Nepal

1210
I would like to know if the following items are
available in this service area. I would like to see
them. For equipment and instruments, I would like
to know if they are functioning.
OBSERVED
(A) AVAILABLE
(B) FUNCTIONING
REPORTED NOT YES NO DON’T
NOT SEEN AVAILABLE
KNOW
01 CHILD WEIGHING SCALE 1 b 2 b 3 1 2
8
(250GRAM GRADATION) 02
02 INFANT WEIGHING SCALE 1 b 2 b 3 1 2
8
(100 GRAM GRADATION) 03
03 THERMOMETER 1 b 2 b 3 1 2
8
04
04 STETHOSCOPE 1 b 2 b 3 1 2
8
05
05 Timer or watch with 1 b 2 b 3 1 2
8
seconds hand 06 07
06 Staff has watch with seconds hand or other device 1 b 2 b 3 1 2
8
(e.g., cell phone) that can measure seconds 07
07 Calibrated 1/2 or 1-liter measuring jar for ORS 1 2 3
08 Cup and spoon 1 2 3
09 ORS PACKETS OR SACHETS 1 2 3
10 At least 1 bucket 1 2 3
(for cleaning used cups)
11 Examination bed or table 1 b 2 b 3 1 2
8
1211
1211* Please tell me if you have any of the following
materials.
IF YES, ASK TO SEE
01 IMNCI chart booklet 1 2 3
02 IMNCI mother's cards 1 2 3
03 Other visual aids for teaching caretakers 1 2 3
04* IEC materials on Infant and Young Child Feeding (IYCF) 1 2 3
05* IEC materials on IMCI? 1 2 3
1212* Are health records (register) YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
for sick children maintained at this service site? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1250
1213* May I see the register? OBSERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
REPORTED NOT SEEN. . . . . . . . . . . . . . . . . . . 2
Appendix C • 273