PATH - NYM RRI DATA COLLECTION FORM Pick the totals in red below and fill them in the

Pick the totals in red below and fill them in the blue HFR section

Mon Tue Wed Thur Fri Totals HFR Entries

RRI INDICATORS Female Male Female Male Female Male Female Male Female Male Female Male Female Male
DATIM Indicator Grand
Name <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ <15 15+ Totals <15 15+ <15 15+
TB CASCADE
TB_PREV
Clients started IPT
Prevention Indicators
No. of Patients undergoing VMMC
VMMC

No. Screened for PrEP

No. Enrolled on PrEP - Gen. Pop. (Everybody)
PREP_NEW
No. Enrolled on PrEP - MCH
No. Enrolled on PrEP - OPD
PREP Patients returning for their 1st Refill
CaCx Screening

No. Screened for CXCA

No. Positive for CXCA

No. Treated for CXCA lesions (CXCA_TX)

HTS, POS, TX_NEW

OPD Workload
OPD Screened
OPD Eligible
HTS_NEG
No. With Negative Results
HTS_POS
No. With Positive Results
No. Linked
TX_NEW
No. Started on ART
EID Age Categories EID Age Categories EID Age Categories EID Age Categories EID Age Categories
PMTCT EID Categories
<2 Mths 2-12mths 12+ mths <2 Mths 2-12mths 12+ mths <2 Mths 2-12mths 12+ mths <2 Mths 2-12mths 12+ mths <2 Mths 2-12mths 12+ mths
1st Sample Collected

EID Samples Collected Repeat Sample

2nd & 3rd 95 Indicators

No. Newly Enrolled into DC

No. of clients booked

No. of Clients who missed their appointments

% Missed Appointments
No. of clients who previously missed
appointments who came back within the week

No. of Clients who had C&T encounters this week

No. of visiting clients eligible for VL

No. of VL Samples Drawn