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INFECTION CONTROL<br />

1250 ASSESS THE ROOM OR AREA FOR THE ITEMS LISTED GENERAL INFORMATION [Q710]. . . . . . . . . . . 11<br />

BELOW. FOR ITEMS THAT YOU DO NOT SEE, CHILD VACCINATION [Q1051]. . . . . . . . . . . . . . 12<br />

ASK YOUR RESPONDENT TO SHOW THEM TO YOU. FAMILY PLANNING [Q1351]. . . . . . . . . . . . . . . .14<br />

ANTENATAL CARE [Q1451]. . . . . . . . . . . . . . . .15<br />

IF THE SAME ROOM OR AREA HAS ALREADY BEEN PMTCT [Q1551]. . . . . . . . . . . . . . . . . . . . . . . . . 16<br />

ASSESSED, INDICATE WHERE THE DATA ARE RECORDED DELIVERY [Q1651]. . . . . . . . . . . . . . . . . . . . . . . 17<br />

STI SERVICES [Q1851] . . . . . . . . . . . . . . . . . . . 18<br />

TUBERCULOSIS [Q1951]. . . . . . . . . . . . . . . . . . 19<br />

HIV TESTING [Q2051]. . . . . . . . . . . . . . . . . . . . 21<br />

NCD [Q2351]. . . . . . . . . . . . . . . . . . . . . . . . . . . . 22<br />

MINOR SURGERY [Q2451]. . . . . . . . . . . . . . . . 23<br />

NOT PREVIOUSLY SEEN. . . . . . . . . . . . . 31<br />

NEXT SECTION / SERVICE SITE<br />

1251* INFECTION CONTROL AND CONDITIONS FOR OBSERVED REPORTED, NOT<br />

CLIENT EXAMINATION NOT SEEN AVAILABLE<br />

01 RUNNING WATER (PIPED, BUCKET WITH TAP OR POUR PITCHER) 1 2 3<br />

02 HAND-WASHING SOAP (MAY BE LIQUID SOAP) 1 2 3<br />

03 ALCOHOL-BASED HAND RUB 1 2 3<br />

04* WASTE RECEPTACLE (PEDAL BIN) WITH LID AND COLOR CODED 1 2 3<br />

PLASTIC BIN LINER / LABELED BIN (RED, GREEN, YELLOW AND BLUE) 06<br />

05 OTHER WASTE RECEPTACLE 1 2 3<br />

06 SHARPS CONTAINER ("SAFETY BOX") 1 2 3<br />

07 DISPOSABLE LATEX GLOVES 1 2 3<br />

08 DISINFECTANT/ANTISEPTICS [E.G., CHLORINE, HIBITANE, ALCOHOL] 1 2 3<br />

09 SINGLE-USE STANDARD DISPOSABLE SYRINGES WITH NEEDLES OR 1 2 3<br />

AUTO-DISABLE SYRINGES WITH NEEDLES<br />

10 MEDICAL MASKS 1 2 3<br />

11 GOWNS 1 2 3<br />

12 EYE PROTECTION [GOGGLES OR FACE PROTECTION] 1 2 3<br />

13* INJECTION SAFETY PRECAUTION GUIDELINES FOR STANDARD PRECAUTIONS 1 2 3<br />

(Surakchhit sui ko niti)<br />

14* NEEDLE DESTROYER 1 2 3<br />

15* METHYLATED SPIRIT AND GLYCIRINE 70:30 1 2 3<br />

1252 DESCRIBE THE SETTING OF THE SICK CHILD PRIVATE ROOM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

SERVICE DELIVERY ROOM OR AREA.<br />

OTHER ROOM WITH<br />

AUDITORY AND VISUAL PRIVACY. . . . . . . . . . . 2<br />

VISUAL PRIVACY ONLY. . . . . . . . . . . . . . . . . . . . . . . 3<br />

NO PRIVACY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />

THANK YOUR RESPONDENT AND MOVE TO YOUR NEXT DATA COLLECTION POINT IF DIFFERENT FROM<br />

CURRENT LOCATION.<br />

274 • Appendix C

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