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Ministry of Health and Population (MoHP), Department of Health Services, Family Health Division. 2011. National Family Planning Strategy. Kathmandu, Nepal: MoHP. Ministry of Health and Population (MoHP). 2014. National Health Policy 2017. Kathmandu, Nepal: MoHP. Ministry of Health. 2012. National Health Communication Policy, Nepal 2012. Kathmandu, Nepal: MoH. Ministry of Physical Planning and Transport Management (MoPPTM) [Nepal]. 2013. Nepal Road Safety Action Plan 2013-2020. Kathmandu, Nepal: MoPPTM. Mnistry of Health and Population (MoHP) [Nepal]. STEPS Survey, Nepal 2013: Non-communicable Disease Risk Factors. Kathmandu, Nepal: MoH. National Centre for AIDS and STD Control. (2011a). Mapping and Size Estimation of Most-at-rRsk- Population in Nepal 2011. Vol. 3: Female Sex Workers. Kathmandu, Nepal; NCASC. National Centre for AIDS and STD Control. (2011b). Mapping and Size Estimation of Most-at-Risk- Population in Nepal 2011. Vol. 2: Injecting Drug Users. Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2011c). Mapping and Size Estimation of Most-at-Risk- Population in Nepal 2011. Vol.1: Male Sex Workers, Transgenders and Their Clients. Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2014). National Consolidated Guideline for Treating and Preventing HIV in Nepal. Kathmandu, Nepal: NCASC. http://www.ncasc.gov.np//uploaded/publication/National_Consolidated_Guideline_For_Treating_and_Pre venting_HIV_in_Nepal.pdf. National Centre for AIDS and STD Control. (2015a). HIV Infection Estimation. Kathmandu; NCASC. National Centre for AIDS and STD Control. (2015b). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in Kathmandu Valley, Nepal (Round V). Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2015c). Integrated Biological and Behavioral Surveillance Survey among People Who Inject Drugs (PWIDs) in Kathmandu Valley, Nepal (Round VI). Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2015d). Integrated Biological and Behavioral Surveillance Survey among People Who Inject Drugs (PWIDs) in Pokhara Valley, Nepal (Round VI). Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2015e). Integrated Biological and Behavioral Surveillance Survey among People Who Inject Drugs (PWID-Male) in the Eastern Terai Highway Districts (Jhapa, Morang and Sunsari) of Nepal (Round VI). Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2015f). Integrated Biological and Behavioral Surveillance Survey among Men Who Have Sex with Men (MSM) & Transgender (TG) People in Kathmandu Valley, Nepal (Round V). Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2015g). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Male Labor Migrants in Western and Mid to Far Western Region of Nepal (Round V). Kathmandu, Nepal: NCASC. 212 • References
National Centre for AIDS and STD Control. (2016a). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in Pokhara Valley, Nepal (Round VI). Kathmandu, Nepal; NCASC. National Centre for AIDS and STD Control. (2016b). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in the 22 Highway Districts of Nepal (Round VI). Kathmandu, Nepal: NCASC. National Centre for AIDS and STD Control. (2016c). Factsheets of HIV Program in Nepal: July 2016. http://www.ncasc.gov.np/uploaded/facts_n_figure/NCASC_Infographics_2016_Final_Optimized percent20for percent20Web.pdf. National Centre for AIDS and STD Control. (2016c). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs (PWIDs) in Western to Far Western Terai Highway Districts of Nepal (Round V). Kathmandu, Nepal: NCASC. National Planning Commission (NPC). 2016. Sustainable Development Goals 2016-2030, Preliminary Report. Kathmandu, Nepal: NPC. National Tuberculosis Centre. 2015. Annual Report 2071/2072. http://www.nepalntp.gov.np/theme/images/uploads/1463382367NNUAL_REPORT_2015.pdf Neupane, Dinesh, and Per Kallestrop. 2013. “Noncommunicable Diseases in Nepal: Challenges and Opportunities.” Journal of Nepal Health Research Council 11(24):225-228. http://www.ncbi.nlm.nih.gov/pubmed/24362618. Pokharel, B. R., S. Humagain, P. Pant, R. Gurung, R. Koju, T. R. S. Bedi. 2012. “Spectrum of Diseases in a Medical Ward of a Teaching Hospital in a Developing Country.” Journal of College of Medical Sciences- Nepal. 8(2):7-11. Shrestha, Babu Ram, Yogendra Gauchan, Ghanshyam Gautam, Prabha Baral. 2012. Nepal National Health Accounts, 2006/07–2008/09. Kathmandu, Nepal: MoHP. Thapa, Arjun Jung. 2013. “Status Paper on Road Safety in Nepal.” Europe-Asia Road Safety Forum, 67th Session of the Working Party 1 of UNECE. New Delhi, India: Department of Roads. United Nations Development Programme (UNDP). 2013 Nepal Millennium Development Goals Progress Report 2013. Kathmandu, Nepal: National Planning Commission. United Nations Population Fund (UNFPA). 2014. Facility-Based Assessment of Reproductive Health Commodity and Services. Kathmandu, Nepal: UNFPA. University of Washington, Institute for Health Metrics and Evaluation. 2013. Global Burden of Disease Study 2013. Seattle, Washington: University of Washington. Wild, Sarah W., Gojka Roglic, Anders Green, Richard Sicree, Hilary King. 2004. “Global Prevalence of Diabetes: Estimates for the Year 2000 and Projections for 2030.” Diabetes Care. 27(5):1047-1053. http://www.who.int/diabetes/facts/en/diabcare0504.pdf. World Bank. Nepal. http://www.worldbank.org/en/country/nepal. World Health Organization (WHO). 2013. Nepal STEPS NCD Risk Factors Survey. Geneva, Switzerland, WHO. World Health Organization (WHO). 2014. Trends in Maternal Mortality: 1990 to 2013. Geneva, Switzerland: WHO. References • 213
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Nepal Health Facility Survey 2015 F
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This report presents findings of th
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3 FACILITY-LEVEL INFRASTRUCTURE, RE
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7 DELIVERY AND NEWBORN CARE .......
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TABLES AND FIGURES 1 OVERVIEW OF TH
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Figure 4.3 Trends in early childhoo
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Table 7.12 Postpartum exit delivery
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PREFACE T his is the first comprehe
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ACKNOWLEDGMENTS T he 2015 Nepal Hea
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LIST OF CONTRIBUTORS Chapter 1 Ram
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GDP HA HDC HFOMC HIV HLD HMIS HP HT
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VDC VDRL WHO village development co
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Eighty-five percent of facilities o
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Five percent of all facilities offe
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xxxii • Map of Nepal
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According to the 2013 Global Burden
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1.2.3 Nepal Health Sector Program T
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1.3 THE HEALTH CARE SYSTEM 1.3.1 Ov
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Figure 1.2 Health service delivery
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prepared on an incremental basis ac
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METHODOLOGY 2 2.1 OVERVIEW T he 201
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Health Facility Operation and Manag
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Assess the computer programs (CAPI
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Data Sorting, Editing, and Entry at
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Table 2.2 Results of facility conta
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Table 2.4 Distribution of providers
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2.5.3 Sample for Observations and E
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Table 2.8 Distribution of observed
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FACILITY-LEVEL INFRASTRUCTURE, RESO
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Table 3.1 Availability of specific
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Figure 3.1 Availability of basic cl
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Overall, around three fourths of pr
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3.3.3 Standard Precautions for Infe
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PHCCs, HPs, or UHCs had all of the
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Table 3.6 Capacity for processing e
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Table 3.7.2 Laboratory diagnostic c
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normal delivery services are consid
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Overall, 37 percent of health facil
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3.4.2 Supportive Management for Pro
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Supportive Management Practices A f
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Table 3.13 HMIS status: HMIS report
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Table 3.15 Storage practice for med
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types, PHCCs (78 percent) were leas
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Table 3.19 Average number of client
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and counseling of clients on at lea
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Table 3.20c Compliance with service
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Table 3.21b Provision of quality fa
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Table 3.22 Financial audit, disaste
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CHILD HEALTH SERVICES 4 Key Finding
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According to the 2011 Nepal Demogra
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Figure 4.3 Trends in early childhoo
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4.2.2 Vitamin A Supplementation The
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Table 4.4 Guidelines, trained staff
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Figure 4.6 Items for infection cont
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Figure 4.7 Availability of essentia
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Figure 4.8 Vaccine storage (N=816)
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Table 4.11.1 Assessments and examin
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4.4.1 Full Assessment IMCI/IMNCI Ge
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4.5 CLIENT OPINIONS Before leaving
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With regard to the topics of in-ser
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Service readiness. Section 5.3, inc
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Table 5.1 Availability of family pl
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Table 5.3.1 Family planning service
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Table 5.4.1 Methods of family plann
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5.3 SERVICE READINESS 5.3.1 Service
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Table 5.7 Items for infection contr
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Table 5.8.1 Client history and phys
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Privacy during a family planning co
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Table 5.10.1 Components of counseli
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Table 5.11.1 Feedback from family p
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5.6.2 Training Continual training f
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ANTENATAL CARE 6 Key Findings Abou
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Facilities providing ANC services i
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6.2). Fifty-three percent of the fa
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6.3.4 Medicines The national antena
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who are anemic. Only around 4 in 10
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Physical Examinations and Preventiv
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Table 6.8.2 Basic physical examinat
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Table 6.9.1 Content of antenatal ca
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Table 6.9a.1 Content of antenatal c
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Table 6.10.1 Content of antenatal c
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6.5.1 Client Knowledge Tables 6.11.
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Table 6.12.2 Feedback from antenata
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With regard to supervision of ANC p
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Table 6.16 Guidelines, trained staf
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DELIVERY AND NEWBORN CARE 7 Key Fin
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A quarter of facilities that offer
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Table 7.2 Guidelines, trained staff
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Table 7.3.2 Medicines and commoditi
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than facilities in the hill (75 per
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Considering the signal functions se
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Table 7.6 presents the proportion o
Page 195 and 196: 7.6 BASIC MANAGEMENT AND ADMINISTRA
Page 197 and 198: Table 7.10 Training for providers o
Page 199 and 200: Table 7.12 Postpartum exit delivery
Page 201: Table 7.13.2 Postpartum check/advic
Page 204 and 205: new infections have dropped to belo
Page 206 and 207: Table 8.1 Availability of HIV testi
Page 208 and 209: had waste receptacles. Half of the
Page 210 and 211: 176 • HIV/AIDS and Sexually Trans
Page 212 and 213: Good record-keeping systems to trac
Page 214 and 215: premature babies, and stillborn bir
Page 216 and 217: To be considered ready to provide S
Page 218 and 219: Chronic respiratory diseases. Secti
Page 220 and 221: Table 9.1 Guidelines, trained staff
Page 222 and 223: Table 9.2 Diagnostic capacity and e
Page 224 and 225: Figure 9.3 Items to support quality
Page 226 and 227: have spacers for inhalers. The latt
Page 228 and 229: Figure 9.6 Medicines and commoditie
Page 230 and 231: Although the number of TB cases and
Page 232 and 233: Only one-third of facilities in Nep
Page 234 and 235: terai (13 percent) regions. Similar
Page 237 and 238: MALARIA 11 Key Findings Half of Ne
Page 239 and 240: years, ACT stocks at health facilit
Page 241 and 242: Table 11.2 Availability of malaria
Page 243 and 244: 11.4.2 Treatment Readiness to Treat
Page 245: REFERENCES Bhandari, G. P., M. R. A
Page 249: 2016 - 2021 NHSS RF INDICATORS MATR
Page 252 and 253: 7 8 Radhika Bogati Nisha Khadka Sad
Page 255 and 256: QUESTIONNAIRES Appendix C Appendix
Page 257 and 258: NEPAL HEALTH FACILITY SURVEY - 2015
Page 259 and 260: FACILITY IDENTIFICATION 001 NAME OF
Page 261 and 262: FIND THE MANAGER, THE PERSON IN-CHA
Page 263 and 264: SECTION 2: GENERAL FILTER QUESTIONS
Page 265 and 266: SOURCE OF WATER 330 What is the mos
Page 267 and 268: 360* Does this facility have any ro
Page 269 and 270: SECTION 4: STAFFING - MANAGEMENT -
Page 271 and 272: 420X CHECK Q006 FACILITY TYPE IS FA
Page 273 and 274: HMIS FIND THE PERSON RESPONSIBLE FO
Page 275 and 276: SECTION 5: PROCESSING OF INSTRUMENT
Page 277 and 278: 602 CHECK Q600 FACILITY-BASED WASTE
Page 279 and 280: SECTION 7: BASIC SUPPLIES - CLIENT
Page 281 and 282: SECTION 8: DIAGNOSTICS 800 CHECK Q1
Page 283 and 284: 811* Please tell me if: (a) (b) (c
Page 285 and 286: 830 Does this facility do any blood
Page 287 and 288: 847C* Does this facility do any tes
Page 289 and 290: 861 Does this facility do any TB te
Page 291 and 292: SECTION 9: MEDICINES AND COMMODITIE
Page 293 and 294: MEDICINES FOR NON-COMMUNICABLE DISE
Page 295 and 296: MATERNAL AND CHILD HEALTH 906* Are
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SECTION 9.2: CONTRACEPTIVE COMMODIT
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SECTION 9.3: ANTI-TB DRUGS 930 CHEC
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944* Are any of the following Fusio
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1006* ASK YOUR RESPONDENT TO SHOW Y
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SECTION 11: CHILD GROWTH MONITORING
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1210 I would like to know if the fo
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SECTION 13: FAMILY PLANNING 1300 CH
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EQUIPMENT AND SUPPLIES 1314* I woul
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INFECTION CONTROL 1350 ASSESS THE R
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1407* As part of ANC services, plea
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INFECTION CONTROL 1450 ASSESS THE R
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1509* Do you have the national guid
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SECTION 16: DELIVERY AND NEWBORN CA
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EQUIPMENT AND SUPPLIES FOR ROUTINE
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PMTCT DURING LABOR AND DELIVERY 162
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SECTION 17: MALARIA 1700 CHECK Q102
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SECTION 18: SEXUALLY TRANSMITTED IN
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1851 INFECTION CONTROL AND CONDITIO
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1910 CHECK Q1902 AND Q1908 NO TB DI
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SECTION 20: HIV TESTING AND COUNSEL
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SECTION 21: HIV TREATMENT 2100 CHEC
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SECTION 22: HIV CARE AND SUPPORT 22
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BASIC SUPPLIES AND EQUIPMENT 2330 A
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SECTION 24: MINOR SURGICAL SERVICES
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SECTION 25: CESAREAN DELIVERY 2500
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SECTION 27: BLOOD TRANSFUSION SERVI
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SECTION 30: GENERAL FACILITY LEVEL
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NEPAL HEALTH FACILITY SURVEY - 2015
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201* CHECK [Q103] FOR PROVIDER OCCU
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4. FAMILY PLANNING SERVICES 400 In
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DELIVERY SERVICES 506 In your curre
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7. DIAGNOSTIC SERVICES 700 In your
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808 Among the various things relate
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Sample List for ANTENATAL CARE Obse
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Sample List for ANTENATAL CARE Obse
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NO. QUESTION / OBSERVATIONS CODES F
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NO. QUESTION / OBSERVATIONS ROUTINE
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NO. QUESTION / OBSERVATIONS DANGER
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NO. QUESTIONS CODING CLASSIFICATION
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205 What is the total amount you pa
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Sample List for FAMILY PLANNING Obs
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Sample List for FAMILY PLANNING Obs
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Nepal Health Facility Survey 2015 O
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NO. QUESTIONS / OBSERVATIONS CLIENT
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NO. QUESTIONS / OBSERVATIONS FOR Q1
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NO. QUESTIONS / OBSERVATIONS CODES
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NO. QUESTIONS / OBSERVATIONS 9. IMP
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Nepal Health Facility Survey 2015 F
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Sample List for SICK CHILD Observat
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Sample List for SICK CHILD Observat
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Nepal Health Facility Survey-2015 O
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NO. 5. PROVIDER INTERACTION WITH CA
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Nepal Health Facility Survey-2015 S
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110 Has [HE/SHE] had watery and fre
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TREATMENT AND CARETAKER COMFORT LEV
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UNDERWEIGHT 136A Did the provider t
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Sample List for POST PARTUM WOMEN D
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Nepal Health Facility Survey - 2015
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200. ACCESSING CARE AND DECISION MA
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S.N. Question/Information Coding Ca
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Nepal Health Facility Survey 2015 H
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2.0 Composition, Training and Knowl
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3.0 Participation Q.N. Questions Co
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Facility No.:____________________ T
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STAFF LISTING FORM: HEALTH WORKERS
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