03.02.2017 Views

Nepal

SPA24

SPA24

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

SECTION 18: SEXUALLY TRANSMITTED INFECTIONS<br />

1800 CHECK Q102.09 STI SERVICE<br />

STI SERVICE<br />

NOT OFFERED<br />

OFFERED<br />

NEXT SECTION OR SERVICE SITE<br />

ASK TO BE SHOWN THE LOCATION IN THE FACILITY WHERE STI SERVICES ARE PROVIDED.<br />

FIND THE PERSON MOST KNOWLEDGEABLE ABOUT PROVISION OF STI SERVICES IN THE FACILITY.<br />

INTRODUCE YOURSELF, EXPLAIN THE PURPOSE OF THE SURVEY AND ASK THE FOLLOWING QUESTIONS.<br />

1801 How many days in a month are STI services<br />

available in this facility? DAYS/MONTH . . . . . . . . . . . . . . . . . .<br />

[USE A 4-WEEK MONTH TO CALCULATE DAYS]<br />

1802 Do providers in this facility make diagnosis that a client has YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

a sexually transmitted infection (STI)? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1804<br />

1803* How are diagnoses of STIs made in this facility? SYNDROMIC APPROACH ONLY. . . . . . . . . . . . . . . . . . . . . 1<br />

ETIOLOGIC (LAB) ONLY. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

BOTH SYNDROMIC AND ETIOLOGIC. . . . . . . . . . . .. . . . . . 3<br />

CLINICAL DIAGNOSIS ONLY. . . . . . . . . . . . . . . . . . . . . . . . 4<br />

BOTH CLINICAL DIAGNOSIS AND ETIOLOGIC. . . . . . . . . . 5<br />

1804 Do providers in this facility prescribe treatment for STIs? YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

1805 CHECK Q1802 AND Q1804 RESPONSE "1" CIRCLED IN NEITHER Q1802 NOR Q1804<br />

RESPONSE "1" CIRCLED IN EITHER<br />

Q1802 OR Q1804 OR BOTH<br />

NEXT SECTION OR SERVICE SITE<br />

1806 Are STI clients seen by this service ever referred YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

for HIV counseling and testing, or offered the service from NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1810<br />

this service site?<br />

1807 Are STI clients seen by this service routinely referred for, or ROUTINELY REFERRED OR OFFERED SERVICE. . . . . . . 1<br />

offered HIV counseling and testing, or they are referred / offered ONLY IF CLIENT SUSPECTED TO BE HIV INFECTED. . . . 2<br />

only if they are suspected to be infected with HIV?<br />

1808 Do STI service providers in this facility provide HIV testing YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

from this service site? NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1810<br />

1809* Please tell me if any of the following HIV rapid diagnostic test (A) OBSERVED (B) NOT OBSERVED<br />

(RDT) kits are available at this services site today.<br />

AVAILABLE<br />

I would like to see them. REPORTED NOT DK / NO,<br />

CHECK TO SEE IF AT LEAST ONE IS VALID AT LEAST AVAILABLE AVAILABLE AVAILABLE NEVER<br />

(NOT EXPIRED) ONE VALID NONE VALID NOT SEEN TODAY AVAILABLE<br />

01 DETERMINE 1 2 3 4 5<br />

02 UNIGOLD 1 2 3 4 5<br />

03 STATPACK 1 2 3 4 5<br />

04 TRIDOT 1 2 3 4 5<br />

05 OTHER (SPECIFY) ________________________________ 1 2 3 4 5<br />

1810* Do you have the national guidelines on case management YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

of sexually transmitted infections available in this NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1814<br />

service area?<br />

ACCEPTABLE IF PART OF ANOTHER GUIDELINE.<br />

1811* May I see the national guidelines on case management of sexually OBSERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

transmitted infections ? REPORTED NOT SEEN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

1814 Does the facility normally perform partner notification YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

for sexually transmitted infections? NO PARTNER NOTIFICATION. . . . . . . . . . . . . . . . . . . . . . . 2 1816<br />

1815 Is the notification ever active (where the facility makes ALWAYS ACTIVE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

contact with the partner) or is it only passive (where the SOMETIMES ACTIVE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2<br />

facility asks the clients to inform or bring their partners)? ONLY PASSIVE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />

1816* Are individual client health register or booklets maintained ? YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 1818<br />

1817* May I see a copy of this register ? OBSERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

REPORTED NOT SEEN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

Appendix C • 295

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!