Effective implementation of PrEP in maternal and child health settings requires accurate and consistent record-keeping. This page provides access to essential forms and registers used in PrEP and ANC service delivery. These tools are crucial for monitoring patient care, tracking progress, and reporting outcomes.
This essential screening tool helps healthcare workers quickly identify clients who may benefit from PrEP services through a systematic risk assessment approach.
Key features:
Quick 8-question screening format
Risk-based assessment criteria
Clear referral guidelines
Suitable for use in various healthcare settings
Helps prioritize clients for comprehensive PrEP assessment
Download RAST
This comprehensive card is used to record individual patient information during PrEP clinical encounters.
Key sections include:
Client profile
Baseline assessment
PrEP initiation details
Follow-up visit information
Download PrEP Clinical Encounter Card
This tool is used to record daily PrEP-related activities in the health facility.
Key features:
Daily client visits
Services provided
Commodities dispensed
This register is used to record all antenatal care visits and services provided to pregnant women.
Key features:
Comprehensive client information
Pregnancy history
Medical assessments
HIV testing and treatment information
Other ANC interventions
This register is used to track all clients receiving PrEP services.
Key information recorded:
Client demographics
PrEP initiation details
Follow-up visits
HIV testing results
This comprehensive form is used for monthly reporting of HIV/AIDS services at the facility level.
Key features:
Covers multiple HIV service areas including testing, PrEP, PMTCT, care and treatment, VMMC, and PEP
Provides a standardized format for reporting key HIV indicators
Aligns with national HIV monitoring and evaluation requirements
Sections included:
HIV Testing Services & Pre-exposure Prophylaxis
Elimination of Mother-to-Child Transmission (EMTCT)
HIV and TB Treatment
Medical Male Circumcision
Post Exposure Prophylaxis