Nepal

INFECTION CONTROL
1550 ASSESS THE ROOM OR AREA FOR THE ITEMS LISTED GENERAL INFORMATION [Q710]. . . . . . . . . . 11
BELOW. FOR ITEMS THAT YOU DO NOT SEE, CHILD VACCINATION [Q1051] . . . . . . . . . . . . 12
ASK YOUR RESPONDENT TO SHOW THEM TO YOU. CHILD CURATIVE CARE [Q1251]. . . . . . . . . . 13
FAMILY PLANNING [Q1351]. . . . . . . . . . . . . . . 14
IF THE SAME ROOM OR AREA HAS ALREADY BEEN ANTENATAL CARE [Q1451]. . . . . . . . . . . . . . . 15
ASSESSED, INDICATE WHERE THE DATA ARE RECORDED DELIVERY [Q1651]. . . . . . . . . . . . . . . . . . . . . . 17
STI SERVICES [Q1851] . . . . . . . . . . . . . . . . . . 18
TUBERCULOSIS [Q1951]. . . . . . . . . . . . . . . . . 19
HIV TESTING [Q2051]. . . . . . . . . . . . . . . . . . . 21
NCD [Q2351]. . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MINOR SURGERY [Q2451]. . . . . . . . . . . . . . . 23
NOT PREVIOUSLY SEEN. . . . . . . . . . . . . . . . 31
NEXT SECTION / SERVICE SITE
1551* INFECTION CONTROL AND CONDITIONS FOR OBSERVED REPORTED, NOT
CLIENT EXAMINATION NOT SEEN AVAILABLE
01 RUNNING WATER (PIPED, BUCKET WITH TAP OR POUR PITCHER) 1 2 3
02 HAND-WASHING SOAP (MAY BE LIQUID SOAP) 1 2 3
03 ALCOHOL-BASED HAND RUB 1 2 3
04* WASTE RECEPTACLE (PEDAL BIN) WITH LID AND COLOR CODED 1 2 3
PLASTIC BIN LINER / LABELED BIN (RED, GREEN, YELLOW AND BLUE) 06
05 OTHER WASTE RECEPTACLE 1 2 3
06 SHARPS CONTAINER ("SAFETY BOX") 1 2 3
07 DISPOSABLE LATEX GLOVES 1 2 3
08 DISINFECTANT/ANTISEPTICS [E.G., CHLORINE, HIBITANE, ALCOHOL] 1 2 3
09 SINGLE-USE STANDARD DISPOSABLE SYRINGES WITH NEEDLES OR 1 2 3
AUTO-DISABLE SYRINGES WITH NEEDLES
10 MEDICAL MASKS 1 2 3
11 GOWNS 1 2 3
12 EYE PROTECTION [GOGGLES OR FACE PROTECTION] 1 2 3
13* INJECTION SAFETY PRECAUTION GUIDELINES FOR STANDARD PRECAUTIONS 1 2 3
(Surakchhit sui ko niti)
14* NEEDLE DESTROYER 1 2 3
15* METHYLATED SPIRIT AND GLYCIRINE 70:30 1 2 3
1552 ASK TO SEE ROOM OR AREA WHERE PMTCT PRIVATE ROOM. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SERVICES ARE PROVIDED
OTHER ROOM WITH
AUDITORY AND VISUAL PRIVACY. . . . . . . . . . . . 2
DESCRIBE THE SETTING OF THE ROOM OR AREA. VISUAL PRIVACY ONLY. . . . . . . . . . . . . . . . . . . . . . 3
NO PRIVACY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
1552A CHECK Q216
ARV MEDICINES FOR ART STORED IN OTHER LOCATION
ARV MEDICINES FOR ART STORED IN PMTCT
OR NOT STOCKED (RESPONSE 4 OR 5 NOT CIRCLED) SERVICE AREA (RESPONSE 4 OR 5 CIRCLED) 941
THANK YOUR RESPONDENT AND MOVE TO YOUR NEXT DATA COLLECTION POINT IF DIFFERENT FROM
CURRENT LOCATION.
286 • Appendix C