Tujali Afya – Continuity Intake

Already have a tracking number / UID?

If you came with a chit or QR link, use it here so we do not create a duplicate person.

Tracking number / UID

Step 1

Who is this intake for today?

Tap one option to select it and continue.

Step 2

Tell us a little about the person

Use date of birth if known. If it is not known, enter age in years instead.

Full name

Sex

Date of birthIf known, this is preferred. Format: DD/MM/YYYY.

Age in yearsUse this when date of birth is not known.

Step 3

Where should we place this intake?

Choose the nearest site first. We will narrow the CHU list where possible.

Phone number

Another phone number

Nearest site / facility / community pointChoose the nearest site first. We will narrow the CHU list where possible.

Village / estate / landmark

Community unit / CHUIf one CHU is linked to the selected site, it will be chosen automatically.

Campaign contextDefault follows the calendar year.

Step 4

What would you like help with today?

Choose any that apply. Start from concerns, not technical stream names.

I want screening even if I have no symptomsRoutine screening / early detection

Breast concernsLump, pain, nipple discharge, or change

Bleeding, discharge, or pelvic concernsFor cervical-type concerns

Bowel or stool concernsBlood in stool, bowel habit change, abdominal issues

Urinary or prostate concernsDifficulty passing urine or frequent urination

I am not sure, I just want screening adviceNot certain what applies

Short prostate-risk follow-up

Only shown for men when urinary or prostate concerns are selected.

Family history of prostate cancerFather, brother, or close male relative

Lower backache or bone pain with these symptomsHelps raise suspicion without overloading the first pass

Anything brief we should know?

Step 5

A few more questions

Short, practical questions to help with the next step.

Have you been screened before?

What usually gets in the way?

Choose what best explains why screening or follow-up may not happen yet.

Transport costMoney to get there is a problem

Time away from work or homeDaily duties may block care

Fear or worryAnxiety about screening or results

DistanceTravel or location is difficult

I do not think I have a problemLow perceived need

Nothing at the momentNo major barrier right now

Would you like someone to call and guide you?

Anything else we should know?

Step 6

Please check your details

Keep the review plain and practical.

Please make sure these details are correct before continuing.

Let us get you started