Post on 17-Apr-2018
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)
-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
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-
AA
oks4
poombo0
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o h o1
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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
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4shy ~
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r4
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5110
~~TI0N~VITI cri
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
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Prssr r ea t
-
evxV
1f
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
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mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
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toth Familya ingtr thent~1ldata to bjcorhl
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clint Io ditionto reordin nube antampp of math0
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AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
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Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
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For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
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CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
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yo an old or 3-a3s 20 to 24 2 to
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visaou
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4 YOM old orMo 0
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a d i o as a ed 6 ampa n a mm n S t -t4 j
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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)
-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
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Ili 0
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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
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Or are a peaan ydm
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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
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6 00w 1$7r10
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Po vw P~ fm P w aAA~AA- A~b ~
is~AA~lowAA ft I xiks 06A ago
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NLBE OE Cj NI
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C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
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t Cer H t t
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-
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- All -evoovn ifra i onvst
4 Date~~~~~~K
-
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
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f Iifras-fi
Itsol in
n
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tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
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I
4
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410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
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XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
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te
cins4i
W cojmi
o oX
o2
dntiato
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if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
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Allotozetivntintrmtio o tiso st
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- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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)
-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
~
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-
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
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C
iv
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r4
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
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o
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tf
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X7
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id
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4 M TO n- -
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77
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I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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)
-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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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)
-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
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AA
oks4
poombo0
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4O 4
o h o1
0 P N
~so oa
se~A~ Ak AN
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_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
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4shy ~
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47~
4 shy
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iv
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r4
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4
5110
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
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mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
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AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
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clint Io ditionto reordin nube antampp of math0
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Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
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Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
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fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
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CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
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yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
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4 to 6 yeam
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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)
-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
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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
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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
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poombo0
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se~A~ Ak AN
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to
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$I ~ ~ ~ ~ ~fe fApo$ 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
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4
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Zip
7T
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~ - 44V ~ ~ 4~ ~x~1~ 14 114dQg K ~
~ ~ lt
7alt-
v WTAL ~4 ltK~ 41474 1
NLBE OE Cj NI
Vion
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
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es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
-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
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-
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
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NV A C-F~
~ - 44V ~ ~ 4~ ~x~1~ 14 114dQg K ~
~ ~ lt
7alt-
v WTAL ~4 ltK~ 41474 1
NLBE OE Cj NI
Vion
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
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~~
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U
I A
zI
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4 M TO n- -
~444~t oshy
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NG 4shy
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77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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 ~
~
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47~
4 shy
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iv
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IILI
r4
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
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MU
M
IAA
IA
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~~
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U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
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I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
2
or _446 t VIOL I j I -adopte byJITpointmonv
n Jjn Cjjn tj kej 04 OAf I I _A44 41
AqteptprR-6 d ill 4contairv n 0 tid Ati6hilLUcIe
anC whick caamp Uss to summarl t is_W6Va ti C U Chi is cto iii tics of Now kiccop6tti4 14 z itorwin t Prosraz __flni 14nOiab 6okrojistar ot 4_40 pom h 14 than Vidiqcsrded
ftn the nampAait x adopted y A jho MQ Hm OM sbou
t IlkismTn ddition to the _ch_tqLk_ soon on the CUMNt ME 0
iid_4W thb-CILOW Uord form usot OTAOutt) It ri11f Acill toto t Systm olupo-Up 0 th$ 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
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C
iv
U
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
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I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
4c4
A Y 3P~
d paa on fmal c intb par t ~ a~
4 ~~~~n tho otorkiteor do1
P an osrabbth would be useful inftitgcttiopii T6te twudsugw hoRAfolleeigbed ihdiso~Sp 4L
of Total At ive UsgOIb T alAciver ovoujaiy P AnAccptorsnning rathar~ta yYmor
iy~ thec~ns uysul-i aini g~do oodo helh ailt tdosno ivanacuae itueot rga cvr
I would lik t~~ first s top ts 4d44plnnnt copnn beprpsea thata exane somehat nfolo$
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 ~
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W ~
47~
4 shy
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C
iv
U
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
Page II - William I Foege MD
2 Total ContIn Active Users (whether seen that month or not--This would require that all family planning providers make use of a client record-keeping sys tem similar to the now system detsi gned for the JFPA I would suggest that this improvement eventually be adopted as policy by the NFP1
Jay S FrICdIIII MA
SUPPLFMENT A
JAMAICA FAMILY PLANNING ASSOCIATION
INSTIUCT ION MANUAI
YOUTH ASSOCIATEOUTRACJI WORKER REl(CPJ-KEEPING SYSTEM
IOT
a ta Otre o i
rq~t a$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
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-
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
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r4
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
SUPPLFMENT A
JAMAICA FAMILY PLANNING ASSOCIATION
INSTIUCT ION MANUAI
YOUTH ASSOCIATEOUTRACJI WORKER REl(CPJ-KEEPING SYSTEM
IOT
a ta Otre o i
rq~t a$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
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tow
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se~A~ Ak AN
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to
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$I ~ ~ ~ ~ ~fe fApo$ 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
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Ak
16
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4
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ilk
44
Zip
7T
I I 1~II
I li
ii
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4WCFML P~M1N2
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NV A C-F~
~ - 44V ~ ~ 4~ ~x~1~ 14 114dQg K ~
~ ~ lt
7alt-
v WTAL ~4 ltK~ 41474 1
NLBE OE Cj NI
Vion
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
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Allotozetivntintrmtio o tiso st
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got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
IOT
a ta Otre o i
rq~t a$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
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60
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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
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~~TI0N~VITI cri
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
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- 40 0 O~
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we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
r s or pr r4_ W 4o noa t t v m A w-Acp
raep oves only IS I
No Ac re s o o r ~A ali dos NwAa o Nonh Ac t a cont ct~w n becom
rtiisto ntaptivemthods7 reso~s~for~onno- holbe
ubo AeceiveaI etosy p naras Mcoshycontracep ROt r4r Vefo rth seodtm Ativedon~bc
taceive tod Is usivng n hasate npiot d C
to h icndte reen monthrIAnActives to (couU i~ 1 ornaampor man i moth a tslof cu1otraceptiv Totsohaeo Otes~ I~~ialtwa-ienls
wa~a nAieUetogvn3mthspl of eentacKeptiveswoat vst
for-tesec n~t imeata reu al scheduled vsit or~a(2 nAtv 0 Wde tth fWokr im eglry~ sceuedvstT asonfo drping outi
AcieUer n ae ah lm~~Lt~o DrpOt will ecma It-dmisio Ifheshe
mthodxa scond time sh beome an Active hoer saint anach will rceive a 3 mot upply
Rfoaalg This Is a teens or or adult wh~o hasa awttiod problem suach as side afet$ 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
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AA
oks4
poombo0
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~so oa
se~A~ Ak AN
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_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
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Ak
16
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4
0 2 rl
ilk
44
Zip
7T
I I 1~II
I li
ii
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
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id
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we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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
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$I ~ ~ ~ ~ ~fe fApo$ ff~ t 11400
go 40 Op77how 6AOw Ato AA
6 00w 1$7r10
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Po vw P~ fm P w aAA~AA- A~b ~
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SM-IUAT ON
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~ $gt15 -TOM
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t Cer H t t
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-
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- All -evoovn ifra i onvst
4 Date~~~~~~K
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
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we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
U~ ers
Drs ~ I (b~~~ --o or
DN 0 Drp-u becus ~iet not it ed arauss ent~
DW Drop-~Out beaus l ns togt prgant DCP Drop-u bec a eth clien is preg
D J
DT Drop-Out 4otheor reasonsfo
P Pill or Ora Cotaetv NE No Sampoon K Corndo
Additional sbole are 1Ahorzontal in throug th~e box
=E issppied withi cotretie f~ tha anA ciente or mont shrefore
t~a Cninuin Activ Use
thebox~
3 A w e wr t e in t e u p r r g t c r r of a- o w t - a i c r u a
dra aroun A fllo-upvisit must bemade to cient b tha ae nta
line 4~ W4
111TCAfolwu ii utb md ota letayime in
Teueof all symbolamp wii -ewbe4A xplaine( vlahapndpec4shudb
use tomaealetie)
AJ4~IA ~ AAI
-vo ac 9
tar o0 fV V y11ax
vb- 9J--7y tbok ttlFPn n
madeol a i o r u T -C0 a uMa- ea arhdmiy ar~aok t r6e
qes Baryp ayim nex minh pat
~YLAsitai 6q or a$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 ~
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
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+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
-vo ac 9
tar o0 fV V y11ax
vb- 9J--7y tbok ttlFPn n
madeol a i o r u T -C0 a uMa- ea arhdmiy ar~aok t r6e
qes Baryp ayim nex minh pat
~YLAsitai 6q or a$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
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tow
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go 40 Op77how 6AOw Ato AA
6 00w 1$7r10
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Ob lo
Ao^0To
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Po vw P~ fm P w aAA~AA- A~b ~
is~AA~lowAA ft I xiks 06A ago
4AwA
000 o9
O4 otoiOos
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A4AA~A~AAx
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~ ~ lt
7alt-
v WTAL ~4 ltK~ 41474 1
NLBE OE Cj NI
Vion
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
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P 7 7 77 X3r 10
ILa10 o
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d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
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1 n a
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Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
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then as4MwAcpora idcieUsrporw ~ 33~ 33
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UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
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a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
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tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
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rtn
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7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
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777777-77~ to t 0
7 ou
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Allotozetivntintrmtio o tiso st
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Aou
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we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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
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to
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$I ~ ~ ~ ~ ~fe fApo$ 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
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Ii
U
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4shy ~
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4 shy
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5110
~~TI0N~VITI cri
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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
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
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Aou
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- 40 0 O~
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we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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
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60
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poombo0
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~so oa
se~A~ Ak AN
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_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
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16
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4
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44
Zip
7T
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~ ~ lt
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v WTAL ~4 ltK~ 41474 1
NLBE OE Cj NI
Vion
TOW Ylt
C40ndomji W-w lt ttL 5t 7~4
5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
Ohr
es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
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L4
id
MO
OM
MU
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~~
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zI
I
4 M TO n- -
~444~t oshy
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nilshy
I
77
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I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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
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NCP~ f~oancpt -1atpenn
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SUPPLDMENT C
PRESEN AND) PR~OPOS ED) FO1MS
OUTR EACII AND CLI NIC R i ORDI- KEEP IN( SYSTEMS
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
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Hoswga ~ArG4~ G ~ Ihttt
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IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
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on01 onrap vo sUupplies In herhis4 I fio ron h
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Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
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mont alhouh thydi no actall vist th c nte urig
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410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
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to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
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CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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 ~
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4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
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7 ou
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CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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 ~
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-
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
toth Familya ingtr thent~1ldata to bjcorhl
a th
visit$ alients eit bloods prdus date$ oflast nstnia
clint Io ditionto reordin nube antampp of math0
fzq
Aot the t~rm f h lqi fis poundis aion fo- tj~~ s~o lveo d a fa~leclint he imbr o Liin chlden sh ubereode o
fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
Usrad- AaissgtYns ar eoddo Fr Esl Pnn I Cgin
Conro Fom hletCnrlFrsaeketi lhbtclodrb u4
MPin los ~ ten ~bides shy
r4
N~
go0
P 7 7 77 X3r 10
ILa10 o
Q h26 rha o odn
d-hl ~istingoish
1 Oqn (ha-v o-tqaes5r
$ta a c -s w _ 6 tldOS
0 th
n a
u
0ooe7
1 n a
nX whn
o
d M lox In the- colotin~ont
Hoswga ~ArG4~ G ~ Ihttt
01vusa~~ydtdg to ms
IV Inf~mitiof -Visi
5~1 ds e IV 1
iaumin th enthioclont tho otrnitls-thocn thefz1Mnjv z ntshy
nott nS o t)ere aeutheuprlftrnrf_ RC~ns wilen In Ma
eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
Plaphron j Thenube of months spplyis represented byth monof the suppl1ementaryravJlyw Sret~to the cliet
A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
For 4xl I use1 uo
siW edt haaveI av~~
~~~~w~f ein~~ a~tzsineia~to
furthe o ib As~ nwa supp Idct htthe clit~as tito
on01 onrap vo sUupplies In herhis4 I fio ron h
Poolss nhi an_-susoqon
~ ~~ horizontal~liedan cos
4s tpb r
A 33
-o~t4 10 Y1
qCclP actf~ biif-te lncfra~ frai
then as4MwAcpora idcieUsrporw ~ 33~ 33
gp 301
JA VD t JN
[~ta~~t~
hetim alAt o~hrRhisfrtvsto afe onaNwAcp rrai-
ActiveUsera clint to ave asteriixatin ha r Pma d41e rro~du3
UPU
Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
ae4 nam oI ssnddr an4
obiva the clet arte046-a 1
Th fiRld wokrm bId httel let ha rpe ufo a ~mn rao shyuc 4 trilti a raelI tifrl
w4
htn b -0 ivte o ne Wt 6pd ttamp ap hathe
couldt e M
eishhor inthm t he etry migh apong an~ anollowsp JV J UG SP OC O
pogrm ar A Drop-tem wo deidesti to~ reun toI~ the aecoes Admiso and tho4 tio ix entere In4 the upe lef corn of4 th bxsfolos
-7--b4sy bo- th-eto -ivni 4prc~nt4gentre - - -mmif -tnt- 444eshy
fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
to that u~so w4 50 ueoclinic4 -0th than4 h 4ypanngcinsr
- 4- 4 4 - 4 1
0 gt
a rYa4
013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
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OM
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~~
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I A
zI
I
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we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
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
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5-V144~7~s4TOTALS-
SM-IUAT ON
~Mil V
~ $gt15 -TOM
SAs4AT47S PM-=
A I
CC
t Cer H t t
s H RI d x
ttJ 1a
Com~Comm
ea foeat
acd S oez
renct~fo ft~ tctn -a
zm~~s B
D-
I d
Prssr r ea t
-
evxV
1f
a
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es4 I r~S 1e~ a1gt
- All -evoovn ifra i onvst
4 Date~~~~~~K
-
mehdgtspEP9Dstdnx
ISIT
ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
1$_eua reporquat tI$c~uZ c~r
I A-loose leafttt 4E~4nbindert ned 2l Aantitye of aml Plnnn Recrd ampormttidao
3Aetnw~ FomB otrlFrquntt of~J lin
6se Ave t~ttshfh hasF Schdul E hr tgIjtc-fNAcln the
onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
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SUPPLEMENT B
GLOSSARY OF SYMBOLS
OUTREACH AND CLINIC RECORI)-KEEPINC SYSTEMS
0 MC EI0TE ERS
MR S 0DEFINI
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PRESEN AND) PR~OPOS ED) FO1MS
OUTR EACII AND CLI NIC R i ORDI- KEEP IN( SYSTEMS
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
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onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
A~Al h cpt p oc wb~n oco~ev iywereo urth ~ ecrd Oi~~ ot pt ampf arb~ f~ ilbit~ad r
as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
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visit$ alients eit bloods prdus date$ oflast nstnia
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fom (Thi ataUatbtnd e d by th JFP fo te P
B~~~~~~- To(eltt h olw-po ahcin n t rpr otl tt
sunrps 0p1tomto Viis eloIiisfo e cetroAtv
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eprsnigtoobd ieninee Inzuplv~ f
on notes onee~ vof ills
otthe o theoove on
cycle one mot-uplUtIamp eo
suplfo eprpss fth lent Control~ Form NVotat1iswol be d
as~folw for NowAccptort
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A thee sppl issualySvento Nw Aceporsonts
adC da amoni
~~ van to pttod~a t
AA pw thetIeof~Y~ thdheuin f~ htae-ay~d
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Whn t a W j Cote a eCna tment he a MAR APR MAY PUL
Prp nta asflaW0t ndtisi
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couldt e M
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For example
for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
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oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
2A N21 4 4XA 4I
As4 ftn hl SL4i~ lywr 7 ( 4lt 4
um orsh7Mof~4 use4 Claquo Monhl Sttiticl ry or o otina HoevrI
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CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
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yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
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NO iw o r iLU to -M t
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0 MC EI0TE ERS
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SUPPLDMENT C
PRESEN AND) PR~OPOS ED) FO1MS
OUTR EACII AND CLI NIC R i ORDI- KEEP IN( SYSTEMS
ATTACIU4EN=2 -6
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
motl Lnt~ BR~CCast d~at tdua orprorprgex as crpea Vrlsn t Sua a
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onyan o sht eie a ogvn aonthve oethordssupl
mohos isusn ha eoea Apros Ativetandm and~ no rpOt an
User to only couned In the month the visi was made
contraceptive use by being two or more months latefor a clinic 4pointmt-r
Ua -Out
teti1__ to4f c a wtmethd--aa a
4 rcie oaelae e
Stneiiztio R alvsc c a4nth-e reQadWn
ah alhs~~th~ calP o
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as a etimlenavrgdiN a-p1 iv~sbb
Proeritn erto~ p c~L~t~ t e n-Anv-aor thaic tot rpg t pob)u1
1Ah 11tmeptasureddin 0s u loen a Sand IUDa u en t deiiinden otppl
AAl csi~e rcre onu1b IampLnts who itbem Nof Acce1pgtr e theZd thno s
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visit$ alients eit bloods prdus date$ oflast nstnia
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JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
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FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
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FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
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JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
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mehdgtspEP9Dstdnx
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ampIR1$ PUtCOMl
U~~Init$ Damp t oI -f Sj
SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
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30 to year
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SUPPLEMENT D
JAMAICA FAMILY PLANNING AS9OCIATION
INSTRUCTION MANUAL
FAMILY PLANNING CLINIC RECORD-KEEPING SYSTEM
_IMI IL ING 0
i AMIoY4PANIGCt41k 2 EPINW P
L-ITRDUCIO
Q-el by c eoa ati
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fho wit pamp-~ N Cthis Is entred in thowehal along an ~ n 44de 4
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for~paes for the folvn yo-arg bginning inJaur na on the rnoear~is~
pags all )4ents extMd Into the now year for follow-up along with any Drop-Outs ~gt4
oyou feel my beco XAdnissions Any client who Iuai dropped out peaently
~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
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Comm
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~W~~DUor5 the new yearhould~~~~~ not4 beetrdInteCintRtr
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Comm
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30 to year
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013 -ttre ca Fa 1o r 1
aC~~V co var Supios cat 0abm~s atMpre r~
us -_are
NewAc4 tosVatr
f Iifras-fi
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n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
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o oX
o2
dntiato
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if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
f Iifras-fi
Itsol in
n
Pa8
e itlnmncra cIh Mn dffeent tagrl sq or ampps lian~c n adAs
tiv -fU r f so 0ifto
$I a whoiacta Vannc
wali sthsphnlyh~~zntl~lntdion tromnt
o n men tiatthehae cntrC S t t a 1
mont alhouh thydi no actall vist th c nte urig
thiri
co tailiitI~ Refarr
rtn
ulz he
y
mesion fr
tht mothResobor
ts
I
4
7
410htfI Af No ce tr ififtl0t~rM -Ue tiif~ont vcl
$umb ft horl
if
haio
age
XintfA20ou
or olderor the eltomts
ifonoeinfh ADLT coun
ith
Aulsrto
onX ntrd
bc a u2a
n heA
te
cins4i
W cojmi
o oX
o2
dntiato
sr
if
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
~au oen the a-tl
-Tr-o rkIsets as eeded Control- Formc willbfin exprec C onhy i he it-wi that ea Sxia W orks
to omlt-in ce ~tcove on~y100s clents and so the b atiVUe
an aclmn ile r 16 ivt a
4 HonZ thy5odialS44Y ii -1Z1T_ Form4wll erv a h fiw4~calt=nthrps a aa 7
anampf ch clin since ada~ent h
earlertheworshea(Frm ) i meely sedas n ad t
JFPA wilueFr oageaemnhyIttsia u falc~fi_mIs
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
6 16I t S V
JdS D 06
NY It EX0
xm 0Vpe
777777-77~ to t 0
7 ou
rit
Allotozetivntintrmtio o tiso st
Nt
soldb
ioo
IYn
m frtI
Aou
t
o
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
J l
tf
Pj
X7
77
77
Ilk
L4
id
MO
OM
MU
M
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
IAA
IA
T
~~
No
U
I A
zI
I
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
4 M TO n- -
~444~t oshy
~44ton~-
NG 4shy
nilshy
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0
I
77
aw3 9
I
- 40 0 O~
JV~~ ~ ~w04Ww ~ ~ p yti~i 04
we pwits~Wo IW fog~o 4 fe0 40
moo 0 04
got10 so
+00 -lmt o0Sm
- eom w oo
CHAMCTERIST1M OTIL On ED AMEPTORSi
Comm
T
Al AT LAF RTM
yo an old or 3-a3s 20 to 24 2 to
30 to year
visaou
0 44Yean old
4 YOM old orMo 0
2 EMCAT I Oil (Hj=
NO iw o r iLU to -M t
to 3 yeam
4 to 6 yeam
bm t1m 6 ye I but not Uidreiti
rotty
10 TUDWO
nam (F Lmm
Th FwAr
soya
0 r Doll
Ito 11 qIN 0