|
FRM_TEST
|
test form
|
|
|
|
1
|
1
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_OPTOM_MZ
|
Optometria (Mozambique)
|
|
|
|
2
|
2
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_RCA_VAC_ENF
|
Childhood vaccinations
|
|
|
|
3
|
3
|
|
|
ALL
|
ALL
|
0
|
15
|
| |
|
FRM_RCA_VAC_FEM
|
Vaccinations for women
|
|
|
|
4
|
4
|
|
|
ALL
|
F
|
13
|
150
|
| |
|
FRM_RCA_GROSSES
|
Pregnancy
|
|
CAT_PREGNANCY
|
|
5
|
5
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_RCA_CPN
|
Pregnancy - visit
|
|
CAT_VISIT
|
|
6
|
6
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_GBV_SCR
|
Violence against Men and Women
|
|
|
|
10
|
7
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM-PHQ-9
|
Depression Screening PHQ-9
|
|
|
|
15
|
8
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM-DRUGALCOHOL
|
Alcohol / Drug Screening
|
|
|
|
20
|
9
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM-ENH-ADH
|
Enhanced Adherence Counselling
|
|
|
|
25
|
10
|
|
|
HIV_YES
|
ALL
|
0
|
150
|
| |
|
FRM-APSS-FACTOR
|
APSS risk factors
|
|
|
|
30
|
11
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM-OTZ
|
Operation Triple Zero Activity Form
|
|
|
|
40
|
12
|
|
|
HIV_YES
|
ALL
|
10
|
19
|
| |
|
FRM-OVC
|
Orphans And Vulnerable Children
|
|
|
|
50
|
13
|
|
|
HIV_YES
|
ALL
|
0
|
17
|
| |
|
FRM_TPT
|
TPT initiation form
|
|
|
TBC_PRE_TPI
|
60
|
14
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_CANCER_SCR
|
Cancer Screening
|
|
|
|
70
|
15
|
|
|
ALL
|
F
|
15
|
150
|
| |
|
FRM_GADA
|
Generalized Anxiety Disorder Assessment
|
|
|
|
80
|
16
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_HIVGREEN_KE
|
HIV Green card visit
|
|
|
|
90
|
17
|
|
|
HIV_YES
|
ALL
|
0
|
150
|
| |
|
FRM-ART-PREPARA
|
ART Preparation
|
|
|
|
100
|
18
|
|
|
HIV_YES
|
ALL
|
0
|
150
|
| |
|
FRM_EPI_THER
|
Epilepsy Treatment Form
|
|
|
TREAT_EPILEPSY
|
110
|
19
|
|
|
ALL
|
ALL
|
0
|
150
|
| |
|
FRM_CANCERS_GN
|
Cancer Screening Guinea
|
|
|
|
120
|
20
|
|
|
ALL
|
F
|
15
|
150
|
| |
