THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH

RATING SCALE FOR RCH (CMT05207) - CHILD HEALTH

NAME OF SCHOOL -----------------------------------------

Candidate’s examination Number: -------------------------------------------
NACTVET registration Number: --------------------------------------------
Starting time ---------------------------- Ending time ---------------------
The examiner shall observe student when demonstrating the skill and attitude during the whole process of
clinical examination
S/N COMPETENCIES/TASKS TO BE ASSESSED 4 3 2 1 0 Comments
1 ATTITUDE DURING CREATION OF RAPPORT
Appearance, Dressing code and prepared (equipped) and
Assures privacy.
Welcomes and greets the caretaker, introduces his/her
examiners and explain his/her role; Assure confidentiality,
Seeks consent to discuss child’s health status.
2 Demographic data (collects information from the care taker)
Asks the caretaker about child’s particulars including the name,
date of birth, sex and place of birth. Then inform the care taker on
services offered by the clinic and asks the caretaker for the type of
service is looking for.
3 Determine if the child has any problem
ASK if the child is sick or has any problem,
Amplify the complaints and review systems, If the child has no
problem review all systems to be sure.
4 Past medical history
Prenatal/Natal/Postnatal
5 Dietary history
ASK about type and frequency of breastfeeding, and weaning.
6 Immunization history
Check immunization schedule and vitamin A if the child is due for
any
Explain the importance of vaccines to children if vaccines were not
given. Acknowledge the mother for her willingness to bring the
child to RCH.
7 Developmental milestone
Ask about Motor, speech, vision/hearing and social developmental
milestone
8 Family and social history
Ask about marital status and occupation of the Care taker,
Asks about the number of siblings and their health status
Ask about presence of hereditary/chronic illnesses in the family.
9 General assessment
Perform general examination and take vital signs,
Assess for any congenital malformation e.g. tongue tie, club foot,
omphalocele imperforate anus, extra-digits etc.,
Take anthropometric measurements and state of dehydration
10 Assessment on Risk Indicators
Determines growth faltering or loss of weight from previous visit
Check HIV status,
Assesses the child feeding and properly advices according to the
situation( if HIV exposed or not exposed)
Checks if PMTCT services is required for the child, and if yes,
determines if the child is on ART or not and refers for appropriate
care.
 11 Diagnosis / Interpretation of the Findings
Interpret the Findings from the history and clinical examination
and provide appropriate management plan (differentials,
investigations and treatment plan)
12 Health education to the care taker:
Give health education about the vaccines given and determines
date for next immunization and vitamin A if indicated.
Provides appropriate health education concerning child’s
cleanness, feeding,
Uses open ended questions and checks if care taker/mother
understands.
13
DISCUSSION IN RELATION TO CHILD HEALTH
Ask additional concrete questions
14 GENERAL ATTITUDE THROUGHOUT EXAMINATION
Appropriately positions the patient, observes privacy and safety
throughout the procedure, Show caring and acceptance attending
behaviour and respect to examiners.
15 SUBTOTAL

GRANDTOTAL

Deduction for dangerous mistake (Maximum Minus 10 marks)

ATTAINED SCORE [GRANDTOTAL MINUS DEDUCTED MARKS]

Total score in % = Attained score x100

64
Instructions: Rate the performance of each task/activity observed using the following rating scale.
0 = Task not performed correctly and/or out of sequence (if required) or is omitted.
1 = Task done incorrectly but occasionally adequate
2 = Task performed sufficiently no harm to the client although not competently enough
3 = Task performed correctly in proper sequence but participant does not progress from step to step efficiently.
4 = Task performed efficiently and precisely in proper sequence (if required).

Examiners general comments --------------------------------------------------------------------------------------------------------

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Examiner’s Name --------------------------------------- Signature ------------------------- Date --------------------------------