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Sick Child Recording Form (for community based treatment of child age 2 months up to 5 years in high HIV or TB setting) Date: Date/Month/20 CHW: Child's name: First Family Age: Years/ Months Boy /
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How to fill out sick child recording form

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How to fill out sick child recording form:

01
Start by entering the child's name, date of birth, and any relevant contact information. This will help to identify the child and ensure accurate documentation.
02
Next, indicate the reason for the child's absence, whether it is due to illness, injury, or any other medical condition. Provide a detailed description of the symptoms or the nature of the illness.
03
Specify the date and time the child became ill or was injured. This will provide a timeline for tracking the duration of the sickness or injury.
04
Note down the date and time the child was taken to the doctor, if applicable. Include the name of the healthcare professional or the medical facility visited.
05
Record any medication or treatment administered to the child, along with the dosage and frequency. This information is essential for monitoring the child's progress and ensuring appropriate care.
06
If the child requires ongoing medical attention, note down any follow-up appointments scheduled or future treatment plans.
07
Finally, sign and date the form to confirm that the information provided is accurate to the best of your knowledge.

Who needs the sick child recording form:

01
Parents or guardians of a sick child: This form is necessary for parents or guardians to inform the child's school or childcare facility about the child's illness or absence. It helps in maintaining proper records and providing necessary care to the child.
02
Schools and childcare facilities: The form is required by these institutions to keep track of the health and well-being of the children under their care. It allows them to monitor the frequency and duration of illnesses and take appropriate actions to prevent the spread of contagious diseases.
03
Healthcare professionals: The form provides crucial information to healthcare professionals about the child's symptoms, medical history, and any medication or treatment received. It helps in diagnosing and treating the child effectively.
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The sick child recording form is a document used to record and report information about a child's illness.
Parents, guardians, or caregivers are usually required to file the sick child recording form.
The sick child recording form can be filled out by providing information about the child's symptoms, diagnosis, treatment, and any other relevant details.
The purpose of the sick child recording form is to keep track of a child's illness, monitor their progress, and ensure they receive appropriate care.
Information such as the child's name, age, symptoms, diagnosis, treatment received, and any follow-up care instructions must be reported on the sick child recording form.
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