Nepal

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NO. QUESTION / OBSERVATIONS DEWORMING 113* RECORD WHETHER THE PROVIDER GAVE THE CLIENT ANY OF THE FOLLOWING TREATMENTS 01 Prescribed or gave Mebendazole/Albendazole A 02 Explained the purpose of Mebendazole/Albendazole B 04 None of the above Y MALARIA 114* RECORD WHETHER THE PROVIDER GAVE THE CLIENT ANY OF THE FOLLOWING TREATMENT OR COUNSELLING: 01* Provider identified need to provide client with an LLIN by asking if client had an LLIN or is J currently using an LLIN 02* Provided LLIN to client as part of consultation or instructed client to obtain LLIN F elsewhere in facility 03* Explicitly explained importance of using LLIN to client G 04 None of the above Y PREPARATION FOR DELIVERY 115* RECORD WHETHER THE PROVIDER ADVISED OR COUNSELLED ABOUT DELIVERY IN ANY OF THE FOLLOWING WAYS: 02* Asked the client where she will deliver and advised the client to prepare for delivery B (e.g. set aside money, arrange for emergency transportation, identify blood donor, ) 03* Advised the client to use a skilled birth attendant, go to the health facility C 04* Discussed with client what items to have on hand at home (e.g., blade, D clean delivery kit, misoprostol, 7.1% Chlorexidine) 06 None of the above Y ESSENTIAL NEWBORN CARE AND POSTPARTUM RECOMMENDATIONS 116* RECORD WHETHER THE PROVIDER ADVISED OR COUNSELLED ABOUT NEWBORN OR POSTPARTUM CARE IN ANY OF THE FOLLOWING WAYS: 01 Discussed care for the newborn (i.e., warmth, hygiene and cord care, delay bathing A for at least 24 hours after birth) 02 Discussed immediat breastfeeding initiation B 03 Discussed exclusive breastfeeding C 04 Discussed importance of vaccination for the newborn D 05 Discussed family planning options for after delivery E 06 None of the above Y CODES 338 • Appendix C
NO. QUESTION / OBSERVATIONS DANGER SIGNS DURING PREGNANCY CODES 116A* RECORD WHETHER THE PROVIDER ADVISED OR COUNSELLED ABOUT ANY OF THE FOLLOWING DANGER SIGNS DURING PREGNANCY: 01 Severe headache A 02 Blurred vision B 03 Severe lower abdominal pain C 04 Swelling of hand , body or face D 05 Convulsion / unconsciousness E 06 Any vaginal spotting or bleeding F 08 None of the above Y DANGER SIGNS DURING LABOR & DELIVERY 116B* RECORD WHETHER THE PROVIDER ADVISED OR COUNSELLED ABOUT ANY OF THE FOLLOWING DANGER SIGNS DURING DELIVERY: 01 Labor pain longer than 8hours duration A 02 Appearance of baby's hand, leg and placenta first B 03 Convulsion / unconsciousness C 04 Excessive bleeding before or after delivery D 08 None of the above Y DANGER SIGNS OF NEWBORN 116C* RECORD WHETHER THE PROVIDER ADVISED OR COUNSELLED ABOUT ANY OF THE FOLLOWING DANGER SIGNS OF NEWBORN: 01 Not able to suck breast A 02 Lethargic or unconscious B 03 Fast breathing C 04 Severe chest indrawing D 05 Fever E 06 Hypothermia F 07 10 or more than 10 skin pustule or 1 abscess G 08 Umbilical infection H 09 None of the above Y DANGER SIGNS IN POSTPARTUM PERIOD 116D* RECORD WHETHER THE PROVIDER ADVISED OR COUNSELLED ABOUT ANY OF THE FOLLOWING DANGER SIGNS IN POSTPARTUM PERIOD: 01 Fever A 02 Pain in lower abdominal or foul smelling discharge B 03 Excessive bleeding C 04 Severe headache D 05 Convulsion / unconsciousness E 08 None of the above Y Appendix C • 339
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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
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944* Are any of the following Fusio
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1006* ASK YOUR RESPONDENT TO SHOW Y
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SECTION 11: CHILD GROWTH MONITORING
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1210 I would like to know if the fo
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SECTION 13: FAMILY PLANNING 1300 CH
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EQUIPMENT AND SUPPLIES 1314* I woul
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INFECTION CONTROL 1350 ASSESS THE R
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1407* As part of ANC services, plea
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INFECTION CONTROL 1450 ASSESS THE R
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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 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 369 and 370: NO. QUESTION / OBSERVATIONS CODES F
Page 371: NO. QUESTION / OBSERVATIONS ROUTINE
Page 377 and 378: 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
Page 403 and 404: Nepal Health Facility Survey 2015 F
Page 409 and 410: 205 What is the total amount you pa
Page 411 and 412: Sample List for SICK CHILD Observat
Page 413 and 414: Sample List for SICK CHILD Observat
Page 415 and 416: Nepal Health Facility Survey-2015 O
Page 417 and 418: 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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