Nepal

S.N. Question/Information Coding Categories Skip
420 Were the following things in place to maintain
Don’t
Yes No
your privacy?
know
1. Delivered in separate room? 1 2 8
2. Are there curtains on windows (including any 1 2 8
openings in the door)
3. Divider between beds? 1 2 8
4. Curtain between/around beds? 1 2 8
5. Others (Specify) _____________ 1 2
421 How satisfied are you with the level of privacy you received?
Read all statements, circle only one
1) I am very satisfied with the level of privacy I received in facility ................................ 1
2) I am fairly satisfied with the level of privacy I received in facility ............................... 2
3) I am neither satisfied nor dissatisfied (neutral) with the level of privacy
I received in facility ..................................................................................................... 3
4) I am fairly dissatisfied with the level of privacy I received in facility ........................... 4
5) I am very dissatisfied with the level of privacy I received in facility ............................ 5
422 Were you able to get a bed in the facility? Yes, ........................................................ 1
Yes, but sharing with other patient ........ 2
No .......................................................... 3 424
423 If yes, how long did you have to wait to
get a bed?
(IF THE RESPONSE IS 59 MINUTES or Time ............. Hrs: Minutes
LESS, WRITE TIME IN MINUTES AND
00 IN HOUR; OTHERWISE WRITE
BOTH HOURS AND MINUTES )
424 Was drinking water available in health
facility?
Yes ......................................................... 1
No .......................................................... 2
425 Were you able to use the toilet in the
facility when needed?
Yes ......................................................... 1
No .......................................................... 2
426 Was this your first delivery? Yes ......................................................... 1 430
No .......................................................... 2
427 If this is not first delivery
Where did you deliver your previous
child?
Health facility ......................................... 1
Home ..................................................... 2
On the way ............................................. 3 429
428 If first child was delivered at a facility
In which facility did you deliver your
previous child?
429 Did you find any differences in the quality
of services in this delivery as compared to
previous deliveries?
Others (Specify) ______________........ 6
This facility ............................................. 1
Public hospital ........................................ 2
PHCC ..................................................... 3
Health Post ............................................ 4
Sub-Health Post ..................................... 5
Private Clinic .......................................... 6
Private/Teaching Hospital ...................... 7
NGO/missionary .................................... 8
Others (Specify) ______________...... 96
No difference ......................................... A
Cost less ................................................ B
Cost more .............................................. C
Better care ............................................. D
Worse care............................................. E
Better staff behavior ............................... F
Worse staff behavior ............................. G
Cleaner/more hygienic ........................... H
Less clean/hygienic ................................ I
Provision of free medicine ..................... J
Others (Specify) ____________ ............ X
Appendix C • 413