Patient ID of the child (If child is not enrolled into care, enter mother's ID with dashed numeric Suffix such as [MOTHER_ID]-1, [MOTHER_ID]-2, etc. here)

Did the child enter your program through a PMTCT program/Trial? Note: Children can be considered to have entered through a PMTCT program if their mother received PMTCT drugs (either in a dedicated PMTCT program or an integrated program) and the infant was diagnosed in PMTCT follow-up and enrolled at <6 months of Age. Enter 1 if child entered through a PMTCT program, 0 if child is known to have NOT entered through a PMTCT program (e.g. hospitalization, TB program, General HIV clinic) and 9 if unknown.

Was the child ever breastfed?

For how many weeks was the child breastfed?

Breastfeeding, start date.

Breastfeeding, end date.

Ethnicity of father

1st APGAR score

minute at which the 1st APGAR test was performed

2nd APGAR score

minute at which the 2nd APGAR test was performed

3rd APGAR score

minute at which the 3rd APGAR test was performed

Referral to intensive/intermediate care unit?

if yes, specify reason

Date of entry to intensive/intermediate care unit

did any abnormalities occur? (if yes, recorded in tblNEWBORN_ABNORM)