Toolkit for Community Case Management of Childhood Illnesses:

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1 Toolkit for Community Case Management of Childhood Illnesses: ARI / Pneumonia and Diarrhea Technical Supplements (Myanmar)

2 Technical Supplements Technical Supplements 1: Patient Register Book 3 Technical Supplements 2: Patient Treatment Record Form 4 Technical Supplements 3: Medicine Stock Record Book 6 Technical Supplements 4: Monthly Report Form 7 Technical Supplements 4a: CCM Volunteers Report Form 7 Technical Supplements 4b: Supervisors Report Form 8 Technical Supplements 4c: Township Report Form 10 Technical Supplements 5: Information, Education, Communication (IEC) Material 11 Technical Supplements 6: Training of Trainers (TOT) Schedule 12 Technical Supplements 7: Supervisors Training Schedule 13 Technical Supplements 8: CCM Volunteers Training Schedule 15 Technical Supplements 9: Assessment Questionnaires 18 Technical Supplement 10: Supervision Checklist 19

3 1. Patient Register Book rusef;rmaomuav;twguf vlemrswfyhkwifpmtkyf jrdkue,f &Gm v ckespf apwemh0efxrf;trnf pof aeypgj trnf usm; touf vlem a&m*gvu Pm a&m*gtrsdk;tpm; ukori uk ñtef;ydkyri ^r trsdk;tpm; ^rogm; onfh um v &Sd yxrtbudrfjyojcif; &ufcsdef;jyefjyjcif; t&nfraomufedkifjcif;^ EdkYrpdkYEdkifjcif; pm;aomuforqtefjcif; wufjcif; rsdef;íeid;&cufjcif;^ owdvpfjcif; touf&sljrefjcif; touf&slogif;pof &ifbufatmufcsdkifh0ifjcif; touf&slogif;pof vnfacsmif;tpfqdkyoh&sdjcif; 0rf;oGm;pOfaoG;ygjcif; ua,mifajcmufjcm;jzpfjcif;^ *emrjidrfjzpfjcif; rsufwgif;csdkifh0ifjcif; a&iwfjcif;^ tirf;r&aomufjcif; 0rf;Adkufta&jym;tcsdeftawmfBumrS e*dkaejyefa&mufjcif; 0rf;Adkufta&jym;tcsdeftenf;i,ftwGif; e*dkaejyefa&mufjcif; zsm;jcif; tvgefjyif;xefaoma&m*g jyif;xefaomerdk;ed;,m; erdk;ed;,m; erdk;ed;,m;r&sd? acsmif;qdk;jcif;(odkdy) tat;rdjcif; t&nfcrf;ajcmufri&sdaom 0rf;ysuf0rf;avQm t&nfcrf;ajcmufrir&sdaom 0rf;ysuf0rf;avQm 0rf;udkufa&m*g 21 &ufausmfbum acsmif;qdk;jcif; 21 &ufatmuf acsmif;qdk;jcif; 14 &ufausmfbum 0rf;ysuf0rf;avQmjcif; 14 &ufatmuf 0rf;ysuf0rf;avQmjcif; tarmufpdpvif udkx&dkifarmufqmzdk "gwfqm;&nf Zifhqmvfzdwf yg&mpdwarm &ufaygif; ñtef;ydky&m okdy ogm; ^rogm; r &Sd ogm; r ogm; rswfcsuf yxrtbudrfvma&mufolaygif; &ufcsdef;jyefjyolaygif; 3

4 2. Patient Treatment Record form ukorirswfwrf; trnf touf udk,ftav;csdef udvdk*&rf? tylcsdef ºC/ ºF aq;cef;vmjyonfhtabumif;&if; yxrtbudrfvmjyjcif; &ufcsdef;jyefjyjcif; qef;ppfyg/ (awgu&sdaomvu Pmrsm;udk 0dkif;yg/) Ä a&m*gtqifhcgjjcm;&mwgif teå&m,fvu Pmrsm;udk owdjykyg/ taxgaxgteå&m,fvu Pmrsm; &Sd?r&Sd ppfaq;yg/ teå&m,fvu Pm t&nfraomufedkifjcif;? EdkYrpdkYEdkifjcif; &Sd pm;aomuforqtefjcif; r&sd wufjcif; rsdef;jcif;? owdvpfjcif; uav;acsmif;qdk;ovm;/ touf&slcufovm;/ &Sd r&sd &SdvQif b,fespf&uf&sdjydvj &uf wpfrdepftouf&sleief;a&wgufyg/ Budrf touf&sljrefovm;/ &ifbwfatmufcsdkifh0ifjcif;/ vnfacsmif;tpfqdkyoh uav;0rf;ysuf0rf;avqmjzpfovm;/ &Sd r&sd b,favmuf uav;tajctaeudkbunfhyg/ BumjyDvJ &uf - rsdef;jcif;? owdvpfjcif;&sdovm;/ aog;ygovm;/ - *a,mifajcmufjcm;jzpfjcif; (odky) *emrjidrfjcif;&sdovm;/ rsufwgif;csdkifh0ifovm;/ a&wdkufbunfhyg/ - t&nfraomufedkifjcif;? aumif;pgmraomufedkifjcif;? - a&iwfjcif;? tirf;r&aomufjcif;/ 0rf;Adkufta&jym;qGJr Bunhfyg/ - tcsdeftawmfbumrs e*dkaejyefa&mufjcif;/ - tcsdeftenf;i,ftwgif; e*dkaejyefa&mufjcif;/ 4

5 ukori &ufcsdef;jyefjy&rnfh&uf tu,fíntef;ydky&ygu ntef;ydkyonfhae&m ntef;ydky&onfhtabumif;&if; ntef;ydkyonfh&ufpgj ntef;ydkyonfhtcsdef ntef;ydky&modky trsefwu,fogm;a&mufjcif; &Sd r&sd 5

6 3. Medicine Stock Record Book 6

7 4. Monthly Report Forms 4a. CCM volunteer report form apwemh0efxrf; usef;rma&;vkyfom;rsm;\ vcskyftpd&ifchpm apwemh0efxrf;trnf &Gmtrnf RHC MuD;Muyfoltrnf tpd&ifchonfhumv tpd&ifchonfhvtwgif; vlemopfpkpkaygif; usm;pkpkaygif; touf 0-2 v &Sdolaygif; rpkpkaygif; touf 2-12 v &Sdolaygif; touf12vrs 5 ESpf&Sdolaygif; acsmif;qdk;^touf&icufolaygif; (ARI) 0rf;ysuf^0rf;avQmolaygif; (Diarrrhoea) zsm;olaygif; (Fever only) erdk;ed;,m;r&sd acsmif;qdk;tat;rdolaygif; omreferdk;ed;,m;&sdolaygif; jyif;xefferdk;ed;,m;&sdolaygif; &uf&nffacsmif;qdk;olaygif; t&nfcrf;ajcmufrir&sdaom 0rf;ysuf^0rf;avQm&Sdolaygif; t&nfcrf;ajcmufri&sdaom 0rf;ysuf^0rf;avQm&Sdolaygif; 0rf;udkufa&m*g&Sdolaygif; &uf&snf0rf;ysuf^0rf;avqm&sdolaygif; &ufcsdef;jyefjyolaygif; ntef;ydkuolaygif; ntef;ydku&mwgifogm;a&mufolaygif; 7

8 4b. RHC/Supervisor Report Form 8

9 4b. RHC/Supervisor Report Form (contd.) 9

10 4c. Township Report Form Name of Township. Reporting Period.. tpd&ifchonfhvtwgif; vlemopfpkpkaygif; usm;pkpkaygif; rpkpkaygif; touf 0-2 v &Sdolaygif; touf 2-12 v &Sdolaygif; touf12vrs 5 ESpf&Sdolaygif; acsmif;qdk;^touf&icufolaygif; (ARI) 0rf;ysuf^0rf;avQmolaygif; (Diarrrhoea) zsm;olaygif; (Fever only) erdk;ed;,m;r&sd acsmif;qdk;tat;rdolaygif; omreferdk;ed;,m;&sdolaygif; jyif;xefferdk;ed;,m;&sdolaygif; &uf&nffacsmif;qdk;olaygif; t&nfcrf;ajcmufrir&sdaom 0rf;ysuf^0rf;avQm&Sdolaygif; t&nfcrf;ajcmufri&sdaom 0rf;ysuf^0rf;avQm&Sdolaygif; 0rf;udkufa&m*g&Sdolaygif; &uf&snf0rf;ysuf^0rf;avqm&sdolaygif; &ufcsdef;jyefjyolaygif; ntef;ydkuolaygif; ntef;ydku&mwgifogm;a&mufolaygif; 10

11 5. Information, Education, Communication (IEC) materials 11

12 6. Training of Trainers Schedule 12

13 7. Supervisor s Training Schedule 13

14 14

15 8. CCM Volunteers Training Schedule 15

16 16

17 17

18 9. Assessment Questionnaires Time allowed : 1:40 hour Score : 100 marks Q1: Sandar, age 2 yr, is suffering from cough for 3 days. So mother brings her to Volunteer, for the first time. Her body weight is 11 kg. Body temperature is 39 Degree Celcius. Mother said that there was convulsion for 1 time and Sandar vomited everything she ate. The child s respiratory rate was 50 times per minute. On examination, chest indrawing was found. There is no diarrhoea. A. Fill the Treatment Record Form B. Classify the disease severity C. How will you further manage the case? Q2: Kyaw Kyaw, age 7 month, is suffering from cough for 2 days, so mother brings her to Volunteer for the first time. He can be able to breastfeed and there is no vomiting, delirium nor convulsion. His body temperature is 40 degree celcius. His body weight is 8 kg. His respiratory rate is 60 per minute and there is no chest indrawing, nor grunting. And there is no diarrhoea also. A. Fill the Treatment Record Form B. Classify the disease severity C. How will you further manage the case? Q3: Sabai, age 3 yr had visited again to volunteer for follow up. Last 2 days ago, when she came for the first time, it was diagnosed that she had Pneumonia. Mother is saying that there is no fever at all now and cough is getting better also. She can eat well and playing well again. On examination, there is no chest indrawing, no grunting, no drowsiness nor convulsion. Respiratory rate is 38 per minute. Body Temperature is 37 degree celcius. Body weight is 13 kg. A. Fill the Treatment Record Form B. How will you further manage the case? Q4: Marlar, age 2 and a half year, weighing 11 kg, is suffering from loose motion for 3 days. Body temperature is 39 degree celcius and she is drowsy. She also vomits whenever she is given fluid. There is sunken eyes and skin pinch goes back slowly. There is no cough. A. Fill the Treatment Record Form B. How will you further manage the case? Q5: Htet Htet, age 36 months, body weight 14 kg, body temperature 37 degree celcius, is having loose motion for 4 days. She is brought to the volunteer for the first time. There is no cough. She can play well. There is no thirst, with sunken eyes. Skin pinch test goes back quickly. A. Fill the Treatment Record Form B. How will you further manage the case? 18

19 10. Supervision Checklist 19

20 20

21 vlxkxhrsrswfcsuf (touf 0-59v t&g,fuav;rsm;\ rdcifwcsdkyesifh awgyqhkar;jref;&ef) 1/ þ&gmtwgif;ü apwemh0efxrf;usef;rma&;vkyfom;rsm;rs uav;acsmif;qdk;jcif;^ touf&slcufjcif;? 0rf;ysuf 0rf;avQmjcif;wdkYudk ukoay;onfudkodygovm;/ 2/ oifhuav;udk jykpkuko&ef ogm;a&mufcjhygovm;/ 3/ rogm;ygu bmabumifhrogm;ygovj/ 4/ apwemh0efxrf;usef;rma&;vkyfom;rsm;rs bmvkyfay;ygovj/ 5/ apwemh0efxrf;usef;rma&;vkyfom;xhogm;a&mufí ukorich,ljyd;aemuf uav;a&m*g aysmufuif;ri &Sd^r&Sd/ 6/ apwemh0efxrf;usef;rma&;vkyfom;xhogm;a&mufí ukorich,l&onfhtwguf pdwfauseyfri &Sd^r&Sd/ 7/ tcabu;aig ay;&jcif; &Sd^r&Sd/ 8/ tjcm;awgy&sdcsufrsm; 21

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