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M&E Recording and Reporting Tools

Printing Specification for M&E Tools

5 January 2025

Printing Specification for M&E Tools

TB 01

16 January 2024

TB Treatment Card

TB 02

16 January 2024

TB Patient ID Card

TB 03 - TB Unit Register

16 January 2024

TB Unit Register

TB 05

5 January 2025

TB Laboratory Register

TB 06

16 January 2024

Request and Reporting form for TB Culture and Drug Susceptibility Test

TB 07

16 January 2024

Culture & DST Laboratory Register

TB 10

5 January 2025

TPT Register

TB/LEP 01

16 January 2024

Request and Report Form for Biological Specimen for TB and Leprosy

TB/LEP 02

9 January 2025

Referral/Transfer Form

TB 16

16 January 2024

Facility Tuberculosis Presumptive Register

TB 17

16 January 2024

TB Contact Investigation Register

TB 18

16 January 2024

TPT Patient Treatment Card

TB 19

16 January 2024

TB Sample Collection and Transportation Register

TB 20

16 January 2024

TB Sample Transportation Log Book

TB 21

16 January 2024

Facility Register for TB Sample Transportation

TB 22

13 August 2024

Fomu ya kutolea taarifa jumuishi ya mwezi ya wahisiwa wa Kifua Kikuu

TB 23

10 December 2024

TPT (3HP & 3HP) aDSM Causality Assessment Form

TB 24

10 December 2024

TPT ( 3HP & 3HR) aDSM Form

LEP 01

9 January 2025

Leprosy Patient Record Card

LEP 02

16 January 2024

Leprosy Identity Card

LEP 03

9 January 2025

Leprosy Unit Register

LEP 06

9 January 2025

Prevention of Disability Register

TB/LEP 12

5 January 2025

Community TB and Leprosy Screening Forms

TB/LEP 13 A

5 January 2025

Community TB and Leprosy Presumptive Forms

TB/LEP 13 B

5 January 2025

Rejesta ya Ufuatiliaji wa Wagonjwa wa TB na Ukoma Waliokatiza/Hawakuanza Matibabu

TB/LEP 14

5 January 2025

Community TB Reporting Forms

TB/LEP 15

21 March 2024

Referral Form

DR TB 01

16 January 2024

DR TB Patient Treatment Card

DR TB 02

16 January 2024

DR TB Patient ID Card

DR-TB 04

5 January 2025

DR-TB Referral or Transfer Form

DR TB 03

16 January 2024

DR TB Treatment Register

DR-TB 06

6 November 2024

Drug Resistant TB Monthly Treatment Follow-Up Form

DR-TB 07

6 November 2024

Drug Resistant TB aDSM Form

DR TB 08

6 November 2024

DR-TB Drug Requisition Form

DR-TB 09

6 November 2024

DR-TB Daily DOT Record

EQA FORM 1

14 August 2024

Blinded Recheck Examination

EQA FORM 2

14 August 2024

List of Discordant Slides

EQA FORM 3

14 August 2024

Consolidated Report Form

EQA FORM 4

14 August 2024

AFB Laboratory Performance Quarterly Report Form

EQA FORM 5

14 August 2024

AFB Laboratory Performance And Stocks Of Consumables

EQA FORM 6

14 August 2024

Laboratory Supervision Checklist for AFB Smear Microscopy and GeneXpert

EQA FORM 7

14 August 2024

Feedback Report of AFB Smear Microscopy Blinded Recheck

Dodoso la CRG

5 January 2025

Dodoso la uibuaji wa changamoto za jinsia na haki za Binadamu zinazohusiana na huduma za Kifua Kikuu na Ukoma