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Aam Aadmi Mohalla Clinic - Facility ChecklistPID 34
Check For Identifiers

This module will help you assess whether or not some fields may be identifiers, and then allows you to easily tag such fields as identifiers for greater data security. While this same process can be accomplished in the Data Dictionary or Online Designer, this page provides a streamlined way of tagging fields as identifiers very quickly. Based off the variable name or field label, the fields listed below may possibly contain identifiers (e.g., name, phone number, address). Please review the entries and select all identifiers, where appropriate. Any fields already tagged as identifiers will already be checked below.

Form 1

Variable Name Field Label Identifier?
record_id Record ID
a1_name_of_clinic A1. Name of Clinic
name_of_village Name of village
a2_name_of_block A2. Name of Block
a3_date_of_visit A3. Date of Visit
a4_name_of_assessor A4. Name of Assessor
b1_is_the_facility_name_vi Is the facility name and signage visible from outside?
is_the_facility_name_board B2. Is the facility name board in local language Punjabi?
then_which_language Then which language?
are_there_sign_boards_disp B3. Are there sign boards displayed in local language for
name_of_phc_attached Name of PHC attached
b5_from_where_your_clinic B5. From where your clinic receives financial aid
b7_please_specify_who_mana B7. Please Specify who manages it and how?
b9_is_a_triage_area_presen B9. Is a triage area present ?
b10_is_electricity_with_ba B10. Is Electricity with backup available?
b15_are_biomedical_waste_b B15. Are Biomedical waste bins color-coded and available?
are_biomedical_waste_dispo Are Biomedical waste disposal linked with vendor?
name_of_doctor Name of Doctor
age_of_doctor Age of Doctor
name_of_pharmacist Name of Pharmacist
age_of_pharmacist Age of Pharmacist
name_and_age_c3 Name and Age
name_and_age_c4 Name and age
d_availability_of_essentia D. Availability of Essential Medicines: Medicine Names
name_the_medicine_which_d1 Name the medicine which are prescribed for pregnant women
d2_antibiotics D2. Antibiotics - Available (e.g. Amoxicillin, Cefixime, Cefpodoxime, Metronidazole, Ornidazole Doxycycline, Norfloxacin, Amoxycillin+Clauvulanic Acid, Framycetin Sulphate, Azithromycin, Silver sulphadiazine, Fusidic acid, Ciprofloxacin etc.)
name_the_medicine_which_d2 Name the medicine which are prescribed for pregnant women
d3_antidiabetics_present D3 Antidiabetics - Available (e.g. Metformin, Insulin etc)
medicine_which_d3 Name the medicine which are prescribed for pregnant women
medicine_which_d4 Name the medicine which are prescribed for pregnant women
medicine_which_d5 Name the medicine which are prescribed for pregnant women
d6_anti_anemics_hematinic D6. Anti anemics/Hematinic - Available (e.g. Iron Folic Acid (IFA) large red dried ferrous sulphate, tablets)
medicine_which_d6 Name the medicine which are prescribed for pregnant women
medicine_which_d7 Name the medicine which are prescribed for pregnant women
medicine_which_d8 Name the medicine which are prescribed for pregnant women
d9_folic_acid_tablet_avail D9. Folic acid Tablet - Available
medicine_which_d9 Name the medicine which are prescribed for pregnant women
medicine_which_d10 Name the medicine which are prescribed for pregnant women
medicine_which_d11 Name the medicine which are prescribed for pregnant women
medicine_which_d12 Name the medicine which are prescribed for pregnant women
d13_antacid_available D13. Antacid - Available (e.g. Pantoprazole, Antacid gel, Ranitidine, etc.)
medicine_which_d13 Name the medicine which are prescribed for pregnant women
medicine_which_d14 Name the medicine which are prescribed for pregnant women
d15_multivitamins_availabl D15. Multivitamins - Available (e.g. Vit C(Ascorbic acid), Vit D(Cholecalciferol),Vit B12(Methylcarbylamine) etc.)
medicine_which_d15 Name the medicine which are prescribed for pregnant women
d16_corticosteroids_availa D16. Corticosteroids - Available (e.g. Prednisolone, Betamethasone, Dexamethasone, Clobetasol, Budesonide, etc.)
medicine_which_d16 Name the medicine which are prescribed for pregnant women
medicine_which_d17 Name the medicine which are prescribed for pregnant women
d18_anti_emetics_available D18. Anti emetics - Available (e.g. Domperidone, etc.)
medicine_which_d18 Name the medicine which are prescribed for pregnant women
d_19_thyroid_hormones_avil D 19. Thyroid hormones - Avilable ( Thyroxine, etc.)
medicine_which_d19 Name the medicine which are prescribed for pregnant women
d_20_tetanus_toxoid_avilab D 20. Tetanus toxoid - Avilable
medicine_which_d20 Name the medicine which are prescribed for pregnant women
medicine_which_d21 Name the medicine which are prescribed for pregnant women
medicine_which_d22 Name the medicine which are prescribed for pregnant women
d23_antiseptic_available_e D23. Antiseptic - Available (e.g. Povidone-Iodine)
medicine_which_d23 Name the medicine which are prescribed for pregnant women
d24_insecticide_available D24. Insecticide - Available (e.g. Permethrin)
medicine_which_d24 Name the medicine which are prescribed for pregnant women
e8_typhoid_widal E8 Typhoid (Widal)
functional_equipment_e8 Functional Equipment - Typhoid (Widal)
trained_staff_e8 Trained Staff - Typhoid (Widal)
e10_lipid_profile E10. Lipid profile
functional_equipment_e10 Functional Equipment - Lipid profile
trained_staff_e10 Trained Staff - Lipid profile
e12_kidney_function_test_k E12. Kidney function test (KFT)
functional_equipment_e12 Functional Equipment - Kidney function test (KFT)
trained_staff_e12 Trained Staff - Kidney function test (KFT)
e18_covid_19_rapid_antigen E18. COVID-19 Rapid Antigen Test
functional_equipment_e18 Functional Equipment - COVID-19 Rapid Antigen Test
trained_staff_e18 Trained Staff - COVID-19 Rapid Antigen Test
e21_thyroid_profile E21. Thyroid profile
functional_equipment_e21 Functional Equipment - Thyroid profile
trained_staff_e21 Trained Staff - Thyroid profile
f4_does_the_clinic_provide F4. Does the clinic provide calcium to pregnant women?
f5_does_the_clinic_provide F5.Does the clinic provide IFA to pregnant women?
f16_is_thyroid_profile_tsh F16. Is thyroid profile (TSH/ T3) done for pregnant women in the facility?
f17_does_the_clinic_mainta F17. Does the clinic maintain ANC registers or digital records?
f19_are_postnatal_care_pnc F19. Are postnatal care (PNC) visits recorded/followed up?
g_service_delivery_data_ma G. Service Delivery & Data Management
g2_is_basic_first_aid_done G2. Is Basic first aid done?
g4_are_family_planning_ser G4. Are family planning services provided ?
g5_is_a_separate_record_fo G5. Is a Separate record for NCD patients available?
g6_is_a_separate_record_pw G6. Is a Separate record for PW or line listing of PW done for those coming to the clinic?
g7_is_there_use_of_abha_or G7. Is there use of ABHA or any digital health ID?
h1_name_of_the_software_ap H1. Name of the software/application used for patient data entry (e.g., e-Sushrut AAC)
h5_are_unique_patient_ids H5 Are unique patient IDs (e.g., ABHA or mobile-based IDs) generated?
h8_are_previous_visit_reco H8. Are previous visit records retrievable from the system?
h9_are_digital_records_mai H9. Are digital records maintained for: ANC visits
h10_are_digital_records_ma H10. Are digital records maintained for: NCD follow-up
h11_are_tablets_laptops_de H11. Are Tablets/laptops/desktops used for digital patient records?
h16_are_the_staff_for_data H15. Are the staff for data entry being provided with refresher training?
is_any_prescription_slip_p 3. Is any prescription slip/ Health records provided?
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