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370C CHECK Q006 FACILITY IS NOT A PRIVATE HOSPITAL FACILITY IS EITHER A PRIVATE HOSPITAL NEITHER AN URBAN HEALTH CENTER OR AN URBAN HEALTH CENTER 400 NOR A HTC STAND ALONE OR A HTC STAND ALONE (NEITHER "06" NOR "10" NOR "11"CIRCLED) (EITHER "06" OR "10" OR "11" CIRCLED) 370D Was there any financial and social audit (A) FY 2068/69 (B) FY 2069/70 (C) FY 2070/71 conducted/ held in the following fiscal years? YES NO YES NO YES NO 01 Financial Audit 1 2 1 2 1 2 02 Social Audit 1 2 1 2 1 2 234 • Appendix C
SECTION 4: STAFFING - MANAGEMENT - CLIENT OPINION- QUALITY ASSURANCE - TRANSPORT - HMIS AND HEALTH STATISTICS STAFFING 400* For eacn of the following occupational categories / technical qualifications, please tell me A) How many are sanctioned by MOHP and how many are sanctioned by the local government. B) The total workforce currently working in this facility, regardless of source. They may be filled by MOHP, filled by local governement, filled by contract or deputation, or employed direcly by the facility. C) Fially, tell me how many are filled by MOHP specifically, how many are filled by local government specifically, how many are contracted or on deputation, and how many are employed directly by the facility, if any. OCCUPATIONAL CATEGORIES / TECHNICAL QUALIFICATION (AA) (A) (B) ( C ) TOTAL SANCTIONED POSTS FILLED BY WORKFORCE (AB) MOHP LOCAL GOVERNMENT APPLICABLE ONLY IN GOVERNMENT FACILITIES APPLICABLE ONLY IN GOVERNMENT HOSPITALS (ASSIGNED BY MOHP, LOCAL GOVERNMENT, CONTRACTED, DEPUTATION, OR EMPLOYED DIRECTLY BY FACILITY) (CA) MOHP APPLICABLE ONLY IN GOVERNMENT FACILITIES (CB) LOCAL GOVERNMENT APPLICABLE ONLY IN GOVERNMENT HOSPITALS (CC) (CD) CONTRACTED OR DEPUTATION EMPLOYED DIRECTLY BY FACILITY 01 GENERALIST [NON-SPECIALIST] 02 GYNECOLOGIST / OBSTETRICIAN 03 ANESTHESIOLOGIST 04 PATHOLOGIST 05 GENERAL SURGEON 06 PEDIATRICIAN 07 OTHER SPECIALISTS MEDICAL DOCTORS 08 MEDICAL OFFICER (MBBS, BDS) 09 ANESTHETIC ASSISTANT 10 NURSE (MN, BSC NURSE, BN, PCL) / AUXILLARY NURSE MIDWIFE (ANM) LABORATORY TECHNOLOGIST/OFFICER/ LABORATORY TECHNICIAN / 11 LABORATORY ASSISTANT 12 HEALTH ASSISTANT (HA) / AHW / SAHW / PUBLIC HEALTH INSPECTOR 13 PHARMACIST 14 RADIOGRAPHER / DARK ROOM ASSISTANT 15 PHYSIOTHERAPIST / PHYSIOTHERAPY ASSISTANT 16 COUNSELOR WITH CLINICAL QUALIFICATION (STAND-ALONE HTC ONLY) 17 COUNSELOR WITHOUT CLINICAL QUALIFICATION (STAND-ALONE HTC ONLY) 18 OTHER CLINICAL STAFF NOT LISTED ABOVE (E.G., DIETICIAN) 19 NON- CLINICAL STAFF / NO TECHNICAL QUALIFICATION 20 SUM THE NUMBER OF STAFF REPORTED. VERIFY AND CORRECT THE TOTALS Appendix C • 235
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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
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7.6 BASIC MANAGEMENT AND ADMINISTRA
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Table 7.10 Training for providers o
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Table 7.12 Postpartum exit delivery
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Table 7.13.2 Postpartum check/advic
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new infections have dropped to belo
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Table 8.1 Availability of HIV testi
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had waste receptacles. Half of the
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176 • HIV/AIDS and Sexually Trans
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Good record-keeping systems to trac
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premature babies, and stillborn bir
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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 and 246: REFERENCES Bhandari, G. P., M. R. A
Page 247 and 248: National Centre for AIDS and STD Co
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: 360* Does this facility have any ro
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
Page 297 and 298: SECTION 9.2: CONTRACEPTIVE COMMODIT
Page 299 and 300: SECTION 9.3: ANTI-TB DRUGS 930 CHEC
Page 301 and 302: 944* Are any of the following Fusio
Page 303 and 304: 1006* ASK YOUR RESPONDENT TO SHOW Y
Page 305 and 306: SECTION 11: CHILD GROWTH MONITORING
Page 307 and 308: 1210 I would like to know if the fo
Page 309 and 310: SECTION 13: FAMILY PLANNING 1300 CH
Page 311 and 312: EQUIPMENT AND SUPPLIES 1314* I woul
Page 313 and 314: INFECTION CONTROL 1350 ASSESS THE R
Page 315 and 316: 1407* As part of ANC services, plea
Page 317 and 318: 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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