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Banfora Blantyre Dhaka Kampala Karachi
CHAIN Network CRFs  CHAIN Network CRFs    CHAIN Network CRFs   CHAIN Network CRFs   CHAIN Network CRFs 
Young Infants  MITS  Nutrition  Immunology  BMC
  Nutrition Young Infants  Young Infants   

  Kilifi Matlab Migori Nairobi  
   CHAIN Network CRFs  CHAIN Network CRFs    CHAIN Network CRFs  CHAIN Network CRFs    
  Immunology    BMC BMC  
  Young Infants    Young Infants     

   


Banfora site

Date | Authors: Author names

CRFs documentation from the CHAIN study Banfora site 

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CHAIN Network CRFs

 


Young Infants

     

CHAIN Study Conclusion

 

CHAIN Enrollment: Infants under 2 months

 CHAIN Inpatient Verbal Autopsy

 

CHAIN Discharge Young Infants

 CHAIN Outpatient Verbal Autopsy

 

Patient Health Questionnaire +Extra 10th Question

Confirmatory HIV test

 

Kiswahili Patient Health Questionnaire

CHAIN Household Survey

 

Confirmatory HIV test

CHAIN Unscheduled Visit

 

CHAIN Daily Record

CHAIN Enrollment

 

CHAIN Day 45 Young Infants follow up

CHAIN Readmission

 

CHAIN Day 90 Young Infants follow up

CHAIN Discharge

 

CHAIN Day 180 Young Infants follow up

CHAIN Re-Discharge

 

 

CHAIN Daily Record

 

 

Chain Day 45 follow up

 

 

Chain Day 90 follow up

 

 

Chain Day 180 follow up

 

 


Blantyre site

Date | Authors: Author names

CRFs documentation from the CHAIN study Blantyre site 

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Main CRFs

 


MITS CRFs

 


Nutrition CRFs

         
 

Patient Health Questionnaire + extra 10th Question

 

 

 

Rumour Surveillance Form SOP

 

 

 

Weighted Food Record 3 days post-discharge

 Confirmatory HIV test

 

 Eligibility Screening Form

 

 Saliva sample sheet DOD 

Outpatient Verbal autopsy

 

 Histopathology Giemsa Gastric Biopsy Results

 

 Ready to Use Therepeutic Food Intake Form

Inpatient verbal autopsy

 

GI Histopathology H&E Results

 

 Repeated Weighted Food Record Day 14

Household Survey

 

 Core Histopathology H&E Results

 

 Repeated Weighted Food Record Day 45

Unscheduled visit

 

Histopathology Processing and Embedding 

 

 Maternal TBW Sample sheet

CHAIN study Conclusion

 

 CLO Test SOP

 

 Infant TBW Sample sheet

Referral

 

Initial Transporting Processing and Storing of Samples 

 

 Indirect Calorimetry Hospital Stay and Follow-ups CRF 

Readmission

 

Core Sampling

 

 Daily Clinical Signs Monitoring

Re-Discharge

 

 GI Sampling

 

 Enrollment

Enrollment

 

 Consent

 

 Day 45 follow up 

Discharge

     

Day 90 follow up 

Day 45 follow up

     

 Day 180 follow up

Day 90 follow up

     

 

 

Day 180 follow up

     

 

Daily Record

     

 

 

Community enrollment