Nepal

804* Please tell me if (Static service): (a) (b) (c)
a) Any of the following CD4 test
equipment or assay is used in this facility, USED
EQUIPMENT/ALL ITEMS FOR TEST
AVAILABLE?
IS THE ITEM IN WORKING
ORDER OR UNEXPIRED?
b) Equipment or items needed for the test are
available, and Yes No REPORTED, NOT YES NO DON'T
c) Equipment is in working order
OBSERVED NOT SEEN AVAILABLE
KNOW
01 Flow cytometer analyzer (e.g., FACS count 1 b 2 1 c 2 c 3 1 2 8
machine (BD or PATEK Brand))
03 03
02 Reagent kits for BD or Partek analyzer 1 2 3
03 Flow cytometer analyzer - PIMA Brand 1 b 2 1 c 2 c 3 1 2 8
05 05
04 Cartridges for PIMA analyzer 1 2 3
05 Rapid CD4 test strips 1 b 2 1 c 2 c 3 1 2 8
806 806
HIV TESTING
806 Does this facility conduct any HIV tests?, including YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
HIV RDT, either in the facility or through referral? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
807 Is HIV rapid diagnostic testing available from this YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
service site? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
827
809
808* Please tell me if any of the following HIV rapid diagnostic test
(RDT) kits are available at this services site today.
I would like to see them.
CHECK TO SEE IF AT LEAST ONE IS VALID
(NOT EXPIRED)
(A) OBSERVED
(B) NOT OBSERVED
AVAILABLE
REPORTED NOT DK /
AT LEAST AVAILABLE AVAILABLE AVAILABLE NO, NEVER
ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE
01 DETERMINE 1 2 3 4 5
02 UNIGOLD 1 2 3 4 5
03 STATPACK 1 2 3 4 5
04 TRIDOT 1 2 3 4 5
05 OTHER (SPECIFY) ____________________ 1 2 3 4 5
809* Do you use DBS card/paper to collect dried blood spots (DBS) YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
at this site ? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
811
809A For what purpose are DBS samples collected? EXTERNAL QUALITY ASSURANCE (EQUAS). . . . . . 1
EARLY INFANT DIAGNOSIS (EID). . . . . . . . . . . . . . . 2
BOTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
DON'T KNOW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
810* May I see a sample DBS paper/ card? OBSERVED, AT LEAST 1 VALID. . . . . . . . . . . . . . . . . 1
OBSERVED, NONE VALID. . . . . . . . . . . . . . . . . . . . . 2
CHECK TO SEE IF AT LEAST ONE IS VALID REPORTED AVAILABLE, NOT SEEN. . . . . . . . . . . . 3
NONE AVAILABLE TODAY. . . . . . . . . . . . . . . . . . . . . 4
248 • Appendix C