Nepal

1420 OBSERVE IF THE BELOW ACTIVITIES ARE BEING DONE
ROUTINELY. IF YOU DO NOT SEE AN ACTIVITY, ASK:
Is [ACTIVITY YOU DO NOT SEE] routinely done for all
antenatal care clients?
ACTIVITY
OBSERVED
ACTIVITY
REPORTED
NOT SEEN
ACTIVITY NOT
ROUTINELY
DONE
DON’T
KNOW
01 Weighing of clients 1
2 3 8
02 Taking blood pressure 1
2 3 8
03 Conducting group health education sessions 1
2 3 8
04 Urine test for protein 1
2 3 8
05 Blood test for anemia 1
2 3 8
06 Malaria rapid diagnostic testing 1
2 3 8
07 HIV testing and counseling (HTC) for pregnant women 1
2 3 8
08 Measuring client's height 1
2 3 8
EQUIPMENT AND SUPPLIES FOR ROUTINE ANC
1421* I would like to know if the
following items are available
in this service area and are
functioning.
OBSERVED
(A) AVAILABLE
REPORTED
NOT SEEN
NOT
AVAILABLE
YES
(B) FUNCTIONING
NO DON’T
KNOW
01 DIGITAL BP APPARATUS 1 b 2 b 3 1 2 8
02
02 MANUAL BP APPARATUS 1 b 2 b 3 1 2 8
03
03 STETHOSCOPE 1 b 2 b 3 1 2 8
04
04 EXAMINATION LIGHT 1 b 2 b 3 1 2 8
(FLASHLIGHT OK) 05
05* FETAL STETHOSCOPE/PINARD 1 b 2 b 3 1 2 8
(FETOSCOPE) 06
06 ADULT WEIGHING SCALE 1 b 2 b 3 1 2 8
07
07* EXAMINATION BED/TABLE 1 b 2 b 3 1 2 8
08
08* MEASURING TAPE FOR FUNDAL HEIGHT 1 b 2 b 3 1 2 8
09
09* THERMOMETER 1 b 2 b 3 1 2 8
1422
1422* Please tell me if any of the following medicines / items
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 / NO, OR
AT LEAST AVAILABLE AVAILABLE AVAILABLE NEVER
ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE
01 IRON TABLETS (INDIVIDUAL TABLETS) 1 2 3 4 5
02 FOLIC ACID TABLETS (INDIVIDUAL TABLETS) 1 2 3 4 5
03 COMBINED IRON AND FOLIC ACID TABLETS 1 2 3 4 5
05 TETANUS DIPTHERIA TOXOID VACCINE 1 2 3 4 5
06* LONG LASTING INSECTICIDE TREATED NETS ( LLINs) 1 2 3 4 5
07* ALBENDAZOLE 1 2 3 4 5
282 • Appendix C