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| # ASHA / MCTS / RCH Field-Level Reference for Structured Extraction | |
| ## Compiled from official NHM documents, RCH portal manuals, ASHA training modules, and public health research | |
| --- | |
| ## 1. RCH REGISTER / MCTS FORM FIELDS | |
| ### 1A. ELIGIBLE COUPLE (EC) REGISTRATION β Section I | |
| **EC Index Fields:** | |
| - Serial Number | |
| - MCTS/RCH ID No. of woman | |
| - Name of woman | |
| - Name of husband | |
| - Aadhaar No. (woman) | |
| - Bank Account No. (woman) | |
| - Bank Name/Branch (woman) | |
| - Aadhaar No. (husband) | |
| - Bank Account No. (husband) | |
| - Bank Name/Branch (husband) | |
| - Mobile No. (Husband/Woman/Family) | |
| - Page number | |
| **EC-1 Format (General Information):** | |
| - Sr. No. | |
| - MCTS/RCH ID No. of woman | |
| - Date of registration | |
| - Woman's Name | |
| - Woman's Current age | |
| - Woman's Age at marriage | |
| - Husband's Name | |
| - Husband's Current age | |
| - Husband's Age at marriage | |
| - Address | |
| - Religion | |
| - Caste (SC/ST/Other) | |
| - BPL/APL status | |
| - Total children born (Male count / Female count) | |
| - Live children (Male count / Female count) | |
| - Youngest child age | |
| - Youngest child sex | |
| - Infertility referral (Yes/No) | |
| **EC-2 & EC-2A (Monthly Contraceptive Tracking):** | |
| - Use of family planning method (tracked monthly) | |
| - Contraceptive method type (IUCD, sterilization, condoms, oral pills, injectable) | |
| - Pregnancy test result (+ve / -ve / Not done) | |
| --- | |
| ### 1B. PREGNANT WOMAN (PW) REGISTRATION β Section II | |
| **PW Index Fields:** | |
| - Serial No. | |
| - MCTS/RCH ID No. of Pregnant Woman | |
| - Name of Pregnant Woman | |
| - Name of Husband | |
| - Aadhaar No. | |
| - Bank Account No. | |
| - Bank Name/Branch | |
| - JSY beneficiary status (Yes/No) | |
| - JSY Payment received (Yes/No) | |
| - Page number | |
| **PW-1 Format (Registration / General Information):** | |
| - Sr. No. | |
| - MCTS/RCH ID No. | |
| - Name of pregnant woman | |
| - Address | |
| - Husband's name | |
| - Mobile No. (specify whose: self/husband/family) | |
| - Religion | |
| - Caste (SC / ST / Other) | |
| - BPL / APL status | |
| - Age / Date of Birth | |
| - Date of LMP (Last Menstrual Period) | |
| - Date of Registration | |
| - Weeks of pregnancy at registration | |
| - Registered within 12 weeks (Yes/No) | |
| - Weight at registration (Kg) | |
| - Expected Date of Delivery (EDD) | |
| - Blood group (result or "Not Done") | |
| - Past history of illness | |
| - Past obstetric history: | |
| - Total pregnancies | |
| - Details of last two pregnancies (complications) | |
| - Outcome of previous pregnancies | |
| - Expected place of delivery | |
| - Expected facility for delivery | |
| - VDRL / RPR test date | |
| - VDRL / RPR test result | |
| - HIV screening test date | |
| - HIV screening test result | |
| **PW-2 Format (Antenatal Care - ANC Visits):** | |
| *Repeated for each of 4 ANC visits (1st within 12 weeks, 2nd 14-26 weeks, 3rd 28-34 weeks, 4th 36 weeks to term)* | |
| - Sr. No. | |
| - Name of Pregnant Woman | |
| - Serial No. of ANC Visit (1st / 2nd / 3rd / 4th) | |
| - Date of ANC | |
| - Facility / Place / Site of ANC | |
| - Weeks of pregnancy at ANC | |
| - Abortion (if any): Yes/No | |
| - If yes: Spontaneous / Induced | |
| - If induced: Facility type (Govt. / Pvt.) | |
| - Weight of PW (Kg) | |
| - Blood Pressure: | |
| - Systolic (mm Hg) | |
| - Diastolic (mm Hg) | |
| - Hemoglobin (gm%) | |
| - Urine Test (Done / Not Done): | |
| - Albumin (Present / Absent) | |
| - Sugar (Present / Absent) | |
| - Blood sugar test: | |
| - Fasting | |
| - Post-prandial | |
| - Inj. TT Dose: | |
| - TT1 date | |
| - TT2 / Booster date | |
| - Folic Acid tablets within 12 weeks (number given / Nil / Not applicable) | |
| - IFA tablets after 12 weeks (number given / Nil) | |
| - Fundal / Abdomen Examination: | |
| - Fundal height | |
| - Foetal Heart Rate | |
| - Foetal presentation | |
| - Foetal movements | |
| - High risk symptoms (details) | |
| - Complications: | |
| - High blood pressure | |
| - Convulsions | |
| - Vaginal bleeding | |
| - Anaemia | |
| - Diabetes | |
| - Other complications | |
| - Referral details: | |
| - Date of referral | |
| - Type of referral | |
| - Facility name | |
| - Preferred post-partum contraceptive method | |
| - Maternal death: | |
| - No / Yes | |
| - Date of death | |
| - Place of death | |
| - Probable cause | |
| **PW-3 Format (Delivery Details):** | |
| - Sr. No. | |
| - Name of PW | |
| - Date of delivery (dd/mm/yyyy) | |
| - Time of delivery (HH:MM) | |
| - Place of delivery | |
| - Person who conducted delivery | |
| - Type of delivery (Normal / Assisted / Caesarean) | |
| - Complications during delivery | |
| - Outcome of delivery: | |
| - Live birth (number) | |
| - Stillbirth (number) | |
| - Discharge date (institutional delivery) | |
| - Discharge time (institutional delivery) | |
| **Infant Details (within PW-3):** | |
| - Serial No. of baby (1st / 2nd if multiple births) | |
| - Full-term / Preterm | |
| - Inj. Corticosteroid given if preterm (Yes / No / Don't Know) | |
| - Sex (M / F) | |
| - Baby cried immediately at birth (Yes / No) | |
| - Referred to higher facility (Yes / No / NA) | |
| - Birth defects observed (details) | |
| - Weight at birth (Kg) | |
| - Breast feeding started within one hour (Yes / No) | |
| - Birth dose vaccines: | |
| - OPV-0 (date) | |
| - BCG (date) | |
| - Hepatitis B birth dose (date) | |
| - Vitamin K (date) | |
| **PW-4 Format (Postnatal Care β First Four Visits):** | |
| *PNC visits at: 1st day, 3rd day, 7th day, 42nd day* | |
| - Sr. No. | |
| - Name of mother | |
| - PNC visit timing (1st / 3rd / 7th / 42nd day) | |
| - Date of PNC visit | |
| - IFA tablets given to mother (number / Nil) | |
| - Danger signs in mother (if any β details) | |
| - Danger signs in infant (if any β details) | |
| - Weight of infant (Kg) | |
| - Referral facility for mother | |
| - Referral facility for infant | |
| - Post-partum contraceptive method being used | |
| - Cause of infant death (if applicable) | |
| - Date of infant death | |
| - Cause of mother death (if applicable) | |
| - Date of mother death | |
| - Place of death (Home / Hospital / In-Transit) | |
| - Remarks | |
| **PW-4A Format (Additional PNC / HBNC Visits):** | |
| *Visits at: 14th day, 21st day, 28th day* | |
| - Sr. No. | |
| - Name of mother | |
| - PNC visit timing (14th / 21st / 28th day) | |
| - Date of PNC visit | |
| - IFA tablets given (number / Nil) | |
| - Danger signs in mother (if any) | |
| - Danger signs in infant (if any) | |
| - Weight of infant (Kg) | |
| - Referral facilities for mother / infant | |
| - Post-partum contraceptive method | |
| - Date and cause of infant death (if applicable) | |
| - Date and cause of mother death (if applicable) | |
| --- | |
| ### 1C. CHILD (CH) REGISTRATION β Section III | |
| **CH Index Fields:** | |
| - Serial No. | |
| - MCTS/RCH ID No. of child | |
| - Name of child | |
| - Sex | |
| - Date of birth | |
| - Parents' names | |
| - Contact details | |
| - Page number | |
| **CH-1 Format (General Information):** | |
| - Sr. No. | |
| - MCTS/RCH ID No. of child | |
| - Name of child | |
| - Sex (M / F) | |
| - Date of birth | |
| - Weight at birth (Kg) | |
| - Father's name | |
| - Mother's name | |
| - Address | |
| - Religion | |
| - Caste | |
| - BPL / APL status | |
| - MCTS/RCH ID No. of mother | |
| - Any birth defect (details if applicable) | |
| **CH-2 Format (Immunization Details):** | |
| *Date of administration for each:* | |
| - BCG | |
| - OPV-0 (birth dose) | |
| - OPV-1 | |
| - OPV-2 | |
| - OPV-3 | |
| - OPV Booster | |
| - Hepatitis B birth dose (HepB-0) | |
| - Hepatitis B-1 (HepB-1) | |
| - Hepatitis B-2 (HepB-2) | |
| - Hepatitis B-3 (HepB-3) | |
| - DPT-1 | |
| - DPT-2 | |
| - DPT-3 | |
| - DPT Booster-1 (16-24 months) | |
| - DPT Booster-2 (5-6 years) | |
| - Pentavalent-1 (6 weeks) | |
| - Pentavalent-2 (10 weeks) | |
| - Pentavalent-3 (14 weeks) | |
| - IPV / fIPV-1 (6 weeks) | |
| - fIPV-2 (14 weeks) | |
| - Rotavirus Vaccine (RVV)-1 (6 weeks) | |
| - Rotavirus Vaccine (RVV)-2 (10 weeks) | |
| - Rotavirus Vaccine (RVV)-3 (14 weeks) | |
| - PCV-1 (6 weeks) | |
| - PCV-2 (14 weeks) | |
| - PCV Booster (9-12 months) | |
| - Measles-Rubella (MR)-1 (9-12 months) | |
| - Measles-Rubella (MR)-2 (16-24 months) | |
| - JE-1 (9-12 months, endemic areas only) | |
| - JE-2 (16-24 months, endemic areas only) | |
| - Vitamin A Dose 1 (9 months) | |
| - Vitamin A Dose 2-9 (every 6 months, 16 months to 5 years) | |
| - Td vaccine (10 years) | |
| - Td vaccine (16 years) | |
| **CH-3 Format (Child Health Indicators):** | |
| - Exclusive breastfeeding status (Yes / No) | |
| - Initiation of complementary feeding (date/age) | |
| - Episodes of diarrhea in last 15 days | |
| - Episodes of pneumonia in last 15 days | |
| - Management of diarrhea (ORS / Zinc / Both / None) | |
| - Management of pneumonia (treatment details) | |
| --- | |
| ### 1D. COVER PAGE / FACILITY FIELDS | |
| - State | |
| - District | |
| - Block | |
| - CHC (Community Health Centre) | |
| - PHC (Primary Health Centre) | |
| - Sub-Centre | |
| - Village/area name | |
| - Census population | |
| - Total eligible couples | |
| - Estimated pregnant women | |
| - Estimated infants | |
| - ANM details (name, mobile, Aadhaar) | |
| - ASHA details (name, mobile, Aadhaar) | |
| - Associated Anganwadi Worker details | |
| - Male Health Worker (MPW) details | |
| - Nearest PHC (24x7) name and distance | |
| - First Referral Unit (FRU) name and distance | |
| - Ambulance / transport contact number | |
| - National Call Centre toll-free number | |
| --- | |
| ## 2. MCTS DATA QUALITY ASSESSMENT FIELDS (20 + 19) | |
| ### Pregnant Women β 20 Fields: | |
| 1. Name | |
| 2. Address | |
| 3. Husband Name | |
| 4. Mobile Number | |
| 5. Date of Birth / Age | |
| 6. JSY Beneficiary (Yes/No) | |
| 7. LMP (Last Menstrual Period) | |
| 8. 1st ANC Date | |
| 9. 2nd ANC Date | |
| 10. 3rd ANC Date | |
| 11. 4th ANC Date | |
| 12. TT-1 Date | |
| 13. TT-2 Date | |
| 14. Date of Delivery | |
| 15. Place of Delivery | |
| 16. Date of JSY Benefit Payment | |
| 17. Outcome of Current Pregnancy | |
| 18. Weight of Child | |
| 19. Child Sex | |
| 20. PNC Home Visit | |
| ### Children β 19 Fields: | |
| 1. Name | |
| 2. Mother/Father Name | |
| 3. Phone Number | |
| 4. Date of Birth | |
| 5. Place of Delivery | |
| 6. Caste | |
| 7. Gender | |
| 8. BCG | |
| 9. OPV-0 | |
| 10. HepB-0 | |
| 11. DPT-1 | |
| 12. OPV-1 | |
| 13. HepB-1 | |
| 14. DPT-2 | |
| 15. OPV-2 | |
| 16. HepB-2 | |
| 17. DPT-3 | |
| 18. OPV-3 | |
| 19. HepB-3 | |
| --- | |
| ## 3. MOTHER AND CHILD PROTECTION (MCP) CARD FIELDS | |
| ### Identification Section: | |
| - Sub-centre Registration No. | |
| - Birth Registration No. | |
| - Child's Aadhaar No. | |
| - Mother's Aadhaar No. | |
| - Mother's name | |
| - Father's name | |
| - Mother's Mobile No. | |
| - Father's Mobile No. | |
| - Bank Account No. | |
| - Address | |
| - No. of Pregnancies | |
| - Previous Live Births | |
| ### ANC Visit Recording (4 visits): | |
| - Date of visit | |
| - Weight (Kg) | |
| - Blood Pressure | |
| - Blood & Urine test results | |
| - TT Injection (date) | |
| - Iron/IFA tablets given | |
| - Weeks of pregnancy | |
| ### Delivery Record: | |
| - Date of delivery | |
| - Place of delivery | |
| - Type of delivery | |
| - Outcome | |
| ### Newborn Record: | |
| - Date of birth | |
| - Sex | |
| - Birth weight | |
| - Breastfeeding initiated within 1 hour (Yes/No) | |
| ### Immunization Schedule Chart: | |
| - Vaccine name | |
| - Scheduled date/age | |
| - Actual date given | |
| - Dose number | |
| ### Growth Monitoring Chart: | |
| - Weight-for-age (separate for boys and girls) | |
| - Monthly weight recordings | |
| - Growth curve plotting area | |
| - Nutritional status zones (Normal / Underweight / Severely Underweight) | |
| ### Vitamin A Supplementation: | |
| - Dose number (1-9) | |
| - Date given | |
| ### Health Education Content on Card: | |
| - Danger signs during pregnancy | |
| - Birth preparedness checklist | |
| - Newborn care essentials | |
| - Breastfeeding guidance | |
| - Complementary feeding guidance | |
| - Child development milestones (through age 3) | |
| - Illness management (diarrhea ORS/Zinc, fever, respiratory infection) | |
| - ICDS services information | |
| --- | |
| ## 4. ASHA HOME VISIT PROTOCOLS | |
| ### 4A. HOME BASED NEWBORN CARE (HBNC) | |
| **Visit Schedule:** | |
| - Institutional delivery: 6 visits on days 3, 7, 14, 21, 28, 42 | |
| - Home delivery: 7 visits β additional visit within 24 hours of birth, then days 3, 7, 14, 21, 28, 42 | |
| - Low birth weight / preterm: extra visits as needed | |
| **Physical Assessment (recorded at each visit):** | |
| - Weight of newborn (Kg) | |
| - Body temperature (axillary) | |
| - General examination findings | |
| **Breastfeeding Assessment:** | |
| - Exclusive breastfeeding status | |
| - Proper positioning and attachment | |
| - Frequency of breastfeeding | |
| - Breastfeeding initiated within 1 hour of birth | |
| **Newborn Care Assessment:** | |
| - Skin-to-skin contact (kangaroo care) | |
| - Timing of first bath (delayed bathing) | |
| - Proper wrapping/clothing | |
| - Cord care (clean and dry) | |
| - Eye care | |
| - Warmth maintenance | |
| **Danger Signs Checklist (assessed at each visit):** | |
| *See Section 6 below for complete danger signs* | |
| **Counseling Topics Documented:** | |
| - Exclusive breastfeeding | |
| - Immunization schedule | |
| - Hand washing / hygiene | |
| - Danger sign recognition | |
| - Thermal care / warmth maintenance | |
| - Cord care | |
| - When to seek care | |
| **Maternal Assessment (concurrent):** | |
| - Danger signs in mother | |
| - IFA supplementation | |
| - Postpartum contraception counseling | |
| **ASHA Incentive:** Rs. 250/- per newborn for completing all 6 HBNC visits | |
| ### 4B. HOME BASED CARE FOR YOUNG CHILD (HBYC) | |
| **Visit Schedule:** | |
| - 5 visits at months 3, 6, 9, 12, 15 | |
| **Assessment Items:** | |
| - Growth monitoring (weight) | |
| - Nutritional assessment | |
| - Breastfeeding/complementary feeding status | |
| - Immunization status check | |
| - Developmental milestones assessment | |
| - Danger signs screening | |
| - Deworming status | |
| - Anemia assessment (pallor check) | |
| - Developmental delay red flag signs | |
| **ASHA Incentive:** Rs. 250/- per child for 5 scheduled home visits | |
| ### 4C. BIRTH PREPAREDNESS CHECKLIST (ASHA counsels during pregnancy) | |
| 1. Identify appropriate health facility for delivery | |
| 2. Identify a skilled birth attendant | |
| 3. Arrange reliable transportation | |
| 4. Save funds for delivery expenses | |
| 5. Save money for transportation costs | |
| 6. Identify blood donor in advance | |
| 7. Arrange escort person for facility care | |
| 8. Prepare clean delivery items | |
| --- | |
| ## 5. ANC (ANTENATAL CARE) CLINICAL PROTOCOL | |
| ### ANC Visit Schedule: | |
| | Visit | Timing | Key Activities | | |
| |-------|--------|----------------| | |
| | 1st ANC | Within 12 weeks | Registration, baseline labs, risk assessment | | |
| | 2nd ANC | 14-26 weeks | Follow-up labs, complications screening | | |
| | 3rd ANC | 28-34 weeks | Growth assessment, preferably by Medical Officer | | |
| | 4th ANC | 36 weeks to term | Delivery planning, final assessment | | |
| ### Measurements at Every ANC Visit: | |
| - Weight (Kg) | |
| - Blood Pressure (Systolic / Diastolic) | |
| - Hemoglobin (Hb gm%) | |
| - Urine examination (Albumin, Sugar) | |
| - Abdominal examination | |
| ### Laboratory Tests: | |
| - Blood group and Rh factor | |
| - Hemoglobin level | |
| - Urine albumin | |
| - Urine sugar | |
| - Blood sugar (fasting, post-prandial) | |
| - VDRL / RPR (syphilis screening) | |
| - HIV screening | |
| - HBsAg (Hepatitis B) | |
| - Blood glucose | |
| ### Clinical Examination: | |
| - Fundal height | |
| - Foetal Heart Rate (FHR) | |
| - Foetal presentation | |
| - Foetal movements | |
| - Edema check | |
| - Pallor assessment | |
| ### Supplementation: | |
| - Folic acid: within 12 weeks of pregnancy | |
| - IFA (Iron and Folic Acid) tablets: 100 tablets after 12 weeks | |
| - TT-1: When pregnancy confirmed | |
| - TT-2: 1 month after TT-1 (or Booster if previously immunized) | |
| - Calcium supplementation | |
| ### High-Risk Conditions Identified: | |
| - Severe anemia (Hb < 7 g/dL) | |
| - Hypertension / Pre-eclampsia | |
| - Diabetes (gestational or pre-existing) | |
| - Thyroid disorders | |
| - Heart disease | |
| - Chronic kidney disease | |
| - Chronic respiratory disease / asthma | |
| - Cancer | |
| - Previous caesarean section | |
| - Previous pregnancy complications | |
| - Age < 18 or > 35 | |
| - Grand multiparity | |
| - Rh negative blood group | |
| - Multiple pregnancy | |
| - Malpresentation | |
| - Antepartum hemorrhage | |
| --- | |
| ## 6. DANGER SIGNS β COMPLETE LISTS | |
| ### 6A. DANGER SIGNS DURING PREGNANCY (Antepartum) | |
| **Immediate hospital/health centre care required:** | |
| 1. Severe vaginal bleeding | |
| 2. Convulsions / fits | |
| 3. Severe headaches with blurred vision | |
| 4. Fever and too weak to get out of bed | |
| 5. Severe abdominal pain | |
| 6. Fast or difficult breathing | |
| **Urgent health centre care required:** | |
| 7. Fever | |
| 8. Abdominal pain | |
| 9. Feels ill / severe weakness | |
| 10. Swelling of fingers, face and legs | |
| 11. Loss of consciousness | |
| 12. Accelerated or reduced fetal movement | |
| 13. Water breaks (premature rupture of membranes) | |
| 14. Foul-smelling vaginal discharge | |
| 15. Excessive weight gain | |
| ### 6B. DANGER SIGNS DURING LABOR / DELIVERY | |
| 1. Severe vaginal bleeding | |
| 2. Prolonged labor (> 12 hours) | |
| 3. Convulsions / fits | |
| 4. Retained placenta | |
| 5. Cord prolapse | |
| 6. Malpresentation in labor | |
| ### 6C. DANGER SIGNS POSTPARTUM (Mother) | |
| 1. Severe vaginal bleeding (postpartum hemorrhage) | |
| 2. Foul-smelling vaginal discharge (lochia) | |
| 3. High fever | |
| 4. Convulsions | |
| 5. Severe abdominal pain | |
| 6. Difficulty in breathing | |
| 7. Breast engorgement / mastitis / abscess | |
| 8. Urinary retention | |
| 9. Wound infection (episiotomy / caesarean) | |
| 10. Deep vein thrombosis signs (leg swelling, pain) | |
| 11. Depression / psychosis signs | |
| ### 6D. DANGER SIGNS IN NEWBORN (0-28 days) | |
| **IMNCI Classification β Possible Serious Bacterial Infection (PSBI):** | |
| *Any ONE of these = urgent referral:* | |
| 1. Not able to feed at all / not feeding well | |
| 2. Convulsions | |
| 3. Fast breathing (β₯ 60 breaths per minute) | |
| 4. Severe chest indrawing | |
| 5. Axillary temperature β₯ 37.5Β°C (feels hot to touch) | |
| 6. Axillary temperature < 35.5Β°C (feels cold to touch) | |
| 7. Movement only when stimulated, or no movement at all | |
| 8. Bulging fontanelle | |
| **IMNCI Classification β Local Bacterial Infection:** | |
| *These signs WITHOUT any PSBI sign above:* | |
| 9. Umbilicus red or draining pus | |
| 10. Pus draining from ear | |
| 11. Less than 10 skin pustules | |
| 12. Reddened or pus-draining eyes | |
| **Additional Newborn Danger Signs (NHM/WHO):** | |
| 13. Lethargy / unconsciousness | |
| 14. Yellow palms and soles (severe jaundice) | |
| 15. Yellow skin (jaundice appearing within 24 hours of birth) | |
| 16. Bleeding from stump / oozing umbilical stump | |
| 17. Diarrhea / blood in stool | |
| 18. Cyanosis (blue discoloration) | |
| 19. Nasal flaring | |
| 20. Grunting | |
| 21. Poor cry or no cry | |
| **IMNCI Jaundice Classification for Young Infants:** | |
| - Severe jaundice: Yellow palms AND soles, OR jaundice appearing < 24 hours age | |
| - Jaundice: Yellow skin but NOT palms/soles, appeared after 24 hours | |
| - No jaundice | |
| ### 6E. DANGER SIGNS IN CHILDREN UNDER 5 | |
| **IMNCI General Danger Signs (any = urgent referral):** | |
| 1. Not able to drink or breastfeed | |
| 2. Vomits everything | |
| 3. Convulsions (current or recent) | |
| 4. Lethargic or unconscious | |
| **Cough / Difficulty Breathing:** | |
| 5. Fast breathing: | |
| - 2 months to 12 months: β₯ 50 breaths/min | |
| - 12 months to 5 years: β₯ 40 breaths/min | |
| 6. Chest indrawing | |
| 7. Stridor in calm child | |
| **Diarrhea Assessment:** | |
| 8. Duration of diarrhea | |
| 9. Blood in stool (dysentery) | |
| 10. Sunken eyes | |
| 11. Skin pinch (goes back slowly / very slowly) | |
| 12. Restless / irritable | |
| 13. Drinks eagerly / not able to drink | |
| **Fever Assessment:** | |
| 14. Duration of fever | |
| 15. Stiff neck | |
| 16. Malaria risk area (Yes/No) | |
| 17. Runny nose | |
| **Ear Problem:** | |
| 18. Ear pain | |
| 19. Ear discharge (duration) | |
| 20. Tender swelling behind ear | |
| **Malnutrition / Anemia:** | |
| 21. Visible severe wasting | |
| 22. Edema of both feet | |
| 23. Palmar pallor (some / severe) | |
| 24. Weight for age (very low / low / not low) | |
| --- | |
| ## 7. NATIONAL IMMUNIZATION SCHEDULE (UIP) β INDIA | |
| | Age | Vaccines | | |
| |-----|----------| | |
| | Birth | BCG, OPV-0, Hepatitis B birth dose | | |
| | 6 weeks | OPV-1, Pentavalent-1, RVV-1, fIPV-1, PCV-1 | | |
| | 10 weeks | OPV-2, Pentavalent-2, RVV-2 | | |
| | 14 weeks | OPV-3, Pentavalent-3, RVV-3, fIPV-2, PCV-2 | | |
| | 9-12 months | MR-1 (Measles-Rubella), JE-1 (endemic areas), Vitamin A Dose 1, PCV Booster | | |
| | 16-24 months | MR-2, DPT Booster-1, OPV Booster, JE-2 (endemic areas), Vitamin A Dose 2 | | |
| | 5-6 years | DPT Booster-2 | | |
| | 10 years | Td (Tetanus-diphtheria) | | |
| | 16 years | Td (Tetanus-diphtheria) | | |
| **Pentavalent vaccine contains:** DPT + Hepatitis B + Hib (Haemophilus influenzae type b) | |
| **Vitamin A:** Dose 1 at 9 months, then every 6 months up to 5 years (total 9 doses) | |
| **Pregnant Women:** TT-1 (early pregnancy), TT-2 (one month after TT-1) or Td booster | |
| --- | |
| ## 8. RCH PORTAL (Digital) β DATA ENTRY FORMS | |
| The RCH Portal (rch.nhm.gov.in) replaced MCTS and uses these digital forms: | |
| ### Form Types: | |
| 1. **Registration Form** β Beneficiary demographics | |
| 2. **Medical Form** β Clinical baseline | |
| 3. **ANC Form** β Per-visit antenatal data | |
| 4. **Delivery Form** β Delivery and birth outcome | |
| 5. **Infant Form** β Newborn details | |
| 6. **PNC Form** β Postnatal care visits | |
| ### Digital Identifiers: | |
| - 12-digit unique RCH ID (generated on registration) | |
| - Aadhaar number linkage | |
| - Mobile number for SMS alerts | |
| - MCTS ID (legacy, carried forward) | |
| ### Data Flow: | |
| ANM/ASHA collects data in paper register β Data Entry Operator enters at PHC/Block level β RCH Portal β State and Central dashboards β Auto-generated workplans and SMS reminders to beneficiaries | |
| ### Village/Facility Profile (must be registered first): | |
| - Census population | |
| - Target population (eligible couples, pregnant women, infants) | |
| - Service provider details (ANM, ASHA, MPW, Anganwadi Worker) | |
| - Financial year | |
| --- | |
| ## 9. INTEGRATED RCH REGISTER (IRCHR v2.0) β CONSOLIDATED FORMAT | |
| The IRCHR v2.0 consolidates 13 separate registers into 5 sections: | |
| ### Section A: Eligible Couples & Pregnant Women | |
| - Marriage registration and migration status | |
| - Contraceptive acceptance and method | |
| - Pregnancy registration (within 12 weeks target) | |
| - Hemoglobin, urine, blood glucose, HIV/Syphilis screening | |
| - Blood pressure, weight, height | |
| - Delivery type and institutional stay duration | |
| - Parity and age-wise categorization | |
| ### Section B: Child Health Registration | |
| - Month-wise new children registered | |
| - Low birth weight babies registered | |
| - Service tracking up to 6 years of age | |
| - Home visits (6-7 in first 6 weeks, 6 more to 15 months) | |
| - Growth and development monitoring | |
| - Immunization records (all UIP vaccines) | |
| - Breastfeeding and complementary feeding practices | |
| - Red flag signs for developmental delays | |
| - Deworming records | |
| - Anemia intervention records | |
| ### Section C: ASHA Performance-Based Incentive Activities | |
| ### Section D: Logistics and Immunization Supply Records | |
| ### Section E: Annexures with Developmental Codes and Schedules | |
| --- | |
| ## 10. KEY SOURCES | |
| - [RCH Register Section II - Pregnant Women Format (NHM)](https://nhm.gov.in/images/pdf/NUHM/Format/RCH_Register_Section-II.pdf) | |
| - [ANM Instruction Manual for RCH Register (UP NRHM)](https://upnrhm.gov.in/assets/site-files/downloads/Instruction_manual_for_ANM_to_record_information_in_RCH_register_version_1.1.pdf) | |
| - [ANM RCH Register Write-up (PubHTML5)](https://pubhtml5.com/raqm/fldv/basic/) | |
| - [MCTS Assessment in Rajasthan & UP (BMC Health Svcs Research)](https://pmc.ncbi.nlm.nih.gov/articles/PMC4530478/) | |
| - [ASHA Module 6 - Skills that Save Lives (NHM)](https://nhm.gov.in/images/pdf/communitisation/asha/book-no-6.pdf) | |
| - [HBNC Operational Guidelines 2014 (NHM)](https://nhm.gov.in/images/pdf/programmes/child-health/guidelines/Revised_Home_Based_New_Born_Care_Operational_Guidelines_2014.pdf) | |
| - [HBYC Handbook for ASHA (NHSRC)](https://nhsrcindia.org/sites/default/files/2021-05/Handbook%20for%20ASHA%20on%20Home%20Based%20Care%20for%20Young%20Child-English.pdf) | |
| - [MCP Card English (NHM)](https://www.childhealthtaskforce.org/sites/default/files/2018-11/India%20MCP%20Card_English_5.28.2018.pdf) | |
| - [MCP Card Guide Book (NHM)](https://nhm.gov.in/New_Updates_2018/NHM_Components/Immunization/Guildelines_for_immunization/MCP_Guide_Book.pdf) | |
| - [National Immunization Schedule (MoHFW)](https://nhm.gov.in/New_Updates_2018/NHM_Components/Immunization/report/National_%20Immunization_Schedule.pdf) | |
| - [IMNCI Chart Booklet (NHM)](https://nhm.gov.in/images/pdf/programmes/child-health/guidelines/imnci_chart_booklet.pdf) | |
| - [ASHA HBNC/HBYC Job Aid (NHM)](https://nhm.gov.in/New-Update-2022-24/CH-Programmes/HBNC-&-HBYC-Resource-%20Material/HBNC_&_HBYC_Jobaid_for_ASHA.pdf) | |
| - [IRCHR v2.0 Description (PMC)](https://pmc.ncbi.nlm.nih.gov/articles/PMC10263033/) | |
| - [Birth Preparedness & ASHA Knowledge (PMC)](https://pmc.ncbi.nlm.nih.gov/articles/PMC4948137/) | |
| - [HBNC Visit Assessment Study (PMC)](https://pmc.ncbi.nlm.nih.gov/articles/PMC8144772/) | |
| - [IMNCI Danger Signs Study (PMC)](https://pmc.ncbi.nlm.nih.gov/articles/PMC10114568/) | |
| - [Danger Signs - WHO Counseling Handbook (NCBI)](https://www.ncbi.nlm.nih.gov/books/NBK304178/) | |
| - [RCH Portal Maharashtra (NHM)](https://nhm.maharashtra.gov.in/en/scheme/reproductive-child-health-rch-portal/) | |
| - [Guidance Note on Optimizing Postnatal Care (NHM)](https://nhm.gov.in/images/pdf/programmes/maternal-health/guidelines/Guidance_Note_on_optimizing_post_natal_care.pdf) | |
| - [Privacy International - MCTS Analysis](https://privacyinternational.org/long-read/4610/indias-mother-and-child-tracking-system) | |
| - [MCP Card (PSM Made Easy)](https://ihatepsm.com/blog/mother-and-child-protection-card) | |