Improving and Expanding Electronic Health Records in a Rural Setting
Improving and Expanding Electronic Health Records in a Rural Setting
Improving and Expanding Electronic Health Records in a Rural Setting
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<strong>Improv<strong>in</strong>g</strong> <strong>and</strong> Exp<strong>and</strong><strong>in</strong>g <strong>Electronic</strong> <strong>Health</strong><br />
<strong>Records</strong> <strong>in</strong> a <strong>Rural</strong> Sett<strong>in</strong>g: Cl<strong>in</strong>ical Decision<br />
Support System & Public <strong>Health</strong> Component<br />
Household-Level Environmental Survey: WATER<br />
8. What is the ma<strong>in</strong> source of water used by<br />
your household for other purposes such as<br />
wash<strong>in</strong>g <strong>and</strong> bath<strong>in</strong>g?<br />
Surface Water (River/Lake/Pond)<br />
Piped Water <strong>in</strong> yard/home<br />
Outdoor community water pump<br />
Well<br />
Other<br />
9. Does your household grow their own crops? YES (GO TO Q10)<br />
NO<br />
10. What water is used for irrigation of these<br />
crops?<br />
Surface Water (River/Lake/Pond)<br />
Piped Water <strong>in</strong> yard/home<br />
Outdoor community water pump<br />
Well<br />
Wastewater<br />
Other<br />
Household-Level Environmental Survey: SEWAGE/WATER<br />
1. What k<strong>in</strong>d of toilet facilities do members of<br />
your household usually use?<br />
Private toilet with<strong>in</strong> house (GO TO Q2)<br />
Public toilet (GO TO Q2)<br />
No facility/uses open space or field (GO TO Q5)<br />
2. Where does the waste from this toilet go? Flushed to piped sewer system<br />
Flushed to septic tank<br />
Flushed to pit latr<strong>in</strong>e<br />
Flushed to somewhere else<br />
Flushed, don’t know where<br />
Unprotected well<br />
Ventilated improved pit<br />
Pit latr<strong>in</strong>e with slab<br />
Pit latr<strong>in</strong>e without slab/open pit<br />
(GO TO Q3)<br />
3. Does your household share this toilet facility<br />
with other households?<br />
YES (GO TO Q4)<br />
NO (GO TO Q5)<br />
4. How many households use this toilet facility? Less than 10 households<br />
More than 10 households<br />
Don’t know/can’t say<br />
(GO TO Q5)<br />
5. Where does your household dispose<br />
household waste?<br />
Open b<strong>in</strong>s with<strong>in</strong> compound<br />
Open b<strong>in</strong>s outside compound<br />
In open yard with<strong>in</strong> compound<br />
In open yard outside compound<br />
Burn the waste<br />
Other (please specify)<br />
(GO TO Q6)<br />
6. Is there an open gutter near the house? YES<br />
NO<br />
www.ictph.org.<strong>in</strong> 31
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