ޞިއްޙީ ސިޔާސަތުތަކާއި ޕްލޭނިންގ މަސައްކަތްތަކަށް ބޭނުންވާ ޞިއްޙީ ތަފާސްހިސާބާ ގުޅޭ އުސޫލު

` ިތަފްސާރުބ 2016 ުރަބޫޓްކޮއ 27 – 1438 ްމަރްއަޙުމ 26 :ުޚީރާތ 167 :ުދަދައ 45 :ްމުއިލޮވ ުލޫސުއ ޭޅުގ ާބާސިހްސާފަތ ީޙްއިޞ ާވްނުނޭބ ްށަކ ަތްތަކްއަސަމ ގްނިނޭލްޕ ިއާކަތުތަސާޔިސ ީޙްއިޞ އި ހާ ވަ ުދ ަމޯހ ެގއް ެއތާ ުފަހ މެ ްނޮކ ީނރާ ުކުޢއި ާޝ އި ަގޓު ެޒެގ އް ަތުލޫސުއ އި ާކަތުދިއވާ ަގ  ސް ފީ ޮއ ގެ ާޔއް ިރހޫ ްމޖު ްލުސީއަރ .ވެ ެއ ހު ަވދު ިތަފްސާރުބ އް ތަ ުލޫސުއ ިއާކތަ ުދިއވާ ަގ ާވއް ނު ޮފ ށް ަމރު ުކުޢއި ާޝ އި ަގޓު ެޒެގ ގެ ުހވަ ުދ ަމޯހ  ގު ަމނު ާފުރުކަތުޑޮބ ރު ދު ްނމެ ެގުހވަ ދު ިތަފސް ާރުބ ެގާތްފހަ ރީ ުކ ،ީކަތުގވަ ުހފަ މެ ްނެއ ެގމު ުވްއނު ޮފ ޖެ އް ާރހި ެވދި ،ެލާމ ވާ އް ނު ޮފ ްށަމރު ުކުޢއި ާޝ އި ަގޓު ޒެ ެގ ގެ ހު ަވދު ިތަފްސާރބު ިދައ .ެވނެ ްނިރުކ ެގ 12:00 ގެ ާތުފަހ ާދްނމު ަގނިހ ،ީކަތުގވަ ުހަފމެ ްނއެ ެގމު ުވްއނު ޮފ ްއތަ ުލޫސުއ ިއާކަތުދިއވާ ަގ 333 6334 :ުނޯފ .ެވނެ ްނިރުކ ެގ 12:00 ުރދު ްނެމ ެގހ ު ަވދު ަރާގން ައ  331 0274 :ްސްކެފ ނީ ވާ އް ުނޮފ ިދއެ ްށަމުނިދްށޮކުޢިއާޝ ިއގަ ުޓެޒެގ ްއަތލު ޫސުއ ިއާކަތުދިއވާ ަގ .ވެ ެށައ legalaffairs@po.gov.mv www.gazette.gov.mv :ްޓިއަސްބެވ ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ` ތު ްލެހ ްފޮއ ީރޓް ްސިނިމ . ޖެ އް ާރހި ެވިދ ،ެލާމ ުލޫސުއ ޭޅުގ ާބާސިހްސާފަތ ީޙްއިޞ ާވްނުނޭބ ްށަކަތްތަކްއަސަމ ގްނިނޭލްޕ ިއާކަތުތަސާޔިސ ީޙްއިޞ ނަ ަވ 44 ެގ (ުނޫނާޤ ެގުމުނިދްތަމުދިޚ ީޙްއިޞ) 29/2015 ުރަބްނަނ ުނޫނާޤ ީއިމ (ހ) .1 ުފަރާޢަތ ެގޭއ ިއަލިއަވަލުކެއ ްއަތުތަސާޔިސ ެގުރާކުރަސ ،ްނެގީދިބިލ ުރާބ ްނިއ (ހ) ެގާދްއާމ ިއާށަމުތަގެނެދ ްއަތުލަދަބ ޭހެޖްނަންނެގ ިއާމުރުކްނަޒަވ ުރަވްނިމ ޭވެރުކުލިސާހ ްއަތާޖީތަނ ާވްނުނޭބ ް ށަމުދޯހ ުތާމޫލުޢަމ ާވްނުނޭބ ްށަމުރުކ ރަޓިނޮމ ްއަތްތަމުދިޚ ީޙްއިޞ ވާ ިއަފާލާވަލުކެއ ްށަމުދޯހ ިއަގްއެތޮގ ިރުހުރާބުތިއ ުކެއާމަކަޙްއަޞ ުބާސިހްސާފަތ ، ިއާކަތްސީފޮއ ެގާރިއާދ ީޙްއިޞ ިއާންނުނަތްނަތ ޭދ ްތަމުދިޚ ިއަގުލޫސުއ ިމ .ެވެކެލޫސުއ ްއަތުތަސާޔިސ ެގާރިއާދ ްނުކަތްތާރަފ ާރުކްތަކްއަސަމ ިރުހްނުޅުގ ިއާއާރިއާދ ީޙްއިޞ ްނުތޮގޭޅުގާމުރުކ ުޓޯޕިރ ިއަޓްއަހަލަބ ްށޮކްއެއ ްއަތުބާސިހްސާފަތ ޭޅުގާމުޅެއަޑނަކ "ްޑަޑްނޭޓްސ ްނިޓޯޕިރ ްލަކިޓްސިޓެޓްސ ްމަމިނިމ" ާޅައަޑނަކ ްނުތްލެހ ްފޮއ ީރްޓްސިނިމ .ެވެއެނާވިއަފާނަމިހ ުތްލެހ ިއާކަތުކިނިލްކ ާވަގްނިހ ްނުކަތްސީފޮއ ިކެއ ެގުރާކުރަސ ،ްނުށަދ ެގުލޫސުއ ިމ (ށ) ން ުކަތްލަޓިޕްސޮހ ާވަގްނިހ ްނުކަތްތާރަފ ަލްއިމައ ިދައ ްއަތްލަޓިޕްސޮހ ިއާކަތުރަޓްނެސ ްށަތްލެހ ްފޮއ ީރްޓްސިނިމ ްއަތުޓޯޕިރ ެގުބާސިހްސާފަތ ްނުދިއާވަގ ަތަވުނ ްށަހަމްނުހަމ ޅޭ ުގާމަކ ްއަތުޓޯޕިރ ގެ ުބާސިހްސާފަތ ަޞްއާޚ ްނުރުތިއެގީމ .ެވެއެނާވްނަވުނޮފ ްފޮއ ީރްޓްސިނިމ ްށަމުދޯހ ްނުތާރަފ ެގްނިރެތްތަމުދިޚ ީޙްއިޞ ިއާންނުކަތާސަސްއައުމ އް ެޓޯޕިރ ެއ ްނުކަތްތާރަފ ެއ ަތަވުނ ްނުކައާސަސްއައުމ ެ އ ިއަގްއެތަލާހ ެޖްއިދެއ ްނުތްލެހ .ެވެއެނާވްނޭދްށޮކުރޯފ ްށަތްލެހ ްފޮއ ީރްޓްސިނިމ ްނުޚީރާތ ާރުކުޢިއާޝ ިއަގުޓެޒެގ ެގުރާކުރަސިހެވިދ ުލޫސުއ ިމ ،ީނާށަފ ްނަރުކުލަމަޢ ްށަލޫސުއ ިމ .2 ް ނުށެފ ްނަރުކުލަމަޢ ްށަލޫސުއ .ެވެންނެގިށެފ ނޭ މެ ިހ ުތާމޫލުޢަމ ުމްނިހުމ ިރުހްނުޅުގ ާއާރިއާދ ީޙްއިޞ ްސެވުކަރަހައ ެމްނޮކ (ހ) .3 ީޙްއިޞ ީރަހައ ްއަތުޓޯޕިރ ެގުބާސިހްސާފަތ ީރްޓްސިނިމ (ްކުބ ްސްކިޓްސިޓެޓްސ ުތްލެހ ްސްވިޑްލޯމ ަދ) ްއެޓޯޕިރ ގެ ުބާސިހްސާފަތ ، ، ިއަގުޓިއަސްބެވ ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ިވެރުކުޢިއާޝ ިއަލިއަވަލުކެއ ްނުތްލެހ ްފޮއ ާރުކްއެއ ްނުތްލެހ ްފޮއ ީ ރްޓްސިނިމ ްނުރުތިއ ެގީމ ިދައ .ެވެއެނޭވެރުކ ުމްނާއ 3 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ުތެޑ ްޑން ެއ ުތރާބ ްނިއަލްނޮއ ޭނެމިހ ިއަގުމަޓްސިސ ްޓްނެމރަވަގީއ ،ިއާބާސިހްސާފަތ ްނެއ.ޫޔ ްސެވުކަރަހައ ެމްނޮކ ީކަކަތުތާމޫލުޢަމ ޭގެނ ްނއްލަޓޯޕ ްނަޝޭރްޓްސިޖެރ ، ެގާރިއާދ ޙީ ްއިޞ ޭހެޖްނަރުކާސްއިހ ާ އޯރުއިބ ްލަކިޓްސިޓެޓްސ ިއާކަތީސްނެޖޭއ .ެވެކެކަތުތާމޫލުޢަމ ާވްނުނޭބ ްށަކަތުޓޯޕިރ ުބާސިހްސާފަތ ލް ަކިޓްސިޓެޓްސ ިއާށަކަތީސްނެޖޭއ ްނެއ.ޔޫ ިދައ ްށަޓޯޕިރ ީރަހައ ެގާރިއާދ ީޙްއިޞ (ށ) ތު މާ ޫލުޢަމ ްށަކަތުޓޯޕިރ ެގުބާސިހްސާފަތ ާވުނޮފ ްނީ ރްޓްސިނިމ ުތްލެހ ްށައޯރުއިބ ގެ ބު ާސިހްސާފަތ ާވުނޮފ ްނުދިއާވަގ ްނުނަތްނަތ ޭދ ްތަމުދިޚ ީޙްއިޞ ީނެވެރުކްއެއ ެގުކަތްނަޝިވިޑ ިއާކަތުޓްނަމްޓާޕިޑ ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ިއާންނުކަތުޓޯޕިރ ލް ަނަޝޭނ ްފޮއ ްޓްނަމްޓާޕިޑ ޭ ނެމިހ ިއަގްމަޓްސިސ ްޓްނެމރަވަގީއ ިއާކަތުބާސިހްސާފަތ ްނަޝޭރްޓްސިޖެރ ު ތެޑ ްޑްނެއ ު ތރާބ ްނިއަލްނޮއ ާޓްއަހަލަބ ްނުނަޝޭރްޓްސިޖެރ ވާ ިއަފިޅެއަޑނަ ކ ްއަތުޓޯޕިރ ި މ ްނުތޮގިމ .ެވެންނުކަތުބާސިހްސާފަތ ޭގެނ ްނިއްލަޓޯޕ ން ަޝޭމޮފްނިއ ުތްލެހ ެގީރްޓްސިނިމ ުހަފްށަމުމްނިނ ްށަތޮގްއެއ ާލުއިޑެޝ ގްނިޓޯޕިރ ، ށް ަކަތުޚީރާތ ެއ ްށަކަތުޚީރާތ ާވިއަފްށޮކްނާޔަބ ިއަގީރިތ ްށަނަޝްކެސ ްޗރަސިރ ްޑްނެއ ގެ ުތްލެހ ްފޮއ ީރްޓްސިނިމ ިއާންނުނަތްނަތ ޭދްތަމުދިޚ ީޙްއިޞ ްއަތުޓޯޕިރ ާވިއަފިޅެއަޑނަކ ްނުނަޝޭރްޓްސިޖެރ ްލަނަޝޭނ ްފޮއ ްޓްނަމްޓާޕިޑ ިއާންނުކަތްނަޝިވިޑ ިއާކަތުޓްނަމްޓާޕިޑ .ެވެމްނިހުމ ްނުވުނޮފ ީޙްއިޞ ިއާކަތުލަޓިޕްސޮހ ޭދްތަމުދިޚ ާގްނިހ ްނުކަތްތާރަފ ަލްއިމައ ިއާރާކުރަސ (ހ) .4 ޭޅުގާބާސިހްސާފަތ ިރުހްނުޅުގ ިއާއާރިއާދ ީޙްއިޞ ިއާކަތްސީފޮއ ެގާރިއާދ ީޙްއިޞ ިއާންނުކަތުޒަކުރަމ ޭދްތަމުދިޚ ިއަގުމަކްނަކ ފް ޮއ ީރްޓްސިނިމ ުތާމޫލުޢަމ ެގުކަތުބާސިހްސާފަތ ީޙްއިޞ ްނުނަތްނަތ ާރުކްތަކްއަސަމ ެގާރިއާދ ިއާނަތްނަތ ިއާއާރިއާދ ިއާކަތްސީފޮއ ެގުމުވުނޮފ ްށައ"ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތލް ެހ" ެގުތްލެހ ާރުކްތަކްއަސަމ ިރުހްނުޅުގ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" ިއަސްއަޖަމަހ ުކަފަޒްއަވުމ ެނާރުކ ްސެރަލިވ ްތަކްއަސަމ ާގްނިހ ްނަތްނަތ ތް ކަ ްއަސަމ ެގުބާސިހްސާފަތ ީޙްއިޞ ިދައ .ްނުގްނެއ ްށައ"ްނަޝްކެސ ްޗރަސިރ ާމްނިޒ ެގްނިރެވްސިއ ްށައާފީޒަވ ެރުހާކަބަބަސ ްސެވްއެއ ުފަޒްއަވުމ ާވިއަފިޅެއަޑނަ ކ ްށަމުރުކ ްސެރަލިވ ، ، ިއަސްއަޖަމަހ ްއެފަޒްއަވުމ ެނާރުކ ްތަކްއަސަމ ިމ ިއަގުލަދަބ ިއަގުކަތްތަލާހ ަންނުކުނުނ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ުތާމޫލުޢަމ ެގްއެފަޒްއަވުމ ެއ ެނޭވެރުކ ް ތަކްއަސަމ ްށަކަފަޒްއަވުމ ެއ ިދައ ިއާމުގްނެއ ްށައ "ްނަޝްކެސ ްޗރަސިރ .ްނުނިދިއަސްއަޖަމަހ ު މާޒިތްނިއ ތު ްލެހ" ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ްނިއެރެތ ެގުކަތުޓޯޕިރ ާވިއަފިޅެއަޑނަކ ިއަގުލޫސުއ ިމ (ށ) ިމ ްއެޓޯޕިރ ާހިރުހ ޭހެޖ ްނަވުނޮފ ްށައ"ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ އް ަތުޓެމޯފ ިއަގ 2 ްސްކެނެއ ،ްށަކަތްޓެމޯފ ާވިއަފާނަމިހ ިއަގ 1 ްސްކެނެއ ެގުލޫސުއ ުތްލެހ" ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ުހަފްށަމުރުފ ްށަތޮގ ާވިއަފްށޮކްނާޔަބ ްށަމުރުފ ްނުތޮގިމ .ްނުރުކްނީގަޔ ޯތާވުނޮފ ްށައ"ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ތު މާ ޫލުޢަމ ިމ ްނިއ"ްމަޓްސިސ ްނަޝޭމޮފްނިއ ުތްލެހ" ެގްއެނަތ ޭދ ް ތަމުދިޚ ީޙްއިޞ 4 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ، ްށޮކިރެވުދެމ ްމަޓްސިސ ްލައުނެމ ިއަގުހީފޮއ ެއ ަތަވުނ ިއަގްއެނަތ ެ އ ަމަނޭގެނނު .ްނުރުކުމާޒިތްނިއ ްތޮގެނޭގެނ ުތާމޫލުޢަމ ހޭ ެޖްނަވުނޮފ ް އެޓޯޕިރ ި އަލަބ ުރަވްނެފ ެގުކަތުޓޯޕިރ ެގުބާސިހްސާފަތ ާވުނޮފ (ނ) .ްނުރުކްނީގަޔ ިއަލަބ ޯތޭތެފ ް ށަކަތުޑނަގްނިމ ގެ ތު ްލެހ ްފޮއ ީރްޓްސިނިމ ްއެޓޯޕިރ ުބާސިހްސާފަތ ެގްއެރަހައ ެރުހާކަބަބަސ ްސެވްއެއ (ރ) ެއ ަމަންތޮއ ިވުނޮފުނ ްށައ "ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" ޯތުނުވުނޮފ ްނިރުކ ެގުމުމިނ ްސަމީރަވަނަޖ ެގުރަހައ ަންނައ ްނެގިހެޖ ްއެޓޯޕިރ .ްނުރުކްނީގަޔ ްއަތްލަޓިޕްސޮހ ޭދ ްތަމުދިޚ ީޙްއިޞ ާގްނިހ ްނުކަތްތާރަފ ަލްއިމައ ިއާރާކުރަސ (ބ) ، ން ިއާޔްއިޢްމަޖ ުތަޙްއިޞ ެގޭޔިނުދ ްށަމުރުކުޑޯކ ްއަތިލަބ ްނުކަތްތާރަފާގްނިހ ިއާކަތްތޮފ ެގްނަޝރަވ ެގުހަފ ެމްނެއ ެގ "10 - ީޑ ީސ ިއައ" ާވިއަފާޅައަޑނަކ ތަ ަވުނ ްނުރަސިފޮއ ްޑޯކެރ ްލަކިޑެމ ެގްއެހީފޮއ ެ އ ްލައިރީޓެމ ްސްނެރަފިރ މި ިދައ .ްނުނިދިއަދޯހ ްނުދިއާވަގ ްށަންނުފަޒްއަވުމ ާރުކްތަކްއަސަމ ގެ ުބާސިހްސާފަތ ، ުތްލެހ ެއ "ުޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ" ާވިއަގ 1 ްސްކެނެއ ެގުލޫސުއ ވާ އި ަފާޅަ އަޑނަ ކ ްށަމުރުކ ްސެރަލިވ ްތަކްއަސަމ ެގުބާސިހްސާފަތ ިއަގްއެއީޓިލިސެފ ިމ ްނެގްށޮކްނުނޭބ "10-ީޑ ީސ ިއައ" ިއާމުވުރުކ ަމަހިރުފ ިއަވްއަލ ުފަޒްއަވުމ ފް ޮއ ީރްޓްސިނިމ ުހަފްށަމުވުރުކުޑޯކ ްނުދިއާވަގ ިއަގްއެކަތިލަބ ާހިރުހ ާވިއަގުޓޯޕިރ ޯތޭދްނުމަރުކުޓޯޕިރ ްށައ "ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" ެގުތްލެހ ވާ އި ަފިބިލ ުނީރްމަތ ެގުމަކެއ ީނާވްނަރުކ ުޑޯކ "10-ީ ޑ ީސ ިއައ" .ްނުރުކްނީގަޔ .ެވެއަވްއަލ ުކަފަޒްއަވުމ ީޓިނުއިމޮކ ިއާންނުރަޓްކޮޑ ޭޅުގ ްށަލައ ާ ތަކްއަސަމ ެގު ނަތްނަތ ޭދ ްތަމުދިޚ ީޙްއިޞ (ޅ) ްނަޝޭކިފި ޓެސ ުތެޑ ްފޮއ ްސޯކ" ާވިއަގ 3 ްސްކެނެއ ެގުލޫސުއ ިމ ްނުރަކރޯވ ުތްލެހ ިމ ިދައ .ްނުވުރުކިރެވުލުހައ ިއަގޭރެތެގާތުފަހ ްއެއ ާތޭޅުގާއާފީޒަވ ްށައ "ްސްނިއަލްޑިއަގ ްނުރަކރޯވ ުތްލެހ ީޓިނުއިމޮކ ިއާންނުރަޓްކޮޑ ާވިއަފިވެރުކިރެވުލުހައ ްށަނިއަލްޑިއަގ ތު ޑެ " ާވިއަގ 1 ްސްކެނެއ ްނުތޮގެގުމުގްނެއ ްނަކާވިއަފިވެރުކިރެވުލުހައ ްށަނިއަލްޑިއަގ ތު ްލެހ ެއ ުހަފްށަމުރުކ ަމަހިރުފ ްނުވްސަބްއެއ ެގ "ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ "ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ ުތެޑ" ިމ ާޔިރެވ ިރުހެވުލާވަޙ ާމުގްނިހ ްއެއީޓިލިސެފ ަނަވ 10 ެގްއެހަމ ެމްނޮކ ުހަފްށަމުރުކިއޮސ ްށަމަކުނުގްނެއ ްށަކަފަޒްއަވުމ ެއ ިއަގ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ްނިރުކ ެގުހަވުދ ީޓިނުއިމޮކ ަތަވުނ ުކަރަޓްކޮޑ ްށަލައ ިދައ .ްނުރުކްނީގަ ޔ ޯތުނުވުނޮފ ްށައ"ްނަޝްކެސ ްނެގިހެޖ ުޓޯޕިރ ެގްއެހަމ ެމްނޮކ ްސެވަމަނިވުނ ިއަފިޅުގ ާތަކްއަސަމ ުކަރަކޯވ ުތްލެހ ުތްލެހ" ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ްނިރުކ ެގުހަވުދ ަނަވ 10 ެގުހަމ ަންނައ 5 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ .ްނުރުކްނީގަ ޔ ޯތުނުވުނޮފ ްށައ"ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ޭޅުގ ާމުޅެއަޑނަ ކ ްއަތުތަސާޔިސ ެގާރިއާދ ީޙްއިޞ ާވިއަފިނެމިހ ިއަގުލޫސުއ ިމ (ކ) ްނުދިއާވަގ ްށަކަތްމާރްގޮރްޕ ުތާފަތ ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ްށަރުތިއ ެގުކަތުޓޯޕިރ ، ްއަތްނަކ ެގުމުވުނޮފ ްނުދިއާވަގ ްށަކަމާރްގޮރްޕ ެ އ ްއަތުޓޯޕިރ ޭހެޖްނަވުނޮފ .ްނުރުކްމާޒިތްނިއ ް އަތުޓޯޕިރ (ހ) .5 ޭ ހެބ ާކަތުޓޯޕިރ ޭހެޖްނަވުނޮފ ީޙްއިޞ ޭވެރުކްއެއ ްށަހަމްނުހަމ) ްސީޓިވިޓްކެއ ްފޮއ ުޓޯޕިރ ީލުތން ަމ .i (ުޓޯޕިރ ެގުބާސިހްސާފަތ (ު ޓޯޕިރ ޭހެބ ާންނުފަޒްއަވުމ ) ު ޓޯޕިރ ްރާއ ްޗެއ .ii (ުޓޯޕިރ ޭހެބާކަތުދނެއ ޭނެމިހ ިއަގީޓިލިސެފ ުތްލެހ) ުޓޯޕިރ ްޑެބ .iii ެގްނުހީމ ޭވެދާވުރަފ ްނެގިވެރުކިތަމުދނެއ) ުޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ .iv (ުޓޯޕިރ ޭހެބ ާކަތިލަބ ްނަޝޭކިފިޓެސ ުތެޑ ްފޮއ ްސޯކ) ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ ުތެޑ .v (ު ޓޯޕިރ ެގުމަކ ިރުކ ާސްއިހ ާންނުފަޒްއަވުމ ޭޅުގާމަކ ްނިއަލްޑިއަގ ާވިއަގ 1 ްސްކެނެއ ެގުލޫސުއ ިމ ، ްއަތު ޓޯޕިރ ާވިއަފްށޮކްނާޔަބ ިއަގ (ހ) ެގާދްއާމ ިމ (ށ) ، ިއަގީރިތ ،ްނިތަމ ެގުތޮގ ާވިއަފްށޮކްނާޔަބ ިއަގ 2 ްސްކެނެއ ިއަގުކަތުޓެމޯފ ަނަވ 10 ެގްއެހަމ ެމްނޮކ ،ުޓޯޕިރ ެގުހަމ ިވުތިއާފ ްނުކަތުޒަކުރަމ ާވިއަފާޅައަޑނަކ ޗް ރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ްނިރުކ ެގުހަވުދ .ެވެއެނާވްނަދްނެގ ްނުމަވުނޮފ ްށަނަޝްކެސ ް އަތްލަޓިޕްސޮހ ްލަނަޖީރ - ެގްއެޅޮތައ ޭނެމިހ ްއެޒަކުރަމ ެއ ްނުކަޒަކުރަމ ެމްނޮކ ްނިއިމ ްއަތްލަޓިޕްސޮހ ުޅޮތައ - ްއަތުޓޯޕިރ ެގްއެކަތީޓިލިސެފ ުތްލެހ ާހިރުހ ު ޒަކުރަމ ީޙްއިސ ޫދްސުލުތ .ކ - ްޗެއ .ްމެއ .ީޖ .ިއައ - ްލޓަ ޕި ސް ޮހ ެލާމުޅުހ - ްލަޓޕި ްސޮހ ެލާމިލިވ - ި ށެވަނަމަދ - ާގްނިހ ްނުކަތާރާޒުވ ިކެއިކެއ ެ ގުރާކުރަސ ިދައ ަދްނަސޫނ ިއާއާޔިހަނެސ - ްއަތްލަޓިޕްސޮހ ް އަތްލަޓިޕްސޮހ ިއަހެމްނެއ ާގްނިހ ްނުކަތްތާރަފ ަލްއިމައ - 6 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ން ތު ްލެހ ްފޮއ ީރްޓްސިނިމ ްނުތޮގޭޅުގާމަކްނަކ ީދާޞިތުޤިއ ިދައ ީލާމ ިރުހްނުޅުގާތަޙްއިސ (ނ) ާއާރިއާދ ީޙްއިޞ .ްނުނިދްށޮކުރޯފ ްށަތޮގްއެއ ާޓެމޯފ ާވުނޮފ ،ްއަތުޓޯޕިރ ޭދެއ ްށަމުދޯހ ޙީ ްއިޞ ްނީ ރަޜެރްޓ ްޑްނެއ ްސްނޭނިފ ްފޮއ ީރްޓްސިނިމ ްއަތުތާމޫލުޢަމ ީލާމ ިރުހްނުޅުގ ިމ ުޓޯޕިރ ެގުކަތުދަރަޚ ުނުވެރުކ ިއާރަވްނިމ ާވިއަފިޅެއަޑނަކ ްށަނަތްނަތ ޭދ ްތަމުދިޚ ޭދ ްތަމުދިޚ ީޙްއިޞ ްނުރުތިއ ެގީމ .ެވެއެނާވްނޭދްށޮކުރޯފ ްނުމުދެއ ްނީރްޓްސިނިމ ދަ ަފ ްތަޢާމަޖ ،ާޔްއިޢްމަޖ ިއާކަތްތާރަފ ޭދ ީހެއ ްށައާރިއާދ ީޙްއިޞ ިއާކަތްތާރަފ ިއާކަތީހެއ ުނުވެދ ްނުތޮގ ީދާޞިތްޤިއ ިއާންނުތޮގީލާމ ްށައާރިއާދ ީޙްއިޞ ްނުނަތްނަތ ްށަކަޓެމޯފ ާޅައަޑނަކ ްނުތްލެހ ްފޮއ ީރްޓްސިނިމ ުތާމޫލުޢަމ ެގުކަތްއަތްނަކ ުނުވެރުކ .ެވެއެނާވްނޭދްށޮކުރޯފ ް އަތްލަޓިޕްސޮހ ުޅޮތައ ަތަވުނ ްލަނަޖީރ (ހ) .6 ްނުކަތީޓިލިސެފ ުތްލެހ ް ތޮގ ެނާރުކްއެއ ްއަތުޓޯޕިރ އެ ްނުކަލަޓިޕްސޮހ ާވިއަފިވެރުކ ުމިއާގ ިއަގްއެޅޮތައ ެމްނޮކ ިއަވަޔިފުޅޮތައ .ކ .i ެގުލޫސުއ ިމ ،ެގްއެޒަކުރަމ ީޙްއިޞ ާހިރުހ ެގްއެޅޮތައ ޭނެމހި ްއެލަޓިޕްސޮހ ހާ ިރުހ ްނެހެއ ިއަވަޔިފ ުޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ ާވިއަގ 1 ްސްކެނެއ ުތްލެހ ްނިރުކ ެގުހަވުދ ަނަވ 10 ެގްއެހަމ ެއ ިދައ .ްނުދޯހ ްއަތުޓޯޕިރ ް ށަނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ ެގީރްޓްސިނިމ .ެވެއެނާވްނަވުނޮފ ،ީތާވްށަކަޓޯޕިރ ޭވުނޮފ ުރަހަފ 2 ުކަރަހައ ެމްނޮކ ީކަޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ .ii ުޓޯޕިރ ެގ (ްށަލަޔިނ ެގުހަމްނޫޖ ްނެގިށެފ ްނީރަވަނަޖ) ްސަވުދްސަމ 6 ަމަތަރުފ ، ެގުރަހައ ިދައ ްނިރުކ ެގުހަވުދ ަނަވ 10 ެގުހަމ ިއަލުޖ ެގުރަހައ ާދްނުމަގނިހ ެގ (ްށަލަޔިނ ެގުހަމުރަބްނެސިޑ ްނެގިށެފ ްނުހަމިއަލުޖ) ްސަވުދްސަމ 6 ަނަވެދ ްނިރުކ ެގުހަވުދ ނަ ަވ 10 ެގުހަމ ީރަވަނަޖ ެގުރަހައ ަންނައ ްނެގިހެޖ ުޓޯޕިރ .ެވެއެނާވްނަވުނޮފ ޓް ްނަޝޭޕްނިއ ޭނެމިހ ިއަގުކަތުޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ .iii ްނެގްށޮކްނުނޭބ "10-ީޑ ީސ ިއައ" ީނާވްނަންނުހ ްއަތްސިސޯންގަޔަޑ ްތަކްއަސަމ ެގުމުރުކުޑޯކ ްށޮކްނުނޭބ "10-ީޑ ީސ ިއައ" .ެވެއަފިވެރުކުޑޯކ .ެވެންނުފަޒްއަވުމ ާވިއަފާދަހ ގްނިނޭރްޓ "ީޑ ީސ ިއައ" ީނާވްނަރުކ ު ޒަކުރަމ ީޙްއިޞ ޫދްސުލުތ.ކ (ށ) .ކ (ިއަވަޔިފ ްއަތްލަޓިޕްސޮހ ެގީޓިސ ެލާމ) ްނުޒަކުރަމ ީޙްއިޞ ޫދްސުލުތ .i ިއަވަޔިފ ުޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ ެގްއެއީޓލި ިސެފ ުތްލެހ ާހިރުހ ެގުޅޮތައ ީރްޓްސިނިމ ްނިރުކ ެގުހަވުދ ަނަވ 10 ެގްއެހަމ ެ އ ިއަދޯހ ްއަތުޓޯޕިރ ާހިރުހ ްށަނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ ެގުތްލެހ ްފޮއ 7 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ .ެވެއެނާވްނަވުނޮފ ، ީ ތާވްށަކަ ޓޯޕިރ ޭވުނޮފ ުރަހަފ 2 ުކަރަހައ ެމްނޮކ ީކަޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ .ii ެގ (ްށަލަޔިނ ެގުހަމްނޫޖ ްނެގިށެފ ްނުހަމީރަވަނަޖ) ްސަވުދްސަމ 6 ަމަތަރުފ ، ިދައ ްނިރުކ ެގުހަވުދ ަނަވ 10 ެގުހަމ ިއަލުޖ ެގުރަހައ ާދްނުމަގނިހ ުޓޯޕިރ ގެ ުހަމުރަބްނެސިޑ ްނެގިށެފ ްނުހަމިއަލުޖ) ްސަ ވުދްސަމ 6 ަނަވެދ ެގުރަހައ ަނަވ 10 ެގުހަމ ީރައުނެޖ ެގުރަހައ ަންނައ ްނެގިހެޖ ުޓޯޕިރ ެގ (ްށަލަޔިނ .ެވެއެނާވްނަވުނޮފ ްނިރުކ ެގުހަވުދ ޓް ްނަޝޭޕްނިއ ޭނެމިހ ިއަގުކަތުޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ .iii ްނެގްށޮކްނުނޭބ "10-ީޑ ީސ ިއައ" ީނާވްނަންނުހ ްއަތްސިސޯންގަޔަޑ ްތަކްއަސަމ ެގުމުރުކ ުޑޯކ ްށޮކްނުނޭބ "10-ީޑ ީސ ިއައ" .ެވެއަފިވެރުކުޑޯކ .ެވެންނުފަޒްއަވުމ ާވިއަފާދަހ ގްނިނޭރްޓ "ީޑ ީސ ިއައ" ީނާވްނަރުކ ،ިއާލަޓިޕްސޮހ ެލާމިލިވ ، ިއާލަޓިޕްސޮހ ެލާމުޅުހ ، ިއާލަޓިޕްސޮހ .ްމެއ .ީޖ .ިއައ (ނ) ަލްއިމައ ިދައ ްއަތްލަޓިޕްސޮހ ާގްނިހ ްނުރާކުރަސ ިއާއަދްނަސޫނ ،ާޔިހަނެސ ،ިށެވަނަމަދ .ްއަތްލަޓިޕްސޮހ ްޓެވިއަރްޕ ާގްނިހ ްނުކަތްތާރަފ ، ްނުނަތްނަތ ޭދ ްތަމުދިޚ ީޙްއިޞ ާވިއަފިނެމިހ ިއަގީތަމ ަތަވުނ ްއެލަޓިޕްސޮހ ެއ .i ހާ ިރުހ ިއަވަޔިފުޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ ާވިއަގުޓެމޯފ ާވިއަގ1 ްސްކެނެއ ީރްޓްސިނިމ ް ނިރުކ ެގުހަވުދ ަނަވ 10 ެގްއެހަމ ެއ ްށޮކަމަހިރުފ ްއެކަތުޓޯޕިރ ްށަނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ ެގުތްލެހ ްފޮއ .ެވެއެނާވްނަވުނޮފ ، ީ ތާވްށަކަ ޓޯޕިރ ޭވުނޮފ ުރަހަފ 2 ުކަރަހައ ެމްނޮކ ީކަޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ .ii ެގ (ްށަލަޔިނ ެގުހަމްނޫޖ ްނެގިށެފ ްނުހަމީރަވަނަޖ) ްސަވުދްސަމ 6 މަ ތަ ރަ ފު ، ިދައ ްނިރުކ ެގުހަވުދ ަނަވ 10 ެގުހަމ ިއަލުޖ ެގުރަހައ ާދްނުމަގނިހ ުޓޯޕިރ ގެ ުހަމުރަބްނެސިޑ ްނެގިށެފ ްނުހަމިއަލުޖ) ްސަ ވުދްސަމ 6 ަނަވެދ ެގުރަހައ ަނަވ 10 ެގުހަމ ީރައުނެޖ ެގުރަހައ ަންނައ ްނެގިހެޖ ުޓޯޕިރ ެގ (ްށަލަޔިނ ިއަގުކަތުޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ .ެވެއެނާވްނަވުނޮފ ްނިރުކ ެގުހަވުދ "10- ޑީ ީސ ިއައ" ީނާވްނަންނުހ ްއަތްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ ޭނެމިހ ެގުމުރުކ ުޑޯކ ްށޮކްނުނޭބ "10-ީ ޑ ީސ ިއައ" .ެވެއަފިވެރުކުޑޯކ ްނެގްށޮކްނުނޭބ ޑް ޯކެރ ްލަކިޑެމ ާވިއަފާދަހ ގްނިނޭރްޓ "ީޑ ީސ ިއައ" ީނާވްނަރުކ ްތަކްއަސަމ .ެވެންނުފަޒްއަވުމ ާރުކ ްތަކްއަސަމ ެގުބާސިހްސާފަތ ަތަވުނ ްނުރަސިފޮއ 8 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ް އަތްތާރަފ ިއަ ހެމްނެއ ޭނޭވެދްށޮކުރޯފ ުބާސިހްސާފަތ ީޙްއިޞ .7 ެގުރަހައ ިވުތިއާފ ެގާވުރަމ ާހިވ ްނުނަޝޭރްޓްސިޖެރ ްލަނަޝޭނ ްފޮއ ްޓްނަމްޓާޕިޑ .i ށް ަލަޔިނ ެގުހަމީރަވުރުބެފ ެގްއެރަހައ ެމްނޮކ ުހަފްށަމުރުކ ްޓޭޑލި ެވ ުތާމޫލުޢަމ ްނަޝޭރްޓްސިޖެރ ުތެޑ ްޑްނެއ ުތރާބ ްނިއަލްނޮއ ޭނެމިހ ިއަގްމަޓްސިސ ްޓްނެމރަވަގީއ .ެވެއެނާވްނަރުކްޓޭޑްޕައ ްށައްލަޓޯޕ ާރުކުޢިއާޝ ްނީރްޓްސިނިމ ްނުކަތްނަޝިވިޑ ިއާކަތްޓްނަމްޓާޕިޑ ެގީރްޓްސިނިމ .ii ުރުތިއ ގެ ުބާސިހްސާފަތ ާވްނުނޭބ ްށަމުރުކުޢިއާޝ ިއަގުތޮފ ްސްކިޓްސިޓެޓްސ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ ްށަލަޔިނ ެގުހަމ ީރަވުރުބެފ ެގްއެރަހައ ެއ ްއަތުތާމޫލުޢަމ .ެވެއެނާވްނަވުނޮފ ްށަނަޝްކެސ ްޗރަސިރ ްނަޝޭކިފިޓެސ ުތެޑ" ްނިއެރެތ ެގުކަތުޓޯޕިރ ާވިއަފްށޮކްނާޔަބ ިއަގާދްއާމ ަނަވ 5 ެގުލޫސުއ ިމ .8 ްނުކަތީޓިލިސެފ ުތްލެހ ، ްފޮއ ީރްޓްސިނިމ ްއަތުޓޯޕިރ ްފޮއ ީރްޓްސިނިމ ިއަލަބ ްށަތޮގޭޅުގ ާތަލާހ ީނާވުނޮފ ްއަތުޓޯޕިރ ްނެހެއ ިއަވަޔިފ "ްނަޝޭރަލްކެޑ ްތޮގ ެ ނާވުނޮފ ްށަތްލެހ ުތެޑ" .ެވެށަކަތޮގ ްނިއެރެތ ެގުކަތްތޮގ ާވިއަފްށޮކްނާޔަބ ިއަގީރިތ ާޅައަޑނަކ ްނުތްލެހ ppd@health.gov.mv ްށޮކިރެވުދެމ ްލިއެމ- ީ އ ީނާވުނޮފ "ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ .ެވެށައ ިމ ިދައ .ެވެއަގުޓެމޯފ ާވިއަފިދެހ ީނޭވެނެގ ްއަތުޓޯޕިރ ިމ ްށޮކިރެވުދެމ ްވިއަރްޑ ްލްގޫގ (ހ) ު ޓޯޕިރ ްށަތޮގިމ .ެވެއެނާވްނުނޭބ ްއެޓްނުއަކެއ ްލިއެމ ީޖ ް ށަމުރުކ ްނުނޭބ ްނަޝޭކިލްޕެއ ިމ ްށަކަހަވައ ެމްނެއ ީވ ަމަނެޖްއެވާމިދ ްއެއަލަސްއަމ ްސެވްއެއ ިއަގުމުވުނޮފ .ެވެއެނާވްނަގްނައ ްށަނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ ެގީރްޓްސިނިމ ްށަމުރުކ ުލްއަހ ަލަސްއަމ ާވިއަފެވާމިދ ްނިރުކ ެގުމުވުނޮފ ު ޓޯޕިރ ްށަކަތޮގ ްނެހެއ ިދައ .ެވެއެނާވްނަރުކ ާރަވްޝަމ ާކަފަޒްއަވުމ ޭހެބާމަކ ެގީރްޓްސނިމ ްލިއެމ ީޖ ްނުނަތްނަތ ޭދްށަމުދިޚ ީޙްއިޞ ިއަކަޓްށަމުރުކްނުނޭބ ްވިއަރްޑ ްލްގޫގ (ށ) ޅާ ައަޑނަކ ްނީރްޓްސިނިމ ،ްސެރްޑެއ ްލިއެމީއ ިދެހ ިމ ،ިއަދަހ ް އެޓްނުއަކެއ .ްނުގްނެއ ްށަކަފަޒްއަވުމ ްށަޓްނުއަކެއ ިމ ްށަޓްނިއޕޮ ްލަކޯފ ާވިއަފާޅައަޑނަކ ްށަމަކިމ ްނީޓލި ސި ެފ ުތްލެހ (ނ) .ްނުސްއެޖަމަހ ްއެތޮގެނޭވެވ ްސެސްކެއ ދާ ާޝުރިއ ާވިއަފީދ ،ްއަތުތާމޫލުޢަމ ާވިއަގްނަޝޭކިލްޕެއ ާވިއަފިދެހ ްށަމުވުނޮފ ުޓޯޕިރ (ރ) .ްނުރުފ ްށަތޮގްއެއ ްވިއަރްޑ ްލްގޫގ ެރުހާކަބަބަސ ްސެވްއެއ ްއަތުޓޯޕިރ ާވުނޮފ ްށޮކިރެވުދެމ ްވިއަރްޑ ްލްގޫގ (ބ) ރާ ަވްޝަމ ާކަފަޒްއަވުމ ޭހެބާމަކ ެގީރްޓްސިނިމ ،ަމަނޭވުނޮފުނ ްއަތުޓޯޕިރ ްށޮކިރެވުދެމ ، .ެވެށައ ppd@health.gov.mv ީ ނާވ ްނަރުކްލިއެމީއ ުހަފްށަމުރުކ 9 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ޭހެބާމަކ ެގީރްޓްސިނިމ ަމަނޭވުނޮފުނ ުޓޯޕިރ ްށަކަތޮގ ްސެވްއެއ ާވިއަފްށޮކްނާޔަބ ިއަގީތަމ (ޅ) ، ްސްކެފ ްށަރަބްނަނ ިމ 3328889 ްއަތުޓޯޕިރ ުހަފްށަމުރުކ ާރަވްޝަމ ާކަފަޒްއަވުމ .ްނުރުކ 10 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ް އަތް ސްކެނެއ ޭނެމިހ ިއަގުލޫސު އ ޭ ޅުގާ ބާސިހްސާފަތ ީޙްއިޞ ާވްނުނޭބ ްށަކަތްތަކްއަސަމ ގްނިނޭލްޕ ިއާކަތުތަސާޔިސ ީޙްއިޞ ްއަ ތު ޓެމޯފ ެގުކަތުޓޯޕިރ ޭހެޖ ްނަވުނޮފ ްށައ "ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" :1 ް ސްކެނެއ ް ސީޓިވިޓްކެއ ްފޮއ ު ޓޯޕިރ ީލުތްނަމ :1 ުޓެމޯފ Ministry of Health Male', Maldives MONTHLY REPORT OF ACTIVITIES Name of the Health Facility: Month: Year: ID PARTICLULARS FEMALE MALE TOTAL 1. OUTPATIENT (Total no. of Male 1.3.21(Total Outpatien no. of Male & ts by Female speciality Outpatients (Total no. of Female & Gender by speciality Outpatients by seen & Gender speciality & Gender during the seen during seen during the month)+ the month)+ 1.1 Total number of outpatients month)+ (Total no. of (Total no. 1.4(Total no. Female Casualty & of Male of Male and Emergency patients Casualty Female seen during the month) & Casualty & Emergenc Emergency y patients patients seen seen during the during the month) month) (total no. 1.1 (total no. of Male (total no. of female of Outpatien 1.2 Average per day Outpatients) / no. of Outpatients) / ts) / no. of days in a month no. of days in days in a a month month 1.3 Outpatients by Speciality & Gender 1.3.1 Cardiology 1.3.2 Dental 1.3.3 Dermatology 1.3.4 ENT 1.3.5 Gastrology 1.3.6 Internal Medicine 1.3.7 Nephrology 1.3.8 Neurology 11 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ 1.3.9 Neurosurgery ANC + Other Obstetrics and Gynaecology ANC + Other Gynae 1.3.10 Gynae Total no. of Total no. of ANC ANC ANC patients patients for the month 1.3.10.1 for the month Total no. of Total no. of patients patients seen seen for gynae for gynae Other Gynae conditions other than conditions ANC other than 1.3.10.2 ANC 1.3.11 Ophthalmology 1.3.12 Orthopedics (Male children ( Female children under (total children under 5yrs) under 5yrs) 5yrs) + + + (female children 5‐12 (total children (Male years) 5‐12 years) children 5‐ 1.3.13 Paediatrics Total 12 years) No. of Male No. of Female children Male + Female children Children under 5 years under 5yrs seen in the children under under 5yrs month 5 yrs seen in the 1.3.13.1 month No. of Male No. of Female children 5 Male + Female children 5 Children 5 ‐ 12 years ‐ 12 yrs seen in the children 5 ‐ 12 ‐ 12 yrs month yrs seen in the 1.3.13.2 month 1.3.14 Psychiatry 1.3.15 Pulmonology 1.3.16 Surgery 1.3.17 Urology 1.3.18 Other Specialities (please list below) 1.3.19 1.3.20 Total No.of Outpatients by speciality & 1.3.21 Gender Total Casualty & Emergency Department MO's/GP's/Casualty Medical Officers/MBBS 1.4 doctors 2. INPATIENTS 2.1 Admissions by Specialty(please give no.s of patients admitted by specialty in the rows below) 2.1.1 Cardiology 2.1.2 Dental 2.1.3 Dermatology 2.1.4 ENT 2.1.5 Gastrology 2.1.6 Internal Medicine 12 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ 2.1.7 Nephrology 2.1.8 Neurology 2.1.9 Neurosurgery 2.1.10 Obstetrics & Gynaecology 2.1.11 Ophthalmology 2.1.12 Orthopaedics 2.1.13 Paediatrics dept (Total) 2.1.13.1 NICU 2.1.13.2 Other paediatric admissions 2.1.14 Psychiatry 2.1.15 Pulmonology 2.1.16 Surgery 2.1.17 Urology 2.1.18 Others (please list below) 2.1.19 2.1.20 2.1.21 Total Admissions 2.2 Admissions ‐ additional information (Total Male (Male (Female Children and Female Children 2.1.1 Children < 12 yrs: admitted Children admitted < 12 yrs) admitted < 12 yrs) < 12 yrs) (Total male (Male and Female (Female patients patients 2.1.2 ICCU patients admitted in ICCU) admitted admitted in in ICCU) ICCU) (Total Male (Male and Female Children < Children < 12 (Female Children < 12 12 yrs)+ yrs)+ Total yrs)+ Female patients Male Male and admitted in ICCU) patients Female admitted patients in ICCU) admitted in 2.1.3 Total Admissions ‐ additional information ICCU) 2.3 Observations without admissions (No. of Patients kept for observation only. Patients kept in observation for >04Hrs, should be considered for No. of patients kept for observation 2.3.1 admissions by treating health provider.) However, if (ER & casualty) kept for more than 4hrs, in observation room and not admitted, count as observation cases. 2.3.2 Labour room (if admitted for at least 6 hours) 2.4 Total Discharges 3. BED OCCUPANCY Sum of daily inpatient census for 3.1 Total Bed Occupancy for the month the month for facility , how to calculate 13 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ provided separately countthe total of beds that are regularly maintained and staffed for the accommodat ion and fulltime care of inpatients 3.2 No. of Beds and are placed in a ward or part of the hospital where continuous medical care for inpatients is provided. (Total bed occupancy for the month x100) 3.3 Bed Occupancy Rate /(No. of days in the Month x No. of Beds ) Sum of the duration of stay of all in patients who were discharged 3.4 Total length of Stay (Discharged & Dead patients) or died during the month, how to calculate provided separately total length of stay / (total no. of 3.5 Average length of Stay( Discharge & Dead patients) discharges + total no. of deaths) 4. OBSTETRIC STATISTICS 4.1 Deliveries 4.1.1 Normal deliveries 4.1.2 Lower Segment Caesarean Section (LSCS) 14 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ 4.1.3 Instrumental Deliveries 4.1.4 Assisted Vaginal Deliveries 4.1.5 Others ‐ please specify 4.1.6 Total Deliveries 4.2 Perinatal Emergencies 4.2.1 Post Partum Haemorrhage (PPH) 4.2.2 Abortions 4.2.3 Others (please list below) 4.2.4 4.2.5 4.2.6 Total Perinatal Emergencies 4.3 Other Obstetric and Gynaecological Procedures 4.3.1 Tubal Ligation (TL) 4.3.2 Dilatation & Curettage (D&C) 4.3.3 Manual Removal of Placenta (MRP) 4.3.4 Insertion of IUCD Other Obstetric & Gynaecology Procedures 4.3.5 (please specify) 4.3.6 4.3.7 4.3.8 4.3.9 Total Other Obstetric and Gynaecological Procedures 5. DEATHS 5.1 Neonatal Deaths (< 28 days) 5.2 Infant Deaths (28 days to < 1 years) 5.3 Child Deaths (1 year to < 5 years) Maternal Deaths 5.4 (while pregnant or within 42days of termination of pregnancy) 5.5 Other Deaths 5.6 Total Deaths in the Health Facility 6. SURGERIES 6.1 Surgeries by Speciality 6.1.1 Cardiology 6.1.2 Dental 6.1.3 Dermatology 6.1.4 ENT 6.1.5 Gastrology 6.1.6 Nephrology 6.1.7 Neurosurgery 6.1.8 Obstetrics and Gynaecology 6.1.9 Ophthalmology 15 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ 6.1.10 Orthopedics 6.1.11 Pulmonology 6.1.12 Surgery 6.1.13 Urology 6.1.14 Other Specialities (please list below) 6.1.15 6.1.16 Total no. of Surgeries in OT 6.2 Major Surgeries in OT 6.2.1 Emergency Surgeries 6.2.2 Elective Surgeries 6.2.3 Total no. Major Surgeries in OT 6.3 Minor Surgeries in OT 6.3.1 Emergency Surgeries 6.3.2 Elective Surgeries 6.3.3 Total no. of Minor Surgeries in OT 7. MINOR PROCEDURES (outside the OT) 7.1 Total Number of Suturing done 7.2 POP application 7.3 Total Number of Injections given 7.4 Total Number of Dressings done 7.5 Other Procedures (please list below) 7.6 7.7 Total Minor procedures (outside the OT) 8. DENTAL SERVICES 8.1 Total number of consultations 8.2 Dental Procedures 8.2.1 Total number of Scaling 8.2.2 Total number of Extractions 8.2.3 Total number of Filling 8.2.4 Total number of Dentures 8.2.5 Other dental procedures 8.2.6 Total no. of dental procedures 9. OPHTHALMIC SERVICES 9.1 Total no. of ophthalmic procedures 10. ENT SERVICES 10. 1 Total no. of ENT procedures 11. DERMATOLOGY SERVICES 11.1 Total no. of Dermatology procedures 16 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ 12. UROLOGY SERVICES 12.1 Total no. of Urology procedures 13. LABORATORY SERVICES 13.1 Laboratory investigations 13.1.1 Out Patient Investigations 13.1.2 In Patient Investigations 13.1.3 Total no of investigations 13.1.4 No. of x‐matches (cross matches) 13.2 Patients for Laboratory Services 13.2.1 No. of Out Patients 13.2.2 No. of In Patients Total no of patients for laboratory 13.2.3 investigations 14. BLOOD TRANSFUSION SERVICES 14.1 For Thalassemia Cases 14.2 For Pregnancy Cases 14.3 For Anaemia Cases 14.4 Others (please list below) 14.5 14.6 14.7 14.8 Total no. of Blood Transfusions 15. PHYSIOTHERAPY SERVICES 15.1 Out Patients 15.2 In Patients 15.3 Total Physiotherapy 16. OTHER DIAGNOSTIC SERVICES Radiology 16.1 16.1.1 X‐Ray taken (Total No. of Exposures ) 16.1.2 X‐Ray taken (Total No. of Patients ) 16.1.3 Ultra Sound Scan Done 16.1.4 CT‐ Scan 16.1.5 MRI Scan 16.1.6 Total Radiology 16.2 In‐vivo lab 16.2.1 Audiometry 16.2.2 Bronchoscopy 16.2.3 Colonoscopy 16.2.4 Echocardiography 16.2.5 Electrocardiogram (ECG) taken 17 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ 16.2.6 Electroencephalogram (EEG) 16.2.7 EMG needle examination 16.2.9 Endoscopy 16.2.10 Holter monitoring 16.2.11 Lung function test 16.2.12 N.C.V.studies 16.2.13 Sigmoidoscope 16.2.14 Treadmill test 16.2.15 Tympanometry 16.2.16 Others (please list below) 16.2.17 16.2.18 16.2.19 Total In‐vivo lab 17. REFFERALS 17.1 No. of Emergency Referrals to IGMH 17.2 No. of Emergency Referrals to ADK 17.3 No. of emergency Referrals to other Hospital/HC (specify) 17.4 No. of referrals to other private hospitals 17.5 No. of referrals abroad 17.6 Total Refferals 18. PUBLIC HEALTH ACTIVITIES 18.1 Workshops 18.2 Seminars 18.3 School Health Programs 18.4 Health Education Sessions 18.5 Others (please list below) 18.6 18.7 18.8 19. OUT REACH SERVICES 19.1 No. of Islands visited 19.2 No. of Patients seen 20. SERVICES UPGRADED 20.1 Name of the service Date 20.2 21. NEW SERVICES STARTED 21.1 Name of the Service Date 21.2 18 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ Complied by: Checked by: Si gnature: Signature: Name: Name: De signation: Designation:  Cells that are not necessary to fill are highlighted in gray. 19 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ުޓޯޕިރ ްރާއ ްޗެއ :2 ުޓެމޯފ Health Work force: Disaggregated Report ATOLL Code Category 20 stnemmoC etairtapxE/lacoL xeS emaN ytilicaF emaN ytilicaF emaN ytilicaF Specialists Doctors ANAESTHESIOLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in M anaesthesiologyetc...) Expat. F CARDIOLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in Cardiology M etc...) Expat. F DENTISTS M Local (Includes Senior dentists., orthodentists, with MBBS training plus dental F X07 training ...but excluding dental assistants, dental technicians and related M Expat. occupations.) F DERMATOLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in M Dermatology etc...) Expat. F ENT Doctors (OTORHINOLARYNGOLOGISTS) M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in ENT etc...) M Expat. F INTERNAL MEDICINE (PHYSICIANS) M Local X01 (Includes Senior Consultants, Consultants, Senior Registrar in Internal F Medicine etc...) Expat. M ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ F NEUROSURGEONS / NEUROLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar Neurosurgery/ M Neurology...) Expat. F OBSTETRICIANS AND GYNAECOLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in Obstetrics M and Gynecology...) Expat. F OPHTHALMOLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, and Senior Registrar in M Ophthalmology...) Expat. F ORTHOPAEDIC DOCTORS M Local F X01 (Includes Senior Consultants, Consultants, and Senior Registrar in M Orthopedics...) Expat. F PAEDIATRICIANS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in M Paediatrics...) Expat. F PSYCHIATRISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in Psychiatrists...) Expat. M F PULMONOLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in M Pulmonology...) Expat. F SURGEONS M Local X01 (Includes Senior Consultants, Consultants, Senior Registrar in Surgery/ F General Surgery...) Expat. M 21 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ F UROLOGISTS M Local F X01 (Includes Senior Consultants, Consultants, Senior Registrar in Urology...) M Expat. F General Doctors M Local F X02 Includes medical officers , Registrars, (senior & junior as well with MBBS M training) Expat. F Nursing personnel Registered Nurse Midwife M Local (Includes Senior Staff Nurse, Senior Staff Nurse Grade 2, Senior F X04 Registered Nurse, Registered Nurse, Clinical Nurse, Ward Sister etcwith M midwifery training …These staff will have atleast a diploma and Expat. midwifery/specialist training) F Registered Nurse M Local (Includes Senior Staff Nurse, Senior Staff Nurse Grade 1, Senior F X03 Registered Nurse, Registered Nurse, Clinical Nurse, Ward Sister M etcwithout midwifery training ..These staff will have atleast a diploma in Expat. general nursing only.) F Enrolled Nurse Midwife M Local (Includes Senior Assistant Nurse Midwife, Senior Assistant Nurse, F X05 Assistant Nurse Midwife, Assistant Nurse ‐ with midwifery training M ..These staff will have advance certificate or below in nursing and Expat. midwifery.) F Enrolled Nurse M Local F Includes Practical Nurse, Senior Assistant Nurse, Assistant Nurse, Junior X06 M Assistant Nurse ‐ without midwifery training ..These staff will have Expat. advance certificate or below in general nursing only .) F Dental technicians/assistants M Local X08 F Includes dental hyegenists, dental assistants, dental technicians and Expat. M 22 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ related occupations. F Laboratory scientists M Local Includes laboratory scientists‐degree holders (microbiologist, pathologist F X09 (only if the pathologist is not trained as a medical doctor,), food M Expat. technologist, etc) F Laboratory technicians/assistants M Local F X10 (diploma/certificate) Includes includes laboratory assistants, laboratory M technicians and related occupations. Expat. F Radiographers M Local F X11 Includes radiographers and related occupations. M Expat. F Environmental and public health workers M Local F Includes environmental and public health officers, environmental and X12 public health technicians, sanitarians, hygienists, public health M Expat. inspectors, food inspectors, malaria inspectors and related occupations. F Community health workers M Local Includes community health officers, Public health officers, Regional F X13 health officers (Diploma / certificate holders in Community or public M Expat. health or related feild) F Family Health Workers M Local F X14 Includes those working as Family Health Workers in the community M Expat. F Traditional medicine practitioners M X15 Local Includes traditional and complementary medicine practitioners and F 23 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ associates. M Expat. F Traditional birth attendants M Local F X16 Includes traditional birth attendants. ( trained only ‐ Foolhuma's with M Foshi) Expat. F Medical assistants M Local F X17 Includes Clinical assistants and others directly assisting doctors with M medical care Expat. F Personal care workers home for M aged and Local F Includes institution‐based personal care workers, home‐based personal disabled, X18 care workers, personal assistants and other categories of care attendants kudakudhinge M hiya, rehab & Expat. in health services. detox centers F Other health workers M Local Includes dieticians and nutritionists, occupational therapists, operators F X19 of medical and dentistry equipment, optometrists and opticians, M Expat. podiatrists,respiratory therapists F Physiotherapists M Local F X20 M Expat. F psychologists M Local F X21 M Expat. F speech pathologists M X22 Local F 24 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ M Expat. F Nurse interns M Local F X23 Nurse Trainees and students M Expat. F Health management M Local Includescategories of health systems personnel in the senior F X24 management position and middle management position , such M asmanaging directors, directors of medical administration, directors of Expat. nursing, etc… F Admin & Support Staff M Local Includes administrative officers, assistant administrative officers, F X25 receptionists, medical records and health information officers, M ambulance drivers, building maintenance staff, and other general Expat. management and support staff. F Pharmacists M Local F X26 Includes pharmacists with a degree in Pharmacy or related field . M Expat. F Pharmaceutical technicians/assistants M Local F X27 Includes pharmaceutical assistants, pharmaceutical technicians and related occupations with diploma or certificate training. Expat. M F Counsellors M Local F X28 Either degree or diploma holders in Counselling, or related field M Expat. F Social Workers M Local F X29 Either degree or diploma holders in a sociology or related field M Expat. F 25 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ IMPORTANT NOTES Note:  Please fill the number of workers in the appropriate category and classify in the correct cell as local or expatriate, male or female  The number of staffs entered should be the number working in that particular 6 months.  Part Time workers SHOULD NOT be included as they will be counted where they are employed full time.  A person included in one category SHOULD NOT be included in another category  In the total column, enter the figure as a total for local (Male and Female) , total for expatriate (Male and Female) for that respective category  If the appropriate category is not found, pls insert an additional row/column and provide a description of the category and the number of health personnel in that category (in the same format ‐ local, expatriate, male, female)  For further clarifications or information, pls contact via telephone: 332 8887 (142 / 158 / 183 /161 ) or email: ppd@health.gov.mv  *Please email the soft copy (in original format provided‐ Excel) to ppd@health.gov.mv (pls DO NOT change any part of the format)  This data is an important data to assess the number employed in the health workforce and will be published in Health Statistics, Statistical Year Book of Maldives and other relevant publication 26 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 167 :ުދަދައ 45 :ްމުއިލޮވ ު ޓޯޕިރ ްޑެބ :3 ުޓެމޯފ BED REPORT (YEAR) 27 LLOTA EMAN YTILICAF ]latoT[draW eht ni sdeB fo rebmuN ]latoT[sdeB denoitcnaS latoT draW lacideM draW lacigruS eanyG /draw eanyG / draW ytinretaM )UIL( tinU noitcudnI ruobaL / stocdraw )UCIN( yresruN draW cirtaideaP )UCI( tinU eraC evisnetnI draW noitalosI draW etavirP draW lareneG draW TNE draW scirtaideaP draW srehtom gnideeF )21‐1 fo latot( esu ni sdeB stenissaB smooR noitatlusnoC mooR gnisserD mooR ycnegremE mooR ruobaL ertaehT noitarepO yparehtoisyhP stenissaB yparehtoisyhP yficeps esaelp srehto fI ]02‐31 fo slatoT[ sdeb rehtO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 0 0 0 0 0 0 0 0 0 0 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ ު ޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ :4 ްޓެމޯފ INPATIENT DIAGNOSIS REPORT Name of the Health Facility: Month: Year: Final Diagnosis Other Diagnoses S. IP Hosp. Date of PRINCIPAL Co morbidity Date of Age Sex ICD code 1 ICD code 2 Cormobidity 2 ICD code 3 no Number Number Admission Diagnosis 1 Discharge 28 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ (ްށަމުރުކ ްލިއެމ ްށޮކްނޭކްސ ުހަފްށަމުރުކ ަމަހިރުފ) ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ ު ތެޑ :5 ުޓެމޯފ (Insert facility header) DEATH CERTIFICATION DECLARATION Report of: (insert month/year) List of death certifiers who have read the “Cause of Death Certification Guidelines” No: Name Designation Signature Date Head of the facility: Signature: Name: Designation: Date: 29 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ :ުލީސުފަތ ެގުތޮގެނާރުފ ްއަތުޓެމޯފ ެގުކަތުޓޯޕިރ : 2 ް ސްކެނެއ ް ސީޓިވިޓްކެއ ްފޮއ ުޓޯޕިރ ީ ލު ތްނަމ .ހ Ministry of Health MALE’ REPUBLIC OF MALDIVES. Guidelines for Filling up the Monthly Report of Activities Please send the monthly reports to the Health Information & Research Section of Policy Planning & International Health before the 10th of the following month. You are requested to follow the guidelines given herewith for filling up the Monthly Report of Activities of Health facilities; it is also requested to adhere to fill the form correctly. If required please contact us for further details and explanations. 1.3.21 + 1.4 (Total no. of Male & Female Outpatients by speciality & Gender seen during the month) 1.1 = + (Total no. of Male and Female Casualty & Emergency patients seen during the month) 1.2 = 1.1(total no.of Outpatients) / The number of days in the month reported. 1.3.10.1 + 1.3.10.2 1.3.10 = (ANC) + (Other Gynae) 1.3.10.1 = Total no. of ANC patients for the month 1.3.10.2 = Total no. of patients seen for gynae conditions other than ANC 1 1.3.13.1 + 1.3.13.2 1.3.13 = (children under 5 years) + (children 5 - 12 years) 1.3.13.1 = Male + Female children under 5 yrs 1.3.13.2 = Male + Female children 5 - 12 yrs 1.3.1 + 1.3.2 + 1.3.3 + 1.3.4 + 1.3.5 + 1.3.6 + 1.3.7 + 1.3.8 + 1.3.9 + 1.3.10 + 1.3.21 = 1.3.11+ 1.3.12 + 1.3.13 + 1.3.14 + 1.3.15 + 1.3.16 + 1.3.17 + 1.3.18 + 1.3.19 + 1.3.20 Total no. of Male + Female outpatients seen in Casualty & Emergency 1.4 = Department 2.1.1 + 2.1.2 + 2.1.3 + 2.1.4 + 2.1.5 + 2.1.6 + 2.1.7 + 2.1.8 + 2.1.9 2 2.1.21 = + 2.1.10 + 2.1.11 + 2.1.12 + 2.1.13 + 2.1.14 + 2.1.15 + 2.1.16 + 30 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ 2.1.17 + 2.1.18 + 2.1.19 + 2.1.20 2.1.1 + 2.1.2 2.1.3 = (Total no. of admitted children <12yrs) + (Total no. of patients admitted in ICU) (No. of Patients kept for observation only. Patients kept in observation for 2.3.1 = >04Hrs, should be considered as admissions.) However, if kept for more than 4hrs, in observation room and not admitted, count as observation cases. 2.4 = Total no. of inpatients discharged in the month. Sum of daily inpatient census for the month for facility 3.1 = (How to calculate provided separately. Refer page 28) Count the total of beds that are regularly maintained and staffed for the 3.2 = accommodation and fulltime care of inpatients and are placed in a ward or part of the hospital where continuous medical care for inpatients is provided. 3 3.1 x 100 / (Number of days in the month x 3.2 ) 3.3 = (Total Bed Occupancy for the month x 100) / ( Number of days in the month x No. of beds) Sum of the duration of stay of all in patients who were discharged or died 3.4 = during the month. (How to calculate provided separately. Refer page 29) 3.4 / (2.4 + 5.6) 3.5 = total length of stay / (total no. of discharges + total no. of deaths) 4.1.6 = 4.1.1 + 4.1.2 + 4.1.3 + 4.1.4 + 4.1.5 4.2.6 = 4.2.1 + 4. 2.2 + 4.2.3 + 4.2.4 + 4.2.5 4 4.3.1 + 4.3.2 + 4.3.3 + 4.3.4 + 4.3.5 + 4.3.6 + 4.3.9 = 4.3.7 + 4.3.8 5 5.6 5.1 + 5.2 + 5.3 + 5.4 + 5.5 6.1.1 + 6.1.2 + 6.1.3 + 6.1.4 + 6.1.5 + 6.1.6 + 6.1.7 + 6.1.16 = 6.1.8 + 6.1.10 + 6.1.11 + 6.1.12 + 6.1.13 + 6.1.14 + 6.1.15 6.2.1 + 6.2.2 6 6.2.3 = (Emergency surgeries + Elective surgeries) 6.3.1 + 6.3.2 6.3.3 = (Emergency surgeries + Elective surgeries) 7 7. 7 = 7.1 + 7.2 + 7.3 + 7.4 + 7.5 + 7.6 8 8.2.6 = 8.2.1 + 8.2.2 + 8.2.3 + 8.2.4 + 8.2.5 13.1.1 + 13.1.2 13 13.1.3 = (Total outpatient investigations + Total Inpatient Investigations) 31 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ 13.2.1 + 13.2.2 13.2.3 = (Total no. of outpatients + Total no. of Inpatients) 14 14.8 = 14.1 + 14.2 + 14.3 + 14.4 + 14.5 + 14.6 + 14.7 15 15.3 = 15.1 + 15.2 16 16.1. 6 = 16.1.1 + 16.1.2 + 16.1.3 + 16.1.4 + 16.1.5 16.2.1 + 16.2.2 + 16.2.3 + 16.2.4 + 16.2.5 + 16.2.6 + 16.2.7 + 17 16.2.19 = 16.2.8 + 16.2.9 + 16.2.10 + 16.2.11 + 16.2.12 + 16.2.13 + 16.2.14 + 16.2.15 + 16.2.16 + 16.2.17 + 16.2.18 This report may be filled from Hospitals or Health Centers or Health Posts. Please fill in data relevant to the health facility. Bed Occupancy means the number of beds that were occupied in a hospital / health centre during a day. This count of heads or CENSUS is taken at the same time every day e.g. 12 am [midnight]. For example, if there were 5 inpatients at midnight on 1 April, the occupancy is said to be 5. Likewise, note each day’s occupancy. 32 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Given below is the bed occupancy of a Health centre with 10 beds for the month of April. Bed Date Occupancy 1-Apr 5 2-Apr 6 3-Apr 7 4-Apr 6 5-Apr 5 6-Apr 4 7-Apr 5 8-Apr 6 9-Apr 7 10-Apr 4 11-Apr 5 12-Apr 4 13-Apr 3 14-Apr 4 15-Apr 5 16-Apr 6 17-Apr 5 18-Apr 4 19-Apr 5 20-Apr 4 21-Apr 5 22-Apr 4 23-Apr 5 24-Apr 4 25-Apr 5 26-Apr 6 27-Apr 5 28-Apr 6 29-Apr 5 30-Apr 5 150 Total occupancy for April 150 Total Number of days in April 30 Number of beds 10 Total occupancy x 100 Bed Occupancy Rate = Total number of days x No. of beds i.e. 150x100 30x10 i.e. 50 33 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Duration of stay means the number of days each patient stayed in the hospital/health centre and is calculated only when a patient is discharged or dies i.e. only when both the dates [admission/discharge/death] are known. Given below is the admission and discharge register of a Hospital. Patient's Date of Date of Duration of Name Admission Discharge/Death Stay A 1-Apr 4-Apr 3 B 2-Apr 8-Apr 6 C 2-Apr 5-Apr 3 D 3-Apr 10-Apr 7 E 4-Apr 5-Apr 1 Total duration of stay 20 No: of inpatients [Discharged/Died] 5 Average duration of Stay 20/5=4 days If the durations of stay of each patient are added up then this will give the total duration of stay of the inpatients that were discharged or died. The total duration of stay divided by the number of inpatients that were discharged or died would give the average duration of stay. In calculating the average duration of stay, do not include the duration of stay of patients who have not been discharged. __________________ 34 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ ަތަވުނ ްއެއީރަގަޓެކ ަންނުހުނ ަތަވުނ ޭވެދުނ ިއަގްއެނަތ ޭދ ްތަމުދިޚ ީޙްއިޞ ުރިއާރުކަމަހިރުފ ުޓޯޕިރ :ްޓޯނ ާ އިމ) .ެވެއެނާވްނަރުކ ަގަހާފ ްށަތޮގިމ "NA" ިއަގިއަބ ަތަވުނ ިޅޮގ ެއ ެގުޓޯޕިރ ާވއި ަފިޅެއަޑނަކ ަމަންއެތަމުދިޚ ްއެއަބ .(ެވެއެނޭވެލެބ ްށަމަކްނޫނަމހަ ިރުފ ުޓޯޕިރ ެ އ ،މަ ަނާވިއަފާޅަހަށުހ ްށޮކުނަމަހިރުފ ްއަތިއަބ ްއެއަބ ެގުޓޯޕިރ ްށަފާލިޚ .ެވެއެނާވިއަފިނެމިހ ިއަގ 4 ްސްކެނެއ ްސްނަޝީނިފެޑ ު ޓޯޕިރ ްޑެބ ިދައ ްރާއ ްޗެއ .ށ ގަ ަހާފ ިއަގުކަތުޓެމޯފ ްސެނެގުންއެލަދަބ ްސވެ ްއެއ ްއަތިއަބ ާވިއަގުކަތުޓެމޯފ ާވިއަފިދެހ ްށަމުރުފ ްއަތުޓޯޕިރ ިމ .ްނުރުފ ްށަތޮގާވިއަފްށޮކ ު ޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ .ނ ްނުރުކްޓިމްޑެއ ،ަމަނާވްއާބ ިއަގްނަޝޭވރަޒްބޮއ ުރިއަނިގ ެރުވްށަރިއިޑަގ 4 ާހީމިލަބ ާވިއަފާވްއާބ ްށަނަޝޭވރަޒްބޮއ .1 ، ސް ެވަމަނީވ ިއަފިވްއޭބ ްށަކައާވުރަފ ަތަވުނ ިއަގްނޝަ ޭވަޒްބޮއ ުރިއަނިގ ެމްނަތިކ ާހީމިލަބ ްސެވަމަނ .ެވެއެވްނެގިވެދެއ ެގްއެނަޝިމްޑެއ ީއެއ ުކަދނިހ ިއަހާރުކުނ "ްޓިމްޑެއ" ާހީމިލަބ ާޔިރެތްތަމުދިޚ ީޙްއިޞ ޭދ ްތަމުދިޚ ަތަވުނ ުރަޓްކޮޑ .ެވެއެނޭވެލެބުނ ިއގަ ުތޮގ ީޙްއިޞ ިއާކަތްލަޓިޕްސޮހ ާގްނިހ ްނުކަތްތާރަފ ަލްއިމައ ިއާންނު ރާކުރަސ ޭވެދާވުރަފ ްނެގިވެރުކިތަމުދނެއ .2 ިމ ިދައ .ެވެއެނާވްނަގަނ "ްސަސްނެސ ްޑރޯވ ީލިއެޑ " ހު ަފްށަމުހެޖ 12 ު ރަވްނަދ ެގްއެއެރ ެމްނޮކ ްނުކަތުޒަކުރަމ ، "ްސަސްނެސ ްޑރޯވ ީލިއެޑ" 5 ްސްކެނެއ ުޓެމޯފ ެނާދިވެރުކްނުނޭބ ްށަމުގެނ "ްސަސްނެސ ްޑރޯވ" ިމ ީކެއާލޫސުއ .ެވެއެނާވ ިއަފިނެމިހ ިއަގ ްލަޕިސްނިރްޕ" ްށަނަޝިމްޑެއ ެއ ުރިއާރކު ުޖާޗްސިޑ ާހީމިލަބ ްނުނަތ ޭދ ްތަމުދިޚ ީޙްއިޞ ޭދާވުރަފ ްނެގިވެރުކިތަމުދނެއ .3 ، ުރަކރޯވ ުތްލެހ ަތަވުނ ުރަޓްކޮޑ ްނިދާވުރަފ ިލަބ ުޑނަގިއަމ ުނުވެދާވުރަފ ްށޮކްޓިމޑް ެއ ަތަވުނ "ްސިސޯންގަޔަޑ ްއަތިލަބ ުމްނިހުމ ްނެހެއ ޭޅުގާނަޝިމްޑެއ ެއ ެގާހީމިލަބ ުނުވެރުކ ްޓިމްޑެއ ްނުރުތިއ ެގީމ .ެވެއެނާވްނަޅައަޑނަކ .ެވެއެނާވްނަރުކ ަމަހިރުފ ިއަގ"ުޓޯޕިރ ްސިސޯންގަޔަޑ ްޓްނަޝޭޕްނިއ" ާވިއަފިނެމިހ ިއަގ 1 ްސްކެނެއ (ްސީޓިޑިބޯމޯކ) ، ުނުވެދ ްނެގިވެރުކިތަމުދނެއ ްނެގްށޮކްނުނޭބ ުޑޯކ 10 - ީ ޑ ީސ ިއައ ްށަތޮގާވިއަގުޓެމފޯ ާވިއަފާނަމިހ ިއަގ 1 ްސްކެނެއ .4 ޭޅުގާނަޝިމްޑެއ ެއ ިއާޔްއަބ ުޑނަގިއަމ ުނވު ެދާވުރަފ ްށޮކްޓިމްޑެއ ަތަވުނ "ްސިސޯނގް ަޔަޑ ްލަޕިސްނިރްޕ" ެގާވުރަފ ް އަ ތްތޮގ ެނާޅައަޑނަކ " ސް ިސޯންގަޔަޑ ްލަޕިސްނިރްޕ" .ެވެއެނާވްނަރުކ ުޑޯކ (ްސީޓިޑިބޯމޯކ) ްއަތިލަބ ުމްނިހުމ ްނެހެއ .ެވެއެނާވިއަފިނެމިހ ިއަގ 4 ްސްކެނެއ ް ނުރުކަނާމ ިދައ ްށަކަތްތާރަފ ާވްނުނޭބ ްނީރްމަތ ްށައްނިޑޯކ ެގ 10 -ީޑ .ީސ .ިއައ .5 ްށޮކްނިއަލްނޮއ ްނީރްމަތ ިމ ްނުކްނިލ ިމ http://apps.who.int/classifications/apps/icd/icd10training/ ެގުތްލެހ ްފޮއ ީރްޓްސިނިމ ުޓޯޕަސ ްނިއަލް ފޮއ ާވްނުނޭބ ްށަކަތްތާރަފ ާރުކުޑޯކ ްނުރުތިއ ެގީމ .ެވެއެނޭވެދްނެގ ްށަޔިރުކ ުޑޯކ ްށަކަތްތާރަފ ާރުކު ޑޯކ ިދައ .ެވެއެނޭވެދްށޮކުރޯފ ް ނިއ "ްނަޝްކެސ ްޗރަސިރ ްޑްނެއ ްނަޝޭމޮފްނިއ ުތްލެހ" 35 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ http://apps.who.int/classifications/icd10/browse/2015/en ްކްނިލ ިމ ްށޮކްނިއަލްނޮއ ްށަމުރުކ ތު މާ ޫލުޢަމ ެގުހަފ ެމްނެއ ާވިއަގުކަތުކްނިލ ިމ .ެވެއެނާދިވެރުކްނުނޭބ http://apps.who.int/classifications/en/ .ެވެއެނާވަންނަގިއަޑަވިބިލ ްނިއ ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ ު ތެޑ .ރ ެގުލޫސުއ ިމ ްނުރަކރޯވ ުތްލެހ ީޓިނުއިމޮކ ިއާންނުރަޓްކޮޑ ާވަންނަގއި ަޑަވިޅުގ ްށަލައ ާކައީޓިލިސެފ ުތްލެހ ެމްނޮކ ާވިއަގ 1 ްސްކެނެއ ި އަވުރުކިރެވުލުހައ ްށައ "ްނިއަލްޑިއަގ ްނަޝޭކފި ިޓެސ ުތެޑ ްފޮއ ްސޯކ" ާވިއަގ 3 ްސްކެނެއ ާޔިރެވ ިވެންނުހެވުލާވަހ ާމުވެގްނިހ ޓީ ިލިސެފ ުތްލެހ ،ުހަފްށަމުވުރުކިއޮސ ިއަގ "ްނަޝޭރަލްކެޑ ްނަޝޭކިފިޓެސ ުތެޑ" .ްނުރުކިއޮސ 36 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ ްސްނިއަލްޑިއަގ ްނަޝޭކިފިޓެސ ުތެޑ ްފޮއ ްސޯކ :3 ް ސްކެނެއ Introduction 37 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ This guideline aims to guide doctors in filling out death certificates. Death certification is an important part of a doctor’s duties as the information recorded in the death certificates helps decision makers in future planning and determines health priorities for prevention of preventable deaths due to similar causes in the future. The diagnosis that doctors enter in the death certificate is used to establish the cause of death for that person. This information is used for various purposes, the main use been to inform policy‐makers about the leading causes of death in the country in order to prioritize activities focusing on reducing burden of diseases and preventing deaths from these cause . The family gets the original death certificate which they use for funeral arrangements and other legal purposes. The information on the certificate is also important for family members so that they know what caused the death, and are aware of conditions that may occur or could be prevented in other family members. The cause of death in the death certificate is coded by trained coders who have the expert knowledge in applying the International Statistical Classification of Diseases and Related Health Problems, of which Maldives uses its 10th revision (ICD‐10). The ICD‐10 is managed by the World Health Organization and classifies thousands of diseases as individual items and groups similar diseases together in a meaningful way. The coded certificates are then analyzed and tabulated. This tabulation forms the basis for national mortality statistics. These are critical for establishing national health program priorities, for health planning and policy, and to inform debate about the allocation of health resources. Good‐quality mortality statistics are fundamental for the prevention of premature deaths. By agreement, countries are obliged to report their mortality statistics to the World Health Organization. These statistics form the basis for international health statistics and for international program priorities. They also form the basis for national and global burden of disease estimates and for decisions about global priorities to improve health. Since the cause of death data is important in health planning and establishing priority programs, it is imperative that good quality causes of death data are produced. For this purpose we need to improve death certification. Currently WHO classifies Maldives in the category, “low quality” cause of death data. This is because in the data we produce ill‐defined codes appear on >20% of the deaths. In 2010 the percentage of ill‐defined causes was 20.7% and in 2011 this percentage was 26.4%. Therefore, we need to put extra effort to improve death certification to improve quality of the cause of death data.

38 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Instructions for Completing the Cause‐of‐Death Section of the Death Certificate The cause‐of‐death section consists of two parts. Part I is for reporting a chain of events leading directly to death, with the immediate cause of death (the final disease, injury, or complication directly causing death) on Line (a) and the underlying cause of death (the disease or injury that initiated the chain of morbid events that led directly and inevitably to death) on the lowest used line. Part 2 is for reporting all other significant diseases, conditions, or injuries that contributed to death but which did not result in the underlying cause of death given in Part I. The cause‐of‐death information should be YOUR best medical OPINION. Report each disease, abnormality, injury, or poisoning that you believe led to that death. A condition can be listed as “probable” even if it has not been definitively diagnosed. 39 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Examples of properly completed medical certifications Case history no. 1 Shortly after dinner on the day prior to admission to the hospital, this 48‐year‐old male developed a cramping, epigastric pain, which radiated to his back, followed by nausea and vomiting. The pain was not relieved by positional changes or antacids. The pain persisted, and 24 hours after its onset, the patient sought medical attention. He had a 10‐year history of excessive alcohol consumption and a 2‐year history of frequent episodes of similar epigastric pain. The patient denied diarrhea, constipation, hematemesis, or melena. The patient was admitted to the hospital with a diagnosis of an acute exacerbation of chronic pancreatitis. Radiological findings included a duodenal ileus and pancreatic calcification. Serum amylase was 4,032 units per liter. The day after admission, the patient seemed to improve. However, that evening he became disoriented, restless, and hypotensive. Despite intravenous fluids and vasopressors, the patient remained hypotensive and died. Autopsy findings revealed many areas of fibrosis in the pancreas with the remaining areas showing multiple foci of acute inflammation and necrosis. TO BE COMPLETED BY THE CERTIFIER OF DEATH ‐‐‐‐‐‐MALDIVES ‐‐‐‐‐‐ Country of Death ‐‐‐‐‐‐‐22:39 ‐‐‐‐‐‐‐‐‐‐ Time of Death ‐‐‐‐‐‐ 08/07/2009 ‐‐‐‐‐ Date of Death ‐‐‐‐‐MALE ‐‐‐‐‐ Atoll/Island of Death ‐‐‐‐‐A hospital‐‐‐‐‐‐‐Place of Death ‐‐‐‐‐15 Rajab 1430 ‐‐‐‐‐‐‐ Arabic Date of Death Death Category Other Death Maternal Death Child Death Infant Death Neonatal Death Still Birth Miscarriage or Abortion (28 wks +) PART 1 Approximate interval between onset and death Disease or condition directly (a) ACUTE EXACARBATION OF CHRONIC PANCREATIS ‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐3 DAYS ‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐ Leading to death* Due to (or as a consequence of) Antecedent causes: Morbid conditions, (b) CHRONIC PANCREATITISS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐2 YEARS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ If any, giving rise to the above cause, Due to (or as a consequence of) Stating the underlying condition last (c) CHRONIC ALCOHOLISM ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐10 YEARS ‐‐‐‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) (d) ‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) PART 2 Other significant condition contributing ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ To the death, but not related to the Disease or condition causing it ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ This does not mean the mode of dying e.g. heart failure, respiratory failure. It means the disease, injury or complication that caused death. Notes on death certification: Duodenal ileus and pancreatic calcification are nonspecific processes and neither could be listed as an underlying cause of death 40 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Case history no. 2 A 30‐year‐old, gravida‐six, para‐five, with a history of gestational hyper‐tension, reported to the emergency room at 36 weeks gestation with complaints of abdominal cramping and light vaginal bleeding during the past 12 hours. At time of first assessment, fetal heart tones were detected. The uterus was tense, irritable, and tender. The mother was hypotensive with tachycardia. A presumptive diagnosis of abruptio placenta was made, and an emergency cesarean section was performed under general anesthesia. The baby was stillborn. The mother continued to bleed from her uterus and phlebotomy sites and went into profound shock secondary to disseminated intravascular coagulation. Despite administration of blood and clotting factors, intravascular pressure could not be maintained, and the mother died on the operating table. Maternal autopsy confirmed the clinical diagnosis. TO BE COMPLETED BY THE CERTIFIER OF DEATH --- MALDIVES--- Country of Death --23:55--- Time of Death -09/07/2009- Date of Death ---- MALE ---- Atoll/Island of Death ---A hospital- Place of Death 16 Rajab 1430- Arabic Date of Death Death Category Other Death Maternal Death Child Death Infant Death Neonatal Death Still Birth Miscarriage or Abortion (28 wks +) PART 1 Approximate interval between onset and death Disease or condition directly (a) ‐‐‐ HEMORRHAGIC RIC SHOCK ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐MINUTES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Leading to death* Due to (or as a consequence of) Antecedent causes: Morbid conditions, (b) ‐‐‐ DISSEMINATED INTRAVASCULAR COAGULOPATHY ‐‐ ‐‐‐ ‐‐‐‐‐‐ HOUR‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ If any, giving rise to the above cause, Due to (or as a consequence of) Stating the underlying condition last (c) ‐‐‐ ABRUPTIO PLACENTA ‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐ OVER 13 HOURS ‐‐‐‐‐ Due to (or as a consequence of) (d) ‐‐‐‐ --------------------- ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) PART 2 Other significant condition contributing ‐‐‐GESTATIONAL HYPERTENSION 13 WEEKS INTO PREGNANCY ‐‐ ‐‐‐ ‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐ To the death, but not related to the Disease or condition causing it ‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ This does not mean the mode of dying e.g. heart failure, respiratory failure. It means the disease, injury or complication that caused death. Notes on death certification: In this case, gestational hypertension would be considered a factor that contributed to the death. However, it would not be in the direct causal sequence of Part I, so it would be placed in Part II. 41 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Case history no. 3 This 24 year old male was admitted to the hospital 6 hours following a coconut falling on to his head. On admission he was confused and had nasal bleeding. About one hour after the admission, he went in to deep coma. The CT brain revealed a large sub dural haematoma and cerebral contusion. He died two hours after the admission to the hospital. TO BE COMPLETED BY THE CERTIFIER OF DEATH MALDIVES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Country of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐ Time of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐ Date of Death MALE‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Atoll/Island of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Place of Death ‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐ Arabic Date of Death Death Category Other Death Maternal Death Child Death Infant Death Neonatal Death Still Birth Miscarriage or Abortion (28 wks +) PART 1 Approximate interval between onset and death Disease or condition directly (a) ‐‐‐ COMA‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐1 HR ‐‐‐‐‐‐‐‐‐‐‐‐‐ Leading to death* Due to (or as a consequence of) Antecedent causes: Morbid conditions, (b) ‐‐‐ CEREBRAL CONTUSION‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐ HOURS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ If any, giving rise to the above cause, Due to (or as a consequence of) Stating the underlying condition last (c) ‐‐‐ SUBDURAL HEMATOMA‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐ HOURS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) (d) ‐‐‐‐COCONUT FALLING ON HEAD ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐ 8 HRS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) PART 2 Other significant condition contributing ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ To the death, but not related to the Disease or condition causing it ‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ This does not mean the mode of dying e.g. heart failure, respiratory failure. It means the disease, injury or complication that caused death. Notes on death certification: In this case of accidents the underlying cause of death would always be the circumstances of the accident that led to the fatal injury. 42 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ Case history no. 4 A 23‐year‐old man dies from traumatic shock after sustaining multiple fractures when he was hit by a car while walking. TO BE COMPLETED BY THE CERTIFIER OF DEATH MALDIVES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Country of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Time of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Date of Death MALE‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Atoll/Island of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Place of Death ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Arabic Date of Death Death Category Other Death Maternal Death Child Death Infant Death Neonatal Death Still Birth Miscarriage or Abortion (28 wks +) PART 1 Approximate interval between onset and death Disease or condition directly (a) ‐‐‐ TRAUMATIC SHOCK ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐1 HR ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Leading to death* Due to (or as a consequence of) Antecedent causes: Morbid conditions, (b) ‐‐‐ MULTIPLE FRACTURES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐ 5 HRS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ If any, giving rise to the above cause, Due to (or as a consequence of) Stating the underlying condition last (c) ‐‐‐ PEDESTRIAN HIT BY CAR‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐ 5 HRS ‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) (d) ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Due to (or as a consequence of) PART 2 Other significant condition contributing ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐ ‐‐‐ ‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐ To the death, but not related to the Disease or condition causing it ‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ This does not mean the mode of dying e.g. heart failure, respiratory failure. It means the disease, injury or complication that caused death. Notes on death certification: In this case of accidents the underlying cause of death would always be the circumstances of the accident that led to the fatal injury. 43 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ CAUSE OF DEATH Take care to make the entry legible. Use a computer printer or print legibly using permanent black ink in completing the cause‐of‐death section. Do not abbreviate conditions entered in section. PART 1 (Chain of events leading directly to death)  Only one cause should be entered on each line. Line (a) MUST ALWAYS have an entry. DO NOT leave blank. Additional lines may be added if necessary.  If the condition on Line (a) resulted from an underlying condition, put the underlying condition on Line (b), and so on, until the full sequence is reported. ALWAYS enter the underlying cause of death on the lowest used line in Part 1.  For each cause indicate the best estimate of the interval between the presumed onset and the date of death. The terms “unknown” or “approximately” may be used. General terms, such as minutes, hours, or days, are acceptable, if necessary. DO NOT leave blank.  The terminal event (e.g., cardiac arrest or respiratory arrest) should not be used. If a mechanism of death seems most appropriate to you for Line (a), then you must always list its cause(s) on the line(s) below it (e.g., cardiac arrest due to coronary artery atherosclerosis or cardiac arrest due to blunt impact to chest).  If an organ system failure such as congestive heart failure, hepatic failure, renal failure, or respiratory failure is listed as a cause of death, always report its etiology on the line(s) beneath it (e.g., renal failure due to Type I diabetes mellitus).  When indicating neoplasm as a cause of death, include the following: 1) primary site or that the primary site is unknown, 2) benign or malignant, 3) cell type or that the cell type is unknown, 4) grade of neoplasm, and 5) part or lobe of organ affected. Example: a primary well-differentiated squamous cell carcinoma, lung, left upper lobe. PART 2 (Other significant conditions)  Enter all diseases or conditions contributing to death that were not reported in the chain of events in Part I and that did not result in the underlying cause of death. See examples.  If two or more possible sequences resulted in death, or if two conditions seem to have added together, report in Part 1 the one that, in your opinion, most directly caused death. Report in Part 2 the other conditions or diseases. 44 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ CHANGES TO CAUSE OF DEATH If additional medical information or autopsy findings become available that would change the cause of death originally reported, the original death certificate should be amended by the certifying physician by immediately reporting the revised cause of death to Ministry of Health. COMMON PROBLEMS IN DEATH CERTIFICATION The elderly decedent should have a clear and distinct etiological sequence for cause of death, if possible. Terms such as senescence, infirmity, old age, and advanced age have little value for public health or medical research. Age is recorded elsewhere on the certificate. When a number of conditions resulted in death, the physician should choose the single sequence that, in his or her opinion, best describes the process leading to death, and place any other pertinent conditions in Part II. INFANT DECEDENT The infant decedent should have a clear and distinct etiological sequence for cause of death, if possible. "Prematurity" should not be entered without explaining the etiology of prematurity. Maternal conditions may have initiated or affected the sequence that resulted in infant death, and such maternal causes should be reported in addition to the infant causes on the infant's death certificate (e.g., Hyaline membrane disease due to prematurity, 28 weeks due to placental abruption due to blunt trauma to mother's abdomen). 45 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ REFERENCES National Center for Health Statistics (2004) Instructions for Completing the Cause‐of‐Death Section of the Death Certificate, Center for Disease Control and Prevention, National Center for Health Statistics, US department of Health and Human Services, viewed on 16 July 2009, <http://www.cdc.gov/nchs/data/dvs/blue_form.pdf> National Center for Health Statistics (2004) Physicians Handbook on Medical Certification of Death, Center for Disease Control and Prevention, National Center for Health Statistics, US department of Health and Human Services, viewed on 16 July 2009,<http://www.cdc.gov/nchs/data/misc/hb_cod.pdf> WHO (2004) International Statistical Classification of Diseases and Related health Problems, 10th Revision, Vol 2, 2nd Edition, World Health Organization, Geneva. 46 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ ްއަތްނަޝީނިފެޑ : 4 ް ސްކެނެއ :ްނަޝީނިފެޑ " ްސިސޯންގަޔަޑ ްލަޕިސްނިރްޕ " ިލަބ ުޑނަގިއަމ ުނުވެދ ާވުރަފ ްށޮކްޓިމްޑެއ :ްއަތްތޮގ ެނާޅައަޑނަކ ެއ ާލަބ ްށައ ާޖީތަނ ެގުކަތުލީލުހަތ ްނެހިނެހެއ ިއާކަތުލީލުހަތ ީރަޓޯބެލ ިއާކަތ"ްސްމަޓްމިސ ްޑްނެއ ްސްނިއަސ" ެގާހީމިލަބ - (ިލަބ ުނުވެދ ާވުރފަ ިއަގްނަޝިމްޑެއ ެއ ްއަތްތަމުދިޚ ަނިގ ެމްނެއ ްނުތޮގިމ) ި ލަބ ުޑނަގިއަމ ުނުވެދ ާވުރަފ ިއަގްނަޝިމްޑެއ 47 ް ޓެޒެގ ެގުރާކުރަސިހެވިދ 45 :ުދަދައ 45 :ްމުއިލޮވ ްސަސްނެސ ްޑރޯވ ީލިއެޑ : 5 ް ސްކެނެއ DAILY WARD CENSUS Hospital / Health Facility Name Island Name Ward: …………………………… Date: ……………………….. No of Beds (Inpatient Beds in the Ward): ……………` Previous Census: ………… Admission S. no Name Address Hosp no. Age Sex P.Diagnosis Obs. Discharge No. hosp S. no Name Address days Age Sex P.Diagnosis Obs. Death No. hosp S. no Name Address days Age Sex IP. Folder No Obs. Transfer IN S. no Name Address Age Sex From To Transfer OUT S. no Name Address Age Sex From To * If an Obstetrical patient please tick () Total Census: ……………… *** Census is calculated from 12:00am to 11:59pm No of Beds: = (Total no of Inpatient Beds in the Ward) Previous Census:= (Total Inpatients for previous 24hrs(12:00am to 11:59pm). Transfer IN: = (Transfer in from another ward or within facility/hospital. Does not involve admissions) Transfer OUT:= (Transfer out to another ward or within facility /hospital. Does not include discharge or referral) 48 ްއަތިޑަގ ާވްއުނޮފ ްށަރުދ ޭލިހ ްއަތްނުވެގްނެއ ިއާކަތްނުވެންނެދ ިއާކަތްްނާލުޢިއ ެގުޓެޒެގ ްށައ 4:00 ްނ 3:30 ުރީވަހ ،ްށައ 1:00 ްނ 12:30 ުރުދްނެމ ުކަހަވުދ ެމްނޮކ - ްށަލަޔިނ ެގުހަވުދ ިތަފްސާރުބ ްނިއަތްއީދާއ ްށައ 4:00 ްނ 3:30 ުރީވަހ ، ްށައ 11:30 ްނ 11:00 ުނުދނެހ - ްސަވުދ ުރުކުހ ްށައ 4:00 ްނ 3:30 ުރީވަހ - ްސަވުދ ުރިހިނޮހ ...yourfriendonair. ްށއަ 7:45 ްނ 7:00 ުކައެރ ެމްނޮކ ެގާތުފަހ