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ANTI-FUNGAL MEDICINES 904* Are any of the following anti-fungal medicines available in the facility/location today? 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 NEVER ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE 01* FLUCONAZOLE TABLETS/OINTMENT # 1 2 3 4 5 02 MICONAZOLE VAGINAL PESSARIES 1 2 3 4 5 03 MICONAZOLE CREAM 1 2 3 4 5 04 NYSTATIN ORAL SUSPENSION 1 2 3 4 5 05 NYSTATIN VAGINAL PESSARIES/CREAM 1 2 3 4 5 06 COTRIMAZOLE SKIN CREAM # 1 2 3 4 5 07 COTRIMAZOLE PESSARY TAB # 1 2 3 4 5 ANTIMALARIAL MEDICINES 905* Are any of the following antimalarial medicines available in the facility/location today? 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 NEVER ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE 01 ARTEMETHER LUMEFRANTRINE (ALU) TABLETS/PACK 1 2 3 4 5 05 SULFADOXINE + PYRIMETHAMINE (SP) 1 2 3 4 5 06 QUININE TABLETS 1 2 3 4 5 07 QUININE INJECTION 1 2 3 4 5 08 INJECTABLE ARTESUNATE 1 2 3 4 5 10 OTHER ANTI-MALARIAL MEDICINE 1 2 3 4 5 [OTHER THAN ARTESUNATE + AMODIAQUINE TABS] 11 CHLOROQUINE TABLETS 1 2 3 4 5 12* PRIMAQINE TABLETS 1 2 3 4 5 MEDICINES FOR TREATMENT OF KALAAZAR / LEISHMANIASIS '905A Are any of the following medicines for treatment for Kalazaar / Leishmaniasis available in the facility today? 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 NEVER ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE 01 TAB MILTEFOSINE 1 2 3 4 5 02 INJ. AMPHOTERICIN B 1 2 3 4 5 03 INJ. LIPOSOMAL AMPHOTERICIN B 1 2 3 4 5 04 COMBINATION (MILTEFOSINE + PARAMYCIN) 1 2 3 4 5 260 • Appendix C
MATERNAL AND CHILD HEALTH 906* Are any of the following medicines for maternal health and child available in the facility/location today? 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 NEVER ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE 01 CALCIUM GLUCONATE INJECTION 1 2 3 4 5 02 FOLIC ACID TABLETS # 1 2 3 4 5 03 IRON TABLETS # 1 2 3 4 5 04 IRON + FOLIC ACID COMBINATION TABLET # 1 2 3 4 5 05 MAGNESIUM SULPHATE INJECTION 1 2 3 4 5 06 MISOPROSTOL TABLETS/CAPSULES 1 2 3 4 5 07 OXYTOCIN OR OTHER INJECTABLE UTEROTONIC 1 2 3 4 5 08* TETANUS DIPHTERIA TOXOID VACCINE 1 2 3 4 5 09 ORAL REHYDRATION SALTS (ORS) SACHETS # 1 2 3 4 5 10 VITAMIIN A CAPSULES 1 2 3 4 5 11 ZINC TABLETS # 1 2 3 4 5 12* INJECTION VITAMIN K 1 2 3 4 5 13* MEDICAL ABORTION COMBI-PACK (MIFEPRISTONE 200mg + 1 2 3 4 5 MISOPROSTOL 800 microgram vaginal tablets) 907 Are any of the following intravenous fluids available in the facility/location today? (A) OBSERVED AVAILABLE (B) NOT OBSERVED REPORTED NOT DK / AT LEAST AVAILABLE AVAILABLE AVAILABLE NEVER ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE 01 NORMAL SALINE / SODIUM CHLORIDE INJECTABLE SOLUTION # 1 2 3 4 5 02 RINGERS LACTATE # 1 2 3 4 5 03 5% DEXTROSE - NORMAL SALINE 1 2 3 4 5 908* Are any of the following OTHER medicines available in the facility/location today? FEVER REDUCING AND PAIN MEDICINES CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED) INTRAVENOUS FLUIDS (A) OBSERVED (B) NOT OBSERVED AVAILABLE REPORTED NOT DK / AT LEAST AVAILABLE AVAILABLE AVAILABLE NEVER ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE 01 DICLOFENAC TABLETS/INJECTION (Strong oral pain medicine) # 1 2 3 4 5 02 PARACETAMOL TABLETS/INJECTION # 1 2 3 4 5 03 PARACETAMOL SYRUP OR DISPERSIBLE PEDIATRIC-DOZED TABLETS # 1 2 3 4 5 04 IBUPROFEN TABLETS # 1 2 3 4 5 05 INDOMETHACIN TABLETS # 1 2 3 4 5 Appendix C • 261
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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 7.3.2 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
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Chronic respiratory diseases. Secti
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Table 9.2 Diagnostic capacity and e
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Figure 9.3 Items to support quality
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have spacers for inhalers. The latt
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Figure 9.6 Medicines and commoditie
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Although the number of TB cases and
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Only one-third of facilities in Nep
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terai (13 percent) regions. Similar
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MALARIA 11 Key Findings Half of Ne
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years, ACT stocks at health facilit
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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 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: MEDICINES FOR NON-COMMUNICABLE DISE
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
Page 319 and 320: 1509* Do you have the national guid
Page 321 and 322: SECTION 16: DELIVERY AND NEWBORN CA
Page 323 and 324: EQUIPMENT AND SUPPLIES FOR ROUTINE
Page 325 and 326: PMTCT DURING LABOR AND DELIVERY 162
Page 327 and 328: SECTION 17: MALARIA 1700 CHECK Q102
Page 329 and 330: SECTION 18: SEXUALLY TRANSMITTED IN
Page 331 and 332: 1851 INFECTION CONTROL AND CONDITIO
Page 333 and 334: 1910 CHECK Q1902 AND Q1908 NO TB DI
Page 335 and 336: SECTION 20: HIV TESTING AND COUNSEL
Page 337 and 338: SECTION 21: HIV TREATMENT 2100 CHEC
Page 339 and 340: SECTION 22: HIV CARE AND SUPPORT 22
Page 341 and 342: BASIC SUPPLIES AND EQUIPMENT 2330 A
Page 343 and 344: 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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