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Get Annex 7 Neonatal Mortality Rerporting Form 0414 - Jica Go
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How to fill out the Annex 7 Neonatal Mortality Reporting Form 0414 - Jica Go online
Filling out the Annex 7 Neonatal Mortality Reporting Form 0414 - Jica Go is an essential process for midwives to document neonatal deaths accurately. This guide provides you with clear, step-by-step instructions to ensure that you complete the form correctly and efficiently.
Follow the steps to effectively fill out the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the basic information section. Enter the barangay, municipality, province, and the date on which you are completing the form.
- Proceed to enter the information about the deceased child. This includes the name of the child, sex, date of birth, age at the time of death, and place of birth.
- Indicate the order of the baby among siblings by filling in the appropriate field (1st, 2nd, 3rd, 4th, or others).
- Next, provide the address, name of the mother, total number of pregnancies, and total number of living children.
- Enter the name of the father and the date and time the child was first seen at the health facility.
- In the hospital admission details, include the date and time admitted, and check the appropriate referral source (lying-in clinic, district hospital, home, or other).
- Specify the place of death, including the health facility (if applicable) or other location, and provide the address.
- Complete the section for date and time of death, ensuring accuracy.
- Indicate the attendant at delivery by checking the relevant role (doctor, midwife, nurse, TBA - Hilot).
- Fill in the submitted by section with the name and station of the CHT midwife.
- Complete the submitted to and validated by section with the name and signature of the RHU physician, along with the date of validation.
- Finally, enter the death certificate number along with the date and time it was issued.
- After completing the form, save your changes, download, print, or share the document as needed.
Complete your documentation by filling out the form online today.
Neonatal mortality refers to the death of a newborn within the first 28 days of life. It serves as a critical indicator of the overall health of mothers and infants in a community. By employing the Annex 7 Neonatal Mortality Reporting Form 0414 - Jica Go, stakeholders can gather important data needed to identify challenges and improve neonatal health outcomes.