Healthy Baby / Child Carepath
(Routine Vaccination – Paediatric Visit)
Purpose
The Healthy Baby / Child Carepath supports routine preventive care for infants and children, including growth monitoring, scheduled immunizations, supplements, and developmental screening.
During a visit, the Visit Actions panel displays all services that are due, required, or clinically relevant for the child based on:
Age
Prior vaccination history
Carepath enrollment
Configured immunization and supplement schedules
Each Visit Action must be reviewed and either completed, back-entered, or intentionally left unperformed to ensure an accurate clinical record, correct reporting, and appropriate follow-up.
Care Path Enrollment Rule
The IIS does not automatically enroll patients into care paths.
Even when a child is age-eligible or services are due, clinic staff must manually enroll the patient into the Healthy Baby / Child Carepath from the Care Pathways / Plans panel before visits and schedules become active.
Navigation
From the sidebar, expand Patients and select Search
Search for the child using one or more identifiers
Open the View Patient page
If the child is not already enrolled, select Care Pathways / Plans → Enroll → Healthy Baby / Child Carepath
Select Start Visit
When prompted, choose either:
Routine Vaccination (Paediatric), or
From Care Plan – Healthy Baby / Child Carepath
Visit Naming
Depending on how the visit is started, the visit header may display:
Routine Vaccination (Paediatric)
From Care Plan Healthy Baby / Child Carepath
Both represent the same paediatric vaccination and child health workflow.
Workflow
Start Visit — Required Fields and Visit Creation
When starting a Healthy Baby / Child Carepath (Routine Vaccination – Paediatric) visit, the Start Visit dialog enforces several mandatory fields that must be completed before the visit can begin.
If any required field is missing, the Start Visit button remains disabled and a validation message is displayed.
Required Fields
The following fields must be reviewed and completed as applicable:
Guardian / Parent Present
For paediatric patients, the system requires confirmation that a guardian or parent is present.
Select the listed mother or guardian if already linked to the child
OR select Other and record:
Relationship (e.g., Father, Grandparent, Caregiver)
Name of accompanying adult
This confirms consent and supervision for paediatric care and immunization.
If this field is left blank, the system displays “Required field missing” and prevents visit creation.
Stock / Clinic Session
A Stock / Clinic Session must be selected before the visit can start.
This links all immunizations administered during the visit to:
The correct clinic
The correct session
The correct issued stock
This is required for:
Stock accountability
Vaccine traceability
Accurate reporting
If no session is selected, vaccines cannot be administered during the visit.
Check-In Date / Time
The Check-In Date/Time defaults to the current date and time, but can be edited if the patient was seen earlier.
Use this field to:
Backdate visits that occurred earlier the same day
Correct delayed data entry
Ensure visit timing reflects actual patient attendance
The check-in time affects:
Visit ordering
Audit trails
Chronology validation
Visit Creation Method
You must choose one of the following options:
From Care Plan – Healthy Baby / Child Carepath
Displays scheduled vaccines and services from the enrolled carepath
Automatically loads the expected paediatric vaccination workflow
Recommended when the child is enrolled and services are due
Create New Visit (Template)
If not starting from the carepath:
Select a visit template manually (e.g., Routine Vaccination – Paediatric)
The Template field is mandatory
Leaving this blank prevents visit creation
Common Reasons the Visit Will Not Start
If the Start Visit button is disabled, check for:
Guardian / Parent Present not selected
Stock / Clinic Session not selected
Visit Template not selected (when creating a new visit)
All required fields must be completed before proceeding.
Final Step
Once all required fields are complete:
Review patient details at the top of the dialog
Confirm the visit creation option
Select Start Visit
The system opens the paediatric visit and displays the Visit Actions panel for documentation.
Services Displayed (Visit Actions)
The Visit Actions panel lists all services scheduled or expected for the encounter, including:
Weight, height, and head circumference
Scheduled vaccines (e.g., BCG, HepB, DTP, OPV, PCV, IPV, MR, HPV)
Supplements (e.g., Vitamin A, Vitamin K)
Vital signs (where applicable)
Developmental disability screening
Other interventions depending on the child’s enrolled carepath
Action Buttons
Each Visit Action includes the following controls:
Complete Marks the service as performed today and saves immediately. Once completed, the author’s name and timestamp are displayed.
Back-Enter Used when a service was performed before today. Allows entry of the Date Performed while keeping the scheduled date visible for context. Can be undone using Undo Back-Enter.
Remove Used when a scheduled service was not provided during this visit.
Growth Measurements
Growth monitoring is a core requirement of every Healthy Baby / Child visit.
Staff may be prompted to record:
Weight
Height or length
Head circumference
After saving, the system evaluates values and displays visual indicators:
✅ Normal (green) – within expected range
⚠️ Low (red) – prompts nutritional or clinical review
⚠️ High (red) – prompts counseling or follow-up
Growth alerts do not block visit completion but should be reviewed before discharge.
Vaccine Administration
When administering a vaccine, staff must record:
Vaccine lot number
Diluent lot number (if applicable)
ADS (auto-disable syringe)
Administration site
Route of administration
Vaccine Vial Monitor (VVM) status, where applicable
Workflow
Open the vaccine entry scheduled for today
Enter all required fields (marked with *)
Select Complete
Confirm the author’s name appears
If a vaccine is not given
Leave the entry incomplete or select Remove
Where supported, record a reason such as Refused, Contraindicated, or Stock-out
Unscheduled or catch-up doses
Use Add → Scheduled / Routine Immunization to record additional doses not listed for today
Add Menu (Additional Visit Actions)
The Add button allows staff to record services not already listed in Visit Actions.
This is commonly used when:
A clinically required service was not scheduled for today
A catch-up immunization is administered
Additional assessments are performed during the same visit
Available options may include:
Scheduled / Routine Immunization
Supplements
Vital Signs
Body Temperature
Weight Entry
Height Entry
Head Circumference
Developmental Disability
Adverse Event Following Immunization (AEFI)
Death Report
If a service already appears in Visit Actions, complete it there instead of adding a duplicate entry.
Return to Waiting Room and Save
If services are not complete, staff may select Return to Waiting Room with a status such as:
Awaiting Vaccination
Awaiting Specialist Care
Held for Observation
Use Save to preserve work without ending the visit.
Best Practice – Save Early, Save Often
Always press Save before stepping away from the tablet or leaving it unattended.
End Visit
Ending the visit performs final validation and records the outcome.
Before discharge:
Review all Visit Actions
Ensure required services are completed or addressed
Review detected problems or alerts
Discharge Reason is mandatory and may include:
Discharged to home / self-care
Admitted as inpatient
Transferred to another facility
Died
Select End Visit to finalize and remove the child from the active patient list.
Clinical Guidelines – Healthy Baby / Child Carepath
This section outlines the vaccines, supplements, and developmental protocols supported in the Healthy Baby / Child Carepath and reflects how the system proposes and validates services within Visit Actions.
Schedule by Age (Quick Reference)
Age / Visit
Vaccine or Supplement
Notes
At Birth
BCG • HepB (Birth Dose) • Vitamin K
Given immediately after birth
6 Weeks
PENTA-1 • HEXA-1 • IPV-1 • bOPV-1 • PCV13-1 • RV-1
First primary-series visit
10 Weeks
PENTA-2 • HEXA-2 • IPV-2 • bOPV-2 • PCV13-2 • RV-2
Minimum 4 weeks after dose 1
14 Weeks
PENTA-3 • HEXA-3 • IPV-3 • bOPV-3 • PCV13-3
Completes infant primary series
6 Months → 5 Years (6-monthly)
Vitamin A
Dose varies by age
9 Months
MR-1
Measles–Rubella first dose
15–18 Months
DT Booster 1
First booster
18 Months
MR-2
Second MR dose
4–6 Years
DT Booster 2
Second booster
9 Years +
HPV 1 & 2
Two-dose series
Every Visit
Growth Monitoring • Nutrition Review • Developmental Screening
Core components
Development & Nutrition Protocols
Childhood Nutrition – Infant Feeding Status
Recorded at registration and every 3 months
Tracks breastfeeding and feeding practices
Supports early identification of nutrition risk
Childhood Healthy Growth – Weight and Height Monitoring
Required at every Healthy Baby / Child visit
Generates automated growth interpretation
Supports early detection of undernutrition and obesity
Developmental Disability Screening
Proposed from 2 months of age
Records cognitive, motor, and learning concerns
Supports early referral and follow-up
Immunization and Supplement Schedules
BCG – Tuberculosis Vaccine (At Birth)
Purpose: Protects newborns against severe forms of tuberculosis (TB).
When to Give:
At birth or as soon as possible after birth.
Proposed automatically once the Healthy Baby / Child Carepath is enrolled and no prior BCG dose is recorded.
Doses & Intervals:
Single dose (no boosters required).
System Prompts:
Displayed only when Patient Has Not Received BCG Dose.
Uses date of birth as
actTime.Not proposed beyond the maximum age configured for BCG (typically within 12 months).
Clinical Notes:
Verify the child’s immunization card before giving.
Record vaccine lot, site (Left Arm), and route (Intradermal).
Mark as Completed once administered.
HepB – Hepatitis B Vaccine (Birth Dose)
Purpose: Prevents mother-to-child transmission of Hepatitis B.
When to Give:
Within 24 hours of birth.
Doses & Intervals:
1st dose: Birth (HepB0)
Further doses are provided as part of PENTA or HEXA schedules.
System Prompts:
Proposed only if no prior HepB dose exists.
Not shown if already given as part of a combination vaccine.
Clinical Notes:
Give before discharge from maternity ward.
Inject intramuscularly in the Right Thigh.
Record lot number and route.
PENTA – DTP-Hib-HepB Combined Vaccine (6, 10, 14 Weeks)
Purpose: Protects against Diphtheria, Tetanus, Pertussis, Hepatitis B, and Haemophilus influenzae type B.
When to Give:
1st dose: 6 weeks
2nd dose: 10 weeks
3rd dose: 14 weeks
Doses & Intervals:
Minimum interval: 4 weeks between doses.
System Prompts:
Proposed automatically at each age milestone if earlier doses are completed.
Alerts appear if there is an unresolved AEFI or recorded refusal.
May be skipped if a HEXA dose (same components + IPV) is recorded.
Clinical Notes:
Administer intramuscularly in the Left Thigh.
Record the ADS lot number and vaccine vial monitor (VVM) status.
Verify no contraindication (e.g., severe allergic reaction to a prior DTP-containing vaccine).
HEXA – DTP-IPV-Hib-HepB Combined Vaccine (6, 10, 14 Weeks)
Purpose: Protects against Diphtheria, Tetanus, Pertussis, Polio, Hepatitis B, and Hib.
When to Give:
1st dose: 6 weeks
2nd dose: 10 weeks
3rd dose: 14 weeks
Doses & Intervals:
Minimum 4 weeks between doses.
System Prompts:
Proposed if child has not received PENTA or HEXA.
Automatically suppressed if equivalent PENTA series already recorded.
Generates an alert for any unresolved AEFI.
Clinical Notes:
Administer intramuscularly in the Right Thigh.
Verify combination supply availability (may replace PENTA + IPV).
DT – Diphtheria and Tetanus (Pediatric Booster)
Purpose: Booster protection following the primary PENTA/HEXA series.
When to Give:
1st booster: 15–18 months
2nd booster: 4–6 years
Adolescent booster: at school entry or around age 12.
System Prompts:
Appears when the required interval from the last DTP-containing dose has passed.
Alerts for unresolved AEFI or refusal.
May not display if Td (adult) is scheduled instead.
Clinical Notes:
Administer intramuscularly in the Deltoid.
Confirm accurate age and previous series completion.
IPV – Inactivated Poliovirus Vaccine (6, 10, 14 Weeks)
Purpose: Protects against poliomyelitis (paralytic polio).
When to Give:
1st dose: 6 weeks
2nd dose: 10 weeks
3rd dose: 14 weeks
Doses & Intervals:
Minimum interval: 4 weeks.
May be part of HEXA or separate IPV doses.
System Prompts:
Proposed only when child has not received IPV as part of HEXA.
Alerts for unresolved AEFI.
Refusal or contraindication prevents scheduling.
Clinical Notes:
Administer intramuscularly in the Left Thigh or Deltoid.
Verify prior oral polio (bOPV) doses.
bOPV – Oral Polio Vaccine (6, 10, 14 Weeks)
Purpose: Provides mucosal immunity to prevent poliovirus transmission.
When to Give:
1st dose: 6 weeks
2nd dose: 10 weeks
3rd dose: 14 weeks
Doses & Intervals:
Drop formulation (oral).
2 drops per dose.
System Prompts:
Proposed automatically with IPV.
Alerts for AEFI or refusal.
Not proposed if patient deceased or aged beyond upper limit.
Clinical Notes:
Administer orally (2 drops).
Do not give if child has vomiting immediately—repeat if possible.
PCV13 – Pneumococcal Conjugate Vaccine (6, 10, 14 Weeks)
Purpose: Protects against Streptococcus pneumoniae infections (pneumonia, meningitis).
When to Give:
1st dose: 6 weeks
2nd dose: 10 weeks
3rd dose: 14 weeks
System Prompts:
Proposed with primary series vaccines.
Will not display if patient already has 3 PCV doses recorded.
Alerts for refusal or AEFI.
Clinical Notes:
Administer intramuscularly in the Right Thigh.
Shake vial well before use.
Check cold chain before administration.
MR – Measles-Rubella Vaccine (9 and 18 Months)
Purpose: Prevents Measles and Rubella infections.
When to Give:
1st dose (MR1): 9 months
2nd dose (MR2): 18 months
System Prompts:
Appears when patient age ≥9 months.
Delayed if AEFI or refusal documented.
Must be completed before school entry.
Clinical Notes:
Administer subcutaneously in the Left Arm.
Check VVM stage before use.
Record both lot and diluent numbers.
HPV – Human Papillomavirus Vaccine (Adolescent Girls)
Purpose: Prevents cervical cancer and HPV infection in adolescent girls.
When to Give:
1st dose: at 9 years (or per national guideline)
2nd dose: 6–12 months after the first.
System Prompts:
Proposed only for female adolescents.
Suppressed if both doses completed.
Alerts for unresolved AEFI.
Clinical Notes:
Administer intramuscularly in the Deltoid.
Provide counseling to caregiver before first dose.
RV – Rotavirus Vaccine (6 and 10 Weeks)
Purpose: Prevents severe rotavirus gastroenteritis.
When to Give:
1st dose: 6 weeks
2nd dose: 10 weeks
Doses & Limits:
Must be started before 15 weeks of age.
Last dose must be completed before 32 weeks of age.
System Prompts:
Proposed only if within allowable age window.
Alerts if child exceeds maximum age.
Warns if AEFI exists for rotavirus vaccine.
Clinical Notes:
Administer orally (2 mL).
Do not re-dose if vomiting occurs after administration.
Vitamin A – Supplementation (6 Months to 5 Years)
Purpose: Prevents vitamin A deficiency and supports immune function and vision.
When to Give:
Starting at 6 months, then every 6 months until age 5.
Doses & Intervals:
100,000 IU for infants 6–11 months.
200,000 IU for children 12–59 months.
System Prompts:
Proposed every 6 months if within eligible age range.
Suppressed if already given for that interval.
Clinical Notes:
Administer orally.
Record supplement batch number.
Offer at immunization or growth monitoring visits.
Vitamin K – Supplementation (At Birth)
Purpose: Prevents bleeding disorders in newborns due to Vitamin K deficiency.
When to Give:
Immediately after birth (preferably within 24 hours).
Doses & Intervals:
Single dose (1 mg IM).
System Prompts:
Proposed automatically for newborns without a recorded dose.
Uses date of birth as
actTime.
Clinical Notes:
Administer intramuscularly in the Thigh.
Check for any birth complications before administration.
Development & Nutrition Protocols
Childhood Nutrition – Infant Feeding Status
Purpose: Monitors infant feeding practices to support healthy growth and identify risks of malnutrition.
When to Collect:
At registration and every 3 months until the child is weaned.
System Prompts:
Proposed automatically if last feeding status was recorded more than 3 months ago.
Suppressed if infant is marked as weaned.
Clinical Notes:
Record current feeding type (exclusive breastfeeding, mixed, formula-fed).
Reinforce breastfeeding counseling and safe weaning practices.
Childhood Healthy Growth – Weight and Height Monitoring
Purpose: Ensures that every child’s growth is routinely measured and evaluated to detect early signs of undernutrition, stunting, or obesity.
When to Collect:
At each Healthy Baby / Child Carepath visit.
Proposed automatically if no recent growth record exists.
Should be updated even if the child appears healthy.
System Prompts:
Based on the Childhood Healthy Growth protocol.
Prompts for both Height and Weight entries.
Generates color-coded alerts after saving:
✅ Normal (Green) – within expected range
⚠️ High (Red) – above range; prompts nutritional counseling
⚠️ Low (Red) – below range; prompts clinical review
Clinical Notes:
Measure height to the nearest 0.1 cm and weight to the nearest 0.1 kg.
Ensure the child is undressed or in light clothing.
Review growth trends and counsel caregivers as needed.
Record all entries directly within the Performing Today panel.
Developmental Disability – Cognitive and Learning Screening
Purpose: Screens for developmental delay, learning difficulties, and cognitive impairment to ensure early identification and intervention.
When to Collect:
Starting from 2 months of age, at registration, and during routine follow-up visits.
Proposed automatically for children and adolescents where no previous record exists.
System Prompts:
Suggested by the system under the Childhood Cognitive Function Protocols.
Suppressed if a recent Developmental Disability assessment has already been recorded.
Clinical Notes:
Observe and record milestones such as communication, social interaction, and motor development.
Ask caregivers about learning, speech, or behavioral concerns.
Document findings under Child Special Needs Observation.
Refer for further assessment if delay or disability is suspected.
Last updated