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RETEN BULANAN SARINGAN HIV/SIFILIS DI KALANGAN IBU MENGANDUNG

NEGERI :
JANUARI

No.

PERKARA
Fasiliti

JAN
Krjan

Swta

2015

FEB
Jum

Krjan

Swta

MAC
Jum

Krjan

Swta

APRIL

MEI

Jum

Krjan

Swta

Jum

Krjan

Swta

JUN
Jum

Krjan

Swta

JULAI
Jum

Krjan

Swta

OGOS
Jum

Krjan

Swta

SEPTEMBER
Jum

Krjan

Swta

OKTOBER

Jum

Krjan

Swta

NOVEMBER
Jum

Krjan

Swta

DISEMBER

JUMLAH
Jum

Krjan

Swta

Jum

<15

15-19

20-24

25-29

30-34

35-39

40-44

45-49

>50

Jumlah

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
0

Number antenatal screened with rapid test


< 15

15-19

20-24

25-29

30-34

35-39

40-44

45-49

Jumlah
3

Number of mothers found reactive with rapid test

Number of mothers confirmed positive *

0
0

< 15

15-19

20-24

25-29

30-34

35-39

40-44

0
0

45-49

>50

Jumlah

Number of delivery among HIV positive mothers *

< 15

15-19

25-29

30-34

35-39

40-44

0
0

20-24

45-49

>50

Jumlah

Number of 1st PCR done (immediately )

Number of babies HIV positive * (PCR)

Number of mothers VDRL/RPR test done


< 15

15-19

20-24

25-29

30-34

35-39

40-44

45-49

>50

Jumlah
9

Tahun :

New antenatal attendance

>50

SARAWAK

BAHAGIAN :

Number of mothers VDRL/RPR reactive

10 Number of mothers TPHA / TPPA positive


< 15

15-19

20-24

25-29

30-34

35-39

40-44

45-49

>50

Jumlah
11

Number of mothers TPHA / TPPA positive screened for


HIV
0

15-19

20-24

< 15

25-29

30-34

35-39

40-44

45-49

>50

Jumlah

Number of mothers TPHA / TPPA positive and HIV


12
positive
0

15-19

20-24

< 15

25-29

30-34

35-39

40-44

45-49

>50

13 Number of babies confirmed congenital syphilis **

14 Number babies lost follow up

Jumlah

15 No Of Antenatal Recommended for 2nd Screening

50

50

22 Balance of test kit

41

41

23 Given to other clinic/services

24 Spoilt

25 Expired

16

No. Of AnteNatal screened for 2nd time With Rapid Test


Kit

No. Of 2nd Screening AnteNatal Found Reactive With


17
Rapid Test Kits
18

No. Of 2nd Screening NateNatal Confirmed Positive By


IMR

19 Balance of test kit from previous month

20 no.of test kit received this month

21 no.of test kit used this month

catatan :

Nota:
* Perlu hantar Ante2000 bagi setiap kes

Krjn = Fasiliti Kerajaan

** Perlu hantar ANTE-STI bagi setiap kes

Swta = Fasilit Swasta

Tandatangan Pelapor:
Nama Pelapor:
Jawatan Pelapor:

Disahkan oleh:

Tandatangan:
Nama Pegawai:
Jawatan:

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