Cover Image
close this bookThe New Emergency Health Kit 10.000 (WHO)
View the document(introductory text...)
View the documentIntroduction
View the documentChapter 1: Essential drugs and supplies in emergency situations
View the documentChapter 2: Comments on the selection of drugs, medical supplies and equipment included in the kit
View the documentChapter 3: Composition of the new emergency health kit
View the documentAnnex 1 - Basic unit: treatment guidelines
Open this folder and view contentsAnnex 2 - Assessment and treatment of diarrhoea
Open this folder and view contentsAnnex 3 - Management of the child with cough or difficult, breathing
View the documentAnnex 4 - Sample monthly activity report
View the documentAnnex 5 - Sample health card
View the documentAnnex 6 - Guidelines for suppliers
View the documentAnnex 7 - Useful addresses

Annex 5 - Sample health card

HEALTH CARD
CARTE DE SANTE

CARD No.
CARTE N°


DATE OF REGISTRATON
DATE D'ENREGISTREMENT


SITE LIEU


SECTION/HOUSE No.
SECTION/HABITATION N°


DATE OF ARRIVAL AT SUITE
DATE D'ARRIVEE SUR LE LIEU


FAMILY NAME
NOM DE FAMILLE


GIVEN NAMES
PRENOMS


DATE OF BIRTH OR AGE
DATE DE NAISSANCE OU AGE


OR
OU

YEARS
ANS

SEX
SEXE

M/F

NAME COMMONLY KNOWN BY
NOM D'USAGE HABITUEL


C
H

MOTHER'S NAME
NOM DE LA MERE


FATHER'S NAME
NOM DU PERE


I
L
D

HEIGHT TAILLE

CM

WEIGHT POIDS

KG

PERCENTAGE WEIGHT/HEIGHT
POURCENTAGE POIDS/TAILLE


R
E
NE

FEEDING PROGRAMME
PROGRAMME D'ALIMENTATION


N
F
A

IMMUNIZATION

MEASLES DATE
ROUGEOLE

1

2

BCG DATE


OTHERS
AUTRES


N
T
S

IMMUNISATION

POLIO DATE
POLIO


DPT POLIO DATE
DTC POLIO

1

2

3

W
O
MF

PREGNANT
ENCEINTE

YES/NO
OUI/NON

No. OF PREGNANCIES
N° D'ENFANTS


No. OF CHILDREN
N° D'ENFANTS


LACTATING
ALLAITANTE

YES/NO
OUI/NON

EE
NM
M

TETANUS
TETANOS

DATE

1

2

3

4

5

E
S

FEEDING PROGRAMME
PROGRAMME D'ALIMENTATION


O
B
CS
OEMRMVEANTTI
SON
S

GENERAL (Family circumstances, living conditions, etc.)
GENERALES (Circonstances familiales, conditions de vie, etc.)

HEALTH (Brief history present condition)
MEDICALES (Bref resume de l'etat actuel)

Sample Health Card

DATE

CONDITION (Signs/symptoms/ diagnosis)
ETAT (Signes/symptomes/diagnostic)

TREATMENT (Medication/dose time) TRAITEMENT (Medication/duree de la dose)

COURSES (Medication due/given) APPLICATION (Medication requise/ effectuee)

OBSERVATIONS(Change in condition)/
NAME OF HEALTH WORKER OBSERVATIONS changement d'etat)/
NOM DE L'AGENT DE SANTE