DDI_TZA_2012_SARA_v01_M
Juan Manuel BLANCO
2014-05-09
NADA
Version 02 (January 2015). Edited version based on Version 01 DDI (DDI_IHI_HEALTH_SARA_2014_v04) that was done by Ifakara Health Institute.
Service Availability and Readiness Assessment 2012
SARA 2012
TZA_2012_SARA_v01_M
Honorati Masanja
Paul Smithson
Yahya Ipuge
Isaac Lyatuu
Gregory Kabadi
Juan Manuel Blanco
Ifakara Health Institute
Ifakara Health Institute
NADA
Ministry of Health and Social Welfare
Global Fund
Isaac Lyatuu
Ifakara Health Institute
World Health Organization (WHO)
http://www.who.int/healthinfo/systems/sara_introduction/en/
The Service Availability and Readiness Assessment (SARA) is a health facility assessment tool designed to assess and monitor the service availability and readiness of the health sector and to generate evidence to support the planning and managing of a health system. SARA is designed as a systematic survey to generate a set of tracer indicators of service availability and readiness. The survey objective is to generate reliable and regular information on service delivery (such as the availability of key human and infrastructure resources), on the availability of basic equipment, basic amenities, essential medicines, and diagnostic capacities, and on the readiness of health facilities to provide basic health-care interventions relating to family planning, child health services, basic and comprehensive emergency obstetric care, HIV, TB, malaria, and non-communicable diseases.
Sound information on the supply and quality of health services is necessary for health systems management, monitoring, and evaluation. The efforts to scale up interventions for HIV/AIDS, malaria, safe motherhood, child health, and to achieve the Millennium Development Goals (MDGs) through global health partnerships have drawn attention to the need for strong country monitoring of health services, covering the public, private-for profit, and the private not-for-profit sectors, and their readiness to deliver key interventions. With the increased demand for accountability and the need to demonstrate results at country and global levels, information is needed to track how health systems respond to increased inputs and improved processes over time and the impact such inputs and processes have on improved health outcomes and better health status.
The service availability and readiness assessment (SARA) methodology was developed through a joint World Health Organization (WHO) – United States Agency for International Development (USAID) collaboration to fill critical gaps is measuring and tracking progress in health systems strengthening. The SARA methodology builds upon previous and current approaches designed to assess service delivery including the service availability mapping (SAM) tool developed by WHO, and the service provision assessment (SPA) tool developed by ICF International under the USAID-funded MEASURE DHS project (monitoring and evaluation to assess and use results, demographic and health surveys) project, among others. It draws on best practices and lessons learned from the many countries that have implemented health facility assessments as well as guidelines and standards developed by WHO technical programmes and the work of the International Health Facility Assessment Network (IHFAN).
v2.0
MOSHW (2013) "Tanzania Service Availability and Readiness Assessment (SARA) 2012." Ifakara Health Institute, Dar es Salaam.
The Tanzania “Service Availability and Readiness Assessment” provides a snapshot of the current status of health service provision in Mainland Tanzania in 2012. The study used an international standard questionnaire instrument and indicators. Data were collected from a sample of districts and health facilities to provide a representative portrayal of health services in the country as a whole. The survey provides estimates of general health care availability and readiness, as well as detailed assessments of specific areas of health care provision.
The publication represents a major contribution to effective monitoring of health service delivery in the country. As well as filling an immediate information gap, the survey provides a “baseline” situation assessment against which future progress may be judged. The report also responds to the increased demand for accountability by publishing objective measures of service delivery capability. In highlighting areas of strength and weakness, the report will aid health planners and managers to prioritise effort and allocate resources.
Tanzania
Country analysis, Tanzania.
Nationally representative, stratified through regions and districts.
Country, by facility.
Country health services.
Health Facilities in Tanzania
All levels (Hospital -> Dispensary)
Nationally representative.
Sample survey data [ssd]
Health care
Health care facilities
Health care services
Availability
Readiness
FBIS Coordinators
HMIS Focal Persons
The sample for this survey comprised all districts in the Sentinel Panel of Districts (SPD). This is a panel of 23 districts, plus an additional four districts where demographic sentinel surveillance systems are in operation (Rufiji, Kilombero, Ulanga, Kigoma Urban). The SPD district sampling was conducted by the National Bureau of Statistics using a two-stage, population-weighted probability sample to assure a nationally representative sample of districts that also permitted stratification by zone and by urban/rural area. Sampling weights were included during statistical analysis to account for district's selection probability in a multistage sample design. Probability of a district to be included in a zone was calculated as number of districts selected over total number of districts in a zone. Sampling weights at first stage were calculated as a reciprocal of the probability of a district to be included in SAVVY sample. Since all health facilities in selected districts had equal chances of being included, no sampling weights were incorporated at second stage. It should be noted that results presented in the tables are the number of observations (unweighted counts) whereas results presented as percentages are based on weighted observations.
The overall sample of 27 districts had an estimated total population (2012) of 12.4 million, representing 27% of the total (estimated) Tanzania mainland 2012 population of 45.9 million. The total number of facilities (1908) in the SARA target sample represents approximately 27% of the estimated 7000 health facilities in Mainland Tanzania. Specialist, referral and national hospitals are omitted from the SPD facility sample and are therefore NOT represented in the results presented here, although regional hospitals are included. The total number of facilities in the sample districts is presented in Table 1.1. The target sample numbered 1908 health facilities. Data were collected at 1311 facilities, representing 60% of the target sample. Fourteen facilities had to be dropped in the final analysis due to inability to match it to facility identity, leaving a final total sample number of 1297. Of the 597 facilities where data were not collected, over half (310) were in the Dar es Salaam districts of Temeke,
Ilala and Kinondoni. A further 146 facilities were not covered in the districts of Sumbawanga, Kasulu and Mbozi. Reasons for lower response rate in these districts include the large number of facilities, highly dispersed (difficult to reach) facilities. In one case (Kasulu) illness of the enumerator precluded completion of data collection, while in another (Mbozi) time constraints meant that the deadline for commencing data analysis closed before data collection had been completed. The response completeness rate for this first SARA is certainly lower than ideal. However, we are of the view that the drop out will not seriously bias the results, except to say that private clinics are probably under-represented in our final sample. For future SARA exercises it will be important to have a realistic timeline for fieldwork, analysis and reporting so that data gaps can be followed up and higher reporting completeness can be attained.
Face-to-face [f2f]
Questionnaire.
Paper -> Entered web base (Google forms).
See among the attached material, the questionnaire.
http://www.who.int/entity/healthinfo/systems/sara_indicators_questionnaire/en/index.html
MOHSW and IHI
A three days training of data collectors was organized to orient participants on how to use the data collection tools. Two data collectors from each district received training. A participatory teaching and learning approach was used that included presentations with question and answer sessions and practice on understanding and filling in the questionnaires. Each district team visited health facilities and administered data collection questionnaires to respective facility in-charges or the person responsible for respective specific services. Supervisors from the MOHSW and IHI went to all districts to provide supervision and reviewed data collection for completeness and quality.
Check in the Final Report.
Cleaning technique : cold deck, manual.
Total facilities, Facilities Interviewed and Final Sample for data analysis
Locationl | Total Facilities per Master list(1) | Facilities Interviewed(2) | Facilities included in final dataset for analysis(3) | Overall response rate(3/1)
Arusha Municipal63616197%
Babati District40424278%
Bagamoyo District74636385%
Geita District54 48 48 88%
Ilala Municipal164 103 103 63%
Iringa Municipal Council36 26 26 72%
Kahama District59 60 60 95%
Kasulu District 85 38 38 45%
Ujiji (Kigoma Urban) 21 20 20 95%
Kilombero District 54 46 45 83%
Kilosa District 76 52 52 68%
Kinondoni Municipal 247 81 80 32%
Kondoa District 73 60 60 82%
Mbozi District 69 25 25 36%
Moshi Rural 74 66 66 89%
Mtwara Urban District 21 19 19 90%
Muleba District Council 42 37 37 88%
Musoma District 62 56 54 68%
Ruangwa 29 26 26 90%
Rufiji District 70 60 60 86%
Singida Rural 60 50 50 83%
Songea Municipal Council 27 23 23 85%
Sumbawanga District Council 123 68 68 55%
Tanga City Council 59 51 51 86%
Temeke Municipal 136 53 51 38%
Ulanga District 53 35 35 66%
Uyui District 37 34 34 92%
Total 1908 1311 1297 68%
Completed, Published, Closed
Ifakara Health Institute
Ifakara Health Institute
http://data.ihi.or.tz/index.php/catalog/5
Cost: None
Publicly available, requires permission from IHI.
Data Unit
"Ifakara Health Institute,Tanzania Service Availability and Readiness Assessment (SARA) 2012, Version 2.0 of the public use dataset (July 2013), provided by Ifakara Health Institute, Dar es Salaam, Tanzania. data.ihi.or.tz"
The dataset is available as a Public Use Dataset. It is accessible to all for statistical and research purposes only, under the following terms and conditions:
1. The data and other materials will not be redistributed or sold to other individuals, institutions, or organizations without the written agreement of IHI.
2. The data will be used for statistical and scientific research purposes only. They will be used solely for reporting of aggregated information, and not for investigation of specific individuals or organizations.
3. No attempt will be made to re-identify respondents, and no use will be made of the identity of any person or establishment discovered inadvertently. Any such discovery would immediately be reported to the IHI.
4. No attempt will be made to produce links among datasets provided by the IHI, or among data from IHI and other datasets that could identify individuals or organizations.
5. Any books, articles, conference papers, theses, dissertations, reports, or other publications that employ data obtained from IHI will cite the source of data in accordance with the Citation Requirement provided with each dataset.
6. An electronic copy of all reports and publications based on the requested data will be sent to IHI.
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
sara_v21
Complete SARA Tanzania 2012 data collection.
0
979
1
Western
2
Northern
3
Central
4
Southern Highlands
5
Lake
6
Eastern
7
Southern
8
Dar es Salaam
1
Dispensary
2
Health Center
3
Hospital
5
MCH Clinic
1
Gov't/Public
2
Mission-FBO
3
NGO Not for Profit
4
Private for profit
1
Rural
2
Urban
Public vs Private ownership
Public vs Private ownership
Public vs Private ownership
Public vs Private ownership
Public vs Private ownership
1
Public/Government
2
Private
Family planning services
Family planning services
Family planning services
Family planning services
Family planning services
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Family planning services
1
Yes
2
No
Antenatal care (ANC) services
Antenatal care (ANC) services
Antenatal care (ANC) services
Antenatal care (ANC) services
Antenatal care (ANC) services
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Antenatal care (ANC) services
1
Yes
2
No
Services for the prevention of mother-to-child transmission of HIV (PMTCT)
Services for the prevention of mother-to-child transmission of HIV (PMTCT)
Services for the prevention of mother-to-child transmission of HIV (PMTCT)
Services for the prevention of mother-to-child transmission of HIV (PMTCT)
Services for the prevention of mother-to-child transmission of HIV (PMTCT)
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Services for the prevention of mother-to-child transmission of HIV (PMTCT)
1
Yes
2
No
Delivery (including normal delivery, basic emergency obstetric care, and/or newb
Delivery (including normal delivery, basic emergency obstetric care, and/or newb
Delivery (including normal delivery, basic emergency obstetric care, and/or newb
Delivery (including normal delivery, basic emergency obstetric care, and/or newb
Delivery (including normal delivery, basic emergency obstetric care, and/or newb
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Delivery (including normal delivery, basic emergency obstetric care, and/or comprehensive emergency obstetric care) and/or newborn care services
1
Yes
2
No
Child growth monitoring and immunization services, either at the facility or as
Child growth monitoring and immunization services, either at the facility or as
Child growth monitoring and immunization services, either at the facility or as
Child growth monitoring and immunization services, either at the facility or as
Child growth monitoring and immunization services, either at the facility or as
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Child immunization services, either at the facility or as outreach
1
Yes
2
No
Preventative and curative care services for children under 5
Preventative and curative care services for children under 5
Preventative and curative care services for children under 5
Preventative and curative care services for children under 5
Preventative and curative care services for children under 5
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Preventative and curative care services for children under 5
1
Yes
2
No
HIV counselling and testing services
HIV counselling and testing services
HIV counselling and testing services
HIV counselling and testing services
HIV counselling and testing services
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
HIV counselling and testing services
1
Yes
2
No
HIV & AIDS antiretroviral prescription or antiretroviral treatment follow-up ser
HIV & AIDS antiretroviral prescription or antiretroviral treatment follow-up ser
HIV & AIDS antiretroviral prescription or antiretroviral treatment follow-up ser
HIV & AIDS antiretroviral prescription or antiretroviral treatment follow-up ser
HIV & AIDS antiretroviral prescription or antiretroviral treatment follow-up ser
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
HIV & AIDS antiretroviral prescription or antiretroviral treatment follow-up services
1
Yes
2
No
HIV & AIDS care and support services, including treatment of opportunistic infec
HIV & AIDS care and support services, including treatment of opportunistic infec
HIV & AIDS care and support services, including treatment of opportunistic infec
HIV & AIDS care and support services, including treatment of opportunistic infec
HIV & AIDS care and support services, including treatment of opportunistic infec
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
HIV & AIDS care and support services, including treatment of opportunistic infections and provisions of palliative care
1
Yes
2
No
Diagnosis or treatment of STIs, excluding HIV
Diagnosis or treatment of STIs, excluding HIV
Diagnosis or treatment of STIs, excluding HIV
Diagnosis or treatment of STIs, excluding HIV
Diagnosis or treatment of STIs, excluding HIV
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Diagnosis or treatment of STIs, excluding HIV
1
Yes
2
No
Diagnosis, treatment prescription, or treatment follow-up of tuberculosis
Diagnosis, treatment prescription, or treatment follow-up of tuberculosis
Diagnosis, treatment prescription, or treatment follow-up of tuberculosis
Diagnosis, treatment prescription, or treatment follow-up of tuberculosis
Diagnosis, treatment prescription, or treatment follow-up of tuberculosis
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Diagnosis, treatment prescription, or treatment follow-up of tuberculosis
1
Yes
2
No
Diagnosis or treatment of malaria
Diagnosis or treatment of malaria
Diagnosis or treatment of malaria
Diagnosis or treatment of malaria
Diagnosis or treatment of malaria
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Diagnosis or treatment of malaria
1
Yes
2
No
Diagnosis or management of non-communicable diseases, such as diabetes, cardiova
Diagnosis or management of non-communicable diseases, such as diabetes, cardiova
Diagnosis or management of non-communicable diseases, such as diabetes, cardiova
Diagnosis or management of non-communicable diseases, such as diabetes, cardiova
Diagnosis or management of non-communicable diseases, such as diabetes, cardiova
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Diagnosis or management of non-communicable diseases, such as diabetes, cardiovascular disease, or chronic respiratory disease
1
Yes
2
No
Any minor surgical services
Any minor surgical services
Any minor surgical services
Any minor surgical services
Any minor surgical services
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Any minor surgical services
1
Yes
2
No
Major Surgical Services including Caesarean section
Major Surgical Services including Caesarean section
Major Surgical Services including Caesarean section
Major Surgical Services including Caesarean section
Major Surgical Services including Caesarean section
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Major Surgical Services including Caesarean section
1
Yes
2
No
Blood transfusion services
Blood transfusion services
Blood transfusion services
Blood transfusion services
Blood transfusion services
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Blood transfusion services
1
Yes
2
No
Laboratory diagnostics, including any rapid diagnostic testing
Laboratory diagnostics, including any rapid diagnostic testing
Laboratory diagnostics, including any rapid diagnostic testing
Laboratory diagnostics, including any rapid diagnostic testing
Laboratory diagnostics, including any rapid diagnostic testing
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Laboratory diagnostics, including any rapid diagnostic testing
1
Yes
2
No
Storage of medicines, vaccines, or contraceptive commodities
Storage of medicines, vaccines, or contraceptive commodities
Storage of medicines, vaccines, or contraceptive commodities
Storage of medicines, vaccines, or contraceptive commodities
Storage of medicines, vaccines, or contraceptive commodities
I would like to begin by asking about the services that are offered and are available in this facility. Does this facility offer any of the following client services? In other words, is there any location in this facility where clients can receive any of the following services?
Storage of medicines, vaccines, or contraceptive commodities
1
Yes
2
No
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
Generalist (non-specialist) medical doctors
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Generalist (non-specialist) medical doctors
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
Specialist medical doctors
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Specialist medical doctors
Of the specialist medical doctors, how many are practitioners in obstetric and g
Of the specialist medical doctors, how many are practitioners in obstetric and g
Of the specialist medical doctors, how many are practitioners in obstetric and g
Of the specialist medical doctors, how many are practitioners in obstetric and g
Of the specialist medical doctors, how many are practitioners in obstetric and g
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Of the specialist medical doctors, how many are practitioners in obstetric and gynaecological specialties?
Of the specialist medical doctors, how many are practitioners in paediatric spec
Of the specialist medical doctors, how many are practitioners in paediatric spec
Of the specialist medical doctors, how many are practitioners in paediatric spec
Of the specialist medical doctors, how many are practitioners in paediatric spec
Of the specialist medical doctors, how many are practitioners in paediatric spec
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Of the specialist medical doctors, how many are practitioners in paediatric specialties?
Of the specialist medical doctors, how many are practitioners in psychiatric spe
Of the specialist medical doctors, how many are practitioners in psychiatric spe
Of the specialist medical doctors, how many are practitioners in psychiatric spe
Of the specialist medical doctors, how many are practitioners in psychiatric spe
Of the specialist medical doctors, how many are practitioners in psychiatric spe
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Of the specialist medical doctors, how many are practitioners in psychiatric specialties?
Of the specialist medical doctors, how many are practitioners in the medical gro
Of the specialist medical doctors, how many are practitioners in the medical gro
Of the specialist medical doctors, how many are practitioners in the medical gro
Of the specialist medical doctors, how many are practitioners in the medical gro
Of the specialist medical doctors, how many are practitioners in the medical gro
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Of the specialist medical doctors, how many are practitioners in the medical group of specialties?
Of the specialist medical doctors, how many are practitioners in the surgical gr
Of the specialist medical doctors, how many are practitioners in the surgical gr
Of the specialist medical doctors, how many are practitioners in the surgical gr
Of the specialist medical doctors, how many are practitioners in the surgical gr
Of the specialist medical doctors, how many are practitioners in the surgical gr
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Of the specialist medical doctors, how many are practitioners in the surgical group of specialties?
Assistant medical doctors
Assistant medical doctors
Assistant medical doctors
Assistant medical doctors
Assistant medical doctors
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Assistant Medical Officers
Assistant medical doctors
Assistant medical doctors
Assistant medical doctors
Assistant medical doctors
Assistant medical doctors
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Assistant Medical Officers
Clinical Officers/Assistant CO
Clinical Officers/Assistant CO
Clinical Officers/Assistant CO
Clinical Officers/Assistant CO
Clinical Officers/Assistant CO
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Clinical Officers/Assistant CO
Registered Nursing Officers
Registered Nursing Officers
Registered Nursing Officers
Registered Nursing Officers
Registered Nursing Officers
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Registered Nursing Officers
Enrolled Nurses
Enrolled Nurses
Enrolled Nurses
Enrolled Nurses
Enrolled Nurses
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Enrolled Nurses
Nurse Midwifery
Nurse Midwifery
Nurse Midwifery
Nurse Midwifery
Nurse Midwifery
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Nurse Midwifery
Nursing Assistants
Nursing Assistants
Nursing Assistants
Nursing Assistants
Nursing Assistants
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Nursing Assistants
Pharmacists
Pharmacists
Pharmacists
Pharmacists
Pharmacists
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Pharmacists
Pharmaceutical technicians
Pharmaceutical technicians
Pharmaceutical technicians
Pharmaceutical technicians
Pharmaceutical technicians
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Pharmaceutical technicians
Pharmaceutical assistants/Dispensers
Pharmaceutical assistants/Dispensers
Pharmaceutical assistants/Dispensers
Pharmaceutical assistants/Dispensers
Pharmaceutical assistants/Dispensers
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Pharmaceutical assistants/Dispensers
Laboratory scientists/technologists
Laboratory scientists/technologists
Laboratory scientists/technologists
Laboratory scientists/technologists
Laboratory scientists/technologists
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Laboratory scientists/technologists
Laboratory technicians/assistants
Laboratory technicians/assistants
Laboratory technicians/assistants
Laboratory technicians/assistants
Laboratory technicians/assistants
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Laboratory technicians/assistants
Community health workers
Community health workers
Community health workers
Community health workers
Community health workers
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Community health workers
Health workers not elsewhere classified
Health workers not elsewhere classified
Health workers not elsewhere classified
Health workers not elsewhere classified
Health workers not elsewhere classified
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Health workers not elsewhere classified
Medical attendant
Medical attendant
Medical attendant
Medical attendant
Medical attendant
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Medical attendant
Health administrators
Health administrators
Health administrators
Health administrators
Health administrators
I have a few questions on staffing for this facility. Please tell me how many staff with each of the following qualifications are currently assigned to, employed by, or seconded to this facility. Please count each staff member only once, on the basis of the highest technical or professional qualification. For doctors, I would also like to know, of the total number, how many are part-time in this facility.
Health management and support workers
Does this facility routinely provide inpatient care?
Does this facility routinely provide inpatient care?
Does this facility routinely provide inpatient care?
Does this facility routinely provide inpatient care?
Does this facility routinely provide inpatient care?
Does this facility routinely provide inpatient care?
1
Yes
2
No
Does this facility have beds for observation?
Does this facility have beds for observation?
Does this facility have beds for observation?
Does this facility have beds for observation?
Does this facility have beds for observation?
Does this facility have beds for overnight observation?
1
Yes
2
No
Excluding any delivery beds, how many inpatient beds in total does this facility
Excluding any delivery beds, how many inpatient beds in total does this facility
Excluding any delivery beds, how many inpatient beds in total does this facility
Excluding any delivery beds, how many inpatient beds in total does this facility
Excluding any delivery beds, how many inpatient beds in total does this facility
Excluding any delivery beds, how many overnight/inpatient beds in total does this facility have, both for adults and children?
Of the inpatient beds in this facility, how many are dedicated maternity beds (P
Of the inpatient beds in this facility, how many are dedicated maternity beds (P
Of the inpatient beds in this facility, how many are dedicated maternity beds (P
Of the inpatient beds in this facility, how many are dedicated maternity beds (P
Of the inpatient beds in this facility, how many are dedicated maternity beds (P
Of the overnight/inpatient beds in this facility, how many are dedicated maternity beds? THIS DOES NOT INCLUDE DELIVERY BEDS
Does this facility have a functioning land line telephone that is available to c
Does this facility have a functioning land line telephone that is available to c
Does this facility have a functioning land line telephone that is available to c
Does this facility have a functioning land line telephone that is available to c
Does this facility have a functioning land line telephone that is available to c
Does this facility have a functioning land line telephone that is available to call outside at all times client services are offered? CLARIFY THAT IF FACILITY OFFERS 24-HOUR EMERGENCY SERVICES, THEN THIS REFERS TO 24-HOUR AVAILABILITY.
Does this facility have a functioning cellular telephone or a private cellular p
Does this facility have a functioning cellular telephone or a private cellular p
Does this facility have a functioning cellular telephone or a private cellular p
Does this facility have a functioning cellular telephone or a private cellular p
Does this facility have a functioning cellular telephone or a private cellular p
Does this facility have a functioning cellular telephone or a private cellular phone that is supported by the facility?
Does this facility have a functioning short-wave radio for radio calls?
Does this facility have a functioning short-wave radio for radio calls?
Does this facility have a functioning short-wave radio for radio calls?
Does this facility have a functioning short-wave radio for radio calls?
Does this facility have a functioning short-wave radio for radio calls?
Does this facility have a functioning short-wave radio for radio calls?
Does this facility have a functioning computer?
Does this facility have a functioning computer?
Does this facility have a functioning computer?
Does this facility have a functioning computer?
Does this facility have a functioning computer?
Does this facility have a functioning computer?
Is there access to email or internet within the facility today?
Is there access to email or internet within the facility today?
Is there access to email or internet within the facility today?
Is there access to email or internet within the facility today?
Is there access to email or internet within the facility today?
Is there access to email or internet within the facility today?
Does this facility have a functional ambulance or other vehicle for emergency tr
Does this facility have a functional ambulance or other vehicle for emergency tr
Does this facility have a functional ambulance or other vehicle for emergency tr
Does this facility have a functional ambulance or other vehicle for emergency tr
Does this facility have a functional ambulance or other vehicle for emergency tr
Does this facility have a functional ambulance or other vehicle for emergency transportation for clients that is stationed at this facility or operates from this facility?
Does this facility have access to an ambulance or other vehicle for emergency tr
Does this facility have access to an ambulance or other vehicle for emergency tr
Does this facility have access to an ambulance or other vehicle for emergency tr
Does this facility have access to an ambulance or other vehicle for emergency tr
Does this facility have access to an ambulance or other vehicle for emergency tr
Does this facility have access to an ambulance or other vehicle for emergency transport for clients that is stationed at another facility or that operates from another facility?
Is fuel available today?
Is fuel available today?
Is fuel available today?
Is fuel available today?
Is fuel available today?
Is fuel available today?
1
Yes
2
No
3
DNK
Is this facility connected to the electricity supply?
Is this facility connected to the electricity supply?
Is this facility connected to the electricity supply?
Is this facility connected to the electricity supply?
Is this facility connected to the electricity supply?
Is this facility connected to the electricity supply?
During the past 7 days, was electricity (excluding any back-up generator) availa
During the past 7 days, was electricity (excluding any back-up generator) availa
During the past 7 days, was electricity (excluding any back-up generator) availa
During the past 7 days, was electricity (excluding any back-up generator) availa
During the past 7 days, was electricity (excluding any back-up generator) availa
During the past 7 days, was electricity (excluding any back-up generator) available during at all times when the facility was open for services or interrupted for less than two hours at a time?
Fuel operated generator
Fuel operated generator
Fuel operated generator
Fuel operated generator
Fuel operated generator
Does this facility have any of the following other sources of electricity?
Fuel operated generator
Battery operated generator
Battery operated generator
Battery operated generator
Battery operated generator
Battery operated generator
Does this facility have any of the following other sources of electricity?
Battery operated generator
Solar system
Solar system
Solar system
Solar system
Solar system
Does this facility have any of the following other sources of electricity?
Solar system
Others
Others
Others
Others
Others
Does this facility have any of the following other sources of electricity?
Others
Is the generator functional?
Is the generator functional?
Is the generator functional?
Is the generator functional?
Is the generator functional?
Is the generator functional?
1
Yes
2
No
3
DNK
Is there fuel or a charged battery available today?
Is there fuel or a charged battery available today?
Is there fuel or a charged battery available today?
Is there fuel or a charged battery available today?
Is there fuel or a charged battery available today?
Is there fuel or a charged battery available today?
1
Yes
2
No
3
DNK
What is the most commonly used source of water for the facility at this time?
What is the most commonly used source of water for the facility at this time?
What is the most commonly used source of water for the facility at this time?
What is the most commonly used source of water for the facility at this time?
What is the most commonly used source of water for the facility at this time?
What is the most commonly used source of water for the facility at this time?
1
Piped into facility
2
Piped into facilty grounds
3
Public Tap/standpipe
4
Tubewell/Borehole
5
Protected Dug well
6
Uprotected Dug well
7
Protected spring
8
Uprotected spring
9
Rainwater collection
10
Boiled Water
11
Cart W/Small Tank
12
Tanker Truck
13
Surface Water
Is a water outlet from this source available within 500 meters of the facility?
Is a water outlet from this source available within 500 meters of the facility?
Is a water outlet from this source available within 500 meters of the facility?
Is a water outlet from this source available within 500 meters of the facility?
Is a water outlet from this source available within 500 meters of the facility?
Is a water outlet from this source available within 500 meters of the facility?
Is there a waiting area for clients where they are protected from the sun and ra
Is there a waiting area for clients where they are protected from the sun and ra
Is there a waiting area for clients where they are protected from the sun and ra
Is there a waiting area for clients where they are protected from the sun and ra
Is there a waiting area for clients where they are protected from the sun and ra
Is there a waiting area for clients where they are protected from the sun and rain?
Is there a room with auditory and visual privacy available for patient consultat
Is there a room with auditory and visual privacy available for patient consultat
Is there a room with auditory and visual privacy available for patient consultat
Is there a room with auditory and visual privacy available for patient consultat
Is there a room with auditory and visual privacy available for patient consultat
Is there a room with auditory and visual privacy available for patient consultations? IF YES, ASK TO SEE THE ROOM.
1
Auditory privacy only
2
Visual privacy only
3
Both
4
No privacy
Is there a toilet (latrine) in functioning condition that is available for gener
Is there a toilet (latrine) in functioning condition that is available for gener
Is there a toilet (latrine) in functioning condition that is available for gener
Is there a toilet (latrine) in functioning condition that is available for gener
Is there a toilet (latrine) in functioning condition that is available for gener
Is there a toilet (latrine) in functioning condition that is available for general outpatient client use? IF YES: What type of toilet?
1
Flush toilet
2
VIP latrine
3
Pit latrine wih slab
4
Pit
7
Latrine
8
No facilities
What is the main type of needle and syringes for general health services (apart
What is the main type of needle and syringes for general health services (apart
What is the main type of needle and syringes for general health services (apart
What is the main type of needle and syringes for general health services (apart
What is the main type of needle and syringes for general health services (apart
What is the main type of needle and syringes for general health services (apart from immunization) used in this facility: disposable, re-usable, or auto-disable?
1
Disposable
2
Re-use
Does this facility have any guidelines on standard precautions for infection pre
Does this facility have any guidelines on standard precautions for infection pre
Does this facility have any guidelines on standard precautions for infection pre
Does this facility have any guidelines on standard precautions for infection pre
Does this facility have any guidelines on standard precautions for infection pre
Does this facility have any guidelines on standard precautions for infection prevention? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Does this facility have any guidelines isolation/additional transmission-based p
Does this facility have any guidelines isolation/additional transmission-based p
Does this facility have any guidelines isolation/additional transmission-based p
Does this facility have any guidelines isolation/additional transmission-based p
Does this facility have any guidelines isolation/additional transmission-based p
Does this facility have any guidelines isolation/additional transmission-based precautions? IF YES, ASK TO SEE THE GUIDELINES.
Is there a designated area (e.g. single room or ward) and defined procedures, ad
Is there a designated area (e.g. single room or ward) and defined procedures, ad
Is there a designated area (e.g. single room or ward) and defined procedures, ad
Is there a designated area (e.g. single room or ward) and defined procedures, ad
Is there a designated area (e.g. single room or ward) and defined procedures, ad
Is there a designated area (e.g. single room or ward) and defined procedures, adequate number of staff, and appropriate equipment for the care of patients requiring specific isolation precautions?
Does this facility have an occupational health program for protecting, monitorin
Does this facility have an occupational health program for protecting, monitorin
Does this facility have an occupational health program for protecting, monitorin
Does this facility have an occupational health program for protecting, monitorin
Does this facility have an occupational health program for protecting, monitorin
Does this facility have an occupational health program for protecting, monitoring, and treatment of health care workers in this facility? (e.g. influenza or hepatitis vaccinations for health care workers and post-exposure prophylaxis?)
I have a few questions about how medical equipment is processed for re-use in th
I have a few questions about how medical equipment is processed for re-use in th
I have a few questions about how medical equipment is processed for re-use in th
I have a few questions about how medical equipment is processed for re-use in th
I have a few questions about how medical equipment is processed for re-use in th
I have a few questions about how medical equipment is processed for re-use in this facility. Are equipment that are used in the facility processed (i.e., sterilized or chemical HLD) for re-use? IF YES, ASK: Is the final processing done in this facility, outside this facility, or both? WE ARE INTERESTED IN METAL EQUIPMENT SUCH AS SPECULUMS OR FORCEPS.
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Electric autoclave (pressure & wet heat)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Electric autoclave (pressure & wet heat)
1
Yes
2
No
3
DNK
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Non-electric autoclave
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Non-electric autoclave
1
Yes
2
No
3
DNK
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Electric dry heat sterilizer
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Electric dry heat sterilizer
1
Yes
2
No
3
DNK
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Electric boiler or steamer (no pressure)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Electric boiler or steamer (no pressure)
1
Yes
2
No
3
DNK
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Non-electric pot with cover for boiling/steam
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Heat source for non-electric equipment
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Heat source for non-electric equipment
1
Yes
2
No
3
DNK
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Automatic timer (may be on equipment)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
FUNCTIONING : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY A
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Automatic timer (may be on equipment)
1
Yes
2
No
3
DNK
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
TST indicator strips or other item that indicates process is complete
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
AVAILABLE : ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND
ASK IF EACH OF THE INDICATED ITEMS BELOW IS USED BY THE FACILITY AND AVAILABLE. IF AVAILABLE, ASK TO SEE IT AND INDICATE IF IT IS FUNCTIONING OR NOT. e.g. Do you use [METHOD] in this facility? IF YES, THEN CONTINUE AND ASK TO SEE IT.
Any chemicals for chemical HLD
1
Observed
2
Reported not seen
3
Not available
Does this facility have any guidelines on final processing or sterilization of e
Does this facility have any guidelines on final processing or sterilization of e
Does this facility have any guidelines on final processing or sterilization of e
Does this facility have any guidelines on final processing or sterilization of e
Does this facility have any guidelines on final processing or sterilization of e
Does this facility have any guidelines on final processing or sterilization of equipment? IF YES, ASK TO SEE THE GUIDELINES.
1
Observed
2
Reported not seen
3
Not available
How does this facility finally dispose of sharps waste (e.g., filled sharps boxe
How does this facility finally dispose of sharps waste (e.g., filled sharps boxe
How does this facility finally dispose of sharps waste (e.g., filled sharps boxe
How does this facility finally dispose of sharps waste (e.g., filled sharps boxe
How does this facility finally dispose of sharps waste (e.g., filled sharps boxe
Now I would like to ask you a few questions about waste management practices for sharps waste, such as needles or blades.
How does this facility finally dispose of sharps waste (e.g., filled sharps boxes)?
PROBE TO ARRIVE AT CORRECT RESPONSE. NOTE: IF ANY OF THE RESPONSES 2-9 TAKE PLACE OUTSIDE THE FACILITY, THEN THE CORRECT RESPONSE TO CIRCLE WILL BE IN THE CATEGORY OF "REMOVE OFFSITE".
3
1-chamber drum/brick
9
Protected ground or pit
10
Stored in covered container
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF SHARPS WASTE AND INDIC
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF SHARPS WASTE AND INDIC
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF SHARPS WASTE AND INDIC
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF SHARPS WASTE AND INDIC
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF SHARPS WASTE AND INDIC
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF SHARPS WASTE AND INDICATE THE CONDITION OBSERVED. IF SHARPS WASTE IS DISPOSED OFFSITE, OBSERVE THE SITE WHERE WASTE IS STORED PRIOR TO COLLECTION FOR OFFSITE DISPOSAL.
1
No waste visible
2
Waste visible but protected
3
Visible not protected
4
Not inspected
How does this facility finally dispose of medical waste other than sharps boxes?
How does this facility finally dispose of medical waste other than sharps boxes?
How does this facility finally dispose of medical waste other than sharps boxes?
How does this facility finally dispose of medical waste other than sharps boxes?
How does this facility finally dispose of medical waste other than sharps boxes?
Now I would like to ask you a few questions about waste management practices for medical waste other than sharps, such as used bandages.
How does this facility finally dispose of medical waste other than sharps boxes? PROBE TO ARRIVE AT CORRECT RESPONSE.
NOTE: IF ANY OF THE RESPONSES 2-9 TAKE PLACE OUTSIDE THE FACILITY, THEN THE CORRECT RESPONSE TO CIRCLE WILL BE IN THE CATEGORY OF "REMOVE OFFSITE".
3
1-chamber drum/brick
4
Flat ground - no protection
5
Pit or protected ground
10
Stored in covered container
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF MEDICAL WASTE AND INDI
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF MEDICAL WASTE AND INDI
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF MEDICAL WASTE AND INDI
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF MEDICAL WASTE AND INDI
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF MEDICAL WASTE AND INDI
ASK TO SEE THE PLACE USED BY THE FACILITY FOR DISPOSAL OF MEDICAL WASTE AND INDICATE THE CONDITION OBSERVED. IF MEDICAL WASTE IS DISPOSED OFFSITE, OBSERVE THE SITE WHERE WASTE IS STORED PRIOR TO COLLECTION FOR OFFSITE DISPOSAL.
CHECK Q426 AND Q428: INCINERATOR USED (EITHER 2 OR 3 CIRCLED)
CHECK Q426 AND Q428: INCINERATOR USED (EITHER 2 OR 3 CIRCLED)
CHECK Q426 AND Q428: INCINERATOR USED (EITHER 2 OR 3 CIRCLED)
CHECK Q426 AND Q428: INCINERATOR USED (EITHER 2 OR 3 CIRCLED)
CHECK Q426 AND Q428: INCINERATOR USED (EITHER 2 OR 3 CIRCLED)
CHECK Q426 AND Q428: INCINERATOR USED (EITHER "2" OR "3" CIRCLED)
1
No waste visible
2
Waste visible but protected
3
Visible not protected
4
Not inspected
Is the incinerator functional today?
Is the incinerator functional today?
Is the incinerator functional today?
Is the incinerator functional today?
Is the incinerator functional today?
Is the incinerator functional today?
1
Yes
2
No
98
DNK
Is fuel available today?
Is fuel available today?
Is fuel available today?
Is fuel available today?
Is fuel available today?
Is fuel available today?
1
Yes
2
No
98
DNK
Does this facility have any guidelines on health care waste management? IF YES,
Does this facility have any guidelines on health care waste management? IF YES,
Does this facility have any guidelines on health care waste management? IF YES,
Does this facility have any guidelines on health care waste management? IF YES,
Does this facility have any guidelines on health care waste management? IF YES,
Does this facility have any guidelines on health care waste management? IF YES, ASK TO SEE THE GUIDELINES.
1
Observed
2
Reported not seen
3
Not available
Have you or any provider(s) received training in health care waste management pr
Have you or any provider(s) received training in health care waste management pr
Have you or any provider(s) received training in health care waste management pr
Have you or any provider(s) received training in health care waste management pr
Have you or any provider(s) received training in health care waste management pr
Have you or any provider(s) received training in health care waste management practices in the past two years?
1
Yes
2
No
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Adult weighing scale
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Adult weighing scale
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Child/infant weighing scale- 100 gram gradation
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Child/infant weighing scale- 100 gram gradation
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Thermometer
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Thermometer
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Stethoscope
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Stethoscope
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Blood pressure apparatus (may be digital or manual sphygmomanometer with stethoscope)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Blood pressure apparatus (may be digital or manual sphygmomanometer with stethoscope)
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Light source (flashlight acceptable)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Light source (flashlight acceptable)
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Micronebulizer
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Micronebulizer
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Pulse oximeter
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Pulse oximeter
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oxygen concentrators
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oxygen concentrators
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oxygen cylinders
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
FUNCTIONING : I am interested in knowing if the following basic equipments and s
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oxygen cylinders
1
Yes
2
No
8
DNK
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
AVAILABLE : I am interested in knowing if the following basic equipments and sup
I am interested in knowing if the following basic equipment and supplies used in the provision of client services are available in the general outpatient area of this facility. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Intravenous infusion kits
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Clean running water (piped, bucket with tap, or pour pitcher)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Hand-washing soap/liquid soap
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Alcohol based hand rub
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Disposable latex gloves
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Waste receptacle (pedal bin) with lid and plastic bin liner
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Sharps container ("safety box")
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Environmental disinfectant (e.g., chlorine, alcohol)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Gowns
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Eye protection (goggles, face shields)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Medical (surgical or procedural) masks
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Disposable syringes with disposable needles
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in the general outpatient area of this facility. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Auto-disable syringes
1
Observed
2
Reported not seen
3
Not available
FAMILY PLANNING SERVICES OFFERED
FAMILY PLANNING SERVICES OFFERED
FAMILY PLANNING SERVICES OFFERED
FAMILY PLANNING SERVICES OFFERED
FAMILY PLANNING SERVICES OFFERED
FAMILY PLANNING SERVICES OFFERED
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Combined oral contraceptive pills
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Progestin-only contraceptive pills
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Combined injectable contraceptives
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Progestin-only injectable contraceptives
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Male condoms
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Female condoms
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Intrauterine contraceptive device (IUCD)
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Implant
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Cycle beads for standard days method
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Emergency contraceptive pills
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Male sterilization
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning
Does this facility provide or prescribe any of the following modern methods of family planning:
Female sterilization
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents:
Combined oral contraceptive pills
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents:
Male condoms
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents:
Female condoms
1
Yes
2
No
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents
Does this facility provide or prescribe any of the following modern methods of family planning for unmarried adolescents:
Emergency contraceptive pills
1
Yes
2
No
Do you have the national family planning guidelines available in this facility today?
Do you have the national family planning guidelines available in this facility today?
Do you have the national family planning guidelines available in this facility today?
Do you have the national family planning guidelines available in this facility today?
Do you have the national family planning guidelines available in this facility today?
Do you have the national family planning guidelines available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Yes, reported not seen
3
No
Have you or any provider(s) of family planning services received any family planning training in the last two years?
Have you or any provider(s) of family planning services received any family planning training in the last two years?
Have you or any provider(s) of family planning services received any family planning training in the last two years?
Have you or any provider(s) of family planning services received any family planning training in the last two years?
Have you or any provider(s) of family planning services received any family planning training in the last two years?
Have you or any provider(s) of family planning services received any family planning training in the last two years?
1
Yes
2
No
Have you or any provider(s) of family planning services received any training in adolescent sexual and reproductive health in the last two years?
Have you or any provider(s) of family planning services received any training in adolescent sexual and reproductive health in the last two years?
Have you or any provider(s) of family planning services received any training in adolescent sexual and reproductive health in the last two years?
Have you or any provider(s) of family planning services received any training in adolescent sexual and reproductive health in the last two years?
Have you or any provider(s) of family planning services received any training in adolescent sexual and reproductive health in the last two years?
Have you or any provider(s) of family planning services received any training in adolescent sexual and reproductive health in the last two years?
1
Yes
2
No
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
A) AVAILABLE
1
Yes, observed
2
Reported not seen
3
Not Available
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
B) FUNCTIONING
1
Yes
2
No
8
Don't Know
Does this facility stock contraceptive commodities at this service site?
Does this facility stock contraceptive commodities at this service site?
Does this facility stock contraceptive commodities at this service site?
Does this facility stock contraceptive commodities at this service site?
Does this facility stock contraceptive commodities at this service site?
Does this facility stock contraceptive commodities at this service site?
1
Yes
2
No
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Combined oral contraceptive pills
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Progestin-only contraceptive pills
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Combined injectable contraceptives
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Progestin-only injectable contraceptives
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today?
Are any of the following reproductive health medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Male condoms
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
ANTENATAL CARE SERVICES OFFERED
ANTENATAL CARE SERVICES OFFERED
ANTENATAL CARE SERVICES OFFERED
ANTENATAL CARE SERVICES OFFERED
ANTENATAL CARE SERVICES OFFERED
ANTENATAL CARE SERVICES OFFERED
1
Yes
2
No
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Iron supplementation
1
Yes
2
No
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Folic acid supplementation
1
Yes
2
No
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Intermittent preventive treatment (IPT) for malaria
1
Yes
2
No
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Tetanus toxoid vaccination
1
Yes
2
No
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Do ANC providers provide any of the following services to pregnant women as part of routine ANC services?
Monitoring for hypertensive disorder of pregnancy
1
Yes
2
No
Do you have the national ANC guidelines available in this facility today?
Do you have the national ANC guidelines available in this facility today?
Do you have the national ANC guidelines available in this facility today?
Do you have the national ANC guidelines available in this facility today?
Do you have the national ANC guidelines available in this facility today?
Do you have the national ANC guidelines available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Yes, reported not seen
3
No
Do you have IPT guidelines available in this facility today?
Do you have IPT guidelines available in this facility today?
Do you have IPT guidelines available in this facility today?
Do you have IPT guidelines available in this facility today?
Do you have IPT guidelines available in this facility today?
Do you have IPT guidelines available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
ACCEPTABLE IF PART OF ANC GUIDELINES.
1
Yes, observed
2
Yes, reported not seen
3
No
Have you or any provider(s) of ANC services received any ANC training in the last two years?
Have you or any provider(s) of ANC services received any ANC training in the last two years?
Have you or any provider(s) of ANC services received any ANC training in the last two years?
Have you or any provider(s) of ANC services received any ANC training in the last two years?
Have you or any provider(s) of ANC services received any ANC training in the last two years?
Have you or any provider(s) of ANC services received any ANC training in the last two years?
1
Yes
2
No
Have you or any provider(s) of IPT services received any IPT training in the last two years?
Have you or any provider(s) of IPT services received any IPT training in the last two years?
Have you or any provider(s) of IPT services received any IPT training in the last two years?
Have you or any provider(s) of IPT services received any IPT training in the last two years?
Have you or any provider(s) of IPT services received any IPT training in the last two years?
Have you or any provider(s) of IPT services received any IPT training in the last two years?
1
Yes
2
No
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Blood pressure apparatus (may be digital or manual sphygmomanometer with stethoscope)
A) AVAILABLE
1
Yes, observed
2
Reported not seen
3
Not Available
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today.
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Blood pressure apparatus (may be digital or manual sphygmomanometer with stethoscope)
B) FUNCTIONING
1
Yes
2
No
8
Don't Know
Does this facility stock any medicines for ANC in this service site?
Does this facility stock any medicines for ANC in this service site?
Does this facility stock any medicines for ANC in this service site?
Does this facility stock any medicines for ANC in this service site?
Does this facility stock any medicines for ANC in this service site?
Does this facility stock any medicines for ANC in this service site?
1
Yes
2
No
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Iron tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Folic acid tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Iron and folic acid combination tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tetanus toxoid vaccine
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide HIV counselling and testing services to HIV positive pregnant women for PMTCT
1
Yes
2
No
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide HIV counselling and testing services to infants born to HIV positive pregnant women for PMTCT
1
Yes
2
No
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide ARV prophylaxis to HIV positive pregnant women for PMTCT
1
Yes
2
No
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide ARV prophylaxis to newborns of HIV positive pregnant women for PMTCT
1
Yes
2
No
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide infant and young child feeding counselling for PMTCT
1
Yes
2
No
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide nutritional counselling for HIV positive pregnant women and their infants for PMTCT
1
Yes
2
No
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide
As part of PMTCT services, please tell me if providers in this facility provide the following services to clients:
Provide family planning counselling to HIV positive pregnant women for PMTCT
1
Yes
2
No
Do you have the national guidelines for PMTCT available in this facility today?
Do you have the national guidelines for PMTCT available in this facility today?
Do you have the national guidelines for PMTCT available in this facility today?
Do you have the national guidelines for PMTCT available in this facility today?
Do you have the national guidelines for PMTCT available in this facility today?
Do you have the national guidelines for PMTCT available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes
2
No
Do you have guidelines for infant and young child feeding counselling available in this facility today?
Do you have guidelines for infant and young child feeding counselling available in this facility today?
Do you have guidelines for infant and young child feeding counselling available in this facility today?
Do you have guidelines for infant and young child feeding counselling available in this facility today?
Do you have guidelines for infant and young child feeding counselling available in this facility today?
Do you have guidelines for infant and young child feeding counselling available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes
2
No
Have you or any provider(s) of PMTCT services received any training in PMTCT in the last two years?
Have you or any provider(s) of PMTCT services received any training in PMTCT in the last two years?
Have you or any provider(s) of PMTCT services received any training in PMTCT in the last two years?
Have you or any provider(s) of PMTCT services received any training in PMTCT in the last two years?
Have you or any provider(s) of PMTCT services received any training in PMTCT in the last two years?
Have you or any provider(s) of PMTCT services received any training in PMTCT in the last two years?
1
Yes
2
No
Have you or any provider(s) of PMTCT services received any training in infant and young child feeding in the last two years?
Have you or any provider(s) of PMTCT services received any training in infant and young child feeding in the last two years?
Have you or any provider(s) of PMTCT services received any training in infant and young child feeding in the last two years?
Have you or any provider(s) of PMTCT services received any training in infant and young child feeding in the last two years?
Have you or any provider(s) of PMTCT services received any training in infant and young child feeding in the last two years?
Have you or any provider(s) of PMTCT services received any training in infant and young child feeding in the last two years?
1
Yes
2
No
Is the PMTCT service room or area a private room/area with auditory and visual p
Is the PMTCT service room or area a private room/area with auditory and visual p
Is the PMTCT service room or area a private room/area with auditory and visual p
Is the PMTCT service room or area a private room/area with auditory and visual p
Is the PMTCT service room or area a private room/area with auditory and visual p
Is the PMTCT service room or area a private room/area with auditory and visual privacy?
OBSERVE THE ROOM.
1
Auditory privacy only
2
Visual privacy only
3
Both
4
No privacy
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
1
Yes
2
No
I would like to know if the following equipment items for rapid HIV testing are
I would like to know if the following equipment items for rapid HIV testing are
I would like to know if the following equipment items for rapid HIV testing are
I would like to know if the following equipment items for rapid HIV testing are
I would like to know if the following equipment items for rapid HIV testing are
I would like to know if the following equipment items for rapid HIV testing are available and functional today in this service site.
ASK TO SEE THE ITEMS.
HIV rapid test (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility offer Dry Blood Spot (DBS) collection in this service site?
Does this facility offer Dry Blood Spot (DBS) collection in this service site?
Does this facility offer Dry Blood Spot (DBS) collection in this service site?
Does this facility offer Dry Blood Spot (DBS) collection in this service site?
Does this facility offer Dry Blood Spot (DBS) collection in this service site?
Does this facility offer Dry Blood Spot (DBS) collection in this service site?
1
Yes
2
No
I would like to know if the following equipment items for DBS testing are availa
I would like to know if the following equipment items for DBS testing are availa
I would like to know if the following equipment items for DBS testing are availa
I would like to know if the following equipment items for DBS testing are availa
I would like to know if the following equipment items for DBS testing are availa
I would like to know if the following equipment items for DBS testing are available and functional today in this service site.
ASK TO SEE THE ITEMS.Filter paper for DBS (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility stock any medicines for PMTCT in this service site?
Does this facility stock any medicines for PMTCT in this service site?
Does this facility stock any medicines for PMTCT in this service site?
Does this facility stock any medicines for PMTCT in this service site?
Does this facility stock any medicines for PMTCT in this service site?
Does this facility stock any medicines for PMTCT in this service site?
1
Yes
2
No
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (AZT) syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (AZT) syrup
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP) syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP) syrup
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Abacavir (ABC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Abacavir (ABC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir Disoproxil Fumarate (TDF)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir Disoproxil Fumarate (TDF)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Emtricitabine (FTC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Emtricitabine (FTC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine + Abacavir (3TC + ABC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine + Abacavir (3TC + ABC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine (AZT + 3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine (AZT + 3TC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Abacavir (AZT + 3TC + ABC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Abacavir (AZT + 3TC + ABC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Nevirapine (AZT + 3TC + NVP)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Nevirapine (AZT + 3TC + NVP)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine (TDF + FTC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine (TDF + FTC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine (TDF + 3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine (TDF + 3TC)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine + Efavirenz (TDF + 3TC + EFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine + Efavirenz (TDF + 3TC + EFV)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine + Efavirenz (TDF + FTC + EFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine + Efavirenz (TDF + FTC + EFV)
1
At least 1 valid
2
Avail. Non-valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lopinavir (LPV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lopinavir (LPV)
1
At least 1 valid
2
Avail. Non-valid
Does this facility provide any facility-based normal delivery services?
Does this facility provide any facility-based normal delivery services?
Does this facility provide any facility-based normal delivery services?
Does this facility provide any facility-based normal delivery services?
Does this facility provide any facility-based normal delivery services?
Does this facility provide any facility-based normal delivery services?
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Parenteral administration of antibiotics (IV or IM)
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Parenteral administration of oxytocic (IV or IM)
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Parenteral administration of anticonvulsant for hypertensive disorders of pregnancy (IV or IM)
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Assisted vaginal delivery
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Manual removal of placenta
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Removal of retained products after delivery
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Neonatal resuscitation
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Caesarean section
1
Yes
2
No
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by provider
Please tell me if any of the following interventions are carried out by providers of delivery services as part of their work in this facility.
Blood transfusion
1
Yes
2
No
Do you have the national guidelines for Integrated Management of Pregnancy and C
Do you have the national guidelines for Integrated Management of Pregnancy and C
Do you have the national guidelines for Integrated Management of Pregnancy and C
Do you have the national guidelines for Integrated Management of Pregnancy and C
Do you have the national guidelines for Integrated Management of Pregnancy and C
Do you have the national guidelines for Integrated Management of Pregnancy and Childbirth (IMPAC) available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of delivery service received any training in the Int
Have you or any provider(s) of delivery service received any training in the Int
Have you or any provider(s) of delivery service received any training in the Int
Have you or any provider(s) of delivery service received any training in the Int
Have you or any provider(s) of delivery service received any training in the Int
Have you or any provider(s) of delivery service received any training in the Integrated Management of Pregnancy and Childbirth (IMPAC) in the last two years?
1
Yes
2
No
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Examination light (flashlight ok)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Examination light (flashlight ok)
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Delivery pack
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Cord clamp
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Episiotomy scissors
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Scissors or blade to cut cord
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Suture material with needle
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Needle holder
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Suction apparatus (mucus extractor)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Suction apparatus (mucus extractor)
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Manual vacuum extractor
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Manual vacuum extractor
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Vacuum aspirator or D&C kit
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Vacuum aspirator or D&C kit
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Neonatal bag and mask
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Neonatal bag and mask
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Incubator
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Incubator
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Disposable latex gloves
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Blank partograph
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Delivery bed
1
Observed
2
Reported not seen
3
Not available
Does this facility stock any medicines for obstetric care in this service site?
Does this facility stock any medicines for obstetric care in this service site?
Does this facility stock any medicines for obstetric care in this service site?
Does this facility stock any medicines for obstetric care in this service site?
Does this facility stock any medicines for obstetric care in this service site?
Does this facility stock any medicines for obstetric care in this service site?
1
Yes
2
No
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Antibiotic eye ointment for newborn
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Antibiotic eye ointment for newborn
1
At least 1 valid
2
Available non valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable antibiotic (e.g. ampicillin, gentamicin)
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable antibiotic (e.g. ampicillin, gentamicin)
1
At least 1 valid
2
Available non valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable uterotonic (e.g. oxytocin)
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable uterotonic (e.g. oxytocin)
1
At least 1 valid
2
Available non valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable magnesium sulphate
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable magnesium sulphate
1
At least 1 valid
2
Available non valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable diazepam
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Injectable diazepam
1
At least 1 valid
2
Available non valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Skin disinfectant
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Skin disinfectant
1
At least 1 valid
2
Available non valid
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Intravenous solution with infusion set
3
Reported available not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service sit
Are any of the following medicines and commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Intravenous solution with infusion set
1
At least 1 valid
2
Available non valid
Do you have the national guidelines for Comprehensive Emergency Obstetric Care (
Do you have the national guidelines for Comprehensive Emergency Obstetric Care (
Do you have the national guidelines for Comprehensive Emergency Obstetric Care (
Do you have the national guidelines for Comprehensive Emergency Obstetric Care (
Do you have the national guidelines for Comprehensive Emergency Obstetric Care (
Do you have the national guidelines for Comprehensive Emergency Obstetric Care (CEmOC) available today in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of delivery service received any training in Compreh
Have you or any provider(s) of delivery service received any training in Compreh
Have you or any provider(s) of delivery service received any training in Compreh
Have you or any provider(s) of delivery service received any training in Compreh
Have you or any provider(s) of delivery service received any training in Compreh
Have you or any provider(s) of delivery service received any training in Comprehensive Emergency Obstetric Care (CEmOC) in the last two years?
1
Yes
2
No
Does this facility have a health worker who can perform caesarean section presen
Does this facility have a health worker who can perform caesarean section presen
Does this facility have a health worker who can perform caesarean section presen
Does this facility have a health worker who can perform caesarean section presen
Does this facility have a health worker who can perform caesarean section presen
Does this facility have a health worker who can perform caesarean section present in the facility or on call 24 hours a day (including weekends and on public holidays)?
1
Yes
2
No
Does this facility have an anaesthetist present in the facility or on call 24 ho
Does this facility have an anaesthetist present in the facility or on call 24 ho
Does this facility have an anaesthetist present in the facility or on call 24 ho
Does this facility have an anaesthetist present in the facility or on call 24 ho
Does this facility have an anaesthetist present in the facility or on call 24 ho
Does this facility have an anaesthetist present in the facility or on call 24 hours a day (including weekends and on public holidays)?
1
Yes
2
No
CHILD IMMUNIZATION SERVICES OFFERED
CHILD IMMUNIZATION SERVICES OFFERED
CHILD IMMUNIZATION SERVICES OFFERED
CHILD IMMUNIZATION SERVICES OFFERED
CHILD IMMUNIZATION SERVICES OFFERED
CHILD IMMUNIZATION SERVICES OFFERED
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
Routine measles immunization
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
Routine measles immunization
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
Routine DPT-Hib+HepB immunization (pentavalent)
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
Routine DPT-Hib+HepB immunization (pentavalent)
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
Routine polio immunization
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
Routine polio immunization
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
BCG immunization
1
Yes
2
No
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age
Does this facility provide any of the following immunization services for children under 5 years of age: IF YES, ASK: Is the service provided in the facility only, as outreach only, or both?
BCG immunization
1
Yes
2
No
Do you have the national guidelines for child immunizations available in this facility today?
Do you have the national guidelines for child immunizations available in this facility today?
Do you have the national guidelines for child immunizations available in this facility today?
Do you have the national guidelines for child immunizations available in this facility today?
Do you have the national guidelines for child immunizations available in this facility today?
Do you have the national guidelines for child immunizations available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES
1
Yes, observed
2
Yes, reported not seen
3
No
Have you or any provider(s) of immunization services received any training in child immunization services in the last two years?
Have you or any provider(s) of immunization services received any training in child immunization services in the last two years?
Have you or any provider(s) of immunization services received any training in child immunization services in the last two years?
Have you or any provider(s) of immunization services received any training in child immunization services in the last two years?
Have you or any provider(s) of immunization services received any training in child immunization services in the last two years?
Have you or any provider(s) of immunization services received any training in child immunization services in the last two years?
1
Yes
2
No
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today. For each item, please tell me if it is available today. ASK TO SEE THE ITEMS.
Disposable syringes with disposable needles
1
Observed
2
Reported not seen
3
Not Available
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today. For each item, please tell me if it is available today. ASK TO SEE THE ITEMS.
Auto-disable syringes
1
Observed
2
Reported not seen
3
Not Available
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today. For each item, please tell me if it is available today. ASK TO SEE THE ITEMS.
Sharps container
1
Observed
2
Reported not seen
3
Not Available
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today. For each item, please tell me if it is available today. ASK TO SEE THE ITEMS.
Vaccine carrier(s)
1
Observed
2
Reported not seen
3
Not Available
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today.
I would like to know if the following items for immunization are available in this service area today. For each item, please tell me if it is available today. ASK TO SEE THE ITEMS.
Set of ice packs for vaccine carriers (Note: 4-5 ice packs make one set)
1
Observed
2
Reported not seen
3
Not Available
Does this facility store any vaccines, or are all its vaccines either picked up from another facility or delivered when services are being provided?
Does this facility store any vaccines, or are all its vaccines either picked up from another facility or delivered when services are being provided?
Does this facility store any vaccines, or are all its vaccines either picked up from another facility or delivered when services are being provided?
Does this facility store any vaccines, or are all its vaccines either picked up from another facility or delivered when services are being provided?
Does this facility store any vaccines, or are all its vaccines either picked up from another facility or delivered when services are being provided?
Does this facility store any vaccines, or are all its vaccines either picked up from another facility or delivered when services are being provided?
1
Yes,store vaccines
2
No storage of vaccines
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
IF YES, ASK TO SEE THE REFRIGERATOR.
A) AVAILABLE
1
Observed
2
Reported not seen
3
Not Available
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
Does this facility have a refrigerator for the storage of vaccines?
IF YES, ASK TO SEE THE REFRIGERATOR.
B) FUNCTIONING
1
Yes
2
No
3
DNK
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Measles vaccine and diluent
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
DPT-Hib+HepB (pentavalent)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Oral polio vaccine
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
Are any of the following vaccines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
BCG vaccine and diluent
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services:
Diagnose and/or treat child malnutrition
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services:
Provide vitamin A supplementation
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services:
Provide iron supplementation
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services: [Pr
Please tell me if providers in this facility provide the following services:
Provide ORS and zinc supplementation to children with diarrhea
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services:
Child growth monitoring
1
Yes
2
No
Do you have the IMCI guidelines for the diagnosis and management of childhood il
Do you have the IMCI guidelines for the diagnosis and management of childhood il
Do you have the IMCI guidelines for the diagnosis and management of childhood il
Do you have the IMCI guidelines for the diagnosis and management of childhood il
Do you have the IMCI guidelines for the diagnosis and management of childhood il
Do you have the IMCI guidelines for the diagnosis and management of childhood illnesses available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Do you have the national guidelines for growth monitoring available in this faci
Do you have the national guidelines for growth monitoring available in this faci
Do you have the national guidelines for growth monitoring available in this faci
Do you have the national guidelines for growth monitoring available in this faci
Do you have the national guidelines for growth monitoring available in this faci
Do you have the national guidelines for growth monitoring available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of curative care services for sick children received
Have you or any provider(s) of curative care services for sick children received
Have you or any provider(s) of curative care services for sick children received
Have you or any provider(s) of curative care services for sick children received
Have you or any provider(s) of curative care services for sick children received
Have you or any provider(s) of curative care services for sick children received any training in the Integrated Management of Childhood Illnesses (IMCI) in the last two years?
1
Yes
2
No
Have you or any provider(s) of growth monitoring services for children received
Have you or any provider(s) of growth monitoring services for children received
Have you or any provider(s) of growth monitoring services for children received
Have you or any provider(s) of growth monitoring services for children received
Have you or any provider(s) of growth monitoring services for children received
Have you or any provider(s) of growth monitoring services for children received any training in growth monitoring in the last two years?
1
Yes
2
No
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Child/infant weighing scale- 100 gram gradation
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Child/infant weighing scale- 100 gram gradation
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Length/height measuring equipment
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Length/height measuring equipment
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Thermometer
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Thermometer
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Stethoscope
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Stethoscope
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Growth charts
1
Observed
2
Reported not seen
3
Not available
Does this facility stock any medicines for child health curative care in this se
Does this facility stock any medicines for child health curative care in this se
Does this facility stock any medicines for child health curative care in this se
Does this facility stock any medicines for child health curative care in this se
Does this facility stock any medicines for child health curative care in this se
Does this facility stock any medicines for child health curative care in this service site?
1
Yes
2
No
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Oral rehydration salts (ORS) sachets
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Oral rehydration salts (ORS) sachets
1
At least 1 valid
2
Available non valid
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Amoxicillin syrup/suspension
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Amoxicillin syrup/suspension
1
At least 1 valid
2
Available non valid
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Co-trimoxazole syrup/suspension
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Co-trimoxazole syrup/suspension
1
At least 1 valid
2
Available non valid
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Paracetamol syrup/suspension
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Paracetamol syrup/suspension
1
At least 1 valid
2
Available non valid
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Vitamin A capsules
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Vitamin A capsules
1
At least 1 valid
2
Available non valid
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Albendazole or Mebendazole cap/tab
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Albendazole or Mebendazole cap/tab
1
At least 1 valid
2
Available non valid
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
NOT OBSERVED : Are any of the following medicines and commodities available in t
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zinc tablets
3
Reported available not seen
4
Not available today
5
Never available
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
OBSERVED AVAILABLE : Are any of the following medicines and commodities availabl
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zinc tablets
1
At least 1 valid
2
Available non valid
Does this facility offer malaria rapid diagnostic testing in this service site?
Does this facility offer malaria rapid diagnostic testing in this service site?
Does this facility offer malaria rapid diagnostic testing in this service site?
Does this facility offer malaria rapid diagnostic testing in this service site?
Does this facility offer malaria rapid diagnostic testing in this service site?
Does this facility offer malaria rapid diagnostic testing in this service site?
1
Yes
2
No
AVAILABLE : I would like to know if the following equipment items for rapid mala
AVAILABLE : I would like to know if the following equipment items for rapid mala
AVAILABLE : I would like to know if the following equipment items for rapid mala
AVAILABLE : I would like to know if the following equipment items for rapid mala
AVAILABLE : I would like to know if the following equipment items for rapid mala
I would like to know if the following equipment items for rapid malaria testing are available and functional today or not available or not functioning today in this service site. ASK TO SEE THE ITEMS.
Malaria rapid diagnostic kit (with valid expiration date)
3
Reported available not seen
4
Not available today
5
Never available
Do you have the national guidelines for service provision to adolescents availab
Do you have the national guidelines for service provision to adolescents availab
Do you have the national guidelines for service provision to adolescents availab
Do you have the national guidelines for service provision to adolescents availab
Do you have the national guidelines for service provision to adolescents availab
Do you have the national guidelines for service provision to adolescents available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
3
Reported available not seen
4
Not available today
5
Never available
Have you or any providers of adolescent health services received any training o
Have you or any providers of adolescent health services received any training o
Have you or any providers of adolescent health services received any training o
Have you or any providers of adolescent health services received any training o
Have you or any providers of adolescent health services received any training o
Have you or any providers of adolescent health services received any training on the provision of adolescent health services in the last two years?
1
Yes
2
No
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees to an HIV test, which of the following procedures are followed? In other words, what are the possible options for the client to receive the test?
HIV rapid test in this service site
1
Yes
2
No
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees to an HIV test, which of the following procedures are followed? In other words, what are the possible options for the client to receive the test?
Blood drawn here, sent to lab
1
Yes
2
No
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees to an HIV test, which of the following procedures are followed? In other words, what are the possible options for the client to receive the test?
Client sent to other site in facility
1
Yes
2
No
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees to an HIV test, which of the following procedures are followed? In other words, what are the possible options for the client to receive the test?
Client sent to lab in facility
1
Yes
2
No
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees to an HIV test, which of the following procedures are followed? In other words, what are the possible options for the client to receive the test?
Client sent to external site
1
Yes
2
No
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees t
When a provider wants a client to receive an HIV test, or when a client agrees to an HIV test, which of the following procedures are followed? In other words, what are the possible options for the client to receive the test?
Blood drawn here sent to external site
1
Yes
2
No
Do you have the national HIV counselling and testing guidelines available in thi
Do you have the national HIV counselling and testing guidelines available in thi
Do you have the national HIV counselling and testing guidelines available in thi
Do you have the national HIV counselling and testing guidelines available in thi
Do you have the national HIV counselling and testing guidelines available in thi
Do you have the national HIV counselling and testing guidelines available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of HIV/AIDS counselling and testing received any tra
Have you or any provider(s) of HIV/AIDS counselling and testing received any tra
Have you or any provider(s) of HIV/AIDS counselling and testing received any tra
Have you or any provider(s) of HIV/AIDS counselling and testing received any tra
Have you or any provider(s) of HIV/AIDS counselling and testing received any tra
Have you or any provider(s) of HIV/AIDS counselling and testing received any training in voluntary counselling and testing (VCT) in the last two years?
1
Yes
2
No
Have you or any provider(s) of HIV counselling and testing services received any
Have you or any provider(s) of HIV counselling and testing services received any
Have you or any provider(s) of HIV counselling and testing services received any
Have you or any provider(s) of HIV counselling and testing services received any
Have you or any provider(s) of HIV counselling and testing services received any
Have you or any provider(s) of HIV counselling and testing services received any training in HIV/AIDS prevention, care, and management for adolescents in the last two years?
1
Yes
2
No
Does this facility provide HIV counselling and testing services to minor adolesc
Does this facility provide HIV counselling and testing services to minor adolesc
Does this facility provide HIV counselling and testing services to minor adolesc
Does this facility provide HIV counselling and testing services to minor adolesc
Does this facility provide HIV counselling and testing services to minor adolesc
Does this facility provide HIV counselling and testing services to minor adolescents?
1
Yes
2
No
Is the HIV testing and counselling service room or area a private room/area with
Is the HIV testing and counselling service room or area a private room/area with
Is the HIV testing and counselling service room or area a private room/area with
Is the HIV testing and counselling service room or area a private room/area with
Is the HIV testing and counselling service room or area a private room/area with
Is the HIV testing and counselling service room or area a private room/area with auditory and visual privacy? OBSERVE THE ROOM.
1
Auditory privacy only
2
Visual privacy only
3
Both
4
No privacy
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
I would like to know if the following equipment items for rapid HIV testing are available and functional today or not available or not functioning today in this service site. ASK TO SEE THE ITEMS.
HIV rapid test (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving services? IF YES, ASK TO SEE CONDOMS.
1
Yes, observed
2
Reported not seen
3
No
ASK IF THE FOLLOWING INFECTION CONTROL ITEMS LISTED BELOW ARE EITHER IN THE ROOM
ASK IF THE FOLLOWING INFECTION CONTROL ITEMS LISTED BELOW ARE EITHER IN THE ROOM
ASK IF THE FOLLOWING INFECTION CONTROL ITEMS LISTED BELOW ARE EITHER IN THE ROOM
ASK IF THE FOLLOWING INFECTION CONTROL ITEMS LISTED BELOW ARE EITHER IN THE ROOM
ASK IF THE FOLLOWING INFECTION CONTROL ITEMS LISTED BELOW ARE EITHER IN THE ROOM
ASK IF THE FOLLOWING INFECTION CONTROL ITEMS LISTED BELOW ARE EITHER IN THE ROOM OR AREA WHERE THE SERVICE IS PROVIDED OR IN AN ADJACENT ROOM.
IF THE SAME ROOM/AREA HAS ALREADY BEEN OBSERVED, INDICATE WHERE THE DATA IS RECORDED.
1
General info
2
Surgery
3
Not seen
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Clean running water (piped, bucket with tap, or pour pitcher)
1
NOT AVAILABLE
2
OBSERVED
3
REPORTED NOT SEEN
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Hand-washing soap/liquid soap
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Alcohol based hand rub
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Disposable latex gloves
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Waste receptacle (pedal bin) with lid and plastic bin liner
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Sharps container ("safety box")
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Environmental disinfectant (e.g., chlorine, alcohol)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Gowns
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Eye protection (goggles, face shields)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Medical (surgical or procedural) masks
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Disposable syringes with disposable needles
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Auto-disable syringes
1
Observed
2
Reported not seen
3
Not available
Do providers in this facility prescribe ART?
Do providers in this facility prescribe ART?
Do providers in this facility prescribe ART?
Do providers in this facility prescribe ART?
Do providers in this facility prescribe ART?
Do providers in this facility prescribe ART?
1
Yes
2
No
Do providers in this facility provide treatment follow-up services for persons o
Do providers in this facility provide treatment follow-up services for persons o
Do providers in this facility provide treatment follow-up services for persons o
Do providers in this facility provide treatment follow-up services for persons o
Do providers in this facility provide treatment follow-up services for persons o
Do providers in this facility provide treatment follow-up services for persons on ART, including providing community-based services?
1
Yes
2
No
Do you have the national ART guidelines available in this facility today? IF YES
Do you have the national ART guidelines available in this facility today? IF YES
Do you have the national ART guidelines available in this facility today? IF YES
Do you have the national ART guidelines available in this facility today? IF YES
Do you have the national ART guidelines available in this facility today? IF YES
Do you have the national ART guidelines available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes
2
No
Have you or any provider(s) of ART received any training in ART prescription and
Have you or any provider(s) of ART received any training in ART prescription and
Have you or any provider(s) of ART received any training in ART prescription and
Have you or any provider(s) of ART received any training in ART prescription and
Have you or any provider(s) of ART received any training in ART prescription and
Have you or any provider(s) of ART received any training in ART prescription and management in the last two years?
1
Yes
2
No
Does this facility stock any antiretroviral medicines or protease inhibitors for
Does this facility stock any antiretroviral medicines or protease inhibitors for
Does this facility stock any antiretroviral medicines or protease inhibitors for
Does this facility stock any antiretroviral medicines or protease inhibitors for
Does this facility stock any antiretroviral medicines or protease inhibitors for
Does this facility stock any antiretroviral medicines or protease inhibitors for the treatment of HIV/AIDS in this service site?
1
Yes
2
No
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT) syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT) syrup
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Abacavir (ABC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Abacavir (ABC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Didanosine (DDI)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Didanosine (DDI)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC) syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC) syrup
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine 30 or 40 (D4T)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine 30 or 40 (D4T)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine syrup
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir Disoproxil Fumarate (TDF)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir Disoproxil Fumarate (TDF)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP) syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP) syrup
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV) syrup
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV) syrup
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Emtricitabine (FTC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Emtricitabine (FTC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Delavirdine (DLV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Delavirdine (DLV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Enfuvirtide (T-20)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Enfuvirtide (T-20)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine + Abacavir (3TC + ABC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine + Abacavir (3TC + ABC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine + Lamivudine (D4T + 3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine + Lamivudine (D4T + 3TC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine + Lamivudine + Nevirapine (D4T + 3TC + NVP)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine + Lamivudine + Nevirapine (D4T + 3TC + NVP)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine (AZT + 3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine (AZT + 3TC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Abacavir (AZT + 3TC + ABC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Abacavir (AZT + 3TC + ABC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Nevirapine (AZT + 3TC + NVP)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Nevirapine (AZT + 3TC + NVP)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine (TDF + FTC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine (TDF + FTC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine (TDF + 3TC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine (TDF + 3TC)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine + Efavirenz (TDF + 3TC + EFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine + Efavirenz (TDF + 3TC + EFV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine + Efavirenz (TDF + FTC + EFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine + Efavirenz (TDF + FTC + EFV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lopinavir (LPV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lopinavir (LPV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Indinavir (IDV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Indinavir (IDV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nelfinavir (NFV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nelfinavir (NFV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Saquinavir (SQV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Saquinavir (SQV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ritonavir (RTV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ritonavir (RTV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Atazanavir (ATV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Atazanavir (ATV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Fosamprenavir (FPV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Fosamprenavir (FPV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tipranavir (TPV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tipranavir (TPV)
1
At least 1 available
2
Avail. Non valid
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Darunavir (DRV)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this fa
Are any of the following ARVs and protease inhibitors available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Darunavir (DRV)
1
At least 1 available
2
Avail. Non valid
HIV CARE AND SUPPORT SERVICES OFFERED
HIV CARE AND SUPPORT SERVICES OFFERED
HIV CARE AND SUPPORT SERVICES OFFERED
HIV CARE AND SUPPORT SERVICES OFFERED
HIV CARE AND SUPPORT SERVICES OFFERED
HIV CARE AND SUPPORT SERVICES OFFERED
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Prescribe treatment for any opportunistic infections or symptoms related to HIV/AIDS? This includes treating topical fungal infections.
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Provide or prescribe palliative care for patients, such as symptom or pain management, or nursing care for the terminally ill, or severely debilitated clients?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Provide systemic intravenous treatment of specific fungal infections such as cryptococcal meningitis?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Provide treatment for Kaposi's sarcoma?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Provide nutritional rehabilitation services? e.g., client education and provision of nutritional supplements?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Prescribe or provide fortified protein supplementation (FPS)?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Care for paediatric HIV/AIDS patients?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Prescribe or provide preventive treatment for TB (INH + Pyridoxine)?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Primary preventive treatment for opportunistic infections, such as co-trimoxazole preventive treatment (CPT)?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Provide or prescribe micronutrient supplementation, such as vitamins or iron?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Family planning counselling?
1
Yes
2
No
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients
Please tell me if providers in this facility provide the following services for HIV/AIDS clients:
Provide condoms for preventing further transmission of HIV?
1
Yes
2
No
Do providers in this facility screen or test HIV clients for TB or have a system for diagnosis of TB among HIV positive clients
Do providers in this facility screen or test HIV clients for TB or have a system for diagnosis of TB among HIV positive clients
Do providers in this facility screen or test HIV clients for TB or have a system for diagnosis of TB among HIV positive clients
Do providers in this facility screen or test HIV clients for TB or have a system for diagnosis of TB among HIV positive clients
Do providers in this facility screen or test HIV clients for TB or have a system for diagnosis of TB among HIV positive clients
Do providers in this facility screen or test HIV clients for TB or have a system for diagnosis of TB among HIV positive clients?
IF YES, ASK TO SEE A REGISTER OR RECORD OF HIV-POSITIVE CLIENTS TESTED FOR TB.
1
Yes, register observed
2
Yes, register reported not seen
3
Yes, register not maintained
4
No system
Do you have the national guidelines for the clinical management of HIV/AIDS available in this facility today?
Do you have the national guidelines for the clinical management of HIV/AIDS available in this facility today?
Do you have the national guidelines for the clinical management of HIV/AIDS available in this facility today?
Do you have the national guidelines for the clinical management of HIV/AIDS available in this facility today?
Do you have the national guidelines for the clinical management of HIV/AIDS available in this facility today?
Do you have the national guidelines for the clinical management of HIV/AIDS available in this facility today?
IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Yes, reported not seen
3
No
Do you have any guidelines for palliative care available in this facility today?
Do you have any guidelines for palliative care available in this facility today?
Do you have any guidelines for palliative care available in this facility today?
Do you have any guidelines for palliative care available in this facility today?
Do you have any guidelines for palliative care available in this facility today?
Do you have any guidelines for palliative care available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Yes, reported not seen
3
No
Have you or any provider(s) of HIV care and support services received any training in the clinical management of HIV/AIDS in the last two years?
Have you or any provider(s) of HIV care and support services received any training in the clinical management of HIV/AIDS in the last two years?
Have you or any provider(s) of HIV care and support services received any training in the clinical management of HIV/AIDS in the last two years?
Have you or any provider(s) of HIV care and support services received any training in the clinical management of HIV/AIDS in the last two years?
Have you or any provider(s) of HIV care and support services received any training in the clinical management of HIV/AIDS in the last two years?
Have you or any provider(s) of HIV care and support services received any training in the clinical management of HIV/AIDS in the last two years?
1
Yes
2
No
Do you have condoms available in this service site to give to clients receiving services?
Do you have condoms available in this service site to give to clients receiving services?
Do you have condoms available in this service site to give to clients receiving services?
Do you have condoms available in this service site to give to clients receiving services?
Do you have condoms available in this service site to give to clients receiving services?
Do you have condoms available in this service site to give to clients receiving services? IF YES, ASK TO SEE CONDOMS.
1
Yes, observed
2
Yes, reported not seen
3
No
Does this facility stock any medicines for HIV care and support in this service site?
Does this facility stock any medicines for HIV care and support in this service site?
Does this facility stock any medicines for HIV care and support in this service site?
Does this facility stock any medicines for HIV care and support in this service site?
Does this facility stock any medicines for HIV care and support in this service site?
Does this facility stock any medicines for HIV care and support in this service site?
1
Yes
2
No
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
IV treatment for fungal infections
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Co-trimoxazole cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Pain management medication (e.g. codeine, demerol, diclofenac)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
IV solution with infusion set
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Does this facility stock any medicines for TB in this service site?
Does this facility stock any medicines for TB in this service site?
Does this facility stock any medicines for TB in this service site?
Does this facility stock any medicines for TB in this service site?
Does this facility stock any medicines for TB in this service site?
Does this facility stock any medicines for TB in this service site?
1
Yes
2
No
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ethambutol
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Pyrazinamide
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Rifampicin
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin (2FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Ethambutol (EH) (2FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide (RHZ) (3FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Ethambutol (RHE) (3FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol (4FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Streptomycin Injectable
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Do providers in this facility diagnose STIs?
Do providers in this facility diagnose STIs?
Do providers in this facility diagnose STIs?
Do providers in this facility diagnose STIs?
Do providers in this facility diagnose STIs?
Do providers in this facility diagnose STIs?
1
Yes
2
No
Do providers in this facility prescribe treatment for STIs?
Do providers in this facility prescribe treatment for STIs?
Do providers in this facility prescribe treatment for STIs?
Do providers in this facility prescribe treatment for STIs?
Do providers in this facility prescribe treatment for STIs?
Do providers in this facility prescribe treatment for STIs?
1
Yes
2
No
Are STI clients seen by this service routinely referred for HIV counselling and
Are STI clients seen by this service routinely referred for HIV counselling and
Are STI clients seen by this service routinely referred for HIV counselling and
Are STI clients seen by this service routinely referred for HIV counselling and
Are STI clients seen by this service routinely referred for HIV counselling and
Are STI clients seen by this service routinely referred for HIV counselling and testing, or are they referred only if they are suspected to be infected with HIV?
1
Yes, routinely
2
Referred if suspects HIV+
3
Nver refer
Do you have the national guidelines for the diagnosis and treatment of STIs avai
Do you have the national guidelines for the diagnosis and treatment of STIs avai
Do you have the national guidelines for the diagnosis and treatment of STIs avai
Do you have the national guidelines for the diagnosis and treatment of STIs avai
Do you have the national guidelines for the diagnosis and treatment of STIs avai
Do you have the national guidelines for the diagnosis and treatment of STIs available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Observed
2
Reported not seen
3
Not available
Have you or any provider(s) of STI services received any training in STI diagnos
Have you or any provider(s) of STI services received any training in STI diagnos
Have you or any provider(s) of STI services received any training in STI diagnos
Have you or any provider(s) of STI services received any training in STI diagnos
Have you or any provider(s) of STI services received any training in STI diagnos
Have you or any provider(s) of STI services received any training in STI diagnosis and treatment in the last two years?
1
Yes
2
No
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving
Do you have condoms available in this service site to give to clients receiving services? IF YES, ASK TO SEE CONDOMS.
1
Observed
2
Reported not seen
3
Not available
Does this facility stock any medicines for STI treatment in this service site?
Does this facility stock any medicines for STI treatment in this service site?
Does this facility stock any medicines for STI treatment in this service site?
Does this facility stock any medicines for STI treatment in this service site?
Does this facility stock any medicines for STI treatment in this service site?
Does this facility stock any medicines for STI treatment in this service site?
1
Yes
2
No
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metronidazole cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metronidazole cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ciprofloxacin cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ciprofloxacin cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ceftriaxone injection
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ceftriaxone injection
1
At least 1 available
2
Avail. Non valid
Does this facility offer rapid syphilis testing in this service site?
Does this facility offer rapid syphilis testing in this service site?
Does this facility offer rapid syphilis testing in this service site?
Does this facility offer rapid syphilis testing in this service site?
Does this facility offer rapid syphilis testing in this service site?
Does this facility offer rapid syphilis testing in this service site?
1
Yes
2
No
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
I would like to know if the following equipment items for rapid syphilis testing are available and functional today or not available or not functioning today.
ASK TO SEE THE ITEMS.
Syphilis rapid test kit (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Do providers in this facility diagnose TB?
Do providers in this facility diagnose TB?
Do providers in this facility diagnose TB?
Do providers in this facility diagnose TB?
Do providers in this facility diagnose TB?
Do providers in this facility diagnose TB?
1
Yes
2
No
What is the most common method used by providers in this facility for diagnosing
What is the most common method used by providers in this facility for diagnosing
What is the most common method used by providers in this facility for diagnosing
What is the most common method used by providers in this facility for diagnosing
What is the most common method used by providers in this facility for diagnosing
What is the most common method used by providers in this facility for diagnosing TB? PROBE TO DETERMINE METHOD USED.
1
Sputum smear only
4
Both sputum and X-ray
5
Clinical symptoms only
Do providers in this facility prescribe treatment for TB or manage patients who
Do providers in this facility prescribe treatment for TB or manage patients who
Do providers in this facility prescribe treatment for TB or manage patients who
Do providers in this facility prescribe treatment for TB or manage patients who
Do providers in this facility prescribe treatment for TB or manage patients who
Do providers in this facility prescribe treatment for TB or manage patients who are on TB treatment?
1
Yes
2
No
What treatment strategy is followed by providers in this facility for newly diag
What treatment strategy is followed by providers in this facility for newly diag
What treatment strategy is followed by providers in this facility for newly diag
What treatment strategy is followed by providers in this facility for newly diag
What treatment strategy is followed by providers in this facility for newly diag
What treatment strategy is followed by providers in this facility for newly diagnosed TB? PROBE TO ARRIVE AT CORRECT RESPONSE.
1
Direct Observe 2m,FU, 4m
2
Direct Observe 6m
3
F/U clients after 2m DOTS
4
Diagnose & RX Discharge elsewhere
6
Diagnose, No F/U
7
Diagnose only, No Rx
Do providers in this facility screen or test TB clients for HIV or have a system
Do providers in this facility screen or test TB clients for HIV or have a system
Do providers in this facility screen or test TB clients for HIV or have a system
Do providers in this facility screen or test TB clients for HIV or have a system
Do providers in this facility screen or test TB clients for HIV or have a system
Do providers in this facility screen or test TB clients for HIV or have a system for diagnosis of HIV among TB clients? IF YES, ASK TO SEE A REGISTER OR RECORD OF TB CLIENTS TESTED FOR HIV.
1
No system
2
Register Not seen
3
Registerd not maintained
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
Does this facility offer HIV rapid diagnostic testing in this service site?
1
Yes
2
No
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
I would like to know if the following equipment items for rapid HIV testing are available and functional today or not available or not functioning today in this service site. ASK TO SEE THE ITEMS.
HIV rapid test (with valid expiration date)
1
At least 1 available
2
Avail. Non valid
Do you have the national guidelines for the diagnosis and treatment of TB availa
Do you have the national guidelines for the diagnosis and treatment of TB availa
Do you have the national guidelines for the diagnosis and treatment of TB availa
Do you have the national guidelines for the diagnosis and treatment of TB availa
Do you have the national guidelines for the diagnosis and treatment of TB availa
Do you have the national guidelines for the diagnosis and treatment of TB available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
At least 1 available
2
Avail. Non valid
Do you have any guidelines for the management of HIV and TB co-infection availab
Do you have any guidelines for the management of HIV and TB co-infection availab
Do you have any guidelines for the management of HIV and TB co-infection availab
Do you have any guidelines for the management of HIV and TB co-infection availab
Do you have any guidelines for the management of HIV and TB co-infection availab
Do you have any guidelines for the management of HIV and TB co-infection available in this facility today?
1
At least 1 available
2
Avail. Non valid
Do you have any guidelines related to MDR-TB treatment available in this facilit
Do you have any guidelines related to MDR-TB treatment available in this facilit
Do you have any guidelines related to MDR-TB treatment available in this facilit
Do you have any guidelines related to MDR-TB treatment available in this facilit
Do you have any guidelines related to MDR-TB treatment available in this facilit
Do you have any guidelines related to MDR-TB treatment available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
At least 1 available
2
Avail. Non valid
Do you have any guidelines related to TB infection control available in this fac
Do you have any guidelines related to TB infection control available in this fac
Do you have any guidelines related to TB infection control available in this fac
Do you have any guidelines related to TB infection control available in this fac
Do you have any guidelines related to TB infection control available in this fac
Do you have any guidelines related to TB infection control available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
At least 1 available
2
Avail. Non valid
Have you or any provider(s) of TB services received any training in the TB diagn
Have you or any provider(s) of TB services received any training in the TB diagn
Have you or any provider(s) of TB services received any training in the TB diagn
Have you or any provider(s) of TB services received any training in the TB diagn
Have you or any provider(s) of TB services received any training in the TB diagn
Have you or any provider(s) of TB services received any training in the TB diagnosis and treatment in the last two years?
1
Yes
2
No
Have you or any provider(s) of TB services received any training in management o
Have you or any provider(s) of TB services received any training in management o
Have you or any provider(s) of TB services received any training in management o
Have you or any provider(s) of TB services received any training in management o
Have you or any provider(s) of TB services received any training in management o
Have you or any provider(s) of TB services received any training in management of HIV and TB co-infection in the last two years?
1
Yes
2
No
Have you or any provider(s) of TB services received any training in MDR-TB treat
Have you or any provider(s) of TB services received any training in MDR-TB treat
Have you or any provider(s) of TB services received any training in MDR-TB treat
Have you or any provider(s) of TB services received any training in MDR-TB treat
Have you or any provider(s) of TB services received any training in MDR-TB treat
Have you or any provider(s) of TB services received any training in MDR-TB treatment or identification of need for referral in the last two years?
1
Yes
2
No
Have you or any provider(s) of TB services received any training in TB infection
Have you or any provider(s) of TB services received any training in TB infection
Have you or any provider(s) of TB services received any training in TB infection
Have you or any provider(s) of TB services received any training in TB infection
Have you or any provider(s) of TB services received any training in TB infection
Have you or any provider(s) of TB services received any training in TB infection control in the last two years?
1
Yes
2
No
Does this facility stock any medicines for TB treatment in this service site?
Does this facility stock any medicines for TB treatment in this service site?
Does this facility stock any medicines for TB treatment in this service site?
Does this facility stock any medicines for TB treatment in this service site?
Does this facility stock any medicines for TB treatment in this service site?
Does this facility stock any medicines for TB treatment in this service site?
1
Yes
2
No
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ethambutol
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ethambutol
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Pyrazinamide
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Pyrazinamide
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Rifampicin
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Rifampicin
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin (2FDC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin (2FDC)
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Ethambutol (EH) (2FDC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Ethambutol (EH) (2FDC)
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide (RHZ) (3FDC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide (RHZ) (3FDC)
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Ethambutol (RHE) (3FDC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Ethambutol (RHE) (3FDC)
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol (4FDC)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol (4FDC)
1
At least 1 available
2
Avail. Non valid
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Streptomycin Injectable
3
Report available not seen
4
Not available today
5
Never available
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today? CHECK T
Are any of the following medicines available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Streptomycin Injectable
1
At least 1 available
2
Avail. Non valid
MALARIA SERVICES OFFERED
MALARIA SERVICES OFFERED
MALARIA SERVICES OFFERED
MALARIA SERVICES OFFERED
MALARIA SERVICES OFFERED
MALARIA SERVICES OFFERED
1
Yes
2
No
Do providers in this facility diagnose malaria?
Do providers in this facility diagnose malaria?
Do providers in this facility diagnose malaria?
Do providers in this facility diagnose malaria?
Do providers in this facility diagnose malaria?
Do providers in this facility diagnose malaria?
1
Yes
2
No
Do providers in this facility use blood tests (blood smears or RDTs) to verify the diagnosis of malaria?
Do providers in this facility use blood tests (blood smears or RDTs) to verify the diagnosis of malaria?
Do providers in this facility use blood tests (blood smears or RDTs) to verify the diagnosis of malaria?
Do providers in this facility use blood tests (blood smears or RDTs) to verify the diagnosis of malaria?
Do providers in this facility use blood tests (blood smears or RDTs) to verify the diagnosis of malaria?
Do providers in this facility use blood tests (blood smears or RDTs) to verify the diagnosis of malaria?
IF YES, ASK: Is this done always or only sometimes?
1
Yes, always
2
Yes, sometimes
3
No
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today in this service site.
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today in this service site.
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today in this service site.
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today in this service site.
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today in this service site.
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today in this service site.
ASK TO SEE THE ITEMS.
Malaria rapid diagnostic kit (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Do providers in this facility prescribe treatment for malaria?
Do providers in this facility prescribe treatment for malaria?
Do providers in this facility prescribe treatment for malaria?
Do providers in this facility prescribe treatment for malaria?
Do providers in this facility prescribe treatment for malaria?
Do providers in this facility prescribe treatment for malaria?
1
Yes
2
No
Do you have the national guidelines for the diagnosis and treatment of malaria available in this facility today?
Do you have the national guidelines for the diagnosis and treatment of malaria available in this facility today?
Do you have the national guidelines for the diagnosis and treatment of malaria available in this facility today?
Do you have the national guidelines for the diagnosis and treatment of malaria available in this facility today?
Do you have the national guidelines for the diagnosis and treatment of malaria available in this facility today?
Do you have the national guidelines for the diagnosis and treatment of malaria available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Yes, reported not seen
3
No
Have you or any provider(s) of malaria services received any training in malaria diagnosis and treatment in the last two years?
Have you or any provider(s) of malaria services received any training in malaria diagnosis and treatment in the last two years?
Have you or any provider(s) of malaria services received any training in malaria diagnosis and treatment in the last two years?
Have you or any provider(s) of malaria services received any training in malaria diagnosis and treatment in the last two years?
Have you or any provider(s) of malaria services received any training in malaria diagnosis and treatment in the last two years?
Have you or any provider(s) of malaria services received any training in malaria diagnosis and treatment in the last two years?
1
Yes
2
No
Does this facility stock any medicines or commodities for malaria in this service site, including ITNs?
Does this facility stock any medicines or commodities for malaria in this service site, including ITNs?
Does this facility stock any medicines or commodities for malaria in this service site, including ITNs?
Does this facility stock any medicines or commodities for malaria in this service site, including ITNs?
Does this facility stock any medicines or commodities for malaria in this service site, including ITNs?
Does this facility stock any medicines or commodities for malaria in this service site, including ITNs?
1
Yes
2
No
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
ACT (Artemether + Lumefantrine)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Artemisinin not as combination therapy
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
SP (Sulfadoxine + Pyrimethamine)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Quinine oral or injectable
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Paracetamol cap/tab (adult oral formulation)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Other antimalarial drugs oral or injectable
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Insecticide treated bednets for patients and their families and households
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today?
Are any of the following medicines and commodities available in this service site today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Insecticide treated bednet vouchers for patients and their families and households
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Do providers in this facility diagnose and/or manage diabetes in patients?
Do providers in this facility diagnose and/or manage diabetes in patients?
Do providers in this facility diagnose and/or manage diabetes in patients?
Do providers in this facility diagnose and/or manage diabetes in patients?
Do providers in this facility diagnose and/or manage diabetes in patients?
Do providers in this facility diagnose and/or manage diabetes in patients?
1
Yes
2
No
Do you have the national guidelines for the diagnosis and management of diabetes
Do you have the national guidelines for the diagnosis and management of diabetes
Do you have the national guidelines for the diagnosis and management of diabetes
Do you have the national guidelines for the diagnosis and management of diabetes
Do you have the national guidelines for the diagnosis and management of diabetes
Do you have the national guidelines for the diagnosis and management of diabetes available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of diabetes services received any training in the di
Have you or any provider(s) of diabetes services received any training in the di
Have you or any provider(s) of diabetes services received any training in the di
Have you or any provider(s) of diabetes services received any training in the di
Have you or any provider(s) of diabetes services received any training in the di
Have you or any provider(s) of diabetes services received any training in the diagnosis and management of diabetes in the last two years?
1
Yes
2
No
Do providers in this facility diagnose and/or manage cardiovascular diseases suc
Do providers in this facility diagnose and/or manage cardiovascular diseases suc
Do providers in this facility diagnose and/or manage cardiovascular diseases suc
Do providers in this facility diagnose and/or manage cardiovascular diseases suc
Do providers in this facility diagnose and/or manage cardiovascular diseases suc
Do providers in this facility diagnose and/or manage cardiovascular diseases such as hypertension in patients?
1
Yes
2
No
Do you have the national guidelines for the diagnosis and management of cardiova
Do you have the national guidelines for the diagnosis and management of cardiova
Do you have the national guidelines for the diagnosis and management of cardiova
Do you have the national guidelines for the diagnosis and management of cardiova
Do you have the national guidelines for the diagnosis and management of cardiova
Do you have the national guidelines for the diagnosis and management of cardiovascular diseases available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of services for cardiovascular diseases received any
Have you or any provider(s) of services for cardiovascular diseases received any
Have you or any provider(s) of services for cardiovascular diseases received any
Have you or any provider(s) of services for cardiovascular diseases received any
Have you or any provider(s) of services for cardiovascular diseases received any
Have you or any provider(s) of services for cardiovascular diseases received any training in the diagnosis and management of cardiovascular diseases in the last two years?
1
Yes
2
No
Do providers in this facility diagnose and/or manage chronic respiratory disease
Do providers in this facility diagnose and/or manage chronic respiratory disease
Do providers in this facility diagnose and/or manage chronic respiratory disease
Do providers in this facility diagnose and/or manage chronic respiratory disease
Do providers in this facility diagnose and/or manage chronic respiratory disease
Do providers in this facility diagnose and/or manage chronic respiratory diseases in patients?
1
Yes
2
No
Do you have the national guidelines for the diagnosis and management of chronic
Do you have the national guidelines for the diagnosis and management of chronic
Do you have the national guidelines for the diagnosis and management of chronic
Do you have the national guidelines for the diagnosis and management of chronic
Do you have the national guidelines for the diagnosis and management of chronic
Do you have the national guidelines for the diagnosis and management of chronic respiratory disease available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Yes, observed
2
Reported not seen
3
No
Have you or any provider(s) of chronic respiratory disease services received any
Have you or any provider(s) of chronic respiratory disease services received any
Have you or any provider(s) of chronic respiratory disease services received any
Have you or any provider(s) of chronic respiratory disease services received any
Have you or any provider(s) of chronic respiratory disease services received any
Have you or any provider(s) of chronic respiratory disease services received any training in the diagnosis and management of chronic respiratory diseases in the last two years?
1
Yes
2
No
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Measuring tape-height board/stadiometre
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Measuring tape-height board/stadiometre
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Peak flow meters
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Peak flow meters
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Spacers for inhalers
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Spacers for inhalers
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Adult weighing scale
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Adult weighing scale
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Stethoscope
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Stethoscope
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
AVAILABLE : I would like to know if the following basic equipment items are avai
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Blood pressure apparatus (may be digital or manual sphygmomanometer with stethoscope)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
FUNCTIONING : I would like to know if the following basic equipment items are av
I would like to know if the following basic equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning.
ASK TO SEE THE ITEMS.
Blood pressure apparatus (may be digital or manual sphygmomanometer with stethoscope)
1
Yes
2
No
8
DNK
Does this facility stock any medicines for non-communicable diseases in this ser
Does this facility stock any medicines for non-communicable diseases in this ser
Does this facility stock any medicines for non-communicable diseases in this ser
Does this facility stock any medicines for non-communicable diseases in this ser
Does this facility stock any medicines for non-communicable diseases in this ser
Does this facility stock any medicines for non-communicable diseases in this service site?
1
Yes
2
No
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metformin cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metformin cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Glibenclamide cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Glibenclamide cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Insulin injection
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Insulin injection
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Glucose injectable solution
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Glucose injectable solution
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
ACE inhibitors (e.g. enalapril)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
ACE inhibitors (e.g. enalapril)
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Thiazides
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Thiazides
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Beta blockers (e.g. atenolol)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Beta blockers (e.g. atenolol)
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Calcium channel blockers (e.g. amlodipine)
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Calcium channel blockers (e.g. amlodipine)
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Aspirin cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Aspirin cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Salbutamol inhaler
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Salbutamol inhaler
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Beclomethasone inhaler
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Beclomethasone inhaler
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Prednisolone cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Prednisolone cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Hydrocortisone cap/tab
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Hydrocortisone cap/tab
1
At least 1 available
2
Avail. Non valid
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Epinephrine injection
3
Report available not seen
4
Not available today
5
Never available
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?CHECK
Are any of the following commodities available in this service site today?
CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Epinephrine injection
1
At least 1 available
2
Avail. Non valid
Please tell me if providers in this facility provide the following services: [In
Please tell me if providers in this facility provide the following services: [In
Please tell me if providers in this facility provide the following services: [In
Please tell me if providers in this facility provide the following services: [In
Please tell me if providers in this facility provide the following services: [In
Please tell me if providers in this facility provide the following services:
Incision and drainage of abscesses
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Wo
Please tell me if providers in this facility provide the following services: [Wo
Please tell me if providers in this facility provide the following services: [Wo
Please tell me if providers in this facility provide the following services: [Wo
Please tell me if providers in this facility provide the following services: [Wo
Please tell me if providers in this facility provide the following services:
Wound debridement
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ac
Please tell me if providers in this facility provide the following services: [Ac
Please tell me if providers in this facility provide the following services: [Ac
Please tell me if providers in this facility provide the following services: [Ac
Please tell me if providers in this facility provide the following services: [Ac
Please tell me if providers in this facility provide the following services:
Acute burn management
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Su
Please tell me if providers in this facility provide the following services: [Su
Please tell me if providers in this facility provide the following services: [Su
Please tell me if providers in this facility provide the following services: [Su
Please tell me if providers in this facility provide the following services: [Su
Please tell me if providers in this facility provide the following services:
Suturing
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services:
Closed treatment of fracture
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Cr
Please tell me if providers in this facility provide the following services: [Cr
Please tell me if providers in this facility provide the following services: [Cr
Please tell me if providers in this facility provide the following services: [Cr
Please tell me if providers in this facility provide the following services: [Cr
Please tell me if providers in this facility provide the following services:
Cricothyroidotomy
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ma
Please tell me if providers in this facility provide the following services: [Ma
Please tell me if providers in this facility provide the following services: [Ma
Please tell me if providers in this facility provide the following services: [Ma
Please tell me if providers in this facility provide the following services: [Ma
Please tell me if providers in this facility provide the following services:
Male circumcision
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Hy
Please tell me if providers in this facility provide the following services: [Hy
Please tell me if providers in this facility provide the following services: [Hy
Please tell me if providers in this facility provide the following services: [Hy
Please tell me if providers in this facility provide the following services: [Hy
Please tell me if providers in this facility provide the following services:
Hydrocele reduction
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services: [Ch
Please tell me if providers in this facility provide the following services:
Chest tube insertion
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Tr
Please tell me if providers in this facility provide the following services: [Tr
Please tell me if providers in this facility provide the following services: [Tr
Please tell me if providers in this facility provide the following services: [Tr
Please tell me if providers in this facility provide the following services: [Tr
Please tell me if providers in this facility provide the following services:
Tracheostomy
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Tu
Please tell me if providers in this facility provide the following services: [Tu
Please tell me if providers in this facility provide the following services: [Tu
Please tell me if providers in this facility provide the following services: [Tu
Please tell me if providers in this facility provide the following services: [Tu
Please tell me if providers in this facility provide the following services:
Tubal ligation
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Va
Please tell me if providers in this facility provide the following services: [Va
Please tell me if providers in this facility provide the following services: [Va
Please tell me if providers in this facility provide the following services: [Va
Please tell me if providers in this facility provide the following services: [Va
Please tell me if providers in this facility provide the following services:
Vasectomy
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services: [Di
Please tell me if providers in this facility provide the following services:
Dilatation & Curettage
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ob
Please tell me if providers in this facility provide the following services: [Ob
Please tell me if providers in this facility provide the following services: [Ob
Please tell me if providers in this facility provide the following services: [Ob
Please tell me if providers in this facility provide the following services: [Ob
Please tell me if providers in this facility provide the following services:
Obstetric fistula repair
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ep
Please tell me if providers in this facility provide the following services: [Ep
Please tell me if providers in this facility provide the following services: [Ep
Please tell me if providers in this facility provide the following services: [Ep
Please tell me if providers in this facility provide the following services: [Ep
Please tell me if providers in this facility provide the following services:
Episiotomy, cervical and vaginal laceration
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ap
Please tell me if providers in this facility provide the following services: [Ap
Please tell me if providers in this facility provide the following services: [Ap
Please tell me if providers in this facility provide the following services: [Ap
Please tell me if providers in this facility provide the following services: [Ap
Please tell me if providers in this facility provide the following services:
Appendectomy
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [He
Please tell me if providers in this facility provide the following services: [He
Please tell me if providers in this facility provide the following services: [He
Please tell me if providers in this facility provide the following services: [He
Please tell me if providers in this facility provide the following services: [He
Please tell me if providers in this facility provide the following services:
Hernia repair (strangulated, elective)
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Cy
Please tell me if providers in this facility provide the following services: [Cy
Please tell me if providers in this facility provide the following services: [Cy
Please tell me if providers in this facility provide the following services: [Cy
Please tell me if providers in this facility provide the following services: [Cy
Please tell me if providers in this facility provide the following services:
Cystostomy
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ur
Please tell me if providers in this facility provide the following services: [Ur
Please tell me if providers in this facility provide the following services: [Ur
Please tell me if providers in this facility provide the following services: [Ur
Please tell me if providers in this facility provide the following services: [Ur
Please tell me if providers in this facility provide the following services:
Urethral stricture dilatation
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [La
Please tell me if providers in this facility provide the following services: [La
Please tell me if providers in this facility provide the following services: [La
Please tell me if providers in this facility provide the following services: [La
Please tell me if providers in this facility provide the following services: [La
Please tell me if providers in this facility provide the following services:
Laparotomy (uterine rupture, ectopic pregnancy, acute abdomen, intestinal obstruction, perforation, injuries)
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services:
Congenital hernia repair
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ne
Please tell me if providers in this facility provide the following services: [Ne
Please tell me if providers in this facility provide the following services: [Ne
Please tell me if providers in this facility provide the following services: [Ne
Please tell me if providers in this facility provide the following services: [Ne
Please tell me if providers in this facility provide the following services:
Neonatal surgery (abdominal wall defect, colostomy imperforate anus, intussusceptions)
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services: [Cl
Please tell me if providers in this facility provide the following services:
Cleft lip repair
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services: [Co
Please tell me if providers in this facility provide the following services:
Contracture release
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Sk
Please tell me if providers in this facility provide the following services: [Sk
Please tell me if providers in this facility provide the following services: [Sk
Please tell me if providers in this facility provide the following services: [Sk
Please tell me if providers in this facility provide the following services: [Sk
Please tell me if providers in this facility provide the following services:
Skin grafting
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Op
Please tell me if providers in this facility provide the following services: [Op
Please tell me if providers in this facility provide the following services: [Op
Please tell me if providers in this facility provide the following services: [Op
Please tell me if providers in this facility provide the following services: [Op
Please tell me if providers in this facility provide the following services:
Open treatment of fracture
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Am
Please tell me if providers in this facility provide the following services: [Am
Please tell me if providers in this facility provide the following services: [Am
Please tell me if providers in this facility provide the following services: [Am
Please tell me if providers in this facility provide the following services: [Am
Please tell me if providers in this facility provide the following services:
Amputation
1
Yes
2
No
Please tell me if providers in this facility provide the following services: [Ca
Please tell me if providers in this facility provide the following services: [Ca
Please tell me if providers in this facility provide the following services: [Ca
Please tell me if providers in this facility provide the following services: [Ca
Please tell me if providers in this facility provide the following services: [Ca
Please tell me if providers in this facility provide the following services:
Cataract surgery
1
Yes
2
No
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Self-inflating bag and mask- adult
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Self-inflating bag and mask- adult
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Self-inflating bag and mask- paediatric
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Self-inflating bag and mask- paediatric
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Needle holder
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Needle holder
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Scalpel handle with blade
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Scalpel handle with blade
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Retractor
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Retractor
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Surgical scissors
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Surgical scissors
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Nasogastric tube (10-16G)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Nasogastric tube (10-16G)
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Tourniquet
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Tourniquet
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Suction apparatus (manual or electric sucker)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Suction apparatus (manual or electric sucker)
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oropharyngeal airway- adult
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oropharyngeal airway- adult
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oropharyngeal airway- paediatric
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Oropharyngeal airway- paediatric
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Magills forceps- adult
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Magills forceps- adult
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Magills forceps- paediatric
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Magills forceps- paediatric
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Endotracheal tube- uncuffed sizes 3.0 to 5.0
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Endotracheal tube- uncuffed sizes 3.0 to 5.0
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Endotracheal tube- cuffed sizes 5.5 to 9.0
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Endotracheal tube- cuffed sizes 5.5 to 9.0
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Laryngoscope handle and blade- adult
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Laryngoscope handle and blade- adult
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Laryngoscope handle and blade- paediatric
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Laryngoscope handle and blade- paediatric
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Anaesthesia machine
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Anaesthesia machine
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Tubings and connectors (to connect endotracheal tube)
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Tubings and connectors (to connect endotracheal tube)
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Stylet
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Stylet
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
AVAILABLE : I would like to know if the following equipment items are available
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Spinal needle
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
FUNCTIONING : I would like to know if the following equipment items are availabl
I would like to know if the following equipment items are available in this service area today. For each equipment or item, please tell me if it is available today and functioning. ASK TO SEE THE ITEMS.
Spinal needle
1
Yes
2
No
8
DNK
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Absorbable suture material
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Absorbable suture material
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Non-absorbable suture material
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Non-absorbable suture material
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Skin disinfectant
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Skin disinfectant
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ketamine (injection)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ketamine (injection)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lidocaine 1% or 2% (anesthesia)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lidocaine 1% or 2% (anesthesia)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Thiopental (powder)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Thiopental (powder)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Suxamethonium bromide (powder)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Suxamethonium bromide (powder)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Atropine (injection)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Atropine (injection)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Diazepam (injection)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Diazepam (injection)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Halothane (inhalation)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Halothane (inhalation)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Bupivacaine (injection)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Bupivacaine (injection)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lidocaine 5% (heavy spinal solution)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lidocaine 5% (heavy spinal solution)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Epinephrine (injection)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Epinephrine (injection)
1
At least 1 available
2
Avail. Non valid
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ephedrine (injection)
3
Report available not seen
4
Not available today
5
Never available
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in t
Please tell me if any of the following materials or medicines are available in this service site today. I would like to see those that are available. CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ephedrine (injection)
1
At least 1 available
2
Avail. Non valid
Do you have guidelines on Integrated management of emergency and essential surgi
Do you have guidelines on Integrated management of emergency and essential surgi
Do you have guidelines on Integrated management of emergency and essential surgi
Do you have guidelines on Integrated management of emergency and essential surgi
Do you have guidelines on Integrated management of emergency and essential surgi
Do you have guidelines on Integrated management of emergency and essential surgical care (IMEESC) available in this facility today? IF YES, ASK TO SEE THE GUIDELINES.
1
Observed
2
Reported not seen
3
Not available
Have you or any provider(s) of basic surgical services received any training in
Have you or any provider(s) of basic surgical services received any training in
Have you or any provider(s) of basic surgical services received any training in
Have you or any provider(s) of basic surgical services received any training in
Have you or any provider(s) of basic surgical services received any training in
Have you or any provider(s) of basic surgical services received any training in IMEESC in the last two years?
1
Yes
2
No
Does this facility have a staff member trained in surgery (clinical officer, gen
Does this facility have a staff member trained in surgery (clinical officer, gen
Does this facility have a staff member trained in surgery (clinical officer, gen
Does this facility have a staff member trained in surgery (clinical officer, gen
Does this facility have a staff member trained in surgery (clinical officer, gen
Does this facility have a staff member trained in surgery (clinical officer, general physician, or surgeon) present in the facility or on call 24 hours a day (including weekends and on public holidays)?
1
Yes
2
No
Does this facility have a staff member trained in anesthesia (nurse, clinical of
Does this facility have a staff member trained in anesthesia (nurse, clinical of
Does this facility have a staff member trained in anesthesia (nurse, clinical of
Does this facility have a staff member trained in anesthesia (nurse, clinical of
Does this facility have a staff member trained in anesthesia (nurse, clinical of
Does this facility have a staff member trained in anesthesia (nurse, clinical officer, general physician, surgeon, or anaesthesiologist) present in the facility or on call 24 hours a day (including weekends and on public holidays)?
1
Yes
2
No
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Clean running water (piped, bucket with tap, or pour pitcher)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Hand-washing soap/liquid soap
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Alcohol based hand rub
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Disposable latex gloves
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Waste receptacle (pedal bin) with lid and plastic bin liner
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Sharps container ("safety box")
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Environmental disinfectant (e.g., chlorine, alcohol)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Gowns
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Eye protection (goggles, face shields)
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Medical (surgical or procedural) masks
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Disposable syringes with disposable needles
1
Observed
2
Reported not seen
3
Not available
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infectio
I am interested in knowing if the following resources/supplies used for infection control are available in this service area. For each resource or supply, please tell me if it is available today or not available today. ASK TO SEE THE ITEMS.
Auto-disable syringes
1
Observed
2
Reported not seen
3
Not available
Which of the following types of blood donors does this facility use? [Replacemen
Which of the following types of blood donors does this facility use? [Replacemen
Which of the following types of blood donors does this facility use? [Replacemen
Which of the following types of blood donors does this facility use? [Replacemen
Which of the following types of blood donors does this facility use? [Replacemen
Which of the following types of blood donors does this facility use?
Replacement
1
Yes
2
No
Which of the following types of blood donors does this facility use? [Paid]
Which of the following types of blood donors does this facility use? [Paid]
Which of the following types of blood donors does this facility use? [Paid]
Which of the following types of blood donors does this facility use? [Paid]
Which of the following types of blood donors does this facility use? [Paid]
Which of the following types of blood donors does this facility use?
Paid
1
Yes
2
No
Which of the following types of blood donors does this facility use? [Voluntary]
Which of the following types of blood donors does this facility use? [Voluntary]
Which of the following types of blood donors does this facility use? [Voluntary]
Which of the following types of blood donors does this facility use? [Voluntary]
Which of the following types of blood donors does this facility use? [Voluntary]
Which of the following types of blood donors does this facility use?
Voluntary
1
Yes
2
No
Have there been any interruptions in blood availability during the past 3 months
Have there been any interruptions in blood availability during the past 3 months
Have there been any interruptions in blood availability during the past 3 months
Have there been any interruptions in blood availability during the past 3 months
Have there been any interruptions in blood availability during the past 3 months
Have there been any interruptions in blood availability during the past 3 months?
1
Yes
2
No
Does this facility obtain blood from a national or regional blood centre?
Does this facility obtain blood from a national or regional blood centre?
Does this facility obtain blood from a national or regional blood centre?
Does this facility obtain blood from a national or regional blood centre?
Does this facility obtain blood from a national or regional blood centre?
Does this facility obtain blood from a national or regional blood centre?
1
Yes
2
No
Does this facility obtain ANY blood from sources other than the national or regi
Does this facility obtain ANY blood from sources other than the national or regi
Does this facility obtain ANY blood from sources other than the national or regi
Does this facility obtain ANY blood from sources other than the national or regi
Does this facility obtain ANY blood from sources other than the national or regi
Does this facility obtain ANY blood from sources other than the national or regional blood centre?
1
Yes
2
No
Does any place in this facility do blood screening for infectious diseases prior
Does any place in this facility do blood screening for infectious diseases prior
Does any place in this facility do blood screening for infectious diseases prior
Does any place in this facility do blood screening for infectious diseases prior
Does any place in this facility do blood screening for infectious diseases prior
Does any place in this facility do blood screening for infectious diseases prior to transfusion?
1
Yes
2
No
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the following infectious diseases? IF YES, ASK: Is the blood "always", "sometimes", or "rarely" screened?
HIV
1
Always
4
Never
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the following infectious diseases? IF YES, ASK: Is the blood "always", "sometimes", or "rarely" screened?
Syphilis
1
Always
4
Never
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the following infectious diseases? IF YES, ASK: Is the blood "always", "sometimes", or "rarely" screened?
Hepatitis B
1
Always
4
Never
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the followin
Is the blood that is transfused in the facility screened for any of the following infectious diseases? IF YES, ASK: Is the blood "always", "sometimes", or "rarely" screened?
Hepatitis C
1
Always
4
Never
AVAILABLE : Is there a refrigerator available for blood storage in this service
AVAILABLE : Is there a refrigerator available for blood storage in this service
AVAILABLE : Is there a refrigerator available for blood storage in this service
AVAILABLE : Is there a refrigerator available for blood storage in this service
AVAILABLE : Is there a refrigerator available for blood storage in this service
Is there a refrigerator available for blood storage in this service area? IF YES, PLEASE ASK TO SEE REFRIGERATOR.
1
Observed
2
Reported not seen
3
Not available
FUNCTIONING : Is there a refrigerator available for blood storage in this servic
FUNCTIONING : Is there a refrigerator available for blood storage in this servic
FUNCTIONING : Is there a refrigerator available for blood storage in this servic
FUNCTIONING : Is there a refrigerator available for blood storage in this servic
FUNCTIONING : Is there a refrigerator available for blood storage in this servic
Is there a refrigerator available for blood storage in this service area? IF YES, PLEASE ASK TO SEE REFRIGERATOR.
1
Yes
2
No
8
DNK
Do you have any guidelines on the appropriate use of blood and safe transfusion
Do you have any guidelines on the appropriate use of blood and safe transfusion
Do you have any guidelines on the appropriate use of blood and safe transfusion
Do you have any guidelines on the appropriate use of blood and safe transfusion
Do you have any guidelines on the appropriate use of blood and safe transfusion
Do you have any guidelines on the appropriate use of blood and safe transfusion practices? IF YES, ASK TO SEE THE GUIDELINES.
1
At least 1 available
2
Avail. Non valid
Have any provider(s) of blood transfusion services received any training in the
Have any provider(s) of blood transfusion services received any training in the
Have any provider(s) of blood transfusion services received any training in the
Have any provider(s) of blood transfusion services received any training in the
Have any provider(s) of blood transfusion services received any training in the
Have any provider(s) of blood transfusion services received any training in the appropriate use of blood and safe transfusion practices in the last two years?
1
Yes
2
No
Does this facility do blood glucose tests using a glucometer?
Does this facility do blood glucose tests using a glucometer?
Does this facility do blood glucose tests using a glucometer?
Does this facility do blood glucose tests using a glucometer?
Does this facility do blood glucose tests using a glucometer?
Does this facility do blood glucose tests using a glucometer? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
I would like to know if the following equipment items for glucose testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Glucometer
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items for glucose testing are av
I would like to know if the following equipment items for glucose testing are av
I would like to know if the following equipment items for glucose testing are av
I would like to know if the following equipment items for glucose testing are av
I would like to know if the following equipment items for glucose testing are av
I would like to know if the following equipment items for glucose testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Glucometer
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
AVAILABLE : I would like to know if the following equipment items for glucose te
I would like to know if the following equipment items for glucose testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Glucometer test strips (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility do urine chemical testing using dipsticks?
Does this facility do urine chemical testing using dipsticks?
Does this facility do urine chemical testing using dipsticks?
Does this facility do urine chemical testing using dipsticks?
Does this facility do urine chemical testing using dipsticks?
Does this facility do urine chemical testing using dipsticks? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
Does this facility do urine protein dipstick tests?
Does this facility do urine protein dipstick tests?
Does this facility do urine protein dipstick tests?
Does this facility do urine protein dipstick tests?
Does this facility do urine protein dipstick tests?
Does this facility do urine protein dipstick tests? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
Does this facility do urine glucose dipstick tests?
Does this facility do urine glucose dipstick tests?
Does this facility do urine glucose dipstick tests?
Does this facility do urine glucose dipstick tests?
Does this facility do urine glucose dipstick tests?
Does this facility do urine glucose dipstick tests? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
Does this facility do urine ketone dipstick tests?
Does this facility do urine ketone dipstick tests?
Does this facility do urine ketone dipstick tests?
Does this facility do urine ketone dipstick tests?
Does this facility do urine ketone dipstick tests?
Does this facility do urine ketone dipstick tests? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
I would like to know if the following equipment items for urine dipstick testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Dipsticks for urine protein (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
I would like to know if the following equipment items for urine dipstick testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Dipsticks for urine glucose (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
AVAILABLE : I would like to know if the following equipment items for urine dips
I would like to know if the following equipment items for urine dipstick testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Dipsticks for urine ketones (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility do urine rapid tests for pregnancy?
Does this facility do urine rapid tests for pregnancy?
Does this facility do urine rapid tests for pregnancy?
Does this facility do urine rapid tests for pregnancy?
Does this facility do urine rapid tests for pregnancy?
Does this facility do urine rapid tests for pregnancy? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for urine preg
AVAILABLE : I would like to know if the following equipment items for urine preg
AVAILABLE : I would like to know if the following equipment items for urine preg
AVAILABLE : I would like to know if the following equipment items for urine preg
AVAILABLE : I would like to know if the following equipment items for urine preg
I would like to know if the following equipment items for urine pregnancy testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Urine pregnancy test kit
1
Observed
2
Reported not seen
3
Not available
Does this facility do ALT or creatinine testing?
Does this facility do ALT or creatinine testing?
Does this facility do ALT or creatinine testing?
Does this facility do ALT or creatinine testing?
Does this facility do ALT or creatinine testing?
Does this facility do ALT or creatinine testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
Does this facility do liver function tests?
Does this facility do liver function tests?
Does this facility do liver function tests?
Does this facility do liver function tests?
Does this facility do liver function tests?
Does this facility do liver function tests? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
Does this facility do renal function tests?
Does this facility do renal function tests?
Does this facility do renal function tests?
Does this facility do renal function tests?
Does this facility do renal function tests?
Does this facility do renal function tests? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
Does this facility do serum electrolyte testing?
Does this facility do serum electrolyte testing?
Does this facility do serum electrolyte testing?
Does this facility do serum electrolyte testing?
Does this facility do serum electrolyte testing?
Does this facility do serum electrolyte testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Blood chemistry analyzer
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Blood chemistry analyzer
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Centrifuge
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Centrifuge
1
Yes
2
No
8
DNK
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- liver function test
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- renal function test
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for liver and kidney function testing and serum electrolyte testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- serum electrolyte test
1
Observed
2
Reported not seen
3
Not available
Does this facility do urine dipstick with microscopy testing?
Does this facility do urine dipstick with microscopy testing?
Does this facility do urine dipstick with microscopy testing?
Does this facility do urine dipstick with microscopy testing?
Does this facility do urine dipstick with microscopy testing?
Does this facility do urine dipstick with microscopy testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes, Offsite
3
No
AVAILABLE : I would like to know if the following reagents for urine dipstick mi
AVAILABLE : I would like to know if the following reagents for urine dipstick mi
AVAILABLE : I would like to know if the following reagents for urine dipstick mi
AVAILABLE : I would like to know if the following reagents for urine dipstick mi
AVAILABLE : I would like to know if the following reagents for urine dipstick mi
I would like to know if the following reagents for urine dipstick microscopy testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Urinalysis strips
1
Observed
2
Reported not seen
3
Not available
Does this facility do haemoglobin testing?
Does this facility do haemoglobin testing?
Does this facility do haemoglobin testing?
Does this facility do haemoglobin testing?
Does this facility do haemoglobin testing?
Does this facility do haemoglobin testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
I would like to know if the following equipment items for haemoglobin testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Colorimeter or haemoglobinometer
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Colorimeter or haemoglobinometer
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
AVAILABLE : I would like to know if the following equipment items for haemoglobi
I would like to know if the following equipment items for haemoglobin testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
HemoCue
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing ar
I would like to know if the following equipment items for haemoglobin testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
HemoCue
1
Yes
2
No
8
DNK
Does this facility do full blood count and differential testing?
Does this facility do full blood count and differential testing?
Does this facility do full blood count and differential testing?
Does this facility do full blood count and differential testing?
Does this facility do full blood count and differential testing?
Does this facility do full blood count and differential testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for full blood count testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Haematology analyzer (for total lymphocyte count, full blood count, platelet count)
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full blood count testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Haematology analyzer (for total lymphocyte count, full blood count, platelet count)
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for full blood count testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Stains for full blood count and differential
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full bloo
I would like to know if the following equipment items and reagents for full blood count testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Stains for full blood count and differential
Does this facility do CD4 count (absolute and percentage) testing?
Does this facility do CD4 count (absolute and percentage) testing?
Does this facility do CD4 count (absolute and percentage) testing?
Does this facility do CD4 count (absolute and percentage) testing?
Does this facility do CD4 count (absolute and percentage) testing?
Does this facility do CD4 count (absolute and percentage) testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
I would like to know if the following equipment items for CD4 testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
CD4 counter
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items for CD4 testing are availa
I would like to know if the following equipment items for CD4 testing are availa
I would like to know if the following equipment items for CD4 testing are availa
I would like to know if the following equipment items for CD4 testing are availa
I would like to know if the following equipment items for CD4 testing are availa
I would like to know if the following equipment items for CD4 testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
CD4 counter
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
AVAILABLE : I would like to know if the following equipment items for CD4 testin
I would like to know if the following equipment items for CD4 testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- CD4 test
1
Observed
2
Reported not seen
3
Not available
Does this facility do malaria rapid diagnostic testing?
Does this facility do malaria rapid diagnostic testing?
Does this facility do malaria rapid diagnostic testing?
Does this facility do malaria rapid diagnostic testing?
Does this facility do malaria rapid diagnostic testing?
Does this facility do malaria rapid diagnostic testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for malaria RD
AVAILABLE : I would like to know if the following equipment items for malaria RD
AVAILABLE : I would like to know if the following equipment items for malaria RD
AVAILABLE : I would like to know if the following equipment items for malaria RD
AVAILABLE : I would like to know if the following equipment items for malaria RD
I would like to know if the following equipment items for malaria RDTs are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Malaria rapid diagnostic kit (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility do malaria smear tests?
Does this facility do malaria smear tests?
Does this facility do malaria smear tests?
Does this facility do malaria smear tests?
Does this facility do malaria smear tests?
Does this facility do malaria smear tests? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for malaria sm
AVAILABLE : I would like to know if the following equipment items for malaria sm
AVAILABLE : I would like to know if the following equipment items for malaria sm
AVAILABLE : I would like to know if the following equipment items for malaria sm
AVAILABLE : I would like to know if the following equipment items for malaria sm
I would like to know if the following equipment items for malaria smear tests are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Wright-Giemsa stain or other acceptable malarial stain (e.g. Field Stain A and B)
1
Observed
2
Reported not seen
3
Not available
Does this facility do Ziehl-Neelson testing for TB (AFB)?
Does this facility do Ziehl-Neelson testing for TB (AFB)?
Does this facility do Ziehl-Neelson testing for TB (AFB)?
Does this facility do Ziehl-Neelson testing for TB (AFB)?
Does this facility do Ziehl-Neelson testing for TB (AFB)?
Does this facility do Ziehl-Neelson testing for TB (AFB)? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
I would like to know if the following equipment items for Ziehl-Neelson testing for TB are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Fluorescence microscope (FM)
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items for Ziehl-Neelson testing
I would like to know if the following equipment items for Ziehl-Neelson testing
I would like to know if the following equipment items for Ziehl-Neelson testing
I would like to know if the following equipment items for Ziehl-Neelson testing
I would like to know if the following equipment items for Ziehl-Neelson testing
I would like to know if the following equipment items for Ziehl-Neelson testing for TB are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Fluorescence microscope (FM)
1
DON'T KNOW
2
NO
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
AVAILABLE : I would like to know if the following equipment items for Ziehl-Neel
I would like to know if the following equipment items for Ziehl-Neelson testing for TB are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Ziehl-Neelson stain
1
Observed
2
Reported not seen
3
Not available
Does this facility do rapid syphilis testing?
Does this facility do rapid syphilis testing?
Does this facility do rapid syphilis testing?
Does this facility do rapid syphilis testing?
Does this facility do rapid syphilis testing?
Does this facility do rapid syphilis testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
AVAILABLE : I would like to know if the following equipment items for rapid syph
I would like to know if the following equipment items for rapid syphilis testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Syphilis rapid test kit (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility do syphilis serology testing?
Does this facility do syphilis serology testing?
Does this facility do syphilis serology testing?
Does this facility do syphilis serology testing?
Does this facility do syphilis serology testing?
Does this facility do syphilis serology testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following reagents for syphilis serology
AVAILABLE : I would like to know if the following reagents for syphilis serology
AVAILABLE : I would like to know if the following reagents for syphilis serology
AVAILABLE : I would like to know if the following reagents for syphilis serology
AVAILABLE : I would like to know if the following reagents for syphilis serology
I would like to know if the following reagents for syphilis serology testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- syphilis serology
1
Observed
2
Reported not seen
3
Not available
Does this facility do gram stain testing?
Does this facility do gram stain testing?
Does this facility do gram stain testing?
Does this facility do gram stain testing?
Does this facility do gram stain testing?
Does this facility do gram stain testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following reagents for gram stain testin
AVAILABLE : I would like to know if the following reagents for gram stain testin
AVAILABLE : I would like to know if the following reagents for gram stain testin
AVAILABLE : I would like to know if the following reagents for gram stain testin
AVAILABLE : I would like to know if the following reagents for gram stain testin
I would like to know if the following reagents for gram stain testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Gram stains
1
Observed
2
Reported not seen
3
Not available
Does this facility do HIV rapid testing?
Does this facility do HIV rapid testing?
Does this facility do HIV rapid testing?
Does this facility do HIV rapid testing?
Does this facility do HIV rapid testing?
Does this facility do HIV rapid testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
AVAILABLE : I would like to know if the following equipment items for rapid HIV
I would like to know if the following equipment items for rapid HIV testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
HIV rapid test (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility do Dry Blood Spot (DBS) collection?
Does this facility do Dry Blood Spot (DBS) collection?
Does this facility do Dry Blood Spot (DBS) collection?
Does this facility do Dry Blood Spot (DBS) collection?
Does this facility do Dry Blood Spot (DBS) collection?
Does this facility do Dry Blood Spot (DBS) collection? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items for DBS collec
AVAILABLE : I would like to know if the following equipment items for DBS collec
AVAILABLE : I would like to know if the following equipment items for DBS collec
AVAILABLE : I would like to know if the following equipment items for DBS collec
AVAILABLE : I would like to know if the following equipment items for DBS collec
I would like to know if the following equipment items for DBS collection are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Filter paper for DBS (with valid expiration date)
1
Observed
2
Reported not seen
3
Not available
Does this facility do HIV antibody testing by ELISA?
Does this facility do HIV antibody testing by ELISA?
Does this facility do HIV antibody testing by ELISA?
Does this facility do HIV antibody testing by ELISA?
Does this facility do HIV antibody testing by ELISA?
Does this facility do HIV antibody testing by ELISA? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
ELISA washer
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
ELISA washer
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
ELISA reader
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
ELISA reader
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Incubator
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antib
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Incubator
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for HIV antibody testing by ELISA are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- HIV antibody testing by ELISA
1
Observed
2
Reported not seen
3
Not available
Does this facility do quantitative nucleic acid testing for HIV monitoring (PCR
Does this facility do quantitative nucleic acid testing for HIV monitoring (PCR
Does this facility do quantitative nucleic acid testing for HIV monitoring (PCR
Does this facility do quantitative nucleic acid testing for HIV monitoring (PCR
Does this facility do quantitative nucleic acid testing for HIV monitoring (PCR
Does this facility do quantitative nucleic acid testing for HIV monitoring (PCR for viral load)? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Assay specific automated system
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Assay specific automated system
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Centrifuge
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Centrifuge
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Vortex mixer
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Vortex mixer
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Pipettes
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitat
I would like to know if the following equipment items and reagents for quantitative nucleic acid testing for HIV monitoring are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Pipettes
Does this facility do general microscopy/wetmounts?
Does this facility do general microscopy/wetmounts?
Does this facility do general microscopy/wetmounts?
Does this facility do general microscopy/wetmounts?
Does this facility do general microscopy/wetmounts?
Does this facility do general microscopy/wetmounts? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
I would like to know if the following general equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Light microscope
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Light microscope
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
I would like to know if the following general equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Glass slides and cover slips
1
Observed
2
Reported not seen
3
Not available
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
AVAILABLE : I would like to know if the following general equipment items are av
I would like to know if the following general equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Refrigerator
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and
I would like to know if the following general equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Refrigerator
1
Yes
2
No
8
DNK
Does this facility do CSF/ body fluid counts?
Does this facility do CSF/ body fluid counts?
Does this facility do CSF/ body fluid counts?
Does this facility do CSF/ body fluid counts?
Does this facility do CSF/ body fluid counts?
Does this facility do CSF/ body fluid counts? IF YES: Ask onsite or offsite.
Does this facility do Cryptococcal antigen testing?
Does this facility do Cryptococcal antigen testing?
Does this facility do Cryptococcal antigen testing?
Does this facility do Cryptococcal antigen testing?
Does this facility do Cryptococcal antigen testing?
Does this facility do Cryptococcal antigen testing? IF YES: Ask onsite or offsite.
AVAILABLE : I would like to know if the following reagents for cryptococcal anti
AVAILABLE : I would like to know if the following reagents for cryptococcal anti
AVAILABLE : I would like to know if the following reagents for cryptococcal anti
AVAILABLE : I would like to know if the following reagents for cryptococcal anti
AVAILABLE : I would like to know if the following reagents for cryptococcal anti
I would like to know if the following reagents for cryptococcal antigen testing are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Specific assay kit- cryptococcal antigen test
Does this facility do ABO blood grouping testing?
Does this facility do ABO blood grouping testing?
Does this facility do ABO blood grouping testing?
Does this facility do ABO blood grouping testing?
Does this facility do ABO blood grouping testing?
Does this facility do ABO blood grouping testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
Does this facility do Rhesus blood grouping testing?
Does this facility do Rhesus blood grouping testing?
Does this facility do Rhesus blood grouping testing?
Does this facility do Rhesus blood grouping testing?
Does this facility do Rhesus blood grouping testing?
Does this facility do Rhesus blood grouping testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
Does this facility do crossmatch testing by direct agglutination testing?
Does this facility do crossmatch testing by direct agglutination testing?
Does this facility do crossmatch testing by direct agglutination testing?
Does this facility do crossmatch testing by direct agglutination testing?
Does this facility do crossmatch testing by direct agglutination testing?
Does this facility do crossmatch testing by direct agglutination testing? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
Does this facility do cross-match testing by indirect anti-globulin testing or a
Does this facility do cross-match testing by indirect anti-globulin testing or a
Does this facility do cross-match testing by indirect anti-globulin testing or a
Does this facility do cross-match testing by indirect anti-globulin testing or a
Does this facility do cross-match testing by indirect anti-globulin testing or a
Does this facility do cross-match testing by indirect anti-globulin testing or a test with equivalent sensitivity? IF YES: Ask onsite or offsite.
1
Yes,Onsite
2
Yes Offsite
3
No
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for blood typing and cross match are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Centrifuge
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typing and cross match are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Centrifuge
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for blood typing and cross match are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
37° C incubator
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typ
I would like to know if the following equipment items and reagents for blood typing and cross match are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
37° C incubator
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
AVAILABLE : I would like to know if the following equipment items and reagents f
I would like to know if the following equipment items and reagents for blood typing and cross match are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Grouping sera
1
Observed
2
Reported not seen
3
Not available
Does this facility perform diagnostic x-rays, ultrasound, or computerized tomogr
Does this facility perform diagnostic x-rays, ultrasound, or computerized tomogr
Does this facility perform diagnostic x-rays, ultrasound, or computerized tomogr
Does this facility perform diagnostic x-rays, ultrasound, or computerized tomogr
Does this facility perform diagnostic x-rays, ultrasound, or computerized tomogr
Does this facility perform diagnostic x-rays, ultrasound, or computerized tomography? IF YES, ASK TO GO WHERE THE EQUIPMENT IS LOCATED.
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
X-ray machine
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
X-ray machine
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Ultrasound equipment
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
Ultrasound equipment
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
CT scan
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
CT scan
1
Yes
2
No
8
DNK
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
AVAILABLE : I would like to know if the following imaging equipment items are av
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
ECG
1
Observed
2
Reported not seen
3
Not available
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and
I would like to know if the following imaging equipment items are available and functional today or not available or not functioning today. ASK TO SEE THE ITEMS.
ECG
1
Yes
2
No
8
DNK
MEDICINE STORAGE OFFERED
MEDICINE STORAGE OFFERED
MEDICINE STORAGE OFFERED
MEDICINE STORAGE OFFERED
MEDICINE STORAGE OFFERED
MEDICINE STORAGE OFFERED
1
Yes
2
No
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Amitriptyline 25 mg cap/tab (Depression)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Amoxicillin 500 mg cap/tab (Bacterial Infection)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Atenolol 50 mg cap/tab (Beta-blocker, Angina/Hypertension)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Captopril 25 mg cap/tab (Vaso-dilatation, Cardiac Hypertension)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ceftriaxone injection 1g/vial (2nd-line injectable antibiotic)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ciprofloxacin 500 mg cap/tab (2nd-line oral antibiotic)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Co-trimoxazole 8+40 mg/ml suspension (Oral antibiotics for children)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Diazepam 5mg cap/tab (Anxiety/muscle relaxant)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Diclofenac 50/75 mg cap/tab (Strong oral pain medicine)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Glibenclamide 5 mg cap/tab (Oral treatment for type-2 diabetes)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Omeprazole 20 mg cap/tab (Gastro-esophageal reflux)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Paracetamol 24mg/1ml suspension (Fever in children)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Salbutamol .1mg/dose inhaler (Bronchospasms/Chronic asthma)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today?
Are any of the following general medicines available in this facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Simvastatin 20 mg cap/tab (High cholesterol)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Co-trimoxazole cap/tab (Oral antibiotic)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Fluconazole cap/tab or suspension
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Albendazole or Mebendazole cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today?
Are any of the following medicines for the treatment of infectious diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metronidazole cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metformin cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Insulin injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Glucose injectable solution
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
ACE inhibitor (e.g. enalapril)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Thiazides
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Beta blocker (e.g. atenolol)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Calcium channel blocker (e.g. amlodipine)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Aspirin cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Beclomethasone inhaler
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Prednisolone cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Hydrocortisone cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today?
Are any of the following medicines for the management of non-communicable diseases available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Epinephrine injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Combined oral contraceptive pills
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Progestin-only contraceptive pills
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Combined injectable contraceptives
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Progestin-only injectable contraceptives
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today?
Are any of the following reproductive health medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Male condoms
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Diazepam injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Oxytocin injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Sodium chloride injectable solution
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Calcium gluconate injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Magnesium sulphate injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ampicillin powder for injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Gentamicin injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Metronidazole injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Misoprostol cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Azithromycin cap/tab or oral liquid
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Cefixime cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Benzathine benzylpenicillin powder for injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Betamethasone or Dexamethasone injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today?
Are any of the following maternal health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nifedipine cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Amoxicillin syrup/suspension (Oral antibiotics for children)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Procaine benzylpenicillin powder for injection
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Oral Rehydration Salts (ORS) sachets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zinc tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Vitamin A capsules
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Morphine granule, injection, or cap/tab
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Iron tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Folic acid tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Iron and folic acid combined tablets
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today?
Are any of the following child health medicines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Antibiotic eye ointment for newborn
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Measles vaccine and diluent
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
DPT - Hib + HepB (pentavalent)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Oral polio vaccine
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
BCG vaccine and diluent
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today?
Are any of the following vaccines available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tetanus toxoid vaccine
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Does this facility stock any medicines for malaria treatment?
Does this facility stock any medicines for malaria treatment?
Does this facility stock any medicines for malaria treatment?
Does this facility stock any medicines for malaria treatment?
Does this facility stock any medicines for malaria treatment?
Does this facility stock any medicines for malaria treatment?
1
Yes
2
No
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
ACT (Artemether + Lumefantrine)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Artemisinin not as combination therapy
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Artesunate rectal or injection dosage forms
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
SP (Sulfadoxine + Pyrimethamine)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Quinine oral or injectable
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Paracetamol cap/tab (adult oral formulation)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility?
Are any of the following malaria medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Other antimalarial drugs oral or injectable
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Does this facility stock any medicines for tuberculosis treatment?
Does this facility stock any medicines for tuberculosis treatment?
Does this facility stock any medicines for tuberculosis treatment?
Does this facility stock any medicines for tuberculosis treatment?
Does this facility stock any medicines for tuberculosis treatment?
Does this facility stock any medicines for tuberculosis treatment?
1
Yes
2
No
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ethambutol
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Pyrazinamide
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Rifampicin
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin (2FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Ethambutol (EH) (2FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide (RHZ) (3FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Ethambutol (RHE) (3FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol (4FDC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility?
Are any of the following TB medicines available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Streptomycin Injectable
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Does this facility stock any antiretroviral medicines for the treatment of HIV/AIDS?
Does this facility stock any antiretroviral medicines for the treatment of HIV/AIDS?
Does this facility stock any antiretroviral medicines for the treatment of HIV/AIDS?
Does this facility stock any antiretroviral medicines for the treatment of HIV/AIDS?
Does this facility stock any antiretroviral medicines for the treatment of HIV/AIDS?
Does this facility stock any antiretroviral medicines for the treatment of HIV/AIDS?
1
Yes
2
No
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine (ZDV, AZT) syrup
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Abacavir (ABC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Didanosine (DDI)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine (3TC) syrup
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine 30 or 40 (D4T)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine syrup
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir Disoproxil Fumarate (TDF)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nevirapine (NVP) syrup
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Efavirenz (EFV) syrup
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Emtricitabine (FTC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Delavirdine (DLV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Enfuvirtide (T-20)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lamivudine + Abacavir (3TC + ABC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine + Lamivudine (D4T + 3TC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Stavudine + Lamivudine + Nevirapine (D4T + 3TC + NVP)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine (AZT + 3TC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Abacavir (AZT + 3TC + ABC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Zidovudine + Lamivudine + Nevirapine (AZT + 3TC + NVP)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine (TDF + FTC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine (TDF + 3TC)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Lamivudine + Efavirenz (TDF + 3TC + EFV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility?
Are any of the following ARVs available today in this facility? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tenofovir + Emtricitabine + Efavirenz (TDF + FTC + EFV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Does this facility stock any protease inhibitors for the treatment of HIV/AIDS?
Does this facility stock any protease inhibitors for the treatment of HIV/AIDS?
Does this facility stock any protease inhibitors for the treatment of HIV/AIDS?
Does this facility stock any protease inhibitors for the treatment of HIV/AIDS?
Does this facility stock any protease inhibitors for the treatment of HIV/AIDS?
Does this facility stock any protease inhibitors for the treatment of HIV/AIDS?
1
Yes
2
No
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Lopinavir (LPV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Indinavir (IDV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Nelfinavir (NFV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Saquinavir (SQV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ritonavir (RTV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Atazanavir (ATV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Fosamprenavir (FPV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Tipranavir (TPV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today?
Are any of the following protease inhibitors available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Darunavir (DRV)
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Normal saline IV solution
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Ringers lactate IV solution
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
5% dextrose IV solution
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
IV treatment for fungal infections
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today?
Are any of the following other medicines and commodities available in the facility today? CHECK TO SEE IF AT LEAST ONE IS VALID (NOT EXPIRED)
Skin disinfectant
1
At least one valid
2
Available non-valid
3
Reported available, not seen
4
Not available today
5
Never available
(sum) tsampdist2
(sum) tsampdist2
(sum) tsampdist2
(sum) tsampdist2
(sum) tsampdist2
(sum) totalfac
(sum) totalfac
(sum) totalfac
(sum) totalfac
(sum) totalfac
(sum) totalfac_all
(sum) totalfac_all
(sum) totalfac_all
(sum) totalfac_all
(sum) totalfac_all