Nepal

More documents

Recommendations

Info

NO. QUESTIONS / OBSERVATIONS CODES 7. IUCD INSERTION AND/OR REMOVAL 210 CHECK 201: IUCD INSERTION . . . . . . . A WAS AN IUCD EITHER INSERTED IUCD REMOVAL . . . . . . . . . B OR REMOVED? IUCD CHECKUP . . . . . . . . . C NONE OF THE ABOVE. . . . . Y 215 BEFORE PROCEDURE 211 RECORD WHETHER THE PROVIDER DID ANY OF THE FOLLOWING BEFORE PROCEDURE. 01 Ensured that client had visual privacy A 02 Ensured that client had auditory privacy B 03 Explained procedure to client before starting C 04 (FOR NEW CLIENT) Reconfirmed client choice of method D 05 (FOR NEW CLIENT) Confirmed client is not pregnant E 06 Prepared all instruments before starting procedure F 07 Washed or disinfected hands before starting procedure G 08 Put on latex gloves before starting procedure H 09 Clean cervix and vagina with antiseptic I 10 None of the above Y DURING PROCEDURE 212 RECORD WHETHER THE PROVIDER DID ANY OF THE FOLLOWING DURING PROCEDURE. 01 Performed a bimanual examination A (TWO FINGERS IN VAGINA, OTHER HAND PALPATING ABDOMEN) 02 Conducted a speculum examination before performing bimanual examination B 03 Inspected the cervix and vaginal mucosa (USING SPECULUM AND LIGHT) C 04 Used a tenaculum / Vulsellum D 05 Sounded the uterus before inserting IUCD E 06 Explained any of the above procedures F 07 Used the no-touch technique for IUCD insertion G 08 Used sterilized or high level disinfected (HLD) instruments H 09 None of the above Y AFTER PROCEDURE 213 RECORD WHETHER THE PROVIDER DID ANY OF THE FOLLOWING AFTER PROCEDURE. 01 Removed gloves A 02 Washed or disinfected hands after removing gloves B 03 Asked client to wait and rest for 5 minutes after inserting IUCD C 04 Wiped contaminated surfaces with disinfectant D 05 Placed reusable instruments in chlorine-based disinfecting solution immediately E after the procedure 06 NONE OF THE ABOVE Y 362 • Appendix C
NO. QUESTIONS / OBSERVATIONS CODES POST PROCEDURE COUNSELLING 214 RECORD WHETHER THE PROVIDER DID ANY OF THE FOLLOWING AFTER PROCEDURE. 01 Client told that IUCD is good for up to 5 or 12 years A 02 Client instructed to return to the clinic 3 to 6 weeks after insertion or after first menses B 03 Client instructed to regularly check the strings after each menstruation C 04 Client told she may experience side effects D (e.g., heavy bleeding for first few months, spotting, or mild abdominal cramps) 05 Client instructed to return to clinic if side effects persisted E 06 Client provided with a card stating the date IUCD was inserted and the follow-up date F 07 (IF IUCD REMOVED): Show the removed IUCD to client G 08 NONE OF THE ABOVE Y Appendix C • 363
Page 1:
Nepal Health Facility Survey 2015 F
Page 4 and 5:
This report presents findings of th
Page 6 and 7:
3 FACILITY-LEVEL INFRASTRUCTURE, RE
Page 8 and 9:
7 DELIVERY AND NEWBORN CARE .......
Page 11 and 12:
TABLES AND FIGURES 1 OVERVIEW OF TH
Page 13 and 14:
Figure 4.3 Trends in early childhoo
Page 15 and 16:
Table 7.12 Postpartum exit delivery
Page 17:
PREFACE T his is the first comprehe
Page 21 and 22:
ACKNOWLEDGMENTS T he 2015 Nepal Hea
Page 23:
LIST OF CONTRIBUTORS Chapter 1 Ram
Page 26 and 27:
GDP HA HDC HFOMC HIV HLD HMIS HP HT
Page 28 and 29:
VDC VDRL WHO village development co
Page 30 and 31:
Eighty-five percent of facilities o
Page 32 and 33:
Five percent of all facilities offe
Page 34 and 35:
xxxii • Map of Nepal
Page 36 and 37:
According to the 2013 Global Burden
Page 38 and 39:
1.2.3 Nepal Health Sector Program T
Page 40 and 41:
1.3 THE HEALTH CARE SYSTEM 1.3.1 Ov
Page 42 and 43:
Figure 1.2 Health service delivery
Page 44 and 45:
prepared on an incremental basis ac
Page 47 and 48:
METHODOLOGY 2 2.1 OVERVIEW T he 201
Page 49 and 50:
Health Facility Operation and Manag
Page 51 and 52:
Assess the computer programs (CAPI
Page 53 and 54:
Data Sorting, Editing, and Entry at
Page 55 and 56:
Table 2.2 Results of facility conta
Page 57 and 58:
Table 2.4 Distribution of providers
Page 59 and 60:
2.5.3 Sample for Observations and E
Page 61 and 62:
Table 2.8 Distribution of observed
Page 63 and 64:
FACILITY-LEVEL INFRASTRUCTURE, RESO
Page 65 and 66:
Table 3.1 Availability of specific
Page 67 and 68:
Figure 3.1 Availability of basic cl
Page 69 and 70:
Overall, around three fourths of pr
Page 71 and 72:
3.3.3 Standard Precautions for Infe
Page 73 and 74:
PHCCs, HPs, or UHCs had all of the
Page 75 and 76:
Table 3.6 Capacity for processing e
Page 77 and 78:
Table 3.7.2 Laboratory diagnostic c
Page 79 and 80:
normal delivery services are consid
Page 81 and 82:
Overall, 37 percent of health facil
Page 83 and 84:
3.4.2 Supportive Management for Pro
Page 85 and 86:
Supportive Management Practices A f
Page 87 and 88:
Table 3.13 HMIS status: HMIS report
Page 89 and 90:
Table 3.15 Storage practice for med
Page 91 and 92:
types, PHCCs (78 percent) were leas
Page 93 and 94:
Table 3.19 Average number of client
Page 95 and 96:
and counseling of clients on at lea
Page 97 and 98:
Table 3.20c Compliance with service
Page 99 and 100:
Table 3.21b Provision of quality fa
Page 101 and 102:
Table 3.22 Financial audit, disaste
Page 103 and 104:
CHILD HEALTH SERVICES 4 Key Finding
Page 105 and 106:
According to the 2011 Nepal Demogra
Page 107 and 108:
Figure 4.3 Trends in early childhoo
Page 109:
4.2.2 Vitamin A Supplementation The
Page 112 and 113:
Table 4.4 Guidelines, trained staff
Page 114 and 115:
Figure 4.6 Items for infection cont
Page 116 and 117:
Figure 4.7 Availability of essentia
Page 118 and 119:
Figure 4.8 Vaccine storage (N=816)
Page 120 and 121:
Table 4.11.1 Assessments and examin
Page 122 and 123:
4.4.1 Full Assessment IMCI/IMNCI Ge
Page 124 and 125:
4.5 CLIENT OPINIONS Before leaving
Page 126 and 127:
With regard to the topics of in-ser
Page 128 and 129:
Service readiness. Section 5.3, inc
Page 130 and 131:
Table 5.1 Availability of family pl
Page 132 and 133:
Table 5.3.1 Family planning service
Page 134 and 135:
Table 5.4.1 Methods of family plann
Page 136 and 137:
5.3 SERVICE READINESS 5.3.1 Service
Page 138 and 139:
Table 5.7 Items for infection contr
Page 140 and 141:
Table 5.8.1 Client history and phys
Page 142 and 143:
Privacy during a family planning co
Page 144 and 145:
Table 5.10.1 Components of counseli
Page 146 and 147:
Table 5.11.1 Feedback from family p
Page 148 and 149:
5.6.2 Training Continual training f
Page 151 and 152:
ANTENATAL CARE 6 Key Findings Abou
Page 153 and 154:
Facilities providing ANC services i
Page 155 and 156:
6.2). Fifty-three percent of the fa
Page 157 and 158:
6.3.4 Medicines The national antena
Page 159 and 160:
who are anemic. Only around 4 in 10
Page 161 and 162:
Physical Examinations and Preventiv
Page 163 and 164:
Table 6.8.2 Basic physical examinat
Page 165 and 166:
Table 6.9.1 Content of antenatal ca
Page 167 and 168:
Table 6.9a.1 Content of antenatal c
Page 169 and 170:
Table 6.10.1 Content of antenatal c
Page 171 and 172:
6.5.1 Client Knowledge Tables 6.11.
Page 173 and 174:
Table 6.12.2 Feedback from antenata
Page 175 and 176:
With regard to supervision of ANC p
Page 177 and 178:
Table 6.16 Guidelines, trained staf
Page 179 and 180:
DELIVERY AND NEWBORN CARE 7 Key Fin
Page 181:
A quarter of facilities that offer
Page 184 and 185:
Page 186 and 187:
Table 7.3.2 Medicines and commoditi
Page 188 and 189:
than facilities in the hill (75 per
Page 190 and 191:
Considering the signal functions se
Page 193 and 194:
Table 7.6 presents the proportion o
Page 195 and 196:
7.6 BASIC MANAGEMENT AND ADMINISTRA
Page 197 and 198:
Table 7.10 Training for providers o
Page 199 and 200:
Table 7.12 Postpartum exit delivery
Page 201:
Table 7.13.2 Postpartum check/advic
Page 204 and 205:
new infections have dropped to belo
Page 206 and 207:
Table 8.1 Availability of HIV testi
Page 208 and 209:
had waste receptacles. Half of the
Page 210 and 211:
176 • HIV/AIDS and Sexually Trans
Page 212 and 213:
Good record-keeping systems to trac
Page 214 and 215:
premature babies, and stillborn bir
Page 216 and 217:
To be considered ready to provide S
Page 218 and 219:
Chronic respiratory diseases. Secti
Page 220 and 221:
Page 222 and 223:
Table 9.2 Diagnostic capacity and e
Page 224 and 225:
Figure 9.3 Items to support quality
Page 226 and 227:
have spacers for inhalers. The latt
Page 228 and 229:
Figure 9.6 Medicines and commoditie
Page 230 and 231:
Although the number of TB cases and
Page 232 and 233:
Only one-third of facilities in Nep
Page 234 and 235:
terai (13 percent) regions. Similar
Page 237 and 238:
MALARIA 11 Key Findings Half of Ne
Page 239 and 240:
years, ACT stocks at health facilit
Page 241 and 242:
Table 11.2 Availability of malaria
Page 243 and 244:
11.4.2 Treatment Readiness to Treat
Page 245 and 246:
REFERENCES Bhandari, G. P., M. R. A
Page 247 and 248:
National Centre for AIDS and STD Co
Page 249:
2016 - 2021 NHSS RF INDICATORS MATR
Page 252 and 253:
7 8 Radhika Bogati Nisha Khadka Sad
Page 255 and 256:
QUESTIONNAIRES Appendix C Appendix
Page 257 and 258:
NEPAL HEALTH FACILITY SURVEY - 2015
Page 259 and 260:
FACILITY IDENTIFICATION 001 NAME OF
Page 261 and 262:
FIND THE MANAGER, THE PERSON IN-CHA
Page 263 and 264:
SECTION 2: GENERAL FILTER QUESTIONS
Page 265 and 266:
SOURCE OF WATER 330 What is the mos
Page 267 and 268:
360* Does this facility have any ro
Page 269 and 270:
SECTION 4: STAFFING - MANAGEMENT -
Page 271 and 272:
420X CHECK Q006 FACILITY TYPE IS FA
Page 273 and 274:
HMIS FIND THE PERSON RESPONSIBLE FO
Page 275 and 276:
SECTION 5: PROCESSING OF INSTRUMENT
Page 277 and 278:
602 CHECK Q600 FACILITY-BASED WASTE
Page 279 and 280:
SECTION 7: BASIC SUPPLIES - CLIENT
Page 281 and 282:
SECTION 8: DIAGNOSTICS 800 CHECK Q1
Page 283 and 284:
811* Please tell me if: (a) (b) (c
Page 285 and 286:
830 Does this facility do any blood
Page 287 and 288:
847C* Does this facility do any tes
Page 289 and 290:
861 Does this facility do any TB te
Page 291 and 292:
SECTION 9: MEDICINES AND COMMODITIE
Page 293 and 294:
MEDICINES FOR NON-COMMUNICABLE DISE
Page 295 and 296:
MATERNAL AND CHILD HEALTH 906* Are
Page 297 and 298:
SECTION 9.2: CONTRACEPTIVE COMMODIT
Page 299 and 300:
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 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 and 372: NO. QUESTION / OBSERVATIONS ROUTINE
Page 373 and 374: NO. QUESTION / OBSERVATIONS DANGER
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 395: NO. QUESTIONS / OBSERVATIONS CODES
Page 399 and 400: NO. QUESTIONS / OBSERVATIONS 9. IMP
Page 403 and 404: Nepal Health Facility Survey 2015 F
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
Page 425 and 426: Nepal Health Facility Survey-2015 S
Page 427 and 428: 110 Has [HE/SHE] had watery and fre
Page 429 and 430: TREATMENT AND CARETAKER COMFORT LEV
Page 431 and 432: UNDERWEIGHT 136A Did the provider t
Page 435 and 436: Sample List for POST PARTUM WOMEN D
Page 437 and 438: Nepal Health Facility Survey - 2015
Page 439 and 440: 200. ACCESSING CARE AND DECISION MA
Page 441 and 442: S.N. Question/Information Coding Ca
Page 447 and 448:
S.N. Question/Information Coding Ca
Page 449 and 450:
S.N. Question/Information Coding Ca
Page 451 and 452:
Nepal Health Facility Survey 2015 H
Page 453 and 454:
2.0 Composition, Training and Knowl
Page 455 and 456:
3.0 Participation Q.N. Questions Co
Page 457 and 458:
Facility No.:____________________ T
Page 459 and 460:
STAFF LISTING FORM: HEALTH WORKERS
Page 461 and 462:
Page 463 and 464:
Page 465 and 466:
Page 467 and 468:
show all

Nepal

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

Delete template?

Save as template?