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SECTION 15: PMTCT OF HIV INFECTION 1500 CHECK Q102.06 PMTCT SERVICES NO PMTCT SERVICES IN FACILITY OFFERED IN FACILITY NEXT SECTION OR SERVICE SITE CAUTION!!! THIS SECTION SHOULD BE COMPLETED ONLY AFTER COMPLETING THE ANC SECTION ASK TO BE SHOWN THE LOCATION IN THE FACILITY WHERE PMTCT SERVICES ARE PROVIDED. FIND THE PERSON MOST KNOWLEDGEABLE ABOUT PROVISION OF PMTCT SERVICES IN THE FACILITY. INTRODUCE YOURSELF, EXPLAIN THE PURPOSE OF THE SURVEY AND ASK THE FOLLOWING QUESTIONS. 1501* As part of PMTCT services, please tell me if providers in this facility provide the following services to clients YES NO 01 PROVIDE HIV COUNSELING AND TESTING SERVICES TO PREGNANT WOMEN. THIS ALSO INCLUDES 1 2 TESTING DONE OUTSIDE THIS LOCATION BUT RESULTS PROVIDED TO CLIENT HERE 02 PROVIDE HIV TESTING SERVICES TO INFANTS BORN TO HIV POSITIVE WOMEN. THIS ALSO 1 2 INCLUDES TESTING DONE OUTSIDE THIS LOCATION BUT RESULTS PROVIDED TO CLIENT HERE. FOR EXAMPLE, BLOOD COLLECTED HERE AS DBS BUT TESTING DONE ELSEWHERE 03 PROVIDE ARV PROPHYLAXIS TO HIV POSITIVE PREGNANT WOMEN 1 2 04 PROVIDE ARV PROPHYLAXIS TO NEWBORNS OF HIV POSITIVE WOMEN 1 2 05 PROVIDE INFANT AND YOUNG CHILD FEEDING COUNSELING FOR PMTCT 1 2 (INCLUDING EXCLUSIVE BREAST FEEDING COUNSELING FOR PMTCT) 06 PROVIDE NUTRITIONAL COUNSELING FOR HIV POSITIVE PREGNANT WOMEN AND 1 2 THEIR INFANTS 07 PROVIDE FAMILY PLANNING COUNSELING TO HIV POSITIVE PREGNANT WOMEN 1 2 1502 CHECK Q1501.01 HIV COUNSELING AND NO HIV TESTING FOR PREGNANT WOMEN, TESTING FOR PREGNANT WOMEN ONLY HIV COUNSELING FOR PREGNANT WOMEN 1506 1503 IS THIS THE SAME LOCATION AS THE ANC SERVICE YES, ANC SERVICE SITE. . . . . . . . . . . . . . . . . . . . . 1 1506 SITE? NO, DIFFERENT LOCATION. . . . . . . . . . . . . . . . . . 2 1504 Is HIV rapid diagnostic testing available from this YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 service site? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1506 1505A* 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 AVAILABLE AT LEAST AVAILABLE ONE VALID NONE VALID (B) NOT OBSERVED REPORTED NOT DK / NO, AVAILABLE AVAILABLE NEVER 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 1506 CHECK Q1501.02 INFANT HIV NO INFANT HIV TESTING COUNSELING AND TESTING ONLY INFANT HIV COUNSELING 1509 1507* Do you use DBS card/paper to collect dried blood spots (DBS) YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 at this site ? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1509 1508* May I see sample DBS paper/ cards? OBSERVED, AT LEAST 1 VALID. . . . . . . . . . . . . . . 1 OBSERVED, NONE VALID. . . . . . . . . . . . . . . . . . . . 2 CHECK TO SEE IF AT LEAST ONE IS VALID REPORTED AVAILABLE, NOT SEEN. . . . . . . . . . . . 3 NOT AVAILABLE TODAY. . . . . . . . . . . . . . . . . . . . . 4 1508A Are the DBS samples collected at this site for External Quality YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Assurance (EQUAS) purposes? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 DON'T KNOW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 284 • Appendix C
1509* Do you have the national guidelines for PMTCT YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 available in this service area? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1515 1510* May I see the national PMTCT guidelines? OBSERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 REPORTED NOT SEEN. . . . . . . . . . . . . . . . . . 2 1515 Do you stock any ARVs for PMTCT in this service area? YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1550 1516* Please tell me if any of the following antiretroviral medicines/drugs 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 AVAILABLE AT LEAST ONE VALID (B) NOT OBSERVED REPORTED NOT AVAILABLE AVAILABLE AVAILABLE NONE VALID NOT SEEN TODAY DK / NO, OR NEVER AVAILABLE 01 ZIDOVUDINE (AZT) TABS 1 2 3 4 5 02 NEVIRAPINE (NVP) TABS 1 2 3 4 5 03 LAMIVUDINE (3TC) TABS 1 2 3 4 5 04 LOPINAVIR (LPV/r) TABS 1 2 3 4 5 05 ABACAVIR (ABC) TABS 1 2 3 4 5 06 EFAVIRENZ (EFV) TABS 1 2 3 4 5 07 TENAFOVIR DISOPROXIL FUMARATE (TDF) TABS 1 2 3 4 5 09 ZIDOVUDINE (ZDV) + LAMIVUDINE (3TC) 1 2 3 4 5 10 NEVIRAPINE (NVP) SYRUP 1 2 3 4 5 11 ZIDOVUDINE (AZT) SYRUP OR DISPERSIBLE PEDIATRIC TABS 1 2 3 4 5 12 LAMIVUDINE (3TC) + EFAVIRENZ (EFV) + TENAFOVIR (TDF) 1 2 3 4 5 13* ZIDOVUDINE (AZT, ZDV) + 3TC + NVP 1 2 3 4 5 14* 3TC + EFV 1 2 3 4 5 Appendix C • 285
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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
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11.4.2 Treatment Readiness to Treat
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REFERENCES Bhandari, G. P., M. R. A
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National Centre for AIDS and STD Co
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2016 - 2021 NHSS RF INDICATORS MATR
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7 8 Radhika Bogati Nisha Khadka Sad
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QUESTIONNAIRES Appendix C Appendix
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NEPAL HEALTH FACILITY SURVEY - 2015
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FACILITY IDENTIFICATION 001 NAME OF
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FIND THE MANAGER, THE PERSON IN-CHA
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SECTION 2: GENERAL FILTER QUESTIONS
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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 and 294: MEDICINES FOR NON-COMMUNICABLE DISE
Page 295 and 296: MATERNAL AND CHILD HEALTH 906* Are
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: INFECTION CONTROL 1450 ASSESS THE R
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
Page 345 and 346: SECTION 25: CESAREAN DELIVERY 2500
Page 347 and 348: SECTION 27: BLOOD TRANSFUSION SERVI
Page 349 and 350: SECTION 30: GENERAL FACILITY LEVEL
Page 351 and 352: NEPAL HEALTH FACILITY SURVEY - 2015
Page 353 and 354: 201* CHECK [Q103] FOR PROVIDER OCCU
Page 355 and 356: 4. FAMILY PLANNING SERVICES 400 In
Page 357 and 358: DELIVERY SERVICES 506 In your curre
Page 359 and 360: 7. DIAGNOSTIC SERVICES 700 In your
Page 361 and 362: 808 Among the various things relate
Page 363 and 364: Sample List for ANTENATAL CARE Obse
Page 365 and 366: Sample List for ANTENATAL CARE Obse
Page 367 and 368: NEPAL HEALTH FACILITY SURVEY - 2015
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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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NEPAL HEALTH FACILITY SURVEY - 2015
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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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