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1. EDUCATION AND EXPERIENCE 102 I would like to ask you some questions about your educational background. How many years of education have you completed in total, YEARS . . . . . . starting from your primary, secondary and further education? 103* What is your current occupational category or qualification? GENERALIST MEDICAL DOCTOR (MDGP). . . . . . . . . . . . . . . . . 01 For example, are you a registered nurse, or generalist GYNECOLOGIST / OBSTETRICIAN . . . . . . . . . . . . . . . . . . . . . . . 02 medical doctor or a specialist medical doctor? ANESTHESIOLOGIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 03 PATHOLOGIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .04 GENERAL SURGEON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .05 PEDIATRICIAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06 OTHER SPECIALISTS MEDICAL DOCTORS. . . . . . . . . . . . . . . . .07 MEDICAL OFFICER (MBBS, BDS) . . . . . . . . . . . . . . . . . . . . . . . . 08 ANESTHETIC ASSISTANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09 NURSE (MN, BSC NURSE, BN, PCL) / AUXILLARY NURSE MIDWIFE (ANM). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 LABORATORY TECHNOLOGIST / OFFICER / LABORATORY TECHNICIAN / LABORATORY ASSISTANT. . . . . . . . . . . 11 HEALTH ASSISTANT (HA) / AHW / SAHW / PUBLIC HEALTH INSPECTOR. . . . . . . . . . . . . . . . . 12 COUNSELOR WITH CLINICAL QUAL. (HTC ONLY). . . . . . . . . . . 16 COUNSELOR WITHOUT CLINICAL QUAL. (HTC ONLY). . . . . . . 17 OTHER CLINICAL STAFF NOT LISTED ABOVE . . . . . . . . . . . . . .18 NO TECHNICAL QUALIFICATION / NON CLINICAL STAFF. . . . . 95 104 What year did you graduate (or complete) with this qualification? IF NO TECHNICAL QUALIFICATION (103=95), ASK: YEAR What year did you complete any basic training for your current occupational category? 105 In what year did you start working in this facility? YEAR 106 Have you received any dose of Hepatitis B vaccine? YES, 1 DOSE. . . . . . . . . . . . . . . . . . . 1 YES, 2 DOSES. . . . . . . . . . . . . . . . . . . 2 IF YES, ASK: How many doses have you received so far? YES, 3 OR MORE DOSES. . . . . . . . . . . . . 3 NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 108 107* Did you receive any of the Hepaptitis B vaccinations as part of your services YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 in this facility? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 108 Are you a manager or in-charge for any clinical services? YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2. GENERAL TRAINING / COMMUNICABLE / NON-COMMUNICABLE DISEASES 200* I will like to ask you a few questions about in-service training you have received related to your work. In-service training refers to training you have received related to your work since you started working. I will start with some general topics. Note that the training topics I will mention may have been covered as stand alone trainings, or they may have been covered under another training topic. Have you received any in-service training, training updates or refresher training in any of the following topics [READ TOPIC] IF YES, ASK: Was the training, training update or refresher training within the past 24 months or more than 24 months ago? YES, YES, NO WITHIN OVER IN-SERVICE PAST 24 MONTHS TRAINING OR 24 MONTHS AGO UPDATES 01* Standard precautions, including hand hygiene, cleaning and disinfection, waste management, needle stick and sharp injury 1 2 3 prevention? May be part of any training, like Infection prevention / IP training. 02 Any specific training related to injection safety practices or safe injection practices 1 2 3 03* Revised Health Management Information Systems (HMIS) or reporting requirements for any service 1 2 3 06 Integrated Management for Emergency and Essential Surgical Care (IMEESC) 1 2 3 07 Other general training (SPECIFY)________________________________________ 1 2 3 318 • Appendix C
201* CHECK [Q103] FOR PROVIDER OCCUPATIONAL CATEGORY / QUALIFICATION CODE [ 11] (i.e., LABORATORY-RELATED) CIRCLED 700 CODE [11] NOT CIRCLED I will now ask you a few questions about services you personally provide in your current position in this facility and any in-service training, training updates or refresher trainings you may have received related to that service. Please remember we are talking about services you provide in your current position in this facility. The training topics I will mention may have been covered as a stand-alone training, or covered as part of another training topic. 202 In your current position, and as a part of your work for this facility, do you YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 personally provide any services that are designed to be NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 youth or adolescent friendly? i.e., designed with the specific aim to encourage youth or adolescent utilization? 203* Have you received any in-service training, training updates or refresher training on topics YES, WITHIN PAST 24 MONTHS. . . . . . . 1 specific to youth or adolescent friendly services? (e.g. Adolescent Friendly Services (AFS) or Youth YES, OVER 24 MONTHS AGO. . . . . . . 2 Friendly Services (YFS) training) NO TRAINING OR UPDATES. . . . . . . . . . 3 IF YES: Was the training, training update or refresher training within the past 24 months or more than 24 months ago? 203A CHECK Q103 FOR PROVIDER OCCUPATIONAL CATEGORY / QUALIFICATION CODE 16 OR 17 (COUNSELOR) CIRCLED 604 CODE 16 NOR 17 (COUNSELOR) NOT CIRCLED MALARIA 204 In your current position, and as a part of your work for this facility, do you YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 personally diagnose and/or treat malaria? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 205 Have you received any in-service training, training updates or refresher trainings on topics YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 related to diagnosis and/or treatment of malaria? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 207 206* Have you received any in-service training, training updates or refresher trainings in any of the following topics [READ TOPIC]: IF YES: Was the training, training update or refresher training within the past 24 months or more than 24 months ago? YES, YES, NO WITHIN OVER IN-SERVICE PAST 24 MONTHS TRAINING OR 24 MONTHS AGO UPDATES 01 DIAGNOSING MALARIA IN ADULTS 1 2 3 02 DIAGNOSING MALARIA IN CHILDREN 1 2 3 03 HOW TO PERFORM MALARIA RAPID DIAGNOSTIC TEST 1 2 3 04 CASE MANAGEMENT / TREATMENT OF MALARIA IN ADULTS 1 2 3 05 CASE MANAGEMENT / TREATMENT OF MALARIA DURING PREGNANCY 1 2 3 07 CASE MANAGEMENT / TREATMENT OF MALARIA IN CHILDREN 1 2 3 08 OTHER TRAINING ON MALARIA (SPECIFY)________________________________________ 1 2 3 DIABETES 207 In your current position, and as a part of your work for this facility, do you YES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 personally diagnose and/or manage diabetes? NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 208 Have you received any in-service training, training updates or refresher training on topics YES, WITHIN PAST 24 MONTHS. . . . . . . 1 specific to the diagnosis and/or management of diabetes? YES, OVER 24 MONTHS AGO. . . . . . . 2 NO TRAINING OR UPDATES. . . . . . . . . . 3 IF YES: Was the training, training update or refresher training within the past 24 months or more than 24 months ago? Appendix C • 319
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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
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360* Does this facility have any ro
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SECTION 4: STAFFING - MANAGEMENT -
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420X CHECK Q006 FACILITY TYPE IS FA
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HMIS FIND THE PERSON RESPONSIBLE FO
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SECTION 5: PROCESSING OF INSTRUMENT
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602 CHECK Q600 FACILITY-BASED WASTE
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SECTION 7: BASIC SUPPLIES - CLIENT
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SECTION 8: DIAGNOSTICS 800 CHECK Q1
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811* Please tell me if: (a) (b) (c
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830 Does this facility do any blood
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847C* Does this facility do any tes
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861 Does this facility do any TB te
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SECTION 9: MEDICINES AND COMMODITIE
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MEDICINES FOR NON-COMMUNICABLE DISE
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MATERNAL AND CHILD HEALTH 906* Are
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SECTION 9.2: CONTRACEPTIVE COMMODIT
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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 and 318: INFECTION CONTROL 1450 ASSESS THE R
Page 319 and 320: 1509* Do you have the national guid
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: NEPAL HEALTH FACILITY SURVEY - 2015
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
Page 369 and 370: NO. QUESTION / OBSERVATIONS CODES F
Page 371 and 372: NO. QUESTION / OBSERVATIONS ROUTINE
Page 373 and 374: NO. QUESTION / OBSERVATIONS DANGER
Page 375 and 376: NEPAL HEALTH FACILITY SURVEY - 2015
Page 377 and 378: NO. QUESTIONS CODING CLASSIFICATION
Page 379 and 380: NO. QUESTIONS CODING CLASSIFICATION
Page 381 and 382: 205 What is the total amount you pa
Page 383 and 384: Sample List for FAMILY PLANNING Obs
Page 385 and 386: Sample List for FAMILY PLANNING Obs
Page 387 and 388: Nepal Health Facility Survey 2015 O
Page 389 and 390: NO. QUESTIONS / OBSERVATIONS CLIENT
Page 391 and 392: NO. QUESTIONS / OBSERVATIONS FOR Q1
Page 393 and 394: NO. QUESTIONS / OBSERVATIONS CODES
Page 399 and 400: NO. QUESTIONS / OBSERVATIONS 9. IMP
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Nepal Health Facility Survey 2015 F
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NO. QUESTIONS CODING CLASSIFICATION
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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 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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NO. QUESTIONS / OBSERVATIONS CODES
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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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205 What is the total amount you pa
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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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