ALTII ANL) 1IUNIAN - United States Agency for …pdf.usaid.gov/pdf_docs/PDAAM058.pdfM E M ORAND U I)Ei'ARTMENT F IIL \ALTII ANL) 1IUNIAN S'IRVICIFS PUBLIC IIEALTI! SERVICE CENTER FOR

$Page 1: ALTII ANL) 1IUNIAN - United States Agency for …pdf.usaid.gov/pdf_docs/PDAAM058.pdfM E M ORAND U I)Ei'ARTMENT F IIL \ALTII ANL) 1IUNIAN S'IRVICIFS PUBLIC IIEALTI! SERVICE CENTER FOR$
M E M ORAND U I)EiARTMENT F IIL ALTII ANL) 1IUNIAN SIRVICIFS PUBLIC IIEALTI SERVICE

CENTER FOR LISFASE IONTROL

TO William 11Foege MD DAT July 22 1980 Director Center for risease Control (CDC) Through Philip S Brachman MD Director Bureau of Epidemiology (BE)Y13

FROM Jay S Friedman MA Program Analyst Program Evaluation Branch (PEB) Family Planning Evaluation bivision (FPED) BE

SUBJECT Foreign Trip Report (AIDRSSA) Jamaica May 19-June 6 1980

SUMMARY I PLACES DATES AND PURPOSE OF TRAVEL

II PRINCIPAL CONTACTS III INTRODUCTION IV BACKGROUND V OUTREACH RECORD-KEEPING SYSTEM

A Present Record-Keeping System B Proposed Nev Record-Keeping System

VI CLINIC RECORD-KYPING SYSTEM A Present Recrd-Keeping System B Proposed Modifications to Record-Keeping System

VIl MOHSS AND NFPB DATA REQUIREMENTS SUPPLEMENT A INSTRUCTION MNUAL--JFPA YOUTH ASSOCIATEOUTREACH

WORKER RECORD-KEEPING SYSTEM SUPPLEMENT B (LOSSARY OF SYMBOLS SUPPLEMENT C PRESENT AND PROPOSED FORMS 1 ACtTMENTSArr 1-6 SUPPLEOIENT D INSTRUCTION MANUA--JFPA FAMtNy PIANNING CLINIC

RECORI)-KEEPING SYSTEM

SUMMARY

To follow up recommendations mad to the Jamaicla Family Plinning Associatlon by a previous A1PIIA consultant the writer ws asked to deign a record-keep-Ing system for the uLttiiavli and -inIc-baned programs of tlh lamivac FamilyPlanning Associati on (JIFPA) eccmmindaltions -re al o madeh to the NaiLonI Family Plann nV Board (-iPB) on nationi dat and rrrrdq tu

Let ivi nc isi prvinu n td In Liu JIFIA rcuorl-lltpiiy h 1)-i lt iihd a lick of fnn to idlntify tIhi inmrlrof Conttinui AtoIv rcrs 2) A lNc of meanst ) regilly mOIt or tia follow-up A) a 0ul I rI r Aind conshysLt nt tLahlation of c-rvii L tatiit i l 1) A1l b w In-dpt il[tnhof rvir ntit LI i i nc of i he w k t r f tni rc- r- diia y-

Al~ I hy tlvnc11w ll Il n l ll i [- ~tlI wdt l ] 1li t thil iv i o vw Il (

wide hyntc uqv ty ofto w- pt~u 1lI tInV 11 lth andq So n Wrtl v

Plannvd Parenlthoo~d ldrat Innu (P1)

M2

to

4k

44

oWeen~srv~te Of tfouJietrit of+ AID~Lgt-ahigo I bAE

IPI CO-AC$ -

bSAIo4 ODIjh)aOa$caa

I- r TrryTiffnyHealhopultion an Nutitin Adiso

Specilist 2 s len ealh Tomlnsoad Fmiy PannngDavlopen

3 Mr$Gae n ryIdiisrtv2Astn

aa

nplusmn eara aW eate

W MW11 4z7 WW

ZPlMe a P a a

M k n0

1 A- 8ITODCTOki6O 15n

The p ia y pu p 8 0 t i o pOa o w n t9 th shy u r a n c i i - a e ~q i a s o ai c a

FP ianIntqrnat~~io~lp~n arntody atit

a d i o as a ed 6 ampa n a mm n S t -t4 j

JeV6

tn6naereura ~ t 6Cwraa o ma6

toA peet rt- ft 4 t

1T nt 4 a _ta13-s b 4uer~e

6e r T o rcodintoprto folloin thp rimn n tiigo i uh o t

xd

bthe rec Woker Inte orerseen Iba ~

ra4- dh~~Ijawz q

-by~n-malge adre 0nube eto ditiuetp fe4i (e o cniun rrrears Th Wa fviisaettlld hsfrb-an r ea ~cletms evstd4a

visio fo noigw rflo ~n resupplyInadtotevstctgre-otnig nVRvst

rdi t ry t4r el -on a e e in f noin aC n inu 4A~

1 00 y

61

1h~ Filpran v4 ntheVY ewwi WnIs u4A

K1~se- -6 cord--4~t1yae

jT ainainnte heAS e I Knso

____

411nr codReof intrc n

7sacXea it ha o re4ordi6shyao 1laobo -- e 8onh inf~intin ormbu h 0pros pormsauicuig7lo-ufra

toC in- bidcare 4ose-la dete s b

-- maual 61E~rA) A1

woul appear asDte gt g

Xz~Athe box Age 20+(I an X isplaced to eaily ditnguih nn-teng

i~anuaryJ~ ~a clien i~s a Cont4 t (C)zotdoor-to-door- (D) Mr- whc a nau tionalAi A A

A~A to folo in Febraryher upA AoatoAmd Th4e person~ seoAo

Ferur 15becomes aA NwAcptr N) iie 1mnhsppyo SamooA() and a notationAAIAA~ is mad toA~A folo bar upA inMrhb A aseii

ate--lt

AA~- Ly

Th horizonta lin In Fe44b ua ry si ifaie the cliontYha cotacpiv 4 ~ ~ 11sgilxsemsbeso-ytadtaUntil ~ ~ ~ ~ tenoftamotwhl~ ~ ~ ~ ioi-n-H~ 2r rAuarch h~wl ofhe u l hrl~ oefoo EImasa

monthAAAAA Ao Aa p o ro u dis-~ n arAjcAAAA toAAAAAIn HA Iag aiA -an boo an (AU)A~ZA and is given a~ AAsop A-u

Thisclint eentallyconinuetoan AtivAAAAAAAA Use InJunoandIssupyo Noo Sapo gven f -Ao ahhrxntllnoalpootlnlor

tr~~~~~ceptivole~~~~~~~~~~ anhnnAse~oIeniytenmbroAadls CniniguesofAAo AtinuniiAtsu pliAAA vo seArs~ in J A terinloy)

QQ

-bBS4 QEn n thiOupp_ and 5iner

thcu iO igteaeien r at mnth The worsie~4tavs se rsumr shy3~~eral l~s lstei~4da Cleeeeor-ag are-or

S JiMd a tiu t h1WrorL1h lir

lag re beor hyr exeincultdigi ~pnmber

ph are orioo daao nld hnute7 f~ h~okha oh fCniun

continuiy rae btpermits clcultatisotToal Active Accetor ssg fDea44or

31e for the anua irepor to tIPPF iThnumeriiot ot gAtv sr i

nti atU vste ha onh Totalsea e ae for eachi worst whic aret submitted tt hi eld WLfirR ~lt~77the 1

14rkrctviie(Atcmet4- vll b used

inoralybyJPAmnaemnt coel onto heYot Ascitv rora n j it~frt~ea r O

Ili 0

2 ~~~~~~rv upa04amng~att

atq- g0r oml n no

o thi _F~~2ao 6dloanr nuib Theta

198iat tim at~S~1 t stampr dSm I of- the1fi OkU ion 9o-fth u t o it aa Ceta Pl df-tcorepodig a tin o~h tRc

a th4 tla s l aeiiiat~ ta

ceptrs w o rhobeat u AciveUenb accet07 cppli

thlin Reors For

VICINC 4RDEPN SS~TE tof~

form and~registersbt

1 Coient Folttic-tton M~OUSSiso fomwhc peenstetea min andpis typeso f contrascepie tssuedadia da ta an aao o st

s~ntrod s bean phafseoan bonwill relaei lat

2ScedlaE ihrteisor4 0i At4~ ampEa--hi formU~ _f NOk~r i h

sumarzete ge euctin eve an na~r ofUiampchlrno acetrnew-~~~ In ampP-c~ic Thsifomto Is reurdanal

2

or _446 t VIOL I j I -adopte byJITpointmonv

n Jjn Cjjn tj kej 04 OAf I I _A44 41

AqteptprR-6 d ill 4contairv n 0 tid Ati6hilLUcIe

anC whick caamp Uss to summarl t is_W6Va ti C U Chi is cto iii tics of Now kiccop6tti4 14 z itorwin t Prosraz __flni 14nOiab 6okrojistar ot 4_40 pom h 14 than Vidiqcsrded

ftn the nampAait x adopted y A jho MQ Hm OM sbou

t IlkismTn ddition to the _ch_tqLk_ soon on the CUMNt ME 0

iid_4W thb-CILOW Uord form usot OTAOutt) It ri11f Acill toto t Systm olupo-Up 0 th$ MA

0plans toh6iloutip6hwor Mouths let for SppointoMtSe

Client Control form 4111 SUO PO Itc the number of Active Users boinS-4irvW Ich u notOossibli with tholan ning Record VAmtary to wUl als6 be entered on this Client

ththU 3iscard6dControl tome Tfiadillycl ent rigistershould rs sachji clinic sumarixas its acilvi to

11A3 From the Client Co trol to i -11annialt1 1

directly on the JA form 4 Mon th ActiXttles using tb_-lof t-hand column entitled CLINIv 6ye

since the format of-Yorm 4 Is comparible vi th -the Iontraceptiva viothod_ brkdova of the MORS$ Mo6thl Clinic-Sumxary lopordnis rm ttactant

hl hic activitlias will be suiomr-1) as 4asibd YCl lied on the HCSRfur inclust6h4n-thaRMS-m6nChly cc wputorl4 data analysis of Clinic a4tivitiesI Including1amily planning -service

cogJA form Anal The presently used Its OfCljSnt$ QAL Sgrvlr juid the

untitl torn sed to SatAr its data can bodiscontim their function vill be rplacod by Form 4 and the HUR lba JA may wish to

sold for it$finaliCialL continue uslaa the Wookly-Olles ggery- of methods

records

VIL MOHSS AM X15 DATA RWIREKW

The fasily planning service statistics lathered by the computerized Monthly Clinic Is a proxisinS start In gathering valid island-wide dots onSummaryRoport (WSR)

the coverage of organizedo non-comercial family planning activIttes Tho HCSj data categories can be expanded Nithin limits accordinS toMr Ossond Gordon of th MWS At the sam timoo the XB fools the foxily planaft- ated by the HCSR doon not otot its needs b4cause of a lack of tlw-folloving Inform4tiont

4c4

A Y 3P~

d paa on fmal c intb par t ~ a~

4 ~~~~n tho otorkiteor do1

P an osrabbth would be useful inftitgcttiopii T6te twudsugw hoRAfolleeigbed ihdiso~Sp 4L

of Total At ive UsgOIb T alAciver ovoujaiy P AnAccptorsnning rathar~ta yYmor

iy~ thec~ns uysul-i aini g~do oodo helh ailt tdosno ivanacuae itueot rga cvr

I would lik t~~ first s top ts 4d44plnnnt copnn beprpsea thata exane somehat nfolo$

1dtaathrromnonovenmetalan hosQithfai plnnnproviders

Page II - William I Foege MD

2 Total ContIn Active Users (whether seen that month or not--This would require that all family planning providers make use of a client record-keeping sys tem similar to the now system detsi gned for the JFPA I would suggest that this improvement eventually be adopted as policy by the NFP1

Jay S FrICdIIII MA

SUPPLFMENT A

JAMAICA FAMILY PLANNING ASSOCIATION

INSTIUCT ION MANUAI

YOUTH ASSOCIATEOUTRACJI WORKER REl(CPJ-KEEPING SYSTEM

IOT

a ta Otre o i

rq~t a$upry O 4eor a4i Of1~-~s0iSi$u

theritod eein s ysty-wll Or 6WW

on op--Outs

6j C

r s or pr r4_ W 4o noa t t v m A w-Acp

raep oves only IS I

No Ac re s o o r ~A ali dos NwAa o Nonh Ac t a cont ct~w n becom

rtiisto ntaptivemthods7 reso~s~for~onno- holbe

ubo AeceiveaI etosy p naras Mcoshycontracep ROt r4r Vefo rth seodtm Ativedon~bc

taceive tod Is usivng n hasate npiot d C

to h icndte reen monthrIAnActives to (couU i~ 1 ornaampor man i moth a tslof cu1otraceptiv Totsohaeo Otes~ I~~ialtwa-ienls

wa~a nAieUetogvn3mthspl of eentacKeptiveswoat vst

for-tesec n~t imeata reu al scheduled vsit or~a(2 nAtv 0 Wde tth fWokr im eglry~ sceuedvstT asonfo drping outi

AcieUer n ae ah lm~~Lt~o DrpOt will ecma It-dmisio Ifheshe

mthodxa scond time sh beome an Active hoer saint anach will rceive a 3 mot upply

Rfoaalg This Is a teens or or adult wh~o hasa awttiod problem suach as side afet$ from oral cotaeilorvo doiet cngto acontretiv vodsuch as anlt~f that Isol bt~al aIUD lnicl or~who vsnts a sotrSation procdure-~~

-No~~~ motugi-(A) On cycle of oral contraceptives or()oMt4o 0

Vili~ts with Contactsv Nov Mcepwrors Active Usari aft ReAdmsionsare recorded cm 1 CMk hpac wer cp~tar it mW -tetvn

nu A as space- or r ato loaeod

a op a n ormQ

net6dae a Ca s 1e Q oet r noepg edv r t db d ub- i4 d al4n

-reprsntn small- as ea ate 0 ~ c Wor~ers-ar rec~dnr~to o Dat p at

Aeo in CietP ta telo_0ne e a

r dedt nahehe aRr2 tae n~lg umn 4Q amna an Lu d aa 0 ad a a a by

-i yeari eed sn nmis 1-2 bae-mot tan a c VA ow otha digit h s ojf~b tuia1 1 0 6ttw of tS yearep

thlin srece hie 2 th Q2hdyoneratue onagrlntno

~~ uedeelathe L

catos an ora bIVto Ac~ ~ d otet a ReA0is onepeQzs othadtoAtveUes

hre~m~nhsZotar ReAdmiasevey onsonc Folow-pvnit~toNo

cceptts~and rR (Crt in on

4

U~ ers

Drs ~ I (b~~~ --o or

DN 0 Drp-u becus ~iet not it ed arauss ent~

DW Drop-~Out beaus l ns togt prgant DCP Drop-u bec a eth clien is preg

D J

DT Drop-Out 4otheor reasonsfo

P Pill or Ora Cotaetv NE No Sampoon K Corndo

Additional sbole are 1Ahorzontal in throug th~e box

=E issppied withi cotretie f~ tha anA ciente or mont shrefore

t~a Cninuin Activ Use

thebox~

3 A w e wr t e in t e u p r r g t c r r of a- o w t - a i c r u a

dra aroun A fllo-upvisit must bemade to cient b tha ae nta

line 4~ W4

111TCAfolwu ii utb md ota letayime in

Teueof all symbolamp wii -ewbe4A xplaine( vlahapndpec4shudb

use tomaealetie)

AJ4~IA ~ AAI

-vo ac 9

tar o0 fV V y11ax

vb- 9J--7y tbok ttlFPn n

madeol a i o r u T -C0 a uMa- ea arhdmiy ar~aok t r6e

qes Baryp ayim nex minh pat

~YLAsitai 6q or a$onaa1e ot accepa on s n th 6

o big r oartn r~i eo net at nt p 1 ted7o~aarl ts~ o- a-4ph t C

~epre~snt~n f x s~ ant) 4)ot thea t~TaZ cO t t 1 borg t1o 5)o ta t mn ontact hanhbadget

7opea Piaxfq p cante roblamsE 17coitaept coul-ze thod 4n the ii ~ r Titp~7~4~

Suposigth i the same Yo u grpcona~t tSeoUn tem OApe

W 9M

ow Acceptors

XconaqcoS~t4may deiedrnl rt visit oa a ubtSquen v $cotrcetin ow a -iscogLoa

Hese b o mes a New Acetor and ve- onmnhlQnenonisQ es NA L C~A oa a~n br4o t t hL1

co t2 NAI nh0ieayben o t o 4eetre ta cg uper rh hn

O xry to aootodstna le f t-2hondsofc o 8veivonngw aos2 toplusmneot4 0 rtOpioo anV0 t)os d1odtj a n 14~ Ub It ab2~A ollowe b~t ahr repragent -one wnth la t bsecondry~m gthd is e theame (f Irpp argiven crtimepv~

~~lto Qfondomswiis1ptn al wth -h-a Lgive

we by tha nt=b 1- i a dpter1-in mt ha for thomethod foll aonro c n ua eo oer h athez b At hesam tme a hoiotalhnai draw~ar I t~ondl yQfh

aboxandiatin thnay t clen hs contraceptived as or th at nth ~ aoso the ate IAccepto oo for thepfolowmnrcmon anube if r eno n th

Freampespa wh1deK e ozcey nisfr a aacontct ot at4i sth9up h ao e $aNo c eptor~ y rciec1eivn a~ I imn s3 mof~ p~ill$ alon w t I ~othS pporco~tnd omsis seodary methor Shet mu tbevsymba) isei rp ~~S~0nteren hfn byLWwinith 18thI0fl oloft

shhbecme aoDrop-OcuttJe Idi Zo tbvergr sso 4t~an o tusaorcsn o~ t p

0 ft

Qt C~A aad U

onh 00sup 0Oiii S

Dr pO t~1~So A P 4u t 5ak con a Q ~ ZrQZ 0 cVn S aapor 0 ovn tac ac

0or- ud c

rop-out -papq 10

0 aE0 p is ad p 4 Dritrstin conraep oh cotiPpihno

adwpyial obestugcanto a la

cia Th aprp a amp- r as 0s h0CaM Cljnt K lo Vi Glo

Or are a peaan ydm

~ a o ~Paa _YofQ 10 brua~ahIn ry ht svi c1ory ra~

a ~ t~led be Ouech 6

If Ou vho Idet r~ r roher por baowe Auuo P - Irdo e thI ~onhta

a I ~ swn wZ amuruCan aWWOf h~Ionthtalpine as tre~n d i th aupperSa han co sen o f h 1 o traetieamp t ersst MAOh he line ~ustb

ifte ild yier hoeearn aid of tFebur nox thehr low s~tar ibftd henre~ e o- a 3~ld

0iRvn mad as -aoll

a Inc ulmont t eod

AngI a rotal ampo he ozna~I r1IIab r Lid ~ b~f~htm~~L~

II5 004I4

horizobental rol a --oJan s f01lo since h r n

suleusrregvn h onhspl and~veSa s at~ Iorno usernts a dmothsupl RAIsetee Ith I upe lef han cone of th Tesmblrpeetn

the cotrcptv mehdampvn setrdintelwrlethdcrnro

h

m~ethou s lien thi Is entere alo t h aetm ahrzna ~i

gientoth s ocietIfWs e olowd pnycl et 23r of the ntm~1Z~n mot the ntry wouldapea atsc followstio o RA l ou aetjeTbe ReAdisio whreoeceives furthe supoe hafter 1o a3e~dvihtolI

~l~l~bt~~a~at r I ~n s~t~lator~onths~oul brecome an AIVUe again

a a an U

t 4d 0 Ft toi

Fold ahe $reponto S aotfala nterUnou

Po~oy Rememberct o~d 1Ifsyou are unuoat etra-a onon_ tCa

Toiar ~hsendoEth-part cuar-s oh OrO $~o -oaout afth i ti~ 6 the bn Clent Reor-agp akhI

the niow yearls rgas all clientsaxend4 int the oew year fr follw pin~cluing~any cotatsad drpotvho you felmybcme cetr or Re-Admissions Any client wh has droppe-out P~anentlyP or nwNn Accetor Yhoyu feel wil not ene th shoulad not be entered

in th Clien Reor fo th n0 yeao

outfpllsandmy got pregnan~t$Toyln it 4 das o w eeknd 12 weeke o x m l l e t w oh s3 c c e

fromn Auagust 13th must be seen by oebrSh

Thofoloup visits for~condomn andNM Samoo dvlUts can be-more (1ib itueosince 20 condmsand I o Sampoon isaIoth____fo heae

peronndmayvay fomperso~n p4onto X5f

86

mJ a

or~~~~a ~t Sa a1 arOcanpr p r 8t6tI a s itf vsdiaan 4o

Mon ~ih- izZ tOgt t tt d or o a us ate

of ta_L u re 6aqure oreac Clet Co ene

ad~~

t 6afipem~~ enagesar norfrt Clen rdpag1 tb s r16

orIhcs umn t haf9-eC

secionon th wrksr E1nte tty a adsonat un norRecords ~ page f1 ad~a~I anaI a the m a thc

irsfholcolum obt4o u t eus appear a -okmrequickly adaccrael t bswt 0 a e4 hcol thna- dt c

ar heade wit an4X tocoee o te XSntecounO aeor FsaulAdd pheo als orcatxeonC 1envatu pg o o ac

teeage oluns wok~a a so sadlt an nth - Ech M10

4-figretforUQthat age ier

41V

Ite houdkptin in tht ertin clent~a ap twie in h a ma indifeen cteores onac Nv ccptr -OAciet anbiamp ()an 0A

11

clients who are 20 years of age or older are the clients with an X entered in the

Age 20+ coltann They should be entered in the columns in the adults section

After finishing 10 Client Record summaries on one Monthly Summarv Worksheet add

up all 10 of the teenager columns from left to right for each sub-category Enter

the sum under the column TOT TEEN Next do the same for adults Add up all 10

of the adult coloumn from lt ft to right for each stb-czatctory linter thDe sitl

under the columln lOlA ADULT Then to summalizrizt Zall] clitnt add to ether the

TOT TEN and TOIAI ADULT columns left to right for each sub-cattugory and enter

the sum In the extreme right TUTAL ALL AGES column

Aftfor you have completetd one Monthly Sunmary Works1iet do rnanv more worksheets

as needed to tor-mari e ill your Client Record pagt Youtiwill find with txperi enc e

that each ManthlIy Sirmary Workshtt will not take long to complete si fnce it covers

only lO0 clients and so the nunbers in eauh box and colu n will bt relat ivtly

simall When you have wunaria tdt ll your Client Record pages tturp in your worL

shetts to the Fitld Off icer

Points- to Rvineibe-r

1 Add up all cntract ye enter them under CONTRA-VI methods given to clients and

C iTTIVES ISS 1i at the bottom of th Monthly Strv W4-hit Sin( 20

condoms (ttrip ) in 1 nth nupply multiply tt- total urr of r ntht

of c(ndor n v 1 F( to t t rnaltr (W yil ce l t i itd Sflint

I cvcle of p ill or I tu f INeo Sa 1o I S I month uppbi thi nele

nL he dlone 2i th t6u mvt1ho

n ra(ilIS het s

category of ntin - Ytuth Croup and (ither Ent-r

i Add up the tot Io MMA1i) AU)IENLE GROUP MLEIlIN( fur each

tLe sti on ont

or your Y Y 4onlyVn 1MOIN)

you hav 3 If robles tht tld Officer will be happy to help you

SUPPLEMENT B

GLOSSARY OF SYMBOLS

OUTREACH AND CLINIC RECORI)-KEEPINC SYSTEMS

0 MC EI0TE ERS

MR S 0DEFINI

Nop

Co a

01 Other CO Qac-

m~ccetqrsQ -cetowt~

he olow NNSN owap

on Nep46oaly46

4 ib-t ag

NCP~ f~oancpt -1atpenn

30

ContraSetive~~KPPiltilbotaepio

ampetrNwA 9 eo

m

A t

4l

KwCETV L

p i11o

vi njdt o

w

SUPPLDMENT C

PRESEN AND) PR~OPOS ED) FO1MS

OUTR EACII AND CLI NIC R i ORDI- KEEP IN( SYSTEMS

ATTACIU4EN=2 -6

lv ~L B1~~m~~o 41 ~

Rip

131

AI ma 14

Atl

YONAX~4A

pw -i low 0 l 4o) Ybf

AM~A 9 04Ashy

96 A49800 wo to10wf4A4 t f6A 9 o

0 111

tow

I IS

60

At0

~

~ 01

-

AA

oks4

poombo0

IATV

4O 4

o h o1

0 P N

~so oa

se~A~ Ak AN

I A

_7

to

A sA

$I ~ ~ ~ ~ ~fe fApo$ ff~ t 11400

go 40 Op77how 6AOw Ato AA

6 00w 1$7r10

vo o 0 ON O oA tcli 1 W~~A sb- 60 A~J

Ob lo

Ao^0To

40Tw4a

Po vw P~ fm P w aAA~AA- A~b ~

is~AA~lowAA ft I xiks 06A ago

4AwA

000 o9

O4 otoiOos

~ 00400 4 4

A4AA~A~AAx

60 w ew A A

A0

Ak

16

-M

4

0 2 rl

ilk

44

Zip

7T

I I 1~II

I li

ii

2i~i

~r~

Ii

U

~

4shy ~

~

W ~

47~

4 shy

~

C

iv

U

IILI

r4

w

1

4

5110

~~TI0N~VITI cri

A q

4WCFML P~M1N2

I FT QA Lii

NV A C-F~

~ - 44V ~ ~ 4~ ~x~1~ 14 114dQg K ~

~ ~ lt

7alt-

v WTAL ~4 ltK~ 41474 1

NLBE OE Cj NI

Vion

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SUPPLEMENT D

JAMAICA FAMILY PLANNING AS9OCIATION

INSTRUCTION MANUAL

FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM

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SUPPLEMENT D


INSTRUCTION MANUAL


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SUPPLEMENT D


INSTRUCTION MANUAL


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SUPPLEMENT B

GLOSSARY OF SYMBOLS


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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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Co a

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m~ccetqrsQ -cetowt~

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SUPPLEMENT D


INSTRUCTION MANUAL


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SUPPLEMENT B

GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

Nop

Co a

01 Other CO Qac-

m~ccetqrsQ -cetowt~

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SUPPLEMENT D


INSTRUCTION MANUAL


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SUPPLEMENT B

GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

Nop

Co a

01 Other CO Qac-

m~ccetqrsQ -cetowt~

he olow NNSN owap

on Nep46oaly46

4 ib-t ag


30


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ampIR1$ PUtCOMl


SUPPLEMENT D


INSTRUCTION MANUAL


_IMI IL ING 0


L-ITRDUCIO

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nam (F Lmm

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4c4

A Y 3P~










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SUPPLFMENT A


INSTIUCT ION MANUAI


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41V


11























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tLe sti on ont



SUPPLEMENT B

GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

Nop

Co a

01 Other CO Qac-

m~ccetqrsQ -cetowt~

he olow NNSN owap

on Nep46oaly46

4 ib-t ag


30


ampetrNwA 9 eo

m

A t

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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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Co a

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m~ccetqrsQ -cetowt~

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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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Co a

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m~ccetqrsQ -cetowt~

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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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SUPPLEMENT D


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SUPPLEMENT B

GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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GLOSSARY OF SYMBOLS


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GLOSSARY OF SYMBOLS


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SUPPLEMENT D


INSTRUCTION MANUAL


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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

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SUPPLEMENT D


INSTRUCTION MANUAL


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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

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SUPPLEMENT D


INSTRUCTION MANUAL


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GLOSSARY OF SYMBOLS


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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

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GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

MR S 0DEFINI

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SUPPLEMENT B

GLOSSARY OF SYMBOLS


0 MC EI0TE ERS

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SUPPLEMENT D


INSTRUCTION MANUAL


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T

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30 to year

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2 EMCAT I Oil (Hj=


to 3 yeam

4 to 6 yeam


rotty

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nam (F Lmm

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30 to year

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2 EMCAT I Oil (Hj=


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rotty

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nam (F Lmm

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30 to year

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2 EMCAT I Oil (Hj=


to 3 yeam

4 to 6 yeam


rotty

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nam (F Lmm

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Comm

T

Al AT LAF RTM


30 to year

visaou

0 44Yean old

4 YOM old orMo 0

2 EMCAT I Oil (Hj=


to 3 yeam

4 to 6 yeam


rotty

10 TUDWO

nam (F Lmm

Th FwAr

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Ito 11 qIN 0

Documents

ALTII ANL) 1IUNIAN - United States Agency for …pdf.usaid.gov/pdf_docs/PDAAM058.pdfM E M ORAND U I)Ei'ARTMENT F IIL \ALTII ANL) 1IUNIAN S'IRVICIFS PUBLIC IIEALTI! SERVICE CENTER FOR