The document outlines the new and revised community health tools in Kenya, including MoH 513 and MoH 514, which have undergone changes due to updates in health policies and strategies. Key modifications include the dropping, rewording, and addition of various data elements to improve health tracking and reporting. A new Treatment and Tracking Register has also been introduced to enhance community case management for children under five years old.
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Moh Revised His Tool
The document outlines the new and revised community health tools in Kenya, including MoH 513 and MoH 514, which have undergone changes due to updates in health policies and strategies. Key modifications include the dropping, rewording, and addition of various data elements to improve health tracking and reporting. A new Treatment and Tracking Register has also been introduced to enhance community case management for children under five years old.
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REPUBLIC OF KENYA
Community Health - New/Revised
HIS Tools By Program Tools • MoH 513: Household Register • Treatment and Tracking Register (New) • MoH 514: Service Delivery Log Book • MoH515: Community Health Extension Worker Summary What Necessitated The Review / Changes ? • Review of the KHSSP indicators • Newly launched Community Health Policy • Revised Community health strategy • Universal health coverage – new indicators What Are The Changes • Generally most of the changes entail: – Dropping some data elements – Rewording some data elements – Adding or removing some choice options (e.g. N/A, 0=None) – An addition of a new tool (e.g. treatment and tracking register) MoH 513 : Dropped Data Elements • ANC (4+ times ) • Exclusively breastfeeding • Penta 1 given • Children 6-23 months receiving 3 or more food groups three times a day • LLIN use • Known HIV status • Cough (2 weeks and above) • Using FP methods • Known Disability (Option 5 mental) MoH 513 : Reworded Data Elements Fully Immunized Fully immunized under 1 yr Measles given Measles Rubella at 2 Severely years malnourished Child 6-59 months with MUAC (Red) indicating severe malnutrition Remarks Comments MoH 513 : New /Added Data Elements • Health Insurance Cover • N/A option added to – In school – Pregnant – Mother and Child Health Booklet – Penta 3 given – Vitamin A • (known chronic illness (Options 0=none, 6=other (specify) added) • Known Disability (Options 0=none, 5=other (specify) added) MoH 513 Changes MoH 514 : Dropped Data Elements • Woman 15-49yrs provided with Family Planning commodities by CHV • Pregnant woman referred for ANC • Pregnant woman referred for skilled delivery • Child 0-11 months referred for immunization • Known cases of chronic illness referred MoH 514 : Reworded Data Elements Counselled on ANC visit and counselling on: Individual Birth Plan early initiation of ANC (<3 (IBP) months), completing recommended 4th ANC visits, danger signs, skilled birth Attendance and Individual Birth Plan (IBP)
Delivered by unskilled Place of delivery attendant
Cough of any duration
Cough more than 2 referred weeks referred MoH 514: New Data Elements • Basic Information Section – Nature of visit (New-N/Revisit-R) – Household member contact- Record phone number – New Household visit with upto date Health Insurance cover – Type of Health Insurance cover 1= UHC 2= NHIF 3= Others – Age – Gender MoH 514: New Data Elements Cont… • Mother Information – New Household Visit with member sleeping under LLIN – Counselled on FP methods – Given FP Method, 1=COCs,2=POCs, 3=DMPA, 4=Male Condoms, – IPTp missed opportunities referred (Indicator is for malaria endemic regions ONLY) MoH 514: New Data Elements Cont… • Referral Information – Referred for diarrhoea(✔/X/ N/A) – Children with delayed milestones referred – Sexual and Gender Based Violence Survivors Counselled and referred to a health facility (✔/X/ N/A) – TB Screening for TB Contacts 1=Presumptive TB 2= No signs 3=On Treatment – TB Referrals for TB diagnosis – Complete referral (✔/X) MoH 514: Changes in Basic and Mother Information MoH 514: Changes in Referral Information Section Treatment and Tracking Register (New) Purpose • Document integrated community case management services for children under 5 • Document assessment for treatment of under 5 and referral • Each CHV is provided with the register • They move with the register from one household to the other together with the service log book Treatment and Tracking Register (New) END