Development of Disease Control Module, with form for (only forms: Maleria, Kala Azar, AES JE, IRS, Filaria and Leprosy Program)

Acceptance Criteria:

1.Malaria Control Program Form

• Patient Card: Name, Age, Gender, Reg Date, Ben ID, Mobile Number
• Symptoms Checklist: Fever, Chills, Headache, Body Ache.
• Follow-up Visits: Dates, Observations, Outcome (Recovery, Referral, etc.).
• Environmental Survey: Stagnant Water Sources, Mosquito Breeding Sites.

2. Kala Azar (Visceral Leishmaniasis) Control Program Form

• Patient Card: Name, Age, Gender, Reg Date, Ben ID, Mobile Number
• Symptoms Checklist: Prolonged Fever, Weight Loss, Enlarged Spleen/Liver.
• Follow-up Visits: Monitoring for Side Effects, Recurrence.

3. Acute Encephalitis Syndrome (AES) & Japanese Encephalitis (JE) Form

• Patient Card: Name, Age, Gender, Reg Date, Ben ID, Mobile Number
• Symptoms Checklist: Sudden Onset Fever, Seizures, Altered Mental Status.
• Immunization Status: JE Vaccination Details (if applicable).
• Surveillance Details: Presence of Pigs/Mosquitoes in the Area.

4. IRS (Indoor Residual Spraying) Monitoring Form

• Household Information: Household ID ,Contact Number Number of Rooms.
• Spraying Coverage: Number of Rooms Sprayed, Insecticide Used.
• Community Feedback: Willingness to Accept Spraying, Complaints.
• Follow-up Visits: Dates and Observations (Re-spraying Requirement, etc.).

5. Filaria Control Program Form

• Patient Card: Name, Age, Gender, Reg Date, Ben ID, Mobile Number
• Symptoms Checklist: Lymphedema, Hydrocele, Fever Episodes.
• Follow-up Visits: Management of Chronic Symptoms, Adherence to Medication

6. Leprosy Control Program Form

• Patient Card: Name, Age, Gender, Reg Date, Ben ID, Mobile Number
• Symptoms Checklist: Skin Lesions, Numbness, Muscle Weakness.
• Disability Grading: Record Grade 1 or 2 Disabilities.
• Follow-up Visits: Monitoring for Treatment Adherence, Disability Care, Counseling.