4.12 Technical-Administrative Instruments.

Induction Manual
Supervision Manual
Internal service regulations
Assignments of functions for each nursing and administrative staff
internal policies of the institution

4.13 Management Information System in Health (Description of the SIGSAS)

used
among other aspects).

4.15.1 Sigsa 1

Monthly birth register

This instruction manual was created to provide a guide for

the use of the Birth Registration Form (1), which will maintain a complete record and
updated from the births of individuals. The person designated by the
municipal health coordinator must go to the RENAP of their locality in the
first five (5) days of the month following the month for which the information is intended

collect (for example: in the first five (5) days of February will collect the
January data) and must transcribe the data from the registration form
births towards this form.
4.15.2 Sigsa 2

Monthly death registry

The Form 2 'Monthly Death Registration' will maintain a complete record and
updated information on deaths that occurred in the community. This form is used
as an instrument for the collection of registered deaths, it collects the
details of age, sex, usual residence, diagnosis of the cause of death
type of death
4.15.3 Sigsa 3
Consultation record
This form serves as an instrument for recording the consultation made in
all health services of the Ministry of Public Health and Social Assistance and
it is divided into 3 forms:
SIGSA 3 P/S - Daily Consultation and Post-Consultation Register
Health Posts and Convergence Center.
SIGSA 3 C/S - Daily Consultation Record in Health Center.
SIGSA H - Daily Consultation Register in Hospital.

In these forms, data of the consultant, controls, data of the

consultation that includes diagnoses, treatment and/or medication provided and
not delivered to the patient and the control of references. This data is useful for
tabulate the general morbidity by age groups and sex and the production of
personal. From here, data is obtained for the monthly production forms and
quarterly, among these are:

Number of new patients.

Number of first consultations.
Number of follow-up consultations.

Emergency number.
 Number of check-ups for pregnant women and postpartum women.

Nutritional diagnosis to start or restart the monitoring of

growth.
Number of users in family planning and number of methods
delivered.
Number of consultations for domestic violence or gender-based violence
gender.
Number of references.

CONSULTATION RECORD

SIGSA 3 C/S - Daily Consultation Record in Health Center.

DAILY CONSULTATION RECORD IN HEALTH CENTER 3C/S

Valid from 2013
Form-SIGSA-S3CS-1.1/05-2012

Health Area: Health District: Municipality: Health Service:

Person responsible for the information: 1/ Cargo: Company: Month: Year:

9/ 11/ Mark with

Residence 12/Control Reason for consultation and/or classification Treatment and/or formulated medication
Age Consultation a X Yes

Patient's first and last name

Description of Code Quantity
Municipality Community and/or exact address Description Presentation
diagnosis/control ICD-10 Prescribed

1/ Cargo: Sex 4/Linguistic community: 5/ Migrant Agricultural Worker: 7/Education 8/ Profession or trade or 9 10/ Disability: 11/ Inquiry: 12/ Control
Person Responsible for the Information: Mae
l If it is town 2 (Maya): If he is an agricultural worker 1 Pre-Primary condition: These boxes are exclusive: 1 Physics Type of Consultation: Family Planning
1LocalDoctor 9 EPS Psychology 17 Lab Technician F = Female 1Achi 11 K'iche' 19Sipakapensa migrant mark with a 2nd Primary Housewife Ifthepatientisunderonemonthold, 2Mental New: patient attending for the first time Follow-up: patient who attends follow-up
2EPSDoctor 10 Nursing Assistant 18 Others 2Akateka 12Mam 20 Tektiteka X 3 Basics 2. Sex Worker Woman note the age in days. 3 Visual service in the year. resupplyofthemethod,managementof
3OutpaetintDoctor 11 TSR 3/ Town: 3Awakateka 13Mopan 21 Tz'utujil 4 Diversified 3. Male sex worker If the patient is under one year old, 4Aud
o
tiry First consultation: patient who attends
side effects or follow-up appointment to the
4DoctorInternao
tinalCooperao
tin 12 ISA 1 Mestizo, Ladino 4 Ch'orti' 14 Poqomam 22Uspanteka 6/ Sexual Orientation 5 University 4. Private Person of Freedom note the age in months. 5 Other first consultation with the service for a
5 Enfermera Graduada o Profesional 13 Trabajador Social 2 Maya 5 Chalchiteka 15 Pocomchi’ 23doesnotindicate Heterosexual 6 None [Link] If the patient is over one year old, Reconsultation: patient who attends the service for method, detailing in the description box
6 Ambulatory Nurse 14 Vector Personnel 3 Garífuna 6 Chuj 16 Q’anjob’al Bisexual 7 Other [Link] note the age in years. follow-up for an illness. diagnostic the reason for the consultation.
7 Professional Psychiatrists 15 Institutional Facilitator 4 Xinca 7 Itza' 17 Q'eqchi' Homosexual 8 N/A Migrants Emergency: patient who attends the service for A/ Write the gestational week number
8 Resident Psychiatrist Psychiatry 16 Community Facilitator 5 Others 8 Ixil 18 Sakapulteka 4. Trans 8. Others medicalemergency. (1, 2, 3, 4, ... 42).
6Does not indicate 9 Jakalteka 5. Other N/A
SIGSA 3 P/S - Daily Registration of Consultation and Post-Consultation in Health Posts
Convergence Center.

DAILY RECORD OF CONSULTATION AND POST-CONSULTATION AT HEALTH POST AND CONVERGENCE CENTER 3P/S
Valid from 2013
Form-SIGSA-S3PS-1.1/05-2012

Health Area: Health District: Municipality: Health Service:

Person responsible for the information: 1/Cargo: Company: Month: Year

11/ Check with

9/Age Residence 12/Control Reason for consultation and/or classification Treatment and/or formulated medication
Consultation an X Yes
SIGNATURE OR
TRACE
DIGITALOFTHE
First and last names of the patient
Community and/or address Code Quantity Quantity No PERSON WHO
Municipality Description of diagnosis/control Description Presentation RECEIVE THE
exact ICD-10 Delivered Delivered
MEDICATION

1/Cargo 2/ Sex: Pueblo 4/ Linguistic community: 5/ Migrant Agricultural: 7/Schooling: 8/ Profession or trade or 9/Edad: 11/Query: 12/ Control
Person Responsible for Information: If it is town 2 (Maya): 1 Pre Primary condition: These boxes are mutually exclusive: TypeofConsultation: Family Planning:
Local Doctor 12 ISA M = Male Mestizo, Ladino 1Achi’ 9 Jakalteka 17 Q'eqchi' If he/she is a worker 2nd grade Housewife If the patient is under one month old, record the age in days. New: patient attending the service for the first time this year. Reconsultation: patient attending follow-up
2Médico EPS 13 Social Worker F = Female 2Maya 2Akateka 10 Kaqchikel 18 Agricultural Migrant Sakapulteka 3 Basics 2. Female Sex Worker 2. If the patient is under one year old, record the age in months. First consultation: patient who attends for consultation about for restocking of the method, management of
3OutpatientDoctor 14 Personal Vectors 3 Garifuna 3Awakateka 11 K'iche' 19 Sipakapensa mark with an 'X'. 4 Diversified 3. Male sex worker 3. If the patient is over one year old, note the age in years. Reconsultation: patient who attends the service for side effects or follow-up appointment with
4International Cooperation Doctor 15 Institutional Facilitator 4Xinca 4 Ch’orti’ 12 Ma'am 20 Tektites 5 University 4. Private Individual of Freedom follow-up for an illness. method, detailing in the description box of
5 Graduate Nurse or 16 Community Facilitator 5 Others 5 Chalchiteka 13 Mopan 21 Tz'utujil 6/ Sexual Orientation: 6 None 5. Youth at social risk 10/ Disability: Emergency: patient who attends the service for urgency diagnosis the reason for the consultation.
6 Outpatient Nurse 17 Lab Technician 6 does not indicate 6 Chuj 14 Poqomam 22 Uspanteka 1. Heterosexual 7Another 6. Uniformed 1Physics AW
/h
eten
riumboern
gaifw
etasleks
7 Professional Psychiatrist 18 Others 7 Itza' 15 Pocomchi’ 23 Does not indicate 2. Bisexual 8 N/A 7. Migrants 2Mental (1, 2, 3, 4, ... 42).
8 Resident Psychiatrist 8 Ixil 16 Q'anjob'al 3. Homosexual 8. Others 3Visual

4.15.4 Sigsa 4

Daily post-consultation record in health centers and hospitals

This instruction manual was prepared to provide a guide for the

use of the Post Consultation form (4) which will keep a complete record and
updated from the post consultations carried out. This form serves as
instrument for collecting post-consultations carried out in all services
from the second level of care, contain patient data, diagnosis,
responsible for the consultation, medication, quantity delivered and not delivered of
medication and signature or fingerprint of the person receiving it. The information
contained in this form shall be used to keep track of the
delivery of medications and those that are no longer delivered in the service of
health that is used.

4.15.5 Sigsa 5a
Vaccination and supplementation record – notebook for the girl and the younger boy
of 5 years

The objective of this instrument is to have a complete and updated record.

of the vaccination history and supplementation, deworming and monitoring of the
growth of children under 5 years old in each unit of MSPAS
where the biologicals of the PNI (National Immunization Program) are applied,
supplemented with the micronutrients of PROSAN (Safety Program
Food and Nutrition), dewormers are provided and monitoring is carried out of
growth. The data that is recorded in the girl's and boy's notebook
under 5 years old, must be reflected in the records on the girl's ID and the
child under 5 years old.
.15.6Sigsa 5b
Vaccination registry for women of childbearing age and adults

The purpose of this instrument is to maintain a complete and updated record of

vaccination history of women aged 15 to 49 and other age groups in
each unit of the MSPAS where the biologicals of the PNI (National Immunization Program) are applied

National Immunization Program

4.15.7 Sigsa 5c
Monthly consolidation of vaccination, growth monitoring, and safety
food

This form aims to consolidate the information registered in SIGSA

5A and 5B to maintain proper control of vaccination actions, monitoring
of growth and food security in girls, boys, women, and other groups.

Data Source: Child's notebook (5th) and vaccination record for

women aged 15 to 49 and other groups (5b).

Services that must report: All the services they provide within their
service portfolio for growth and development control, supplementation with
micronutrients and vaccination.

Responsible for Registration:

Person administering the vaccine. Verification Responsible: Nurse
service.
4.15.8 Sigsa 5c annex VME
Monthly consolidated report on supplementation with vitamins and minerals

dusty

The aim of the instrument is to obtain consolidated information monthly from

Supplementation of vitamins and minerals sprinkled in order to improve the
data capture in information.

Data Source: Child and Girl Notebook (5th), Unique Form (Program of
Coverage extension.

Services that must report: All the services they provide within their
supplementation service portfolio with sprinkled vitamins and minerals,
Vitamin A and Dewormer.

Responsible for the Registration and Verification of the Data Responsible for registration:

Person who performs supplementation. Verification: Nurse of the service and

Nutritionist.
4.15.9 Sigsa 5 'DA'
Follow-up notebook for cases of acute malnutrition in children.
under 5 years

The follow-up notebook for acute malnutrition cases is an instrument

that integrates and systematizes all actions for the treatment of malnutrition
moderate and severe acute without complications at the community level. It facilitates the

monitoring of nutritional care and identifies the development of the boy and the girl,
promotes compliance with controls in the nutritional recovery of the child and
the girl.

Data Source: Query

Services that must report: All services they provide within their
service portfolio the monitoring of acute malnutrition cases in children and
girls under 5 years old.
4.15.10 Sigsa 5AH
Hospital vaccination record – notebook for girls and boys under 6
years

The aim of this instrument is to have a complete and up-to-date record.

of the vaccination history of children under 6 years old in each
MSPAS hospital where the biologicals of the PIN (Program of
Immunizations). The data that is recorded in the girl's notebook and the
child under 6 years old, must be reflected in the records in the girl's card and
the child younger than 6 years old.
4.15.11Sigsa 5DA
Monthly consolidated report of acute malnutrition cases in girls and boys under
5 years old

Tool to obtain consolidated monthly information on 'Cases of

acute malnutrition in children under 5 years old" in order to improve the
data capture through the Tracking Notebook, for taking
decisions.
4.15.12 Sigsa 6

Production by type of personnel (monthly report)

This instruction manual was created to provide a guide for the

Filling out the production form according to the type of personnel (Monthly Report).
This form serves as an instrument for consolidating reports of
production of programs for the care of people and the environment provided by the
Ministry of Public Health and Social Assistance.
4.15.13 Sigsa 6 quarterly
Production by type of staff

This instruction manual was created to provide a guide for the

Filling out the Quarterly Production Form. Production corresponding to
preventive actions for environmental care and health promotion by type of
personal and technical regulatory program. This report must be prepared
quarterly each health service and send it to the corresponding district, along with
with the monthly reports of March, June, September, and December. The total of
The quarter is calculated by adding the data recorded in each of the columns.
The year-to-date total

It is calculated by adding the total of the current quarter with the total of the previous quarters.

previous ones of the same year.

4.15.14 Sigsa 6 quarterly annex

Quarterly report on promotion and health education activities by type

of personal

It allows the registration of promotion and health education activities, according to

type of personnel, grouping them by training, education information and
communication, as well as work meetings.
4.15.15 Sigsa 6 annual

Annual report

This instruction manual was created to provide a guide for the

filling out the form titled 'Annual Report'.

This form reports data that do not vary considerably during

the year and, for the most part, serve as a basis for the calculation of indicators. Must
to report along with the monthly report of December each year.
4.15.16 Sigsa 7Monthly report of priority morbidity (first consultations) This
The form allows reporting cases of general morbidity treated in the
health services. Form 7 of each service must be sent to
district by no later than the last business day of each month.

4.15.17 Sigsa 15

Child card for children under 5 years old

The health card for boys and girls is a tool that integrates and systematizes
all preventive actions and facilitates the continuity of care; records the
compliance with the vaccination schedule and organizes regular check-ups from
birth to 5 years of age (and up to 6 years of age for
vaccination); it detects deviations from normal patterns early
of growth and development, used as an educational resource for the
mothers and fathers in family promotion and self-care.

In the Ministry of Health, the health card for boys and girls is an instrument of
record of the preventive actions provided in health services to
national level for comprehensive care of children under 5 years old.
It is used by mothers, fathers, and/or caregivers of children.
as for the health personnel for the follow-up and verification of the background
of the vaccination schedule, organizing the patient's follow-up consultation days,
supplementation with micronutrients, deworming, food delivery
complementary and weight monitoring for age, height monitoring for age and
development of boys and girls.
4.15.18 Sigsa 18
Weekly epidemiological surveillance report This form allows reporting
the cases of mandatory notification diseases.

4.15.19 Sigsa 22

Dental consultation and post-consultation daily record in centers of

health, permanent care centers and peripheral clinics
Register dental data resulting from the consultations carried out in the centers
health, permanent care clinics, and peripheral clinics.

This form serves as a basis for tabulating the dental morbidity observed in
the services, the production of the assigned personnel and for attention to the
people. It is the primary source for establishing the top ten (10) causes of
dental morbidity in children and adults. This form is used to obtain the
data for the monthly and quarterly production forms, said data is
the following:
Number of new patients
Number of first consultations
Number of Re-consultations
Emergency number
Number de Attention a
pregnant women
CPO in children aged 12
years
Quantity and presentation of
prescribed medication
Number of references
Number of treatments
carried out
Type of treatments
carried out