Data verifications

Review availability and completeness of source documents for the reporting period being verified (daily and monthly consumption logs, HCT client forms, stock cards, supplies request, delivery notes) Are there any records missing Are all available documents complete Do the reported numbers tally with data sent are there discrepancies observed

Yes/no respons e

Comments

Data reporting
are all the standard data collection and reporting tools used is data reported to the HMIS on a monthly basis are all reports sent to the secretariat

Data storage
How is data stored before reporting to secretariat

Is data being backed up in the HCT registers

ACTION PLAN: Expected outcomes

Monitoring and evaluation( tool to identify areas that we need to strengthen)

Key Action activities points

(How do we do It)

Resources
(what kind of support do we need to do it)

(What do we want (what do we to achieve) need to do)

Person(s) Time Responsi frame (when will we ble

do it)

CRITICAL VARIABLES IN HMIS FORM 105

4. OUTREACH ACTIVITIES

Category OA1-EPI outreaches OA2-HCT outreaches OA3-Environmental health visits OA4-Health education/promotion outreaches OA5-Other outreaches Marternal & Perinatal Death Audits

Number Planned

Number Carried out

3. HIV/AIDS COUNSELING AND TESTING (HCT) Category No. of individu als 0<2 years M F No. of individu als 2-<5 years M F No. of individ uals 5-<15 years M F No. of individ uals 15 - 49 years M F No. of individuals >49 years M F Tota l

H1-Number of Individuals counseled H2-Number of Individuals tested H3-Number of Individuals who received HIV test results H4- Number of individuals who received HIV results for the first time in this financial year H5-Number of Individuals who tested HIV positive

H6-HIV positive individuals with suspected TB H7-HIV positive cases started on Cotrimoxazole preventive therapy (CPT) H8-Number of Individuals tested before in this financial year (Re-testers) H9-Number of individuals who were Counseled and Tested together as a Couple H10-Number of individuals who were Tested and Received results together as a Couple H11-Number of individuals with Concordant positive results H12- Number of individuals with Discordant results H13-Individuals counseled and tested for PEP H14-Number provided with Safe Male Circumcision

LABORATORY TESTS

LABORATORY TEST

Number done 0-4 years 5 and over

Number positive 0-4 years 5 and over

Serology
18 VDRL/RPR 19 TPHA 20 Shigella Dysentery 21 Syphilis Screening 22 Hepatitis B 23 Brucella 24 Pregnancy Test

25 Widal Test 26 Rheumatoid Factor

HIV tests by purpose

Type of test 55 Repeat testers 56 Determine 57 Statpak 58 Unigold HCT PMTCT Clinical Diagnosis Quality Control Total