Recording of MTUHA Child and Diarrhoea Treatment Corner Registers (DTC)

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Child Register -Book 7

This register is for all children who attend RCH clinic. It includes

Children who come to the Reproductive Child Health (RCH) clinic as newborns should be entered in the register and given a card.

Children who are transferred in from another RCH clinic should be entered in the register, but only those without a card should be given a card.

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This register is to be used by the staff at DTC.

It is used to record the management of all patients who are referred to the DTC.

All patients should be seen by the OPD clinician first before coming to the DTC.

If the patient is severely ill, then the patient should be seen in the clinician’s room before others who have been waiting in the queue.

The register has a space to record 500 patient visits.

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Information to Record on the First Visit

Column (1): The date of first contact

This is the current date when you register the child’s first attendance

All dates (columns 1, 4, 9, 10 and 11) should be written in a consistent manner

It is suggested that the day be written as a number and that common letter abbreviations be used for the months

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The identification number has two parts

The first part is the last two digits of the calendar year e.g. in 1993, 93 would be written for every child registered during the year.

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Each child is numbered consecutively starting with one (1)

If a child’s card has been lost, then search the register for their listing before giving them a new identification number and entering them again in the register

If their original listing is found, give them a new card using the original number

Transfers from another health facility should be listed and a new number given to them

If they have a card, use it but cross out the identification number on the card and enter the identification number of your RCH clinic

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Try to get the day and month of birth

Column (4): Indicate the date that Bacillus Calmette-Guerin (BCG) was given

Column (5) and (6): Indicate the name of the child and mother

Column (7): The tetanus protection status of the mother at birth

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Ask the mothers to bring their tetanus cards to every visit they make to the health facility regardless of whether they are coming for themselves or for their children.

Use the card to determine whether the woman was protected against tetanus.

If the card indicates that the woman was protected, then circle the symbol ‘N’ under the column.

If the card indicates that she was not protected, then circle the symbol ‘H’ under the column.

Circle the symbol ‘?’ when the mother does not bring her card and therefore her status is unknown.

Always check whether it is time for another dose of tetanus for the woman or not.

If women do bring their cards every visit, then this column is filled routinely, it will give a better estimate of the tetanus coverage than the current method of using the antenatal visits.

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This is because the second tetanus dose needs two weeks to be effective, and at antenatal visit it is not easy to know exactly when the woman will give birth

Neonatal tetanus is targeted for elimination in Tanzania, it is very important to concentrate on this immunization programme among mothers.

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Column (9) and (10): indicates the dates that the final doses DTP-HepB-Hib and Polio 3 were given.

Column (11): Indicates the date that the measles immunisation was given.

Column (12): The weight of the child when the measles immunisation was given

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Enter under ‘<60%’ if the child’s weight was plotted in the red area of the child growth chart (RCH 1)

Enter between <80%’ if the child’s weight was plotted on grey area of the child growth chart

Enter >80%’ if the child’s weight was plotted in the green area of the child growth chart.

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During measles immunisation, children are to receive their first vitamin A supplementation.

If this is done, then enter a tick (√).

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The following information should be completed and filled in the relevant column for each patient brought to the DTC:

Column (1): The date of the visit

Print the day and the month only

The year is not necessary

Record the day in numbers and a three letter abbreviation for the month

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Start every month with patient number ‘001’ and number each patient consecutively

Put one patient per line

Column (3): The name of the patient

Print the name of the patient clearly and neatly

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Print the name of village/street clearly and neatly

The health facility should determine a list of villages/streets and areas (in urban places) which commonly use the health facility

The list should be posted in the DTC and the names consistently used

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Use the abbreviation K for female and use M for male

Column (6): Age of the patient

If the patient is under the age of one year, then record the age in months e.g. a five month old patient would be recorded as 5/12

If the patient is over the age of one year, then write the number of years

For children under one month, write ‘0’

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Write the weight of the patient rounded to the nearest kilogram

Column (8): Degree of dehydration of the patient. Determine this based on the integrated management of childhood illness (IMCI) chart booklet on managing diarrhoea

Write either ‘none’, ‘some’, and ‘severe’ depending upon the state of the patient

Column (9): Amount of oral rehydration salt (ORS) given to the patient

Record the total amount of ORS given to the patient during the entire time the patient spent at the DTC

Use the patient’s card to record each amount given, and only enter the total amount

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Write ‘N’ if present and ‘H’ if absent

Column (11): Treatment other than ORS given to the patient

If treatment other than ORS is given to the patient to take either at the DTC or after leaving, write down the drug and the amount

With the OPD, determine a consistent set of abbreviations to use for the common drugs given

Write each drug and its abbreviation in the inside cover of the register

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In the first space put the number of hours, writing a ‘0’ if the time was less than one hour

In the second space write the number of minutes, rounding to the nearest 15 minutes, that is, use 15, 30, 45 or 00 minutes

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If a patient is discharged, then use the abbreviation ‘D’

If a patient dies, then use the abbreviation ‘+’

If the patient leaves without notifying you or before you feel the patient should leave, then the patient has absconded. Use the abbreviation ‘?’ for this situation

When a patient is admitted for inpatient care. Enter the ward number e.g. ward D6 if the patient is referred write referred ‘rufaa’. Remember to give two packets of ORS to a child and four packets to an adult to continue treatment at home

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Child register is for all children who attend RCH clinic.

DTC register is used to record the management of all patients who are referred to the DTC).

The DCT register has a space to record 500 patient visits.

Child and DTC register both have 13 columns and should be entered correctly and neatly following the guidelines.

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What is child register?

What are the information filled in the child register?

What is DCT register?

What are the information filled in the DTC register?

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