Service Protocol Reference Guide for the Minimum Package of Health Services (MPA)
NSHPIC
Version 111009
No
Name MPA Service
Description
Primary Data Collection
Tools1
1
New outpatient consultation
Any new curative care visit during the
past month
Curative Care Register
2
New outpatient consultation of
an indigent patient
During the past month, indigents who
Indigent outpatient register
have been consulted as an outpatients.
Indigents are locally identified. Maximum
of 20% of all new curative consultations
during the previous month.
3
Minor Surgery
Any new minor surgical intervention
during the past month. Minor Surgery
defined as (i) Suture; (ii) incision and
drainage; (iii) minor excisions.
Minor Surgery Register
Secondary Data Collection
Tools2
Original prescription for
drugs dispensed kept at the
pharmacy which includes
cost of drugs. Drugs register
and stock cards conform.
Proceedings indigent
committee
Community Client
Satisfaction Survey: postidentification questionnaire
application
Original prescription for
drugs and medical
consumables dispensed kept
at the pharmacy which
includes cost of
drugs/consumables. Drugs
register and stock cards
See Annex ‘Primary Data Collection Tool Column Headers’. These registers ought to be well-legible with filled all columns filled in. The PBF column header
formats are mandatory. If information is lacking, automatically this service is not remunerated/validated. The verificator can use a red pen to cross out the
service and or to make annotations. If the mobile phone number is not recorded, the service risks not being remunerated. In case of absence of mobile phone
number the client can provide any number, i.e. from a family member, the neighbor, or the village chief. But a recorded number is mandatory. In the unlikely
case that the client has no number at all to provide, the patient will need to sign the register’s column header.
2
The secondary data collection tools can be partially at the health facility, partially with the client. They can be subject to scrutiny during either the routine data
verification exercises, and or during the community client satisfaction surveys. In case there is no trace of such services rendered in the secondary data collection
tools, then the service might be considered ‘not rendered’ ex-post, and sanctions will be applied as per contract.
1
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No
Name MPA Service
Description
4
Referred patient arrived at the
General Hospital
Counter-referral slip available at the
Health Center. Fully filled in by the MD.
The number of valid counter-referral slips
is counted.
Original of counter-referral
slip available at the Health
Center.
5
Completely Vaccinated Child
Vaccination Register
6
Growth monitoring visit Child
7
2 - 5 Tetanus Vaccination of
Pregnant Woman
Child less than 12 months old which has
received all vaccines according to the
national protocol (BCG; DTP3; Measles)
Any new quarterly growth monitoring
visit of a child less than five years old
during the past month. These growth
monitoring visits ought to be monthly
according to the protocol, however, here,
a quarterly visit is remunerated.
Each second to fifth TT vaccination of a
pregnant woman during the past month
8
Postnatal consultation
9
First ANC consultation before
four months pregnancy
10
ANC standard visit (2-4)
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A post natal consultation held within 48
hours after giving birth, during the past
month.
A first ANC consultation occurs before 4
month’s pregnancy, during the past
month.
Any 2-4th standard visit according to the
focused antenatal care visit schedule and
approach. Second visit between 24-28
weeks; third visit at 32 weeks and the
fourth visit at 36 weeks. During the past
month.
Primary Data Collection
Tools1
Under-five clinic/Nutrition
Register
Secondary Data Collection
Tools2
conform.
Copy of the counter-referral
slip available at the General
Hospital. Referred patient
registered in the outpatient’s
department register.
Under-five card with
vaccination records, held by
the mother.
Under-five card with growth
curve plotted, held by the
mother
ANC register
Individual Card kept at the
HF
Delivery register
ANC card held by the
mother
Vaccination register
Partogram or inpatient form
ANC register
Individual Card kept at the
HF
ANC register
Individual Card kept at the
HF
ANC card held by the
mother
ANC card held by the
mother
Medical prescriptions for
Ferrosulphate, Vermox and
SP kept at the pharmacy.
Drugs register and stock
No
Name MPA Service
Description
11
Second dose of SP provided to
a pregnant woman
The second dose of SP (IPTp), according
to the protocol, during the past month.
ANC register
Individual Card kept at the
HF
12
Normal delivery
A delivery attended by a trained attendant
at the health facility during the past
month.
Delivery Register
13
FP: total of new and existing
users of modern FP methods
FP register
Individual Card kept at the
HF
14
FP: implants and IUDs
Any new or existing user of injectable
contraceptive or oral contraceptive pills,
during the past month. An injection
represents three month’s protection and a
FP visit for OAC should provide three
month’s worth of pills.
Any new user of implant or IUD, during
the past month.
15
VCT/PMTCT test
VCT register
16
PMTCT: HIV+ mothers and
children born to are treated
according to protocol
Any new VCT or PMTCT test carried out
during the past month.
Any new HIV+ mother and newborn
child treated according to the PMTCT
protocol, during the past month.
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Primary Data Collection
Tools1
FP register
Individual Card kept at the
HF
ARV register; delivery room
register
Secondary Data Collection
Tools2
cards conform.
ANC card held by the
mother; medical
prescription for SP kept at
the pharmacy. Drugs
register and stock card
conform.
Partogram; eventual drugs
and medical consumables
dispensed through the
prescriptions kept at the
pharmacy; drugs register
and stock cards conform.
Eventual drugs and medical
consumables dispensed
through the prescriptions
kept at the pharmacy; drugs
register and stock cards
conform.
Eventual drugs and medical
consumables dispensed
through the prescriptions
kept at the pharmacy; drugs
register and stock cards
conform.
Laboratory register; stock
records
PMTCT register; laboratory
register; stock records.
No
Name MPA Service
Description
Primary Data Collection
Tools1
17
STD treated
Any new STD treated according to
syndromic treatment protocol, during the
past month
Curative Care Register
18
New AAFB+ PTB patient
A new AAFB sputum positive Pulmonary
Tuberculosis patient diagnosed, at the
facility, during the past month.
Tuberculosis register
19
PTB patient completed
treatment and cured
A former AAFB+ PTB patient completed
DOTS, and cured after treatment proven
by negative sputum examinations, during
the past month.
Tuberculosis register
20
ITN Distributed
ITN distributed, during the past month.
ITN register
21
New family using a latrine
During the past month, the individual
effort of a community health worker who
has delivered a package of behavioral
change communication including on
hygiene to a family. The objectively
verifiable measure of his BCC is the use
of a newly constructed latrine in the
catchment area (Ward), next to the
household of this family, during the past
month. Construction according to the
norms. Maximum one latrine per
household.
Latrine register
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Secondary Data Collection
Tools2
Drugs and medical
consumables dispensed
through the prescriptions
kept at the pharmacy; drugs
register and stock cards
conform.
Laboratory register. Slides
kept for counterverification/quality
assurance.
Laboratory register. Slides
kept for counterverification/quality
assurance.
Drugs register.
Stock control card conform.
Proof of acquisition,
purchase of ITNs available.
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