Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

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Annex 13Tuberculosis Quarterly Report FormYear ___________ Quarter _______________Health facility: ______________ Sub-district: ____________ District: _____________ Region: ___________Case notificationsNumberPulmonary- Smear + New casePulmonary- Smear + RelapsePulmonary- Smear NegativePulmonary- Smear not done/unknownExtra-pulmonaryTotalCategory of re-treatment cases NumberRelapsesFailuresRe-treatment after interruptionTotalAge of new pulmonary smear+ casesM F Total0-1415-2425-3435-4445-5455-6465+TotalCohort analysis done on patients registered in same quarter in the previous yearSmear New pulm. Re-rx smear+conversion smear+ (at 3 months)(at 2 months)New sputum+ converted by2-3 monthsNew sputum+ evaluatedwith sputum byend of 3 rd monthTreatment results New pulm. Re-rx smear+smear+Total registeredTotal evaluatedSmear negative atend of treatment (cured)Completed treatment,but smear not done atend of treatmentDiedFailureInterrupted treatmentTransferred outAnnex 13: Tuberculosis Quarterly Report Form159
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Technical Guidelines forIntegrated
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3.3.1 Review the updated charts, ta
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7.1.2 Monitor timeliness and comple
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List of TablesTable 1: Surveillance
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AcronymsAFROAFPAIDSCBSCBSWCDCDHMTE-
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An ill person presents to medical a
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How are surveillance functions desc
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4.0 Investigate** 5.0 Respond 6.0 P
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National4.0 Investigate** 5.0 Respo
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In general, the health of Ghanaians
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How does Ghana’s MOH/GHS support
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1.0 Identify Cases of Priority Dise
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1.2 Improve district procedures for
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Section 2Report Priority Diseases a
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Name of diseaseRoutine summary repo
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Identify and train CBS volunteers o
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Clinicians, ward nurses or other re
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3.0 Analyse DataAnalysing trends of
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3. Label all the rows and columns,
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Figure 4: Meningitis cases from Bol
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The first step in analysing data by
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3.2.3.3 Calculate case fatality rat
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Table 6: Alert and epidemic/action
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3.4 Use the analysis results to imp
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4.0 Investigate Reported Outbreaks
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4.4 Prepare to conduct an investiga
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Review laboratory results with the
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Draw a histogram representing the c
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If the shape of the curve suddenly
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5.0 Prepare and Respond to Outbreak
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Periodically review and update othe
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3. Select appropriate communication
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Improve safe disposal of human wast
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Table 7: Daily water needs per pers
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Recommendations for improving epide
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6.0 Provide FeedbackData are report
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The newsletter can be produced simp
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7.0 Evaluate and Improve Surveillan
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Table 8 lists possible indicators t
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Priority diseases are recorded in t
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Indicators for measuring quality of
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Section 8Community-based Surveillan
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members to take action in the event
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Participate in information dissemin
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Section 9Summary Guidelines for Spe
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Analyse and interpretdataReferenceT
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Buruli UlcerBackground Buruli ulce
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Cholera may cause severe dehydratio
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Respond to epidemicthresholdIf a su
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In Ghana, the disease was endemic i
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ReferenceA guide to eliminating lep
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Promote environmental sanitation: c
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Surveillance goal Use a rapid late
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OnchocerciasisBackground Filarial
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Poliomyelitis (Acute flaccid paraly
Page 122 and 123: Public health action Conduct activ
Page 124 and 125: The global HIV pandemic has been a
Page 126 and 127: Respond toepidemicAnalyse and inter
Page 128 and 129: Public health action Case finding
Page 131 and 132: Annex 1Using Assessment Results to
Page 133: Tally, compile and report summary t
Page 136 and 137: Diseases of special public health f
Page 138 and 139: Pneumonia in childrenless than 5 ye
Page 140 and 141: Other diseases of public health imp
Page 143 and 144: Annex 5Laboratory Tests for Confirm
Page 145 and 146: Suspected disease orconditionCholer
Page 147 and 148: Suspected disease orconditionDiagno
Page 153: Annex 6List of Laboratories for Con
Page 157 and 158: Annex 8Case-based Surveillance Repo
Page 159 and 160: If laboratory specimen collectedFor
Page 161: 16. When the investigation of the c
Page 164 and 165: (For reporting from health facility
Page 166 and 167: 13. For vaccine-preventable disease
Page 169 and 170: Annex 11Total Number of Patients Se
Page 171: Annex 12Year ___________ Quarter __
Page 175 and 176: Annex 14Cased-based Surveillance Re
Page 177: G. Treatment Outcomes25. Healed wit
Page 180 and 181: Year: _____________________ Month:
Page 183: Annex 16Quarterly Report on New and
Page 187: Annex 18Sample Grid for Time Analys
Page 190 and 191: Comparing inpatient and outpatient
Page 192 and 193: No. of casesactually identified(7)D
Page 195 and 196: Annex 21Case Investigation Form - N
Page 197 and 198: Annex 22Case Investigation Form - A
Page 199 and 200: Annex 23Case Investigation Form - G
Page 201 and 202: Annex 23: Case Investigation Form -
Page 203: Annex 24Checklist of Laboratory Sup
Page 206 and 207: Antibiotics recommended for treatme
Page 208 and 209: Reassess the patient after the firs
Page 210 and 211: Other recommended antibiotics to tr
Page 213 and 214: Annex 27Conducting a Register Revie
Page 215 and 216: Annex 28Sample Messages for Communi
Page 217 and 218: Clean drinking water and storageCom
Page 219: Annex 29Planning an Emergency Immun
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6. If the vaccine requires a diluen
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Annex 32District Outbreak Report Fo
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Annex 33Self-evaluation of the Time
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Annex 34Record of Reports ReceivedD
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Health facility:___________________
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Technical Guidelines for Integrated
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SupervisionTrainingResources andper
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