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SECTION 22: HIV CARE AND SUPPORT<br />

2200 CHECK Q102.13 NO HIV CARE AND SUPPORT<br />

HIV CARE AND SUPPORT<br />

SERVICES IN FACILITY<br />

SERVICES AVAILABLE IN FACILITY<br />

NEXT SECTION OR SERVICE SITE<br />

ASK TO BE SHOWN THE MAIN LOCATION IN THE FACILITY WHERE HIV CARE AND SUPPORT SERVICES ARE<br />

PROVIDED. FIND THE PERSON MOST KNOWLEDGEABLE ABOUT HIV CARE AND SUPPORT SERVICES IN THE<br />

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

2201* Please tell me if providers in this facility provide the following services for HIV/AIDS<br />

clients:<br />

DON’T<br />

YES NO KNOW<br />

01* Prescribe treatment for any opportunistic infections or symptoms related to 1 2 8<br />

HIV/AIDS?<br />

04 Provide or prescribe palliative care for patients, such as symptom or pain 1 2 8<br />

management, or nursing care for the terminally ill, or severely debilitated clients<br />

05* Provide nutritional support services? i.e., client education and provision of 1 2 8<br />

nutritional supplements<br />

06 Prescribe or provide fortified protein supplementation (FPS) 1 2 8<br />

07 Care for pediatric HIV/AIDS patients 1 2 8<br />

08* Prescribe or provide preventive treatment for TB 1 2 8<br />

09* Cotrimoxazole preventive therapy for opportunistic infections 1 2 8<br />

10 Provide or prescribe micronutrient supplementation, such as vitamins or iron 1 2 8<br />

11 Family planning counseling and/or services 1 2 8<br />

12* Provide condoms 1 2 8<br />

2202* Is there a system for routinely screening and testing YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

HIV-positive clients for TB? NO SYSTEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2204<br />

2203* May I see the record or evidence of such a system? SYSTEM OR REGISTER OBSERVED. . . . . . . . . . . . . . . . . 1<br />

Observe record SYSTEM OR REGISTER REPORTED, NOT SEEN. . . . . . . 2<br />

2204* Do you have the national guidelines for the clinical YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

management of HIV/AIDS available in this service area? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

2205A<br />

2205* May I see the national guidelines for the clinical OBSERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

management of HIV/AIDS? REPORTED, NOT SEEN. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

2205A* Do this facility provide Community Care Center (CCC) service? YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2208<br />

2206 Do you have guidelines on Community and Home Based Care YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

(CHBC)? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2208<br />

2207* May I see the CHBC guidelines? OBSERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

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

2208 Do you have condoms available in this service site YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />

to give to clients receiving services? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

NEXT SECTION<br />

2209 May I see some condoms? OBSERVED, AT LEAST ONE VALID. . . . . . . . . . . . . . . . . . . 1<br />

OBSERVED, NONE VALID. . . . . . . . . . . . . . . . . . . . . . . . . 2<br />

REPORTED AVAILABLE, NOT SEEN. . . . . . . . . . . . . . . . . . 3<br />

NOT AVAILABLE TODAY. . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />

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

CURRENT LOCATION.<br />

Appendix C • 305

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