treatment in a hospital, but not secondary to the patient's original condition.
150 Nosocomial infection - new          Infections are considered nosocomial if they first appear 48 hours or more after hospital
                                        admission or within 30 days after discharge.

      Any tracer item drug stock-out at Whether any item on the tracer item list in current use have been out of stock and ANY
151 fixed facility                      time during the reporting period
      Any ARV drug stock out at fixed Whether any Anti-Retro-Viral drugs have been out of stock at ANY time during the
152   facility                          reporting period
     Any TB drug stock out at fixed   Whether any Tuberculosis drugs have been out of stock at ANY time during the reporting
153 facility                          period

                                      Total number of minutes all theatres were in use in the month. Theatre time is the time in
154 Theatre time in minutes           minutes recorded in the theatre register for each theatre case. This excludes time in the
                                      recovery room and time spent to clean theatres after each case.

155 Theatre 8-hours                   The number of theatres operating on normal week-days for 8 hours per day
                                      The number of emergency/after hours theatres operating 24 hours per day 7 days per
156 Theatre 24-hours                  week
     HIV pre-test counselled          All clients that have been pre-test counselled for HIV/AIDS and then offered testing,
157 (excluding antenatal)             excluding antenatal clients
     HIV test positive - new
158 (excluding antenatal)             Any client/patient tested positive for HIV for the first time, excluding antenatal clients
     HIV client tested (excluding
159 antenatal)                        Any client/patient tested for HIV except antenatal clients
     HIV positive new patient         The number of HIV positive clients who have been screened for TB immediately after
160 screened for TB                   being diagnosed with HIV for the first time
     HIV positive new patient with    The number of HIV positive clients who have been screened for TB immediately after
161 confirmed TB                      being diagnosed with HIV for the first time, and who was confirmed with TB
                                          Eligible to start ART criteria:
                                          CD4 count <200cells/mm3 irrespective of clinical stage: All HIV positive patients with CD4
                                          count of <200cells/mm3 excluding TB patients and pregnant women as these patients
                                          have different staging criteria.
                                          OR
                                          CD4 count ≤350cells/mm3:
                                          In patients with TB/HIV or All TB patients or pregnant women with CD4 count
                                          <350cells/mm3.
                                          OR
                                          MDR/XDR-TB irrespective of CD4 count.All HIV positive MDR/XDR cases regardless of
                                          CD4 count or clinical staging. MDR-TB (Multidrug Resistant TB) describes strains of
                                          tuberculosis that are resistant to at least the two main first-line TB drugs - isoniazid and
                                          rifampicin. XDR-TB, or Extensive Drug Resistant TB (also referred to as Extreme Drug
                                          Resistance) is MDR-TB that is also resistant to three or more of the six classes of second-
                                          line drug (WHO).                                                                             Count only once when CD4 drops below
      HIV positive adult patient eligible OR
162   for ART
                                                                                                                                       minimum threshold for all categories of
                                          WHO stage IV irrespective of CD4 count: HIV Stage 4 is diagnosed if any of the following patients.
                                          diseases occur in a HIV positive patient:
                                          Unexplained severe wasting, stunting or severe malnutrition not responding to standard
                                          therapy, Pneumocystis pneumonia, Recurrent severe bacterial infections (such as
                                          empyema, pyomyositis, bone or joint infection or meningitis but excluding pneumonia),
                                          Chronic herpes simplex infection (orolabial or cutaneous of more than one month's
                                          duration or visceral at any site), Extrapulmonary tuberculosis, Kaposi sarcoma,
                                          Oesophageal candidiasis (or candidiasis of trachea, bronchi or lungs), Central nervous
                                          system toxoplasmosis (after one month of life), HIV encephalopathy, Cytomegalovirus
                                          infection: retinitis or cytomegalovirus infection affecting another organ, with onset at age
                                          older than one month, Extrapulmonary cryptococcosis (including meningitis),
                                          Disseminated endemic mycosis (extrapulmonary histoplasmosis, coccidiomycosis),
                                          Chronic cryptosporidiosis, Chronic isosporiasis, Disseminated non-tuberculous
                                          mycobacterial infection, Cerebral or B-cell non-Hodgkin lymphoma, Progressive multifocal
                                          leukoencephalopathy, Symptomatic HIV-associated nephropathy or HIV-associated
                                          cardiomyopathy, HIV-associated rectovaginal fistula
                                        HIV positive child under 15 years eligible to start ART:
                                        Child under 5 years with clinical stage III or IV or CD4 ≤25% orabsolute CD4 count< 750        Count only once when CD4 drops below
      HIV positive child under 15 years
163   eligible for ART
                                        cells/mm3                                                                                      minimum threshold for children 1-15
                                        OR                                                                                             years as per data element definition
                                        Child 5-15 years with clinical stage III and IV or CD4 ≤350 cells/mm.

      HIV positive new patient started   The number of HIV positive clients started for the first time on Co-trimoxazole prophylaxis   Only count clients starting Co-trimoxazole
164 on Co-trimoxazole prophylaxis        during the reporting period                                                                   prophylaxis for the first time.

                                         The number of HIV positive clients started on INH prevention therapy for the first time
      HIV positive new patient started                                                                                                 Only count clients starting INH prevention
165 on INH prevention therapy            during the reporting period. Criteria for excluding active TB refers to the 4 questions on
                                                                                                                                       therapy for the first time.
                                         the TB screening tool:

      Newly diagnosed HIV positive       Blood taken for CD4 count from newly diagnosed HIV positive patients excluding pregnant
166 patient (excluding antenatal         women (counted under PMTCT data). Ideally all HIV positive patients should have CD4     Do not include follow-up CD4 tests here
      client) with Blood drawn for CD4   count done for staging.
                                                                                                                                      Do not count replacements of existing
167 Wheelchair issued - new             Wheelchair issued to a patient that did not have this before                                  wheelchairs, due to them being broken or
                                                                                                                                      not functioning as expected

     Rehab clients on register          The number of rehabilitation clients on the rehab register who requires wheelchair for the    Do NOT count rehab clients requiring a
168 requiring wheelchair                first time                                                                                    replacement wheelchair

                                                                                                                                      Do NOT count replacements of existing
169 Hearing aid issued - new            Hearing aid issued to a patient that did not have this before                                 hearing aids, due to them being broken
                                                                                                                                      or not functioning as expected

     Rehab clients on register          The number of rehabilitation clients on the rehab register who requires hearing aid for the   Do NOT count rehab clients requiring a
170 requiring hearing aid               first time                                                                                    replacement hearing aid

                                                                                                                                      Do NOT count replacements of existing
171 Walking aid issued - new            Walking aid issued to a patient that did not have this before                                 walking aids, due to them being broken
                                                                                                                                      or not functioning as expected

     Rehab clients on register       The number of rehabilitation clients on the rehab register who requires walking aid for the      Do NOT count rehab clients requiring a
172 requiring walking aid            first time                                                                                       replacement walking aid
                                     New adult patients is the sum of the following patients:
     Adult patient started on ART    - ART naïve patients
 173
     during this month - new         - Treatment experienced patients
                                     - Patients from the PEP
                                     Total adult patients remaining on ART is the sum of the following:                               Please note: patients who have an
     Adult patients remaining on ART - Any adult patient that has a current regimen in the column designating the month you           outcome in the specified month or
 174                                 are reporting on
     at end of the month - total                                                                                                      months previous should not be counted
                                     - Any adult patient that has a star without a circle (someone who is not yet considered lost     in this total
                                     New childeren is the sum of designating the month under 15 years:
                                     to care (LTF)) in the column the following patientsyou are reporting on.
                                                      - ART naïve patients
     New child under 15 years started                                                        - Treatment experienced patients.
 175
     on ART during this month                                                                                             -
                                        Patients from the PEP programme
                                                                - Patient from the PMTCT programme
                                        Total patients under 15 years remaining on ART is the sum of the following:
                                                 - Any patient under 15 years that has a current regimen in the column                Please note: patients who have an
     Children under 15 years
                                        designating the month you are reporting on                                                    outcome in the specified month or
 176 remaining on ART at end of the
                                                                                         - Any patient under 15 years that has a      months previous should not be counted
     month - total
                                        star without a circle (someone who is not yet considered lost to care (LTF)) in the column    in this total
                                        designating the month you are reporting on.

 177 On TB treatment at start of ART    Patients on TB treatment when starting ART
     ART CD4 below 100 (adults) or
                                        Patient with CD4 below 100 (adults) or 15% TLC (paeds) should be fast-track patients that
 178 15 percent TLC (paeds) at
                                        should receive ART within 2 weeks of clinical staging
     baseline
     ART CD4 counts taken at
 179                                    Total number of CD4 counts taken at baseline
     baseline (CDD)
 180 ART died (RIP) at 3 months         Number of patients discontinuing treatment due to death at 3 months
                                        The number of new adult patients 3 months ago. New adults is the sum of the following
                                        patients :
181                                                                            - ART naïve patients
      New adult patients started on                                                                                       -
      ART 3 months ago                  Treatment experienced pat
                                        The number of new children 3 months ago. New children is the sum of the following
                                        patients under 15 years:
182                                                                        - ART naïve patients
      New children under 15 years                                                                             - Treatment
      started on ART 3 months ago       experienced patients.

      Adult continuing first-line ART
183                                     Adult patients on first line regimen alive and on treatment after 6 months
      regimen (FLR) at 6 months

      Child continuing first-line ART
184                                     Child on first line regimen alive and on treatment after 6 months
      regimen (FLR) at 6 months
    Adult on second line ART
185                                     Adult on second line regimen alive and on treatment after 6 months
    regimen (SLR) at 6 months
    Child on second line ART
186                                     Child on second line regimen alive and on treatment after 6 months
    regimen (SLR) at 6 months
                                        The number of new adult patients 6 months ago. New adult patients is the sum of the
                                        following patients:
      New adult patients started on
187                                                                                  - ART naïve patients
      ART 6 moths ago
                                                                                                                       -
                                        Treatment experienced patient
                                        The number of new children 6 months ago. New children is the sum of the following
                                        patients under 15 years:
      New children under 15 years
188                                                                        - ART naïve patients
      started on ART 6 moths ago
                                                                                                               - Treatment
                                        experienced patients.
      ART CD4 counts done (CDD) at
189                                     Total number of CD4 counts done at 6 months
      6 months
      ART CD4 counts above 200
190   cells/microL or 20 percent TLC    Patients with CD4 counts above 200 cells/μl or 20% TLC at 6 months
      (CDA) at 6 months
      ART Viral load done (VLD) at 6
191                                     Total number of viral loads done at 6 months
      months
      ART Viral load under 400          Patients with voral load < 400 copies/ml at 6 months indicates that HIV is not actively
192
      copies/mL (VLS) at 6 months       reproducing and that the risk of disease progression is low.
      ART Died between 3 and 6
193                                     Number patients discontinuing treatment due to death between 3 and 6 months
      months (RIP)
      ART Lost to follow-up between 3 Number of patients who have not attended the ARV clinic for three months between 3 and
194
      and 6 months (LTF)              6 months
      ART CD4 counts done (CDD) at
195                                     Total number of CD4 counts done at 12 months
      12 months
    ART CD4 counts above 200
196 cells/microL or 20 percent TLC      Patients with CD4 counts above 200 cells/μl or 20% TLC at 12 months
    (CDA) at 12 months
    ART Viral load done (VLD) at 12
197                                     Total number of viral loads done at 12 months
    months
      ART Viral load under 400          Patients with viral load < 400 copies/ml at 12 months indicates that HIV is not actively
198
      copies/mL (VLS) at 12 months      reproducing and that the risk of disease progression is low.

      ART Lost to follow-up between 6 Number of patients who have not attended the ARV clinic for three months between 6 and
199
      and 12 months (LTF)             12 months.

      Adult continuing first-line ART
200                                     Adult patients on first line regimen alive and on treatment after 12 months
      regimen (FLR) at 12 months

      Child continuing first-line ART
201                                     Child on first line regimen alive and on treatment after 12 months
      regimen (FLR) at 12 months
    Adult on second line ART
202                                     Adult on second line regimen alive and on treatment after 12 months
    regimen (SLR) at 12 months
    Child on second line ART
203                                     Child on second line regimen alive and on treatment after 12 months
    regimen (SLR) at 12 months
                                        The number of new adult patients12 months ago. New adult patients is the sum of the
                                        following patients:
      New adult patients started on
204                                                                       - ART naïve patients
      ART 12 months ago
                                                                                                       - Treatment
                                        experienced patient
                                        The number of new children 12 months ago. New children is the sum of the following
                                        patients under 15 years:
      New children under 15 years
205                                                                                    - ART naïve patients
      started on ART 12 months ago
                                                                                                                   - Treatment
                                        experienced patients.

      Adult continuing first-line ART
206                                     Adult patients on first line regimen alive and on treatment after 24 months
      regimen (FLR) at 24 months

      Child continuing first-line ART
207                                     Child on first line regimen alive and on treatment after 24 months
      regimen (FLR) at 24 months
    Adult on second line ART
208                                     Adult patients on second line regimen alive and on treatment after 24 months
    regimen (SLR) at 24 months
    Child on second line ART
209                                     Child on second line regimen alive and on treatment after 24 months
    regimen (SLR) at 24 months
                                        The number of new adult patients 24 months ago. New adults is the sum of the following
                                        patients :
      New adult patients started on
210                                                                  - ART naïve patients
      ART 24 months ago
                                                                                                   - Treatment experienced
                                        patients.
                                       The number of new children 24 months ago. New children is the sum of the following
                                       patients under 15 years:
      New children under 15 years
211                                                                      - ART naïve patients
      started on ART 24months ago
                                                                                                                 - Treatment
                                       experienced patients.
    ART CD4 counts done (CDD) at
212                                    Total number of CD 4 counts done at 24 months
    24 months
    ART CD4 counts above 200
213 cells/microL or 20 percent TLC     Patients with CD4 counts above 200 cells/μl or 20% TLC at 24 months
    (CDA) at 24 months
    ART Viral load done (VLD) at 24
214                                    Total number of viral loads done at 24 months
    months
       ART Viral load under 400        Patients with viral load < 400 copies/ml at 24 months indicates that HIV is not actively
215
      copies/mL (VLS) at 24 months     reproducing and that the risk of disease progression is low.
      Confirmed MDR-TB case
216                                    The number of new confirmed MDR-TB cases successfully treated - new
      succsessfully treated - new
      Confirmed MDR-TB case started
217                                    The number of new confirmed MDR-TB cases started on treatment
      on treatment - new
      Confirmed MDR-TB case started
218                                    The total number of confirmed MDR-TB cases started on treatment
      on treatment - total
      Confirmed XDR-TB case who
219                                    The number of confirmed XDR-TB cases who died during treatment
      died during treatment
      Confirmed XDR-TB case
220                                    The number of confirmed XDR-TB cases successfully treated
      successfully treated
      Confirmed XDR-TB case started
221                                    The number of confirmed XDR-TB cases started on treatment
      on treatment
      MDR-TB case who died during
222                                    The number of new MDR-TB cases who died during treatment
      treatment - new
      MDR-TB case eligible for ART -
223                                    The total number of MDR-TB cases eligible for ART
      total
224   MDR-TB case started on ART       The number of MDR-TB cases started on ART
      MDR-TB case started on
225                                    The total number of MDR-TB cases started on treatment
      treatment - total
226 MDR-TB case diagnosed - new        The number of new MDR-TB cases diagnosed
    XDR-TB case eligible for ART -
227                                    The total number of XDR-TB cases eligible for ART
    total
228 XDR-TB case started on ART         The number of XDR-TB cases started on ART
229 XDR-TB case diagnosed - new        The number of new XDR-TB cases diagnosed
230 Total new TB cases                 All new TB cases in the reporting period.
    New smear positive TB cases -
231                                    The number of new smear positive TB cases who were cured
    cured
      New smear positive TB cases -    A defaulter is a person who has missed his or her scheduled dose of treatment for a
232
      defaulted from treatment         period of two months
     New smear positive TB cases -
 233                                        All patients that die while taking treatment during the reporting period.
     died during treatment
     New smear positive TB cases -
 234                                        A total of new TB cases diagnosed through smear
     total (outcome)
 235 All pulmonary TB cases                 The number of pulmonary TB cases
     Pulmonary TB cases with no
 236                                        The number of pulmonary TB cases with no smear in children 0-7 years
     smear 0-7 years
       Re-treatment smear positive TB
 237                                        The number of re-treatment smear positive TB cases who completed their treatment
       cases - treatment completed
       Re-treatment smear positive TB
 238                                        The number of re-treatment smear positive TB cases who were cured
       cases - cured
       Re-treatment smear positive TB
 239                                    The number of re-treatment smear positive TB cases who defaulted from treatment
       cases - defaulted from treatment

       Re-treatment smear positive TB
 240                                        The number of re-treatment smear positive TB cases who died during treatment
       cases - died during treatment
       Re-treatment smear positive TB
 241                                        The total number of re-treatment smear positive TB cases with an outcome
       cases - total (outcome)
       Smear negative pulmonary TB
 242                                        The number of smear negative pulmonary TB cases
       cases
       Smear positive pulmonary TB
 243                                        All smear positive pulmonary TB cases
       cases
       TB patient pre-test counselled
 244                                        The number of TB patients pre-test counselled for HIV (ETR)
       for HIV (ETR)
       TB patient tested positive for HIV
 245                                        The number of TB patients tested positive for HIV (ETR)
       (ETR)
 246 TB patient tested for HIV (ETR)        The number of TB patients tested positive for HIV (ETR)
                                            The average number of rostered ambulances at an ambulance station during the reporting
247 EMS rostered ambulances                 period. This is calculated by the number of rostered ambulances during each shift divided
                                            by the number of shifts.

                                            The number of code red calls in an urban area where the response time was under 15
                                            minutes. Response time is the time it takes an ambulance to reach an emergency medical
                                            scene, calculated from the time of the first call to the control room and up to the time of
       EMS code red with response
248 under 15 min - urban                    arrival on the scene. This should not take more then 15 minutes for an urban call. The
                                            control centre is expected to note the exact time of the first call and the exact time of
                                            arrival on the scene. Emergency Care Practitioner is expected to notify the control centre
                                            by radio when arriving on the scene.
                                   The number of code red calls in a rural area where the response time was under 40
                                   minutes. Response time is the time it takes an ambulance to reach an emergency medical
                                   scene, calculated from the time of the first call to the control room up to the time of arrival
     EMS code red with response
249 under 40 min - rural           on the scene. This should not take more then 40 minutes for a rural call. The control
                                   centre is expected to note the exact time of the first call and the exact time of arrival on
                                   the scene. Emergency Care Practitioner is expected to notify the control centre by radio
                                   when arriving on the scene.

                                   The number of calls where the response time was within 60 minutes. Response time is
                                   the time it takes an ambulance to reach an emergency medical scene, calculated from the
     EMS all calls with response   time of the first call to the control room up to the time of arrival on the scene. The control
250 within 60 min                  centre is expected to note the exact time of the first call and the exact time of arrival on
                                   the scene. Emergency Care Practitioner is expected to notify the control centre by radio
                                   when arriving on the scene.

                                   The number of local urban or rural emergency ambulance trips, regardless of the number
251 EMS Emergency trips total      of patients transported. This excludes inter-hospital transfers by ambulance or bus.
                                                     Collected at     Collected at      Collected at
DHIS Data Element    Collected at    Collected at
                                                     Hospitals for    Hospitals for   place of delivery
      Group          PHC Clinics      CHC/CDC
                                                      Inpatients       Outpatients         (MOU)


Headcount PHC       Yes             Yes             No               No               No




Headcount PHC       Yes             Yes             No               No               No




Headcount
                    No              No              Yes              No               Yes
Inpatients


Headcount
                    No              No              Yes              No               Yes
Inpatients




Headcount
                    No              No              Yes              No               Yes
Inpatients




Headcount
                    No              Yes             Yes              No               No
Inpatients

Headcount
                    No              Yes             Yes              No               No
Inpatients


Headcount
                    No              No              Yes              No               Yes
Inpatients


Headcount
                    No              Yes             Yes              No               No
Inpatients


Headcount
                    No              Yes             Yes              No               No
Inpatients
Headcount
                No    No    Yes   No    Yes
Inpatients


Headcount
                No    Yes   Yes   No    No
Inpatients
Headcount
                No    Yes   Yes   No    No
Inpatients




Headcount OPD   No    No    No    Yes   No




Headcount OPD   No    No    Yes   Yes   No



Headcount OPD   No    No    No    Yes   No



Headcount OPD   No    No    No    Yes   No




Utilisation     No    No    Yes   No    Yes




Management      No    Yes   No    No    No

Management      No    Yes   No    No    No

Management      Yes   Yes   No    No    No


Management      Yes   Yes   No    No    No
Management     Yes   Yes   No    No    No




Management     Yes   Yes   No    No    No




Management     Yes   Yes   No    No    No




Management     Yes   Yes   No    No    No




Management     Yes   Yes   No    No    No




Child Health   Yes   Yes   No    No    No




Child Health   No    No    Yes   No    No

Child Health   No    No    Yes   No    No




Child Health   Yes   Yes   No    Yes   No
Child Health   Yes   Yes   No    Yes   No




Child Health   Yes   Yes   No    Yes   No




Child Health   Yes   Yes   No    No    No




Child Health   Yes   Yes   No    Yes   No




Child Health   No    No    Yes   No    No

Child Health   No    No    Yes   No    No


Child Health   No    No    Yes   No    No




Child Health   Yes   Yes   No    Yes   No




Child Health   No    No    Yes   No    No
Child Health   Yes   Yes   No    No   No




Immunisation   Yes   Yes   Yes   No   Yes




Immunisation   Yes   Yes   No    No   No




Immunisation   Yes   Yes   No    No   No




Immunisation   Yes   Yes   No    No   No




Immunisation   Yes   Yes   No    No   No

Immunisation   Yes   Yes   No    No   No

Immunisation   Yes   Yes   No    No   No

Immunisation   Yes   Yes   No    No   No
Immunisation   Yes   Yes   No   No   No




Immunisation   Yes   Yes   No   No   No




Immunisation   Yes   Yes   No   No   No


Immunisation   Yes   Yes   No   No   No




Immunisation   Yes   Yes   No   No   No



Immunisation   Yes   Yes   No   No   No

Immunisation   Yes   Yes   No   No   No

Immunisation   Yes   Yes   No   No   No

Immunisation   Yes   Yes   No   No   No




Immunisation   Yes   Yes   No   No   No




Immunisation   Yes   Yes   No   No   No
Nutrition          Yes    Yes   No   Yes   No

Nutrition          Yes    Yes   No   Yes   No



Nutrition          Yes    Yes   No   Yes   No



Reproductive Health Yes   Yes   No   Yes   No



Reproductive Health Yes   Yes   No   Yes   No




Reproductive Health Yes   Yes   No   Yes   No




Reproductive Health Yes   Yes   No   Yes   No




Reproductive Health Yes   Yes   No   No    No




Reproductive Health Yes   Yes   No   No    Yes
Reproductive Health Yes   Yes   No    No    No




Reproductive Health Yes   Yes   No    No    No


Reproductive Health Yes   Yes   No    No    No




Reproductive Health Yes   Yes   No    No    No




Reproductive Health No    Yes   Yes   No    Yes


Reproductive Health No    Yes   Yes   No    No




Reproductive Health Yes   Yes   No    Yes   No




Reproductive Health No    Yes   Yes   No    No




PMTCT              Yes    Yes   Yes   No    No



PMTCT              Yes    Yes   No    Yes   No
PMTCT   Yes   Yes   No    Yes   No


PMTCT   Yes   Yes   No    Yes   No

PMTCT   Yes   Yes   No    Yes   No

PMTCT   Yes   Yes   No    Yes   No



PMTCT   No    Yes   Yes   No    No




PMTCT   No    Yes   Yes   No    No




PMTCT   No    Yes   Yes   No    No




PMTCT   No    Yes   Yes   No    No


PMTCT   Yes   Yes   No    Yes   No


PMTCT   Yes   Yes   No    Yes   No



PMTCT   Yes   Yes   No    Yes   No


PMTCT   Yes   Yes   No    Yes   No


PMTCT   Yes   Yes   No    Yes   No


PMTCT   Yes   Yes   No    Yes   No
PMTCT             Yes   Yes   No    Yes   No


PMTCT             Yes   Yes   No    Yes   No


PMTCT             Yes   Yes   No    Yes   No



PMTCT             Yes   Yes   No    Yes   No



PMTCT             Yes   Yes   No    Yes   No




PMTCT             Yes   Yes   No    Yes   No




Maternal Health   No    No    Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes


Maternal Health   No    Yes   Yes   No    Yes


Maternal Health   No    Yes   Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes
Maternal Health   No    Yes   Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes

Maternal Health   No    Yes   Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes




Maternal Health   No    Yes   Yes   No    Yes

Maternal Health   Yes   Yes   No    Yes   Yes



Maternal Health   Yes   Yes   No    Yes   Yes
Mental Health   Yes   Yes   No    No    No




Mental Health   Yes   Yes   No    No    No




Oral Health     No    Yes   No    Yes   No

Oral Health     No    Yes   No    Yes   No
Oral Health     No    Yes   No    Yes   No

Oral Health     No    Yes   No    Yes   No


Chronic care    Yes   Yes   No    No    No


Chronic care    Yes   Yes   No    No    No


Chronic care    Yes   Yes   No    No    No

Chronic care    No    No    Yes   No    No


Chronic care    Yes   Yes   No    No    No
Chronic care     Yes   Yes   No    No   No




Chronic care     Yes   Yes   No    No   No




Chronic care     Yes   Yes   No    No   No




Chronic care     Yes   Yes   No    No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Eye care         No    No    Yes   No   No

Finance          No    No    No    No   No


Human Genetics   No    Yes   Yes   No   Yes



Human Genetics   No    Yes   Yes   No   Yes




Human Genetics   No    Yes   Yes   No   Yes
STI               Yes   Yes   No    Yes   No




STI               Yes   Yes   No    Yes   No




TB control        Yes   Yes   No    No    No


TB control        Yes   Yes   No    No    No




TB control        Yes   Yes   No    No    No




TB control        Yes   Yes   No    No    No




TB control        Yes   Yes   No    No    No


Quality Control   Yes   Yes   Yes   Yes   Yes
Quality Control   Yes   Yes   Yes   Yes   Yes



Quality Control   No    No    Yes   No    No



Stock outs        Yes   Yes   Yes   No    Yes

Stock outs        Yes   Yes   Yes   No    Yes
Stock outs   Yes   Yes   Yes   No    Yes


Theatre      No    No    Yes   No    No


Theatre      No    No    Yes   No    No

Theatre      No    No    Yes   No    No

VCT          Yes   Yes   Yes   Yes   Yes

VCT          Yes   Yes   Yes   Yes   Yes

VCT          Yes   Yes   Yes   Yes   Yes

VCT          Yes   Yes   No    No    No

VCT          Yes   Yes   No    No    No
Pre-ART   Yes   Yes   No   Yes   No




Pre-ART   Yes   Yes   No   Yes   No




Pre-ART   Yes   Yes   No   No    No


Pre-ART   Yes   Yes   No   No    No



Pre-ART   Yes   Yes   No   Yes   No
Rehab Services   Yes   Yes   No   Yes   No


Rehab Services   Yes   Yes   No   Yes   No


Rehab Services   Yes   Yes   No   Yes   No


Rehab Services   Yes   Yes   No   Yes   No


Rehab Services   Yes   Yes   No   Yes   No


Rehab Services   Yes   Yes   No   Yes   No


ART              Yes   Yes   No   Yes   No




ART              Yes   Yes   No   Yes   No




ART              Yes   Yes   No   Yes   No




ART              Yes   Yes   No   Yes   No




ART              Yes   Yes   No   Yes   No


ART              Yes   Yes   No   Yes   No


ART              Yes   Yes   No   Yes   No

ART              Yes   Yes   No   Yes   No
ART   Yes   Yes   No   Yes   No




ART   Yes   Yes   No   Yes   No




ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No

ART   Yes   Yes   No   Yes   No



ART   Yes   Yes   No   Yes   No




ART   Yes   Yes   No   Yes   No



ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No

ART   Yes   Yes   No   Yes   No

ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No
ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No

ART   Yes   Yes   No   Yes   No



ART   Yes   Yes   No   Yes   No




ART   Yes   Yes   No   Yes   No




ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No


ART   Yes   Yes   No   Yes   No

ART   Yes   Yes   No   Yes   No



ART   Yes   Yes   No   Yes   No
ART          Yes   Yes   No   Yes   No



ART          Yes   Yes   No   Yes   No


ART          Yes   Yes   No   Yes   No


ART          Yes   Yes   No   Yes   No


ART          Yes   Yes   No   Yes   No


TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No
TB EDR_Net   Yes   Yes   No   No    No
TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No

TB EDR_Net   Yes   Yes   No   No    No
TB EDR_Net   Yes   Yes   No   No    No
TB EDR_Net   Yes   Yes   No   No    No
TB ETR_Net   Yes   Yes   No   No    No
TB ETR_Net   Yes   Yes   No   No    No


TB ETR_Net   Yes   Yes   No   No    No
TB ETR_Net   Yes   Yes   No   No   No

TB ETR_Net   Yes   Yes   No   No   No
TB ETR_Net   Yes   Yes   No   No   No
TB ETR_Net   Yes   Yes   No   No   No


TB ETR_Net   Yes   Yes   No   No   No


TB ETR_Net   Yes   Yes   No   No   No


TB ETR_Net   Yes   Yes   No   No   No


TB ETR_Net   Yes   Yes   No   No   No


TB ETR_Net   Yes   Yes   No   No   No

TB ETR_Net   Yes   Yes   No   No   No

TB ETR_Net   Yes   Yes   No   No   No

TB ETR_Net   Yes   Yes   No   No   No

TB ETR_Net   Yes   Yes   No   No   No

TB ETR_Net   Yes   Yes   No   No   No


EMS          No    No    No   No   No




EMS          No    No    No   No   No
EMS   No   No   No   No   No




EMS   No   No   No   No   No




EMS   No   No   No   No   No

				
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posted:9/16/2011
language:French
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