Health Management Information System

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6.2 Antenatal Care - Case Scenario Alemitu Adera
Invite the participants to read the following case scenario. Ask the participants to make groups of two with the participant on their left without changing their seats. Ask them to fill the Integrated Antenatal, Labor, Delivery, Newborn and Postnatal Care Card based on the case scenario.
Alemitu Adera
Zami and Alemitu are friends since their schooldays. They share lots of their secrets. Both are of them are of same age, 21 years, but Alemitu got married when she was 18 years. Within the first year of her marriage Alemitu was pregnant. At that time she didn’t know what to do she had so much of nausea all the time and couldn’t eat well but she never went to see a healthcare provider either. When her pregnancy was much advanced, she developed convulsions and was taken to the health center. There she was treated and gave birth to a child. The baby was looked too frail and didn’t suck her breast well. Alemitu remembers she was very sad when the baby just stopped breathing on the third day of her life. She cried a lot but also decided that next time she would be very careful. The doctor in the health center advised her to wait for sometime before she becomes pregnant again so that she can be health again and give birth to a healthy baby. Alemitu agreed. Today Alemitu came to Zami’s house with happy news. She had her last menstruation about
3 months ago and thinks that she is pregnant again This time she wants to take real good care of herself and the baby – boy or girl, inside her. She has come to Zami because she knows a lot about good healthcare and knows the people in the health center. Zami was glad to offer help to Alemitu. She also wanted to see her friend happy.
Zami took Alemitu to the Health Center. At the registration, Alemitu was quickly registered. and sent her to the Reproductive health service room. Zami introduced Alemitu to the nurse there and requested her to take good care as Alemitu had already lost one child. Zami left the room. The nurse greeted Alemitu, insert an integrated antenatal, labour,deliverynNewborn and Postnatal care card and stared asking her questions and examined her. Alemitu weighed
54 kg and her blood pressure was 110/65 mm Hg. Her blood type was O+ and VDRL tested negative. The nurse noted down all these information on the card. The nurse assured
Alemitu that she was doing good but needs to be careful she also told her a few sings which she should be careful about and asked her to come fora followup visit after a month.
Alemitu came out happy and confident. Zami smiled at her and took her to enjoy together.
Zami phoned her husband Yared who join them at the restaurant. While eating, Yared asked whether Alemitu got her TT vaccines. Alemitu looked lost. Zami knew that she has to bring Alemitu again for the vaccine.

40 Ask them What services the nurse missed to offer to Alemitu? What HMIS instruments the nurse did not fill during her encounter with
Alemitu? Encourage the participants to review the Antenatal Care Register again and ask, How filling this register by the nurse could have benefited Alemitu? On her next antenatal visit, wherein the Antenatal Care Register would the nurse record her data How will she find her previous record on the register What data are reported from the Antenatal Care Register and from which columns Which sections and rows of the Quarterly Service Delivery Report are filled using the data from the Antenatal Care Register

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