Maternal & Child Health (MCH) and Immunization

1. Overview & Business Value#

This comprehensive operational guide details the architecture, business workflows, configuration parameters, and execution steps for Maternal & Child Health (MCH) and Immunization within SmartERP.

Track antenatal care (ANC), delivery partographs, postnatal care (PNC), and pediatric expanded program on immunization (EPI) schedules.

{screenshot:maternal-child-health-and-immunization-overview-dashboard}

2. Prerequisites & Security Access Groups#

• Required Modules: smarterp_healthcare, smarterp_clinical_core, smarterp_pharmacy
• Security Groups:
  • Healthcare Receptionist (Technical ID: smarterp_healthcare.group_medical_receptionist)
  • Physician / Attending Doctor (Technical ID: smarterp_healthcare.group_medical_doctor)
  • Pharmacy Dispenser (Technical ID: smarterp_healthcare.group_medical_pharmacist)
• Master Data Dependencies: Patient master registry (Medical Record Number - MRN), EFDA drug formulary, Ethiopian Ministry of Health (MoH) HMIS disease codes, and EHIS insurance tariffs.

3. Step-by-Step Configuration & Execution#

Step 1: Navigating to the Module Interface#

1. Log into your SmartERP instance at https://smarterp.et/odoo.
2. Open the main App Switcher (grid icon in the top-left corner).
3. Select the Healthcare app icon.
4. From the top navigation bar, open Healthcare → Clinical Dashboard → OPD Triage / Inpatient ADT / EMR / Pharmacy Dispensing.

{screenshot:maternal-child-health-and-immunization-app-switcher-navigation}

Step 2: Creating and Parameterizing Records#

1. Click the New button in the top-left control panel.
2. Complete the mandatory fields in the record form:
   • Medical Record Number (MRN) (Mandatory): Unique national health identifier or generated hospital record code
   • Patient Demographics (Mandatory): Full legal name, gender, date of birth, and Kebele residential location
   • Encounter Type (Mandatory): Outpatient (OPD), Inpatient (IPD), Emergency, or Triage consultation
   • Attending Physician (Mandatory): Licensed healthcare practitioner responsible for clinical encounter
3. Configure optional operational parameters and localized tags as required:
   • Insurance Provider & Policy (Optional): EHIS CBHI/SHI policy or corporate credit contract
   • Triage Vital Signs (Optional): Blood pressure, pulse rate, respiratory rate, temperature, and SpO2
   • ICD-11 / HMIS Diagnosis Code (Optional): Standardized diagnosis category for statutory health reporting
4. Click the Save icon in the control bar to commit the record.

{screenshot:maternal-child-health-and-immunization-record-creation-form}

Step 3: Validating and Processing Transactions#

• State Transitions: Execute operational state progression (Reception / Triage → Consultation → Lab / Radiology → Prescription → Billing / Discharge).
• Ledger & System Impact: Patient billing registers medical service revenue, debits patient or insurance accounts receivable, and debits pharmaceutical inventory upon prescription dispensing.
• Audit Verification: Automated recording of author ID, timestamp, and immutable revision history.

{screenshot:maternal-child-health-and-immunization-transaction-processing-state}

Antenatal Care (ANC) Longitudinal Follow-up#

SmartERP conforms to the WHO and Ethiopian MoH 8-Contact Antenatal Care Model:

1. Open Healthcare > MCH > Antenatal Care (ANC).
2. Register pregnant mother and record obstetric baseline:
   • Gravida, Para, Number of Living Children, Previous Abortions / Stillbirths.
   • Last Menstrual Period (LMP); system auto-calculates Expected Date of Delivery (EDD) and gestational age.
3. Record routine profile testing: Blood group/Rh, Hemoglobin, HIV screening, VDRL/Syphilis, Hepatitis B, Urinalysis.
4. Schedule the 8 standardized clinical contacts with automated SMS appointment reminders.

Digital Delivery Room Partograph#

During labor and delivery, midwives record real-time progression on the electronic partograph:

• Cervical Dilatation ($cm$): Plotted against standardized Alert and Action lines.
• Fetal Heart Rate ($bpm$): Monitored every 30 minutes.
• Uterine Contractions: Frequency and duration (mild, moderate, strong) per 10-minute window.
• Maternal Hemodynamics: Blood pressure, pulse, and temperature. If cervical dilatation crosses the Action Line, the system triggers an emergency Obstetrician Alert for immediate delivery review or cesarean section.

Postnatal Care (PNC) & Newborn Register#

Following delivery:

1. Register newborn profile: Birth weight ($grams$), gender, APGAR scores at 1, 5, and 10 minutes.
2. Administer birth doses: Vitamin K1 IM, Tetracycline eye ointment, BCG vaccine, Oral Polio Vaccine (OPV-0).
3. Generate linked infant MRN connected to mother's master profile.
4. Schedule 6-hour, 6-day, and 6-week PNC follow-up evaluations.

Expanded Program on Immunization (EPI) Tracking#

The pediatric immunization registry tracks the national Ethiopian EPI schedule:

• Birth: BCG, OPV-0.
• 6 Weeks: Pentavalent-1 (DPT-HepB-Hib), PCV-1, Rota-1, OPV-1.
• 10 Weeks: Pentavalent-2, PCV-2, Rota-2, OPV-2.
• 14 Weeks: Pentavalent-3, PCV-3, IPV-1, OPV-3.
• 9 Months: Measles-1, Yellow Fever.
• 15 Months: Measles-2. Defaulter tracking lists generate daily telephone follow-up rosters for missed appointments.

4. Advanced Configuration Points#

• Automated Actions & Scheduled Tasks (Crons):
  • Healthcare: Generate daily MoH HMIS aggregate tally (smarterp_healthcare.ir_cron_hmis_sync): Runs daily at 23:00 to prepare DHIS2 health data summaries
  • Pharmacy: Flag expiring EFDA medicine batches (smarterp_healthcare.ir_cron_fefo_expiry): Runs daily at 06:00 to alert dispensers of lots expiring within 60 days
• Custom Print Templates & Reports:
  • Official Patient Encounter Summary & Medical Certificate
  • Electronic Prescription Order Form (Model 19 Compliant)
  • Ethiopian Health Insurance Service (EHIS) Claim Dossier
  • Daily MoH Outpatient / Inpatient Morbidity Tally Sheet
• Multi-Company Rules: Record-level security isolation under Company 1 (Ashewa Technology Solutions S.C.), preventing cross-company ledger leakage across parent and subsidiary legal entities.

5. Comprehensive Troubleshooting Matrix#