DDI_TJK_2014_HRBFIE-FBL_v01_M_WB
Development Economics Data Group
2017-03-20
NADA
Version 01 (March 2017)
Health Results Based Financing Impact Evaluation 2014
Health Facility Baseline Survey
HRBFIE-FBL 2014
TJK_2014_HRBFIE-FBL_v01_M
Damien de Walque
Aneesa Arur
Gil Shapira
NADA
Health Results Innovation Trust Fund
DECHD
Impact Evaluation Survey
The Health Results Innovation Trust Fund (HRITF) launched in 2007. It supports results-based financing (RBF) approaches in the health sector to improve maternal and child health around the world. The HRITF is supported by the Governments of Norway through Norad and the United Kingdom through the Department for International Development (DFID). It is administered by The World Bank.
As of September 2016, the total contributions to the trust fund were US$477.6 million equivalent from Norway and the United Kingdom. To date, HRITF has committed US$385.6 million for 35 RBF programs in <a href="http://www.rbfhealth.org//projects">29 countries</a>, linked to US$2.0 billion in financing from IDA-the World Bank's fund for the poorest. In addition to the RBF programs, the trust fund also finances the evaluation of these programs and other supporting activities. Funded by the HRITF, the Tajikistan Health Results Based Financing Impact Evaluation Baseline Survey was conducted in 2014-2015.
The baseline survey was implemented prior to the implementation of PBF in the 7 study treatment districts and a follow-up survey (endline) is planned to take place after three years of project implementation. The survey is largely based on the HRITF instruments that were modified to the Tajik and project context.
To learn more, visit the <a href=" https://www.rbfhealth.org"> RBF Health website</a>, explore <a href="http://www.rbfhealth.org/projects">RBF Projects</a> around the world, or read the most recent <a href="http://www.rbfhealth.org/publication/achieving-results-women%E2%80%99s-and-childrens-health-2015-progress-report">progress report </a>
The policy objective of the Impact Evaluation (IE) is to build evidence on the impact and cost-effectiveness of the proposed Performance-Based-Financing (PBF) project in Tajikistan. More specifically, the IE would seek to ascertain: (i) the impact and cost-effectiveness of the PBF model implemented in Tajikistan; and (ii) whether PBF is more effective or cost-effective if implemented in conjunction with additional low cost interventions (Collaborative Quality Improvement, Citizen Report Cards). The results from the IE will help informing the MOH on whether PBF should be scaled-up to additional PHC level institutions in other regions.
The Collaborative Quality Improvement intervention responds to policy concerns that performance incentives may not produce the desired improvements if providers lack the necessary competencies, data to inform decisions and knowledge. The Citizen Report Card attempts to improve the effectiveness of PBF by strengthening the 'short route of accountability', i.e., by increasing accountability of health facilities to their local constituents. Since PBF, collaborative quality improvement (CQI), and citizen report cards (CRC) have never been implemented in large scale in Tajikistan, it is to be expected that the results from the IE will be useful for designing national PHC policy in Tajikistan, and that they will also contribute to the larger body of knowledge on these interventions.
The IE employs both difference-in-difference and experimental approaches to identify the impact of the different combinations of interventions. Assignment to PBF was not random. Three districts in the Sughd region and 4 districts in the Khatlon region were selected to implement the program. All Rural Health Centers (RHCs) in these seven districts are covered by the program. Nine additional district (two in Sughd and seven in Khatlon) were selected as control districts. The selection of the control districts was guided by geographical proximity to treatment districts and similarity in terms of number of health facilities and doctors per capita. The districts were also selected such that the number of RHCs in treatment and control groups in each region would be similar.
Within the chosen 16 districts (treatment and control districts), clusters consisting of a RHC and its subsidiary Health Houses were randomly assigned to implement Collaborative Quality Improvement, Citizen Score Cards, or neither of these two interventions. The randomization was blocked by district. In sum, RHCs were assigned into six study arms.
The goal of the Facility-based survey is to measure multiple dimensions of quality of care and collect detailed information on key aspects of facility functioning. Household surveys are primarily used to measure health service coverage at the population level as well as select health outcome indicators measured through anthropometry or tests. The surveys also collect broader data on the health of the households, health seeking behaviors and barriers to use of health services. In addition, PBF and other administrative data would be used to track outcomes over time in the treatment groups 1-3 (the ones receiving performance-based payments). The baseline survey was implemented prior to the implementation of PBF in the 7 study treatment districts and a follow-up survey (endline) is planned to take place after three years of project implementation. The survey is largely based on the HRITF instruments that were modified to the Tajik and project context.
Tajikistan
Three districts in the Sughd region and 4 districts in the Khatlon region were selected to implement the program. All Rural Health Centers in these seven districts are covered by the program. Nine additional district (two in Sughd and seven in Khatlon) were selected as control districts. The selection of the control districts was guided by geographical proximity to treatment districts and similarity in terms of number of health facilities and doctors per capita. The districts were also selected such that the number of RHCs in treatment and control groups in each region would be similar.
District
Health centers,
Health providers
Sample survey data [ssd]
The scope of the Tajikistan Health Results Based Financing Impact Evaluation 2014 - Health Facility Baseline Survey includes:
- Health Facilities: Assessment of key aspects of facility functioning and structural aspects of quality of care such as - facility staffing; infrastructure and equipment; availability of drugs, consumables and supplies; supervision; record keeping and reporting to Health Managenent Information System; Service volumes
- Health Workers: Roles, responsibilities and characteristics of the interviewed health worker; staff satisfaction and motivationl technical knowledge on maternal child health and non-communicable diseases.
- Patient-Provider Interactions: assessment of adherence to protocols in terms of IMCI and hypertension management.
- Patient Exit Interviews: patients' perceived quality of care and satisfaction with the care given; socio-economic background and the general health of the patient.
- Criterion based audit: an assessment of whether the content of clinical care delivered is complete and appropriate in light of clinical best practices.
Table 1.4.1 of the survey report provided under the Related Materials tab presents the list of selected districts, their assignment into the PBF treatment and the number of RHCs in each district. As the set of RHCs in each study district were randomly assigned into three study arms, some RHCs were not included in the study when the number of RHCs in a district was not divisible by three. Excluded RHCs were randomly selected with all RHCs having identical probability of being selected. The sample size is of 216 Rural Health centers, 108 in PBF districts and 108 in control districts. Of the 216 RHCs, 66 are in Sughd and 150 are in Khatlon. The sample of facilities will be identical for the baseline and endline surveys.
An abridged Health Facility survey was implemented also in Health Houses. While some Rural Health Centers have one or more subsidiary Health Houses in their catchment areas, other do not have any. One Health House from each RHC with subsidiary HHs was to be included in the sample. Selection was random with each health house within a cluster having identical probability of being chosen. Non-selected health houses were ranked to serve as replacements in case the survey cannot be implemented in the selected HHs. Table 1.4.2 of the survey report presents the number of HHs selected for the sample for each district (that is, the number of RHC that have subsidiary health houses). Of the 216 RHC selected for the sample (after excluding some RHCs when the total number was not divisible by three), 150 have subsidiary HHs. Forty-three HHs were selected of the sample in Sughd and 107 in Khatlon.
Computer Assisted Personal Interview [capi]
A complete health facility survey was conducted in RHCs, whereas for health houses a shorter survey was implemented. A challenging and important goal of the facility-based survey is to collect different measures of quality of care in the health facilities.
Form F1: Health Facility Assessment: The facility assessment module seeks to collect data on key aspects of facility functioning and structural aspects of quality of care. The respondent for this module were the individuals in charge of the health facility at the time when the survey team visits the health facility. The main themes to be covered by the facility assessment include:
·Facility staffing, including the staffing complement of the facility, staff on duty at the time of the survey team's visit and staff present at the time of the survey team's visit
·Facility infrastructure and equipment
·Availability of drugs, consumables and supplies at the health facility
·Supervision
·Record keeping and reporting to the Health Management Information System
·Service volumes
Form F2: Health Worker Questionnaire: A random sample of 4 health workers was to be taken at each of the Rural Health Centers and Health Houses included in the sample. Eligible health workers include doctors, nurses, midwife/auxiliary midwife, and any other health worker providing MCH or NCD care. In facilities with less than 4 health workers on their staff roster, all eligible health workers were to be interviewed.
The main themes to be covered by this module include:
·Role, responsibilities and characteristics of the interviewed health worker
·Staff satisfaction and motivation
·Technical knowledge on MCH and NCDs. Knowledge was assessed through the use of provider vignettes on MCH and NCD protocols and diagnosis.
Direct Observation of Patient-Provider Interactions: The goal of the direct observations is to assess adherence to protocols in terms of IMCI and hypertension management. At each Rural Health Center, up to 5 children under-five and up to 5 adults over 40 years who are potential candidates for hypertension identification/management services was to be selected. A member of the survey team observed consultations using a structured format to note whether key desired actions were carried out. In the case of patients under five, the instrument focuses on whether IMCI protocols are followed. For adults over 40 years, the instrument focuses on whether MoH and international protocols are followed. The direct observations were implemented only in RHCs.
Form F4: Patient Exit Interviews: The same set of patients who were selected for the direct observations of patient-provider interactions were also selected for exit interviews. If the patient is a child, the child's caregiver was interviewed. The exit interviews collected data on the patients' perceived quality of care and satisfaction with the care given. Additional information was collected on socio-economic background and the general health of the patient. Like the direct observations, the exit interviews were only administered in RHCs.
Criterion Based Audit: A target sample of 5 under-five and 5 adult (40+ years) medical records was selected using systematic random sampling methodology at each Rural Health Center to assess whether the content of clinical care delivered is complete and appropriate in light of clinical best practices. Each indicator in the criterion-based clinical care audit is scored through a review of patient records or other facility logs using a structured format. The criterion-based clinical audit focused on IMCI protocols (for under-fives) and hypertension screening and management (for adults over 40 years).
The Committee on Ethics of the Ministry of Health and Social Protection reviewed the study design, fieldwork protocols and the instruments and granted ethical clearance for the study on October 24th 2014. The Health facility survey was conducted in two phases, according to the PBF treatment status of the districts. As the baseline was to be implemented prior to the launch of the program, districts that were assigned to the PBF program were prioritized and the health facility surveys in those seven districts were implemented from November to December 2014. The survey in the other nine districts took place in January to March 2015. Field teams for the health facility survey were composed of a supervisor and two enumerators, with each team covering a district or two. All recruited enumerators had some medical background. For the first phase, a seven-day training was held in Dushanbe. For the second phase two 5-day training were held in each of the regions. Each training included a day of piloting the survey instruments by the field teams, using the tablets.
In Sughd, all health facilities were assessed according to selected list and no replacement was used. In Khatlon, four health facilities were replaced. The reason for replacement was absence of RHC and referring HH. One HH was added due to replacement of a RHC and the final number of surveyed health facilities is 367. The achieved sample sizes for the direct observations and exit interviews is low because of low number of patients who visited the facilities during the survey days. It was more difficult to achieve the required sample in Khatlon compared to Sughd region. For the criterion-based audit, the field teams encountered difficulties in finding the medical records to review. The average number of staff members present at the HHs resulted in the low number of health providers interviewed.
Tables 2.4.1 and 2.4.2 in the survey report (provided under Related Materials) show the targeted and achieved sample sizes for each questionnaire.
Before being granted access to the dataset, all users have to formally agree:
1. To make no copies of any files or portions of files to which s/he is granted access except those authorized by the data depositor.
2. Not to use any technique in an attempt to learn the identity of any person, establishment, or sampling unit not identified on public use data files.
3. To hold in strictest confidence the identification of any establishment or individual that may be inadvertently revealed in any documents or discussion, or analysis. Such inadvertent identification revealed in her/his analysis will be immediately brought to the attention of the data depositor.
Gil Shapira
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download
Shapira, Gil., Damien de Walque. 2014. Tajikistan Health Results Based Financing Impact Evaluation 2014, Health Facility Baseline Survey (HRBFIE-FBL 2014). Ref. TJK_2014_HRBFIE-FBL_v01_M.The World Bank. Dataset downloaded from [URL] on [date].
- Licensed datasets, accessible under conditions
f1_hh
F1 - Health Facility Assessment Questionnaire (Health House)
Sections 1, 2, 3, 6, 7, 9, 12, 13, 15
151
392
f1_hh_table_4
F1 - Health Facility Assessment Questionnaire (Health House)
Section 4
409
28
f1_hh_table_8
F1 - Health Facility Assessment Questionnaire (Health House)
Section 8
5285
11
f1_hh_table_15
F1 - Health Facility Assessment Questionnaire (Health House)
Section 15 Q2
181
6
f1_rhc
F1 - Health Facility Assessment Questionnaire (Rural Health Center)
216
449
f1_rhc_table_4
F1 - Health Facility Assessment Questionnaire (Rural Health Center)
Section 4
2045
28
f1_rhc_table_8
F1 - Health Facility Assessment Questionnaire (Rural Health Center)
Section 8
7560
11
f1_rhc_table_14
F1 - Health Facility Assessment Questionnaire (Rural Health Center)
Section 14
3294
9
f1_rhc_table_15
F1 - Health Facility Assessment Questionnaire (Rural Health Center)
Section 15
449
6
f2_hh
F2 - Health Worker Individual Questionnaire (Health House)
303
201
f2_rhc
F2 - Health Worker Individual Questionnaire (Rural Health Center)
783
264
f4_adult
F4 - Exit Interview Adult 40
300
121
f4_child
F4 - Exit Interview Child under 5
319
213
f21_adult
Direct Observation - Adult
328
77
f21_child
Direct Observation - Child
312
180
f22_hh
Clinical Vignettes - Health House
323
283
f22_rhc
Clinical Vignettes - Rural Health Center
804
283
f23_cba_children
Criterion Based Audit: CBA2 - Children from 2 months up to years old
793
378
f23_cba_hypertension
Criterion Based Audit: CBA1 - Hypertension
574
59
f23_cba_immunization
Criterion Based Audit: CBA3 - Immunization
504
39
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
151
110102
312603
Region
Region
Region
Region
Region
151
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
151
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
151
1
1
1
YES
2
NO
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
151
1
1
1
YES
2
NO
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
151
1
7
1
Head of PHC (RHC)
2
Family Physician
3
Obstetrician/Gynecol
4
Clinical intern/junior doctor
5
Midwife
6
Family Nurse
7
Feldsher
96
Other, specify:
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
151
2
3
1
District hospital
2
Health center
3
Health post
96
Other
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
151
1
1
1
Government
2
Private for-profit entity
3
Non Governmental Organization
4
Mission/Faith-based organization
5
Military
96
Other
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
151
1953
9999
1953
1959
1960
1963
1966
1967
1968
1970
1972
1975
1976
1977
1978
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2008
2009
2010
2011
2012
2013
2014
9999
Don't know
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
151
1
12
1
2
3
4
5
6
7
8
9
10
11
12
9999
Don't know
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
151
1967
9999
1967
1968
1970
1975
1976
1980
1983
1984
1986
1987
1989
1990
1991
1992
1993
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
9999
Don't know
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
151
800
800
800
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
151
800
800
800
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
151
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
151
800
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
151
1400
1800
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
151
1100
1700
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
151
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
151
1200
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Monday
151
10
1
2
3
4
5
6
8
9
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Tuesday
151
10
1
2
3
4
5
6
7
8
9
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Wednesday
151
10
1
2
3
4
5
6
7
8
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Thursday
151
14
1
2
3
4
5
8
10
14
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Friday
151
10
1
2
3
4
5
6
8
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Saturday
151
10
1
2
4
6
8
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Sunday
151
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
1.11) What is the distance from the health facility to the nearest higher level health facility one way in kilometers?
151
-99
70
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
1.11) What is the distance from the health facility to the nearest Rural Health Center one way in kilometers?
151
-99
75
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- Local budget (From Rayon)
151
1
1
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- Republican Budget\ MoH
151
2
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- USER FEES
151
2
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- PRIVATE COMPANY
151
2
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- DONOR
151
2
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- OTHER, SPECIFY:
151
2
2
1
YES
2
NO
OTHER - What are the three main sources of funding or income (in the sense of
OTHER - What are the three main sources of funding or income (in the sense of
OTHER - What are the three main sources of funding or income (in the sense of
OTHER - What are the three main sources of funding or income (in the sense of
OTHER - What are the three main sources of funding or income (in the sense of
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- OTHER, SPECIFY:
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
NO 2 > (1.16)
151
1
2
1
YES
2
NO
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
145
6
8
168
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
151
1
10
1
Piped into Facility
2
Piped into Yard/Plot
3
Public tap/Standpipe
4
Protected well
5
Unprotected well
6
Protected spring
7
Unprotected spring
8
Rainwater
9
Tanker Truck/Vendor
10
Surface water (lake, river or stream)
11
Bottled water
96
Other
OTHER - What is the primary source of water?
OTHER - What is the primary source of water?
OTHER - What is the primary source of water?
OTHER - What is the primary source of water?
OTHER - What is the primary source of water?
What is the primary source of water? Other, specify:
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with other users?
151
1
2
1
ONLY FACILITY
2
SHARED
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the facility?
No 2 > (1.20)
151
1
2
1
YES
2
NO
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facility?
37
114
1
168
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health facility, one way on foot in minutes?
151
90
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
151
2
2
1
YES
2
NO
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line?
NO 04 > (1.25)
151
1
4
1
YES, LANDLINE
2
YES, MOBILE
3
YES, BOTH
4
NO
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any telephone service whether landline or mobile?
NO 2> (1.25)
12
139
2
2
1
YES
2
NO
Sysmiss
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
151
Sysmiss
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
151
1
2
1
YES
2
NO
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
NO 2 >(1.29)
151
1
1
1
YES
2
NO
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacteriology)
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
151
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
75
76
2
6
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinicaly and bacteriology)
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated delivery
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated delivery
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
S1Q27_OTHER9
S1Q27_OTHER9
S1Q27_OTHER9
S1Q27_OTHER9
S1Q27_OTHER9
OTHER_8 / Where does the facility refer the following: - Other; soecify
4
None
RHC Namozov
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
151
-99
75
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
151
-99
99
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
1
150
4
4
4
Sysmiss
S1Q28_OTHER
S1Q28_OTHER
S1Q28_OTHER
S1Q28_OTHER
S1Q28_OTHER
How far is the main referral facility from this facility one way in kilometers? Other, specify
1
RHC
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients or take them to a referral facility)?
NO 2 > (1.33)
151
2
2
1
YES
2
NO
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance owned by facility
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owned by District Health Management Authority
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicle rented full time
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicle rented part time
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle owned by facility
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicles on call
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owned by facility
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbike
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned by facility
151
Sysmiss
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
151
Sysmiss
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
YES 1 > (1.33)
151
1
YES
2
NO
Sysmiss
Why not?
Why not?
Why not?
Why not?
Why not?
Why not?
151
1
No fuel
2
No driver
4
Other
Sysmiss
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
151
2
2
1
YES
2
NO
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
No 03 > (1.38)
151
1
3
1
YES, SEEN
2
?
3
NO
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal of used sharps?
72
79
1
3
1
YES, SEEN
2
YES, ONE OR MORE
3
NO
Sysmiss
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
72
79
1
3
1
YES, ALL
2
YES, ONE OR MORE
3
NO
Sysmiss
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
72
79
1
3
1
YES, ALL
2
YES, ONE OR MORE
3
NO
Sysmiss
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconate)
151
1
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
151
1
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chlorine solution/JIK solution
151
1
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
151
2
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
151
1
2
1
YES
2
NO
S1Q38_OTHER
S1Q38_OTHER
S1Q38_OTHER
S1Q38_OTHER
S1Q38_OTHER
What disinfectant(s) are being used in the facility? - Other, specify
8
Chloramin
Chlorine
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectant(s)
NO 2 > (1.41)
151
1
2
1
YES
2
NO
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
33
118
1
30
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
151
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
EQUIPMENT NEVER REUSED 07 > (1.44)
151
1
7
1
SOAKED IN DISINFECTANT SOLUTION AND THEN BRUSH SCRUBBED WITH
2
BRUSH SCRUBBED WITH SOAP AND WATER AND THEN SOAKED IN DISINF
3
BRUSH SCRUBBED WITH SOAP AND WATER ONLY
4
SOAKED IN DISINFECTANT SOLUTION ONLY
5
CLEANED WITH SOAP & WATER
6
EQUIPMENT NEVER DECONTAMINATED
7
EQUIPMENT NEVER REUSED
96
OTHER
OTHER - What procedure is used for decontaminating medical equipment after ini
OTHER - What procedure is used for decontaminating medical equipment after ini
OTHER - What procedure is used for decontaminating medical equipment after ini
OTHER - What procedure is used for decontaminating medical equipment after ini
OTHER - What procedure is used for decontaminating medical equipment after ini
What procedure is used for decontaminating medical equipment after initial use?
Other, specify
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
123
28
1
7
1
DRY-HEAT STERILIZATION
2
AUTOCLAVING
3
BOILING
4
STEAM STERILIZATION
5
CHEMICAL METHOD
6
PROCESSED OUTSIDE FACILITY
7
NONE
96
OTHER
Sysmiss
OTHER - What procedure is used for sterilizing medical equipment before reuse?
OTHER - What procedure is used for sterilizing medical equipment before reuse?
OTHER - What procedure is used for sterilizing medical equipment before reuse?
OTHER - What procedure is used for sterilizing medical equipment before reuse?
OTHER - What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse? Other, specify
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
151
1
2
1
DISPLAYED
2
NOT DISPLAYED
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
NO 2> (2.00)
151
1
2
1
YES
2
NO
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
110
41
1
3
1
BURIED IN PIT
2
BURNED
3
THROWN OUTSIDE
4
OUTSOURCED
5
OTHER
Sysmiss
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
How is biomedical waste disposed of? Other, specify
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial year?
No 3> (2.04)
151
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
122
29
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
122
29
2
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization staff
122
29
2
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Health Management Team
122
29
2
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
122
29
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
122
29
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
122
29
2
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
122
29
2
2
1
YES
2
NO
Sysmiss
OTHER -- Who was involved in setting this workplan?
OTHER -- Who was involved in setting this workplan?
OTHER -- Who was involved in setting this workplan?
OTHER -- Who was involved in setting this workplan?
OTHER -- Who was involved in setting this workplan?
OTHER -- Who was involved in setting this workplan?
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the current financial year?
No 2 >(2.05)
122
29
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Prenatal care
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Postnatal care
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Immunization
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Curative consultations
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Family planning
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Reproductive health
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Nutrition
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Integrated management of childhood illness
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Hypertension
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Diabetes
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Obesity
139
12
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Other
139
12
2
2
1
YES
2
NO
Sysmiss
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Other, specify:
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
151
-99
80
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
151
1
3
1
All have work descriptions
2
Some have work descriptions
3
None have work descriptions
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Rural health centre' management
151
12
1
2
3
4
5
6
8
9
10
12
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Rayon health centre' management
151
12
1
2
3
4
5
6
8
12
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Rayon hospital representative
151
3
1
2
3
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Other (specify)
151
12
1
2
3
4
5
12
S2Q7_OTHER
S2Q7_OTHER
S2Q7_OTHER
S2Q7_OTHER
S2Q7_OTHER
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Other (specify)
37
Administration of RHC F.Sultonov
Center Integrated Management of Childhood Illness
Hospital "Urta-Kaynar"
RHC
RHC Dalyoni Bolo
RHC Dalyoni Poyon
Sanitary-Epidemiological Station
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a donor for supervision or technical support?
a. Local government/or donors
151
12
1
2
3
4
5
10
12
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a donor for supervision or technical support?
b. donor
151
1
1
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
NOTE, RECALL PERIOD IS NOW 12 MONTHS
In the last 12 months, how many times was the performance of staff assessed internally, that is, by persons within the facility?
151
-99
12
-99
Don't know
1
2
3
4
5
6
12
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed externally, that is, by persons from outside the facility, e.g. the Rahoy health centre, Rayon hospital representative, Oblast health department,?
151
-99
30
-99
Don't know
1
2
3
4
5
6
8
9
10
12
30
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a whole assessed externally, that is, by persons from outside the facility? (State Sanitary Inspection, Supervision Cervis for Medical Activities)
151
-99
12
-99
Don't know
1
2
3
4
5
6
7
10
12
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys, a complaint/suggestion box or another method?
No 2 >(2.17)
151
1
2
1
YES
2
NO
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
74
77
1
2
1
YES
2
NO
Sysmiss
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained? Please specify
74
77
1
3
1
Comments Book
2
Helpline
3
Survey (face to face interview)
4
Other
Sysmiss
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
How is patient feedback obtained? Other - please specify
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
74
77
1
2
1
No, no feedback received
2
No, no changes made but feedback was received
Sysmiss
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
151
1
2
1
YES
2
NO
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
151
1
1
1
YES
2
NO
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
151
2
2
1
YES
2
NO
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Health
151
2
2
1
YES
2
NO
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
151
2
2
1
YES
2
NO
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
151
2
2
1
YES
2
NO
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has HH involved any staff dissmisal decisions in the past 12 months?
151
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
151
1
1
1
YES
2
NO
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
151
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
151
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
151
2
2
1
YES
2
NO
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
151
2
2
1
YES
2
NO
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
How many authorized positions are there in the facility for [POSITION TYPE]s? Head
How many authorized positions are there in the facility for [POSITION TYPE]s? Head
How many authorized positions are there in the facility for [POSITION TYPE]s? Head
How many authorized positions are there in the facility for [POSITION TYPE]s? Head
How many authorized positions are there in the facility for [POSITION TYPE]s? Head
How many authorized positions are there in the facility for [POSITION TYPE]s? - Head of Health House
151
1
1
1
How many authorized positions are there in the facility for [POSITION TYPE]s? Family Nurse
How many authorized positions are there in the facility for [POSITION TYPE]s? Family Nurse
How many authorized positions are there in the facility for [POSITION TYPE]s? Family Nurse
How many authorized positions are there in the facility for [POSITION TYPE]s? Family Nurse
How many authorized positions are there in the facility for [POSITION TYPE]s? Family Nurse
How many authorized positions are there in the facility for [POSITION TYPE]s? - Family Nurse
151
1
1
How many authorized positions are there in the facility for [POSITION TYPE]s? Obst
How many authorized positions are there in the facility for [POSITION TYPE]s? Obst
How many authorized positions are there in the facility for [POSITION TYPE]s? Obst
How many authorized positions are there in the facility for [POSITION TYPE]s? Obst
How many authorized positions are there in the facility for [POSITION TYPE]s? Obst
How many authorized positions are there in the facility for [POSITION TYPE]s? - Obstetrician/gynecologist
151
How many authorized positions are there in the facility for [POSITION TYPE]s? Clin
How many authorized positions are there in the facility for [POSITION TYPE]s? Clin
How many authorized positions are there in the facility for [POSITION TYPE]s? Clin
How many authorized positions are there in the facility for [POSITION TYPE]s? Clin
How many authorized positions are there in the facility for [POSITION TYPE]s? Clin
How many authorized positions are there in the facility for [POSITION TYPE]s? - Clinical officer
151
How many authorized positions are there in the facility for [POSITION TYPE]s? Midw
How many authorized positions are there in the facility for [POSITION TYPE]s? Midw
How many authorized positions are there in the facility for [POSITION TYPE]s? Midw
How many authorized positions are there in the facility for [POSITION TYPE]s? Midw
How many authorized positions are there in the facility for [POSITION TYPE]s? Midw
How many authorized positions are there in the facility for [POSITION TYPE]s? - Midwife
151
2
1
2
How many authorized positions are there in the facility for [POSITION TYPE]s? Fami
How many authorized positions are there in the facility for [POSITION TYPE]s? Fami
How many authorized positions are there in the facility for [POSITION TYPE]s? Fami
How many authorized positions are there in the facility for [POSITION TYPE]s? Fami
How many authorized positions are there in the facility for [POSITION TYPE]s? Fami
How many authorized positions are there in the facility for [POSITION TYPE]s? - Family Nurse
151
5
1
2
3
4
5
How many authorized positions are there in the facility for [POSITION TYPE]s? Feld
How many authorized positions are there in the facility for [POSITION TYPE]s? Feld
How many authorized positions are there in the facility for [POSITION TYPE]s? Feld
How many authorized positions are there in the facility for [POSITION TYPE]s? Feld
How many authorized positions are there in the facility for [POSITION TYPE]s? Feld
How many authorized positions are there in the facility for [POSITION TYPE]s? - Feldsher
151
2
1
2
How many authorized positions are there in the facility for [POSITION TYPE]s? Other
How many authorized positions are there in the facility for [POSITION TYPE]s? Other
How many authorized positions are there in the facility for [POSITION TYPE]s? Other
How many authorized positions are there in the facility for [POSITION TYPE]s? Other
How many authorized positions are there in the facility for [POSITION TYPE]s? Other
How many authorized positions are there in the facility for [POSITION TYPE]s? - Other
151
OTHER - How many authorized positions are there in the facility for [POSITION TY
OTHER - How many authorized positions are there in the facility for [POSITION TY
OTHER - How many authorized positions are there in the facility for [POSITION TY
OTHER - How many authorized positions are there in the facility for [POSITION TY
OTHER - How many authorized positions are there in the facility for [POSITION TY
How many authorized positions are there in the facility for [POSITION TYPE]s? - Other, specify:
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head of Health House
151
1
1
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Family Nurse
151
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obstetrician/gynecologist
151
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clinical officer
151
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midwife
151
2
1
2
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Family Nurse
151
5
1
2
3
4
5
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feldsher
151
1
1
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Other, specify:
151
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Head of Health House
151
1
1
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Family Nurse
151
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Obstetrician/gynecologist
151
9
9
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Clinical officer
151
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Midwife
151
1
1
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Family Nurse
151
5
1
2
5
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Feldsher
151
99
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Other, specify:
151
99
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
NO > 2 (6.08)
151
1
2
1
YES
2
NO
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
150
1
1
2
1
YES
2
NO
Sysmiss
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach activities including during home visits?
150
1
1
3
1
Facility only
2
Outreach only
3
Facility and outreach
4
Includes home visiits
Sysmiss
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
150
1
1
2
1
YES
2
NO
Sysmiss
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outreach in the community?
128
23
13
1
2
3
4
6
10
13
Sysmiss
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines?
a. Ice Lined Refrigerator (ILR)
150
1
1
2
1
YES
2
NO
Sysmiss
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines?
b. Cold Box
150
1
1
2
1
YES
2
NO
Sysmiss
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines?
c. Refrigerator
150
1
1
2
1
YES
2
NO
Sysmiss
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines?
d. Vaccine Carriers
150
1
1
2
1
YES
2
NO
Sysmiss
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
150
1
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Sysmiss
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
151
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for antenatal care? (home visits)
NO 2 > (6.14)
137
14
-99
90
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
137
14
1
6
1
RECORDS SEEN: All the time
2
RECORDS SEEN: Sometimes
3
RECORDS SEEN: Seldom or never
4
RECORDS NOT SEEN, ORAL REPORT: All the time
5
RECORDS NOT SEEN, ORAL REPORT: Sometimes
6
RECORDS NOT SEEN, ORAL REPORT: Seldom or never
Sysmiss
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or maternal health card?
NO 2 > (6.14)
137
14
1
2
1
YES
2
NO
Sysmiss
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Given to mother to bring for next visit 01 > (6.14)
130
21
1
3
1
Given to mother to bring for next visit
2
Kept at facility
3
One copy given to mother and one kept at facility
96
Other
Sysmiss
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
Other, specify:96 > (6.14)
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
95
56
1
2
1
SEEN
2
NOT SEEN
Sysmiss
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
NO 2 > (6.16)
151
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for postnatal care? (home visits)
146
5
-99
90
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
NO 2 > (6.18)
151
1
2
1
YES
2
NO
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility?
a. Inform pregnant women about the benefits of breastfeeding
148
3
1
1
1
YES
2
NO
Sysmiss
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility?
b. Help to mothers initiate breastfeeding
148
3
1
2
1
YES
2
NO
Sysmiss
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility?
c. Show to mothers how to breastfeed and how to maintain lactation, even if they should be placed separately from children
148
3
1
2
1
YES
2
NO
Sysmiss
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility?
d. Give newborn infants no food or drink other than breast milk, if there is no medically indicated
148
3
1
2
1
YES
2
NO
Sysmiss
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility?
e. Don't give teats and soothers for infants during breastfeeding
148
3
1
2
1
YES
2
NO
Sysmiss
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of clinical signs of cachexia and child pellagra
151
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
a. Weigh the child using electronic weights
151
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
b. Measuring the length or height
151
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
c. Definition BMI (body mass index)
151
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
d. Consultation of the child hypertrophy
151
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
e. Consultation of the child hypotrophy
151
1
2
1
YES
2
NO
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
NO 2> (6.23)
151
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for nutrition services for child under 5?
141
10
-99
90
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
a. Recommendations on feeding the baby up to 6 months
141
10
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
b. Recommendations on infant feeding in age from 6 months to 1 year
141
10
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
c. Recommendations for feeding a child aged 1 to 2 years
141
10
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
d. Recommendations for feeding a child from 2 to 5 years
141
10
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
e. Recommendations for the safe food preparation and hygiene
141
10
1
2
1
YES
2
NO
Sysmiss
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
151
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for hypertension services?
127
24
-99
90
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility?
a. Screening
127
24
2
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility?
b. Revealing patients with hypertension
127
24
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility?
c. BP measurement 3 times within 2 months
127
24
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility?
d. Dispensary observation
127
24
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility?
e. Introduction the control charts
127
24
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility?
f. Non-pharmacological treatment of hypertension
127
24
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility?
g. Health nutrition
127
24
1
2
1
YES
2
NO
Sysmiss
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility?
a. Obesity prevention
151
1
2
1
YES
2
NO
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility?
b. Health nutrition
151
1
2
1
YES
2
NO
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility?
c. Dispensary observation
151
1
2
1
YES
2
NO
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility?
d. Free distribution of diabetic drugs(Umulyn, Glibenklamid)
151
1
2
1
YES
2
NO
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility?
e. Establishment patient card
151
1
2
1
YES
2
NO
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility?
f. Glucometry
151
2
2
1
YES
2
NO
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility?
g. Other
151
1
2
1
YES
2
NO
S6Q26_OTHER
S6Q26_OTHER
S6Q26_OTHER
S6Q26_OTHER
S6Q26_OTHER
What services are diabet in this facility?
Other, specify
2
Outreach work
Supervision and Scheduled treatment
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facility serves, that is, the target, or total population living in the area served by this facility?
NO 2 > (7.03)
151
1
2
1
YES
2
NO
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]?
a. Total population
150
1
160
5396
-99
Don't know
160
411
489
530
603
643
644
650
701
777
788
797
800
820
838
851
900
926
950
956
962
967
980
993
1019
1020
1078
1087
1100
1110
1145
1151
1195
1239
1256
1258
1269
1350
1365
1434
1440
1447
1449
1454
1472
1501
1519
1520
1547
1559
1560
1566
1585
1621
1653
1655
1657
1670
1675
1678
1686
1698
1701
1724
1767
1801
1810
1812
1815
1818
1820
1831
1840
1841
1860
1867
1876
1900
1914
1922
1929
1933
1967
1978
1980
1997
2032
2049
2058
2061
2062
2097
2121
2132
2143
2167
2171
2194
2200
2201
2208
2238
2244
2250
2270
2303
2332
2377
2409
2411
2424
2444
2446
2463
2469
2512
2542
2554
2569
2621
2653
2680
2683
2691
2697
2724
2733
2777
2800
2932
3009
3043
3156
3230
3242
3315
3478
3500
3529
3810
4232
4351
4423
4657
4770
4794
5396
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]?
b. Total male population
150
1
-99
2547
-99
Don't know
81
204
242
282
321
332
336
357
394
400
409
412
421
436
440
445
465
479
486
500
510
516
541
546
550
558
568
573
595
603
617
640
647
679
685
700
731
736
741
744
751
762
765
819
820
825
826
832
844
847
851
860
885
887
893
916
925
928
935
937
947
948
954
956
970
975
984
986
993
999
1008
1010
1014
1016
1049
1056
1060
1074
1078
1095
1103
1107
1123
1128
1130
1133
1137
1144
1158
1162
1170
1175
1190
1191
1195
1196
1211
1216
1233
1238
1255
1256
1263
1269
1279
1289
1300
1301
1339
1348
1356
1369
1393
1425
1442
1444
1500
1511
1586
1618
1684
1747
1925
2124
2140
2179
2313
2365
2386
2431
2547
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]?
c. Total female population
150
1
-99
2849
-99
Don't know
79
207
247
248
271
308
329
344
376
379
383
388
400
402
409
411
420
446
447
460
461
477
483
519
531
532
533
535
540
552
600
601
622
650
653
665
683
694
696
705
707
713
747
758
759
761
762
766
785
789
791
813
823
827
843
850
854
859
870
877
883
887
894
931
934
935
938
939
941
945
958
973
975
976
977
981
985
1002
1010
1040
1044
1055
1063
1076
1080
1081
1086
1089
1105
1113
1124
1126
1131
1133
1136
1165
1174
1184
1187
1191
1195
1198
1200
1211
1230
1239
1241
1247
1249
1255
1273
1275
1322
1340
1352
1368
1375
1415
1421
1557
1558
1570
1656
1697
1782
1881
1885
2055
2092
2227
2244
2339
2344
2408
2849
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]?
d. Total female 15-49 years population, i.e. women of childbearing age
150
1
-99
1400
-99
Don't know
40
98
104
127
134
140
158
180
183
188
191
197
205
206
207
209
221
239
241
245
247
250
251
252
264
265
267
271
276
289
309
312
316
320
322
325
338
340
342
343
358
360
363
370
379
388
397
409
416
419
420
425
429
434
439
440
445
447
450
451
461
463
464
466
470
471
474
476
478
480
481
483
485
505
507
516
523
528
537
540
542
546
550
555
557
559
560
563
567
573
574
591
594
600
609
614
620
621
635
640
645
649
654
670
690
708
723
730
734
740
751
774
785
797
811
848
866
887
910
911
940
962
969
986
1022
1153
1190
1212
1393
1400
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]?
e. Total patients over 60 years
150
1
-99
2718
-99
Don't know
4
11
13
19
25
27
29
30
31
33
34
35
36
37
39
40
41
42
44
45
46
47
48
50
53
56
57
60
61
62
63
64
65
66
67
68
70
72
73
74
75
78
79
80
83
84
86
88
91
92
93
94
95
97
101
103
104
105
109
115
120
124
125
127
129
142
144
149
150
151
154
161
165
168
176
186
187
188
194
220
228
234
236
254
257
270
281
548
2319
2718
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]?
f. Total <5 years population
150
1
-99
1495
-99
Don't know
19
27
34
37
39
53
76
84
92
93
97
100
106
113
115
120
121
125
128
138
140
152
160
164
165
167
171
175
180
183
186
187
188
190
192
196
201
209
210
216
219
224
225
232
233
234
235
236
239
248
254
257
258
259
260
263
265
271
276
278
281
284
289
292
297
299
301
304
308
315
323
327
331
333
338
341
344
347
349
351
353
362
373
374
380
383
384
386
388
389
396
399
404
405
409
410
412
414
421
423
428
445
446
471
472
473
475
487
498
508
531
550
583
598
614
636
683
757
782
1182
1495
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]?
g. Total <1 year population
150
1
-99
232
-99
Don't know
7
12
14
15
17
18
19
20
22
24
25
27
29
30
31
32
33
35
36
37
38
39
40
42
43
44
45
46
47
48
49
51
52
53
54
55
57
58
59
60
61
62
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
80
82
84
85
86
88
89
90
91
92
95
96
98
101
113
120
124
139
140
143
145
159
164
168
180
205
232
Sysmiss
Number of TOTAL patients
Number of TOTAL patients
Number of TOTAL patients
Number of TOTAL patients
Number of TOTAL patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL patients
151
-99
3592
-99
Don't know
6
7
13
14
15
16
17
18
19
20
21
22
28
30
36
37
38
39
40
41
43
44
45
46
48
55
56
59
60
62
63
64
65
66
67
70
72
74
78
79
80
81
84
85
86
87
88
90
92
94
95
97
100
104
109
112
114
115
123
130
134
140
148
150
160
167
170
181
183
184
186
190
215
240
258
340
355
455
581
644
695
752
863
1566
2097
2542
3592
Number of TOTAL male patients
Number of TOTAL male patients
Number of TOTAL male patients
Number of TOTAL male patients
Number of TOTAL male patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL male patients
151
-99
1301
-99
Don't know
2
4
7
9
11
14
15
16
18
19
20
25
30
32
33
34
35
40
41
42
43
45
46
47
50
59
102
819
1016
1301
Number of TOTAL female patients
Number of TOTAL female patients
Number of TOTAL female patients
Number of TOTAL female patients
Number of TOTAL female patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL female patients
151
-99
1241
-99
Don't know
3
4
10
11
14
16
18
20
21
22
25
30
31
35
39
40
46
47
50
53
55
58
62
65
68
69
70
100
127
747
1081
1241
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL pregnant women
151
-99
171
-99
Don't know
1
2
3
4
6
7
9
10
11
12
13
14
15
18
19
20
22
23
24
25
26
27
28
30
31
32
35
37
39
40
50
55
56
60
94
97
115
134
171
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL under 5 patients
151
-99
870
-99
Don't know
1
2
3
4
5
6
9
10
11
12
13
15
17
18
20
21
22
24
27
32
36
46
50
53
61
78
80
86
98
201
211
315
337
367
508
870
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL male under 5 patients
151
-99
435
-99
Don't know
1
2
3
4
6
10
14
21
25
30
40
108
115
171
207
220
435
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL female under 5 patients
151
-99
435
-99
Don't know
1
2
3
6
7
10
12
15
17
23
25
40
58
93
96
108
166
288
435
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL under 1 patients
151
-99
435
-99
Don't know
1
2
3
4
5
6
8
9
10
12
15
22
24
29
31
34
36
47
48
69
71
78
102
106
164
232
435
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL male under 1 patients
151
-99
121
-99
Don't know
1
2
4
5
6
7
11
14
15
19
20
21
23
26
33
39
44
78
121
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL female under 1 patients
151
-99
111
-99
Don't know
1
2
3
4
5
6
7
8
11
12
15
16
22
24
30
38
39
62
86
111
Number of TOTAL over 60
Number of TOTAL over 60
Number of TOTAL over 60
Number of TOTAL over 60
Number of TOTAL over 60
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL over 60
151
-99
49
-99
Don't know
1
2
4
5
6
7
8
10
11
12
25
30
37
49
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Monthly Integrated Activity Reports
151
1
2
1
SEEN
2
NOT SEEN
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Monthly Aggregated Activity Reports
151
1
2
1
SEEN
2
NOT SEEN
Notifiable Disease Report
Notifiable Disease Report
Notifiable Disease Report
Notifiable Disease Report
Notifiable Disease Report
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Notifiable Disease Report
151
1
2
1
SEEN
2
NOT SEEN
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Vaccination/immunization Coverage Report
151
1
2
1
SEEN
2
NOT SEEN
Family Planning Register
Family Planning Register
Family Planning Register
Family Planning Register
Family Planning Register
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Family Planning Register
151
1
2
1
SEEN
2
NOT SEEN
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
NO 2 > (9.04)
151
1
2
1
YES
2
NO
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
a. Pregnant
141
10
1
1
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
b. Children under 5
141
10
1
1
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
c. Elderly
141
10
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
d. Disabled people
141
10
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
e. War veterans
141
10
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
f. Without caretakers\Poor
141
10
1
2
1
YES
2
NO
Sysmiss
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
151
1
2
1
YES
2
NO
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
151
1
2
1
YES
2
NO
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
NO 2 > (9.07)
151
1
2
1
YES
2
NO
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
7
144
100
100
100
Sysmiss
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
151
1
2
1
HAS FEES
2
NO FEES AT ALL
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
a. Facility infrastructure
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
b. Facility equipment and supplies
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
c. Drugs
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
d. Facility programs
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
e. Use in community
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
f. Sent back to managing agency
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
g. Staff salaries
40
111
2
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
h. Staff performance bonuses
40
111
2
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
i. Sent back tolocal government
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
j. Sent back to central government
40
111
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
k. Sent back to decentralized government
40
111
2
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
Other
40
111
2
2
1
YES
2
NO
Sysmiss
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
What percentage of the drug cost is charged to patients?
Other, specify
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under 5
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above 80 years)
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis patients
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patients
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary personnel
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically disabled persons
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under 1
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW2
151
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
151
2
2
1
YES
2
NO
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
Is there a reception/registration room in this facility?
151
1
2
1
YES
2
NO
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
151
1
2
1
YES
2
NO
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
151
1
2
1
YES
2
NO
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in this facility?
151
1
2
1
YES
2
NO
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
151
1
2
1
YES
2
NO
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
151
1
2
1
YES
2
NO
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
151
1
2
1
YES
2
NO
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
151
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
151
1
3
1
YES, PUBLICLY POSTED
2
YES, NOT POSTED
3
NO, NOT POSTED
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/hours
151
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
151
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management contact
151
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and suggestions handling policy
151
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
151
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
S12Q19_OTHER
S12Q19_OTHER
S12Q19_OTHER
S12Q19_OTHER
S12Q19_OTHER
Is any of the following posted publicly for patients to see?
Other, specify
8
Health corner
Information about the diseases
National Programme
Posters
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Patient education materials (Information and Education Campaign materials)
151
1
2
1
SEEN
2
NOT SEEN
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
151
1
2
1
SEEN
2
NOT SEEN
Graphs for growth monitoring
Graphs for growth monitoring
Graphs for growth monitoring
Graphs for growth monitoring
Graphs for growth monitoring
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Graphs for growth monitoring
151
1
2
1
SEEN
2
NOT SEEN
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for tuberculosis diagnosis and treatment
151
1
2
1
SEEN
2
NOT SEEN
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Health Management Information System (HMIS) guidelines
151
1
2
1
SEEN
2
NOT SEEN
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Health Management Information System (HMIS) Data
151
1
2
1
SEEN
2
NOT SEEN
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National Protocol for malaria diagnosis and treatment (not part of IMCI)
151
1
2
1
SEEN
2
NOT SEEN
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
151
1
2
1
SEEN
2
NOT SEEN
National protocol for child vaccination
National protocol for child vaccination
National protocol for child vaccination
National protocol for child vaccination
National protocol for child vaccination
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for child vaccination
151
1
2
1
SEEN
2
NOT SEEN
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for reproductive health/family planning
151
1
2
1
SEEN
2
NOT SEEN
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for reducing unsafe abortion morbidity/mortality
151
1
2
1
SEEN
2
NOT SEEN
Antenatal Care National Standards
Antenatal Care National Standards
Antenatal Care National Standards
Antenatal Care National Standards
Antenatal Care National Standards
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Antenatal Care National Standards
151
1
2
1
SEEN
2
NOT SEEN
Labor and Delivery Care
Labor and Delivery Care
Labor and Delivery Care
Labor and Delivery Care
Labor and Delivery Care
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Labor and Delivery Care
151
1
2
1
SEEN
2
NOT SEEN
Newborn Care National Standards
Newborn Care National Standards
Newborn Care National Standards
Newborn Care National Standards
Newborn Care National Standards
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Newborn Care National Standards
151
1
2
1
SEEN
2
NOT SEEN
Post-Partum Care National Standards
Post-Partum Care National Standards
Post-Partum Care National Standards
Post-Partum Care National Standards
Post-Partum Care National Standards
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Post-Partum Care National Standards
151
1
2
1
SEEN
2
NOT SEEN
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Procedures Manual for Infection Prevention and Control
151
1
2
1
SEEN
2
NOT SEEN
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Management of Sexually Transmitted Infections (STI) guidelines
151
1
2
1
SEEN
2
NOT SEEN
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National HIV testing and counseling guidelines
151
1
2
1
SEEN
2
NOT SEEN
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Prevention of mother to child transmission of HIV (PMTCT) guidelines
151
1
2
1
SEEN
2
NOT SEEN
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
HIV treatment (Antiretroviral therapy, ART) guidelines
151
1
2
1
SEEN
2
NOT SEEN
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
151
1
2
1
SEEN
2
NOT SEEN
National list for essential drugs
National list for essential drugs
National list for essential drugs
National list for essential drugs
National list for essential drugs
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National list for essential drugs
151
1
2
1
SEEN
2
NOT SEEN
National protocol for drug procurement
National protocol for drug procurement
National protocol for drug procurement
National protocol for drug procurement
National protocol for drug procurement
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for drug procurement
151
1
2
1
SEEN
2
NOT SEEN
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Detecting and reporting adverse drug or vaccine reaction
151
1
2
1
SEEN
2
NOT SEEN
National health strategy
National health strategy
National health strategy
National health strategy
National health strategy
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National health strategy
151
1
2
1
SEEN
2
NOT SEEN
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
151
9
1
2
9
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Children
151
3
1
2
3
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
151
3
1
2
3
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
151
3
1
2
3
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
151
2
1
2
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
151
4
1
2
3
4
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
151
6
1
2
3
4
5
6
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
151
5
1
2
3
4
5
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
151
5
1
2
3
4
5
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
151
2
1
2
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
151
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
151
1
1
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
151
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
151
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
151
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
151
2
1
2
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
151
5
1
5
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
151
1
1
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
151
2
1
2
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedures like incision & drainage and suturing (forceps, scalpel)
151
3
3
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner with equipment (I liter container, cups and spoons and rehydration guidelines)
151
7
1
2
3
7
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
151
2
1
2
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
151
4
1
2
3
4
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
151
4
1
2
3
4
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet heat)
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and wet heat)
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressure)
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boil)
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indicator strips or other sterilization indicators
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
151
8
1
2
3
4
6
8
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
151
16
1
2
3
4
5
6
8
9
10
11
12
16
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
151
98
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
151
98
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Office
151
-99
5396
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
151
-99
5396
Region
Region
Region
Region
Region
409
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
409
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
409
110102
312603
110102
110302
110402
110502
110802
110903
111202
111302
111402
111502
111602
120102
120604
120702
120904
121005
121106
121202
121403
121804
130102
130202
130303
130402
130502
130702
130902
131102
131202
131403
131502
140102
140202
140302
140604
140702
141002
141202
141303
150102
150303
150402
150504
210105
210203
210403
210502
210602
210702
210803
210903
211102
211202
211406
220102
220203
220302
220404
220504
220605
220704
220802
220902
230103
230203
230302
230403
230603
230704
230803
230903
231002
231206
240109
240414
240503
240604
240706
250302
250402
250503
250704
250802
250903
251004
251102
260204
260503
260703
261005
261203
270102
270303
270403
270503
270604
270702
270902
271203
271302
271502
280102
280202
280303
280402
280503
280602
280703
280902
281002
281102
281202
281502
281602
281702
290103
290202
290302
290403
290503
290605
290704
290802
290902
291003
291202
291304
300203
300302
300504
300602
300705
300902
301005
301102
301202
301303
301402
301605
301705
301802
301903
302103
302203
310203
310503
310602
310903
311205
311502
312603
line
line
line
line
line
SUBJECT: ALL STAFF MEMBERS, WHETHER TEMPORARY OR PERMANENT, CLINICAL OR NON-CLINICAL, STARTING WITH THE HEAD OF THE FACILITY
409
1
5
1
2
3
4
5
SEX
SEX
SEX
SEX
SEX
IS [NAME] MALE OR FEMALE?
409
1
2
1
MALE
2
FEMALE
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
409
1
5
1
2
3
4
5
AGE
AGE
AGE
AGE
AGE
How old is [NAME]?
409
19
70
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
409
1
10
1
Primary education Certificate
2
Secondary educ.certificate
3
Colllege Degree
4
Masters Degree
5
Doctoral degree
6
Post Graduate
7
Post Doctoral
10
No education
96
Other
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
Auxilliary staff >1 year 14 > (4.08)
Auxilliary staff <1 year 15 > (4.08)
Social support 16 >(4.08)
Counselor 17 > (4.08)
Administrative staff18 > (4.08)
Other non-clinical 19 > (4.08
409
1
18
1
Doctor or medical officer
2
Clinical officer
3
Hospital administrator/ Executive director
4
Nurse (REN/ZEN)
5
Midwife (REM/ZEM)
6
Pharmacist
8
Nursing assistant
9
Pharmacy technician/Dispenser
10
Lab technologist
11
Lab technician
13
Other clinical
14
Auxilliary staff >1 year
15
Auxilliary staff <1 year
16
Social support
17
Counselor
18
Administrative staff
19
Other non-clinical
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
385
24
-99
2014
-99
Don't know
1970
1972
1973
1976
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Sysmiss
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
409
-99
2014
-99
Don't know
1969
1970
1974
1978
1979
1982
1983
1984
1986
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with the employer?
409
-99
998
-99
Don't know
140
158
160
171
179
180
190
195
200
208
210
212
215
218
220
240
246
248
250
257
260
265
270
275
280
282
285
291
294
300
305
320
340
346
347
348
350
360
370
375
380
385
390
395
400
418
420
425
426
427
432
440
450
470
472
479
480
485
487
490
495
500
508
516
520
522
525
528
530
532
540
545
550
555
560
565
570
575
579
580
600
605
612
615
620
625
630
635
636
637
639
640
647
650
660
672
675
680
685
690
700
710
712
714
715
720
725
730
735
750
753
754
756
758
760
770
775
778
780
790
800
803
805
820
830
837
840
847
850
854
856
860
862
868
886
889
900
910
919
920
924
930
932
934
940
946
957
968
970
974
985
986
994
996
998
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
409
2
7
2
3
4
5
6
7
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility? (Include work in the community on outreach / home visits)
409
6
120
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directly to patients?
409
-99
94
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
409
1
2
1
YES
2
NO
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
> NEXT PROVIDER
72
337
1
96
1
OFFICIALLY OFF DUTY
2
ON SICK LEAVE
3
ON TRAINING
4
ON MATERNITY LEAVE
5
OTHER AUTHORIZED ABSENCE
6
LATE
7
UNAUTHORIZED ABSENCE
96
OTHER
Sysmiss
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
7
AZ RUI ChADVALI KORI
BAROI VAKSINAHO RAFTAAST
DAR KURGONTEPPA KOR DOShTAAST
DARKOR HAST FORROSh
NABERASh VAFOT KARDAAST
SABABASh NOMA'LUM
SEMENARI MOMODOYa
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- PRENATAL CARE
191
218
1
1
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- DELIVERIES
4
405
2
2
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- CHILD POSTNATAL CARE
186
223
3
3
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- MOTHER POSTNATAL CARE
161
248
4
4
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- CHILD PREVENTIVE CARE
217
192
5
5
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- CHILD CURATIVE CARE
180
229
6
6
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- ADULT CURATIVE CARE
180
229
7
7
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- VOLUNTARY COUNSELING AND TESTING
85
324
8
8
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- NON-CLINICAL (ADMIN, RECEPTION, ETC)
93
316
9
9
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
Region
Region
Region
Region
Region
5285
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
5285
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
5285
110102
312603
110102
110302
110402
110502
110802
110903
111202
111302
111402
111502
111602
120102
120604
120702
120904
121005
121106
121202
121403
121804
130102
130202
130303
130402
130502
130702
130902
131102
131202
131403
131502
140102
140202
140302
140604
140702
141002
141202
141303
150102
150303
150402
150504
210105
210203
210403
210502
210602
210702
210803
210903
211102
211202
211406
220102
220203
220302
220404
220504
220605
220704
220802
220902
230103
230203
230302
230403
230603
230704
230803
230903
231002
231206
240109
240414
240503
240604
240706
250302
250402
250503
250704
250802
250903
251004
251102
260204
260503
260703
261005
261203
270102
270303
270403
270503
270604
270702
270902
271203
271302
271502
280102
280202
280303
280402
280503
280602
280703
280902
281002
281102
281202
281502
281602
281702
290103
290202
290302
290403
290503
290605
290704
290802
290902
291003
291202
291304
300203
300302
300504
300602
300705
300902
301005
301102
301202
301303
301402
301605
301705
301802
301903
302103
302203
310203
310503
310602
310903
311205
311502
312603
SERVICES
SERVICES
SERVICES
SERVICES
SERVICES
I would like to ask you some questions about the health services available.
ASK QUESTIONS (8.01) TO (8.04) FOR EACH SERVICE BEFORE MOVING TO NEXT SERVICE.
5285
1
35
1
Contraceptive pill
2
Injection
3
Implant insertion
4
Male condoms
5
Intrauterine Device (IUD) insertion
6
Female sterilization
7
Male sterilization
8
Prenatal care
9
Postnatal care
10
Bacille Calmette Guerin (BCG)
11
Pentavalent Dose 1 (DPT, Hepatitis B, Hemophilus influenzae
12
Pentavalent Dose 2 (DPT, Hepatitis B, Hemophilus influenzae
13
Pentavalent Dose 3 (DPT, Hepatitis B, Hemophilus influenzae
14
Polio Dose 1
15
Polio Dose 2
16
Polio Dose 3
17
Measles Dose 1 (<1 year)
18
Tetanus Toxoid to pregnant women
19
Curative care for children <5 years
20
Curative care for children >5 years and adults
21
Child growth monitoring and nutritional advice
22
Tuberculosis diagnosis
23
Tuberculosis treatment
24
Diagnosis, treatment, testing, and counseling
25
Ambulance ride to another facility for referral
26
Home visit
27
Screening\XR
28
BP measurement 3 times within 2 months
29
Dispensary observation
30
Diagnosis of diseases of the digestive system
31
Treatment of diseases of the digestive system
32
Diagnosis of endemic goiter
33
Treatment of endemic goiter
34
Diagnosis of diabetes
35
Treatment of diabetes
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility and/or as outreach?
- In-facility
5134
151
1
2
1
YES
2
NO
Sysmiss
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the facility and/or as outreach?
- Outreach
4681
604
1
2
1
YES
2
NO
Sysmiss
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
2263
3022
1
97
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
2263
3022
24
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
Please record the total number of patients - MONTH 1
2263
3022
-99
5200
-99
don
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
45
47
48
49
50
51
52
53
54
55
56
58
60
62
64
67
68
69
70
72
75
76
78
79
80
84
85
87
88
90
97
100
102
105
108
110
113
120
130
135
150
160
164
165
180
183
185
200
210
240
264
282
300
310
315
326
336
340
350
354
456
519
535
540
577
598
660
674
818
876
5200
Sysmiss
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
Please record the total number of patients - MONTH 2
2263
3022
-99
4560
-99
don
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
45
47
48
50
51
52
53
55
57
58
60
63
65
66
67
70
71
72
74
75
76
80
81
85
90
97
100
104
105
108
120
125
126
135
140
145
146
148
149
150
160
171
175
180
190
200
203
210
228
250
257
259
300
331
367
408
437
440
500
570
602
610
668
4560
Sysmiss
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
Please record the total number of patients - MONTH 3
2263
3022
-99
5510
-99
don
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
45
46
48
49
50
51
52
53
54
58
59
60
61
63
65
66
67
68
69
70
72
75
76
77
79
80
84
85
86
90
92
95
97
100
102
103
108
110
115
120
125
130
135
140
144
150
168
175
180
184
186
190
192
198
200
210
223
237
250
252
270
300
397
444
540
559
560
583
620
673
684
765
5510
Sysmiss
Region
Region
Region
Region
Region
181
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
181
11
31
11
12
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
181
110102
312603
110102
110402
110502
110903
111202
120702
140102
140202
140702
141002
141202
141303
150102
150303
150402
150504
210105
210203
210403
210502
210602
210702
210803
210903
211102
211202
211406
220102
220203
220302
220404
220504
220605
220704
220802
220902
230103
230203
230302
230403
230603
230704
230803
230903
231002
231206
240414
240706
250302
250402
250503
250704
250802
250903
251004
251102
260204
270102
270303
270403
270503
270604
270702
270902
271203
271302
271502
280102
280202
280303
280402
280503
280602
280703
280902
281002
281102
281202
281502
281602
281702
290403
290503
290605
290704
290802
290902
291003
291202
291304
300203
300302
300504
300602
300705
300902
301005
301102
301202
301303
301402
301605
301705
301802
301903
302103
302203
310203
310503
310602
310903
311205
311502
312603
line
line
line
line
line
181
1
16
1
2
3
4
5
6
16
Population
Population
Population
Population
Population
Please provide a list of the villages that fall in the catchment area of this facility.
- Population
181
-99
4795
Distance in KMs
Distance in KMs
Distance in KMs
Distance in KMs
Distance in KMs
Please provide a list of the villages that fall in the catchment area of this facility.
- Distance in KMs
181
-99
40
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
216
110101
312601
110101
110201
110301
110401
110501
110601
110701
110801
110901
111001
111201
111301
111401
111501
111601
120101
120201
120301
120401
120501
120601
120701
120801
120901
121001
121101
121201
121301
121401
121501
121601
121701
121801
130101
130201
130301
130401
130501
130601
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140601
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211001
211101
211201
211401
220101
220201
220301
220401
220501
220601
220701
220801
220901
230101
230201
230301
230401
230501
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240501
240601
240701
250101
250301
250401
250501
250701
250801
250901
251001
251101
260101
260201
260301
260401
260501
260601
260701
260801
260901
261001
261101
261201
270101
270201
270301
270401
270501
270601
270701
270801
270901
271001
271101
271201
271301
271401
271501
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300201
300301
300401
300501
300601
300701
300801
300901
301001
301101
301201
301301
301401
301501
301601
301701
301801
301901
302001
302102
302201
310101
310201
310301
310401
310501
310601
310701
310801
310901
311101
311201
311301
311401
311501
311601
311701
311901
312001
312101
312201
312301
312401
312501
312601
Region
Region
Region
Region
Region
216
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
216
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
Are you in charge of this facility today?
216
1
2
1
YES
2
NO
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
Are you authorized to represent this facility?
216
1
2
1
YES
2
NO
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
What is your job title at this facility?
216
1
7
1
Head of PHC (RHC)
2
Family Physician
3
Obstetrician/Gynecol
4
Clinical intern/junior doctor
5
Midwife
6
Family Nurse
7
Feldsher
96
Other, specify:
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
OTHER - What is your job title at this facility?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
Is this facility a district hospital, a health center or a health post?
216
2
3
1
District hospital
2
Health center
3
Health post
96
Other
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
OTHER - Is this facility a district hospital, a health center or a health post
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
Who owns this health facility?
216
1
1
1
Government
2
Private for-profit entity
3
Non Governmental Organization
4
Mission/Faith-based organization
5
Military
96
Other
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
OTHER - Who owns this health facility?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
In what year was the facility commissioned?
216
1936
9999
1936
1949
1950
1954
1956
1957
1958
1962
1965
1968
1970
1971
1972
1973
1974
1975
1976
1978
1979
1980
1982
1983
1984
1985
1986
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
9999
Don't know
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
When was the last major investment in the infrastructure? - MONTH MM
216
1
12
1
2
3
4
5
6
7
8
9
10
11
12
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
When was the last major investment in the infrastructure? - YEAR YYYY
216
1954
9999
1954
1964
1965
1970
1971
1973
1975
1976
1979
1980
1984
1985
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
9999
Don't know
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
At what time of the day does outpatient care start? - Weekdays
216
800
800
800
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
At what time of the day does outpatient care start? - Saturday
216
800
900
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
At what time of the day does outpatient care start? - Sunday
216
8
8
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
At what time of the day does outpatient care start? - Holidays
216
900
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
At what time does outpatient care end? - Weekdays
216
1430
1700
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
At what time does outpatient care end? - Saturday
216
1100
1800
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
At what time does outpatient care end? - Sunday
216
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
At what time does outpatient care end? - Holidays
216
1200
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Monday
216
10
1
2
3
4
5
6
7
8
9
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Tuesday
216
11
1
2
3
4
5
6
7
8
9
10
11
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Wednesday
216
12
1
2
3
4
5
6
7
8
9
10
12
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Thursday
216
10
1
2
3
4
5
6
7
8
9
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Friday
216
10
1
2
3
4
5
6
7
8
9
10
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Saturday
216
9
1
2
3
4
5
6
7
8
9
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many ho
On what days does the facility offer antenatal care clinics, and for how many hours on those days? (School for young Mom)
- Sunday
216
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
1.11) What is the distance from the health facility to the nearest higher level health facility one way in kilometers?
216
0.5
65
less than 1 km
0.5
1
2
3
4
4.5
5
6
6.5
7
7.5
8
9
10
11
12
13
14
15
16
17
18
20
21
22
23
24
25
27
28
30
31
32
33
35
37
38
40
42
45
47
49
50
60
61
65
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
What is the distance from the health facility to the nearest higher level health
1.11) What is the distance from the health facility to the nearest Rural Health Center one way in kilometers?
216
65
less than 1 km
1
2
3
3.5
4
4.5
5
6
7
7.5
8
9
10
11
12
13
14
15
16
17
18
20
21
22
23
24
25
28
30
31
32
33
34
35
37
38
40
42
45
47
49
50
60
61
65
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- Local budget (From Rayon)
216
1
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- Republican Budget\ MoH
216
1
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- USER FEES
216
1
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- PRIVATE COMPANY
216
2
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- DONOR
216
1
2
1
YES
2
NO
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming c
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- OTHER, SPECIFY:
216
1
2
1
YES
2
NO
S1Q13_OTHER
S1Q13_OTHER
S1Q13_OTHER
S1Q13_OTHER
S1Q13_OTHER
What are the three main sources of funding or income (in the sense of incoming cash) for this facility?
- OTHER, SPECIFY:
1
We take medications with assistance Chayka organization
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
Were there any electric power outages in the last 7 days?
NO 2 > (1.16)
216
1
2
1
YES
2
NO
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
How many hours was electric power missing in the last 7 days?
192
24
1
168
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
What is the primary source of water?
216
1
96
1
Piped into Facility
2
Piped into Yard/Plot
3
Public tap/Standpipe
4
Protected well
5
Unprotected well
6
Protected spring
7
Unprotected spring
8
Rainwater
9
Tanker Truck/Vendor
10
Surface water (lake, river or stream)
11
Bottled water
96
Other
S1Q16_OTHER
S1Q16_OTHER
S1Q16_OTHER
S1Q16_OTHER
S1Q16_OTHER
What is the primary source of water? Other, specify:
1
From the street
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with
Is this primary source of water used only by the facility, or is it shared with other users?
215
1
1
2
1
ONLY FACILITY
2
SHARED
Sysmiss
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the
In the last 7 days, was there any time when there was no water available in the facility?
No 2 > (1.20)
215
1
1
2
1
YES
2
NO
Sysmiss
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facil
In the last 7 days, for how many hours was there no water available at the facility?
45
171
2
168
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health faci
How long does it take to fetch water from the primary source for the health facility, one way on foot in minutes?
216
180
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
Does the facility have a functioning two-way radio?
216
1
2
1
YES
2
NO
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line
Does the health facility have official line, whether a landline or a mobile line?
NO 04 > (1.25)
216
1
4
1
YES, LANDLINE
2
YES, MOBILE
3
YES, BOTH
4
NO
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any teleph
In the last 7 days, was there any time when the facility did not have any telephone service whether landline or mobile?
NO 2> (1.25)
32
184
1
2
1
YES
2
NO
Sysmiss
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
How many hours was telephone out in the last 7 days?
2
214
10
24
10
24
Sysmiss
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
Do any of the health facility staff have a mobile phone line?
216
1
2
1
YES
2
NO
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
Does this facility refer patients to other facilities?
NO 2 >(1.29)
216
1
2
1
YES
2
NO
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacte
Where does the facility refer the following: - Lab tests (clinicaly and bacteriology)
215
1
1
5
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
Where does the facility refer the following: - In-patient
215
1
1
5
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
Where does the facility refer the following: - Specialized care
215
1
1
5
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
Where does the facility refer the following: - Surgery
215
1
1
5
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
Where does the facility refer the following: - Care during childbirth
215
1
1
5
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
Where does the facility refer the following: - Uncomplicated delivery
215
1
1
5
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
Where does the facility refer the following: - Complicated delivery
215
1
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
Where does the facility refer the following: - Neonatology care
215
1
1
2
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
Where does the facility refer the following: - Other
215
1
1
6
1
Hospital / Central Rayon Hospital
2
PHC / Rayon health centre?
3
Health house / Another Health house
4
Private clinic
5
Does not refer
6
Other
Sysmiss
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
OTHER_1 / Where does the facility refer the following: - Lab tests (clinicaly and bacteriology)
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_2 / Where does the facility refer the following: - In-patient
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_3 / Where does the facility refer the following: - Specialized care
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_4 / Where does the facility refer the following: - Surgery
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_5 / Where does the facility refer the following: - Care during child
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
OTHER_6 / Where does the facility refer the following: - Uncomplicated delivery
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated deliv
OTHER_7 / Where does the facility refer the following: - Complicated delivery
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
OTHER_8 / Where does the facility refer the following: - Neonatology care
S1Q27_OTHER9
S1Q27_OTHER9
S1Q27_OTHER9
S1Q27_OTHER9
S1Q27_OTHER9
OTHER_8 / Where does the facility refer the following: - Other; soecify
213
All other patients
Avis Istaravshan
Char
Clinical Regional Hospital
District Central Hospital
District Maternity Hospital #4 Vatan
Dushanbe
Has not been directed
Health Center
Hospital
Hospital #1
Injury
Kolhoz K.Marks
Kurgan-Tyube
Kurgan-tyume
Mental hospital
National Diagnostic and Health Center
National Health Center
National Hospital
Neurological diseases
None
Oblast
Only to District Central Hospital
Other diseases
Other patients
Other unknown causes
Patients with childhood infectious diseases
Patients with hematological diseases
Patients with infection
Private Diagnostic Center in Kalininobod
Quality treatment
RHC
Regional Center
Regional Central Hospital
Regional Hospital
Serious diseases
Skin diseases
The reason is unknown
The reason is unknown, District Hospital
Women's Consultation
X-ray
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
215
1
90
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
215
1
90
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
How far is the main referral facility from this facility one way in kilometers?
77
139
0.4
252
S1Q28_OTHER
S1Q28_OTHER
S1Q28_OTHER
S1Q28_OTHER
S1Q28_OTHER
How far is the main referral facility from this facility one way in kilometers? Other, specify
77
Avis Istaravshan
Branch of Rudaki Hospital #3
Cardiology Center
Clinical Regional Hospital
DHC
Dashtobod Hospital
Diagnostic Center
Diagnostic and Health Center
District Central Hospital
District Hospital
District Hospital #1
District Hospital #1 Urta kaynar
District Hospital #2
District Hospital #3 Dashtobod
District Hospital #5
Dushanbe
Hospital
Hospital Jamoat Zafar
Jamoat Mastchoh Hospital
Jamoat Obburdon Hospital
Khujand
Kurgan-Tyube
National Health Center
None
Only to District Central Hospital
RHC
RHC Uzun
Regional Central Hospital
Regional Hospital
Tuberculosis dispensary
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients
Does the facility have access to any kind of transportation (to pick up patients or take them to a referral facility)?
NO 2 > (1.33)
216
1
2
1
YES
2
NO
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance own
How many working [VEHICLES] does the facility have access to? - Ambulance owned by facility
30
186
4
1
2
4
Sysmiss
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owne
How many working [VEHICLES] does the facility have access to? - Ambulance owned by District Health Management Authority
30
186
4
1
2
3
4
Sysmiss
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicle rented full time
30
186
4
4
Sysmiss
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicle rented part time
30
186
Sysmiss
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle
How many working [VEHICLES] does the facility have access to? - Other vehicle owned by facility
30
186
1
1
Sysmiss
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicl
How many working [VEHICLES] does the facility have access to? - Private vehicles on call
30
186
5
2
3
4
5
Sysmiss
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owne
How many working [VEHICLES] does the facility have access to? - Motorbike owned by facility
30
186
Sysmiss
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbi
How many working [VEHICLES] does the facility have access to? - Rented motorbike
30
186
Sysmiss
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned
How many working [VEHICLES] does the facility have access to? - Bicycle owned by facility
30
186
Sysmiss
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
How many working [VEHICLES] does the facility have access to? - Other, specify
30
186
Sysmiss
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
OTHER - How many working [VEHICLES] does the facility have access to?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
Is at least one vehicle functional today?
YES 1 > (1.33)
31
185
1
2
1
YES
2
NO
Sysmiss
Why not?
Why not?
Why not?
Why not?
Why not?
Why not?
1
215
1
1
1
No fuel
2
No driver
4
Other
Sysmiss
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
OTHER - Why not?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
Does the facility own a functioning computer?
216
1
2
1
YES
2
NO
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
Does the facility have a general outpatient consultation room?
No 03 > (1.38)
216
1
3
1
YES, SEEN
2
?
3
NO
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal
Is this room equipped with a safety box or closed container present for disposal of used sharps?
146
70
1
3
1
YES, SEEN
2
YES, ONE OR MORE
3
NO
Sysmiss
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
Does the room have posted procedures for decontamination procedure steps?
146
70
1
3
1
YES, ALL
2
YES, ONE OR MORE
3
NO
Sysmiss
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
Does the room have a basin with a water source and soap?
146
70
1
3
1
YES, ALL
2
YES, ONE OR MORE
3
NO
Sysmiss
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconate)
216
1
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
What disinfectant(s) are being used in the facility? - Bleaching powder
216
1
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chlorine solution/JIK solution
216
1
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
What disinfectant(s) are being used in the facility? - Methylated spirit
216
2
2
1
YES
2
NO
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
What disinfectant(s) are being used in the facility? - Other
216
1
2
1
YES
2
NO
OTHER - What disinfectant(s) are being used in the facility?
OTHER - What disinfectant(s) are being used in the facility?
OTHER - What disinfectant(s) are being used in the facility?
OTHER - What disinfectant(s) are being used in the facility?
OTHER - What disinfectant(s) are being used in the facility?
What disinfectant(s) are being used in the facility? - Other, specify
12
HLORAMIN
calcium hypochlorite
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectan
In the last 30 days, was there any time when the facility ran out of disinfectant(s)
NO 2 > (1.41)
216
1
2
1
YES
2
NO
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
In the last 30 days for how many days was the facility out of disinfectant(s)?
26
190
1
30
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
Is there a functional incinerator/ drip for disposing of medical waste?
216
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
What procedure is used for decontaminating medical equipment after initial use?
EQUIPMENT NEVER REUSED 07 > (1.44)
216
1
96
1
SOAKED IN DISINFECTANT SOLUTION AND THEN BRUSH SCRUBBED WITH
2
BRUSH SCRUBBED WITH SOAP AND WATER AND THEN SOAKED IN DISINF
3
BRUSH SCRUBBED WITH SOAP AND WATER ONLY
4
SOAKED IN DISINFECTANT SOLUTION ONLY
5
CLEANED WITH SOAP & WATER
6
EQUIPMENT NEVER DECONTAMINATED
7
EQUIPMENT NEVER REUSED
96
OTHER
S1Q42_OTHER
S1Q42_OTHER
S1Q42_OTHER
S1Q42_OTHER
S1Q42_OTHER
What procedure is used for decontaminating medical equipment after initial use?
Other, specify
3
Dry-air sterilizer
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
What procedure is used for sterilizing medical equipment before reuse?
183
33
1
96
1
DRY-HEAT STERILIZATION
2
AUTOCLAVING
3
BOILING
4
STEAM STERILIZATION
5
CHEMICAL METHOD
6
PROCESSED OUTSIDE FACILITY
7
NONE
96
OTHER
Sysmiss
S1Q43_OTHER
S1Q43_OTHER
S1Q43_OTHER
S1Q43_OTHER
S1Q43_OTHER
What procedure is used for sterilizing medical equipment before reuse? Other, specify
2
Alcohol
Dry-air sterilizer
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
Is the protocol for sterilizing equipment displayed?
216
1
2
1
DISPLAYED
2
NOT DISPLAYED
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
Is there a provision for the disposal of bio medical waste?
NO 2> (2.00)
216
1
2
1
YES
2
NO
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
How is biomedical waste disposed of?
191
25
1
2
1
BURIED IN PIT
2
BURNED
3
THROWN OUTSIDE
4
OUTSOURCED
5
OTHER
Sysmiss
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
OTHER - How is biomedical waste disposed of?
How is biomedical waste disposed of? Other, specify
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial
Has a facility workplan been developed for the current calendar and/or financial year?
No 3> (2.04)
216
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
Who was involved in setting this workplan? - Health facility director
186
30
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
Who was involved in setting this workplan? - Health facility staff
186
30
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization sta
Who was involved in setting this workplan? - Non governmental Organization staff
186
30
2
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Hea
Who was involved in setting this workplan? - Ministry of Health / District Health Management Team
186
30
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
Who was involved in setting this workplan? - PHC Chief accountant
186
30
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
Who was involved in setting this workplan? - PHC management
186
30
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
Who was involved in setting this workplan? - Hospital management
186
30
1
2
1
YES
2
NO
Sysmiss
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
Who was involved in setting this workplan? - Other
186
30
1
2
1
YES
2
NO
Sysmiss
S2Q2_OTHER
S2Q2_OTHER
S2Q2_OTHER
S2Q2_OTHER
S2Q2_OTHER
OTHER -- Who was involved in setting this workplan?
3
Deputy Manager
Jamoat
Sanitary-Epidemiological Station
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the curre
Are priority health-related activities identified in this workplan for the current financial year?
No 2 >(2.05)
186
30
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Prenatal care
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Postnatal care
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Immunization
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Curative consultations
202
14
1
1
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Family planning
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Reproductive health
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Nutrition
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Integrated management of childhood illness
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Hypertension
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Diabetes
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Obesity
202
14
1
2
1
YES
2
NO
Sysmiss
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Other
202
14
2
2
1
YES
2
NO
Sysmiss
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
OTHER - Now I will read you a list of services. For each service, please tell me
Now I will read you a list of services. For each service, please tell me whether this service is a priority or not a priority for this fiscal year. CHANGE SERVICES into "Areas"
- Other, specify:
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
How many health facility staff meetings were held in the last 3 months?
216
72
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
Do all facility staff have written job descriptions?
216
1
3
1
All have work descriptions
2
Some have work descriptions
3
None have work descriptions
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Rural health centre' management
216
24
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Rayon health centre' management
216
12
1
2
3
4
5
6
7
8
12
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Rayon hospital representative
216
5
1
2
3
4
5
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the hi
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Other (specify)
216
5
1
2
3
5
S2Q7_OTHER
S2Q7_OTHER
S2Q7_OTHER
S2Q7_OTHER
S2Q7_OTHER
In the last 3 months, how many visits were made to the health facility by the higher level health facility for supervision or technical support?
- Other (specify)
24
Sanitary-Epidemiological Station
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a donor for supervision or technical support?
a. Local government/or donors
216
24
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a do
In the last 3 months, how many visits were made by the local government and a donor for supervision or technical support?
b. donor
216
1
1
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
In the last 12 months, how many times was the performance of staff assessed inte
NOTE, RECALL PERIOD IS NOW 12 MONTHS
In the last 12 months, how many times was the performance of staff assessed internally, that is, by persons within the facility?
216
-99
48
-99
Don't know
1
2
3
4
5
6
7
10
12
14
24
26
36
42
48
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed exte
In the last 12 months, how many times was the performance of staff assessed externally, that is, by persons from outside the facility, e.g. the Rahoy health centre, Rayon hospital representative, Oblast health department,?
216
24
-99
Don't know
1
2
3
4
5
6
7
8
9
10
11
12
13
14
20
24
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a w
In the last 12 months, how many times was the performance of the facility as a whole assessed externally, that is, by persons from outside the facility? (State Sanitary Inspection, Supervision Cervis for Medical Activities)
216
1
24
-99
Don't know
1
2
3
4
5
6
7
8
9
10
12
13
15
16
18
22
24
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys,
Does the facility obtain information on patient opinion through client surveys, a complaint/suggestion box or another method?
No 2 >(2.17)
216
1
2
1
YES
2
NO
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
Is there a formal mechanism to inform the staff about patient opinion ?
160
56
1
2
1
YES
2
NO
Sysmiss
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained?
How is patient feedback obtained? Please specify
160
56
1
3
1
Comments Book
2
Helpline
3
Survey (face to face interview)
4
Other
Sysmiss
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
OTHER - How is patient feedback obtained?
How is patient feedback obtained? Other - please specify
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
In the last 12 months, have any changes occurred as a result of patient opinion?
160
56
1
2
1
No, no feedback received
2
No, no changes made but feedback was received
Sysmiss
Is there any health house under this rural health center?
Is there any health house under this rural health center?
Is there any health house under this rural health center?
Is there any health house under this rural health center?
Is there any health house under this rural health center?
216
1
2
1
YES
2
NO
How many health houses?
How many health houses?
How many health houses?
How many health houses?
How many health houses?
158
58
1
9
1
2
3
4
5
6
7
8
9
Sysmiss
Are there any health houses that are not functional?
Are there any health houses that are not functional?
Are there any health houses that are not functional?
Are there any health houses that are not functional?
Are there any health houses that are not functional?
216
1
2
1
YES
2
NO
Why they are not functioning?
Why they are not functioning?
Why they are not functioning?
Why they are not functioning?
Why they are not functioning?
71
145
1
2
1
The building is old and unserviceable
2
No medical staff
3
Other
Sysmiss
OTHER - Why they are not functioning?
OTHER - Why they are not functioning?
OTHER - Why they are not functioning?
OTHER - Why they are not functioning?
OTHER - Why they are not functioning?
How often do you supervise them?
How often do you supervise them?
How often do you supervise them?
How often do you supervise them?
How often do you supervise them?
72
144
1
6
1
Everyday
2
2 times a week
3
1 time per week
4
1 time per month
5
1 per year
6
Do not supervise
7
Other
Sysmiss
OTHER - How often do you supervise them?
OTHER - How often do you supervise them?
OTHER - How often do you supervise them?
OTHER - How often do you supervise them?
OTHER - How often do you supervise them?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
Has the RHC hired any staff member in the past 12 months?
216
1
2
1
YES
2
NO
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
Who has the authority to hire new staff? - Health facility manager/in charge
216
1
2
1
YES
2
NO
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
Who has the authority to hire new staff? - Health facility staff
216
2
2
1
YES
2
NO
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Healt
Who has the authority to hire new staff? - Ministry of Health / District Health
216
1
2
1
YES
2
NO
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
Who has the authority to hire new staff? - Local government
216
1
2
1
YES
2
NO
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
Who has the authority to hire new staff? - Other
216
2
2
1
YES
2
NO
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff? -
OTHER - Who has the authority to hire new staff?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has RHC involved any staff dissmisal decisions in the past 12 months?
Has HH involved any staff dissmisal decisions in the past 12 months?
216
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
Who has the authority to dismiss staff? - Health facility manager/in charge
216
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
Who has the authority to dismiss staff? - Health facility staff
216
2
2
1
YES
2
NO
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
Who has the authority to dismiss staff? - Ministry of Health / District Health
216
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
Who has the authority to dismiss staff? - Local government
216
1
2
1
YES
2
NO
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
Who has the authority to dismiss staff? - Other
216
2
2
1
YES
2
NO
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
OTHER - Who has the authority to dismiss staff?
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Head of Health House
216
1
1
1
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Family Nurse
216
16
1
2
3
4
5
6
7
8
9
10
12
14
16
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Obstetrician/gynecologist
216
-99
5
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Clinical officer
216
-99
7
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Midwife
216
15
1
2
3
5
15
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Family Nurse
216
-99
26
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Feldsher
216
-99
8
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? -
How many authorized positions are there in the facility for [POSITION TYPE]s? - Other
216
7
1
2
3
4
5
7
S3Q5_OTHER
S3Q5_OTHER
S3Q5_OTHER
S3Q5_OTHER
S3Q5_OTHER
How many authorized positions are there in the facility for [POSITION TYPE]s? - Other, specify:
24
Dentist
Dentist, Surgeon
Driver
Laboratorian
Laboratorian, Physiotherapist
Medical Registrator
Medical Registrator, Laboratorian
Midwife
Neuropathist, Ophthalmologist
Pediatrist, Gynecologist, Laboratorian
Therapeutist, Dentist, Pediatrist, 2 Midwife, Gynecologist, Dentist
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head
How many authorized positions for [POSITION TYPE] are currently filled? - Head of Health House
216
1
1
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Family Nurse
216
12
1
2
3
4
5
6
7
9
10
12
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
How many authorized positions for [POSITION TYPE] are currently filled? - Obstetrician/gynecologist
216
5
1
2
5
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
How many authorized positions for [POSITION TYPE] are currently filled? - Clinical officer
216
7
1
2
6
7
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
How many authorized positions for [POSITION TYPE] are currently filled? - Midwife
216
5
1
2
3
5
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
How many authorized positions for [POSITION TYPE] are currently filled? - Family Nurse
216
26
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
How many authorized positions for [POSITION TYPE] are currently filled? - Feldsher
216
6
1
2
3
4
5
6
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
How many authorized positions for [POSITION TYPE] are currently filled? - Other, specify:
216
6
1
2
3
4
5
6
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Head of Health House
216
2
1
2
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Family Nurse
216
3
1
3
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Obstetrician/gynecologist
216
1
1
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Clinical officer
216
1
1
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Midwife
216
2
1
2
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Family Nurse
216
7
1
2
3
4
7
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Feldsher
216
1
1
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
In the last 12 months, how many [POSITION TYPE] have left the facility permanenty? - Other, specify:
216
4
1
2
3
4
NAME LAB TECHNICIAN OR BEST INFORMED STAFF MEMBER
NAME LAB TECHNICIAN OR BEST INFORMED STAFF MEMBER
NAME LAB TECHNICIAN OR BEST INFORMED STAFF MEMBER
NAME LAB TECHNICIAN OR BEST INFORMED STAFF MEMBER
NAME LAB TECHNICIAN OR BEST INFORMED STAFF MEMBER
216
-99
21
-99
No laboratory services
1
2
6
7
9
10
12
13
14
15
16
17
18
21
Does the facility provide laboratory services?
Does the facility provide laboratory services?
Does the facility provide laboratory services?
Does the facility provide laboratory services?
Does the facility provide laboratory services?
216
1
2
1
YES
2
NO
For the following tests, please tell me if you are able to perform them today, i
For the following tests, please tell me if you are able to perform them today, i
For the following tests, please tell me if you are able to perform them today, i
For the following tests, please tell me if you are able to perform them today, i
For the following tests, please tell me if you are able to perform them today, i
44
172
1
3
1
Able to do this test today
2
Able to do in past 3 months but not today
3
Cannot do this test, today or in past 3 months
Sysmiss
How many of the [
How many of the [
How many of the [
How many of the [
How many of the [
44
172
-99
99
RECORD SOURCE OF THE INFORMATION. RECORD ONE RESPONSE FOR EACH TEST.
RECORD SOURCE OF THE INFORMATION. RECORD ONE RESPONSE FOR EACH TEST.
RECORD SOURCE OF THE INFORMATION. RECORD ONE RESPONSE FOR EACH TEST.
RECORD SOURCE OF THE INFORMATION. RECORD ONE RESPONSE FOR EACH TEST.
RECORD SOURCE OF THE INFORMATION. RECORD ONE RESPONSE FOR EACH TEST.
44
172
1
2
1
RECORDS
2
NO RECORDS AVAILABLE, ORAL REPORT
Sysmiss
Where is the lab equipment located?
Where is the lab equipment located?
Where is the lab equipment located?
Where is the lab equipment located?
Where is the lab equipment located?
44
172
1
2
1
Separate laboratory
2
Room that is also used for other activities
96
Other
Sysmiss
OTHER - Where is the lab equipment located?
OTHER - Where is the lab equipment located?
OTHER - Where is the lab equipment located?
OTHER - Where is the lab equipment located?
OTHER - Where is the lab equipment located?
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Microscope
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Microscope
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Microscope
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Microscope
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Microscope
44
172
98
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Centrifuge
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Centrifuge
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Centrifuge
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Centrifuge
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Centrifuge
44
172
98
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Hemoglobinometer
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Hemoglobinometer
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Hemoglobinometer
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Hemoglobinometer
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Hemoglobinometer
44
172
2
1
2
Sysmiss
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Refrigerator for storing reage
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Refrigerator for storing reage
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Refrigerator for storing reage
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Refrigerator for storing reage
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Refrigerator for storing reage
44
172
98
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Glucometers
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Glucometers
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Glucometers
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Glucometers
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Glucometers
44
172
98
Is there a Tuberculosis Laboratory Register?
Is there a Tuberculosis Laboratory Register?
Is there a Tuberculosis Laboratory Register?
Is there a Tuberculosis Laboratory Register?
Is there a Tuberculosis Laboratory Register?
44
172
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Sysmiss
How many laboratory technicians are trained in Acid-Fast Bacilli (AFB) microscop
How many laboratory technicians are trained in Acid-Fast Bacilli (AFB) microscop
How many laboratory technicians are trained in Acid-Fast Bacilli (AFB) microscop
How many laboratory technicians are trained in Acid-Fast Bacilli (AFB) microscop
How many laboratory technicians are trained in Acid-Fast Bacilli (AFB) microscop
44
172
4
1
2
3
4
Sysmiss
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
Does this facility provide immunization services?
NO > 2 (6.08)
216
1
1
1
YES
2
NO
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
Is there a separate room or area for immunizations?
216
1
2
1
YES
2
NO
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach a
Are immunizations regularly given to children at the facility, or in outreach activities including during home visits?
216
1
4
1
Facility only
2
Outreach only
3
Facility and outreach
4
Includes home visiits
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
Is there a vaccination outreach work plan for the current year?
216
1
2
1
YES
2
NO
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outr
In the last 30 days, on how many days did the facility staff do vaccination outreach in the community?
216
11
1
2
5
6
11
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
Does this facility have a [STORAGE METHOD] for storing vaccines?
a. Ice Lined Refrigerator (ILR)
216
1
2
1
YES
2
NO
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
Does this facility have a [STORAGE METHOD] for storing vaccines?
b. Cold Box
216
1
2
1
YES
2
NO
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
Does this facility have a [STORAGE METHOD] for storing vaccines?
c. Refrigerator
216
1
2
1
YES
2
NO
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
Does this facility have a [STORAGE METHOD] for storing vaccines?
d. Vaccine Carriers
216
1
2
1
YES
2
NO
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
Is a temperature log kept?
216
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
Are antenatal services provided at this facility?
216
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for antenatal care? (home visits)
NO 2 > (6.14)
209
7
3
90
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
In the last 6 months, were iron and folate routinely prescribed?
209
7
1
6
1
RECORDS SEEN: All the time
2
RECORDS SEEN: Sometimes
3
RECORDS SEEN: Seldom or never
4
RECORDS NOT SEEN, ORAL REPORT: All the time
5
RECORDS NOT SEEN, ORAL REPORT: Sometimes
6
RECORDS NOT SEEN, ORAL REPORT: Seldom or never
Sysmiss
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or materna
Do women who come to the facility for antenatal care get an antenatal or maternal health card?
NO 2 > (6.14)
209
7
1
2
1
YES
2
NO
Sysmiss
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Where are the maternal health cards kept once issued to a mother?
Given to mother to bring for next visit 01 > (6.14)
205
11
1
3
1
Given to mother to bring for next visit
2
Kept at facility
3
One copy given to mother and one kept at facility
96
Other
Sysmiss
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
OTHER - Where are the maternal health cards kept once issued to a mother?
Other, specify:96 > (6.14)
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
Could you show me some cards that belong to specific patients?
147
69
1
2
1
SEEN
2
NOT SEEN
Sysmiss
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
Are postnatal services provided at this facility?
NO 2 > (6.16)
216
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for postnatal care? (home visits)
215
1
90
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
Does this facility provide service of rules breastfeeding mothers postpartum?
NO 2 > (6.18)
216
1
1
1
YES
2
NO
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility? - Inform pregnant women
What services are breastfeeding does in this facility?
a. Inform pregnant women about the benefits of breastfeeding
216
1
2
1
YES
2
NO
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility? - Help to mothers initi
What services are breastfeeding does in this facility?
b. Help to mothers initiate breastfeeding
216
1
2
1
YES
2
NO
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility? - Show to mothers how t
What services are breastfeeding does in this facility?
c. Show to mothers how to breastfeed and how to maintain lactation, even if they should be placed separately from children
216
1
2
1
YES
2
NO
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility? - Give newborn infants
What services are breastfeeding does in this facility?
d. Give newborn infants no food or drink other than breast milk, if there is no medically indicated
216
1
2
1
YES
2
NO
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility? - Don't give teats and
What services are breastfeeding does in this facility?
e. Don't give teats and soothers for infants during breastfeeding
216
1
2
1
YES
2
NO
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of
Does this facility provide service examination of the child for the presence of clinical signs of cachexia and child pellagra
216
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
a. Weigh the child using electronic weights
216
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
b. Measuring the length or height
216
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
c. Definition BMI (body mass index)
216
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
d. Consultation of the child hypertrophy
216
1
2
1
YES
2
NO
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cac
What services examination of the child for the presence of clinical signs of cachexia does in this facility?
e. Consultation of the child hypotrophy
216
1
2
1
YES
2
NO
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
Are provided at this facility nutrition services for child under 5?
NO 2> (6.23)
216
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for nutrition services for child under 5?
208
8
90
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
a. Recommendations on feeding the baby up to 6 months
208
8
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
b. Recommendations on infant feeding in age from 6 months to 1 year
208
8
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
c. Recommendations for feeding a child aged 1 to 2 years
208
8
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
d. Recommendations for feeding a child from 2 to 5 years
208
8
1
2
1
YES
2
NO
Sysmiss
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility? - Recomme
What services are nutrition for child under 5 does in this facility?
e. Recommendations for the safe food preparation and hygiene
208
8
1
2
1
YES
2
NO
Sysmiss
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
Are provided at this facility hypertension services ?
216
1
2
1
YES
2
NO
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the
In the last 6 months, on how many days did the facility staff do outreach in the community for hypertension services?
203
13
1
90
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility? - Screening
What services are hypertension in this facility?
a. Screening
203
13
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility? - Revealing patients with hyp
What services are hypertension in this facility?
b. Revealing patients with hypertension
203
13
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility? - BP measurement 3 times with
What services are hypertension in this facility?
c. BP measurement 3 times within 2 months
203
13
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility? - Dispensary observation
What services are hypertension in this facility?
d. Dispensary observation
203
13
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility? - Introduction the control ch
What services are hypertension in this facility?
e. Introduction the control charts
203
13
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility? - Non-pharmacological treatme
What services are hypertension in this facility?
f. Non-pharmacological treatment of hypertension
203
13
1
2
1
YES
2
NO
Sysmiss
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility? - Health nutrition
What services are hypertension in this facility?
g. Health nutrition
203
13
1
2
1
YES
2
NO
Sysmiss
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility? - Obesity prevention
What services are diabet in this facility?
a. Obesity prevention
216
1
2
1
YES
2
NO
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility? - Health nutrition
What services are diabet in this facility?
b. Health nutrition
216
1
2
1
YES
2
NO
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility? - Dispensary observation
What services are diabet in this facility?
c. Dispensary observation
216
1
2
1
YES
2
NO
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility? - Free distribution of diabetic dru
What services are diabet in this facility?
d. Free distribution of diabetic drugs(Umulyn, Glibenklamid)
216
1
2
1
YES
2
NO
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility? - Establishment patient card
What services are diabet in this facility?
e. Establishment patient card
216
1
2
1
YES
2
NO
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility? - Glucometry
What services are diabet in this facility?
f. Glucometry
216
1
2
1
YES
2
NO
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility? - Other
What services are diabet in this facility?
g. Other
216
2
2
1
YES
2
NO
OTHER - What services are diabet in this facility?
OTHER - What services are diabet in this facility?
OTHER - What services are diabet in this facility?
OTHER - What services are diabet in this facility?
OTHER - What services are diabet in this facility?
What services are diabet in this facility?
Other, specify
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facili
Do you have an estimate of the size of the catchment population that this facility serves, that is, the target, or total population living in the area served by this facility?
NO 2 > (7.03)
216
1
2
1
YES
2
NO
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]? - Total population
How many people is the catchment [POPULATION CATEGORY]?
a. Total population
215
1
695
123299
-99
Don't know
695
1117
1166
1230
1287
1327
1352
1440
1481
1525
1535
1599
1633
1654
1689
1837
1850
2081
2092
2094
2118
2124
2170
2175
2216
2251
2253
2278
2293
2314
2410
2435
2436
2447
2460
2533
2551
2554
2579
2609
2665
2685
2700
2725
2753
2759
2763
2784
2796
2800
2806
2828
2834
2868
2902
2909
2932
2945
3001
3002
3010
3035
3038
3047
3053
3066
3067
3083
3113
3128
3141
3163
3164
3200
3209
3236
3244
3256
3274
3285
3320
3348
3358
3365
3375
3400
3445
3470
3489
3503
3508
3514
3540
3631
3634
3648
3662
3677
3838
3844
3853
3889
3943
3990
3999
4093
4101
4102
4109
4113
4117
4137
4141
4151
4200
4220
4227
4250
4333
4436
4454
4475
4513
4519
4532
4568
4598
4622
4630
4640
4702
4759
4791
4885
4909
4941
5010
5113
5121
5131
5200
5243
5283
5300
5715
5733
5800
5811
5842
6054
6108
6113
6199
6223
6239
6275
6316
6339
6583
6654
6691
6742
6816
7014
7270
7311
7320
7405
7442
7454
7458
7461
7525
7548
7554
7639
7696
7840
8194
8323
8419
8561
8641
8808
8890
8899
8944
8993
9110
9356
9800
10048
10724
10748
10993
11023
11238
11630
12027
13857
15100
15751
15801
17662
20216
21300
24763
123299
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
How many people is the catchment [POPULATION CATEGORY]?
b. Total male population
215
1
-99
62510
-99
Don't know
355
555
593
596
658
735
742
753
788
792
820
833
843
876
889
890
948
957
1007
1030
1044
1067
1080
1090
1092
1110
1121
1126
1128
1130
1133
1135
1156
1161
1165
1167
1190
1201
1205
1243
1264
1324
1330
1331
1334
1335
1350
1351
1355
1359
1375
1385
1391
1398
1400
1403
1425
1432
1434
1447
1450
1469
1480
1505
1515
1523
1533
1551
1558
1562
1565
1571
1574
1578
1581
1598
1602
1604
1607
1611
1612
1640
1645
1646
1657
1674
1690
1739
1752
1753
1768
1798
1816
1820
1821
1839
1857
1887
1902
1914
1947
1982
1990
2001
2003
2005
2009
2041
2050
2074
2089
2113
2120
2125
2161
2162
2190
2207
2223
2241
2250
2266
2284
2300
2307
2320
2350
2357
2360
2387
2404
2449
2451
2499
2500
2502
2509
2550
2600
2660
2666
2733
2892
2895
2923
2952
3010
3042
3101
3112
3126
3145
3215
3221
3222
3231
3318
3348
3372
3382
3541
3606
3616
3720
3749
3800
3806
3807
3817
3820
3851
3927
3951
3997
4010
4100
4101
4179
4323
4350
4449
4466
4493
4503
4627
4790
4975
5083
5233
5264
5560
5613
5912
6270
6934
7535
7724
10160
10768
16298
62510
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
How many people is the catchment [POPULATION CATEGORY]?
c. Total female population
215
1
-99
60789
-99
Don't know
340
395
562
572
573
574
691
698
737
743
746
764
765
766
813
846
889
961
1001
1027
1045
1062
1074
1080
1083
1088
1113
1116
1117
1124
1137
1143
1145
1201
1205
1269
1270
1279
1299
1302
1306
1321
1327
1336
1356
1359
1361
1378
1379
1384
1390
1398
1402
1409
1427
1429
1433
1444
1455
1457
1477
1483
1495
1511
1516
1517
1530
1532
1533
1550
1557
1581
1590
1598
1604
1605
1617
1619
1646
1650
1653
1654
1661
1671
1675
1692
1693
1703
1715
1723
1735
1774
1813
1828
1835
1848
1858
1869
1879
1907
1910
1923
1951
1975
2000
2030
2051
2076
2088
2095
2108
2114
2138
2153
2173
2175
2195
2204
2209
2213
2235
2252
2290
2332
2340
2386
2439
2452
2501
2505
2540
2541
2550
2571
2577
2613
2741
2820
2823
2859
2905
2942
2978
3000
3098
3113
3124
3130
3190
3214
3272
3274
3300
3306
3361
3370
3460
3498
3514
3521
3597
3607
3695
3708
3722
3747
3786
3788
3799
3830
3876
3913
3920
4096
4175
4197
4223
4305
4320
4382
4450
4500
4540
4729
4825
4843
5410
5484
5641
5678
5718
5757
5760
6923
7565
7728
8027
8465
10056
10532
60789
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
How many people is the catchment [POPULATION CATEGORY]?
d. Total female 15-49 years population, i.e. women of childbearing age
215
1
-99
30614
-99
Don't know
119
156
167
210
284
293
304
315
364
373
375
390
396
404
407
408
415
428
434
442
450
464
470
490
498
506
526
532
538
540
543
547
549
550
558
566
569
573
575
598
600
601
617
622
628
630
643
651
661
669
680
718
721
724
734
744
748
749
754
757
761
766
777
778
779
781
786
795
802
806
809
818
822
823
829
838
839
855
869
871
874
880
895
912
913
929
935
938
946
952
962
965
975
981
984
998
1012
1030
1032
1040
1041
1055
1060
1061
1064
1096
1100
1112
1128
1129
1133
1154
1171
1179
1185
1194
1200
1205
1206
1220
1221
1225
1230
1234
1260
1283
1290
1302
1339
1369
1389
1401
1415
1454
1516
1560
1567
1575
1582
1586
1610
1649
1653
1661
1677
1720
1731
1760
1787
1804
1820
1840
1843
1863
1886
1901
1962
1976
1986
2011
2030
2034
2050
2064
2099
2140
2200
2216
2236
2239
2301
2339
2412
2429
2500
2502
2531
2725
2805
2893
2925
2967
3015
3052
3287
3583
3601
3676
3836
4129
4444
4746
5181
30614
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
How many people is the catchment [POPULATION CATEGORY]?
e. Total patients over 60 years
215
1
-99
20202
-99
Don't know
16
19
29
30
39
40
46
47
48
52
56
58
59
60
63
70
72
73
74
75
76
77
78
79
80
81
82
84
85
87
91
100
101
103
106
107
109
110
114
115
116
117
118
119
123
124
125
128
129
131
133
135
136
139
140
144
145
146
148
149
156
157
166
167
170
173
174
175
177
178
186
187
189
190
193
194
196
197
199
205
211
214
215
217
221
224
226
228
235
238
240
241
247
250
251
255
259
260
261
263
264
271
283
286
288
296
306
313
317
319
321
323
326
328
334
343
347
349
350
351
367
368
372
374
375
380
400
412
417
418
438
457
463
465
486
490
517
540
547
560
564
569
578
604
615
640
670
674
695
781
782
814
820
851
933
1087
1096
1100
1228
1465
1508
1608
1926
5869
7088
20202
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
How many people is the catchment [POPULATION CATEGORY]?
f. Total <5 years population
215
1
-99
19493
-99
Don't know
73
89
99
107
111
120
144
163
166
181
183
209
210
220
221
228
230
234
235
239
247
262
264
268
272
280
287
297
300
311
315
321
323
329
337
338
341
350
352
353
354
360
373
374
379
382
388
391
394
396
400
405
408
410
426
431
434
441
442
443
445
449
453
454
456
458
459
465
478
480
486
490
492
502
505
508
509
513
517
521
527
529
538
539
543
549
553
560
561
562
564
567
571
575
577
583
584
590
594
606
610
614
619
623
634
644
649
650
656
659
675
678
686
699
705
709
718
722
731
740
741
748
763
775
789
795
804
810
813
816
821
832
895
909
919
927
928
934
943
984
993
1002
1024
1055
1059
1067
1076
1098
1114
1123
1124
1133
1137
1180
1189
1190
1196
1219
1232
1258
1262
1307
1345
1508
1519
1544
1587
1600
1615
1733
1764
1825
1842
2000
2052
2079
2100
2338
2492
2577
2616
3132
3634
4339
19493
Sysmiss
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
How many people is the catchment [POPULATION CATEGORY]?
g. Total <1 year population
215
1
-99
4239
-99
Don't know
13
24
25
40
43
45
47
50
51
54
55
56
58
59
60
63
64
67
68
72
73
75
76
78
79
80
83
85
87
88
89
90
91
92
93
95
96
98
101
102
103
104
105
107
108
109
110
111
113
114
115
116
118
120
121
123
125
126
127
128
129
130
132
135
136
137
138
139
140
141
142
144
146
147
150
152
153
155
156
158
160
161
162
164
171
173
176
177
182
184
185
189
190
193
194
199
200
201
205
210
212
215
217
220
222
223
224
225
230
231
235
236
238
241
259
264
265
268
269
279
281
283
289
301
307
316
324
337
340
357
376
393
395
413
468
508
510
549
568
579
585
848
3132
4239
Sysmiss
Number of TOTAL patients
Number of TOTAL patients
Number of TOTAL patients
Number of TOTAL patients
Number of TOTAL patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL patients
216
-99
11823
-99
Don't know
4
6
13
16
19
20
21
23
24
26
28
30
32
33
34
35
36
37
38
39
40
44
46
47
48
50
51
55
57
58
59
60
62
63
66
67
68
69
70
71
74
75
76
77
79
84
85
87
88
89
91
92
96
100
102
105
106
107
108
112
114
115
116
120
124
127
128
130
140
149
150
163
167
173
174
175
177
190
200
212
222
229
240
245
257
264
269
271
316
350
370
376
389
395
400
472
557
620
630
642
677
806
823
835
974
1114
1116
1331
1500
1667
2058
2082
2112
2757
3533
4236
8600
11823
Number of TOTAL male patients
Number of TOTAL male patients
Number of TOTAL male patients
Number of TOTAL male patients
Number of TOTAL male patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL male patients
216
-99
1818
-99
Don't know
1
3
4
6
7
8
9
10
11
13
15
17
18
19
20
21
22
24
26
27
28
30
33
35
36
37
38
39
40
41
43
45
46
48
50
51
57
58
61
66
70
80
83
90
100
102
104
115
125
128
134
138
153
327
372
423
700
1818
Number of TOTAL female patients
Number of TOTAL female patients
Number of TOTAL female patients
Number of TOTAL female patients
Number of TOTAL female patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL female patients
216
-99
1715
-99
Don't know
3
5
7
8
11
12
14
15
16
17
18
20
21
22
23
24
25
26
27
29
30
31
32
33
34
40
42
44
46
47
50
55
58
62
65
67
70
72
74
75
78
79
80
88
94
104
109
110
111
112
127
129
149
212
232
242
350
357
400
744
800
1715
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Number of TOTAL pregnant women
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL pregnant women
216
-99
932
-99
Don't know
1
2
3
4
5
6
7
8
10
12
13
14
15
16
17
18
19
20
21
22
23
24
25
27
30
33
34
35
37
40
41
42
43
44
45
46
48
49
52
54
59
61
62
66
69
72
74
75
79
80
82
85
87
96
101
104
110
120
121
127
144
145
150
175
184
187
196
211
316
932
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Number of TOTAL under 5 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL under 5 patients
216
-99
400
-99
Don't know
1
3
4
5
6
7
8
9
10
13
14
15
19
20
21
22
24
25
26
27
29
32
33
34
36
37
40
41
43
45
46
48
53
55
57
58
59
62
64
65
70
74
80
82
83
100
105
110
115
120
135
153
163
400
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Number of TOTAL male under 5 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL male under 5 patients
216
-99
209
-99
Don't know
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
21
23
24
25
26
27
28
29
30
32
35
36
38
40
45
52
55
75
200
209
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Number of TOTAL female under 5 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL female under 5 patients
216
-99
232
-99
Don't know
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
17
19
20
21
22
23
24
25
27
28
30
35
42
45
53
60
65
200
232
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Number of TOTAL under 1 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL under 1 patients
216
-99
130
-99
Don't know
1
2
4
5
7
8
9
10
11
12
13
14
15
16
17
18
19
20
23
25
26
28
30
31
33
37
38
40
43
50
52
53
58
114
130
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Number of TOTAL male under 1 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL male under 1 patients
216
-99
52
-99
Don't know
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
17
18
19
20
25
27
28
29
30
33
49
50
52
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Number of TOTAL female under 1 patients
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL female under 1 patients
216
-99
80
-99
Don't know
1
2
3
4
5
6
7
8
9
10
12
13
16
17
18
20
21
22
23
25
28
56
61
80
Number of TOTAL over 60
Number of TOTAL over 60
Number of TOTAL over 60
Number of TOTAL over 60
Number of TOTAL over 60
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Number of TOTAL over 60
216
-99
180
-99
Don't know
1
2
3
4
5
6
7
8
9
10
12
14
15
17
18
19
20
21
25
26
37
42
44
48
52
68
106
154
180
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Monthly Integrated Activity Reports
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Monthly Integrated Activity Reports
216
1
2
1
SEEN
2
NOT SEEN
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Monthly Aggregated Activity Reports
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Monthly Aggregated Activity Reports
216
1
2
1
SEEN
2
NOT SEEN
Notifiable Disease Report
Notifiable Disease Report
Notifiable Disease Report
Notifiable Disease Report
Notifiable Disease Report
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Notifiable Disease Report
216
1
2
1
SEEN
2
NOT SEEN
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Vaccination/immunization Coverage Report
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Vaccination/immunization Coverage Report
216
1
2
1
SEEN
2
NOT SEEN
Family Planning Register
Family Planning Register
Family Planning Register
Family Planning Register
Family Planning Register
Now I would like to see the register that shows the total number of patients attended in this facility in the last completed calendar month.
Family Planning Register
216
1
2
1
SEEN
2
NOT SEEN
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
Does your facility provaide cervices free of charge for patients
NO 2 > (9.04)
216
1
2
1
YES
2
NO
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
a. Pregnant
214
2
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
b. Children under 5
214
2
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
c. Elderly
214
2
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
d. Disabled people
214
2
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
e. War veterans
214
2
1
2
1
YES
2
NO
Sysmiss
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
Which patients your health facility provides health care service free of charge?
f. Without caretakers\Poor
214
2
1
2
1
YES
2
NO
Sysmiss
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
Do patients pay laboratory fees for tests?
216
1
2
1
YES
2
NO
Do patients pay fees for supplies (e.g. compresses, syringes, etc.)?
Do patients pay fees for supplies (e.g. compresses, syringes, etc.)?
Do patients pay fees for supplies (e.g. compresses, syringes, etc.)?
Do patients pay fees for supplies (e.g. compresses, syringes, etc.)?
Do patients pay fees for supplies (e.g. compresses, syringes, etc.)?
Do patients pay laboratory fees for tests?
216
1
2
1
YES
2
NO
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
Do patients pay fees for medicines?
NO 2 > (9.07)
216
1
2
1
YES
2
NO
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
What percentage of the drug cost is charged to patients?
22
194
100
100
100
Sysmiss
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
CHECK WHETHER THE FACILITY CHARGES
216
1
2
1
HAS FEES
2
NO FEES AT ALL
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
a. Facility infrastructure
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
b. Facility equipment and supplies
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
c. Drugs
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
d. Facility programs
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
e. Use in community
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
f. Sent back to managing agency
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
g. Staff salaries
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
h. Staff performance bonuses
34
182
2
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
i. Sent back tolocal government
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
j. Sent back to central government
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
k. Sent back to decentralized government
34
182
1
2
1
YES
2
NO
Sysmiss
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
In the last 3 months, how did the facility spend the direct revenue from user fe
What percentage of the drug cost is charged to patients?
Other
34
182
2
2
1
YES
2
NO
Sysmiss
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
OTHER - In the last 3 months, how did the facility spend the direct revenue fr
What percentage of the drug cost is charged to patients?
Other, specify
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
Are any of the following individuals exempt from paying fees? - Widows
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under 5
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above
Are any of the following individuals exempt from paying fees? - Elderly (above 80 years)
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
Are any of the following individuals exempt from paying fees? - Orphans
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis p
Are any of the following individuals exempt from paying fees? - Tuberculosis patients
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patie
Are any of the following individuals exempt from paying fees? - HIV/AIDS patients
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
Are any of the following individuals exempt from paying fees? - Extreme poor
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary pers
Are any of the following individuals exempt from paying fees? - Millitary personnel
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically dis
Are any of the following individuals exempt from paying fees? - Physically disabled persons
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
Are any of the following individuals exempt from paying fees? - Pregnant women
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under
Are any of the following individuals exempt from paying fees? - Children under 1
216
1
2
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW
Are any of the following individuals exempt from paying fees? - Veterans of WW2
216
1
1
1
YES
2
NO
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
Are any of the following individuals exempt from paying fees? - Other
216
2
2
1
YES
2
NO
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
OTHER - Are any of the following individuals exempt from paying fees?
ID CODE OF THE RESPONDENT FROM THE STAFF ROSTER
ID CODE OF THE RESPONDENT FROM THE STAFF ROSTER
ID CODE OF THE RESPONDENT FROM THE STAFF ROSTER
ID CODE OF THE RESPONDENT FROM THE STAFF ROSTER
ID CODE OF THE RESPONDENT FROM THE STAFF ROSTER
216
1
6
1
2
3
4
6
I am able to assign tasks and activities to staff as needed to achieve the outco
I am able to assign tasks and activities to staff as needed to achieve the outco
I am able to assign tasks and activities to staff as needed to achieve the outco
I am able to assign tasks and activities to staff as needed to achieve the outco
I am able to assign tasks and activities to staff as needed to achieve the outco
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
The Rayon Health Management Team supports my decisions and actions for doing a b
The Rayon Health Management Team supports my decisions and actions for doing a b
The Rayon Health Management Team supports my decisions and actions for doing a b
The Rayon Health Management Team supports my decisions and actions for doing a b
The Rayon Health Management Team supports my decisions and actions for doing a b
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I have choice over who I allocate for what tasks.
I have choice over who I allocate for what tasks.
I have choice over who I allocate for what tasks.
I have choice over who I allocate for what tasks.
I have choice over who I allocate for what tasks.
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I have enough authority to obtain the resources I need (drugs, supplies, funding
I have enough authority to obtain the resources I need (drugs, supplies, funding
I have enough authority to obtain the resources I need (drugs, supplies, funding
I have enough authority to obtain the resources I need (drugs, supplies, funding
I have enough authority to obtain the resources I need (drugs, supplies, funding
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
The policies and procedures for doing things are clear to me.
The policies and procedures for doing things are clear to me.
The policies and procedures for doing things are clear to me.
The policies and procedures for doing things are clear to me.
The policies and procedures for doing things are clear to me.
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
The policies and procedures for doing things are useful tools for the challenges
The policies and procedures for doing things are useful tools for the challenges
The policies and procedures for doing things are useful tools for the challenges
The policies and procedures for doing things are useful tools for the challenges
The policies and procedures for doing things are useful tools for the challenges
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
The District Health Management Team provides adequate feedback to me about my jo
The District Health Management Team provides adequate feedback to me about my jo
The District Health Management Team provides adequate feedback to me about my jo
The District Health Management Team provides adequate feedback to me about my jo
The District Health Management Team provides adequate feedback to me about my jo
216
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
Is there a reception/registration room in this facility?
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
Is there a reception/registration room in this facility?
216
1
2
1
YES
2
NO
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
Is there a waiting room in this facility?
216
1
2
1
YES
2
NO
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
Is there a separate waiting room for women in this facility?
216
1
2
1
YES
2
NO
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in th
Is there a room with auditory and visual privacy for patient consultations in this facility?
216
1
2
1
YES
2
NO
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
Is there heating in patient areas during winter in this facility?
216
1
2
1
YES
2
NO
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
Is a functional toilet facility available for patients?
216
1
2
1
YES
2
NO
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
Are there separate toilet facilities for male and female patients?
216
1
2
1
YES
2
NO
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
Is there any posting in the facility that shows the user fees for consultation?
216
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
Is there any posting in the facility that shows laboratory fees for outpatients?
216
1
3
1
YES, PUBLICLY POSTED
2
YES, NOT POSTED
3
NO, NOT POSTED
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/ho
Is any of the following posted publicly for patients to see? - Service days/hours
216
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
Is any of the following posted publicly for patients to see? - Staff rotation
216
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management cont
Is any of the following posted publicly for patients to see? - Management contact
216
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and
Is any of the following posted publicly for patients to see? - Complaints and suggestions handling policy
216
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
Is any of the following posted publicly for patients to see? - Other
216
1
3
1
YES AND SEEN
2
YES, NOT SEEN
3
NO
S12Q19_OTHER
S12Q19_OTHER
S12Q19_OTHER
S12Q19_OTHER
S12Q19_OTHER
Is any of the following posted publicly for patients to see?
Other, specify
7
Health corner
Information about the diseases
Posters
Protokols
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
Patient education materials (Information and Education Campaign materials)
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Patient education materials (Information and Education Campaign materials)
216
1
2
1
SEEN
2
NOT SEEN
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Integrated Management of Childhood Illness (IMCI) chart booklet or wall chart
216
1
2
1
SEEN
2
NOT SEEN
Graphs for growth monitoring
Graphs for growth monitoring
Graphs for growth monitoring
Graphs for growth monitoring
Graphs for growth monitoring
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Graphs for growth monitoring
216
1
2
1
SEEN
2
NOT SEEN
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
National protocol for tuberculosis diagnosis and treatment
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for tuberculosis diagnosis and treatment
216
1
2
1
SEEN
2
NOT SEEN
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
Health Management Information System (HMIS) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Health Management Information System (HMIS) guidelines
216
1
2
1
SEEN
2
NOT SEEN
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
Health Management Information System (HMIS) Data
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Health Management Information System (HMIS) Data
216
1
2
1
SEEN
2
NOT SEEN
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
National Protocol for malaria diagnosis and treatment (not part of IMCI)
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National Protocol for malaria diagnosis and treatment (not part of IMCI)
216
1
2
1
SEEN
2
NOT SEEN
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National Protocol for diarrhea diagnosis and treatment (not part of IMCI)
216
1
2
1
SEEN
2
NOT SEEN
National protocol for child vaccination
National protocol for child vaccination
National protocol for child vaccination
National protocol for child vaccination
National protocol for child vaccination
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for child vaccination
216
1
2
1
SEEN
2
NOT SEEN
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
National protocol for reproductive health/family planning
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for reproductive health/family planning
216
1
2
1
SEEN
2
NOT SEEN
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
National protocol for reducing unsafe abortion morbidity/mortality
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for reducing unsafe abortion morbidity/mortality
216
1
2
1
SEEN
2
NOT SEEN
Antenatal Care National Standards
Antenatal Care National Standards
Antenatal Care National Standards
Antenatal Care National Standards
Antenatal Care National Standards
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Antenatal Care National Standards
216
1
2
1
SEEN
2
NOT SEEN
Labor and Delivery Care
Labor and Delivery Care
Labor and Delivery Care
Labor and Delivery Care
Labor and Delivery Care
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Labor and Delivery Care
216
1
2
1
SEEN
2
NOT SEEN
Newborn Care National Standards
Newborn Care National Standards
Newborn Care National Standards
Newborn Care National Standards
Newborn Care National Standards
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Newborn Care National Standards
216
1
2
1
SEEN
2
NOT SEEN
Post-Partum Care National Standards
Post-Partum Care National Standards
Post-Partum Care National Standards
Post-Partum Care National Standards
Post-Partum Care National Standards
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Post-Partum Care National Standards
216
1
2
1
SEEN
2
NOT SEEN
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
Procedures Manual for Infection Prevention and Control
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Procedures Manual for Infection Prevention and Control
216
1
2
1
SEEN
2
NOT SEEN
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
Management of Sexually Transmitted Infections (STI) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Management of Sexually Transmitted Infections (STI) guidelines
216
1
2
1
SEEN
2
NOT SEEN
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
National HIV testing and counseling guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National HIV testing and counseling guidelines
216
1
2
1
SEEN
2
NOT SEEN
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
Prevention of mother to child transmission of HIV (PMTCT) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Prevention of mother to child transmission of HIV (PMTCT) guidelines
216
1
2
1
SEEN
2
NOT SEEN
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
HIV treatment (Antiretroviral therapy, ART) guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
HIV treatment (Antiretroviral therapy, ART) guidelines
216
1
2
1
SEEN
2
NOT SEEN
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
HIV treatment (Antiretroviral therapy, ART) for children/infants guidelines
216
1
2
1
SEEN
2
NOT SEEN
National list for essential drugs
National list for essential drugs
National list for essential drugs
National list for essential drugs
National list for essential drugs
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National list for essential drugs
216
1
2
1
SEEN
2
NOT SEEN
National protocol for drug procurement
National protocol for drug procurement
National protocol for drug procurement
National protocol for drug procurement
National protocol for drug procurement
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National protocol for drug procurement
216
1
2
1
SEEN
2
NOT SEEN
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
Detecting and reporting adverse drug or vaccine reaction
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
Detecting and reporting adverse drug or vaccine reaction
216
1
2
1
SEEN
2
NOT SEEN
National health strategy
National health strategy
National health strategy
National health strategy
National health strategy
INTERVIEWER: ASK THE FACILITY HEAD OR BEST INFORMED STAFF MEMBER TO SEE THE CLINICAL CARE PROTOCOLS. FOR EACH OF THE FOLLOWING, RECORD IF YOU HAVE SEEN OR NOT SEEN THE PROTOCOL / GUIDELINES / MATERIALS.
National health strategy
216
1
2
1
SEEN
2
NOT SEEN
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Timer or clock with seconds hand
216
99
1
2
3
4
5
6
7
8
98
No answer
99
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
QUANTITY AVAILABLE AND FUNCTIONING: - Children
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Children
216
9
1
2
3
4
5
9
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Height measure
216
11
1
2
3
4
5
9
11
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
216
10
1
2
3
4
5
6
7
10
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
216
5
1
2
3
4
5
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
216
13
1
2
3
4
5
6
7
8
10
12
13
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Thermometer
216
24
1
2
3
4
5
6
7
8
9
10
12
15
16
20
24
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Stethoscope
216
13
1
2
3
4
5
6
7
10
13
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
216
15
1
2
3
4
5
6
7
8
10
15
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Otoscope
216
8
1
2
3
4
5
6
8
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Suction/aspirating device
216
2
1
2
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Vision chart
216
5
1
2
4
5
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Oxygen tank
216
20
2
20
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Bag Valve Mask (Ambu bag)
216
2
1
2
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Incubator
216
1
1
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Drip Stand
216
10
1
2
3
4
5
10
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Flashlight
216
13
1
2
3
4
5
13
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Stretcher
216
2
1
2
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Wheel chair
216
10
1
2
3
5
8
10
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Minor surgical instruments for procedures like incision & drainage and suturing (forceps, scalpel)
216
5
1
2
4
5
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner wi
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Oral Rehydration Therapy (ORT) corner with equipment (I liter container, cups and spoons and rehydration guidelines)
216
4
1
2
3
4
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Urinary Catheter
216
20
1
2
3
4
5
7
8
20
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
216
51
1
2
3
4
5
6
7
8
9
10
11
12
13
18
42
51
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Antiseptic liquid
216
12
1
2
3
4
5
6
9
10
12
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet h
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Electric autoclave (pressure and wet heat)
216
98
1
2
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and w
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric autoclave (pressure and wet heat)
216
98
1
3
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Electric dry heat sterilizer
216
98
1
2
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressur
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Electric boiler or steamer (no pressure)
216
98
1
2
3
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boi
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Non-electric pot with cover (steam boil)
216
99
1
2
3
4
98
No answer
99
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Heat source for non-electric equipment
216
99
1
2
98
No answer
99
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Automatic timer (MAY BE ON EQUIPMENT)
216
98
1
2
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indi
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Time, Steam and Temperature (TST) Indicator strips or other sterilization indicators
216
98
1
2
50
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Vaccine thermometer
216
98
1
2
30
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Cold box / Vaccine carrier
216
98
1
2
3
4
5
6
7
8
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Ice packs
216
72
1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
18
20
22
24
30
32
33
72
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Refrigerator
216
98
1
2
3
42
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Examination table/bed
216
98
1
2
3
4
5
6
10
40
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Fetoscope
216
98
1
2
3
4
5
6
7
15
35
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Blood pressure instrument
216
98
1
2
3
4
5
6
7
15
35
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Tape measure
216
98
1
2
3
4
5
6
7
8
98
No answer
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
INTERVIEWER: THERE IS NO RESPONDENT FOR THIS SECTION OF THE QUESTIONNAIRE. AFTER SEEKING PERMISSION, YOU SHOULD WALK AROUND THE FACILITY AND OBSERVE THE ITEMS OUTLINED IN THIS SECTION.
PLEASE RECORD THE QUANTITY FOR EACH TYPE OF EQUIPMENT. RECORD 98 IF NOT FUNCTIONING OR NOT AVAILABLE
QUANTITY AVAILABLE AND FUNCTIONING: - Adult weighing scale
216
98
1
2
4
98
No answer
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Now I would like to ask you some questions about drug storage and availability in this facility.
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Health facility manager/ in charge
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Health facility staff
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Non Governmental Organization staff
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Local government
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- National government
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Community Health Worker Cooperative president / leader
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Community Health Workers
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Community members
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Health Committee
216
1
2
1
YES
2
NO
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Other
216
2
2
1
YES
2
NO
OTHER - Do the following entities have the authority to procure drugs and equi
OTHER - Do the following entities have the authority to procure drugs and equi
OTHER - Do the following entities have the authority to procure drugs and equi
OTHER - Do the following entities have the authority to procure drugs and equi
OTHER - Do the following entities have the authority to procure drugs and equi
Do the following entities have the authority to procure drugs and equipment for this facility, ….?
- Other, specify:
Could you bring me to the place in this facility that is used to store drugs?
Could you bring me to the place in this facility that is used to store drugs?
Could you bring me to the place in this facility that is used to store drugs?
Could you bring me to the place in this facility that is used to store drugs?
Could you bring me to the place in this facility that is used to store drugs?
Could you bring me to the place in this facility that is used to store drugs?
NO, THERE IS NO SUCH PLACE 3 >(15.01)
216
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO, THERE IS NO SUCH PLACE
IS THIS A SEPARATE ROOM FROM THE REST OF THE FACILITY?
IS THIS A SEPARATE ROOM FROM THE REST OF THE FACILITY?
IS THIS A SEPARATE ROOM FROM THE REST OF THE FACILITY?
IS THIS A SEPARATE ROOM FROM THE REST OF THE FACILITY?
IS THIS A SEPARATE ROOM FROM THE REST OF THE FACILITY?
122
94
1
2
1
YES
2
NO
Sysmiss
Does this pharmacy serve only to store and dispense drugs, or does it also serve
Does this pharmacy serve only to store and dispense drugs, or does it also serve
Does this pharmacy serve only to store and dispense drugs, or does it also serve
Does this pharmacy serve only to store and dispense drugs, or does it also serve
Does this pharmacy serve only to store and dispense drugs, or does it also serve
Does this pharmacy serve only to store and dispense drugs, or does it also serve for other purposes?
122
94
1
2
1
Only to store and dispense drugs
2
Also serves for other purposes
Sysmiss
Can the doors and windows be locked to keep the pharmacy secured?
Can the doors and windows be locked to keep the pharmacy secured?
Can the doors and windows be locked to keep the pharmacy secured?
Can the doors and windows be locked to keep the pharmacy secured?
Can the doors and windows be locked to keep the pharmacy secured?
Can the doors and windows be locked to keep the pharmacy secured?
122
94
1
2
1
YES
2
NO
Sysmiss
DOES THE DRUG AREA LOOK CLEAN, PARTIALLY DIRTY, OR DIRTY?
DOES THE DRUG AREA LOOK CLEAN, PARTIALLY DIRTY, OR DIRTY?
DOES THE DRUG AREA LOOK CLEAN, PARTIALLY DIRTY, OR DIRTY?
DOES THE DRUG AREA LOOK CLEAN, PARTIALLY DIRTY, OR DIRTY?
DOES THE DRUG AREA LOOK CLEAN, PARTIALLY DIRTY, OR DIRTY?
INTERVIEWER: DOES THE DRUG AREA LOOK CLEAN, PARTIALLY DIRTY, OR DIRTY?
122
94
1
2
1
CLEAN
2
PARTIALLY DIRTY
3
DIRTY
Sysmiss
DO THE CEILING, WALLS, FLOORS AND WINDOWS LOOK DRY AND FREE FROM TRACES OF WATER
DO THE CEILING, WALLS, FLOORS AND WINDOWS LOOK DRY AND FREE FROM TRACES OF WATER
DO THE CEILING, WALLS, FLOORS AND WINDOWS LOOK DRY AND FREE FROM TRACES OF WATER
DO THE CEILING, WALLS, FLOORS AND WINDOWS LOOK DRY AND FREE FROM TRACES OF WATER
DO THE CEILING, WALLS, FLOORS AND WINDOWS LOOK DRY AND FREE FROM TRACES OF WATER
INTERVIEWER: DO THE CEILING, WALLS, FLOORS AND WINDOWS LOOK DRY AND FREE FROM TRACES OF WATER INFILTRATION?
122
94
1
3
1
DRY, NO TRACES OF WATER INFILTRATION
2
DRY BUT THERE ARE TRACES OF WATER INFILTRATION
3
THERE IS WETNESS / WATER
Sysmiss
ARE THE WINDOWS COVERED TO KEEP THE SUNLIGHT OUT?
ARE THE WINDOWS COVERED TO KEEP THE SUNLIGHT OUT?
ARE THE WINDOWS COVERED TO KEEP THE SUNLIGHT OUT?
ARE THE WINDOWS COVERED TO KEEP THE SUNLIGHT OUT?
ARE THE WINDOWS COVERED TO KEEP THE SUNLIGHT OUT?
INTERVIEWER: ARE THE WINDOWS COVERED TO KEEP THE SUNLIGHT OUT?
122
94
1
3
1
WINDOWS COVERED
2
WINDOWS NOT COVERED
3
NO WINDOWS
Sysmiss
ARE THE DRUGS KEPT ON AN ELEVATED PLATFORM?
ARE THE DRUGS KEPT ON AN ELEVATED PLATFORM?
ARE THE DRUGS KEPT ON AN ELEVATED PLATFORM?
ARE THE DRUGS KEPT ON AN ELEVATED PLATFORM?
ARE THE DRUGS KEPT ON AN ELEVATED PLATFORM?
ARE THE DRUGS KEPT ON AN ELEVATED PLATFORM?
122
94
1
2
1
YES
2
NO
Sysmiss
Does the pharmacy maintain stock cards or stock register?
Does the pharmacy maintain stock cards or stock register?
Does the pharmacy maintain stock cards or stock register?
Does the pharmacy maintain stock cards or stock register?
Does the pharmacy maintain stock cards or stock register?
Does the pharmacy maintain stock cards or stock register?
122
94
1
3
1
YES, SEEN
2
YES, NOT SEEN
3
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- INFORM FACILITY INCHARGE
122
94
1
2
1
YES
2
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- CALL THE DISTRICT DRUG STORE/PHARMACY
122
94
1
2
1
YES
2
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- CALL DHMT
122
94
1
2
1
YES
2
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- BUY MEDICINES LOCALLY IN THE PRIVATE MARKET
122
94
1
2
1
YES
2
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- SEND PATIENTS TO BUY THE MEDICINE IN THE PRIVATE MARKET
122
94
1
2
1
YES
2
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- GO TO THE CAPITAL TO BUY MEDICINES
122
94
1
2
1
YES
2
NO
Sysmiss
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycilli
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- OTHER
122
94
1
2
1
YES
2
NO
Sysmiss
S14Q15_OTHER
S14Q15_OTHER
S14Q15_OTHER
S14Q15_OTHER
S14Q15_OTHER
What do you do when this facility runs out of key drugs like Coartem, Amoxycillin etc.?
- OTHER, SPECIFY:
4
Central Regional Drug-store
District
Improve prevention
On prescription
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Offic
What is the catchment population of this facility? - Central Statistical Office
216
-99
23493
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
What is the catchment population of this facility? - Facility headcount
216
-99
21300
Region
Region
Region
Region
Region
2045
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
2045
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
2045
110101
312601
110101
110201
110301
110401
110501
110601
110701
110801
110901
111001
111201
111301
111401
111501
111601
120101
120201
120301
120401
120501
120601
120701
120801
120901
121001
121101
121201
121301
121401
121501
121601
121701
121801
130101
130201
130301
130401
130501
130601
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140601
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211001
211101
211201
211401
220101
220201
220301
220401
220501
220601
220701
220801
220901
230101
230201
230301
230401
230501
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240501
240601
240701
250101
250301
250401
250501
250701
250801
250901
251001
251101
260101
260201
260301
260401
260501
260601
260701
260801
260901
261001
261101
261201
270101
270201
270301
270401
270501
270601
270701
270801
270901
271001
271101
271201
271301
271401
271501
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300201
300301
300401
300501
300601
300701
300801
300901
301001
301101
301201
301301
301401
301501
301601
301701
301801
301901
302001
302102
302201
310101
310201
310301
310401
310501
310601
310701
310801
310901
311101
311201
311301
311401
311501
311601
311701
311901
312001
312101
312201
312301
312401
312501
312601
line
line
line
line
line
2045
1
47
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
SEX
SEX
SEX
SEX
SEX
IS [NAME] MALE OR FEMALE?
2045
1
2
1
MALE
2
FEMALE
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
ID CODE OF RESPONDENT
2045
1
47
AGE
AGE
AGE
AGE
AGE
How old is [NAME]?
2045
19
78
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
What is the highest academic qualification that [NAME] obtained?
2045
1
10
1
Primary education Certificate
2
Secondary educ.certificate
3
Colllege Degree
4
Masters Degree
5
Doctoral degree
6
Post Graduate
7
Post Doctoral
10
No education
96
Other
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
What is [NAME]'s position in this facility?
Auxilliary staff >1 year 14 > (4.08)
Auxilliary staff <1 year 15 > (4.08)
Social support 16 >(4.08)
Counselor 17 > (4.08)
Administrative staff18 > (4.08)
Other non-clinical 19 > (4.08
2045
1
19
1
Doctor or medical officer
2
Clinical officer
3
Hospital administrator/ Executive director
4
Nurse (REN/ZEN)
5
Midwife (REM/ZEM)
6
Pharmacist
8
Nursing assistant
9
Pharmacy technician/Dispenser
10
Lab technologist
11
Lab technician
13
Other clinical
14
Auxilliary staff >1 year
15
Auxilliary staff <1 year
16
Social support
17
Counselor
18
Administrative staff
19
Other non-clinical
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
OTHER - What is [NAME]'s position in this facility?
5
ÁÎÃÁÎÍ
ÁÎÑÒÁÎÍ
ÐÎÍÀÍÄÀ
ÕÎ×ÀÃÈÄÎÐ
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
What year did [NAME] receive his/her clinical qualification?
1744
301
-99
2014
-99
Don't know
1960
1964
1965
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Sysmiss
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
What is the year of appointment of [NAME] at this health facility?
2045
-99
2014
-99
Don't know
1970
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with t
What is the salary scale of [NAME] according to the contract or agreement with the employer?
2045
-99
1320
-99
Don't know
120
125
140
150
157
160
165
170
172
173
174
175
176
179
180
181
187
190
197
198
200
205
210
212
215
217
218
220
225
230
240
245
250
256
260
265
266
270
274
276
280
281
282
283
290
292
294
298
300
301
310
312
314
315
317
320
322
325
328
330
334
335
340
342
343
344
345
346
347
348
350
352
354
357
360
370
371
373
380
384
385
387
390
394
397
400
410
412
414
415
416
420
421
422
423
424
425
426
427
428
430
432
433
434
436
440
442
445
448
450
454
455
460
465
467
470
472
473
474
475
479
480
484
490
498
500
505
510
511
512
515
517
518
519
520
521
522
523
524
525
526
527
530
533
536
540
543
545
547
548
549
550
554
556
557
559
560
563
564
565
567
570
573
574
575
576
578
579
580
585
586
587
588
590
597
598
600
602
605
607
609
610
613
615
616
620
624
625
626
628
630
633
635
636
638
639
640
642
643
645
646
647
650
651
660
662
668
670
671
673
675
678
679
680
681
685
690
691
698
700
703
704
706
709
710
711
712
713
715
716
718
720
721
723
726
727
730
740
742
749
750
754
756
759
760
770
772
774
775
778
779
780
781
785
789
790
791
800
809
810
815
820
824
826
827
830
835
840
842
843
845
850
852
858
860
862
863
864
865
870
872
873
875
876
879
880
884
886
890
893
898
899
900
903
910
911
913
914
915
920
921
924
925
926
927
928
930
935
940
945
947
950
953
957
960
963
968
970
973
975
980
983
984
985
987
988
990
995
996
1000
1014
1016
1020
1037
1038
1050
1056
1057
1060
1062
1063
1068
1070
1080
1090
1091
1100
1101
1114
1121
1127
1150
1160
1165
1170
1179
1180
1190
1195
1200
1220
1250
1274
1280
1285
1300
1320
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
How many days per week does [NAME] usually work at this health facility?
2045
1
6
1
2
3
4
5
6
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility?
How many hours per week does [NAME] usually work at this health facility? (Include work in the community on outreach / home visits)
2045
3
168
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directl
How many hours per week does [NAME] usually spend providing medical care directly to patients?
2045
-99
90
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
Is [NAME] here today? (Including home visits)
2045
1
2
1
YES
2
NO
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
Can you please tell me why [NAME] is not here today?
> NEXT PROVIDER
372
1673
1
96
1
OFFICIALLY OFF DUTY
2
ON SICK LEAVE
3
ON TRAINING
4
ON MATERNITY LEAVE
5
OTHER AUTHORIZED ABSENCE
6
LATE
7
UNAUTHORIZED ABSENCE
96
OTHER
Sysmiss
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
OTHER - Can you please tell me why [NAME] is not here today?
19
1 ÕÀÔÒÀ 1 ÁÎÐ ÊÎÐ ÌÅÊÓÍÀÍÄ
1 ÕÀÔÒÀ 1 ÐÓÇ ÊÎÐ ÌÅÊÓÍÀÍÄ
ÁÀÐÎÄÀÐÀØ ÁÅÌÎÐ ÀÑÒ
ÁÀÐÎÈ ÂÀÊÖÈÍÀ ÐÀÔÒ
ÄÀÐ ÊÎÐÈ ÄÈÃÀÐ
ÄÀÐ ÌÀÐÀÊÀÈ ÕÓÄÎÈ ÁÎÁÎßØ
ÄÀÐ ÌÀ×ËÈÑ
ÄÀÐ ÑÈÒÎÄÈ ÍÎÕÈßÂÈ ÎÈÄÈ ÁÅÌÎÐÈÕÎÈ ÑÈÐÎßÒÈ ÈØÒÈÐÎÊ ÌÅÊÓÍÀÄ
ÈÌÐÓÇ ÐÓÇÈ ÊÎÐÈ ÍÅÑÒ
ÊÎÐ ÁÀÑÒ ÊÀÐÄÀÍ ÀÇ1 ÄÅÊÀÁÐÜ2014
ÊÓÄÀÊÀØÀ ÁÅÌÎÐÕÎÍÀ ÁÓÐÄ
ÊÓÐÑÈ ÒÈÁÁÈ ÎÈËÀÂÈ
ÌÀÑÀËÀÈ ÎÈËÀÂÈ
ÌÀ×ËÈÑ
ÌÀ×ËÈÑÈ ÓÌÓÌÈÈ ÊÎÐÌÀÍÄÎÍÈ ÒÈÁÁÈÈ ÍÎÕÈß
ÍÀÂÁÀÒÄÎÐÈ ÅÐÈÈ ÒÀÜ×ÈËÈ
ÎÈËÀÀØÎÍÐÎ ÁÀ ÁÅÌÎÐÕÎÍÀÈ ÂÈËÎßÒÈ ÁÓÐÄÀÀÍÄ
ÕÈÑÎÁÎÒÑÓÏÎÐÈ ÐÀÔÒÀÀÑÒ
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- PRENATAL CARE
780
1265
1
1
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- DELIVERIES
27
2018
2
2
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- CHILD POSTNATAL CARE
760
1285
3
3
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- MOTHER POSTNATAL CARE
664
1381
4
4
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- CHILD PREVENTIVE CARE
924
1121
5
5
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- CHILD CURATIVE CARE
888
1157
6
6
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- ADULT CURATIVE CARE
884
1161
7
7
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- VOLUNTARY COUNSELING AND TESTING
555
1490
8
8
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
What services is [NAME] providing today?
- NON-CLINICAL (ADMIN, RECEPTION, ETC)
460
1585
9
9
1
PRENATAL CARE
2
DELIVERIES
3
CHILD POSTNATAL CARE
4
MOTHER POSTNATAL CARE
5
CHILD PREVENTIVE CARE
6
CHILD CURATIVE CARE
7
ADULT CURATIVE CARE
8
VOLUNTARY COUNSELING AND TESTING
9
NON-CLINICAL (ADMIN, RECEPTION, ETC)
Sysmiss
Region
Region
Region
Region
Region
7560
1
2
1.694
1
SOGD
2
KHATLON
District
District
District
District
District
7560
11
31
22.569
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
7560
110101
312601
226541.75
110101
110201
110301
110401
110501
110601
110701
110801
110901
111001
111201
111301
111401
111501
111601
120101
120201
120301
120401
120501
120601
120701
120801
120901
121001
121101
121201
121301
121401
121501
121601
121701
121801
130101
130201
130301
130401
130501
130601
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140601
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211001
211101
211201
211401
220101
220201
220301
220401
220501
220601
220701
220801
220901
230101
230201
230301
230401
230501
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240501
240601
240701
250101
250301
250401
250501
250701
250801
250901
251001
251101
260101
260201
260301
260401
260501
260601
260701
260801
260901
261001
261101
261201
270101
270201
270301
270401
270501
270601
270701
270801
270901
271001
271101
271201
271301
271401
271501
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300201
300301
300401
300501
300601
300701
300801
300901
301001
301101
301201
301301
301401
301501
301601
301701
301801
301901
302001
302102
302201
310101
310201
310301
310401
310501
310601
310701
310801
310901
311101
311201
311301
311401
311501
311601
311701
311901
312001
312101
312201
312301
312401
312501
312601
SERVICES
SERVICES
SERVICES
SERVICES
SERVICES
I would like to ask you some questions about the health services available.
ASK QUESTIONS (8.01) TO (8.04) FOR EACH SERVICE BEFORE MOVING TO NEXT SERVICE.
7560
1
35
18
1
Contraceptive pill
2
Injection
3
Implant insertion
4
Male condoms
5
Intrauterine Device (IUD) insertion
6
Female sterilization
7
Male sterilization
8
Prenatal care
9
Postnatal care
10
Bacille Calmette Guerin (BCG)
11
Pentavalent Dose 1 (DPT, Hepatitis B, Hemophilus influenzae
12
Pentavalent Dose 2 (DPT, Hepatitis B, Hemophilus influenzae
13
Pentavalent Dose 3 (DPT, Hepatitis B, Hemophilus influenzae
14
Polio Dose 1
15
Polio Dose 2
16
Polio Dose 3
17
Measles Dose 1 (<1 year)
18
Tetanus Toxoid to pregnant women
19
Curative care for children <5 years
20
Curative care for children >5 years and adults
21
Child growth monitoring and nutritional advice
22
Tuberculosis diagnosis
23
Tuberculosis treatment
24
Diagnosis, treatment, testing, and counseling
25
Ambulance ride to another facility for referral
26
Home visit
27
Screening\XR
28
BP measurement 3 times within 2 months
29
Dispensary observation
30
Diagnosis of diseases of the digestive system
31
Treatment of diseases of the digestive system
32
Diagnosis of endemic goiter
33
Treatment of endemic goiter
34
Diagnosis of diabetes
35
Treatment of diabetes
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility?
Does this facility provide [SERVICE] within the facility and/or as outreach?
- In-facility
7344
216
1
2
1.366
1
YES
2
NO
Sysmiss
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the outreach?
Does this facility provide [SERVICE] within the facility and/or as outreach?
- Outreach
6696
864
1
2
1.564
1
YES
2
NO
Sysmiss
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
How many days per week is this service offered?
4797
2763
1
97
8.187
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
What is the total price in TJ Somoni charged for this type of service?
4797
2763
184
0.182
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
MONTH 1 / Record the total number of patients listed in the register for the l
Please record the total number of patients - MONTH 1
4797
2763
-99
2912
25.466
-99
don
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
67
68
69
70
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
90
91
92
94
95
96
97
100
101
102
104
105
106
108
110
112
113
115
117
120
121
122
125
126
128
129
130
132
135
136
139
140
141
142
144
148
150
152
155
156
160
163
165
170
171
172
180
185
188
190
200
205
206
208
210
216
217
218
220
221
224
225
230
234
235
237
238
239
240
241
242
250
252
259
260
267
268
269
270
272
277
280
281
283
285
288
298
300
301
310
315
321
347
350
360
362
363
377
396
397
400
406
409
410
418
428
437
439
440
441
444
450
480
500
504
505
520
524
530
573
600
620
657
690
750
787
800
827
884
898
900
927
1000
1004
1011
1106
1139
1172
1200
1214
1433
1464
1500
1515
2000
2133
2533
2912
Sysmiss
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
MONTH 2 / Record the total number of patients listed in the register for the l
Please record the total number of patients - MONTH 2
4797
2763
-99
3200
24.339
-99
don
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
84
85
86
87
88
90
92
93
94
95
96
97
98
100
102
103
105
106
108
109
110
112
115
116
117
119
120
122
124
125
126
128
129
130
132
133
135
136
137
138
139
140
142
144
148
149
150
156
160
164
167
170
172
176
180
185
187
191
192
193
195
197
198
200
205
210
211
215
220
221
225
227
228
230
231
232
233
234
237
238
240
245
250
251
254
260
270
273
274
278
282
288
290
294
299
300
310
312
314
328
332
340
350
360
367
373
376
396
400
402
407
410
415
419
428
432
435
437
439
440
450
470
490
500
515
530
560
570
600
604
612
650
656
730
734
780
784
817
870
882
896
897
950
1124
1131
1191
1198
1200
1500
1579
1755
1991
2121
2900
3200
Sysmiss
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
MONTH 3 / Record the total number of patients listed in the register for the l
Please record the total number of patients - MONTH 3
4797
2763
-99
2922
23.399
-99
don
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
100
101
102
103
104
105
108
110
111
112
113
114
115
116
117
118
120
123
124
125
126
127
128
129
130
133
135
136
138
140
141
144
145
150
151
152
154
156
160
162
163
165
170
171
175
176
177
180
182
183
189
190
195
198
200
202
203
207
210
213
215
216
217
218
220
221
225
227
229
230
235
237
238
240
249
250
251
252
259
260
265
270
273
276
279
286
287
288
297
300
305
306
310
311
320
327
328
329
342
350
352
358
365
369
371
372
373
386
390
398
400
417
420
428
431
433
437
440
444
450
453
460
480
485
490
500
510
520
550
567
589
600
620
624
626
642
660
675
744
750
781
794
800
826
892
920
948
1080
1231
1244
1258
1271
1300
1350
1500
2922
Sysmiss
Region
Region
Region
Region
Region
3294
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
3294
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
3294
110101
310501
110101
110201
110301
110401
110501
110601
110701
110801
110901
111001
111201
111301
111401
111501
111601
120201
120301
120401
120501
120601
120701
120801
120901
121101
121301
121401
121501
121701
121801
130101
130201
130501
130601
130801
130901
131101
131401
140101
140201
140301
140401
140501
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210701
210801
210901
211201
211401
220201
220301
220601
220801
220901
230101
230201
230301
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240601
250301
260301
260501
260601
260801
270201
270701
280301
280501
280601
281001
281501
281601
290101
290102
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300301
300401
300801
300901
301001
301401
302102
302201
310101
310201
310301
310401
310501
line [DRUGS]
line [DRUGS]
line [DRUGS]
line [DRUGS]
line [DRUGS]
3294
1
27
1
Tetracycline ophthalmic ointment
2
Paracetamol (Panadol) tabs
3
Amoxicillin (tabs or capsule)
4
Amoxicillin (syrup)
5
Oral Rehydration Solution (ORS) packets
6
Iron tabs (with or without folic acid)
7
Folic acid tabs
8
Other antibiotics besides Amoxicillin
9
Vitamin A
10
Mebendazole
11
Condoms (male or female)
12
Oral contraceptive tablets
13
Depot Medroxyprogesterone Acetate (DMPA)
14
Implant jadelle
15
Intrauterine Device (IUD)
16
Bacille Calmette-Gu?rin (BCG)
17
Oral Polio Vaccine (OPV)
18
Tetanus Toxoid (TT)
19
Dyphteria Tetanus Pertussis (DTP)
20
Hepatitis B Vaccine (HBV) Tetravalent
21
Measles vaccine
22
HiB vaccine
23
Pentavalent (DPT, Hepatitis B, Hemophilus influenzae B)
24
HIV test kit
25
Pregnancy testing kit
26
Rapid plasma reagin (RPR) test for syphilis
27
Urine protein & glucose testing kit (dipstick test)
Do you have such [DRUGS]
Do you have such [DRUGS]
Do you have such [DRUGS]
Do you have such [DRUGS]
Do you have such [DRUGS]
3294
1
2
1
YES
2
NO
What is the strength of [DRUGS] that is stocked?
What is the strength of [DRUGS] that is stocked?
What is the strength of [DRUGS] that is stocked?
What is the strength of [DRUGS] that is stocked?
What is the strength of [DRUGS] that is stocked?
What is the strength of [DRUGS] that is stocked?
1043
2251
-99
2201
What quantity of [DRUGS] are available at this time?
What quantity of [DRUGS] are available at this time?
What quantity of [DRUGS] are available at this time?
What quantity of [DRUGS] are available at this time?
What quantity of [DRUGS] are available at this time?
What quantity of [DRUGS] are available at this time?
IF NONE, RECORD 00 and > (14.15)
1043
2251
-99
41000
In the past 30 days, has the item been out of stock at any time?
In the past 30 days, has the item been out of stock at any time?
In the past 30 days, has the item been out of stock at any time?
In the past 30 days, has the item been out of stock at any time?
In the past 30 days, has the item been out of stock at any time?
In the past 30 days, has the item been out of stock at any time?
No 2 > NEXT DRUG
1043
2251
1
2
1
YES
2
NO
Sysmiss
In the past 30 days, how many days has the item been out of stock?
In the past 30 days, how many days has the item been out of stock?
In the past 30 days, how many days has the item been out of stock?
In the past 30 days, how many days has the item been out of stock?
In the past 30 days, how many days has the item been out of stock?
In the past 30 days, how many days has the item been out of stock?
31
3263
1
30
Region
Region
Region
Region
Region
449
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
449
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility_name
Facility_name
Facility_name
Facility_name
Facility_name
449
110101
312601
110101
110201
110301
110401
110501
110601
110701
110901
111001
111201
111301
111401
111601
120601
120701
121001
121101
121801
130101
130201
130301
130401
130501
130701
130901
131101
131201
131401
131501
140101
140201
140301
140601
140701
140901
141001
141101
141201
141301
150101
150301
150401
150501
150701
210101
210401
210501
210601
210701
210801
210901
211001
211101
211201
211401
220101
220201
220301
220401
220501
220601
220701
220801
220901
230101
230201
230301
230401
230501
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240501
240601
240701
250101
250301
250401
250501
250701
250801
250901
251001
251101
260301
260601
260701
260801
261101
270101
270201
270301
270401
270501
270601
270701
270801
270901
271001
271101
271201
271301
271401
271501
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300201
300301
300401
300501
300601
300701
300801
300901
301001
301101
301201
301301
301401
301501
301601
301701
301801
301901
302102
310101
310201
310301
310401
310501
310601
310701
310801
310901
311101
311201
311301
311401
311501
311601
311701
311901
312001
312101
312201
312301
312401
312501
312601
line
line
line
line
line
449
1
14
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Population
Population
Population
Population
Population
Please provide a list of the villages that fall in the catchment area of this facility.
- Population
449
-99
16298
Distance in KMs
Distance in KMs
Distance in KMs
Distance in KMs
Distance in KMs
Please provide a list of the villages that fall in the catchment area of this facility.
- Distance in KMs
449
-99
40
-99
Less than 1 km
0.1
1
1.5
2
2.5
2.6
3
3.5
4
4.5
5
5.5
6
7
8
10
12
14
15
16
17
18
20
22
25
27
28
30
32
35
37
40
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
303
110102
312603
110102
110302
110402
110502
110802
110903
111202
111302
111402
111502
111602
120102
120604
120702
120904
121005
121106
121202
121403
121804
130102
130202
130303
130402
130502
130702
130902
131102
131202
131403
131502
140102
140202
140302
140604
140702
141002
141202
141303
150102
150303
150402
150504
210105
210203
210403
210502
210602
210702
210803
210903
211102
211202
211406
220102
220203
220302
220404
220504
220605
220704
220802
220902
230103
230203
230302
230403
230603
230704
230803
230903
231002
231206
240109
240414
240503
240604
240706
250302
250402
250503
250704
250802
250903
251004
251102
260204
260503
260703
261005
261203
270102
270303
270403
270503
270604
270702
270902
271203
271302
271502
280102
280202
280303
280402
280503
280602
280703
280902
281002
281102
281202
281502
281602
281702
290103
290202
290302
290403
290503
290605
290704
290802
290902
291003
291202
291304
300203
300302
300504
300602
300705
300902
301005
301102
301202
301303
301402
301605
301705
301802
301903
302103
302203
310203
310503
310602
310903
311205
311502
312603
Region
Region
Region
Region
Region
303
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
303
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
303
1
5
1
2
3
4
5
GENDER
GENDER
GENDER
GENDER
GENDER
GENDER
303
1
2
1
MALE
2
FEMALE
AGE
AGE
AGE
AGE
AGE
How old are you?
303
19
64
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
303
1
4
1
Single
2
Married/Living together
3
Widowed
4
Divorced/separated
Were you born in this district?
Were you born in this district?
Were you born in this district?
Were you born in this district?
Were you born in this district?
Were you born in this district?
303
1
2
1
YES
2
NO
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
303
1
1
1
Graduated from the Medical College
2
Graduated from the Medical University
3
Undergraduate (Baccalaureate)
4
Masters (magistracy)
5
Postgraduate student
6
PhD/MD
96
Other
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
- Other, specify:
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) and month(s) have you been working after formal completion of your highest education? Years
303
44
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many year(s) and month(s) have you been working after formal completion of your highest education? Months
303
11
1
2
3
4
5
6
7
8
9
10
11
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) and month(s) have you worked as a health worker at this facility? Years
303
42
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many year(s) and month(s) have you worked as a health worker at this facility? Months
303
11
1
2
3
4
5
6
7
8
9
10
11
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health?
303
3
6
1
Family Physician
2
Obstetrician/Gynecologist
3
Clinical intern/junior doctor
4
Midwife
5
Family Nurse
6
Feldsher
96
Other
OTHER - What is your position as a health worker as designated by the Ministry
OTHER - What is your position as a health worker as designated by the Ministry
OTHER - What is your position as a health worker as designated by the Ministry
OTHER - What is your position as a health worker as designated by the Ministry
OTHER - What is your position as a health worker as designated by the Ministry
Now I am going to ask you about the services that you have provided in the past 3 months.
What is your position as a health worker as designated by the Ministry of Health? Other, specify
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Curative consultation for children
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Curative consultation for adults
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Family planning consultation
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Antenatal care consultation (ANC)
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Postnatal care consultation (PNC)
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Deliveries at home
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Tuberculosis diagnosis/treatment
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Vaccinations
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Growth monitoring /Nutrition counselling
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Malaria treatment
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of disability and chronic diseases
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of diseases of the digestive system
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of endemic goiter
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of diabetes
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of patients with hypertension
303
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Other
303
2
2
1
YES
2
NO
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
Now I am going to ask you about the services that you have provided in the past 3 months.
- Other, specify:
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Integrated Management of Childhood Illness (IMCI)
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Malaria
Malaria
Malaria
Malaria
Malaria
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Malaria
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Tuberculosis diagnosis and treatment
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Reproductive Health / Family planning
Reproductive Health / Family planning
Reproductive Health / Family planning
Reproductive Health / Family planning
Reproductive Health / Family planning
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Reproductive Health / Family planning
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Antenatal care
Antenatal care
Antenatal care
Antenatal care
Antenatal care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Antenatal care
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Labor and delivery
Labor and delivery
Labor and delivery
Labor and delivery
Labor and delivery
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Labor and delivery
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Emergency Obstetric and Newborn Care
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Newborn Care
Newborn Care
Newborn Care
Newborn Care
Newborn Care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Newborn Care
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Postnatal / Postpartum care
Postnatal / Postpartum care
Postnatal / Postpartum care
Postnatal / Postpartum care
Postnatal / Postpartum care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Postnatal / Postpartum care
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Breastfeeding, including Environmental Breastfeeding
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Mental Health
Mental Health
Mental Health
Mental Health
Mental Health
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Mental Health
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Nutrition and growth monitoring
Nutrition and growth monitoring
Nutrition and growth monitoring
Nutrition and growth monitoring
Nutrition and growth monitoring
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Nutrition and growth monitoring
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- HIV/AIDS testing and counseling
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Prevention of mother to child transmission of HIV/AIDS (PMTCT)
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Management of Sexually Transmitted Infections (STI)
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Immunization / Vaccination
Immunization / Vaccination
Immunization / Vaccination
Immunization / Vaccination
Immunization / Vaccination
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Immunization / Vaccination
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Adult curative care
Adult curative care
Adult curative care
Adult curative care
Adult curative care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Adult curative care
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Management and administration
Management and administration
Management and administration
Management and administration
Management and administration
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Management and administration
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Community Health / Outreach
Community Health / Outreach
Community Health / Outreach
Community Health / Outreach
Community Health / Outreach
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Community Health / Outreach
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Family medicine training-ad after consultation with the MoH
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Diabetes ad after consultation with the MoH
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Hypertension ad after consultation with the MoH
303
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Other
Other
Other
Other
Other
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Other
303
3
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
OTHER - other service trainings
OTHER - other service trainings
OTHER - other service trainings
OTHER - other service trainings
OTHER - other service trainings
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Other, specify
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
No 2 >(3.01)
303
1
2
1
YES
2
NO
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MALARIA
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- TUBERCULOSIS DIAGNOSIS AND TREATMENT
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- REPRODUCTIVE HEALTH / FAMILY PLANNING
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- ANTENATAL CARE
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- LABOR AND DELIVERY
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- EMERGENCY OBSTETRIC AND NEWBORN CARE
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- NEWBORN CARE
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- POSTNATAL / POSTPARTUM CARE
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- BREASTFEEDING, INCLUDING ENVIRONMENTAL BREASTFEEDING
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MENTAL HEALTH
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- NUTRITION AND GROWTH MONITORING
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- HIV/AIDS TESTING AND COUNSELING
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- HIV/AIDS TREATMENT AND FOLLOW-UP (ANTI RETROVIRAL THERAPY, ART)
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV/AIDS (PMTCT)
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (STI)
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- IMMUNIZATION / VACCINATION
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- ADULT CURATIVE CARE
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MANAGEMENT AND ADMINISTRATION
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- COMMUNITY HEALTH / OUTREACH
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Family medicine training-ad after consultation with the MoH
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Diabetes
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Hypertention
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Cardiovascular diseases
257
46
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- OTHER
257
46
2
2
1
YES
2
NO
Sysmiss
OTHER - What kind of additional training do you feel you need for your pre
OTHER - What kind of additional training do you feel you need for your pre
OTHER - What kind of additional training do you feel you need for your pre
OTHER - What kind of additional training do you feel you need for your pre
OTHER - What kind of additional training do you feel you need for your pre
What kind of additional training do you feel you need for your present job?
- OTHER, SPECIFY:
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
303
2
54
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to their assigned schedules. In the last 30 days, how many days were you absent from work?
303
25
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home visits?
303
7
1
2
3
4
5
6
7
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, including time spent on home visits?
303
98
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a week have increased, decreased or remained the same, including home visits and other prevention activities?
303
1
3
1
Increased
2
Decreased
3
Remained the same
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
No 2 > (3.08)
303
1
2
1
YES
2
NO
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I GOT STUCK TRAVELING TO WORK
6
297
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS SICK
6
297
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS CARING FOR SICK RELATIVES
6
297
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS ATTENDING ANOTHER JOB (PAID)
6
297
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS ATTENDING ANOTHER JOB (UNPAID)
6
297
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS CARING FOR CHILDREN
6
297
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS DOING HOUSEHOLD CHORES
6
297
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS TIRED FROM THE PREVIOUS DAY
6
297
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- OTHER
6
297
2
2
1
YES
2
NO
Sysmiss
OTHER - The last time you were away from work without authorized leave, what t
OTHER - The last time you were away from work without authorized leave, what t
OTHER - The last time you were away from work without authorized leave, what t
OTHER - The last time you were away from work without authorized leave, what t
OTHER - The last time you were away from work without authorized leave, what t
The last time you were away from work without authorized leave, what type of activity were you doing?
- OTHER, SPECIFY:
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Facility head / manager contacts you
6
297
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Your salary / allowance / bonus is reduced
6
297
2
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Manager discusses this with you
6
297
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Absences are reflected in your performance assessment
6
297
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Your coworkers speak to you about it
6
297
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Other
6
297
2
2
1
YES
2
NO
Sysmiss
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
When you are away from the facility without authorized leave, do any of the following occur?
- Other, specify:
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
303
20
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
303
-99
998
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
303
-99
998
-99
Don't know
115
190
205
208
217
218
220
250
260
265
267
280
288
320
325
327
335
345
350
360
370
380
383
384
385
387
390
395
400
420
422
424
425
426
427
428
430
433
443
450
460
470
480
485
500
520
525
528
530
532
540
545
547
550
560
570
575
580
586
590
600
605
608
611
615
620
625
630
632
634
635
636
638
639
642
645
647
650
651
670
674
680
690
700
712
715
718
720
726
735
740
742
745
747
750
756
775
780
800
820
840
847
850
860
868
875
880
885
889
900
910
920
957
998
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reasons?
303
1
2
1
Routine or general increase
2
there was not increase
3
Other
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
Over the past 2 years, has your salary increased because of the following reasons? Other, specify
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the payment schedule?
Yes 1>(4.14)
303
1
2
1
YES
2
NO
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
60
243
1
31
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
STILL NOT RECEIVED 77>(4.09)
60
243
31
STILL NOT RECEIVED
4
6
9
14
15
20
28
30
31
77
RECEIVED ON TIME
Sysmiss
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
60
243
1
2
1
YES
2
NO
Sysmiss
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
STILL NOT RECEIVED 77 > (4.11)
19
284
31
STILL NOT RECEIVED
30
31
77
RECEIVED ON TIME
Sysmiss
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
19
284
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- LACK OF FUNDS
60
243
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- SYSTEMIC DELAY / ADMINISTRATIVE PROBLEM
60
243
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- SALARY WITHHELD TO SERVICE OUTSTANDING DEBTS
60
243
2
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- NON-PAYMENT WAS NOT EXPLAINED
60
243
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- RELATED TO PERFORMANCE / ABSENCE
60
243
2
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- OTHER
60
243
2
2
1
YES
2
NO
Sysmiss
OTHER - In the last 12 months, those times that you did not receive your full sa
OTHER - In the last 12 months, those times that you did not receive your full sa
OTHER - In the last 12 months, those times that you did not receive your full sa
OTHER - In the last 12 months, those times that you did not receive your full sa
OTHER - In the last 12 months, those times that you did not receive your full sa
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- OTHER, SPECIFY
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it was not according to the payment schedule?
YES 1 > (4.14)
60
243
1
2
1
YES
2
NO
Sysmiss
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
46
257
1
4
1
2
3
4
Sysmiss
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
303
1
96
1
NGO WITHIN THE HEALTH SECTOR
2
OUTSIDE THE COUNTRY
3
PRIVATE HEALTH FACILITY
4
NON HEALTH ORGANIZATION
5
GOVERNMENT FACILITY
96
OTHER
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your preferred job?
303
200
5000
S4Q13_OTHER
S4Q13_OTHER
S4Q13_OTHER
S4Q13_OTHER
S4Q13_OTHER
What would be the lowest monthly net salary you would accept to work in your preferred job?
- Other, specify
32
Dehkan Farms
I will do business
I will stay at home
Retired
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Free or subsidized housing
303
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Health care benefits and/or medicines
303
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Free food/meals at work
303
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Uniform for your work
303
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Shoes for your work
303
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Transport between work and home
303
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Other, category
303
2
2
1
YES
2
NO
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
Do you currently receive any of the following benefits as part of your primary job?
- Other specify
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for the Rural Hardship allowance in TJ Somoni?
7
296
Sysmiss
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Now I would like to talk with you about supervision of your work by people who also work in this facility.
Within the facility, is there anyone who is responsible for supervising your work? This could include providing feedback on your performance, giving you advice, discussing your career with you?
NO 2 > (6.07)
303
1
2
1
YES
2
NO
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
191
112
1
3
1
Health facility head
2
Head of service within the facility
3
Other health worker in the facility
96
Other
Sysmiss
OTHER - Within the facility, who is responsible for supervising your work?
OTHER - Within the facility, who is responsible for supervising your work?
OTHER - Within the facility, who is responsible for supervising your work?
OTHER - Within the facility, who is responsible for supervising your work?
OTHER - Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work? Other, specify
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
191
112
1
6
1
Family Physician
2
Obstetrician/Gynecologist
3
Clinical intern/junior doctor
4
Midwife
5
Family Nurse
6
Feldsher
96
Other
Sysmiss
OTHER - What is the position of your supervisor as designated by the Ministry
OTHER - What is the position of your supervisor as designated by the Ministry
OTHER - What is the position of your supervisor as designated by the Ministry
OTHER - What is the position of your supervisor as designated by the Ministry
OTHER - What is the position of your supervisor as designated by the Ministry
What is the position of your supervisor as designated by the Ministry of Health? Other, specify
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your performance or your career development?
191
112
1
4
1
Within the past 30 days
2
Within the past 31-90 days
3
Within the past 4-6 months
4
More than 6 months ago
Sysmiss
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your internal supervisor?
NO 2 > (6.07)
191
112
1
2
1
YES
2
NO
Sysmiss
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements or no improvements?
175
128
1
3
1
A LOT OF IMPROVEMENTS
2
SOME IMPROVEMENTS
3
NO IMPROVEMENTS
Sysmiss
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Now I would like to talk with you about supervision of your work by people from outside of the facility.
Outside of this health facility, is there anyone who is responsible for supervising your work? This could include providing feedback on your performance, giving you advice, discussing your career with you?
NO 2 > (7.01)
303
1
2
1
YES
2
NO
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
240
63
1
2
1
DHMT Official
2
PHO Official
3
MoH Official
4
Donor
96
Other
Sysmiss
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work? Other, specify
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external supervisor?
240
63
120
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your performance or your career development?
Never 05 > (7.01)
240
63
1
5
1
Within the past 30 days
2
Within the past 31-90 days
3
Within the past 4-6 months
4
More than 6 months ago
5
Never
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- BROUGHT SUPPLIES
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- BOUGHT EQUIPMENT
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- CHECKED RECORDS
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- CHECKED FINANCES
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- OBSERVED CONSULTATION
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- ASSESSED KNOWLEDGE
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- PROVIDED HEALTH-RELATED INSTRUCTION
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- PROVIDED ADMINISTRATIVE INSTRUCTION
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- PROVIDED INSTRUCTION ON FILLING HEALTH MONITORING AND INFORMATION SYSTEMS (HMIS) FORMS
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- NOTHING
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- DISCUSSED MY PERFORMANCE AND/OR CAREER
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- INSPECTED FACILITY
238
65
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- OTHER
238
65
2
2
1
YES
2
NO
Sysmiss
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- OTHER, SPECIFY:
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your external supervisor?
NO 2> (7.01)
238
65
1
2
1
YES
2
NO
Sysmiss
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements or no improvements?
206
97
1
3
1
NO
2
A LOT OF IMPROVEMENTS
3
SOME IMPROVEMENTS
Sysmiss
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
It is common for health workers to have additional work to their primary job at the health facility. I would like to ask you questions about additional work you might be doing. Please answer the following questions with regards to your supplemental activity.
Do you have any other job or activity to supplement your income from this health facility?
NO 2> (8.01)
303
1
2
1
YES
2
NO
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this?
- Work in another government facility
18
285
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this?
- Work in private clinic or private practice
18
285
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this?
- Work in a pharmacy
18
285
2
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this?
- Work in non-health related business other than farming
18
285
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this?
- Farming
18
285
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this?
- Other
18
285
2
2
1
YES
2
NO
Sysmiss
OTHER - What kind of job or activitiy is this?
OTHER - What kind of job or activitiy is this?
OTHER - What kind of job or activitiy is this?
OTHER - What kind of job or activitiy is this?
OTHER - What kind of job or activitiy is this?
What kind of job or activitiy is this?
- Other, specify:
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
18
285
1
5
1
I CANNOT MAKE ENDS MEET ON MY PRIMARY INCOME
2
HOURLY PAY IS LUCRATIVE IN THIS SECONDARY JOB
3
I CAN GAIN EXPERIENCE THAT IS NOT AVAILABLE IN MY PRIMARY JO
4
THE SECONDARY JOB HAS A BETTER ENVIRONMENT
5
I CAN SEE PATIENTS I COULD NOT SEE DURING WORKING HOURS
96
OTHER
Sysmiss
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
- OTHER, SPECIFY
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity?
- Years
18
285
30
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity?
- Months
18
285
8
1
2
5
6
7
8
Sysmiss
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
18
285
-99
24
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni? (based on last month)
18
285
-99
2600
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
Now I will read five statements about how a person might be feeling. For each of the five statements, please indicate whether in the last two weeks, you have been feeling this way most of the time, more than half of the time, less than half of the time, only rarely, or never.
In the past two weeks, I have felt cheerful and in good spirits…..
303
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed…
303
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous…
303
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested…
303
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest me….
303
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
Working relationships with other facility staff
Working relationships with other facility staff
Working relationships with other facility staff
Working relationships with other facility staff
Working relationships with other facility staff
In this part of the questionnaire I would like to ask you some questions regarding your satisfaction with your current job. All answers are confidential. I am going to read you a series of statements about your level of satisfaction with various aspects of your current job. For each of these aspects, please tell me whether you are satisfied, neither satisfied nor unsatisfied, meaning you are indifferent, or unsatisfied using these cards.
Working relationships with other facility staff
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within the health facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office supplies)
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working conditions in the facility
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Your salary
Your salary
Your salary
Your salary
Your salary
Your salary
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
303
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
783
110101
312601
110101
110201
110301
110401
110501
110601
110701
110801
110901
111001
111201
111301
111401
111501
111601
120101
120201
120301
120401
120501
120601
120701
120801
120901
121001
121101
121201
121301
121401
121501
121601
121701
121801
130101
130201
130301
130401
130501
130601
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140601
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211001
211101
211201
211401
220101
220201
220301
220401
220501
220601
220701
220801
220901
230101
230201
230301
230401
230501
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240501
240601
240701
250101
250301
250401
250501
250701
250801
250901
251001
251101
260101
260201
260301
260401
260501
260601
260701
260801
260901
261001
261101
261201
270101
270201
270301
270401
270501
270601
270701
270801
270901
271001
271101
271201
271301
271401
271501
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300201
300301
300401
300501
300601
300701
300801
300901
301001
301101
301201
301301
301401
301501
301601
301701
301801
301901
302001
302102
302201
310101
310201
310301
310401
310501
310601
310701
310801
310901
311101
311201
311301
311401
311501
311601
311701
311901
312001
312101
312201
312301
312401
312501
312601
Region
Region
Region
Region
Region
783
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
783
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
ID CODE FROM STAFF ROSTER
783
1
31
1
2
3
4
5
6
7
8
9
10
11
12
14
16
17
18
31
GENDER
GENDER
GENDER
GENDER
GENDER
GENDER
783
1
2
1
MALE
2
FEMALE
AGE
AGE
AGE
AGE
AGE
How old are you?
783
20
76
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
783
1
4
1
Single
2
Married/Living together
3
Widowed
4
Divorced/separated
Were you born in this district?
Were you born in this district?
Were you born in this district?
Were you born in this district?
Were you born in this district?
Were you born in this district?
783
1
2
1
YES
2
NO
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
783
1
3
1
Graduated from the Medical College
2
Graduated from the Medical University
3
Undergraduate (Baccalaureate)
4
Masters (magistracy)
5
Postgraduate student
6
PhD/MD
96
Other
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
OTHER - What is the highest level of education you ever completed?
What is the highest level of education you ever completed?
- Other, specify:
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) have you been working after formal completion of your highest e
How many year(s) and month(s) have you been working after formal completion of your highest education? Years
783
57
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many month(s) have you been working after formal completion of your highest
How many year(s) and month(s) have you been working after formal completion of your highest education? Months
783
11
1
2
3
4
5
6
7
8
9
10
11
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) have you worked as a health worker at this facility? - YEARS
How many year(s) and month(s) have you worked as a health worker at this facility? Years
783
41
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many month(s) have you worked as a health worker at this facility? - MONTH
How many year(s) and month(s) have you worked as a health worker at this facility? Months
783
11
1
2
3
4
5
6
7
8
9
10
11
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health
What is your position as a health worker as designated by the Ministry of Health?
783
1
96
1
Family Physician
2
Obstetrician/Gynecologist
3
Clinical intern/junior doctor
4
Midwife
5
Family Nurse
6
Feldsher
96
Other
S1Q10_OTHER
S1Q10_OTHER
S1Q10_OTHER
S1Q10_OTHER
S1Q10_OTHER
Now I am going to ask you about the services that you have provided in the past 3 months.
What is your position as a health worker as designated by the Ministry of Health? Other, specify
80
Cardiologist
Dentist
Ent Doctor
Infectiologists
Laboratorian
Pediatrician
Physiotherapist
Surgeon
Therapeutist
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Curative consultation for children
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Curative consultation for adults
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Family planning consultation
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Antenatal care consultation (ANC)
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Postnatal care consultation (PNC)
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Deliveries at home
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Tuberculosis diagnosis/treatment
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Vaccinations
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Growth monitoring /Nutrition counselling
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Malaria treatment
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of disability and chronic diseases
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of diseases of the digestive system
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of endemic goiter
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of diabetes
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Treatment of patients with hypertension
783
1
2
1
YES
2
NO
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past
Now I am going to ask you about the services that you have provided in the past 3 months.
- Other
783
2
2
1
YES
2
NO
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
OTHER - Now I am going to ask you about the services that you have provided in
Now I am going to ask you about the services that you have provided in the past 3 months.
- Other, specify:
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
Integrated Management of Childhood Illness (IMCI)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Integrated Management of Childhood Illness (IMCI)
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Malaria
Malaria
Malaria
Malaria
Malaria
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Malaria
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
Tuberculosis diagnosis and treatment
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Tuberculosis diagnosis and treatment
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Reproductive Health / Family planning
Reproductive Health / Family planning
Reproductive Health / Family planning
Reproductive Health / Family planning
Reproductive Health / Family planning
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Reproductive Health / Family planning
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Antenatal care
Antenatal care
Antenatal care
Antenatal care
Antenatal care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Antenatal care
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Labor and delivery
Labor and delivery
Labor and delivery
Labor and delivery
Labor and delivery
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Labor and delivery
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
Emergency Obstetric and Newborn Care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Emergency Obstetric and Newborn Care
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Newborn Care
Newborn Care
Newborn Care
Newborn Care
Newborn Care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Newborn Care
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Postnatal / Postpartum care
Postnatal / Postpartum care
Postnatal / Postpartum care
Postnatal / Postpartum care
Postnatal / Postpartum care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Postnatal / Postpartum care
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
Breastfeeding, including Environmental Breastfeeding
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Breastfeeding, including Environmental Breastfeeding
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Mental Health
Mental Health
Mental Health
Mental Health
Mental Health
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Mental Health
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Nutrition and growth monitoring
Nutrition and growth monitoring
Nutrition and growth monitoring
Nutrition and growth monitoring
Nutrition and growth monitoring
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Nutrition and growth monitoring
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
HIV/AIDS testing and counseling
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- HIV/AIDS testing and counseling
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- HIV/AIDS treatment and follow-up (Antiretroviral therapy, ART)
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
Prevention of mother to child transmission of HIV/AIDS (PMTCT)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Prevention of mother to child transmission of HIV/AIDS (PMTCT)
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
Management of Sexually Transmitted Infections (STI)
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Management of Sexually Transmitted Infections (STI)
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Immunization / Vaccination
Immunization / Vaccination
Immunization / Vaccination
Immunization / Vaccination
Immunization / Vaccination
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Immunization / Vaccination
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Adult curative care
Adult curative care
Adult curative care
Adult curative care
Adult curative care
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Adult curative care
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Management and administration
Management and administration
Management and administration
Management and administration
Management and administration
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Management and administration
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Community Health / Outreach
Community Health / Outreach
Community Health / Outreach
Community Health / Outreach
Community Health / Outreach
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Community Health / Outreach
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
Family medicine training-ad after consultation with the MoH
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Family medicine training-ad after consultation with the MoH
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
Diabetes ad after consultation with the MoH
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Diabetes ad after consultation with the MoH
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
Hypertension ad after consultation with the MoH
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Hypertension ad after consultation with the MoH
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
Other
Other
Other
Other
Other
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Other
783
1
3
1
TRAINING LESS THAN 1 YEAR AGO
2
TRAINING MORE THAN 1 YEAR AGO
3
NEVER TRAINED
S2Q1_OTHER
S2Q1_OTHER
S2Q1_OTHER
S2Q1_OTHER
S2Q1_OTHER
For each subject I mention, I would like to know the most recent time you received in-service training. Please do not include your initial medical or nursing education.
- Other, specify
38
About Bleeding in pregnant women
About Serious diseases, Resuscitation
About eye disease and ENT
About women's diseases
Ambulance
Anemia
Cardiovascular hypertension
Cerebrovascular disease
Communication between each other
Computer
Computer courses
Dermatovenerologic Diseases
Diarrhea
Diseases of the elderly
Ebola
Infection
Infectious diseases, Tuberculosis, Acute respiratory disease
Influenza
Intestine, Stomach & Respiratory tract
Ischemic heart diseas
Jaundice
Neurological, Dermatovenerologic Diseases & Dangerous infections
Oncologist
Oncology disease, Infections disease
Pediatric surgery
Personal hygiene
Respiratory tract
Rotavirus & Diarrhea
Study about diarrhea and anemia
Training about Blood transfusion, Kidney diseases, Children's intensive care
Tuberculosis
Tuberculosis, Vaccination
Typhoid fever
Typhoid fever, Kidney diseases, Cardiovascular diseases, Lung disease, Nervous disease
Ultrasound Investigation
Working with children with disabilities (CwD)
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
Are there other training needs you personally feel you need for your present job
No 2 >(3.01)
783
1
2
1
YES
2
NO
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MALARIA
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- TUBERCULOSIS DIAGNOSIS AND TREATMENT
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- REPRODUCTIVE HEALTH / FAMILY PLANNING
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- ANTENATAL CARE
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- LABOR AND DELIVERY
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- EMERGENCY OBSTETRIC AND NEWBORN CARE
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- NEWBORN CARE
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- POSTNATAL / POSTPARTUM CARE
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- BREASTFEEDING, INCLUDING ENVIRONMENTAL BREASTFEEDING
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MENTAL HEALTH
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- NUTRITION AND GROWTH MONITORING
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- HIV/AIDS TESTING AND COUNSELING
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- HIV/AIDS TREATMENT AND FOLLOW-UP (ANTI RETROVIRAL THERAPY, ART)
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV/AIDS (PMTCT)
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (STI)
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- IMMUNIZATION / VACCINATION
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- ADULT CURATIVE CARE
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- MANAGEMENT AND ADMINISTRATION
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- COMMUNITY HEALTH / OUTREACH
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Family medicine training-ad after consultation with the MoH
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Diabetes
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Hypertention
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- Cardiovascular diseases
683
100
1
2
1
YES
2
NO
Sysmiss
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job? -
What kind of additional training do you feel you need for your present job?
- OTHER
683
100
1
2
1
YES
2
NO
Sysmiss
S2Q3_OTHER
S2Q3_OTHER
S2Q3_OTHER
S2Q3_OTHER
S2Q3_OTHER
What kind of additional training do you feel you need for your present job?
- OTHER, SPECIFY:
54
About Digestive system
About Ebola
About Health Strategy 2011-2020
About Kidney diseases
Accounting, Traumatology
All diseases
Anemia
Anemia, Helminthic invasion, Jaundice БУГОК
Anemia, Helminthosis
Breast-feeding during pregnancy
Cardiology
Cardiovascular diseases
Cardiovascular, Dermatovenerologic & Infectious Diseases
Computer
Computer courses
Computer courses on medical sphere
Dental course
Diarrhea & Infection diseases
Diseases of the elderly
Diseases of the pregnant women
Drug addiction, Alcoholism
ENT diseases
Electrocardiogram
Electrocardiogram, Analysis
Electrocardiogram, Testing for diabetes mellitus, Laboratory analysis
Electrocardiogram, ultrasound investigation technology
Family doctor
Family medicine & Laboratory investigations
First aid during getting injured
Goiter
Inconvenience during pregnancy
Infection diseases Jaundice
Intensive care, Therapeutist
Jaundice
Kidney
Laboratory
Massage
Obstetrics courses
Oncological diseases
Other medical training courses
Psychiatry
Pulmonology
Sport & Maintaining a healthy lifestyle
Surgery
Training course about treatment of brucellosis
Tuberculosis & HIV/AIDS diseases
Urological diseases
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
How many hours per week are you contracted to work at this facility?
783
2
70
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to t
We realize that health workers cannot always fulfill their duties and stick to their assigned schedules. In the last 30 days, how many days were you absent from work?
783
30
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home v
In the last 7 days, how many days did you work at this facility including home visits?
783
7
1
2
3
4
5
6
7
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, inclu
In the last 7 days, how many hours did you work at this facility in total, including time spent on home visits?
783
168
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a w
In comparing to 12 months ago, would you say the number of hours you work in a week have increased, decreased or remained the same, including home visits and other prevention activities?
783
1
3
1
Increased
2
Decreased
3
Remained the same
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
Have you ever been absent from work without authorised leave?
No 2 > (3.08)
783
1
2
1
YES
2
NO
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I GOT STUCK TRAVELING TO WORK
15
768
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS SICK
15
768
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS CARING FOR SICK RELATIVES
15
768
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS ATTENDING ANOTHER JOB (PAID)
15
768
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS ATTENDING ANOTHER JOB (UNPAID)
15
768
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS CARING FOR CHILDREN
15
768
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS DOING HOUSEHOLD CHORES
15
768
1
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- I WAS TIRED FROM THE PREVIOUS DAY
15
768
2
2
1
YES
2
NO
Sysmiss
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of act
The last time you were away from work without authorized leave, what type of activity were you doing?
- OTHER
15
768
1
2
1
YES
2
NO
Sysmiss
S3Q7_OTHER
S3Q7_OTHER
S3Q7_OTHER
S3Q7_OTHER
S3Q7_OTHER
The last time you were away from work without authorized leave, what type of activity were you doing?
- OTHER, SPECIFY:
3
Monthly Report
No answer
Take the patient to the city hospital
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Facility head / manager contacts you
15
768
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Your salary / allowance / bonus is reduced
15
768
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Manager discusses this with you
15
768
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Absences are reflected in your performance assessment
15
768
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Your coworkers speak to you about it
15
768
1
2
1
YES
2
NO
Sysmiss
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the foll
When you are away from the facility without authorized leave, do any of the following occur?
- Other
15
768
2
2
1
YES
2
NO
Sysmiss
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
OTHER - When you are away from the facility without authorized leave, do any o
When you are away from the facility without authorized leave, do any of the following occur?
- Other, specify:
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
How many individual patients did you see on your last full working day?
783
-99
51
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
What is your current monthly net salary ? TJ Somoni
783
-99
1370
-99
No answer
110
130
170
180
191
192
200
210
215
217
220
240
250
260
270
273
300
316
319
320
325
340
343
344
347
348
350
370
371
380
384
385
390
395
400
410
417
420
425
426
427
428
430
432
433
439
440
447
449
450
457
460
463
464
467
470
471
472
473
474
475
479
480
485
487
498
500
503
508
509
510
511
512
513
514
515
517
520
521
522
525
526
530
535
537
540
542
545
550
553
554
556
560
570
572
573
574
575
576
578
579
580
583
585
589
590
600
602
610
615
616
620
625
628
630
631
633
635
637
638
640
642
643
645
646
650
660
668
670
675
680
685
686
690
700
703
704
705
710
711
712
715
716
718
720
721
723
726
730
731
740
743
746
749
750
754
759
760
765
770
775
777
778
779
780
785
790
795
800
806
810
820
826
830
834
835
840
846
850
852
853
854
860
862
863
864
867
870
873
875
880
884
890
898
899
900
906
910
911
914
915
920
921
926
927
928
930
932
935
940
945
950
951
953
955
956
958
960
963
967
968
970
973
977
980
984
985
987
995
998
1000
1014
1020
1025
1037
1039
1050
1056
1060
1061
1063
1070
1075
1077
1078
1080
1091
1095
1100
1106
1117
1121
1127
1160
1165
1170
1175
1179
1180
1190
1200
1220
1300
1370
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
What was your monthly net salary one year ago? TJ Somoni
783
-99
1775
-99
No answer
130
140
148
160
180
200
210
215
217
218
220
225
226
230
240
264
270
273
274
280
285
286
287
290
300
310
320
327
333
340
343
346
347
348
350
360
370
371
380
385
395
400
410
420
424
425
426
427
428
429
430
435
440
448
450
456
457
458
460
464
465
468
470
472
475
480
485
487
490
496
500
504
510
513
514
516
517
520
521
524
525
530
535
537
539
540
545
550
560
565
568
570
572
573
575
580
583
584
585
586
587
588
589
590
600
611
615
620
623
625
628
630
633
634
635
636
640
641
642
643
647
650
653
654
660
664
670
680
681
684
686
700
702
704
705
710
712
713
715
720
724
728
730
733
735
740
742
743
745
750
753
754
756
759
760
765
768
770
771
777
779
780
785
789
790
795
800
817
820
830
835
840
845
847
850
853
854
857
858
860
862
863
864
870
875
880
887
890
900
915
921
930
940
945
950
951
952
956
958
960
963
967
970
973
980
984
985
995
998
1000
1010
1020
1063
1075
1077
1080
1100
1106
1110
1165
1172
1180
1300
1495
1775
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reason
Over the past 2 years, has your salary increased because of the following reasons?
783
1
2
1
Routine or general increase
2
there was not increase
3
Other
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
OTHER - Over the past 2 years, has your salary increased because of the follow
Over the past 2 years, has your salary increased because of the following reasons? Other, specify
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the paym
In the last 12 months, did you receive all your due salary according to the payment schedule?
Yes 1>(4.14)
783
1
2
1
YES
2
NO
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
What day of the month are you supposed to receive your salary?
160
623
1
30
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
Last month, how many days was your salary delayed?
STILL NOT RECEIVED 77>(4.09)
160
623
31
STILL NOT RECEIVED
1
2
3
4
10
11
12
15
18
19
20
21
25
27
30
31
77
RECEIVED ON TIME
Sysmiss
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
Have you received your salary in totality?
160
623
1
2
1
YES
2
NO
Sysmiss
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
The previous month (2 months ago), how many days was your salary delayed?
STILL NOT RECEIVED 77 > (4.11)
79
704
31
STILL NOT RECEIVED
1
2
3
4
8
10
21
30
31
77
RECEIVED ON TIME
Sysmiss
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
Have you received it in totality?
79
704
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- LACK OF FUNDS
159
624
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- SYSTEMIC DELAY / ADMINISTRATIVE PROBLEM
159
624
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- SALARY WITHHELD TO SERVICE OUTSTANDING DEBTS
159
624
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- NON-PAYMENT WAS NOT EXPLAINED
159
624
1
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- RELATED TO PERFORMANCE / ABSENCE
159
624
2
2
1
YES
2
NO
Sysmiss
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- OTHER
159
624
1
2
1
YES
2
NO
Sysmiss
S4Q10_OTHER
S4Q10_OTHER
S4Q10_OTHER
S4Q10_OTHER
S4Q10_OTHER
In the last 12 months, those times that you did not receive your full salary on time, what reason was usually given for you not being paid?
- OTHER, SPECIFY
1
not working 1 month
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it
For the last 12 months, have you received all the salary due to you, even if it was not according to the payment schedule?
YES 1 > (4.14)
160
623
1
2
1
YES
2
NO
Sysmiss
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
How many months' salary are you currently owed regarding the past 12 months?
128
655
1
4
1
2
3
4
Sysmiss
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
If you were to leave your current job,where would you go?
783
1
96
1
NGO WITHIN THE HEALTH SECTOR
2
OUTSIDE THE COUNTRY
3
PRIVATE HEALTH FACILITY
4
NON HEALTH ORGANIZATION
5
GOVERNMENT FACILITY
96
OTHER
S4Q13_OTHER
S4Q13_OTHER
S4Q13_OTHER
S4Q13_OTHER
S4Q13_OTHER
What would be the lowest monthly net salary you would accept to work in your preferred job?
- Other, specify
359
Don't know
I'll be sitting at home
Not going anywhere
Open my business
Retired
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your pre
What would be the lowest monthly net salary you would accept to work in your preferred job?
783
500
6000
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Free or subsidized housing
783
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Health care benefits and/or medicines
783
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Free food/meals at work
783
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Uniform for your work
783
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Shoes for your work
783
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Transport between work and home
783
1
2
1
YES
2
NO
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary j
Do you currently receive any of the following benefits as part of your primary job?
- Other, category
783
2
2
1
YES
2
NO
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
OTHER - Do you currently receive any of the following benefits as part of your
Do you currently receive any of the following benefits as part of your primary job?
- Other specify
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for t
How much did you receive in the last period or at your last ad hoc payment for the Rural Hardship allowance in TJ Somoni?
20
763
-99
660
-99
Don't know
260
420
660
Sysmiss
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Within the facility, is there anyone who is responsible for supervising your wor
Now I would like to talk with you about supervision of your work by people who also work in this facility.
Within the facility, is there anyone who is responsible for supervising your work? This could include providing feedback on your performance, giving you advice, discussing your career with you?
NO 2 > (6.07)
783
1
2
1
YES
2
NO
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
Within the facility, who is responsible for supervising your work?
642
141
1
96
1
Health facility head
2
Head of service within the facility
3
Other health worker in the facility
96
Other
Sysmiss
S6Q2_OTHER
S6Q2_OTHER
S6Q2_OTHER
S6Q2_OTHER
S6Q2_OTHER
Within the facility, who is responsible for supervising your work? Other, specify
1
No one
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
What is the position of your supervisor as designated by the Ministry of Health?
642
141
1
96
1
Family Physician
2
Obstetrician/Gynecologist
3
Clinical intern/junior doctor
4
Midwife
5
Family Nurse
6
Feldsher
96
Other
Sysmiss
S6Q3_OTHER
S6Q3_OTHER
S6Q3_OTHER
S6Q3_OTHER
S6Q3_OTHER
What is the position of your supervisor as designated by the Ministry of Health? Other, specify
108
Dentist
Director PHC
Infectiologists
Pediatrician
Surgeon
Therapeutist
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your per
When was the last time you met with this internal supervisor to discuss your performance or your career development?
642
141
1
4
1
Within the past 30 days
2
Within the past 31-90 days
3
Within the past 4-6 months
4
More than 6 months ago
Sysmiss
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your int
Within the last 12 months, have you discussed any job difficulties with your internal supervisor?
NO 2 > (6.07)
642
141
1
2
1
YES
2
NO
Sysmiss
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements or no improvements?
571
212
1
3
1
A LOT OF IMPROVEMENTS
2
SOME IMPROVEMENTS
3
NO IMPROVEMENTS
Sysmiss
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Outside of this health facility, is there anyone who is responsible for supervis
Now I would like to talk with you about supervision of your work by people from outside of the facility.
Outside of this health facility, is there anyone who is responsible for supervising your work? This could include providing feedback on your performance, giving you advice, discussing your career with you?
NO 2 > (7.01)
783
1
2
1
YES
2
NO
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work?
562
221
1
3
1
DHMT Official
2
PHO Official
3
MoH Official
4
Donor
96
Other
Sysmiss
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
OTHER - Who outside the facility is responsible for supervising your work?
Who outside the facility is responsible for supervising your work? Other, specify
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external superviso
In the last 12 months, how many times have you met with this external supervisor?
562
221
165
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your per
When was the last time you met with your external supervisor to discuss your performance or your career development?
Never 05 > (7.01)
562
221
1
5
1
Within the past 30 days
2
Within the past 31-90 days
3
Within the past 4-6 months
4
More than 6 months ago
5
Never
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- BROUGHT SUPPLIES
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- BOUGHT EQUIPMENT
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- CHECKED RECORDS
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- CHECKED FINANCES
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- OBSERVED CONSULTATION
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- ASSESSED KNOWLEDGE
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- PROVIDED HEALTH-RELATED INSTRUCTION
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- PROVIDED ADMINISTRATIVE INSTRUCTION
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- PROVIDED INSTRUCTION ON FILLING HEALTH MONITORING AND INFORMATION SYSTEMS (HMIS) FORMS
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- NOTHING
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- DISCUSSED MY PERFORMANCE AND/OR CAREER
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- INSPECTED FACILITY
551
232
1
2
1
YES
2
NO
Sysmiss
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to sup
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- OTHER
551
232
2
2
1
YES
2
NO
Sysmiss
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
OTHER - The last time that you met this external supervisor, what did [HE/SHE]
The last time that you met this external supervisor, what did [HE/SHE] do to supervise your work?
- OTHER, SPECIFY:
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your ext
Within the last 12 months, have you discussed any job difficulties with your external supervisor?
NO 2> (7.01)
551
232
1
2
1
YES
2
NO
Sysmiss
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements
After these discussions, did you notice a lot of improvements, some improvements or no improvements?
434
349
1
3
1
NO
2
A LOT OF IMPROVEMENTS
3
SOME IMPROVEMENTS
Sysmiss
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
Do you have any other job or activity to supplement your income from this health
It is common for health workers to have additional work to their primary job at the health facility. I would like to ask you questions about additional work you might be doing. Please answer the following questions with regards to your supplemental activity.
Do you have any other job or activity to supplement your income from this health facility?
NO 2> (8.01)
783
1
2
1
YES
2
NO
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this? - Work in another government facility
What kind of job or activitiy is this?
- Work in another government facility
72
711
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this? - Work in private clinic or private pra
What kind of job or activitiy is this?
- Work in private clinic or private practice
72
711
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this? - Work in a pharmacy
What kind of job or activitiy is this?
- Work in a pharmacy
72
711
2
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this? - Work in non-health related business o
What kind of job or activitiy is this?
- Work in non-health related business other than farming
72
711
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this? - Farming
What kind of job or activitiy is this?
- Farming
72
711
1
2
1
YES
2
NO
Sysmiss
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this? - Other
What kind of job or activitiy is this?
- Other
72
711
1
2
1
YES
2
NO
Sysmiss
S7Q2_OTHER
S7Q2_OTHER
S7Q2_OTHER
S7Q2_OTHER
S7Q2_OTHER
What kind of job or activitiy is this?
- Other, specify:
1
Retired
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
72
711
1
4
1
I CANNOT MAKE ENDS MEET ON MY PRIMARY INCOME
2
HOURLY PAY IS LUCRATIVE IN THIS SECONDARY JOB
3
I CAN GAIN EXPERIENCE THAT IS NOT AVAILABLE IN MY PRIMARY JO
4
THE SECONDARY JOB HAS A BETTER ENVIRONMENT
5
I CAN SEE PATIENTS I COULD NOT SEE DURING WORKING HOURS
96
OTHER
Sysmiss
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
OTHER - What is the main reason that you are doing this other job or activity?
What is the main reason that you are doing this other job or activity?
- OTHER, SPECIFY
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity? - YEARS
How long have you been doing this additional job or activity?
- Years
72
711
34
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity? - MONTHS
How long have you been doing this additional job or activity?
- Months
72
711
11
1
2
3
4
5
6
7
8
9
10
11
Sysmiss
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
How many hours did you spend on this other work in the last 7 days?
72
711
-99
70
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni?
What is your monthly net income in this other work in TJ Somoni? (based on last month)
72
711
-99
16000
-99
No answer
80
100
133
150
160
180
200
215
240
245
250
253
280
289
300
325
340
350
370
371
400
440
485
500
577
600
623
640
740
850
1000
1200
2000
3000
5000
16000
Sysmiss
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
In the past two weeks, I have felt cheerful and in good spirits?..
Now I will read five statements about how a person might be feeling. For each of the five statements, please indicate whether in the last two weeks, you have been feeling this way most of the time, more than half of the time, less than half of the time, only rarely, or never.
In the past two weeks, I have felt cheerful and in good spirits…..
783
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed?
In the past 2 weeks, I have felt calm and relaxed…
783
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous?
In the past 2 weeks, I have felt active and vigorous…
783
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested?
In the past 2 weeks, I woke up feeling fresh and rested…
783
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest m
In the past two weeks, my daily life has been filled with things that interest me….
783
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
NEVER
Working relationships with other facility staff
Working relationships with other facility staff
Working relationships with other facility staff
Working relationships with other facility staff
Working relationships with other facility staff
In this part of the questionnaire I would like to ask you some questions regarding your satisfaction with your current job. All answers are confidential. I am going to read you a series of statements about your level of satisfaction with various aspects of your current job. For each of these aspects, please tell me whether you are satisfied, neither satisfied nor unsatisfied, meaning you are indifferent, or unsatisfied using these cards.
Working relationships with other facility staff
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
Working relationships with District/ Ministry of Health staff
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
Working relationships with Management staff within the health facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within
Quality of the management of the health facility by the management staff within the health facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
Quantity of medicine available in the health facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
Quality of medicine available in the health facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
Quantity of equipment in the health facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
Quality and physical condition of equipment in the health facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office
Availability of other supplies in the health facility (compresses, etc.; office supplies)
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
The physical condition of the health facility building
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working condition
Your ability to provide high quality of care given the current working conditions in the facility
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Your salary
Your salary
Your salary
Your salary
Your salary
Your salary
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
Overall, how satisfied are you with your job?
783
1
3
1
SATISFIED
2
NEITHER SATISFIED NOR UNSATISFIED, I.E. INDIFFERENT
3
UNSATISFIED
Staff willingly share their expertise with other members.
Staff willingly share their expertise with other members.
Staff willingly share their expertise with other members.
Staff willingly share their expertise with other members.
Staff willingly share their expertise with other members.
In this part of the questionnaire I would like to talk with you about your work environment. All answers are confidential. I am going to read you a series of statements about your work with your colleagues. For each of these aspects, please tell me whether you feel these are true most of the time, more than half of the time, less than half of the time, rarely or never.
Staff willingly share their expertise with other members.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
When disagreements occur among staff, they try to act like peacemakers to resolv
When disagreements occur among staff, they try to act like peacemakers to resolv
When disagreements occur among staff, they try to act like peacemakers to resolv
When disagreements occur among staff, they try to act like peacemakers to resolv
When disagreements occur among staff, they try to act like peacemakers to resolv
When disagreements occur among staff, they try to act like peacemakers to resolve the situation themselves.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Staff willingly give their time to help each other out when someone falls behind
Staff willingly give their time to help each other out when someone falls behind
Staff willingly give their time to help each other out when someone falls behind
Staff willingly give their time to help each other out when someone falls behind
Staff willingly give their time to help each other out when someone falls behind
Staff willingly give their time to help each other out when someone falls behind or has difficulties with work.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Staff talk to each other before taking an action that might affect them.
Staff talk to each other before taking an action that might affect them.
Staff talk to each other before taking an action that might affect them.
Staff talk to each other before taking an action that might affect them.
Staff talk to each other before taking an action that might affect them.
Staff talk to each other before taking an action that might affect them.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Staff take steps to prevent problems arising between them.
Staff take steps to prevent problems arising between them.
Staff take steps to prevent problems arising between them.
Staff take steps to prevent problems arising between them.
Staff take steps to prevent problems arising between them.
Staff take steps to prevent problems arising between them.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Staff focus on what is wrong rather than the positive side.
Staff focus on what is wrong rather than the positive side.
Staff focus on what is wrong rather than the positive side.
Staff focus on what is wrong rather than the positive side.
Staff focus on what is wrong rather than the positive side.
Staff focus on what is wrong rather than the positive side.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Staff spend their time chatting amongst themselves about things that are not rel
Staff spend their time chatting amongst themselves about things that are not rel
Staff spend their time chatting amongst themselves about things that are not rel
Staff spend their time chatting amongst themselves about things that are not rel
Staff spend their time chatting amongst themselves about things that are not rel
Staff spend their time chatting amongst themselves about things that are not related to work.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Staff spend time complaining about work-related issues.
Staff spend time complaining about work-related issues.
Staff spend time complaining about work-related issues.
Staff spend time complaining about work-related issues.
Staff spend time complaining about work-related issues.
Staff spend time complaining about work-related issues.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
My job allows me freedom in how I organize my work and the methods and approache
My job allows me freedom in how I organize my work and the methods and approache
My job allows me freedom in how I organize my work and the methods and approache
My job allows me freedom in how I organize my work and the methods and approache
My job allows me freedom in how I organize my work and the methods and approache
My job allows me freedom in how I organize my work and the methods and approaches to use.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I am given enough authority by my supervisors to do my job well.
I am given enough authority by my supervisors to do my job well.
I am given enough authority by my supervisors to do my job well.
I am given enough authority by my supervisors to do my job well.
I am given enough authority by my supervisors to do my job well.
I am given enough authority by my supervisors to do my job well.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
It is important for me that the community recognizes my work as a professional.
It is important for me that the community recognizes my work as a professional.
It is important for me that the community recognizes my work as a professional.
It is important for me that the community recognizes my work as a professional.
It is important for me that the community recognizes my work as a professional.
It is important for me that the community recognizes my work as a professional.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
It is important for me that my peers recognize my work as a professional.
It is important for me that my peers recognize my work as a professional.
It is important for me that my peers recognize my work as a professional.
It is important for me that my peers recognize my work as a professional.
It is important for me that my peers recognize my work as a professional.
It is important for me that my peers recognize my work as a professional.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Changes in the facility are easy to adjust to.
Changes in the facility are easy to adjust to.
Changes in the facility are easy to adjust to.
Changes in the facility are easy to adjust to.
Changes in the facility are easy to adjust to.
Changes in the facility are easy to adjust to.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Rapid changes are difficult to cope with.
Rapid changes are difficult to cope with.
Rapid changes are difficult to cope with.
Rapid changes are difficult to cope with.
Rapid changes are difficult to cope with.
Rapid changes are difficult to cope with.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
Changes bring opportunities to make improvements in the facility.
Changes bring opportunities to make improvements in the facility.
Changes bring opportunities to make improvements in the facility.
Changes bring opportunities to make improvements in the facility.
Changes bring opportunities to make improvements in the facility.
Changes bring opportunities to make improvements in the facility.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
My job makes me feel good about myself.
My job makes me feel good about myself.
My job makes me feel good about myself.
My job makes me feel good about myself.
My job makes me feel good about myself.
My job makes me feel good about myself.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I am proud of the work I'm doing in this facility.
I am proud of the work I'm doing in this facility.
I am proud of the work I'm doing in this facility.
I am proud of the work I'm doing in this facility.
I am proud of the work I'm doing in this facility.
I am proud of the work I'm doing in this facility.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I am proud to be working for this health facility.
I am proud to be working for this health facility.
I am proud to be working for this health facility.
I am proud to be working for this health facility.
I am proud to be working for this health facility.
I am proud to be working for this health facility.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I am glad that I am working for this facility rather than in other facilities in
I am glad that I am working for this facility rather than in other facilities in
I am glad that I am working for this facility rather than in other facilities in
I am glad that I am working for this facility rather than in other facilities in
I am glad that I am working for this facility rather than in other facilities in
I am glad that I am working for this facility rather than in other facilities in the country.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I would prefer to work somewhere else than in this facility.
I would prefer to work somewhere else than in this facility.
I would prefer to work somewhere else than in this facility.
I would prefer to work somewhere else than in this facility.
I would prefer to work somewhere else than in this facility.
I would prefer to work somewhere else than in this facility.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
This health facility inspires me to do my very best on the job.
This health facility inspires me to do my very best on the job.
This health facility inspires me to do my very best on the job.
This health facility inspires me to do my very best on the job.
This health facility inspires me to do my very best on the job.
This health facility inspires me to do my very best on the job.
783
1
5
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
I complete my tasks efficiently and effectively.
I complete my tasks efficiently and effectively.
I complete my tasks efficiently and effectively.
I complete my tasks efficiently and effectively.
I complete my tasks efficiently and effectively.
I complete my tasks efficiently and effectively.
783
1
4
1
MOST OF THE TIME
2
MORE THAN HALF OF THE TIME
3
LESS THAN HALF OF THE TIME
4
ONLY RARELY
5
NEVER
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
I am now going to read you some examples of situations that may happen at the health center. These situations may or may not be currently true in the health facility where you work. For each situation, I would like to know what kind of actions you would take. All answers are confidential.
If it were the case that too few women in the community come in for prenatal care, what would you do?
- NOTHING. IT IS THE WOMEN'S OWN CHOICE.
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- OFFER AN IN-KIND INCENTIVE TO WOMEN WHO COME IN
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- OFFER A CASH INCENTIVE TO WOMEN WHO COME IN
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- ENGAGE WITH COMMUNITY HEALTH WORKERS
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- OFFER INCENTIVE TO COMMUNITY HEALTH WORKERS
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- TALK TO THE COMMUNITY LEADERS AND HAVE THEM CONVINCE THE WOMEN
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- ORGANIZE SENSITIZATION ACTIVITIES
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- ORGANIZE OUTREACH ACTIVITIES
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal car
If it were the case that too few women in the community come in for prenatal care, what would you do?
- OTHER
783
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER -- If it were the case that too few women in the community come in for pre
OTHER -- If it were the case that too few women in the community come in for pre
OTHER -- If it were the case that too few women in the community come in for pre
OTHER -- If it were the case that too few women in the community come in for pre
OTHER -- If it were the case that too few women in the community come in for pre
If it were the case that too few women in the community come in for prenatal care, what would you do?
- OTHER, SPECIFY
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- NOTHING. IT IS THE WOMEN'S OWN CHOICE.
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- ENGAGE WITH TRADITIONAL BIRTH ATTENDANTS
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- OFFER INCENTIVE TO TRADITIONAL BIRTH ATTENDANTS
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- OFFER AN IN-KIND INCENTIVE TO WOMEN WHO COME IN
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- OFFER A CASH INCENTIVE TO WOMEN WHO COME IN
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- ENGAGE WITH COMMUNITY HEALTH WORKERS
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- OFFER INCENTIVE TO COMMUNITY HEALTH WORKERS
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- TALK TO THE COMMUNITY LEADERS AND HAVE THEM CONVINCE THE WOMEN
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- ORGANIZE SENSITIZATION ACTIVITIES
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- ORGANIZE OUTREACH ACTIVITIES
783
1
2
1
MENTIONED
2
NOT MENTIONED
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal c
If it were the case that too few women in the community come in for post-natal care, what would you do?
- OTHER
783
2
2
1
MENTIONED
2
NOT MENTIONED
OTHER -- If it were the case that too few women in the community come in for pos
OTHER -- If it were the case that too few women in the community come in for pos
OTHER -- If it were the case that too few women in the community come in for pos
OTHER -- If it were the case that too few women in the community come in for pos
OTHER -- If it were the case that too few women in the community come in for pos
If it were the case that too few women in the community come in for post-natal care, what would you do?
- OTHER, SPECIFY
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- NOTHING. THE PATIENTS AND THEIR FAMILIES HAVE TO SORT IT OUT.
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- CONTRACT A PRIVATE PERSON WHO HAS A CAR
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- CONTRACT A FIRM IN THE COMMUNITY WHO HAS A CAR
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- ORGANIZE A COMMUNITY FUND RAISER TO BUY A VEHICLE
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- SEEK FUNDS FROM THE GOVERNMENT TO BUY VEHICLE
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- SEEK FUNDS FROM NGO'S TO BUY VEHICLE
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- BUY A VEHICLE FROM THE FACILITY'S FUNDS
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- ENCOURAGE THEM TO USE COMMUNITY BASED TRANSPORT
783
1
2
1
MENTIONED
2
NOT MENTIONED
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- OTHER
783
1
2
1
MENTIONED
2
NOT MENTIONED
S11Q4_OTHER
S11Q4_OTHER
S11Q4_OTHER
S11Q4_OTHER
S11Q4_OTHER
Say that the facility does not have any means of transportation for patients in emergencies. What would you do?
- OTHER, SPECIFY
122
Taxi
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- CONTRACT RETIRED NURSES AND MIDWIVES IN THE COMMUNITY
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- CONTRACT STAFF FROM OTHER FACILTIES- PUBLIC
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- CONTRACT STAFF FROM OTHER FACILTIES - PRIVATE
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- TRAIN TRADITIONAL BIRTH ATTENDANTS
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- TRAIN COMMUNITY HEALTH WORKERS
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- TRAIN OTHER PERSONS TO FULFILL THE ROLES OF HEALTH STAFF
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- REQUEST DHMT FOR MORE STAFF
783
1
2
1
MENTIONED
2
NOT MENTIONED
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- OTHER
783
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER - Imagine a situation where there are not enough health workers in the fac
OTHER - Imagine a situation where there are not enough health workers in the fac
OTHER - Imagine a situation where there are not enough health workers in the fac
OTHER - Imagine a situation where there are not enough health workers in the fac
OTHER - Imagine a situation where there are not enough health workers in the fac
Imagine a situation where there are not enough health workers in the facility to serve the needs of the community. What would you do?
- OTHER, SPECIFY
PROVINCE CODE
PROVINCE CODE
PROVINCE CODE
PROVINCE CODE
PROVINCE CODE
300
1
2
1
SOGD
2
KHATLON
DISTRICT CODE
DISTRICT CODE
DISTRICT CODE
DISTRICT CODE
DISTRICT CODE
300
11
31
11
12
13
14
15
21
22
23
24
26
27
28
29
30
31
NAME OF HEALTH FACILITY
NAME OF HEALTH FACILITY
NAME OF HEALTH FACILITY
NAME OF HEALTH FACILITY
NAME OF HEALTH FACILITY
300
110101
311501
110101
110201
110301
110401
110501
110701
110901
111301
111401
120201
120301
120501
120601
120801
120901
121001
121101
121201
121301
121401
121501
121701
121801
130201
130401
130501
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211101
211201
220101
220301
220701
220801
230301
240101
260301
260701
271301
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
300301
300701
301401
301801
301901
302001
302201
310301
310601
311501
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ASK THE FOLLOWING QUESTIONS TO THE HEALTH WORKER.
300
1
8
1
2
3
4
5
6
7
8
Sex of the health worker
Sex of the health worker
Sex of the health worker
Sex of the health worker
Sex of the health worker
Sex of the health worker
300
1
2
1
MALE
2
FEMALE
Is it the first time you visited to this facility for this disease or this purpo
Is it the first time you visited to this facility for this disease or this purpo
Is it the first time you visited to this facility for this disease or this purpo
Is it the first time you visited to this facility for this disease or this purpo
Is it the first time you visited to this facility for this disease or this purpo
INTERVIEWER: ASK THE FOLLOWING QUESTIONS TO THE PATIENT.
Is it the first time you visited to this facility for this disease or this purpose of the visit?
300
1
2
1
YES
2
NO
Sex of the patient?
Sex of the patient?
Sex of the patient?
Sex of the patient?
Sex of the patient?
Sex of the patient?
300
1
2
1
MALE
2
FEMALE
How old are you?
How old are you?
How old are you?
How old are you?
How old are you?
How old are you?
300
40
86
Can you read and write?
Can you read and write?
Can you read and write?
Can you read and write?
Can you read and write?
Can you read and write?
300
1
2
1
YES
2
NO
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
None 98> (1.12)
300
1
98
1
Primary
2
Secondary
3
Lyceum/College/Special education
4
University
98
None
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers?
300
-99
20
-99
Don't know
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.5
0.6
0.8
1
1.5
2
2.5
3
4
5
6
7
8
10
13
15
20
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home today? (One way)
300
2
60
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
300
1
5
1
By foot
2
Bicycle
3
Animal
4
Private car
5
Public car/bus
96
Other
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
Other, specify
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (One way
300
30
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in consultation by the health worker?
300
30
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultation?
300
1
30
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
300
1
2
1
YES
2
NO
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
NO 2 > (3.10)
300
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
1
299
1
1
1
Sysmiss
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
NO 2> (3.12)
300
2
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
300
Sysmiss
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
NO 2 > (3.14)
300
2
2
1
YES
2
NO
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
300
Sysmiss
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
NO 2> (3.16)
300
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
1
299
5
5
5
Sysmiss
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
NO 2 > (3.18)
300
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
4
296
5
5
5
Sysmiss
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
NO 2 > (3.20)
300
2
2
1
YES
2
NO
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
300
Sysmiss
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
NO 2> (3.22)
300
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
13
287
30
Was an xray done?
Was an xray done?
Was an xray done?
Was an xray done?
Was an xray done?
Was an xray done?
NO 2 > (3.24)
300
1
2
1
YES
2
NO
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
4
296
5
10
5
10
Sysmiss
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
NO 2 > (3.26)
300
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
12
288
12
1
4
12
Sysmiss
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not including transportation costs?
300
84
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today?
- Savings or regular household budget
300
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today?
- Credit in the Bank
300
2
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today?
- Selling household possessions
300
2
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today?
- Mortgaging or selling land
300
2
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today?
- From a friend or relative
300
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today?
- Borrowed from someone other than friend or
300
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today?
- Other
300
2
2
1
MENTIONED
2
NOT MENTIONED
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
Where did the money come from that was used to pay for health care today?
- Other, specify:
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a different source of care?
300
1
6
1
Location close to home
2
Low cost
3
Trust in providers/ high quality care
4
Availability of drugs
5
Availability of female provider
6
Recommendation or referral
96
Other
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
What was the main reason you chose this health facility today instead of a different source of care?
- Other, specify
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today instead of a different source of care?
300
1
6
1
No other reason
2
Location close to home
3
Low cost
4
Trust in providers/ high quality care
5
Availability of drugs
6
Availability of female provider
7
Recommendation or referral
96
Other
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
What was the next most important reason you chose this health facility today instead of a different source of care?
- Other, specify
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- It is convenient to travel from your house to the health facility.
300
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
It`s not difined
The health facility is clean.
The health facility is clean.
The health facility is clean.
The health facility is clean.
The health facility is clean.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health facility is clean.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The health staff are courteous and respectful.
The health staff are courteous and respectful.
The health staff are courteous and respectful.
The health staff are courteous and respectful.
The health staff are courteous and respectful.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health staff are courteous and respectful.
300
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health workers did a good job of explaining your condition.
300
1
1
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- It is easy to get medicine that health workers prescribe.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The registration fees of this visit to the health facility were reasonable.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The lab fees of this visit to the health facility were reasonable.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The medication fees of this visit to the health facility were reasonable.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The transport fees for this visit to the health facility were reasonable.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The amount of time you spent waiting to be seen by a health provider was reasonable.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
You had enough privacy during your visit.
You had enough privacy during your visit.
You had enough privacy during your visit.
You had enough privacy during your visit.
You had enough privacy during your visit.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- You had enough privacy during your visit.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health worker spent a sufficient amount of time with you.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The hours the facility is open are adequate to meet your needs.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The overall quality of services provided was satisfactory.
300
1
5
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The level of security in the health facility area makes it difficult for people in the community to use available health services.
300
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility are extremely thorough and careful.
300
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- You trust in the skills and abilities of the health workers of this facility.
300
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
You completely trust the health worker
You completely trust the health worker
You completely trust the health worker
You completely trust the health worker
You completely trust the health worker
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- You completely trust the health worker's decisions about medical treatments in this facility.
300
1
3
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility are very friendly and approachable.
300
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility are easy to make contact with.
300
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility care about your health just as much or more than you do.
300
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workersin this facility act differently toward rich people than toward poor people.
300
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- All in all, you trust the health worker completely in this health facility.
300
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Farm)
300
1
2
1
YES
2
NO
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area
- Household Plots
275
25
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area
- Presidential Land
275
25
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area
- Dehqan Farm
275
25
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area
- Rented/leased land
275
25
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area
- OTHER
275
25
2
2
1
YES
2
NO
Sysmiss
OTHER - Describe the your land area
OTHER - Describe the your land area
OTHER - Describe the your land area
OTHER - Describe the your land area
OTHER - Describe the your land area
Describe the your land area
- OTHER, SPECIFY:
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)?
- Household Plots
270
30
-99
0.9
-99
Don't know
0.01
0.012
0.014
0.015
0.018
0.02
0.028
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0.11
0.12
0.13
0.14
0.15
0.16
0.2
0.22
0.23
0.24
0.3
0.5
0.6
0.7
0.75
0.9
Sysmiss
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)?
- Presidential Land
120
180
-99
50
-99
Don't know
0.1
0.12
0.15
0.18
0.19
0.4
0.5
0.8
1
1.1
1.2
1.3
1.4
1.5
1.6
1.8
2
2.5
2.7
3
4
5
6
7
8
9
10
13
50
Sysmiss
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)?
- Dehqan Farm
70
230
-99
97
-99
Don't know
1
1.15
1.5
2
2.5
3
4
5
6
13.5
15
16
17
24
25
30
50
53
70
71
74
80
89
97
Sysmiss
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)?
- Rented/leased land
10
290
-99
10
-99
Don't know
1
5
10
Sysmiss
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)?
- OTHER, SPECIFY
300
-99
Don't know
Sysmiss
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive for it in Somoni?
275
25
-99
2000
-99
Don't know
100
150
200
300
500
1000
2000
Sysmiss
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall, Rooftop and Floor? Wall
300
1
96
1
BRICKS OR BLOCKS
2
ASBESTOS
3
CORRUGATED IRON / METAL
4
PLASTIC
5
POLES / REED
6
TILES/ SLATES
7
THATCH / GRASS
8
WOOD
9
EARTH / MUD
10
CONCRETE ONLY
11
COVERED CONCRETE
12
CARDBOARD
96
OTHER
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall, Rooftop and Floor?Wall
- OTHER, SPECIFY
1
I have no home
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Wall, Rooftop and Floor? Rooftop
300
2
96
1
BRICKS OR BLOCKS
2
ASBESTOS
3
CORRUGATED IRON / METAL
4
PLASTIC
5
POLES / REED
6
TILES/ SLATES
7
THATCH / GRASS
8
WOOD
9
EARTH / MUD
10
CONCRETE ONLY
11
COVERED CONCRETE
12
CARDBOARD
96
OTHER
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
For your home, what is the main material used for the following: Wall, Rooftop and Floor?Rooftop
- OTHER, SPECIFY
1
I have no home
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Wall, Rooftop and Floor? Floor
300
3
96
1
BRICKS OR BLOCKS
2
ASBESTOS
3
CORRUGATED IRON / METAL
4
PLASTIC
5
POLES / REED
6
TILES/ SLATES
7
THATCH / GRASS
8
WOOD
9
EARTH / MUD
10
CONCRETE ONLY
11
COVERED CONCRETE
12
CARDBOARD
96
OTHER
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
For your home, what is the main material used for the following: Wall, Rooftop and Floor?Floor
- OTHER, SPECIFY
1
I have no home
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwelling, excluding kitchen and bathrooms)
300
11
1
2
3
4
5
6
7
8
9
10
11
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household?
- Men 18 years and older
300
18
1
2
3
4
5
6
8
9
11
18
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household?
- Women 18 years and older
300
22
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household?
- Children & adolescents between 6 & 17 years
300
11
1
2
3
4
5
6
11
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household?
- Children 5 years and below
300
7
1
2
3
4
5
6
7
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household?
- TOTAL
300
25
Bicycle?
Bicycle?
Bicycle?
Bicycle?
Bicycle?
How many [ASSET]s does your household own?
- Bicycle?
300
1
2
NO
1
YES
2
Motorbike and/or scooter?
Motorbike and/or scooter?
Motorbike and/or scooter?
Motorbike and/or scooter?
Motorbike and/or scooter?
How many [ASSET]s does your household own?
- Motorbike and/or scooter?
300
1
2
NO
1
YES
2
Car?
Car?
Car?
Car?
Car?
How many [ASSET]s does your household own?
- Car?
300
1
2
NO
1
YES
2
Truck?
Truck?
Truck?
Truck?
Truck?
How many [ASSET]s does your household own?
- Truck?
300
1
2
NO
1
YES
2
Animal drawn cart?
Animal drawn cart?
Animal drawn cart?
Animal drawn cart?
Animal drawn cart?
How many [ASSET]s does your household own?
- Animal drawn cart?
300
1
2
NO
1
YES
2
Agricultural land?
Agricultural land?
Agricultural land?
Agricultural land?
Agricultural land?
How many [ASSET]s does your household own?
- Agricultural land?
300
1
2
NO
1
YES
2
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
How many [ASSET]s does your household own?
- Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
300
1
2
NO
1
YES
2
A refrigerator?
A refrigerator?
A refrigerator?
A refrigerator?
A refrigerator?
How many [ASSET]s does your household own?
- A refrigerator?
300
1
2
NO
1
YES
2
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
How many [ASSET]s does your household own?
- An indoor heater (burzhuika)?
300
1
2
NO
1
YES
2
A stock of wood or other fuel?
A stock of wood or other fuel?
A stock of wood or other fuel?
A stock of wood or other fuel?
A stock of wood or other fuel?
How many [ASSET]s does your household own?
- A stock of wood or other fuel?
300
1
2
NO
1
YES
2
A television?
A television?
A television?
A television?
A television?
How many [ASSET]s does your household own?
- A television?
300
1
2
NO
1
YES
2
A DVD player?
A DVD player?
A DVD player?
A DVD player?
A DVD player?
How many [ASSET]s does your household own?
- A DVD player?
300
1
2
NO
1
YES
2
A satellite antenna/ dish?
A satellite antenna/ dish?
A satellite antenna/ dish?
A satellite antenna/ dish?
A satellite antenna/ dish?
How many [ASSET]s does your household own?
- A satellite antenna/ dish?
300
1
2
NO
1
YES
2
A computer?
A computer?
A computer?
A computer?
A computer?
How many [ASSET]s does your household own?
- A computer?
300
1
2
NO
1
YES
2
A phone (land and/or mobile phone)?
A phone (land and/or mobile phone)?
A phone (land and/or mobile phone)?
A phone (land and/or mobile phone)?
A phone (land and/or mobile phone)?
How many [ASSET]s does your household own?
- A phone (land and/or mobile phone)?
300
1
2
NO
1
YES
2
A watch?
A watch?
A watch?
A watch?
A watch?
How many [ASSET]s does your household own?
- A watch?
300
1
2
NO
1
YES
2
An electric oven?
An electric oven?
An electric oven?
An electric oven?
An electric oven?
How many [ASSET]s does your household own?
- An electric oven?
300
1
2
NO
1
YES
2
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own?
- Cattle?
204
96
8
1
2
3
4
5
8
Sysmiss
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own?
- Goats?
204
96
10
1
2
3
4
5
10
Sysmiss
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own?
- Sheep?
204
96
40
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own?
- Poultry?
204
96
20
1
2
3
4
5
6
7
8
10
11
15
20
Sysmiss
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own?
- Donkey/Horse?
204
96
4
1
2
4
Sysmiss
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own?
- Other
204
96
1
1
Sysmiss
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
How many [ANIMAL]s does your household own?
- Other, specify
7
DOG
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
FACILITY_NAME
319
110101
312301
110101
110201
110301
110401
110501
110601
110701
110901
111201
111301
111401
120101
120301
120601
120701
120801
120901
121001
121101
121201
121301
121401
121601
121701
121801
130101
130201
130301
130401
130501
130601
130701
130801
130901
131001
131101
131401
131501
140101
140201
140301
140401
140501
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211101
211201
220101
220201
220301
220401
220501
220701
220801
220901
240101
240201
240401
250901
251001
260301
260601
260701
270701
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
291001
291101
291201
291301
300201
301201
301401
301501
301601
301801
301901
302001
302201
310301
310601
311201
311601
312301
PROVINCE CODE
PROVINCE CODE
PROVINCE CODE
PROVINCE CODE
PROVINCE CODE
319
1
2
1
SOGD
2
KHATLON
DISTRICT CODE
DISTRICT CODE
DISTRICT CODE
DISTRICT CODE
DISTRICT CODE
319
11
31
11
12
13
14
15
21
22
24
25
26
27
28
29
30
31
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ENTER HEALTH WORKER TRACKING NUMBER.
INTERVIEWER: ASK THE FOLLOWING QUESTIONS TO THE HEALTH WORKER.
319
1
11
1
2
3
4
5
8
9
11
Sex of the health worker
Sex of the health worker
Sex of the health worker
Sex of the health worker
Sex of the health worker
Sex of the health worker
319
1
2
1
MALE
2
FEMALE
Is it the first time the child is brought to this facility for this disease or t
Is it the first time the child is brought to this facility for this disease or t
Is it the first time the child is brought to this facility for this disease or t
Is it the first time the child is brought to this facility for this disease or t
Is it the first time the child is brought to this facility for this disease or t
INTERVIEWER: ASK THE FOLLOWING QUESTIONS TO THE CAREGIVER OF THE PATIENT.
Is it the first time the child is brought to this facility for this disease or this purpose of the visit?
319
1
2
1
YES
2
NO
What is the child's sex?
What is the child's sex?
What is the child's sex?
What is the child's sex?
What is the child's sex?
What is the child's sex?
319
1
2
1
MALE
2
FEMALE
What is the age of the child? YEARS (COMPLETED. RANGE IS 0 TO 4)
What is the age of the child? YEARS (COMPLETED. RANGE IS 0 TO 4)
What is the age of the child? YEARS (COMPLETED. RANGE IS 0 TO 4)
What is the age of the child? YEARS (COMPLETED. RANGE IS 0 TO 4)
What is the age of the child? YEARS (COMPLETED. RANGE IS 0 TO 4)
What is the age of the child? YEARS (COMPLETED. RANGE IS 0 TO 4)
319
4
1
2
3
4
What is the age of the child? MONTHS (COMPLETED. RANGE IS 0 TO 11)
What is the age of the child? MONTHS (COMPLETED. RANGE IS 0 TO 11)
What is the age of the child? MONTHS (COMPLETED. RANGE IS 0 TO 11)
What is the age of the child? MONTHS (COMPLETED. RANGE IS 0 TO 11)
What is the age of the child? MONTHS (COMPLETED. RANGE IS 0 TO 11)
What is the age of the child? MONTHS (COMPLETED. RANGE IS 0 TO 11)
319
11
1
2
3
4
5
6
7
8
9
10
11
How are you related to the child?
How are you related to the child?
How are you related to the child?
How are you related to the child?
How are you related to the child?
How are you related to the child?
319
1
4
1
Mother
2
Father
3
Female caregiver (including other family member)
4
Male caregiver (including other family member)
96
Other
OTHER_How are you related to the child?
OTHER_How are you related to the child?
OTHER_How are you related to the child?
OTHER_How are you related to the child?
OTHER_How are you related to the child?
How are you related to the child?
- Other, specify
Can you read and write?
Can you read and write?
Can you read and write?
Can you read and write?
Can you read and write?
Can you read and write?
319
1
2
1
YES
2
NO
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
What is the highest level and grade of education that you completed?
None 98> (1.12)
319
1
98
1
Primary
2
Secondary
3
Lyceum/College/Special education
4
University
98
None
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
What is your marital status?
319
1
3
1
Single
2
Married/Living together
3
Widowed
4
Divorced/separated
What is the purpose of the child's visit to the health center today? - Vaccina
What is the purpose of the child's visit to the health center today? - Vaccina
What is the purpose of the child's visit to the health center today? - Vaccina
What is the purpose of the child's visit to the health center today? - Vaccina
What is the purpose of the child's visit to the health center today? - Vaccina
INTERVIEWER: INTRODUCE THIS SECTION WITH "Now I would like to ask you some questions about this visit to the health center."
What is the purpose of the child's visit to the health center today?
- Vaccination
Vaccination > (2.04)
Child growth monitoring > (2.04)
Well baby check-up> (2.04)
319
1
2
1
Yes
2
No
What is the purpose of the child's visit to the health center today? - Child g
What is the purpose of the child's visit to the health center today? - Child g
What is the purpose of the child's visit to the health center today? - Child g
What is the purpose of the child's visit to the health center today? - Child g
What is the purpose of the child's visit to the health center today? - Child g
What is the purpose of the child's visit to the health center today?
- Child growth monitoring
Vaccination > (2.04)
Child growth monitoring > (2.04)
Well baby check-up> (2.04)
319
1
2
1
Yes
2
No
What is the purpose of the child's visit to the health center today? - Well ba
What is the purpose of the child's visit to the health center today? - Well ba
What is the purpose of the child's visit to the health center today? - Well ba
What is the purpose of the child's visit to the health center today? - Well ba
What is the purpose of the child's visit to the health center today? - Well ba
What is the purpose of the child's visit to the health center today?
- Well baby check-up
Vaccination > (2.04)
Child growth monitoring > (2.04)
Well baby check-up> (2.04)
319
1
2
1
Yes
2
No
What is the purpose of the child's visit to the health center today? - Child i
What is the purpose of the child's visit to the health center today? - Child i
What is the purpose of the child's visit to the health center today? - Child i
What is the purpose of the child's visit to the health center today? - Child i
What is the purpose of the child's visit to the health center today? - Child i
What is the purpose of the child's visit to the health center today?
- Child illness
Vaccination > (2.04)
Child growth monitoring > (2.04)
Well baby check-up> (2.04)
319
1
2
1
Yes
2
No
How long ago in days did this illness start?
How long ago in days did this illness start?
How long ago in days did this illness start?
How long ago in days did this illness start?
How long ago in days did this illness start?
How long ago in days did this illness start?
189
130
30
What was the reason for bringing the child to the health facility today? - DI
What was the reason for bringing the child to the health facility today? - DI
What was the reason for bringing the child to the health facility today? - DI
What was the reason for bringing the child to the health facility today? - DI
What was the reason for bringing the child to the health facility today? - DI
What was the reason for bringing the child to the health facility today?
- DIARRHEA
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - FE
What was the reason for bringing the child to the health facility today? - FE
What was the reason for bringing the child to the health facility today? - FE
What was the reason for bringing the child to the health facility today? - FE
What was the reason for bringing the child to the health facility today? - FE
What was the reason for bringing the child to the health facility today?
- FEVER
189
130
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - CO
What was the reason for bringing the child to the health facility today? - CO
What was the reason for bringing the child to the health facility today? - CO
What was the reason for bringing the child to the health facility today? - CO
What was the reason for bringing the child to the health facility today? - CO
What was the reason for bringing the child to the health facility today?
- COUGH/DIFFICULTY BREATHING
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - SK
What was the reason for bringing the child to the health facility today? - SK
What was the reason for bringing the child to the health facility today? - SK
What was the reason for bringing the child to the health facility today? - SK
What was the reason for bringing the child to the health facility today? - SK
What was the reason for bringing the child to the health facility today?
- SKIN INFECTION/ PUS WOUND
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - TO
What was the reason for bringing the child to the health facility today? - TO
What was the reason for bringing the child to the health facility today? - TO
What was the reason for bringing the child to the health facility today? - TO
What was the reason for bringing the child to the health facility today? - TO
What was the reason for bringing the child to the health facility today?
- TONSILLITIS/ SORE THROAT
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today?
- OTITIS MEDIA/ PAIN IN EAR
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - IN
What was the reason for bringing the child to the health facility today? - IN
What was the reason for bringing the child to the health facility today? - IN
What was the reason for bringing the child to the health facility today? - IN
What was the reason for bringing the child to the health facility today? - IN
What was the reason for bringing the child to the health facility today?
- INJURY
189
130
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today? - OT
What was the reason for bringing the child to the health facility today?
- OTHER
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
S2Q3_OTHER
S2Q3_OTHER
S2Q3_OTHER
S2Q3_OTHER
S2Q3_OTHER
What was the reason for bringing the child to the health facility today?
- OTHER, SPECIFY:
15
Allergy
Bloating
Eye Diseases
Helminthosis
Intracranial pressure
Measles throat
Phimosis
Toothache
Underweight
Did you come to this facility on your own, or based on a referral from Health ho
Did you come to this facility on your own, or based on a referral from Health ho
Did you come to this facility on your own, or based on a referral from Health ho
Did you come to this facility on your own, or based on a referral from Health ho
Did you come to this facility on your own, or based on a referral from Health ho
Did you come to this facility on your own, or based on a referral from Health house, or based on a referral from a health worker?
319
1
3
1
Came directly on own
2
Referred by health worker in another facility
3
Referred by a Health worker
Did someone in the health facility ask the age of the child?
Did someone in the health facility ask the age of the child?
Did someone in the health facility ask the age of the child?
Did someone in the health facility ask the age of the child?
Did someone in the health facility ask the age of the child?
Did someone in the health facility ask the age of the child?
319
1
2
1
Yes
2
No
Did someone in the health facility weigh the child?
Did someone in the health facility weigh the child?
Did someone in the health facility weigh the child?
Did someone in the health facility weigh the child?
Did someone in the health facility weigh the child?
Did someone in the health facility weigh the child?
319
1
2
1
Yes
2
No
Did someone in the health facility measure the height of the child?
Did someone in the health facility measure the height of the child?
Did someone in the health facility measure the height of the child?
Did someone in the health facility measure the height of the child?
Did someone in the health facility measure the height of the child?
Did someone in the health facility measure the height of the child?
319
1
2
1
Yes
2
No
Did someone in the health facility plot weight or height against a growth chart?
Did someone in the health facility plot weight or height against a growth chart?
Did someone in the health facility plot weight or height against a growth chart?
Did someone in the health facility plot weight or height against a growth chart?
Did someone in the health facility plot weight or height against a growth chart?
Did someone in the health facility plot weight or height against a growth chart?
319
1
2
1
Yes
2
No
Did the health worker physically examine the child?
Did the health worker physically examine the child?
Did the health worker physically examine the child?
Did the health worker physically examine the child?
Did the health worker physically examine the child?
Did the health worker physically examine the child?
319
1
2
1
Yes
2
No
At this visit, did the health worker also tell you that there was something wron
At this visit, did the health worker also tell you that there was something wron
At this visit, did the health worker also tell you that there was something wron
At this visit, did the health worker also tell you that there was something wron
At this visit, did the health worker also tell you that there was something wron
At this visit, did the health worker also tell you that there was something wrong with the child?
NO 2> (2.24)
319
1
2
1
Yes
2
No
What did the health worker say was wrong with the child? - MALARIA
What did the health worker say was wrong with the child? - MALARIA
What did the health worker say was wrong with the child? - MALARIA
What did the health worker say was wrong with the child? - MALARIA
What did the health worker say was wrong with the child? - MALARIA
What did the health worker say was wrong with the child? - MALARIA
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - FEVER
What did the health worker say was wrong with the child? - FEVER
What did the health worker say was wrong with the child? - FEVER
What did the health worker say was wrong with the child? - FEVER
What did the health worker say was wrong with the child? - FEVER
What did the health worker say was wrong with the child? - FEVER
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - MEASLES
What did the health worker say was wrong with the child? - MEASLES
What did the health worker say was wrong with the child? - MEASLES
What did the health worker say was wrong with the child? - MEASLES
What did the health worker say was wrong with the child? - MEASLES
What did the health worker say was wrong with the child? - MEASLES
213
106
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - DEHYDRATION
What did the health worker say was wrong with the child? - DEHYDRATION
What did the health worker say was wrong with the child? - DEHYDRATION
What did the health worker say was wrong with the child? - DEHYDRATION
What did the health worker say was wrong with the child? - DEHYDRATION
What did the health worker say was wrong with the child? - DEHYDRATION
213
106
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - VIRAL INFECTION/FLU
What did the health worker say was wrong with the child? - VIRAL INFECTION/FLU
What did the health worker say was wrong with the child? - VIRAL INFECTION/FLU
What did the health worker say was wrong with the child? - VIRAL INFECTION/FLU
What did the health worker say was wrong with the child? - VIRAL INFECTION/FLU
What did the health worker say was wrong with the child? - VIRAL INFECTION/FLU
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - DIARRHEA
What did the health worker say was wrong with the child? - DIARRHEA
What did the health worker say was wrong with the child? - DIARRHEA
What did the health worker say was wrong with the child? - DIARRHEA
What did the health worker say was wrong with the child? - DIARRHEA
What did the health worker say was wrong with the child? - DIARRHEA
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - DYSENTERY/ BLOODY D
What did the health worker say was wrong with the child? - DYSENTERY/ BLOODY D
What did the health worker say was wrong with the child? - DYSENTERY/ BLOODY D
What did the health worker say was wrong with the child? - DYSENTERY/ BLOODY D
What did the health worker say was wrong with the child? - DYSENTERY/ BLOODY D
What did the health worker say was wrong with the child? - DYSENTERY/ BLOODY DIARRHEA
213
106
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - COLD/ UPPER RESPIRA
What did the health worker say was wrong with the child? - COLD/ UPPER RESPIRA
What did the health worker say was wrong with the child? - COLD/ UPPER RESPIRA
What did the health worker say was wrong with the child? - COLD/ UPPER RESPIRA
What did the health worker say was wrong with the child? - COLD/ UPPER RESPIRA
What did the health worker say was wrong with the child? - COLD/ UPPER RESPIRATORY INFECTION
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - PNEUMONIA
What did the health worker say was wrong with the child? - PNEUMONIA
What did the health worker say was wrong with the child? - PNEUMONIA
What did the health worker say was wrong with the child? - PNEUMONIA
What did the health worker say was wrong with the child? - PNEUMONIA
What did the health worker say was wrong with the child? - PNEUMONIA
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - MALNUTRITION
What did the health worker say was wrong with the child? - MALNUTRITION
What did the health worker say was wrong with the child? - MALNUTRITION
What did the health worker say was wrong with the child? - MALNUTRITION
What did the health worker say was wrong with the child? - MALNUTRITION
What did the health worker say was wrong with the child? - MALNUTRITION
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - PARASITIC INFECTION
What did the health worker say was wrong with the child? - PARASITIC INFECTION
What did the health worker say was wrong with the child? - PARASITIC INFECTION
What did the health worker say was wrong with the child? - PARASITIC INFECTION
What did the health worker say was wrong with the child? - PARASITIC INFECTION
What did the health worker say was wrong with the child? - PARASITIC INFECTIONS
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker say was wrong with the child? - OTHER
What did the health worker say was wrong with the child? - OTHER
What did the health worker say was wrong with the child? - OTHER
What did the health worker say was wrong with the child? - OTHER
What did the health worker say was wrong with the child? - OTHER
What did the health worker say was wrong with the child? - OTHER
213
106
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
S2Q11_OTHER
S2Q11_OTHER
S2Q11_OTHER
S2Q11_OTHER
S2Q11_OTHER
What did the health worker say was wrong with the child? OTHER, SPECIFY
11
Allergy
Anemia
Bloating
Eye Diseases
Hypotrophy
Phimosis
Red navel
Toothache
Did the health worker tell you things to do at home to help treat the child
Did the health worker tell you things to do at home to help treat the child
Did the health worker tell you things to do at home to help treat the child
Did the health worker tell you things to do at home to help treat the child
Did the health worker tell you things to do at home to help treat the child
Did the health worker tell you things to do at home to help treat the child's illness?
NO 2 > (2.14)
213
106
1
2
1
YES
2
NO
Sysmiss
What did the health worker tell you to do? - GIVE MORE FLUIDS
What did the health worker tell you to do? - GIVE MORE FLUIDS
What did the health worker tell you to do? - GIVE MORE FLUIDS
What did the health worker tell you to do? - GIVE MORE FLUIDS
What did the health worker tell you to do? - GIVE MORE FLUIDS
What did the health worker tell you to do? - GIVE MORE FLUIDS
198
121
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker tell you to do? - CONTINUE OR INCREASE FEEDINGS AND
What did the health worker tell you to do? - CONTINUE OR INCREASE FEEDINGS AND
What did the health worker tell you to do? - CONTINUE OR INCREASE FEEDINGS AND
What did the health worker tell you to do? - CONTINUE OR INCREASE FEEDINGS AND
What did the health worker tell you to do? - CONTINUE OR INCREASE FEEDINGS AND
What did the health worker tell you to do? - CONTINUE OR INCREASE FEEDINGS AND/OR BREASTFEEDING
198
121
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker tell you to do? - TEPID BATHS FOR FEVER
What did the health worker tell you to do? - TEPID BATHS FOR FEVER
What did the health worker tell you to do? - TEPID BATHS FOR FEVER
What did the health worker tell you to do? - TEPID BATHS FOR FEVER
What did the health worker tell you to do? - TEPID BATHS FOR FEVER
What did the health worker tell you to do? - TEPID BATHS FOR FEVER
198
121
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker tell you to do? - KEEP THE CHILD WARM
What did the health worker tell you to do? - KEEP THE CHILD WARM
What did the health worker tell you to do? - KEEP THE CHILD WARM
What did the health worker tell you to do? - KEEP THE CHILD WARM
What did the health worker tell you to do? - KEEP THE CHILD WARM
What did the health worker tell you to do? - KEEP THE CHILD WARM
198
121
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker tell you to do? - AVOID GIVING MEDICATIONS OTHER TH
What did the health worker tell you to do? - AVOID GIVING MEDICATIONS OTHER TH
What did the health worker tell you to do? - AVOID GIVING MEDICATIONS OTHER TH
What did the health worker tell you to do? - AVOID GIVING MEDICATIONS OTHER TH
What did the health worker tell you to do? - AVOID GIVING MEDICATIONS OTHER TH
What did the health worker tell you to do? - AVOID GIVING MEDICATIONS OTHER THAN THOSE PRESCRIBED TODAY
198
121
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What did the health worker tell you to do? - OTHER
What did the health worker tell you to do? - OTHER
What did the health worker tell you to do? - OTHER
What did the health worker tell you to do? - OTHER
What did the health worker tell you to do? - OTHER
What did the health worker tell you to do? - OTHER
198
121
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
S2Q13_OTHER
S2Q13_OTHER
S2Q13_OTHER
S2Q13_OTHER
S2Q13_OTHER
What did the health worker tell you to do? - OTHER, SPECIFY
1
direction in Dushanbe
Did the health worker tell you to bring the child back if the child
Did the health worker tell you to bring the child back if the child
Did the health worker tell you to bring the child back if the child
Did the health worker tell you to bring the child back if the child
Did the health worker tell you to bring the child back if the child
Did the health worker tell you to bring the child back if the child's condition becomes worse?
NO 2 > (2.16)
213
106
1
2
1
YES
2
NO
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- FEVER DOES NOT GO AWAY AFTER CERTAIN TIME
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- FEVER DEVELOPS
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- CHILD IS UNABLE TO DRINK OR IS DRINKING POORLY
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- CHANGE IN CONSCIOUSNESS
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- DIARRHEA PERSISTS
189
130
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- BLOOD APPEARS IN THE STOOL
189
130
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- CHILD DEVELOPS RAPID OR DIFFICULT BREATHING
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- CHILD BECOMES SICKER FOR ANY REASON
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- NEW SYMPTOMS DEVELOP
189
130
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the chil
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- OTHER
189
130
2
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
OTHER - From the advice given to you by the health worker, how will you know if
OTHER - From the advice given to you by the health worker, how will you know if
OTHER - From the advice given to you by the health worker, how will you know if
OTHER - From the advice given to you by the health worker, how will you know if
OTHER - From the advice given to you by the health worker, how will you know if
From the advice given to you by the health worker, how will you know if the child's condition becomes worse and should be brought back?
- OTHER, SPECIFY:
Did the child receive any medicine or prescriptions today from the health facili
Did the child receive any medicine or prescriptions today from the health facili
Did the child receive any medicine or prescriptions today from the health facili
Did the child receive any medicine or prescriptions today from the health facili
Did the child receive any medicine or prescriptions today from the health facili
Did the child receive any medicine or prescriptions today from the health facility?
Received neither medicine nor prescription at the health facility 03> (2.23)
213
106
1
3
1
Received medicine at health facility
2
Received prescription to fill outside the health facility
3
Received neither medicine nor prescription at the health fac
Sysmiss
In total, how many medications were given to the child?
In total, how many medications were given to the child?
In total, how many medications were given to the child?
In total, how many medications were given to the child?
In total, how many medications were given to the child?
In total, how many medications were given or prescribed to the child? Given
INTERVIEWER: CHECK ANSWER FROM (2.16). IF ANSWER=01 ?(2.18). IF ANSWER=02 ?(2.19).
134
185
40
In total, how many medications were prescribed to the child?
In total, how many medications were prescribed to the child?
In total, how many medications were prescribed to the child?
In total, how many medications were prescribed to the child?
In total, how many medications were prescribed to the child?
In total, how many medications were given or prescribed to the child? Prescribed
INTERVIEWER: CHECK ANSWER FROM (2.16). IF ANSWER=01 ?(2.18). IF ANSWER=02 ?(2.19).
134
185
7
1
2
3
4
5
6
7
Sysmiss
S2Q18_1
S2Q18_1
S2Q18_1
S2Q18_1
S2Q18_1
What medicines were given at the facility? 1
> (2.20)
130
Alcohol
Alteyka
Ambroxolum
Amoxycillinum
Ampicillinum
Ampiox
Analgin
Biseptol
Bronolak
Cefazolinum
Ceftriaxonum
Diazolin
Exmizan
Ferrum sulfuricum oxydatum
Gensial viodet
Gentamycinum
Kalvitamin
Kedfilin
Lactobacterin
Laevomecolum
Lincus
Loprax
Nikash
None
Oxamp
Paracetamolum
Pertussinum
Pheroplekt
Rehydron
Salbutamolum
Sinaflanum
Vitamin A
Vitamin C
Vitamin D2, alcohol
S2Q18_2
S2Q18_2
S2Q18_2
S2Q18_2
S2Q18_2
What medicines were given at the facility? 2
> (2.20)
104
Amoxycillinum
Ampicillinum
Biseptol
Boric alcohol
Bromhexinum
Broncholytin
Calcii chloridum
Calcium gluconate
Cashelin
Cinepar
Ciprofloxacinum
Claritin
Cough syrup
Dexamethasonum
Diazolin
Dimedrol
Ditrim
Globex
Levomycetin
Lincus
Linex
Mukaltin
None
Nurofen
Pancreatinum
Paracetamolum
Penicilium
Pheroplekt
Phuxin
Pikovit
Protargol
Rehydron
Ringer 200
Salbutamolum
Sprinkles
Streptocide
Streptomycinum
Travisil
Vitamin
Vitamin B6
Zincum
S2Q18_3
S2Q18_3
S2Q18_3
S2Q18_3
S2Q18_3
What medicines were given at the facility? 3
> (2.20)
51
Against cough
Amoxycillinum
Ampicillinum
Aspirin
Biseptol
Boric alcohol
Bromhexinum
Calcium gluconate
Diazolin
Ear drops
Ketotiphenum
Lambrotin
Mukaltin
Multyvitamin
Naphthyzin
Nasivin
None
Nurofen
Nystatinum
Paracetamolum
Pertussinum
Phorcip
Protargol
Rehydron
Streptomycinum
Vayfex
Vitamin
S2Q18_4
S2Q18_4
S2Q18_4
S2Q18_4
S2Q18_4
What medicines were given at the facility? 4
> (2.20)
16
Ascorbic acid
Boric alcohol
Emigil-F
Furacilin
Mukaltin
Nasivin
None
Pertussinum
Pheroplekt
Pikovit
Powder
Rehydron
S2Q18_5
S2Q18_5
S2Q18_5
S2Q18_5
S2Q18_5
What medicines were given at the facility? 5
> (2.20)
6
Ascorbic acid
Furacilin
Linex
Mixtio lytica
Mustard plaster
None
S2Q19_1
S2Q19_1
S2Q19_1
S2Q19_1
S2Q19_1
What medicines were prescribed? 1
129
Ambroxolum
Amoxycillinum
Ampicillinum
Ampiox
Aspirin
Babysan
Bifidum
Biseptol
Calcii chloridum
Calcium-D3
Cefazolinum
Ceftriaxonum
Cerucal
Dimedrol
Emigil-F
Exmazan
Ferrum sulfuricum oxydatum
Gensial viodet
Laevomecolum
Lincus
Linex
Loprax
None
Oxamp
Paracetamolum
Penicilium
Rehydron
Sofradex
Vitamin
Vitamin A
Vitamin C
Vitamin D2
S2Q19_2
S2Q19_2
S2Q19_2
S2Q19_2
S2Q19_2
What medicines were prescribed? 2
73
Alcohol
Aloe Vera
Amoxycillinum
Ampicillinum
Biseptol
Boric alcohol
Broncholytin
Calcium gluconate
Cashelin
Cefazolinum
Ciprofloxacinum
Cough syrup
Emigil
Emigil-F
Ferrum sulfuricum oxydatum
Globex
Ketotiphenum
Levomycetin
Mezym Forte
None
Paracetamolum
Penicilium
Pertussinum
Phuxin
Pikovit
Potassium orotate
Stop Colik
Syrup
Tinctura Valerianae
Travisil
Vayfex
Vitamin
Vitamin B6
S2Q19_3
S2Q19_3
S2Q19_3
S2Q19_3
S2Q19_3
What medicines were prescribed? 3
33
Amoxycillinum
Aspirin
Bromhexinum
Calcium gluconate
Calvitalis
Faringosept
Furazolidone
Multyvitamin
Mustard plaster
Naphthyzin
Paracetamolum
Pertussinum
Phorcip
Pikovit
Rehydron
Ringer
Sinaflanum
Streptomycinum
Travamax
Vayfex
Vitamin
Zincum
S2Q19_4
S2Q19_4
S2Q19_4
S2Q19_4
S2Q19_4
What medicines were prescribed? 4
6
Calcium gluconate
Cashelin
Ciprofloxacinum
Nosh-Pa
Pancreatinum
Paracetamolum
S2Q19_5
S2Q19_5
S2Q19_5
S2Q19_5
S2Q19_5
What medicines were prescribed? 5
2
Bifidumbacterin
Naphthyzin
How long does it take you to travel from this health facility to the location (p
How long does it take you to travel from this health facility to the location (p
How long does it take you to travel from this health facility to the location (p
How long does it take you to travel from this health facility to the location (p
How long does it take you to travel from this health facility to the location (p
How long does it take you to travel from this health facility to the location (pharmacy) where you get the prescribed medicine using your usual mode of transportation? (One way.
134
185
120
Did the health worker fully explain how to take the medicines?
Did the health worker fully explain how to take the medicines?
Did the health worker fully explain how to take the medicines?
Did the health worker fully explain how to take the medicines?
Did the health worker fully explain how to take the medicines?
Did the health worker fully explain how to take the medicines?
134
185
1
2
1
YES
2
NO
Sysmiss
Did the health worker(s) tell you about possible adverse reactions (side effects
Did the health worker(s) tell you about possible adverse reactions (side effects
Did the health worker(s) tell you about possible adverse reactions (side effects
Did the health worker(s) tell you about possible adverse reactions (side effects
Did the health worker(s) tell you about possible adverse reactions (side effects
Did the health worker(s) tell you about possible adverse reactions (side effects) that the given/prescribed medicine might have?
134
185
1
2
1
YES
2
NO
Sysmiss
Did the health worker give you a specific date to bring the child back to the he
Did the health worker give you a specific date to bring the child back to the he
Did the health worker give you a specific date to bring the child back to the he
Did the health worker give you a specific date to bring the child back to the he
Did the health worker give you a specific date to bring the child back to the he
Did the health worker give you a specific date to bring the child back to the health facility for a follow-up visit?
213
106
1
2
1
YES
2
NO
Sysmiss
Is the child immunization passport available?
Is the child immunization passport available?
Is the child immunization passport available?
Is the child immunization passport available?
Is the child immunization passport available?
Is the child immunization passport available?
NO 2> (2.26)
319
1
2
1
YES
2
NO
BCG
BCG
BCG
BCG
BCG
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Pentavalent1
Pentavalent1
Pentavalent1
Pentavalent1
Pentavalent1
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Pentavalent2
Pentavalent2
Pentavalent2
Pentavalent2
Pentavalent2
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Pentavalent3
Pentavalent3
Pentavalent3
Pentavalent3
Pentavalent3
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
OPV0
OPV0
OPV0
OPV0
OPV0
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
OPV1
OPV1
OPV1
OPV1
OPV1
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
OPV2
OPV2
OPV2
OPV2
OPV2
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Hepatitus1
Hepatitus1
Hepatitus1
Hepatitus1
Hepatitus1
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Hepatitus2
Hepatitus2
Hepatitus2
Hepatitus2
Hepatitus2
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Hepatitus3
Hepatitus3
Hepatitus3
Hepatitus3
Hepatitus3
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
DPT
DPT
DPT
DPT
DPT
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Measles
Measles
Measles
Measles
Measles
173
146
1
99
1
RECEIVED
2
NOT RECEIVED
99
DON'T
Sysmiss
Did your child receive an immunization today?
Did your child receive an immunization today?
Did your child receive an immunization today?
Did your child receive an immunization today?
Did your child receive an immunization today?
Did your child receive an immunization today?
319
1
2
1
YES
2
NO
Did the health worker ask you to bring back the child to receive immunization an
Did the health worker ask you to bring back the child to receive immunization an
Did the health worker ask you to bring back the child to receive immunization an
Did the health worker ask you to bring back the child to receive immunization an
Did the health worker ask you to bring back the child to receive immunization an
Did the health worker ask you to bring back the child to receive immunization another day?
NO 2 > (3.01)
319
1
2
1
YES
2
NO
When did the health worker ask you to bring the child back? MONTH (MM)
When did the health worker ask you to bring the child back? MONTH (MM)
When did the health worker ask you to bring the child back? MONTH (MM)
When did the health worker ask you to bring the child back? MONTH (MM)
When did the health worker ask you to bring the child back? MONTH (MM)
When did the health worker ask you to bring the child back? MONTH (MM)
56
263
1
99
1
2
3
5
6
12
99
DON"T KNOW
Sysmiss
When did the health worker ask you to bring the child back? YEAR (YYYY)
When did the health worker ask you to bring the child back? YEAR (YYYY)
When did the health worker ask you to bring the child back? YEAR (YYYY)
When did the health worker ask you to bring the child back? YEAR (YYYY)
When did the health worker ask you to bring the child back? YEAR (YYYY)
When did the health worker ask you to bring the child back? YEAR (YYYY)
56
263
2014
9999
2014
2015
9999
DON"T KNOW
Sysmiss
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers? Kilometers
How far is your household from this health facility in kilometers?
319
-99
50
-99
Don't know
0.05
0.06
0.1
0.2
0.3
0.4
0.5
0.6
0.8
1
1.5
2
3
4
5
7
8
10
11
12
13
15
30
36
50
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home tod
How long did it take you/the patient to reach this health facility from home today? (One way)
319
60
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
319
1
5
1
By foot
2
Bicycle
3
Animal
4
Private car
5
Public car/bus
96
Other
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
OTHER - What was your primary mode of transportation today? (One way)
What was your primary mode of transportation today? (One way)
Other, specify
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (
How much did it cost in Somoni for you to travel to the health facility today? (One way)
319
20
1
2
3
4
5
6
8
9
10
12
15
20
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in co
How long did you/the patient wait in the health facility before being seen in consultation by the health worker?
319
90
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultat
How long did you/the patient spend with the doctor or nurse during the consultation?
319
1
30
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
Do you think this was too long?
319
1
2
1
YES
2
NO
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
Was a registration fee charged?
NO 2 > (3.10)
319
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
5
314
2
5
2
5
Sysmiss
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
Was a consultation fee charged?
NO 2> (3.12)
319
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
3
316
2
5
2
5
Sysmiss
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
Did you give any non-monetary gifts to the consultation?
NO 2 > (3.14)
319
1
2
1
YES
2
NO
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
What was the approximate value of the gift?
1
318
5
5
5
Sysmiss
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
Was a registration doctor fee charged?
NO 2> (3.16)
319
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
11
308
5
10
5
7
10
Sysmiss
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
Was a consultation doctor fee charged?
NO 2 > (3.18)
319
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
22
297
3
20
3
5
10
20
Sysmiss
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
Did you give any monetary gifts to the consultation?
NO 2 > (3.20)
319
1
2
1
YES
2
NO
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
How much was this amount of money?
2
317
5
5
5
Sysmiss
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
Was a laboratory test done?
NO 2> (3.22)
319
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
11
308
2
20
2
4
5
6
10
15
20
Sysmiss
Was an xray done?
Was an xray done?
Was an xray done?
Was an xray done?
Was an xray done?
Was an xray done?
NO 2 > (3.24)
319
1
2
1
YES
2
NO
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
How much was paid for this in Somoni?
1
318
5
5
5
Sysmiss
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
Were medicines dispensed to you at the facility?
NO 2 > (3.26)
319
1
2
1
YES
2
NO
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
How much was paid in Somoni for this?
26
293
49
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not includ
How much was spent in total in Somoni at the facility for this visit, not including transportation costs?
319
100
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today? - Sa
Where did the money come from that was used to pay for health care today?
- Savings or regular household budget
319
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today? - Cr
Where did the money come from that was used to pay for health care today?
- Credit in the Bank
319
2
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today? - Se
Where did the money come from that was used to pay for health care today?
- Selling household possessions
319
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today? - Mo
Where did the money come from that was used to pay for health care today?
- Mortgaging or selling land
319
2
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today? - Fr
Where did the money come from that was used to pay for health care today?
- From a friend or relative
319
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today? - Bo
Where did the money come from that was used to pay for health care today?
- Borrowed from someone other than friend or
319
1
2
1
MENTIONED
2
NOT MENTIONED
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today? - Ot
Where did the money come from that was used to pay for health care today?
- Other
319
2
2
1
MENTIONED
2
NOT MENTIONED
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
OTHER - Where did the money come from that was used to pay for health care today
Where did the money come from that was used to pay for health care today?
- Other, specify:
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a diffe
What was the main reason you chose this health facility today instead of a different source of care?
319
1
6
1
Location close to home
2
Low cost
3
Trust in providers/ high quality care
4
Availability of drugs
5
Availability of female provider
6
Recommendation or referral
96
Other
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
OTHER - What was the main reason you chose this health facility today instead
What was the main reason you chose this health facility today instead of a different source of care?
- Other, specify
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today ins
What was the next most important reason you chose this health facility today instead of a different source of care?
319
1
7
1
No other reason
2
Location close to home
3
Low cost
4
Trust in providers/ high quality care
5
Availability of drugs
6
Availability of female provider
7
Recommendation or referral
96
Other
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
OTHER - What was the next most important reason you chose this health facility t
What was the next most important reason you chose this health facility today instead of a different source of care?
- Other, specify
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
It is convenient to travel from your house to the health facility.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- It is convenient to travel from your house to the health facility.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
5
It`s not difined
The health facility is clean.
The health facility is clean.
The health facility is clean.
The health facility is clean.
The health facility is clean.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health facility is clean.
319
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health staff are courteous and respectful.
The health staff are courteous and respectful.
The health staff are courteous and respectful.
The health staff are courteous and respectful.
The health staff are courteous and respectful.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health staff are courteous and respectful.
319
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
The health workers did a good job of explaining your condition.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health workers did a good job of explaining your condition.
319
1
3
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
It is easy to get medicine that health workers prescribe.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- It is easy to get medicine that health workers prescribe.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
The registration fees of this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The registration fees of this visit to the health facility were reasonable.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
The lab fees of this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The lab fees of this visit to the health facility were reasonable.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
The medication fees of this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The medication fees of this visit to the health facility were reasonable.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
The transport fees for this visit to the health facility were reasonable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The transport fees for this visit to the health facility were reasonable.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
The amount of time you spent waiting to be seen by a health provider was reasona
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The amount of time you spent waiting to be seen by a health provider was reasonable.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
You had enough privacy during your visit.
You had enough privacy during your visit.
You had enough privacy during your visit.
You had enough privacy during your visit.
You had enough privacy during your visit.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- You had enough privacy during your visit.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
The health worker spent a sufficient amount of time with you.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The health worker spent a sufficient amount of time with you.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
The hours the facility is open are adequate to meet your needs.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The hours the facility is open are adequate to meet your needs.
319
1
3
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
The overall quality of services provided was satisfactory.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding this health facility. Please tell me if you agree, neither agree nor disagree or disagree with each statement. Some statements may not apply to your situation. Please let me know if a statement does not apply to you.
- The overall quality of services provided was satisfactory.
319
1
3
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
The level of security in the health facility area makes it difficult for people
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The level of security in the health facility area makes it difficult for people in the community to use available health services.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
The health workers in this facility are extremely thorough and careful.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility are extremely thorough and careful.
319
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
You trust in the skills and abilities of the health workers of this facility.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- You trust in the skills and abilities of the health workers of this facility.
319
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
You completely trust the health worker
You completely trust the health worker
You completely trust the health worker
You completely trust the health worker
You completely trust the health worker
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- You completely trust the health worker's decisions about medical treatments in this facility.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
The health workers in this facility are very friendly and approachable.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility are very friendly and approachable.
319
1
2
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
The health workers in this facility are easy to make contact with.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility are easy to make contact with.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
The health workers in this facility care about your health just as much or more
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workers in this facility care about your health just as much or more than you do.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
The health workersin this facility act differently toward rich people than towar
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- The health workersin this facility act differently toward rich people than toward poor people.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
All in all, you trust the health worker completely in this health facility.
INTERVIEWER: READ EACH STATEMENT TO THE RESPONDENT AND RECORD THE RESPONSE CODE FOR EACH QUESTION. SHOW AND ASK TO PICK OUT THE COLORED AND NUMBERED CARDS WITH RESPONSE CODES.
I'm going to read you a series of statements regarding security and trust in this health facility. Please respond to the statements as you did above by confirming if you agree, neither agree nor disagree,or disagree with each statement. Some of these statements may not apply to you. Please tell me if any of those statements does not apply to you.
- All in all, you trust the health worker completely in this health facility.
319
1
4
1
Agree
2
Neither agree nor disagree
3
Disagree
4
Not applicable
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Fa
Does your household own any land? (Household Plots, Presidential Land, Dehqan Farm)
319
1
2
1
YES
2
NO
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area - Household Plots
Describe the your land area
- Household Plots
279
40
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area - Presidential Land
Describe the your land area
- Presidential Land
279
40
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area - Dehqan Farm
Describe the your land area
- Dehqan Farm
279
40
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area - Rented/leased land
Describe the your land area
- Rented/leased land
279
40
1
2
1
YES
2
NO
Sysmiss
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area - OTHER
Describe the your land area
- OTHER
279
40
2
2
1
YES
2
NO
Sysmiss
OTHER - Describe the your land area
OTHER - Describe the your land area
OTHER - Describe the your land area
OTHER - Describe the your land area
OTHER - Describe the your land area
Describe the your land area
- OTHER, SPECIFY:
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)? - Household Plots
What is the total area of your land in (ha)?
- Household Plots
272
47
-99
8
-99
Don't know
0.01
0.012
0.015
0.016
0.017
0.018
0.02
0.024
0.025
0.03
0.04
0.05
0.06
0.07
0.08
0.1
0.12
0.13
0.14
0.15
0.16
0.2
0.25
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
1.5
7
8
Sysmiss
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)? - Presidential Land
What is the total area of your land in (ha)?
- Presidential Land
100
219
-99
45
-99
Don't know
0.12
0.15
0.2
1
2
4
5
6
8
9
10
11
12
13
14
15
17
18
20
30
45
Sysmiss
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)? - Dehqan Farm
What is the total area of your land in (ha)?
- Dehqan Farm
87
232
-99
136
-99
Don't know
0.23
1
1.5
1.7
2
2.5
3
4
5
7
13
14
15
20
25
30
35
40
50
53
60
80
136
Sysmiss
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)? - Rented/leased land
What is the total area of your land in (ha)?
- Rented/leased land
11
308
-99
50
-99
Don't know
1
5
10
50
Sysmiss
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)? - OTHER
What is the total area of your land in (ha)?
- OTHER, SPECIFY
319
-99
Don't know
Sysmiss
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive fo
If you were to sell the land you own, how much do you think you would receive for it in Somoni?
279
40
-99
2000
-99
Don't know
100
300
400
500
1000
2000
Sysmiss
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall, Rooftop and Floor? Wall
319
1
11
1
BRICKS OR BLOCKS
2
ASBESTOS
3
CORRUGATED IRON / METAL
4
PLASTIC
5
POLES / REED
6
TILES/ SLATES
7
THATCH / GRASS
8
WOOD
9
EARTH / MUD
10
CONCRETE ONLY
11
COVERED CONCRETE
12
CARDBOARD
96
OTHER
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
OTHER - For your home, what is the main material used for the following: Wall?
For your home, what is the main material used for the following: Wall, Rooftop and Floor?Wall
- OTHER, SPECIFY
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Rooftop?
For your home, what is the main material used for the following: Wall, Rooftop and Floor? Rooftop
319
2
12
1
BRICKS OR BLOCKS
2
ASBESTOS
3
CORRUGATED IRON / METAL
4
PLASTIC
5
POLES / REED
6
TILES/ SLATES
7
THATCH / GRASS
8
WOOD
9
EARTH / MUD
10
CONCRETE ONLY
11
COVERED CONCRETE
12
CARDBOARD
96
OTHER
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
OTHER - For your home, what is the main material used for the following: Roofto
For your home, what is the main material used for the following: Wall, Rooftop and Floor?Rooftop
- OTHER, SPECIFY
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Floor?
For your home, what is the main material used for the following: Wall, Rooftop and Floor? Floor
319
2
12
1
BRICKS OR BLOCKS
2
ASBESTOS
3
CORRUGATED IRON / METAL
4
PLASTIC
5
POLES / REED
6
TILES/ SLATES
7
THATCH / GRASS
8
WOOD
9
EARTH / MUD
10
CONCRETE ONLY
11
COVERED CONCRETE
12
CARDBOARD
96
OTHER
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
OTHER - For your home, what is the main material used for the following: Floor
For your home, what is the main material used for the following: Wall, Rooftop and Floor?Floor
- OTHER, SPECIFY
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwell
How many rooms does your household have? (Including rooms outside the main dwelling, excluding kitchen and bathrooms)
319
1
15
1
2
3
4
5
6
7
8
9
10
15
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household? - Men 18 years and older
How many people live in your household?
- Men 18 years and older
319
8
1
2
3
4
5
6
7
8
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household? - Women 18 years and older
How many people live in your household?
- Women 18 years and older
319
7
1
2
3
4
5
6
7
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household? - Children & adolescents between 6 & 1
How many people live in your household?
- Children & adolescents between 6 & 17 years
319
9
1
2
3
4
5
6
7
8
9
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household? - Children 5 years and below
How many people live in your household?
- Children 5 years and below
319
1
8
1
2
3
4
5
6
7
8
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household? - TOTAL
How many people live in your household?
- TOTAL
319
2
25
Bicycle?
Bicycle?
Bicycle?
Bicycle?
Bicycle?
How many [ASSET]s does your household own?
- Bicycle?
319
1
NO
1
YES
Motorbike and/or scooter?
Motorbike and/or scooter?
Motorbike and/or scooter?
Motorbike and/or scooter?
Motorbike and/or scooter?
How many [ASSET]s does your household own?
- Motorbike and/or scooter?
319
1
NO
1
YES
Car?
Car?
Car?
Car?
Car?
How many [ASSET]s does your household own?
- Car?
319
1
NO
1
YES
Truck?
Truck?
Truck?
Truck?
Truck?
How many [ASSET]s does your household own?
- Truck?
319
1
NO
1
YES
Animal drawn cart?
Animal drawn cart?
Animal drawn cart?
Animal drawn cart?
Animal drawn cart?
How many [ASSET]s does your household own?
- Animal drawn cart?
319
1
NO
1
YES
Agricultural land?
Agricultural land?
Agricultural land?
Agricultural land?
Agricultural land?
How many [ASSET]s does your household own?
- Agricultural land?
319
1
NO
1
YES
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
How many [ASSET]s does your household own?
- Farm animals (any livestock, herds, other farm animals, beehives or poultry)?
319
1
NO
1
YES
A refrigerator?
A refrigerator?
A refrigerator?
A refrigerator?
A refrigerator?
How many [ASSET]s does your household own?
- A refrigerator?
319
1
NO
1
YES
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
An indoor heater (burzhuika)?
How many [ASSET]s does your household own?
- An indoor heater (burzhuika)?
319
1
NO
1
YES
A stock of wood or other fuel?
A stock of wood or other fuel?
A stock of wood or other fuel?
A stock of wood or other fuel?
A stock of wood or other fuel?
How many [ASSET]s does your household own?
- A stock of wood or other fuel?
319
1
NO
1
YES
A television?
A television?
A television?
A television?
A television?
How many [ASSET]s does your household own?
- A television?
319
1
NO
1
YES
a DVD player?
a DVD player?
a DVD player?
a DVD player?
a DVD player?
How many [ASSET]s does your household own?
- A DVD player?
319
1
NO
1
YES
a satellite antenna/ dish?
a satellite antenna/ dish?
a satellite antenna/ dish?
a satellite antenna/ dish?
a satellite antenna/ dish?
How many [ASSET]s does your household own?
- A satellite antenna/ dish?
319
1
NO
1
YES
A computer?
A computer?
A computer?
A computer?
A computer?
How many [ASSET]s does your household own?
- A computer?
319
1
NO
1
YES
a phone (land and/or mobile phone)?
a phone (land and/or mobile phone)?
a phone (land and/or mobile phone)?
a phone (land and/or mobile phone)?
a phone (land and/or mobile phone)?
How many [ASSET]s does your household own?
- A phone (land and/or mobile phone)?
319
1
NO
1
YES
A watch?
A watch?
A watch?
A watch?
A watch?
How many [ASSET]s does your household own?
- A watch?
319
1
NO
1
YES
An electric oven?
An electric oven?
An electric oven?
An electric oven?
An electric oven?
How many [ASSET]s does your household own?
- An electric oven?
319
1
NO
1
YES
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own? - Cattle?
How many [ANIMAL]s does your household own?
- Cattle?
319
15
1
2
3
4
5
6
8
15
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own? - Goats?
How many [ANIMAL]s does your household own?
- Goats?
319
150
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own? - Sheep?
How many [ANIMAL]s does your household own?
- Sheep?
319
200
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own? - Poultry?
How many [ANIMAL]s does your household own?
- Poultry?
319
20
1
2
3
4
5
6
7
8
9
10
12
13
14
15
20
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own? - Donkey/Horse?
How many [ANIMAL]s does your household own?
- Donkey/Horse?
319
10
1
2
3
10
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own? - Other
How many [ANIMAL]s does your household own?
- Other
319
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
OTHER - How many [ANIMAL]s does your household own?
How many [ANIMAL]s does your household own?
- Other, specify
Facility number
Facility number
Facility number
Facility number
Facility number
Facility number
328
110101
311501
199229.979
73972.299
110101
110201
110301
110401
110501
110701
110901
111301
111401
120101
120201
120301
120401
120501
120601
120801
120901
121001
121101
121201
121301
121401
121501
121601
121701
121801
130201
130301
130401
130501
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210801
210901
211101
211201
211301
220101
220701
220801
230301
230501
240101
260301
260701
270801
271301
271501
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290302
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
300701
301401
301701
301801
301901
302001
302201
310201
310301
310601
311501
Region
Region
Region
Region
Region
Region
326
2
1
2
1
SOGD
2
KHATLON
Sysmiss
District
District
District
District
District
District
326
2
11
31
19.81
7.392
11
12
13
14
15
21
22
23
24
26
27
28
29
30
31
Sysmiss
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
324
4
1
57
6.275
11.029
1
2
3
4
5
6
7
8
10
15
17
19
20
23
24
26
27
41
47
57
Sysmiss
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
322
6
1
2
1
Male
2
Female
Sysmiss
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
325
3
1
99
1
Family Physician
2
Internist (
3
Family Nurse
4
Feldsher
98
Other
99
Sysmiss
OTHER_ Health worker category
OTHER_ Health worker category
OTHER_ Health worker category
OTHER_ Health worker category
OTHER_ Health worker category
OTHER_ Health worker category
32
ChARROK
HIRURG
Hirurg
PEDIATR
direktor MSD
kardeolog
mudiri MSD
pediatr
stomatolog
urolog
Client code
Client code
Client code
Client code
Client code
Client code
325
3
99
3.44
10.793
Age of the patient
Age of the patient
Age of the patient
Age of the patient
Age of the patient
Age of the patient
316
12
1
4
1
<40 years
2
40- < 55 years
3
55 - <65 years
4
? 65 years
Sysmiss
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Yes, consent is given > go to C5.10
No, consent is not given > observation of this client must END; if available, approach another client for participation.
310
18
1
2
1
Yes
2
No
Sysmiss
C5.9C_HH
C5.9C_HH
C5.9C_HH
C5.9C_HH
C5.9C_HH
323
5
8
16
10.802
1.69
8
9
10
11
12
13
14
15
16
Sysmiss
C5.9C_MM
C5.9C_MM
C5.9C_MM
C5.9C_MM
C5.9C_MM
323
5
59
26.214
17.092
C5.9D_HH
C5.9D_HH
C5.9D_HH
C5.9D_HH
C5.9D_HH
323
5
8
16
10.978
1.686
8
9
10
11
12
13
14
15
16
Sysmiss
C5.9D_MM
C5.9D_MM
C5.9D_MM
C5.9D_MM
C5.9D_MM
323
5
59
29.229
16.758
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
RECORD WHETHER THE HEALTH WORKER CARRIED OUT THE FOLLOWING STEPS AND/OR EXAMINATIONS:
The health worker may not follow the order of actions presented in the checklist. For this reason, be prepared to jump around the checklist and to complete it in a non-sequential fashion. In order to do this effectively, complete all the questions with positive or 'yes' responses, as well as the classification and treatment sections during the clinical interaction, and then at the end of the consultation go back and complete all the negative 'no' responses
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker introduce her/himself and title
Did the health worker introduce her/himself and title
Did the health worker introduce her/himself and title
Did the health worker introduce her/himself and title
Did the health worker introduce her/himself and title
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Patient's age
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Patient's problems (symptoms)
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- When for the first time when such symtoms were presented
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Measure blood pressure
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Nausia
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Vomiting
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Oliguria
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Vision problems
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Chest pain
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Smoking status
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Alcohol intake, quantity and frequency
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Family history of premature coronary heart disease or stroke
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Diabetes status (absence /presence)
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Measures weight
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Ask whether the patient has kidney diseases
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Lifestyle /physical activity
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Food intake/diet
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Weight gain/loss
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Presence of kidney diseases
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Taking antihypertensive therapy
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mentions any of the following? -
Did the health worker ask about or the client mention any of the following?
- Taking other medicines
323
5
1
2
1
Yes
2
No
Sysmiss
C5.13_OTHER
C5.13_OTHER
C5.13_OTHER
C5.13_OTHER
C5.13_OTHER
Did the health worker ask about or the client mention any of the following?
- Other not listed above
20
1
2
ÀÑÏÈÐÈÍ,ÃËÈÖÈÍ,ÏÀÍÀÍÃÈÍ
Ñëóøàë ñåðäöå
ãëèöèí
ãîëîâ,áîëü ãîëîâîêðóæåíèå
ãîëîâíàÿ áîëü
ãóø êàðäàíè äèë
äèëðî ãóø êàðäààñò
êîíñóëòàöèÿ ?
íåðâíûå ðàññòðîéñòâî
îòäûøêà
ïàðàöåòàìîë,êàâèêë
ïîêàçàë äðóãîìó âðà÷ó
ïîøàíãèè ä/â ðèäîêå
ïðîäîëæàåò ëè ëå÷åíèå õîëåöèñòèòà
õîá ÷è êàäàð?
ýêã
Did the health worker wash his/her hands with soap or use sanitizer prior to exa
Did the health worker wash his/her hands with soap or use sanitizer prior to exa
Did the health worker wash his/her hands with soap or use sanitizer prior to exa
Did the health worker wash his/her hands with soap or use sanitizer prior to exa
Did the health worker wash his/her hands with soap or use sanitizer prior to exa
Did the health worker wash his/her hands with soap or use sanitizer prior to examination
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Weigh the cli
Did the health worker perform any of the following procedures? - Weigh the cli
Did the health worker perform any of the following procedures? - Weigh the cli
Did the health worker perform any of the following procedures? - Weigh the cli
Did the health worker perform any of the following procedures? - Weigh the cli
Did the health worker perform any of the following procedures?
- Weigh the client
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Take the clie
Did the health worker perform any of the following procedures? - Take the clie
Did the health worker perform any of the following procedures? - Take the clie
Did the health worker perform any of the following procedures? - Take the clie
Did the health worker perform any of the following procedures? - Take the clie
Did the health worker perform any of the following procedures?
- Take the client's blood pressure
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Take client's
Did the health worker perform any of the following procedures? - Take client's
Did the health worker perform any of the following procedures? - Take client's
Did the health worker perform any of the following procedures? - Take client's
Did the health worker perform any of the following procedures? - Take client's
Did the health worker perform any of the following procedures?
- Take client's blood pressure in sitting or lateral position
305
23
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Take blood pr
Did the health worker perform any of the following procedures? - Take blood pr
Did the health worker perform any of the following procedures? - Take blood pr
Did the health worker perform any of the following procedures? - Take blood pr
Did the health worker perform any of the following procedures? - Take blood pr
Did the health worker perform any of the following procedures?
- Take blood pressure with arm at heart level
306
22
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Examine for e
Did the health worker perform any of the following procedures? - Examine for e
Did the health worker perform any of the following procedures? - Examine for e
Did the health worker perform any of the following procedures? - Examine for e
Did the health worker perform any of the following procedures? - Examine for e
Did the health worker perform any of the following procedures?
- Examine hands for edema
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Assess pulse
Did the health worker perform any of the following procedures? - Assess pulse
Did the health worker perform any of the following procedures? - Assess pulse
Did the health worker perform any of the following procedures? - Assess pulse
Did the health worker perform any of the following procedures? - Assess pulse
Did the health worker perform any of the following procedures?
- Assess pulse
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - A urine sampl
Did the health worker perform any of the following procedures? - A urine sampl
Did the health worker perform any of the following procedures? - A urine sampl
Did the health worker perform any of the following procedures? - A urine sampl
Did the health worker perform any of the following procedures? - A urine sampl
Did the health worker perform any of the following procedures?
- A urine sample for estimation of the albumin: creatinine ratio and testing for haematuria using a reagent strip
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - A blood sampl
Did the health worker perform any of the following procedures? - A blood sampl
Did the health worker perform any of the following procedures? - A blood sampl
Did the health worker perform any of the following procedures? - A blood sampl
Did the health worker perform any of the following procedures? - A blood sampl
Did the health worker perform any of the following procedures?
- A blood sample to measure plasma glucose, electrolytes, creatinine, estimated glomerular filtration rate, serum total cholesterol and hdl cholesterol
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Total blood c
Did the health worker perform any of the following procedures? - Total blood c
Did the health worker perform any of the following procedures? - Total blood c
Did the health worker perform any of the following procedures? - Total blood c
Did the health worker perform any of the following procedures? - Total blood c
Did the health worker perform any of the following procedures?
- Total blood cholesterol
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform any of the following procedures? - Other not lis
Did the health worker perform any of the following procedures? - Other not lis
Did the health worker perform any of the following procedures? - Other not lis
Did the health worker perform any of the following procedures? - Other not lis
Did the health worker perform any of the following procedures? - Other not lis
Did the health worker perform any of the following procedures?
- Other not listed above
323
5
1
2
1
Yes
2
No
Sysmiss
C5.15_8_OTHER
C5.15_8_OTHER
C5.15_8_OTHER
C5.15_8_OTHER
C5.15_8_OTHER
Did the health worker perform any of the following procedures?
- Other, specify
74
1
ÎÀÊ,ÝÊÃ,ÎÀÌ,ÓÇÈ
ÎÒÎÑÊÎËÃÈß
ÐÅÍÒÃÅÍ, ÓÌÓÌÈÈ ÕÓÍ, ÏÅØÎÁ
ÑÁÄ, ÊÀÍÄÈ ÊÓÍ
ÓÇÈ ïî÷åê, ÝÊÃ
ÓÇÈ òàëõàäîí è ïî÷åê, îáùèé àíàëèç êðîâè
Ôß,ÝÊÃ,ÎÀÌ,ÎÀÊ
ÝÊÃ
àóñêóëüòàöèÿ
á,ôèøîðáàëàíä
áåìîðè ôèøîðáàëàíä äàðà÷îå, õîë
áåìîðè ôèøîðäîíè äîóõ, , õîø
ãèïåðòîíèê
ãîñïèòàëèçàöèÿ
èçìåðèòü òåìïåðàòóðó òåëà, ïîñëóøàòü ëåãêèå
êàîãóëîãðàììà
êîàãóëîãðàììà
íàâðàâèòü â ðàéîííóþ áîëüíèöó
îàê,îàì,ýêã,
ñäåëàë èíúåêöèþ
ñëóøàë ñåðäöå
ñîí,îáñëåäîâàí ïî ãèïåðòàíèþ, èñêë, ñòðåññ,îàê,îàì,
óçè,ãóðäàõî
ýêã
ýêã îáù, àí,ïð,êîèñ, êàðäèîë
ýêã, ÓÇÈ ïå÷åíè
ýêã, êàíäè õóí
ýêã, óçè
ýêã,áåìîðè ôèøîðäàãîíäè äàðà÷îè õàïå
ýêã,áô
ýêã,ãëàçà,ñàõàð äèàáåò,êàðäèîë
ýêã,îàì,îàê,êðîâü íà ñàõàð
ýêã,îêóëèñò
ýêã,óçè
Did the health worker proceed to estimate 10-year cardio vascular risk?
Did the health worker proceed to estimate 10-year cardio vascular risk?
Did the health worker proceed to estimate 10-year cardio vascular risk?
Did the health worker proceed to estimate 10-year cardio vascular risk?
Did the health worker proceed to estimate 10-year cardio vascular risk?
Did the health worker proceed to estimate 10-year cardio vascular risk?
NO > C.5.22
322
6
1
2
1
Yes
2
No
Sysmiss
SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETIS
SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETIS
SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETIS
SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETIS
SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETIS
Watch the health worker attentively and circle first only those steps that were carried out by the health worker. After completion of the consultancy go back to this questions and circle those steps that have not been observed.
Did the health worker follow the steps given below:
- SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETES
142
186
1
2
1
Yes
2
No
Sysmiss
SELECT MALE OR FEMALE TABLES
SELECT MALE OR FEMALE TABLES
SELECT MALE OR FEMALE TABLES
SELECT MALE OR FEMALE TABLES
SELECT MALE OR FEMALE TABLES
Watch the health worker attentively and circle first only those steps that were carried out by the health worker. After completion of the consultancy go back to this questions and circle those steps that have not been observed.
Did the health worker follow the steps given below:
- SELECT MALE OR FEMALE TABLES
142
186
1
2
1
Yes
2
No
Sysmiss
SELECT SMOKER/NON-SMOKER BOXES
SELECT SMOKER/NON-SMOKER BOXES
SELECT SMOKER/NON-SMOKER BOXES
SELECT SMOKER/NON-SMOKER BOXES
SELECT SMOKER/NON-SMOKER BOXES
Watch the health worker attentively and circle first only those steps that were carried out by the health worker. After completion of the consultancy go back to this questions and circle those steps that have not been observed.
Did the health worker follow the steps given below:
- SELECT SMOKER/NON-SMOKER BOXES
142
186
1
2
1
Yes
2
No
Sysmiss
SELECT AGE BOX
SELECT AGE BOX
SELECT AGE BOX
SELECT AGE BOX
SELECT AGE BOX
Watch the health worker attentively and circle first only those steps that were carried out by the health worker. After completion of the consultancy go back to this questions and circle those steps that have not been observed.
Did the health worker follow the steps given below:
- SELECT AGE BOX
141
187
1
2
1
Yes
2
No
Sysmiss
WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (
WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (
WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (
WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (
WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (
Watch the health worker attentively and circle first only those steps that were carried out by the health worker. After completion of the consultancy go back to this questions and circle those steps that have not been observed.
Did the health worker follow the steps given below:
- WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (mmHg) AND TOTAL BLOOD CHOLESTEROL LEVEL (mmol/l) CROSS
141
187
1
2
1
Yes
2
No
Sysmiss
INFORMED PATIENT ON POTENTIAL CARDIO VASCULAR RISK IDENTIFIED BASED ON THE 10 YE
INFORMED PATIENT ON POTENTIAL CARDIO VASCULAR RISK IDENTIFIED BASED ON THE 10 YE
INFORMED PATIENT ON POTENTIAL CARDIO VASCULAR RISK IDENTIFIED BASED ON THE 10 YE
INFORMED PATIENT ON POTENTIAL CARDIO VASCULAR RISK IDENTIFIED BASED ON THE 10 YE
INFORMED PATIENT ON POTENTIAL CARDIO VASCULAR RISK IDENTIFIED BASED ON THE 10 YE
Watch the health worker attentively and circle first only those steps that were carried out by the health worker. After completion of the consultancy go back to this questions and circle those steps that have not been observed.
Did the health worker follow the steps given below:
- INFORMED PATIENT ON POTENTIAL CARDIO VASCULAR RISK IDENTIFIED BASED ON THE 10 YEAR CVD RISK CHART
141
187
1
2
1
Yes
2
No
Sysmiss
Please record the CVD risk level defined for this patient by the health worker
Please record the CVD risk level defined for this patient by the health worker
Please record the CVD risk level defined for this patient by the health worker
Please record the CVD risk level defined for this patient by the health worker
Please record the CVD risk level defined for this patient by the health worker
Please record the CVD risk level defined for this patient by the health worker
152
176
1
4
1
<15% ( I DEGREE)
2
15% - < 20% ( II DEGREE)
3
20% - <30% ( III DEGREE)
4
30% > ( IV DEGREE)
Sysmiss
What treatment did the health worker prescribe to the patient? - ANTIHYPERTENS
What treatment did the health worker prescribe to the patient? - ANTIHYPERTENS
What treatment did the health worker prescribe to the patient? - ANTIHYPERTENS
What treatment did the health worker prescribe to the patient? - ANTIHYPERTENS
What treatment did the health worker prescribe to the patient? - ANTIHYPERTENS
The health worker may not tell the patient about the level of the risk. Therefore this question can be answered and recorded only after completion of the consultation. Ask the health worker about the risk level of CVD defined for this patient and record the answer accordingly.
What treatment did the health worker prescribe to the patient?
- ANTIHYPERTENSIVE DRUGS
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - LIPID LOWERIN
What treatment did the health worker prescribe to the patient? - LIPID LOWERIN
What treatment did the health worker prescribe to the patient? - LIPID LOWERIN
What treatment did the health worker prescribe to the patient? - LIPID LOWERIN
What treatment did the health worker prescribe to the patient? - LIPID LOWERIN
What treatment did the health worker prescribe to the patient?
- LIPID LOWERING DRUGS (STATINS):
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - HYPOGLYCEMIC
What treatment did the health worker prescribe to the patient? - HYPOGLYCEMIC
What treatment did the health worker prescribe to the patient? - HYPOGLYCEMIC
What treatment did the health worker prescribe to the patient? - HYPOGLYCEMIC
What treatment did the health worker prescribe to the patient? - HYPOGLYCEMIC
What treatment did the health worker prescribe to the patient?
- HYPOGLYCEMIC DRUGS:
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - ANTIPLATELETE
What treatment did the health worker prescribe to the patient? - ANTIPLATELETE
What treatment did the health worker prescribe to the patient? - ANTIPLATELETE
What treatment did the health worker prescribe to the patient? - ANTIPLATELETE
What treatment did the health worker prescribe to the patient? - ANTIPLATELETE
What treatment did the health worker prescribe to the patient?
- ANTIPLATELETE DRUGS
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - HORMONE REPLA
What treatment did the health worker prescribe to the patient? - HORMONE REPLA
What treatment did the health worker prescribe to the patient? - HORMONE REPLA
What treatment did the health worker prescribe to the patient? - HORMONE REPLA
What treatment did the health worker prescribe to the patient? - HORMONE REPLA
What treatment did the health worker prescribe to the patient?
- HORMONE REPLACEMENT
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - VITAMIN B
What treatment did the health worker prescribe to the patient? - VITAMIN B
What treatment did the health worker prescribe to the patient? - VITAMIN B
What treatment did the health worker prescribe to the patient? - VITAMIN B
What treatment did the health worker prescribe to the patient? - VITAMIN B
What treatment did the health worker prescribe to the patient?
- VITAMIN B
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - VITAMIN C
What treatment did the health worker prescribe to the patient? - VITAMIN C
What treatment did the health worker prescribe to the patient? - VITAMIN C
What treatment did the health worker prescribe to the patient? - VITAMIN C
What treatment did the health worker prescribe to the patient? - VITAMIN C
What treatment did the health worker prescribe to the patient?
- VITAMIN C
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - VITAMIN E
What treatment did the health worker prescribe to the patient? - VITAMIN E
What treatment did the health worker prescribe to the patient? - VITAMIN E
What treatment did the health worker prescribe to the patient? - VITAMIN E
What treatment did the health worker prescribe to the patient? - VITAMIN E
What treatment did the health worker prescribe to the patient?
- VITAMIN E
323
5
1
2
1
Yes
2
No
Sysmiss
What treatment did the health worker prescribe to the patient? - FOLIC ACID SU
What treatment did the health worker prescribe to the patient? - FOLIC ACID SU
What treatment did the health worker prescribe to the patient? - FOLIC ACID SU
What treatment did the health worker prescribe to the patient? - FOLIC ACID SU
What treatment did the health worker prescribe to the patient? - FOLIC ACID SU
What treatment did the health worker prescribe to the patient?
- FOLIC ACID SUPPLEMENTS
323
5
1
2
1
Yes
2
No
Sysmiss
Did the health worker give the patient any of the following advice?
Did the health worker give the patient any of the following advice?
Did the health worker give the patient any of the following advice?
Did the health worker give the patient any of the following advice?
Did the health worker give the patient any of the following advice?
Did the health worker give the patient any of the following advice?
328
1
2
1.274
0.447
1
2
STRONGLY ADVISED TO QUIT SMOKING
STRONGLY ADVISED TO QUIT SMOKING
STRONGLY ADVISED TO QUIT SMOKING
STRONGLY ADVISED TO QUIT SMOKING
STRONGLY ADVISED TO QUIT SMOKING
Did the health worker give the patient any of the following advice?
- STRONGLY ADVISED TO QUIT SMOKING
303
25
1
2
1
Yes
2
No
Sysmiss
STRONGLY ENCOURAGED TO REDUCE TOTAL FAT AND SATURATED FAT INTAKE
STRONGLY ENCOURAGED TO REDUCE TOTAL FAT AND SATURATED FAT INTAKE
STRONGLY ENCOURAGED TO REDUCE TOTAL FAT AND SATURATED FAT INTAKE
STRONGLY ENCOURAGED TO REDUCE TOTAL FAT AND SATURATED FAT INTAKE
STRONGLY ENCOURAGED TO REDUCE TOTAL FAT AND SATURATED FAT INTAKE
Did the health worker give the patient any of the following advice?
- STRONGLY ENCOURAGED TO REDUCE TOTAL FAT AND SATURATED FAT INTAKE
303
25
1
2
1
Yes
2
No
Sysmiss
STRONGLY ENCOURAGED TO REDUCE DAILY SALT INTAKE
STRONGLY ENCOURAGED TO REDUCE DAILY SALT INTAKE
STRONGLY ENCOURAGED TO REDUCE DAILY SALT INTAKE
STRONGLY ENCOURAGED TO REDUCE DAILY SALT INTAKE
STRONGLY ENCOURAGED TO REDUCE DAILY SALT INTAKE
Did the health worker give the patient any of the following advice?
- STRONGLY ENCOURAGED TO REDUCE DAILY SALT INTAKE
303
25
1
2
1
Yes
2
No
Sysmiss
ADVICED TO EAT AT LEAST 400 gr PER DAY A RANGE OF FRUITS, VEGETABLES, AS WELL AS
ADVICED TO EAT AT LEAST 400 gr PER DAY A RANGE OF FRUITS, VEGETABLES, AS WELL AS
ADVICED TO EAT AT LEAST 400 gr PER DAY A RANGE OF FRUITS, VEGETABLES, AS WELL AS
ADVICED TO EAT AT LEAST 400 gr PER DAY A RANGE OF FRUITS, VEGETABLES, AS WELL AS
ADVICED TO EAT AT LEAST 400 gr PER DAY A RANGE OF FRUITS, VEGETABLES, AS WELL AS
Did the health worker give the patient any of the following advice?
- ADVICED TO EAT AT LEAST 400 gr PER DAY A RANGE OF FRUITS, VEGETABLES, AS WELL AS AS WHOLE GRAINS AND PULSES
302
26
1
2
1
Yes
2
No
Sysmiss
STRONGLY ENCOURAGED 30 MINUTES PER DAY OF MODERATE PHYSCIAL ACTIVITY (E.G. WALKI
STRONGLY ENCOURAGED 30 MINUTES PER DAY OF MODERATE PHYSCIAL ACTIVITY (E.G. WALKI
STRONGLY ENCOURAGED 30 MINUTES PER DAY OF MODERATE PHYSCIAL ACTIVITY (E.G. WALKI
STRONGLY ENCOURAGED 30 MINUTES PER DAY OF MODERATE PHYSCIAL ACTIVITY (E.G. WALKI
STRONGLY ENCOURAGED 30 MINUTES PER DAY OF MODERATE PHYSCIAL ACTIVITY (E.G. WALKI
Did the health worker give the patient any of the following advice?
- STRONGLY ENCOURAGED 30 MINUTES PER DAY OF MODERATE PHYSCIAL ACTIVITY (E.G. WALKING)
302
26
1
2
1
Yes
2
No
Sysmiss
IF OBESSED ENCOURAGED A WEIGHT LOSS
IF OBESSED ENCOURAGED A WEIGHT LOSS
IF OBESSED ENCOURAGED A WEIGHT LOSS
IF OBESSED ENCOURAGED A WEIGHT LOSS
IF OBESSED ENCOURAGED A WEIGHT LOSS
Did the health worker give the patient any of the following advice?
- IF OBESSED ENCOURAGED A WEIGHT LOSS
302
26
1
2
1
Yes
2
No
Sysmiss
TO REDUCED ALCOHOL INTAKE/ AVOID UNHEALTHY ALCOHOL USE
TO REDUCED ALCOHOL INTAKE/ AVOID UNHEALTHY ALCOHOL USE
TO REDUCED ALCOHOL INTAKE/ AVOID UNHEALTHY ALCOHOL USE
TO REDUCED ALCOHOL INTAKE/ AVOID UNHEALTHY ALCOHOL USE
TO REDUCED ALCOHOL INTAKE/ AVOID UNHEALTHY ALCOHOL USE
Did the health worker give the patient any of the following advice?
- TO REDUCE ALCOHOL INTAKE/ AVOID UNHEALTHY ALCOHOL USE
302
26
1
2
1
Yes
2
No
Sysmiss
AGREED ON THE FOLLOW-UP VISIT
AGREED ON THE FOLLOW-UP VISIT
AGREED ON THE FOLLOW-UP VISIT
AGREED ON THE FOLLOW-UP VISIT
AGREED ON THE FOLLOW-UP VISIT
Did the health worker give the patient any of the following advice?
- AGREED ON THE FOLLOW-UP VISIT
302
26
1
2
1
Yes
2
No
Sysmiss
Facility number
Facility number
Facility number
Facility number
Facility number
Facility number
312
110101
312301
207789.798
75979.462
110101
110601
110701
111201
111301
111401
120201
120301
120401
120601
120701
120901
121001
121201
121501
121601
121701
121801
130101
130201
130301
130401
130501
130502
130701
130801
130901
131001
131101
131401
131501
140101
140201
140301
140401
140501
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
211201
220101
220201
220301
220401
220501
220801
220901
230901
240101
240201
240401
250901
251001
260301
260601
260701
270201
270501
270701
270801
271001
271101
271301
271401
280201
280301
280401
280501
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
291001
291101
291201
291301
300201
301201
301401
301501
301601
301801
301901
302001
302201
310201
310301
310401
310601
311201
311601
312301
Region
Region
Region
Region
Region
Region
309
3
1
2
1
SOGD
2
KHATLON
Sysmiss
District
District
District
District
District
District
309
3
11
31
20.77
7.588
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Sysmiss
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
285
27
75
2.565
4.576
1
2
3
4
5
6
7
9
75
Sysmiss
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
307
5
1
2
1
Male
2
Female
Sysmiss
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
312
1
99
1
Family Physician
2
Obstetrician/Gynecologist
3
Midwife
4
Family Nurse
5
Feldsher
99
Other
OTHER - Health worker category
OTHER - Health worker category
OTHER - Health worker category
OTHER - Health worker category
OTHER - Health worker category
Health worker category
- Other (please specify)
66
ÌÓÄÈÐÈ ÌÑÄ
×ÀÐÐÎÊ
âðà÷ óðîëîã
ãåíåêîëàê
ãåíåêîëîê
äåòñêèé õèðóðã
äèðåêòîð ìñä
äóõ,àìðîçè äàðóíà
äóõ,êóäàêîíà
äóõòóðè êóäàêîíà
ìåäáðàò
ìåäñåñòðà
ìèíòîêîâè
ïåäèàòîð
ïåäèàòð
ïåäèîëîã
ïåäèÿòîð
ïèäèàòð
ïñèõèàêòîð
ñòîìîòîëîã
òåðàïåâò
óðîëîã
õàì, ìèí,
õàì, ìèíòàêîâè
Client code
Client code
Client code
Client code
Client code
Client code
306
6
1
8
2.588
1.587
1
2
3
4
5
6
8
Sysmiss
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Do I have your permission to be present while you are receiving services today?
Yes, consent is given > go to C.6.10
No, consent is not given > observation of this client must END; if available, approach another client for participation
295
17
1
5
1.031
0.302
1
2
4
5
Sysmiss
C6.9B_HH
C6.9B_HH
C6.9B_HH
C6.9B_HH
C6.9B_HH
312
6
16
10.686
1.745
6
8
9
10
11
12
13
14
15
16
C6.9B_MM
C6.9B_MM
C6.9B_MM
C6.9B_MM
C6.9B_MM
312
59
25.606
17.238
C6.9C_HH
C6.9C_HH
C6.9C_HH
C6.9C_HH
C6.9C_HH
310
2
8
17
10.858
1.735
8
9
10
11
12
13
14
15
16
17
Sysmiss
C6.9C_MM
C6.9C_MM
C6.9C_MM
C6.9C_MM
C6.9C_MM
310
2
59
28.823
16.167
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
Did the health worker greet the client (and others present) in a friendly and re
RECORD WHETHER THE PROVIDER CARRIED OUT THE FOLLOWING STEPS AND/OR EXAMINATIONS:
The health worker may not follow the order of actions presented in the checklist. For this reason, be prepared to jump around the checklist and to complete it in a non-sequential fashion. In order to do this effectively, complete all the questions with positive or 'yes' responses, as well as the classification and treatment sections during the clinical interaction, and then at the end of the consultation go back and complete all the negative 'no' responses
Did the health worker greet the client (and others present) in a friendly and respectful manner?
310
2
1
2
1
Yes
2
No
Sysmiss
Did the health worker introduce her/himself and title (midwife, nurse, etc.)
Did the health worker introduce her/himself and title (midwife, nurse, etc.)
Did the health worker introduce her/himself and title (midwife, nurse, etc.)
Did the health worker introduce her/himself and title (midwife, nurse, etc.)
Did the health worker introduce her/himself and title (midwife, nurse, etc.)
Did the health worker introduce her/himself and title (midwife, nurse, etc.)
303
9
1
2
1
Yes
2
No
Sysmiss
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate tit
Did the health worker call the client by her appropriate name or appropriate title?
303
9
1
2
1
Yes
2
No
Sysmiss
Did the health worker asked: Patient name and surname
Did the health worker asked: Patient name and surname
Did the health worker asked: Patient name and surname
Did the health worker asked: Patient name and surname
Did the health worker asked: Patient name and surname
Did the health worker ask: Patient name and surname
301
11
1
2
1
Yes
2
No
Sysmiss
Did the health worker asked: Patient's age (years and/or months)
Did the health worker asked: Patient's age (years and/or months)
Did the health worker asked: Patient's age (years and/or months)
Did the health worker asked: Patient's age (years and/or months)
Did the health worker asked: Patient's age (years and/or months)
Did the health worker ask: Patient's age (years and/or months)
306
6
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask any history-taking questions or the client mentions an
Did the health worker ask any history-taking questions or the client mentions an
Did the health worker ask any history-taking questions or the client mentions an
Did the health worker ask any history-taking questions or the client mentions an
Did the health worker ask any history-taking questions or the client mentions an
Did the health worker ask any history-taking questions or the client mentions any of the following?
(CIRCLE ALL THAT APPLY)
NO > C6.15
306
6
1
2
1
Yes
2
No
Sysmiss
Does the patient have Diarrhea?
Does the patient have Diarrhea?
Does the patient have Diarrhea?
Does the patient have Diarrhea?
Does the patient have Diarrhea?
Does the patient have Diarrhea?
NO> C6.13-2
264
48
1
2
1
Yes
2
No
Sysmiss
Number of liquid stools within last 24 hours
Number of liquid stools within last 24 hours
Number of liquid stools within last 24 hours
Number of liquid stools within last 24 hours
Number of liquid stools within last 24 hours
Does the patient have Diarrhea?
- Number of liquid stools within last 24 hoursv
45
267
1
2
1
Yes
2
No
Sysmiss
For how long child has diarrhea
For how long child has diarrhea
For how long child has diarrhea
For how long child has diarrhea
For how long child has diarrhea
Does the patient have Diarrhea?
- For how long child has diarrhea
43
269
1
2
1
Yes
2
No
Sysmiss
Presence of blood in stool
Presence of blood in stool
Presence of blood in stool
Presence of blood in stool
Presence of blood in stool
Does the patient have Diarrhea?
- Presence of blood in stool
42
270
1
2
1
Yes
2
No
Sysmiss
Presence of vomiting
Presence of vomiting
Presence of vomiting
Presence of vomiting
Presence of vomiting
Does the patient have Diarrhea?
- Presence of vomiting
42
270
1
2
1
Yes
2
No
Sysmiss
Frequency of vomiting per 24 hours
Frequency of vomiting per 24 hours
Frequency of vomiting per 24 hours
Frequency of vomiting per 24 hours
Frequency of vomiting per 24 hours
Does the patient have Diarrhea?
- Frequency of vomiting per 24 hours
42
270
1
2
1
Yes
2
No
Sysmiss
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Does the patient have Diarrhea?
- Ability to drink or breastfeed
42
270
1
2
1
Yes
2
No
Sysmiss
Volume of liquid received by a child per 24 hours
Volume of liquid received by a child per 24 hours
Volume of liquid received by a child per 24 hours
Volume of liquid received by a child per 24 hours
Volume of liquid received by a child per 24 hours
Does the patient have Diarrhea?
- Volume of liquid received by a child per 24 hours
42
270
1
2
1
Yes
2
No
Sysmiss
Does the patient have fever?
Does the patient have fever?
Does the patient have fever?
Does the patient have fever?
Does the patient have fever?
Does the patient have fever?
NO > C6.13-3
267
45
1
2
1
Yes
2
No
Sysmiss
Child has a runny nose
Child has a runny nose
Child has a runny nose
Child has a runny nose
Child has a runny nose
Does the patient have fever?
- Child has a runny nose
95
217
1
2
1
Yes
2
No
Sysmiss
For how long child has fever
For how long child has fever
For how long child has fever
For how long child has fever
For how long child has fever
Does the patient have fever?
- For how long child has fever
94
218
1
2
1
Yes
2
No
Sysmiss
The child has stiff neck
The child has stiff neck
The child has stiff neck
The child has stiff neck
The child has stiff neck
Does the patient have fever?
- The child has stiff neck
93
219
1
2
1
Yes
2
No
Sysmiss
Presence of vomiting
Presence of vomiting
Presence of vomiting
Presence of vomiting
Presence of vomiting
Does the patient have fever?
- Presence of vomiting
93
219
1
2
1
Yes
2
No
Sysmiss
Child had measles in past 3 months
Child had measles in past 3 months
Child had measles in past 3 months
Child had measles in past 3 months
Child had measles in past 3 months
Does the patient have fever?
- Child had measles in past 3 months
94
218
1
2
1
Yes
2
No
Sysmiss
The child been in Malaria zone during a year
The child been in Malaria zone during a year
The child been in Malaria zone during a year
The child been in Malaria zone during a year
The child been in Malaria zone during a year
Does the patient have fever?
- The child been in Malaria zone during a year
93
219
1
2
1
Yes
2
No
Sysmiss
Presence of ear problems
Presence of ear problems
Presence of ear problems
Presence of ear problems
Presence of ear problems
Does the patient have fever?
- Presence of ear problems
94
218
1
2
1
Yes
2
No
Sysmiss
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Does the patient have fever?
- Ability to drink or breastfeed
95
217
1
2
1
Yes
2
No
Sysmiss
Does the patient cough and or breathing difficulties?
Does the patient cough and or breathing difficulties?
Does the patient cough and or breathing difficulties?
Does the patient cough and or breathing difficulties?
Does the patient cough and or breathing difficulties?
Does the patient Cough and or breathing difficulties?
NO > C6.13-4
265
47
1
2
1
Yes
2
No
Sysmiss
Duration of cough
Duration of cough
Duration of cough
Duration of cough
Duration of cough
Does the patient Cough and or breathing difficulties?
- Duration of cough
163
149
1
2
1
Yes
2
No
Sysmiss
Type of cough (dry, with smear)
Type of cough (dry, with smear)
Type of cough (dry, with smear)
Type of cough (dry, with smear)
Type of cough (dry, with smear)
Does the patient Cough and or breathing difficulties?
- Type of cough (dry, with smear)
163
149
1
2
1
Yes
2
No
Sysmiss
Nasal discharge
Nasal discharge
Nasal discharge
Nasal discharge
Nasal discharge
Does the patient Cough and or breathing difficulties?
- Nasal discharge
163
149
1
2
1
Yes
2
No
Sysmiss
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Ability to drink or breastfeed
Does the patient Cough and or breathing difficulties?
- Ability to drink or breastfeed
162
150
1
2
1
Yes
2
No
Sysmiss
Vomiting
Vomiting
Vomiting
Vomiting
Vomiting
Does the patient Cough and or breathing difficulties?
- Vomiting
161
151
1
2
1
Yes
2
No
Sysmiss
Difficulty in breathing
Difficulty in breathing
Difficulty in breathing
Difficulty in breathing
Difficulty in breathing
Does the patient Cough and or breathing difficulties?
- Difficulty in breathing
163
149
1
2
1
Yes
2
No
Sysmiss
Presence of ear problems
Presence of ear problems
Presence of ear problems
Presence of ear problems
Presence of ear problems
Does the patient Cough and or breathing difficulties?
- Presence of ear problems
161
151
1
2
1
Yes
2
No
Sysmiss
Does the patient have ear problem?
Does the patient have ear problem?
Does the patient have ear problem?
Does the patient have ear problem?
Does the patient have ear problem?
Does the patient have Ear problem?
NO > C6.13-5
264
48
1
2
1
Yes
2
No
Sysmiss
Does the patient have ear problem? - Duration of ear pain
Does the patient have ear problem? - Duration of ear pain
Does the patient have ear problem? - Duration of ear pain
Does the patient have ear problem? - Duration of ear pain
Does the patient have ear problem? - Duration of ear pain
Does the patient have ear problem?
- Duration of ear pain
39
273
1
2
1
Yes
2
No
Sysmiss
Does the patient have ear problem? - Ear discharge
Does the patient have ear problem? - Ear discharge
Does the patient have ear problem? - Ear discharge
Does the patient have ear problem? - Ear discharge
Does the patient have ear problem? - Ear discharge
Does the patient have ear problem?
- Ear discharge
40
272
1
2
1
Yes
2
No
Sysmiss
Does the patient have ear problem? - Temperature
Does the patient have ear problem? - Temperature
Does the patient have ear problem? - Temperature
Does the patient have ear problem? - Temperature
Does the patient have ear problem? - Temperature
Does the patient have ear problem?
- Temperature
41
271
1
2
1
Yes
2
No
Sysmiss
Does the patient have ear problem? - Difficulty in breathing
Does the patient have ear problem? - Difficulty in breathing
Does the patient have ear problem? - Difficulty in breathing
Does the patient have ear problem? - Difficulty in breathing
Does the patient have ear problem? - Difficulty in breathing
Does the patient have ear problem?
- Difficulty in breathing
38
274
1
2
1
Yes
2
No
Sysmiss
Does the patient have ear problem? - History of immunization
Does the patient have ear problem? - History of immunization
Does the patient have ear problem? - History of immunization
Does the patient have ear problem? - History of immunization
Does the patient have ear problem? - History of immunization
Does the patient have ear problem?
- Vaccination history
38
274
1
2
1
Yes
2
No
Sysmiss
Does the patient lose weight and parent complains a child not eating enough?
Does the patient lose weight and parent complains a child not eating enough?
Does the patient lose weight and parent complains a child not eating enough?
Does the patient lose weight and parent complains a child not eating enough?
Does the patient lose weight and parent complains a child not eating enough?
Does the patient lose weight and parent complains a child not eating enough?
NO > C6.14
263
49
1
2
1
Yes
2
No
Sysmiss
Type of food a child receives
Type of food a child receives
Type of food a child receives
Type of food a child receives
Type of food a child receives
Does the patient lose weight and parent complains a child not eating enough?
- Type of food a child receives
61
251
1
2
1
Yes
2
No
Sysmiss
Frequency of feeding
Frequency of feeding
Frequency of feeding
Frequency of feeding
Frequency of feeding
Does the patient lose weight and parent complains a child not eating enough?
- Frequency of feeding
61
251
1
2
1
Yes
2
No
Sysmiss
Weight lost during pas month/week
Weight lost during pas month/week
Weight lost during pas month/week
Weight lost during pas month/week
Weight lost during pas month/week
Does the patient lose weight and parent complains a child not eating enough?
- Weight lost during past month/week
60
252
1
2
1
Yes
2
No
Sysmiss
Does the health worker check vaccination status of a child?
Does the health worker check vaccination status of a child?
Does the health worker check vaccination status of a child?
Does the health worker check vaccination status of a child?
Does the health worker check vaccination status of a child?
Does the health worker check vaccination status of a child?
NO > C6.15
265
47
1
2
1
Yes
2
No
Sysmiss
Does the health worker ask the caretaker the following questions?
Does the health worker ask the caretaker the following questions?
Does the health worker ask the caretaker the following questions?
Does the health worker ask the caretaker the following questions?
Does the health worker ask the caretaker the following questions?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
NO > C6.15
125
187
1
2
1
Yes
2
No
Sysmiss
Has the child received injection in his/her arm for Tuberculosis?
Has the child received injection in his/her arm for Tuberculosis?
Has the child received injection in his/her arm for Tuberculosis?
Has the child received injection in his/her arm for Tuberculosis?
Has the child received injection in his/her arm for Tuberculosis?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
- Has the child received injection in his/her arm for Tuberculosis?
99
213
1
2
1
Yes
2
No
Sysmiss
Has the child received drops of Oral Polio Vaccine (OPV)?
Has the child received drops of Oral Polio Vaccine (OPV)?
Has the child received drops of Oral Polio Vaccine (OPV)?
Has the child received drops of Oral Polio Vaccine (OPV)?
Has the child received drops of Oral Polio Vaccine (OPV)?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
- Has the child received drops of Oral Polio Vaccine (OPV)?
100
212
1
2
1
Yes
2
No
Sysmiss
Has the child ever received MMR vaccination?
Has the child ever received MMR vaccination?
Has the child ever received MMR vaccination?
Has the child ever received MMR vaccination?
Has the child ever received MMR vaccination?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
- Has the child ever received MMR vaccination?
95
217
1
2
1
Yes
2
No
Sysmiss
Has the child ever received HepB vaccination?
Has the child ever received HepB vaccination?
Has the child ever received HepB vaccination?
Has the child ever received HepB vaccination?
Has the child ever received HepB vaccination?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
- Has the child ever received HepB vaccination?
97
215
1
2
1
Yes
2
No
Sysmiss
Do you have a vaccination card?
Do you have a vaccination card?
Do you have a vaccination card?
Do you have a vaccination card?
Do you have a vaccination card?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
- Do you have a vaccination card?
99
213
1
2
1
Yes
2
No
Sysmiss
Has the health worker checked vaccination status by looking in the medical card?
Has the health worker checked vaccination status by looking in the medical card?
Has the health worker checked vaccination status by looking in the medical card?
Has the health worker checked vaccination status by looking in the medical card?
Has the health worker checked vaccination status by looking in the medical card?
Does the health worker ask the caretaker the following questions? (CIRCLE ALL THAT APPLY)
- Has the health worker checked vaccination status by looking in the medical card?
81
231
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on:
Did the health worker assess child's general condition on:
Did the health worker assess child's general condition on:
Did the health worker assess child's general condition on:
Did the health worker assess child's general condition on:
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
NO> C6.17
310
2
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Measured temperatu
Did the health worker assess child's general condition on: - Measured temperatu
Did the health worker assess child's general condition on: - Measured temperatu
Did the health worker assess child's general condition on: - Measured temperatu
Did the health worker assess child's general condition on: - Measured temperatu
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Measured temperature
296
16
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Examined radial pu
Did the health worker assess child's general condition on: - Examined radial pu
Did the health worker assess child's general condition on: - Examined radial pu
Did the health worker assess child's general condition on: - Examined radial pu
Did the health worker assess child's general condition on: - Examined radial pu
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Examined radial pulse
288
24
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Examined skin (pin
Did the health worker assess child's general condition on: - Examined skin (pin
Did the health worker assess child's general condition on: - Examined skin (pin
Did the health worker assess child's general condition on: - Examined skin (pin
Did the health worker assess child's general condition on: - Examined skin (pin
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Examined skin (pinch)
294
18
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Examined ability t
Did the health worker assess child's general condition on: - Examined ability t
Did the health worker assess child's general condition on: - Examined ability t
Did the health worker assess child's general condition on: - Examined ability t
Did the health worker assess child's general condition on: - Examined ability t
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Examined ability to drink or breastfeed
295
17
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Observed on diffic
Did the health worker assess child's general condition on: - Observed on diffic
Did the health worker assess child's general condition on: - Observed on diffic
Did the health worker assess child's general condition on: - Observed on diffic
Did the health worker assess child's general condition on: - Observed on diffic
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Observed on difficulty in breathing
290
22
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Examined the prese
Did the health worker assess child's general condition on: - Examined the prese
Did the health worker assess child's general condition on: - Examined the prese
Did the health worker assess child's general condition on: - Examined the prese
Did the health worker assess child's general condition on: - Examined the prese
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Examined the presence of ear problems
291
21
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Check for lethargy
Did the health worker assess child's general condition on: - Check for lethargy
Did the health worker assess child's general condition on: - Check for lethargy
Did the health worker assess child's general condition on: - Check for lethargy
Did the health worker assess child's general condition on: - Check for lethargy
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Check for lethargy or unconsciousness (try to wake up the child)
293
19
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Check for visible
Did the health worker assess child's general condition on: - Check for visible
Did the health worker assess child's general condition on: - Check for visible
Did the health worker assess child's general condition on: - Check for visible
Did the health worker assess child's general condition on: - Check for visible
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Check for visible severe wasting
289
23
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Look for edema of
Did the health worker assess child's general condition on: - Look for edema of
Did the health worker assess child's general condition on: - Look for edema of
Did the health worker assess child's general condition on: - Look for edema of
Did the health worker assess child's general condition on: - Look for edema of
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Look for edema of both feet
288
24
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Observed Stridor
Did the health worker assess child's general condition on: - Observed Stridor
Did the health worker assess child's general condition on: - Observed Stridor
Did the health worker assess child's general condition on: - Observed Stridor
Did the health worker assess child's general condition on: - Observed Stridor
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Observed Stridor
296
16
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Observed Mouth ulc
Did the health worker assess child's general condition on: - Observed Mouth ulc
Did the health worker assess child's general condition on: - Observed Mouth ulc
Did the health worker assess child's general condition on: - Observed Mouth ulc
Did the health worker assess child's general condition on: - Observed Mouth ulc
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Observed Mouth ulcers
297
15
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Examines on ear in
Did the health worker assess child's general condition on: - Examines on ear in
Did the health worker assess child's general condition on: - Examines on ear in
Did the health worker assess child's general condition on: - Examines on ear in
Did the health worker assess child's general condition on: - Examines on ear in
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Examines on ear infection
293
19
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess child's general condition on: - Examined on eye in
Did the health worker assess child's general condition on: - Examined on eye in
Did the health worker assess child's general condition on: - Examined on eye in
Did the health worker assess child's general condition on: - Examined on eye in
Did the health worker assess child's general condition on: - Examined on eye in
Did the health worker assess child's General condition on: (CIRCLE ALL THAT APPLY)
- Examined on eye infection
290
22
1
2
1
Yes
2
No
Sysmiss
Did the health worker took weight and height measurement of a child?
Did the health worker took weight and height measurement of a child?
Did the health worker took weight and height measurement of a child?
Did the health worker took weight and height measurement of a child?
Did the health worker took weight and height measurement of a child?
Did the health worker took Weight and height measurement of a child?
NO > C6.20
308
4
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform the following:
Did the health worker perform the following:
Did the health worker perform the following:
Did the health worker perform the following:
Did the health worker perform the following:
Did the health worker perform the following:
178
134
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform the following: Checked condition of the weight
Did the health worker perform the following: Checked condition of the weight
Did the health worker perform the following: Checked condition of the weight
Did the health worker perform the following: Checked condition of the weight
Did the health worker perform the following: Checked condition of the weight
Did the health worker perform the following:
- Checked condition of the weight
184
128
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform the following: Weighted a child
Did the health worker perform the following: Weighted a child
Did the health worker perform the following: Weighted a child
Did the health worker perform the following: Weighted a child
Did the health worker perform the following: Weighted a child
Did the health worker perform the following:
- Weighted a child
184
128
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform the following: Recorded weight in the patient's me
Did the health worker perform the following: Recorded weight in the patient's me
Did the health worker perform the following: Recorded weight in the patient's me
Did the health worker perform the following: Recorded weight in the patient's me
Did the health worker perform the following: Recorded weight in the patient's me
Did the health worker perform the following:
- Recorded weight in the patient's medical card
182
130
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform the following: Measured height correctly
Did the health worker perform the following: Measured height correctly
Did the health worker perform the following: Measured height correctly
Did the health worker perform the following: Measured height correctly
Did the health worker perform the following: Measured height correctly
Did the health worker perform the following:
- Measured height correctly
183
129
1
2
1
Yes
2
No
Sysmiss
Did the health worker perform the following: Recoded height in the medical card
Did the health worker perform the following: Recoded height in the medical card
Did the health worker perform the following: Recoded height in the medical card
Did the health worker perform the following: Recoded height in the medical card
Did the health worker perform the following: Recoded height in the medical card
Did the health worker perform the following:
- Recoded height in the medical card of the patient
181
131
1
2
1
Yes
2
No
Sysmiss
Did the medical worker perform weight to height comparison?
Did the medical worker perform weight to height comparison?
Did the medical worker perform weight to height comparison?
Did the medical worker perform weight to height comparison?
Did the medical worker perform weight to height comparison?
Did the medical worker perform weight to height comparison?
NO > C6.20
177
135
1
2
1
Yes
2
No
Sysmiss
Recorded weight on the Growth Monitoring Chart
Recorded weight on the Growth Monitoring Chart
Recorded weight on the Growth Monitoring Chart
Recorded weight on the Growth Monitoring Chart
Recorded weight on the Growth Monitoring Chart
Did the medical worker perform weight to height comparison?
- Recorded Weight on the Growth Monitoring Chart
63
249
1
2
1
Yes
2
No
Sysmiss
Recorded Height on the Growth Monitoring Chart
Recorded Height on the Growth Monitoring Chart
Recorded Height on the Growth Monitoring Chart
Recorded Height on the Growth Monitoring Chart
Recorded Height on the Growth Monitoring Chart
Did the medical worker perform weight to height comparison?
- Recorded Height on the Growth Monitoring Chart
63
249
1
2
1
Yes
2
No
Sysmiss
Calculated Body Mass Index of a child
Calculated Body Mass Index of a child
Calculated Body Mass Index of a child
Calculated Body Mass Index of a child
Calculated Body Mass Index of a child
Did the medical worker perform weight to height comparison?
- Calculated Body Mass Index of a child
63
249
1
2
1
Yes
2
No
Sysmiss
Did the health worker inform the parent of a child about diagnosis?
Did the health worker inform the parent of a child about diagnosis?
Did the health worker inform the parent of a child about diagnosis?
Did the health worker inform the parent of a child about diagnosis?
Did the health worker inform the parent of a child about diagnosis?
Did the health worker inform the parent of a child about diagnosis?
NO > C6.22
306
6
1
2
1
Yes
2
No
Sysmiss
What was the diagnosis communicated to parent:
What was the diagnosis communicated to parent:
What was the diagnosis communicated to parent:
What was the diagnosis communicated to parent:
What was the diagnosis communicated to parent:
What was the diagnosis communicated to parent:
If the caretaker is not informed about diagnosis, do not intervene asking about diagnosis. This question can be asked when the visit is over and filled in accordingly.
165
-99
1
2
9*9
99
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Øàìîëêàøèè ðîõè íàôàñ
àëåðãè÷åñêèé äèàòåç
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âàêöèíàöèÿ
âîñïàëåíèå óõà
ãèîêçåìèè øàäèä
ãèîíçèøè øàäèä
ãèîíçèøòè øàäèä
ãèïîòðîôèÿ
äèñïàíñåðèçàöèÿ ïî ïîâîäó
äðîíõèò øàäèä
çäîðîâ
çäîðîâàÿ
çäîðîâûé
çäîðîâûé ðåáåíîê
êàäîì äèàãíîç?
êàìõóãè
êàìõóíè
êîøâàçãè,êîøõóí
îèôàëèò
îðâè
îðç
îðè
ïíåâìàíèÿ ñ îáîñòðåíèåì
ïíåâìîíèÿ
ïíåâìîíèÿ,àíåìèÿ 1 ñò,
ïíåâìîíèÿ,îáñòðåðåòèâ ñèíäð,
ñîëèì
ñïàçìàëãèÿ
ñòîìàòèò
òîèçèøè øàäèä
ôàðèíãèè øàäèä êàøõóè äàðà÷è
ôàðèíãèè øîäèä áàêòåðèÿ
ôàðèíãèò
ôàðèíãèò øàäèä
ôîðîíòèò
ýíòåðîáèîç
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Diarrhea
What was the diagnosis communicated to parent: Diarrhea
NO > C6.21-B
199
113
1
2
1
Yes
2
No
Sysmiss
Was degree of Dehydration defined and recorded:
Was degree of Dehydration defined and recorded:
Was degree of Dehydration defined and recorded:
Was degree of Dehydration defined and recorded:
Was degree of Dehydration defined and recorded:
Diarrhea
- Was degree of Dehydration defined and recorded:
NO > C6.21-B
29
283
1
2
1
Yes
2
No
Sysmiss
Severe Dehydration
Severe Dehydration
Severe Dehydration
Severe Dehydration
Severe Dehydration
Diarrhea
Was degree of Dehydration defined and recorded:
- Severe Dehydration
14
298
2
2
1
Yes
2
No
Sysmiss
Some Dehydration
Some Dehydration
Some Dehydration
Some Dehydration
Some Dehydration
Diarrhea
Was degree of Dehydration defined and recorded:
- Some Dehydration
14
298
1
2
1
Yes
2
No
Sysmiss
No Dehydration - Not enough signs to classify as some or severe dehydration
No Dehydration - Not enough signs to classify as some or severe dehydration
No Dehydration - Not enough signs to classify as some or severe dehydration
No Dehydration - Not enough signs to classify as some or severe dehydration
No Dehydration - Not enough signs to classify as some or severe dehydration
Diarrhea
Was degree of Dehydration defined and recorded:
- No Dehydration - Not enough signs to classify as some or severe dehydration
14
298
1
2
1
Yes
2
No
Sysmiss
Severe Persistent Diarrhea
Severe Persistent Diarrhea
Severe Persistent Diarrhea
Severe Persistent Diarrhea
Severe Persistent Diarrhea
Diarrhea
Was degree of Dehydration defined and recorded:
- Severe Persistent Diarrhea
14
298
2
2
1
Yes
2
No
Sysmiss
Persistent Diarrhea
Persistent Diarrhea
Persistent Diarrhea
Persistent Diarrhea
Persistent Diarrhea
Diarrhea
Was degree of Dehydration defined and recorded:
- Persistent Diarrhea
15
297
1
2
1
Yes
2
No
Sysmiss
Blood in Stool
Blood in Stool
Blood in Stool
Blood in Stool
Blood in Stool
Diarrhea
Was degree of Dehydration defined and recorded:
- Blood in Stool
14
298
1
2
1
Yes
2
No
Sysmiss
Ear Problems
Ear Problems
Ear Problems
Ear Problems
Ear Problems
What was the diagnosis communicated to parent: Ear Problems
NO > C6.21-C
200
112
1
2
1
Yes
2
No
Sysmiss
Did the health worker classify:
Did the health worker classify:
Did the health worker classify:
Did the health worker classify:
Did the health worker classify:
Ear Problems
Did the health worker classify:
NO > C6.21-C
18
294
1
2
1
Yes
2
No
Sysmiss
Mastoiditis
Mastoiditis
Mastoiditis
Mastoiditis
Mastoiditis
Ear Problems
Did the health worker classify:
Mastoiditis
15
297
2
2
1
Yes
2
No
Sysmiss
Acute Ear Infection
Acute Ear Infection
Acute Ear Infection
Acute Ear Infection
Acute Ear Infection
Ear Problems
Did the health worker classify:
Acute Ear Infection
16
296
1
2
1
Yes
2
No
Sysmiss
Chronic Ear Infection
Chronic Ear Infection
Chronic Ear Infection
Chronic Ear Infection
Chronic Ear Infection
Ear Problems
Did the health worker classify:
Chronic Ear Infection
15
297
1
2
1
Yes
2
No
Sysmiss
No Ear Infection
No Ear Infection
No Ear Infection
No Ear Infection
No Ear Infection
Ear Problems
Did the health worker classify:
No Ear Infection
312
Sysmiss
Fever
Fever
Fever
Fever
Fever
What was the diagnosis communicated to parent: Fever
NO > C6.21-D
200
112
1
2
1
Yes
2
No
Sysmiss
Did the health worker classify:
Did the health worker classify:
Did the health worker classify:
Did the health worker classify:
Did the health worker classify:
Fever
Did the health worker classify:
NO > C6.21-D
40
272
1
2
1
Yes
2
No
Sysmiss
Severe complicated measles
Severe complicated measles
Severe complicated measles
Severe complicated measles
Severe complicated measles
Fever
Did the health worker classify:
Severe complicated measles
12
300
1
2
1
Yes
2
No
Sysmiss
Measles with eye or mouth complications
Measles with eye or mouth complications
Measles with eye or mouth complications
Measles with eye or mouth complications
Measles with eye or mouth complications
Fever
Did the health worker classify:
Measles with eye or mouth complications
12
300
1
2
1
Yes
2
No
Sysmiss
Measles
Measles
Measles
Measles
Measles
Fever
Did the health worker classify:
Measles
13
299
1
2
1
Yes
2
No
Sysmiss
Severe Febrile disease
Severe Febrile disease
Severe Febrile disease
Severe Febrile disease
Severe Febrile disease
Fever
Did the health worker classify:
Severe Febrile disease
13
299
1
2
1
Yes
2
No
Sysmiss
Simple fever
Simple fever
Simple fever
Simple fever
Simple fever
Fever
Did the health worker classify:
Simple fever
14
298
1
2
1
Yes
2
No
Sysmiss
Malaria
Malaria
Malaria
Malaria
Malaria
Fever
Did the health worker classify:
Malaria
13
299
1
2
1
Yes
2
No
Sysmiss
Malnutrition and Anemia
Malnutrition and Anemia
Malnutrition and Anemia
Malnutrition and Anemia
Malnutrition and Anemia
What was the diagnosis communicated to parent: Malnutrition and Anemia
NO >C6.21-E
205
107
1
2
1
Yes
2
No
Sysmiss
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Malnutrition and Anemia
- Severe malnutrition or severe anemia
NO >C6.21-E
22
290
1
2
1
Yes
2
No
Sysmiss
Anemia or very low weight
Anemia or very low weight
Anemia or very low weight
Anemia or very low weight
Anemia or very low weight
Malnutrition and Anemia
- Anemia or very low weight
17
295
1
2
1
Yes
2
No
Sysmiss
No anemia and not very low weight
No anemia and not very low weight
No anemia and not very low weight
No anemia and not very low weight
No anemia and not very low weight
Malnutrition and Anemia
- No anemia and not very low weight
17
295
1
2
1
Yes
2
No
Sysmiss
Healthy Child
Healthy Child
Healthy Child
Healthy Child
Healthy Child
What was the diagnosis communicated to parent: Healthy Child
208
104
1
2
1
Yes
2
No
Sysmiss
Did the health worker assess the child' s vaccination status?
Did the health worker assess the child' s vaccination status?
Did the health worker assess the child' s vaccination status?
Did the health worker assess the child' s vaccination status?
Did the health worker assess the child' s vaccination status?
Pay attention whether the health worker examines the vaccination status of a child by either asking the caretaker or checking the vaccination card of a child
Did the health worker assess the child' s vaccination status?
NO >
208
104
1
2
1
Yes
2
No
Sysmiss
Was the immunization due according vaccination schedule?
Was the immunization due according vaccination schedule?
Was the immunization due according vaccination schedule?
Was the immunization due according vaccination schedule?
Was the immunization due according vaccination schedule?
Pay attention whether the health worker examines the vaccination status of a child by either asking the caretaker or checking the vaccination card of a child
Was the immunization due according vaccination schedule?
NO > C6.21-E35
88
224
1
2
1
Yes
2
No
Sysmiss
Has the decision been made by the health worker to immunize a child the same day
Has the decision been made by the health worker to immunize a child the same day
Has the decision been made by the health worker to immunize a child the same day
Has the decision been made by the health worker to immunize a child the same day
Has the decision been made by the health worker to immunize a child the same day
Has the decision been made by the health worker to immunize a child the same day?
YES > END
92
220
1
2
1
Yes
2
No
Sysmiss
What were the reasons for postponing the vaccination:
What were the reasons for postponing the vaccination:
What were the reasons for postponing the vaccination:
What were the reasons for postponing the vaccination:
What were the reasons for postponing the vaccination:
What were the reasons for postponing the vaccination:
42
270
1
2
1
Yes
2
No
Sysmiss
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Diarrhea
What were the reasons for postponing the vaccination: Diarrhea
42
270
1
2
1
Yes
2
No
Sysmiss
Fever
Fever
Fever
Fever
Fever
What were the reasons for postponing the vaccination: Fever
42
270
1
2
1
Yes
2
No
Sysmiss
Cough
Cough
Cough
Cough
Cough
What were the reasons for postponing the vaccination: Cough
42
270
1
2
1
Yes
2
No
Sysmiss
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
What were the reasons for postponing the vaccination: Fast/difficult breathing/pneumonia
42
270
1
2
1
Yes
2
No
Sysmiss
Throat problems
Throat problems
Throat problems
Throat problems
Throat problems
What were the reasons for postponing the vaccination: Throat problems
42
270
1
2
1
Yes
2
No
Sysmiss
Ear Problem
Ear Problem
Ear Problem
Ear Problem
Ear Problem
What were the reasons for postponing the vaccination: Ear Problem
42
270
1
2
1
Yes
2
No
Sysmiss
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
What were the reasons for postponing the vaccination: Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
42
270
2
2
1
Yes
2
No
Sysmiss
AIDS
AIDS
AIDS
AIDS
AIDS
What were the reasons for postponing the vaccination: AIDS
42
270
2
2
1
Yes
2
No
Sysmiss
Not applicable according to the schedule
Not applicable according to the schedule
Not applicable according to the schedule
Not applicable according to the schedule
Not applicable according to the schedule
What were the reasons for postponing the vaccination: Not applicable according to the schedule
42
270
1
2
1
Yes
2
No
Sysmiss
OTHER
OTHER
OTHER
OTHER
OTHER
What were the reasons for postponing the vaccination: OTHER
42
270
1
2
1
Yes
2
No
Sysmiss
C6.21e4_OTHER
C6.21e4_OTHER
C6.21e4_OTHER
C6.21e4_OTHER
C6.21e4_OTHER
What were the reasons for postponing the vaccination: OTHER, SPECIFY
9
âàêöèíàöèÿ çàêîí÷åíà
çàêîí,âàêöèíà
çàêîí,âàêöèíàöèÿ
çàêîí÷åíà âàê,
çàêîí÷åíî âàêöèí
êîòâîçíè
ïðèøåë íà ïðîôîñìîòð
ðåá¸íîê ïîù, è êâèí,
ñòîìàòèò, ÿçâû âî ðòó
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
163
149
1
2
1
Yes
2
No
Sysmiss
Urgently referred to the hospital
Urgently referred to the hospital
Urgently referred to the hospital
Urgently referred to the hospital
Urgently referred to the hospital
Has the patient been: Urgently referred to the hospital
YES >C6.22.C
256
56
1
2
1
Yes
2
No
Sysmiss
Referred for specialist consultation
Referred for specialist consultation
Referred for specialist consultation
Referred for specialist consultation
Referred for specialist consultation
Has the patient been: Referred for specialist consultation
YES >C6.22.C
224
88
1
2
1
Yes
2
No
Sysmiss
Treatment initiated /prescribed in the clinic
Treatment initiated /prescribed in the clinic
Treatment initiated /prescribed in the clinic
Treatment initiated /prescribed in the clinic
Treatment initiated /prescribed in the clinic
Please record whether the treatment was initiated and/or prescribed by the health worker if the child was not referred to hospital or for specialist consultation
Treatment initiated /prescribed in the clinic
YES > C6.23
259
53
1
2
1
Yes
2
No
Sysmiss
No treatment initiated by the health worker
No treatment initiated by the health worker
No treatment initiated by the health worker
No treatment initiated by the health worker
No treatment initiated by the health worker
No treatment initiated by the health worker
NO > C6.25
119
193
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Administered IV fluid immediately with right dosage
147
165
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Gave ORS with right dosage
152
160
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
* Use the child's age only when you do not know the weight. The approximate amount of ORS required (in ml) can also be calculated by multiplying the child's weight (in kg) times 75
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Prescribed Zinc supplements with right dosage
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Gave the First dose of antibiotic with right dosage
153
159
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Prescribed Vitamin A
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Prescribed Iron
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Tetracycline eye ointment applied
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Mouth ulcers treated with gentian violet
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Paracetamol given for high fever (38,50 C or above)
155
157
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Child treated to prevent low blood sugar
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Supportive treatment prescribed
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Medicated nose drops
151
161
1
2
1
Yes
2
No
Sysmiss
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age o
Was the health worker initiated treatment ( listed below) according to the age of a child?: CIRCLE ALL THAT APPLY
- Remedies containing atropine
151
161
1
2
1
Yes
2
No
Sysmiss
Did the health provider wash hands before initiation of examination and treatmen
Did the health provider wash hands before initiation of examination and treatmen
Did the health provider wash hands before initiation of examination and treatmen
Did the health provider wash hands before initiation of examination and treatmen
Did the health provider wash hands before initiation of examination and treatmen
Did the health provider wash hands before initiation of examination and treatment?
156
156
1
2
1
Yes
2
No
Sysmiss
Told the caretaker the reason for giving the drug to the child
Told the caretaker the reason for giving the drug to the child
Told the caretaker the reason for giving the drug to the child
Told the caretaker the reason for giving the drug to the child
Told the caretaker the reason for giving the drug to the child
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
Told the caretaker the reason for giving the drug to the child
257
55
1
2
1
Yes
2
No
Sysmiss
Did the health worker explain how to administer an oral treatment?
Did the health worker explain how to administer an oral treatment?
Did the health worker explain how to administer an oral treatment?
Did the health worker explain how to administer an oral treatment?
Did the health worker explain how to administer an oral treatment?
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
Did the health worker explain how to administer an oral treatment?
255
57
1
2
1
Yes
2
No
Sysmiss
Did the health worker demonstrate how to measure a dose?
Did the health worker demonstrate how to measure a dose?
Did the health worker demonstrate how to measure a dose?
Did the health worker demonstrate how to measure a dose?
Did the health worker demonstrate how to measure a dose?
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
Did the health worker demonstrate how to measure a dose?
255
57
1
2
1
Yes
2
No
Sysmiss
Did the health worker watch the caretaker practice measuring a dose by herself/h
Did the health worker watch the caretaker practice measuring a dose by herself/h
Did the health worker watch the caretaker practice measuring a dose by herself/h
Did the health worker watch the caretaker practice measuring a dose by herself/h
Did the health worker watch the caretaker practice measuring a dose by herself/h
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
- Did the health worker watch the caretaker practice measuring a dose by herself/himself
253
59
1
2
1
Yes
2
No
Sysmiss
Did the health worker ask questions in order to know if the caretaker has unders
Did the health worker ask questions in order to know if the caretaker has unders
Did the health worker ask questions in order to know if the caretaker has unders
Did the health worker ask questions in order to know if the caretaker has unders
Did the health worker ask questions in order to know if the caretaker has unders
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
Did the health worker ask questions in order to know if the caretaker has understood how to administer the oral treatment?
254
58
1
2
1
Yes
2
No
Sysmiss
Did the health worker explained that all the oral drug tablets or syrups must be
Did the health worker explained that all the oral drug tablets or syrups must be
Did the health worker explained that all the oral drug tablets or syrups must be
Did the health worker explained that all the oral drug tablets or syrups must be
Did the health worker explained that all the oral drug tablets or syrups must be
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
Did the health worker explained that all the oral drug tablets or syrups must be used to finish the course of treatment, even if the child gets better
253
59
1
2
1
Yes
2
No
Sysmiss
Did the health worker write or tell the caretaker the date for child follow up v
Did the health worker write or tell the caretaker the date for child follow up v
Did the health worker write or tell the caretaker the date for child follow up v
Did the health worker write or tell the caretaker the date for child follow up v
Did the health worker write or tell the caretaker the date for child follow up v
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
Did the health worker write or tell the caretaker the date for child follow up visit?
256
56
1
2
1
Yes
2
No
Sysmiss
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
This section looks at whether the provider counsels the caretaker and provides the appropriate messages. Listen and record the appropriate answer; YES, if the provider explains/informs the caretaker on the topics listed or NO, if the provider does not mention topics/issues listed
After how many days did the health worker ask the accompanying adult to come back?
254
58
1
2
1
Yes
2
No
Sysmiss
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come back?
- 3 days
257
55
1
2
1
Yes
2
No
Sysmiss
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come back?
- 5 days
254
58
1
2
1
Yes
2
No
Sysmiss
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come back?
- 14 days
254
58
1
2
1
Yes
2
No
Sysmiss
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come back?
- 30 days
254
58
1
2
1
Yes
2
No
Sysmiss
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come bac
After how many days did the health worker ask the accompanying adult to come back?
- OTHER
254
58
1
2
1
Yes
2
No
Sysmiss
OTHER - After how many days did the health worker ask the accompanying adult to
OTHER - After how many days did the health worker ask the accompanying adult to
OTHER - After how many days did the health worker ask the accompanying adult to
OTHER - After how many days did the health worker ask the accompanying adult to
OTHER - After how many days did the health worker ask the accompanying adult to
After how many days did the health worker ask the accompanying adult to come back?
- OTHER (Specify)
19
10 äíåé
2 äíÿ
2 ðóç
7 ðóç
×ÅÐÅÇ ÄÅÍÜ
áàúäè áàäøàâèè àõâîëàø
íåîäíîêðàòíûå âèçèò äëÿ âàêöèíàöèè
ïî êàëåíäàðþ âàêöèíàöèè
ïîëó÷àåò â/â èíúåêöèè êîòîðûé äåíü
ïîñëå âûïèñêè èç áîëüíèöû
ïîñëå êîíñóëüòàöèè ñïåöèàëèñòà
ïîñëå ñòàö, ëå÷åíèÿ
ïðîôîñìîòð
ðåá¸íîê ãîñïèò-í
õàðîðàòàø áàëàíä øàâàä
÷åðåç äåíü
Did the health worker explain the importance of giving liquids or continue home
Did the health worker explain the importance of giving liquids or continue home
Did the health worker explain the importance of giving liquids or continue home
Did the health worker explain the importance of giving liquids or continue home
Did the health worker explain the importance of giving liquids or continue home
Did the health worker explain the importance of giving liquids or continue home breastfeeding?
256
56
1
2
1
Yes
2
No
Sysmiss
Did the health worker explain to the caregiver the importance of continuing feed
Did the health worker explain to the caregiver the importance of continuing feed
Did the health worker explain to the caregiver the importance of continuing feed
Did the health worker explain to the caregiver the importance of continuing feed
Did the health worker explain to the caregiver the importance of continuing feed
Did the health worker explain to the caregiver the importance of continuing feeding and breastfeeding when the child is sick?
256
56
1
2
1
Yes
2
No
Sysmiss
Did the health worker provide appropriate advice on the child's feeding accordin
Did the health worker provide appropriate advice on the child's feeding accordin
Did the health worker provide appropriate advice on the child's feeding accordin
Did the health worker provide appropriate advice on the child's feeding accordin
Did the health worker provide appropriate advice on the child's feeding accordin
Advise on feeding depends on the age of the child. If the answer on Q C6.33 is "YES", respond to questions listed under relevant age group of a child.
Did the health worker provide appropriate advice on the child's feeding according to the child's age: ?
NO > C6.34
256
56
1
2
1
Yes
2
No
Sysmiss
Did the health worker inform and explain to caretaker how treat local infections
Did the health worker inform and explain to caretaker how treat local infections
Did the health worker inform and explain to caretaker how treat local infections
Did the health worker inform and explain to caretaker how treat local infections
Did the health worker inform and explain to caretaker how treat local infections
Did the health worker inform and explain to caretaker how treat local infections at home?
254
58
1
2
1
Yes
2
No
Sysmiss
Did the health worker explain in the presence of which signs/problems the child
Did the health worker explain in the presence of which signs/problems the child
Did the health worker explain in the presence of which signs/problems the child
Did the health worker explain in the presence of which signs/problems the child
Did the health worker explain in the presence of which signs/problems the child
Did the health worker explain in the presence of which signs/problems the child has to be immediately brought to the health center?
NO> END
254
58
1
2
1
Yes
2
No
Sysmiss
Which signs/problems did the health worker mention?
Which signs/problems did the health worker mention?
Which signs/problems did the health worker mention?
Which signs/problems did the health worker mention?
Which signs/problems did the health worker mention?
Which signs/problems did the health worker mention?
92
220
1
2
1
Yes
2
No
Sysmiss
Any sick child
Any sick child
Any sick child
Any sick child
Any sick child
Which signs/problems did the health worker mention?
Any sick child
93
219
1
2
1
Yes
2
No
Sysmiss
Not able to drink or breastfeed
Not able to drink or breastfeed
Not able to drink or breastfeed
Not able to drink or breastfeed
Not able to drink or breastfeed
Which signs/problems did the health worker mention?
Any sick child
- Not able to drink or breastfeed
93
219
1
2
1
Yes
2
No
Sysmiss
Becomes sicker
Becomes sicker
Becomes sicker
Becomes sicker
Becomes sicker
Which signs/problems did the health worker mention?
Any sick child
- Becomes sicker
93
219
1
2
1
Yes
2
No
Sysmiss
Develops a fever
Develops a fever
Develops a fever
Develops a fever
Develops a fever
Which signs/problems did the health worker mention?
Any sick child
- Develops a fever
93
219
1
2
1
Yes
2
No
Sysmiss
If child has COUGH OR COLD, also return if:
If child has COUGH OR COLD, also return if:
If child has COUGH OR COLD, also return if:
If child has COUGH OR COLD, also return if:
If child has COUGH OR COLD, also return if:
Which signs/problems did the health worker mention?
If child has COUGH OR COLD, also return if:
- Fast breathing
93
219
1
2
1
Yes
2
No
Sysmiss
Fast breathing
Fast breathing
Fast breathing
Fast breathing
Fast breathing
Which signs/problems did the health worker mention?
If child has COUGH OR COLD, also return if:
- Fast breathing
94
218
1
2
1
Yes
2
No
Sysmiss
Difficult breathing
Difficult breathing
Difficult breathing
Difficult breathing
Difficult breathing
Which signs/problems did the health worker mention?
If child has COUGH OR COLD, also return if:
- Difficult breathing
93
219
1
2
1
Yes
2
No
Sysmiss
If child has diarrhea, also return if:
If child has diarrhea, also return if:
If child has diarrhea, also return if:
If child has diarrhea, also return if:
If child has diarrhea, also return if:
Which signs/problems did the health worker mention?
If child has diarrhea, also return if:
93
219
1
2
1
Yes
2
No
Sysmiss
Blood in stool
Blood in stool
Blood in stool
Blood in stool
Blood in stool
Which signs/problems did the health worker mention?
If child has diarrhea, also return if:
- Blood in stool
93
219
1
2
1
Yes
2
No
Sysmiss
Drinking poorly
Drinking poorly
Drinking poorly
Drinking poorly
Drinking poorly
Which signs/problems did the health worker mention?
If child has diarrhea, also return if:
- Drinking poorly
93
219
1
2
1
Yes
2
No
Sysmiss
Facility
Facility
Facility
Facility
Facility
Facility number
323
110102
312603
110102
110302
110402
110502
110802
110903
111202
111302
111402
111502
111602
120102
120604
120702
120904
121005
121106
121202
121403
121804
130102
130202
130303
130402
130502
130702
130902
131102
131202
131403
131502
140102
140202
140302
140604
140702
141002
141202
141303
150102
150303
150402
150504
210105
210203
210403
210502
210602
210702
210803
210903
211102
211202
211406
220102
220203
220302
220404
220504
220605
220704
220802
220902
230103
230203
230302
230403
230603
230704
230803
230903
231002
231206
240109
240414
240503
240604
240706
250302
250402
250503
250704
250802
250903
251004
251102
260204
260503
260703
261005
261203
270102
270303
270403
270503
270604
270702
270902
271203
271302
271502
280102
280202
280303
280402
280503
280602
280902
281002
281102
281202
281502
281602
281702
290103
290202
290302
290403
290503
290605
290704
290802
290902
291003
291202
291304
300203
300302
300504
300602
300705
300902
301005
301102
301202
301303
301402
301605
301705
301802
301903
302103
302203
310203
310503
310602
310903
311205
311502
312603
District
District
District
District
District
District
323
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
323
1
5
1
2
3
4
5
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
323
1
2
1
Male
2
Female
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
323
1
99
1
Family Physician
2
Internist (
3
Family Nurse
4
Feldsher
99
Other
V0_7_OTHER
V0_7_OTHER
V0_7_OTHER
V0_7_OTHER
V0_7_OTHER
Health worker category
- Other (please specify)
62
HH Manager
Midwife
Pediatrician
RHC Manager
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
SCENARIO #1:
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #1
I will now read the first case scenario. CASE SCENARIO #1: CARD #1 A little girl aged 25 months is brought to the facility because she has been asleep since the morning and is very difficult to wake up. She hasn't eaten or drunk fluids since yesterday.
ASK THE QUESTION V1.9 BUT DO NOT READ ASWERS PROVIDED.
How will you assess the child? Describe the process of assessment.
- ASK MOTHER'S NAME
323
1
2
1
Yes
2
No
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment.
- ASK MOTHER CHILD'S NAME
323
1
2
1
Yes
2
No
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
How will you assess the child? Describe the process of assessment.
- ASK THE MOTHER WHAT IS THE CHILD'S PROBLEM
323
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
323
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
323
1
2
1
Yes
2
No
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment.
- HAD THE CHILD TEMPERATURE
323
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
323
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS DIARRHEA
323
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD WAS VOMITING
323
1
2
1
Yes
2
No
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess the child? Describe the process of assessment.
- OTHER, NOT LISTED ABOVE
323
1
2
1
Yes
2
No
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- MEASURE WEIGHT AND HEIGHT
323
1
2
1
Yes
2
No
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- MEASURE THE TEMPERATURE
323
1
2
1
Yes
2
No
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- LOOK FOR RASH
323
1
2
1
Yes
2
No
CHECK THE BREATHING
CHECK THE BREATHING
CHECK THE BREATHING
CHECK THE BREATHING
CHECK THE BREATHING
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- CHECK THE BREATHING
323
1
2
1
Yes
2
No
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- MUCOUS MEMBRANES (mouth and eyes)
323
1
2
1
Yes
2
No
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- SEE IF CHILD IS LETHARGIC OR UNCONSCIOUS
323
1
2
1
Yes
2
No
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- STATUS OF A BIG FONTANEL
323
1
2
1
Yes
2
No
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- OTHER, NOT LISTED ABOVE
323
1
2
1
Yes
2
No
v1.1_OTHER10
v1.1_OTHER10
v1.1_OTHER10
v1.1_OTHER10
v1.1_OTHER10
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- OTHER, SPECIFY
45
How is appetite of child?
How is child's urine?
If any drug was given?
When did the child eat?
age of child
age of child, examine tongue and throat
allergy
examination of throat
examine eyes
family doctor consultation
how did the child sleep?
how is child breastfeeding?
how is the child sleeping? color of skin
if the child is sleeping well? whether there is blood in the stool?
if there is any pain, abdominal pain?
inspection of the skin
medical history
other disease, breathing frequency
that did the baby eat and how sleep?
that did the baby eat, drink?
that did the baby eat?
what dis the child eat and whether the child has a cough?
whether the child has a cough?
will send to the doctor
v1.1_OTHER18
v1.1_OTHER18
v1.1_OTHER18
v1.1_OTHER18
v1.1_OTHER18
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- OTHER, SPECIFY
54
auscultation of heart sounds
check general conditionñåðäöåáèåíèå,îáù,ñîñòîÿíèå,ãîðëî,êîæà
check the pulse
condition of oral cavity
examinatio of throat
examinatio of throat and ears
examination of abdomen, liver and pulse
examination of ears
examination of eyes
examination of pulse
examination of skin
examination of skin and abdomen
examination of skin, will send to other health facility
examination of the abdomen
examination of the abdomen and eyes
examination of the oropharynx
examination of the skin
examination of the skin and ears
examine eyes, abdomen pain, loss of appetite
examine skin and throat
examine skin, oral cavity and abdomen
examine the color of skin, throat, and send to doctor
examine the skin, feeding, and drinking, swallowing
examine the stool
palpation of abdomen and examination of oropharynx
will send to doctor
will sent to another health facility
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #1
CASE SCENARIO #1: CARD #2 When asked, the mother said that her daughter was not vomiting and did not have any convulsions, but has had diarrhea. Based on your assessment the child weights 10.5 kg, is lethargic, a skin pinch comes back very slowly. No other clinical signs are present.
ASK THE QUESTION V1.10 BUT DO NOT READ ANSWERS PROVIDED.
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- SEVERE DEHYDRATION
323
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- SOME DEHYDRATION
323
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- NO DEHYDRATION
323
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- DON'T KNOW
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- OTHER
133
acute intestinal infection
acute respiratory infection
dehydration
diarrhea
low weight
malaria
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #1 READ: let's assume that the child has been classified as- SEVERE DEHYDRATION
ASK THE QUESTION V1.11 BUT DO NOT READ ANSWERS PROVIDED.
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
- RECOMMENDS URGENT REFERRAL TO A HOSPITAL
323
1
2
1
MENTIONED
2
NOT MENTIONED
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
323
1
2
1
MENTIONED
2
NOT MENTIONED
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADMINISTER LIQUID BY NASO-GASTRIC TUBE
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
323
1
2
1
MENTIONED
2
NOT MENTIONED
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- ADMINISTER ORS AT THE FACILITY
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- PRESCRIBE ORS FOR HOME TREATMENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- GIVE ONE DOSE OF PARACETAMOL
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- PRESCRIBE PARACETAMOL FOR HOME TREATMENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v1.3_OTHER
v1.3_OTHER
v1.3_OTHER
v1.3_OTHER
v1.3_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- OTHER, SPECIFY
30
furazolidon
referral to a doctor
zinc
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
RECOMMENDATION:
- ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
323
1
2
1
MENTIONED
2
NOT MENTIONED
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
RECOMMENDATION:
- RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
323
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- BREASTFEED AS OFTEN AS CHILD WANTS
323
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
323
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- GIVE 3-4 MEALS A DAY
323
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
323
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- NOT ABLE TO DRINK AND OR BREASTFEED
323
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- BECOMES SICKER
323
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FEVER
323
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FAST AND DIFFICULT BREATHING
323
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- BLOOD IN STOOL
323
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v1.4_4f_OTHER
v1.4_4f_OTHER
v1.4_4f_OTHER
v1.4_4f_OTHER
v1.4_4f_OTHER
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER NOT LISTED ABOVE - SPECIFY
Go to another scenario
22
If diarrhea is intensified
after consulting a doctor
anemia
anxiety
convultions, loss of consciousness
insomnia
sunken eyes
vomiting
vomiting and diarrhea is continuing
weakness and vomiting
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #2
I will now read the next case scenario.
Mother brought 6-month-old child to the health center. The child's family lives in malaria endemic area. The boy has high fever for the last four days. The mother noticed that a child starts to breastfeed and then pulls off the breast and seems to pant for air before going back for a further suckle.
ASK THE GUESTION V2. 1 BUT DO NOT READ ANSWERS PROVIDED.
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER'S NAME
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER CHILD'S NAME
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK THE MOTHER WHAT IS A CHILD'S PROBLEM
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD HAD MEASLES WITHIN LAST 3 MONTHS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD COUGHS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD IS VOMITING
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD HAD CONVULSIONS
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER
OTHER
OTHER
OTHER
OTHER
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
OBSERVE:
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE WEIGHT AND HEIGHT
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE TEMPERATURE
323
1
2
1
MENTIONED
2
NOT MENTIONED
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- SEE IF CHILD IS LETHARGIC OR UNCONSIOUS
323
1
2
1
MENTIONED
2
NOT MENTIONED
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OBSERVE IF CHILD IS CONVULSING
323
1
2
1
MENTIONED
2
NOT MENTIONED
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- COUNT THE BERATH IN ONE MINUTE
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND FEEL FOR STIFF NECK
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR RUNNY NOSE
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR RASH
LOOK FOR RASH
LOOK FOR RASH
LOOK FOR RASH
LOOK FOR RASH
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR RASH
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR RED EYES
LOOK FOR RED EYES
LOOK FOR RED EYES
LOOK FOR RED EYES
LOOK FOR RED EYES
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR RED EYES
323
1
2
1
MENTIONED
2
NOT MENTIONED
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OBSERVE CHEST INDRAWING
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND LISTEN FOR STRIDOR AND WHEEZING
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER
OTHER
OTHER
OTHER
OTHER
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v2.1_OTHER8
v2.1_OTHER8
v2.1_OTHER8
v2.1_OTHER8
v2.1_OTHER8
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
64
age of the child
analysis thick drop
bite of insect
breastfeeding
diarrhea
diarrhea, temperature, sleeping, appetite
eating difficulties
how long is child sick?
if any drink was given
if any medicine was given
if anybody at home or neighbors has malaria
if the child can eat and drink
if the child had cold
if the child had high temperature
if the child had high temperature and diarrhea
if was diagnozed with malaria before
nutrition
nutrition, temperature
sleeping
sleeping, diarrhea
temperature
temperature, other disease, nutrition and drinking
were this conditions recognized before?
what dis the baby eat
what dis the baby eat, breastfeeding, drinking
when the high temperature started
when the high temperature started and breastfeeding
v2.1_OTHER20
v2.1_OTHER20
v2.1_OTHER20
v2.1_OTHER20
v2.1_OTHER20
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
44
a blood test for malaria
a blood test for malaria and pulse
abdominal bloating
auscultation, throat
check if the child has diarrhea
check the skin
check the skin, diarrhea
examination of mouth
examine abdomen
examine abdomen and extremities
examine abdomen, pain
examine ears
examine heart
examine mouth, abdomen, diarrhea, heartbeat
examine pharynx
examine skin
examine the skin
examine throat
examine throat and heart
examine troat
fever
fontanelle
general condition, throat
general examination
measure blood pressure
pulse
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #2
CASE SCENARIO #2: CARD #2 The boy's name is Sabir. The health worker examined a boy. Main parameters of examination are: High Temperature - 370, a boy's weight is 5 kg, His breathing is loud and fast, about 70 breaths per minute, no stridor or wheezing observed, no other clinical signs.
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
323
1
2
1
MENTIONED
2
NOT MENTIONED
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- PNEUMONIA
323
1
2
1
MENTIONED
2
NOT MENTIONED
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- PNEUMONIA WITH WHEEZE
323
1
2
1
MENTIONED
2
NOT MENTIONED
COUGH OR COLD
COUGH OR COLD
COUGH OR COLD
COUGH OR COLD
COUGH OR COLD
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- COUGH OR COLD
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- OTHER , NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
DON'T KNOW
DON'T KNOW
DON'T KNOW
DON'T KNOW
DON'T KNOW
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- DON'T KNOW
323
1
2
1
MENTIONED
2
NOT MENTIONED
v2.2_OTHER
v2.2_OTHER
v2.2_OTHER
v2.2_OTHER
v2.2_OTHER
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- OTHER, SPECIFY
81
acute bronchitis
acute pneumonia
acute respiratory infection
bronchitis
diarrhea
ear disease
fever
heart disease
influnza
laryngitis
laryngitis, bronchitis
malaria
tonsilitis
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #2
Let's assume that Sabir has - PNEUMONIA
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5 DAYS
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DAYS
323
1
2
1
MENTIONED
2
NOT MENTIONED
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- RECOMMENDS URGENT REFERRAL TO A HOSPITAL
323
1
2
1
MENTIONED
2
NOT MENTIONED
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT:
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: PRESCRIBE PARACETAMOL FOR HOME TREATMENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: GIVE AN INHALER FOR WHEEZING
323
1
2
1
MENTIONED
2
NOT MENTIONED
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v2.3.9_OTHER
v2.3.9_OTHER
v2.3.9_OTHER
v2.3.9_OTHER
v2.3.9_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: SPECIFY
37
ampicillin
analginum + diphenhydramine
analginum + diphenhydramine, dexamethasone
chafing
chafing and direct to family doctor
chafing, analginum + diphenhydramine
chafing, direct to family doctor
direct to family doctor
direct to hospital
direct to pediatrician
direct to the doctor
direct to the family doctor
drinking plenty of fluids
fluids and direct to family doctor
referral
salbutamol
vitamins
warming compress
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- HOW TO FEED CORRECTLY: - BREASTFEED MORE
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- OTHER NOT LISTED ABOVE
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
v2.4.5_OTHER
v2.4.5_OTHER
v2.4.5_OTHER
v2.4.5_OTHER
v2.4.5_OTHER
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- OTHER, SPECIFY
10
caugh continues
diarrhea
diarrhea and vomiting
impaired consciousness
insomnia
stridor breathing
vomiting
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO # 3
I will now read the next case scenario.
SCENARIO #3: CARD # 1 A young mother comes into your clinic on Tuesday morning with a young infant. Mother is very concerned because he is her first child and is very precious to the family. The infant was born one week ago. Mother tells you that during the weekend she noticed that infant was not taking the breast as often as he normally did. She got worried and wanted to take him to the clinic on Monday. She herself had an appointment on Tuesday for follow up checkup after pregnancy. Her husband told her to wait and take the infant to the clinic on Tuesday when she has her appointment so that they do not have to pay for transportation twice. Mother is now worried because she thinks the infant is feeding less often than before.
ASK THE QUESTION V3. 1 BUT DO NOT READ ANSWERS PROVIDED.
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER'S NAME
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER CHILD'S NAME
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK THE MOTHER WHAT IS THE CHILD'S PROBLEM
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
OBSERVE:
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE WEIGHT AND HEIGHT
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE TEMPERATURE
323
1
2
1
MENTIONED
2
NOT MENTIONED
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- COUNT THE BREATH IN ONE MINUTE
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR CHEST NDRAWING
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR NASAL FLARING
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND FEEL FOR GRAUNTING
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND FEEL FOR BULGING FONTANELLE
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR PUS DRAINING FROM THE EAR
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AT UMBILICUS ON READNESS AND PUS
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
LOOK FOR PUSTULES ON THE SKIN
323
1
2
1
MENTIONED
2
NOT MENTIONED
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASSESS YOUNG INFANT'S MOVEMENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v3.1_OTHER
v3.1_OTHER
v3.1_OTHER
v3.1_OTHER
v3.1_OTHER
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, SPECIFY
76
age of child, breastfeeding
ask about vomiting, examine abdomen
ask mother where the child was born and if has diarrhea
ask the mother about nutrition
auscultation of heart and lungs
auscultation of lungs
breastfeedomg
cauth, hygiene, examine skin
check reflexes
check the breastfeeding
diarrhea, examine abdomen, consipation, examine skin, mouth
diarrhea, examine skin
examen skin, diarrhea, nutrition, constipation
examen skin, throat, chest, urination and stool
examine abdomen
examine abdomen and auscultation
examine lungs
examine mouth
examine mouth and throat
examine mouth, abdomen
examine mouth, abdomen, ask about diarrhea
examine mouth, breastfeeding, stool, urunation, skin
examine oropharynx
examine skin
examine skin and diarrhea
examine throat
examine troat
examine umbilicus
family doctor consultation
heartbeat
if the child had diarrhea
if the child had diarrhea and vomiting
if the child had diarrhea and vomiting, any drug was given
if the child had high temperature, restless
if the child had high temperature, sleep and nutrition
if the child had vomiting
if the child has medical card
pulse
vomiting, how frequent is treated
where did the mother gave birth?
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- VERY SEVERE ILLNESS
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- LOCAL BACTERIAL INFECTION
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- NOT A SEVERE ILLNESS AND NOT A LOCAL BACTERIAL INFECTION
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- ANOTHER DIAGNOSIS
322
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
Based on this assessment what is your main diagnosis? - DON'T KNOW
Based on this assessment what is your main diagnosis? - DON'T KNOW
Based on this assessment what is your main diagnosis? - DON'T KNOW
Based on this assessment what is your main diagnosis? - DON'T KNOW
Based on this assessment what is your main diagnosis? - DON'T KNOW
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- ANOTHER DIAGNOSIS
323
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is your main diagnosis? - OTHER, SPECIFY
Based on this assessment what is your main diagnosis? - OTHER, SPECIFY
Based on this assessment what is your main diagnosis? - OTHER, SPECIFY
Based on this assessment what is your main diagnosis? - OTHER, SPECIFY
Based on this assessment what is your main diagnosis? - OTHER, SPECIFY
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- OTHER, SPECIFY
176
acute respiratory infection
bronchitis
common cold
flu
healthy
laryngitis
nasopharyngitis
pneumonia
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #3 Let's assume that Mumtaz has a diagnosis of - SEVERE ILLNESS
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
323
1
2
1
Yes
2
No
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE DEPARTURE OR 20-50 ML (10 ML/KG) SUGAR WATER
323
1
2
1
Yes
2
No
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
323
1
2
1
Yes
2
No
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- REFER URGENTLY TO THE HOSPITAL
323
1
2
1
Yes
2
No
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
323
1
2
1
Yes
2
No
V3_3_OTHER
V3_3_OTHER
V3_3_OTHER
V3_3_OTHER
V3_3_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER, SPECIFY
69
accompanied by a doctor to be hospitalized
amoxicillin
analgin+diphenhydramine
direct to hospital
direct to the doctor
injections to reduce temperature
measure temperature
monitor the condition 1-2 hours if feels better send home
paracetamol
paracetamol and amoxacillin
rubbing
rubbing and direct to the doctor
rubbing and paracetamol
sputum test
to reduce the temperature
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
IF THE HEALTH WORKER DID NOT MENTION ADMINISTRATION OF ANTIBIOTIC INTRAMUSKULAR IN THE QUESTION V3.3 MOVE TO THE NEXT SNENARIO, IF MENTIONED MOVE TO THE QUESTION V3.4
The health worker decided to administer Gentamicin before referring to the hospital
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- 2 mg/ml
58
265
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- 5 mg/ml
58
265
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- 10 mg/ml
58
265
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- OTHER NOT LISTED ABOVE
58
265
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- Do not know
58
265
1
2
1
Yes
2
No
Sysmiss
v3.4_OTHER
v3.4_OTHER
v3.4_OTHER
v3.4_OTHER
v3.4_OTHER
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- Other, specify
Go to another scenario
3
0,5 mg\kg weigh
0,8 mg\kg weigh
4 mg\kg weigh
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO # 4
I will now read the next case scenario.
SCENARIO #4: CARD # 1 A young mother brings her child on a quiet morning in your clinic. You invite them into your clinic room. Mother sits her child on her lap. She looks tired, and you ask how she came to the clinic this morning. She said she had to wait for a bus to come. It took a long time. The trip to the clinic is on a rough road and it is hot, so she does not feel well. She said she was worried about her child getting sicker during the long trip.
ASK THE QUESTION V4. 1 BUT DO NOT READ ANSWERS PROVIDED.
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK MOTHER'S NAME
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK MOTHER CHILD'S NAME
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK ABOUT AGE OF THE CHILD
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK THE MOTHER WHAT IS A CHILD'S PROBLEM
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK WHETHER THE CHILD VOMITS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK WHETHER THE CHILD HAS COUGH OR DIFFICULT BREATHING
323
1
2
1
MENTIONED
2
NOT MENTIONED
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
WILL ASK WHETHER THE CHILD HAS A DIARRHEA
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER (POINT)
OTHER (POINT)
OTHER (POINT)
OTHER (POINT)
OTHER (POINT)
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
MEASURE WEIGHT AND HEIGHT OR LENGTH
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
MEASURE TEMPERATURE
323
1
2
1
MENTIONED
2
NOT MENTIONED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
LOOK WHETHER THE CHILD IS LETHARGIC OR UNCONSCIOUS
323
1
2
1
MENTIONED
2
NOT MENTIONED
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
COUNT THE BREATH IN ONE MINUTE
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
LOOK FOR CHEST INDRAWING
323
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
323
1
2
1
MENTIONED
2
NOT MENTIONED
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
323
1
2
1
MENTIONED
2
NOT MENTIONED
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
ASSESS CHILD FEEDING
323
1
2
1
MENTIONED
2
NOT MENTIONED
BLOOD TEST
BLOOD TEST
BLOOD TEST
BLOOD TEST
BLOOD TEST
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
BLOOD TEST
323
1
2
1
MENTIONED
2
NOT MENTIONED
TEST ON WORMS
TEST ON WORMS
TEST ON WORMS
TEST ON WORMS
TEST ON WORMS
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
TEST FOR WORMS
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
OTHER NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v4.1_OTHER
v4.1_OTHER
v4.1_OTHER
v4.1_OTHER
v4.1_OTHER
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
OTHER, SPECIFY
49
appetite, sleeping, abdomen, eyes, mough
bad appetite
direct to hospital
examen throat
examen tongue and throat
examene mouth, tounge, skin
examine abdomen
examine abdomen and eyes
examine abdomen and skin
examine abdomen, ears, send to doctor
examine general condition, if the child is thirsty, breastfeeding, examen mouth, eyes, mouth
examine liver
examine lungs
examine mouth
examine skin
examine skin and eyes
examine throat
general condition, movement, examen throat, navel
if the child drink boiled water
if the child had temperature
if the child had temperature, examine abdomen, and eyes
if the child had temperature, sleeping
if the child had vomiting
if this condition continues usually, examen eyes
lungs auscultation
movement of child
nutrition
nutrition, examen throat, other diseases, appetite
referral
send to doctor
the history of birth, examine ears, mouth
urine test
what did the child eat
what did the child eat?
what did the child eat? examine abdomen and mouth
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #4
SCENARIO #4: CARD #2 Mother's name is DIldora. Based on the assessment you learn that Rustam is 2 years old and 4 months; a child weights 10.2 kg, height is 103, his temperature is 370 C and this is his first visit to the clinic. He is able to drink; he is not vomiting and did not have convulsions. Rustam is active and kicks mothers skirt with legs; there is no edema on both feet. His breath is 45 per minute, and you hear no harsh noise. There are no signs of pneumonia. Rustam's weight for age Z score is between - 2Z and - 3Z. You observed that child's palms are pale - there is some palmar pallor.
ASK THE QUESTION V4.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- SEVERE MALNUTRITION OR SEVERE ANAEMIA
322
1
1
2
1
Yes
2
No
Sysmiss
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- MALNUTRITION OR ANAEMIA
322
1
1
2
1
Yes
2
No
Sysmiss
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- OTHER, NOT LISTED ABOVE
322
1
1
2
1
Yes
2
No
Sysmiss
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- I DO NOT NKOW
323
1
2
1
Yes
2
No
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #4 Let's assume that the child has been classified as - MALNUTRITION or ANAEMIA
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
- URGENTLY REFER TO THE HOSPITAL
323
1
2
1
Yes
2
No
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
- GIVE IRON CONTAINING DRUG
323
1
2
1
Yes
2
No
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
- GIVE VITAMIN CONTAINING DRUG
323
1
2
1
Yes
2
No
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
RECOMMEND: HOW TO FEED CORRECTLY:
- GIVE MEALS MORE FREQUENTLY (4-5 TIMES A DAY)
323
1
2
1
Yes
2
No
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
RECOMMEND: HOW TO FEED CORRECTLY:
- ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
323
1
2
1
Yes
2
No
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
RECOMMEND: HOW TO FEED CORRECTLY:
- OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
323
1
2
1
Yes
2
No
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- NOT ABLE TO DRINK AND OR BREASTFEED
323
1
2
1
Yes
2
No
BECOMES SICKER
BECOMES SICKER
BECOMES SICKER
BECOMES SICKER
BECOMES SICKER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- BECOMES SICKER
323
1
2
1
Yes
2
No
FEVER CONTINUES
FEVER CONTINUES
FEVER CONTINUES
FEVER CONTINUES
FEVER CONTINUES
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FEVER CONTINUES
323
1
2
1
Yes
2
No
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FAST BREATHING DIFFICULT BREATHING
323
1
2
1
Yes
2
No
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- WHEN TO RETURN FOR FOLLOW-UP
323
1
2
1
Yes
2
No
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER NOT LISTED ABOVE
323
1
2
1
Yes
2
No
v4.3.7_OTHER
v4.3.7_OTHER
v4.3.7_OTHER
v4.3.7_OTHER
v4.3.7_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER, SPECIFY
7
blood test
convultions
diarrhea
high temperature
paleness
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
I will now read the next case scenario.
CASE SCENARIO #5- CARD #1 Nassir comes to your clinic for the first time. He does not feel well and tells you that has severe headache, difficulty in breathing, and pounding in neck and ears. He thinks he has a high blood pressure.
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #5
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK HOW OLD IS A PATIENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE FEELS NAUSEA
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE VOMITED
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT WHETHER HE HAS CHEST PAIN
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK SMOKING STATUS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT ALCOHOL INTAKE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER THE PATIENT HAS DIABETES
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT FOOD INTAKE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT WEIGHT GAIN/LOSS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: MEASURE BLOOD PRESSURE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS HIS WEIGHT AND HEIGHT
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS PULSE
323
1
2
1
MENTIONED
2
NOT MENTIONED
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR HAEMATURIA USING A REAGENT STRIP
323
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - GLUCOSE
323
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - CREATININE
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
323
Sysmiss
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: 12-LEAD ELECTROCARDIOGRAPHY
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: OTHER, NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v5.1_OTHER17
v5.1_OTHER17
v5.1_OTHER17
v5.1_OTHER17
v5.1_OTHER17
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: OTHER, NOT LISTED ABOVE - SPECIFY
26
anemia
ask about high temperature
ask the surname
diarrhea
diarrhea, fever
dizziness
duration of this condition
headache character
if has any difficulty in family
if the patient has allergy
if the patient has caugh and diarrhea
if the patient has cough and diarrhea
if the patient is anxious
if the patients had stress
life condition
other diseases
sleeping and appetite
sleeping, appetite, other diseases
v5.1_OTHER21
v5.1_OTHER21
v5.1_OTHER21
v5.1_OTHER21
v5.1_OTHER21
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: OTHER NOT LISTED ABOVE- SPECIFY
53
auscultation of heart
direct to doctor
direct to doctor, measure temperature
examine abdomen and ears
examine breathing
examine kidney
examine skin, throat, breathing, caugh
examine throat
examine throat and ears
measure temperature
measure temperature, examine ears
v5.1_OTHER25
v5.1_OTHER25
v5.1_OTHER25
v5.1_OTHER25
v5.1_OTHER25
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: OTHER, NOT LISTED ABOVE - SPECIFY
24
Ultrasound
blood test
blood test, urine test
brood and uring test
hemoglabin
send to doctor
send to hospital
send to internist
uring test
What is Nassir
What is Nassir
What is Nassir
What is Nassir
What is Nassir
PLEASE READ THE RESPONDENT CARD #2 OF THE CASE SCENARIO 5
SCENARIO #5: - CARD #2 Based on your assessment you learned that Nassir is 65 years old, weights 95 kg, his height is 170 cm, smokes more than 25 years 2 packs a day; on average twice per months drinks alcohol. Eats only 2 times a day with high intake of meat, rice and bread. He is not employed and mostly spends time either in the garden or at home. He does not have any cardio vascular diseases in family history. At present feels difficulty in breathing and pounding in neck and ears. No other symptoms are present. His Blood pressure is 160/90 mmHg, and has the fast pulse. Time to time takes drugs to treat cold or flu.
What is Nassir's risk level of cardio vascular disease? CIRCLE ONLY ONE THAT APPLIES
323
1
98
1
<15% LOW RISK ( I DGREE)
2
15% - 20% MODERATE RISK (II DEGREE)
3
20% - 30% HIGH RISK (III DEGREE)
4
?30% EXTRIMLY HIGH RISK (IV DEGREE)
96
DO NOT KNOW
98
OTHER
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO 5 Let's assume that Nassir's CVD risk has been identified as -15 - 20% moderate risk (2)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
- ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
323
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON HEALTHY NUTRITION
- REDUCE THE INTAKE OF SALT
323
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON HEALTHY NUTRITION
- REDUCE THE INTAKE OF FATTY MEAT
323
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON HEALTHY NUTRITION
- REDUCE THE INTAKE OF FATTY FOOD
323
1
2
1
MENTIONED
2
NOT MENTIONED
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- ADVISE ON PHYSICAL ACTIVITY
323
1
2
1
MENTIONED
2
NOT MENTIONED
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
323
1
2
1
MENTIONED
2
NOT MENTIONED
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- AVOID UNHEALTHY ALCOHOL USE
323
1
2
1
MENTIONED
2
NOT MENTIONED
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
323
1
2
1
MENTIONED
2
NOT MENTIONED
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- FOLLOW UP VISITS AND MONITORING EVERY 3 MONTHS
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- OTHER NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v5.3.8_OTHER
v5.3.8_OTHER
v5.3.8_OTHER
v5.3.8_OTHER
v5.3.8_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- OTHER, SPECIFY
47
control of family doctor
diet
fruits, tea, milk products
glycine
glycine valerian
green tea
green tea, milk products
health advice
milk products, fruits
milk products, send to doctor
painkiller injection
reduce emotional tension
refer to hospital
referral
send to doctor
send to doctor, green tea
send to doctor, paracetamol, glycine
send to family doctor
send to hospital
send to internist
send to neurologist
treatment at hospital
weight loss
weight reduction
I DO NOT KNOW
I DO NOT KNOW
I DO NOT KNOW
I DO NOT KNOW
I DO NOT KNOW
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- I DO NOT KNOW
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #6
Section 2. Assessment
I will now read the next case scenario. SCENARIO #6: - CARD# 1 Otabek comes to your clinic for the first time. He does not feel well and tells you that has severe headache, difficulty in breathing, and pounding in neck and ears
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK HOW OLD IS A PATIENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE FEELS NAUSEA
ASK WHETHER HE FEELS NAUSEA
ASK WHETHER HE FEELS NAUSEA
ASK WHETHER HE FEELS NAUSEA
ASK WHETHER HE FEELS NAUSEA
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE FEELS NAUSEA
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE VOMITED
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT WHETHER HE HAS CHEST PAIN
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK SMOKING STATUS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT ALCOHOL INTAKE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER THE PATIENT HAS DIABETES
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT FOOD INTAKE
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS HIS WEIGHT
323
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS PULSE
323
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: MEASURE BLOOD PRESSURE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v6.1_OTHER19
v6.1_OTHER19
v6.1_OTHER19
v6.1_OTHER19
v6.1_OTHER19
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: OTHER, NOT LISTED ABOVE
35
ECG
breathing frequency, examine ear, measure temperature
breathing frequency, measure the temperature
examine breathing
examine ears
measure temperature
measure temperature, breathing
measure temperature, examine breathing
measure temperature, examine throat, mouth, breast
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR HAEMATURIA USING A REAGENT STRIP
323
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: A BLOOD SAMPLE TO MEASURE:
323
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: PLASMA GLUCOSE
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: ELECTROLYTES
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: CREATININE
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: ESTIMATED GLOMERULAR FILTRATION RATE
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: SERUM TOTAL CHOLESTEROL
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: HDL CHOLESTEROL
323
Sysmiss
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: 12-LEAD ELECTROCARDIOGRAPHY
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER
OTHER
OTHER
OTHER
OTHER
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: OTHER, NOT LISTED ABOVE (SPECIFY)
323
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: OTHER
323
1
2
1
MENTIONED
2
NOT MENTIONED
v6.1_OTHER23
v6.1_OTHER23
v6.1_OTHER23
v6.1_OTHER23
v6.1_OTHER23
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: OTHER, SPECIFY
20
ECG, blood sugar test
blood and urine test
blood and urine test, blood sugar test
blood sugar
consultation of neurologist, blood sugar test
family doctor consultation
measure temperature, blood sugar test
send to doctor
send to family doctor
send to hospital
send to internist
test blood and urine
What is Otabek
What is Otabek
What is Otabek
What is Otabek
What is Otabek
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #6
CASE SCENARIO #6: CARD # 2 Based on your assessment you learned that Otabek is 65 years old, weights 95 kg, his height is 170 cm, smokes more than 25 years 2 packs a day; on average twice per months drinks alcohol. Eats only 2 times a day with high intake of meat, rice and bread. He is not employed and mostly spends time either in the garden or at home. He does not have any cardio vascular diseases in family history, however his father died suddenly but the reason was not known. He once has been consulted by a doctor and diagnosed with hypertension and diabetes Mellitus. The doctor prescribed some drugs for hypertension, but he cannot afford to buy. For the treatment of Diabetes he was advised to be on a diet, limit salt intake and lose weight. At present feels difficulty in breathing and pounding in neck and ears. No other symptoms are present. His Blood pressure is 160/90 mmHg, higher than usual (140/80mm Hg) and has the fast pulse. He does not measure blood pressure regularly; only when has headache and pounding in ears. In such cases takes pain killer and puts feet in the hot water. Time to time takes drugs to treat cold or flu.
What is Otabek's risk level of cardio vascular disease? CIRCLE ONLY ONE THAT APPLIES
323
1
98
1
<15% LOW RISK ( I DGREE)
2
15% - 20% MODERATE RISK (II DEGREE)
3
20% - 30% HIGH RISK (III DEGREE)
4
?30% EXTRIMLY HIGH RISK (IV DEGREE)
96
DO NOT KNOW
98
OTHER
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO 6 Let's assume that level of the risk of CVD of Otabek identified as -20 - 30% high risk(3)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
PRESCRIBE: ANTI-HYPERTENSIVE DRUG TREATMENT
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
PRESCRIBE: ANTIHYPERTENSIVE DRUGS AT HOME
323
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
PRESCRIBE: GIPOGLICEMIC DRUGS
323
1
2
1
MENTIONED
2
NOT MENTIONED
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: ADVISE ON HEALTHY NUTRITION
323
1
2
1
Yes
2
No
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: REDUCE THE INTAKE OF SALT
323
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: REDUCE THE INTAKE OF FATTY MEAT
323
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: REDUCE THE INTAKE OF FATTY FOOD
323
1
2
1
MENTIONED
2
NOT MENTIONED
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
323
1
2
1
MENTIONED
2
NOT MENTIONED
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: SMOKING CESSATION AND NOS (CHEWING TOBACO)
323
1
2
1
MENTIONED
2
NOT MENTIONED
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: AVOID UNHEALTHY ALCOHOL USE
323
1
2
1
MENTIONED
2
NOT MENTIONED
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
323
1
2
1
MENTIONED
2
NOT MENTIONED
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR AND ASSESS FEET / LEGS AT RISK OF DEVELOPING ULCERS USING SIMPLE METHODS (INSPECTION, PRICK SENSATION))
323
1
2
1
MENTIONED
2
NOT MENTIONED
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
323
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: OTHER NOT LISTED ABOVE
323
1
2
1
MENTIONED
2
NOT MENTIONED
v6.3.11_OTHER
v6.3.11_OTHER
v6.3.11_OTHER
v6.3.11_OTHER
v6.3.11_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: OTHER, SPECIFY
57
call a doctor
consultation by doctor
consultation of cardiologist
consultation of doctor, milk products
consultation of internist
consultation of specialist
follow the doctors perscription
glycine, consultation of doctor
glycine, valerian, family doctor consultation
green tea
hospitalization
milk products
referral
refuse sweet and sharp
sedatives
send to doctor
send to endocrinologist
send to family doctor
send to hospital
send to internist
valerian
vegetables
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
IF THE HEALTH WORKERS MANTIONED PRESCRIBED ANTI-HIPERTENSIVE DRUGS THEN READ THE QUESTION 6.4 TO HIM\HER AND LIST THE MENTIONED DRUGS. IF DO NOT MENTIONED THEN ASKNOWLEDGE HIM\HER AND COMPLETE THE INTERVIEW.
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Thiazide-like Diuretic
316
7
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Ace inhibitor
316
7
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Calcium channel blocker
316
7
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Beta-blocker
316
7
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Other not listed above
316
7
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
v6.4_OTHER
v6.4_OTHER
v6.4_OTHER
v6.4_OTHER
v6.4_OTHER
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Other, specify
20
Dibazolum
Dibazolum and papaverine
glycine
glycine, nitroglycerine
glycine, papaverine
magnesium sulfate
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them? CIRCLE ALL THAT APPLY
316
7
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
v6.5_OTHER
v6.5_OTHER
v6.5_OTHER
v6.5_OTHER
v6.5_OTHER
Will you prescribe all drugs mentioned by you or some of them? CIRCLE ALL THAT APPLY
- Other, specify
8
Adelphanum
Dibazolum and papaverine
nifedipine
Region
Region
Region
Region
Region
323
1
2
1
SOGD
2
KHATLON
V0_2
V0_2
V0_2
V0_2
V0_2
Facility number
804
110101
312601
110101
110201
110301
110401
110501
110601
110701
110801
110901
111001
111201
111301
111401
111501
111601
120101
120201
120301
120401
120501
120601
120701
120801
120901
121001
121101
121201
121301
121401
121501
121601
121701
121801
130101
130201
130301
130401
130501
130601
130701
130801
130901
131001
131101
131201
131301
131401
131501
140101
140201
140301
140401
140501
140601
140701
140901
141001
141101
141201
141301
150101
150201
150301
150401
150501
150701
210101
210201
210401
210501
210601
210701
210801
210901
211001
211101
211201
211401
220101
220201
220301
220401
220501
220601
220701
220801
220901
230101
230201
230301
230401
230501
230601
230701
230801
230901
231001
231101
231201
240101
240201
240401
240501
240601
240701
250101
250301
250401
250501
250701
250801
250901
251001
251101
260101
260201
260301
260401
260501
260601
260701
260801
260901
261001
261101
261201
270101
270201
270301
270401
270501
270601
270701
270801
270901
271001
271101
271201
271301
271401
271501
280101
280201
280301
280401
280501
280601
280701
280901
281001
281101
281201
281401
281501
281601
281701
290101
290102
290201
290301
290401
290501
290601
290701
290801
290901
291001
291101
291201
291301
291501
300201
300301
300401
300501
300601
300701
300801
300901
301001
301101
301201
301301
301401
301501
301601
301701
301801
301901
302001
302102
302201
310101
310201
310301
310401
310501
310601
310701
310801
310901
311101
311201
311301
311401
311501
311601
311701
311901
312001
312101
312201
312301
312401
312501
312601
District
District
District
District
District
District
804
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
Health worker number (from staff listing)
804
1
17
1
2
3
4
5
6
7
8
9
10
11
17
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
Sex of health worker
804
1
2
1
Male
2
Female
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
Health worker category
804
1
99
1
Family Physician
2
Internist (
3
Family Nurse
4
Feldsher
99
Other
V0_7_OTHER
V0_7_OTHER
V0_7_OTHER
V0_7_OTHER
V0_7_OTHER
Health worker category
- Other (please specify)
133
Cardiologist
Dentist
ENT Doctor
Executive Manager
Gynecologist
HH Manager
Infectious disease physician
Midwife
Pediatrician
RHC Manager
Surgeon
Urologist
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
SCENARIO #1:
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #1
I will now read the first case scenario. CASE SCENARIO #1: CARD #1 A little girl aged 25 months is brought to the facility because she has been asleep since the morning and is very difficult to wake up. She hasn't eaten or drunk fluids since yesterday.
ASK THE QUESTION V1.9 BUT DO NOT READ ASWERS PROVIDED.
How will you assess the child? Describe the process of assessment.
- ASK MOTHER'S NAME
804
1
2
1
Yes
2
No
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment.
- ASK MOTHER CHILD'S NAME
804
1
2
1
Yes
2
No
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
HOW LONG A CHILD HAS THIS PROBLEM
How will you assess the child? Describe the process of assessment.
- ASK THE MOTHER WHAT IS THE CHILD'S PROBLEM
804
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING
804
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
804
1
2
1
Yes
2
No
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment.
- HAD THE CHILD TEMPERATURE
804
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING
804
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
ASK WHETHER THE CHILD HAS DIARRHEA
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD HAS DIARRHEA
804
1
2
1
Yes
2
No
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
ASK WHETHER THE CHILD HAS VOMITING
How will you assess the child? Describe the process of assessment.
- ASK WHETHER THE CHILD WAS VOMITING
804
1
2
1
Yes
2
No
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess the child? Describe the process of assessment.
- OTHER, NOT LISTED ABOVE
804
1
2
1
Yes
2
No
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- MEASURE WEIGHT AND HEIGHT
804
1
2
1
Yes
2
No
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
MEASURE THE TEMPERATURE OF THE CHILD
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- MEASURE THE TEMPERATURE
804
1
2
1
Yes
2
No
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- LOOK FOR RASH
804
1
2
1
Yes
2
No
CHECK THE BREATHING
CHECK THE BREATHING
CHECK THE BREATHING
CHECK THE BREATHING
CHECK THE BREATHING
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- CHECK THE BREATHING
804
1
2
1
Yes
2
No
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
MUCOUS MEMBRANES (mouth and eyes)
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- MUCOUS MEMBRANES (mouth and eyes)
804
1
2
1
Yes
2
No
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- SEE IF CHILD IS LETHARGIC OR UNCONSCIOUS
804
1
2
1
Yes
2
No
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
STATUS OF A BIG FONTANEL
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- STATUS OF A BIG FONTANEL
804
1
2
1
Yes
2
No
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OTHER NOT LISTED ABOVE (POINT)
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- OTHER, NOT LISTED ABOVE
804
1
2
1
Yes
2
No
v1.1_OTHER10
v1.1_OTHER10
v1.1_OTHER10
v1.1_OTHER10
v1.1_OTHER10
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- OTHER, SPECIFY
112
Did the child fall?
Did the child fall? vaccination status
Greeting
How is appetite of child?
How is the appetite of child?
If any drug was given?
If the child had nausea
If the child is conscious
Nutrition
Restless
Sneezing
after which event this condition started?
appetite, nutrition
causes of disease
check the pulse, medicine received?
examination of throat
examine heart
flatulence
fluids, ORS
how did the child sleep and how is he eating?
how did the child sleep and how was the urine?
how did the child sleep?
how is the child sleeping?
how was the child born?
how was the labor?
if anybody is sick at home
if the baby teeth erupt?
if the child can recognize parents
if the child contacted any other sick person?
if the child got medicine against caugh?
if the child had hepatitis?
if the child is capricious?
if the child is drinking water
if the child is sweating or has caugh?
if the child was vaccinated
if the child was vaccinated?
if the mother received any medicine, sleeping pills
if the skin is dry
if there was any carbon monoxide poisoning
inspection of the skin
inspection of the skin and throat
medical history
other diseases, bad habbits of mother, appetite and sleep
that did the baby drink?
that did the baby eat and drink?
that did the baby eat?
thirst, stool frequency
what did the child eat and how did the child sleep?
what dis the child eat and if there is abdomen pain
when this condition started, how was child's appetite?
whether the child has a cough?
whether there is blood in the stool?
which color is child's urine?
will send to the doctor
v1.1_OTHER18
v1.1_OTHER18
v1.1_OTHER18
v1.1_OTHER18
v1.1_OTHER18
OBSERVE (DO NOT READ):
How will you assess the child? Describe the process of assessment.
- OTHER, SPECIFY
150
age
auscultarion, palpation
auscultation of heart sounds
auscultation of heart sounds and examination of abdomen
auscultation of heart sounds and examination of ears
auskultation of heart
ausultation of heart sounds, and checking the skin
blood and urine analysis
check heart, exaine abdomen and oral cavity
check the level of dehydratation
check the pulse
check the pulse and abdomen
check the pulse and eyes
check the pulse, skin and abdomen
checkin the chest, heart, abdomen,ãîëîâ,äûõ,,ñåðäöå ïîñëóø,,æèâîò
evaluate general condition, skin
examinatio of throat
examinatio of throat and ears
examination of abdomen
examination of abdomen and ears
examination of abdomen and extremitas
examination of abdomen and skin
examination of abdomen, lymph. nodes, ears, skin
examination of chest
examination of ears
examination of ears and eyes
examination of eyes
examination of eys and ears
examination of heart and abdomen and liver
examination of heart and abdomen, skin, ears
examination of heart and eyes
examination of heart and eyes, ears
examination of heart and throat, eyes, ears
examination of lymphatic nodes
examination of oral cavity
examination of oral cavity, throat and abdomen
examination of skin
examination of skin and abdomen
examination of skin and throat
examination of skin, ears, eyes and tongue
examination of skin, ears, throat
examination of skin, heart, abdomen and lympatic nodes
examination of stool
examination of the abdomen
examination of the abdomen and fontanelle
examination of the abdomen and heart
examination of the abdomen and skin
examination of the oropharynx
examination of the skin
examination of the skin abdomen and heart
examination of the skin and eyes
examination of the skin and oral cavity
examination of the skin and throat
examination of the skin, ears and pulse
examination of throat
examination of tongue
examine ears
examine ears and heart
examine heart
examine nose, abdomen, skin, lympatic nodes
examine skin, eyes, heart
general condition
general condition of child, skin and ears
general condition, breatfeeding, skin, eyes, oral cavity, throat and abdomen
home condition
if the child can drink and eat
if the child can walk
palpation of abdomen
palpation of abdomen and examination of skin
send to pediatritian
state of lymphatic nodes
the size of chest and head
tongue, throat, heart, skin
urine test, will send to doctor
vomiting and diarrhea
will check if the child has pain syndrom
will check where the child has pain
will send to doctor
will sent to another health facility
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #1
CASE SCENARIO #1: CARD #2 When asked, the mother said that her daughter was not vomiting and did not have any convulsions, but has had diarrhea. Based on your assessment the child weights 10.5 kg, is lethargic, a skin pinch comes back very slowly. No other clinical signs are present.
ASK THE QUESTION V1.10 BUT DO NOT READ ANSWERS PROVIDED.
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- SEVERE DEHYDRATION
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? - SOME DEHYDRATION
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- SOME DEHYDRATION
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? - NO DEHYDRATION
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- NO DEHYDRATION
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? - DON
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- DON'T KNOW
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
OTHER - Based on this assessment what is you major diagnosis?
Based on this assessment what is you major diagnosis? CIRCLE ONE MENTIONED
- OTHER
240
acute intestinal infection
acute respiratory infection
anemia
dehydration
diarrhea
enterocolitis
low weight
malnutrition
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #1 READ: let's assume that the child has been classified as- SEVERE DEHYDRATION
ASK THE QUESTION V1.11 BUT DO NOT READ ANSWERS PROVIDED.
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
- RECOMMENDS URGENT REFERRAL TO A HOSPITAL
804
1
2
1
MENTIONED
2
NOT MENTIONED
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION
804
1
2
1
MENTIONED
2
NOT MENTIONED
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
ADMINISTER LIQUID BY NASO-GASTRIC TUBE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADMINISTER LIQUID BY NASO-GASTRIC TUBE
804
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
PRESCRIBE OR ADMINISTER ANTIBIOTICS
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
804
1
2
1
MENTIONED
2
NOT MENTIONED
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
ADMINISTER ORS AT THE FACILITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- ADMINISTER ORS AT THE FACILITY
804
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
PRESCRIBE ORS FOR HOME TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- PRESCRIBE ORS FOR HOME TREATMENT
804
1
2
1
MENTIONED
2
NOT MENTIONED
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
GIVE ONE DOSE OF PARACETAMOL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- GIVE ONE DOSE OF PARACETAMOL
804
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- PRESCRIBE PARACETAMOL FOR HOME TREATMENT
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v1.3_OTHER
v1.3_OTHER
v1.3_OTHER
v1.3_OTHER
v1.3_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide this child with the most appropriate treatment? CIRCLE ALL MENTIONED
TREATMENT WITH ANTIBIOTICS:
- OTHER, SPECIFY
95
furazolidon
referral to a doctor
vitamins
zinc
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
RECOMMENDATION:
- ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL
804
1
2
1
MENTIONED
2
NOT MENTIONED
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
RECOMMENDATION:
- RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK
804
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- BREASTFEED AS OFTEN AS CHILD WANTS
804
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
804
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- GIVE 3-4 MEALS A DAY
804
1
2
1
MENTIONED
2
NOT MENTIONED
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
THE CORRECT FEEDING:
- OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
804
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- NOT ABLE TO DRINK AND OR BREASTFEED
804
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- BECOMES SICKER
804
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
WHEN TO RETURN IMMEDIATELY: - FEVER
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FEVER
804
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FAST AND DIFFICULT BREATHING
804
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- BLOOD IN STOOL
804
1
2
1
MENTIONED
2
NOT MENTIONED
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v1.4_4f_OTHER
v1.4_4f_OTHER
v1.4_4f_OTHER
v1.4_4f_OTHER
v1.4_4f_OTHER
What you will consult and teach caregiver? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER NOT LISTED ABOVE - SPECIFY
Go to another scenario
45
If diarrhea and vomiting are intensified
If diarrhea and vomiting is intensified
If diarrhea is intensified
after consulting a doctor
convulsions
convultions
convultions are continuing
crying
dry mouth, loss of consciousness
intensive vomiting
loss of consciousness
vomiting
vomiting and convultions
weak pulse
weakness
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #2
I will now read the next case scenario.
Mother brought 6-month-old child to the health center. The child's family lives in malaria endemic area. The boy has high fever for the last four days. The mother noticed that a child starts to breastfeed and then pulls off the breast and seems to pant for air before going back for a further suckle.
ASK THE GUESTION V2. 1 BUT DO NOT READ ANSWERS PROVIDED.
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER'S NAME
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER CHILD'S NAME
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK THE MOTHER WHAT IS A CHILD'S PROBLEM
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD HAD MEASLES WITHIN LAST 3 MONTHS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
ASK WHETHER A CHILD COUGH
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD COUGHS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
ASK WHETHER A CHILD VOMITING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD IS VOMITING
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
ASK WHETHER A CHILD HAD CONVULSIONS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK WHETHER THE CHILD HAD CONVULSIONS
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER
OTHER
OTHER
OTHER
OTHER
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
OBSERVE:
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE WEIGHT AND HEIGHT
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE TEMPERATURE
804
1
2
1
MENTIONED
2
NOT MENTIONED
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- SEE IF CHILD IS LETHARGIC OR UNCONSIOUS
804
1
2
1
MENTIONED
2
NOT MENTIONED
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
OBSERVE IF CHILD IS CONVULSING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OBSERVE IF CHILD IS CONVULSING
804
1
2
1
MENTIONED
2
NOT MENTIONED
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
COUNT THE BERATH IN ONE MINUTE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- COUNT THE BERATH IN ONE MINUTE
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
LOOK AND FEEL FOR STIFF NECK
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND FEEL FOR STIFF NECK
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
LOOK FOR RUNNY NOSE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR RUNNY NOSE
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR RASH
LOOK FOR RASH
LOOK FOR RASH
LOOK FOR RASH
LOOK FOR RASH
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR RASH
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR RED EYES
LOOK FOR RED EYES
LOOK FOR RED EYES
LOOK FOR RED EYES
LOOK FOR RED EYES
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR RED EYES
804
1
2
1
MENTIONED
2
NOT MENTIONED
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
OBSERVE CHEST INDRAWING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OBSERVE CHEST INDRAWING
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
LOOK AND LISTEN FOR STRIDOR AND WHEEZING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND LISTEN FOR STRIDOR AND WHEEZING
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER
OTHER
OTHER
OTHER
OTHER
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v2.1_OTHER8
v2.1_OTHER8
v2.1_OTHER8
v2.1_OTHER8
v2.1_OTHER8
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
142
analysis thick drop
bite of insect
breastfeeding frequency, temperature
breastfeeding, diarrhea
breathing difficulties
check the throat
child care
chills
diarrhea
dry or wet caugh
examination of tonsils and nose
general examination
greeting, how long does the fever lasted
history of disease
how long is child sick and age of child
how long is child sick and if any medicine perscribed?
how long is child sick?
how was labor, if any medicine given at home?
if any medicine for appetie was given
if any medicine was given
if anybody at home has disease
if anybody at home has malaria
if child had flu or cold
if the child had high temperature
if the child had high temperature and if any medicine was given
if the child had high temperature, how long, and if had contact person with malaria
if water was given
life conditions
malaria
malaria ananylis, general condition, temperature and diarrhea
malaria cases
number of breath and pulse
nutrition
nutrition, sleep, stomack
restless
sleep and appetite
sleepiness, diarrhea
sleeping, how much was temperature
sneezing
suplementary nutrition
temperature
temperature features, nutrition and contact with malaria
what did the child eat
when the high temperature started
when the temerature raising
why did they come to hospital late?
will ask the sighns of malaria
v2.1_OTHER20
v2.1_OTHER20
v2.1_OTHER20
v2.1_OTHER20
v2.1_OTHER20
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
121
a blood test for malaria
abdomen, reflexs, umbilicus
analysis of malaria
check fontanelle
check fontanelle, ears, heart, abdomen
check frontanelle, umbilicus and mouth
check if the child has diarrhea
check the adenouds
check the bite of insects on skin
check the skin
check the troat and teeth
checking skin if any bites of insects
condition of lymphatic nodes
examination of mouth
examination of mouth and auskultation
examination of mouth and ears
examine abdomen
examine abdomen and pulse
examine abdomen and tongue
examine abdomen and troat
examine abdomen, ears, mouth
examine abdomen, eyes, throat
examine ears
examine ears and pulse
examine heart
examine lung and heart
examine skin, lympatic nodes
examine the mouth, abdomen
examine the mouth, ears
examine throat
examine throat and ears
examine throat, heart, and extremities
examine troat
examine troat and eaas
fontanelle, mouth and ears
if any medicine were given?
if the child is leaving in malaria zone
palpation, lever, troat, tonsils
pulse
restless
test the lymphatic nodes, heart
umbilicus
vaccination, heart, abdomen
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #2
CASE SCENARIO #2: CARD #2 The boy's name is Sabir. The health worker examined a boy. Main parameters of examination are: High Temperature - 370, a boy's weight is 5 kg, His breathing is loud and fast, about 70 breaths per minute, no stridor or wheezing observed, no other clinical signs.
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- SEVERE PNEUMONIA OR VERY SEVERE ILLNESS
804
1
2
1
MENTIONED
2
NOT MENTIONED
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
PNEUMONIA
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- PNEUMONIA
804
1
2
1
MENTIONED
2
NOT MENTIONED
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
PNEUMONIA WITH WHEEZE
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- PNEUMONIA WITH WHEEZE
804
1
2
1
MENTIONED
2
NOT MENTIONED
COUGH OR COLD
COUGH OR COLD
COUGH OR COLD
COUGH OR COLD
COUGH OR COLD
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- COUGH OR COLD
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
OTHER , NOT LISTED ABOVE
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- OTHER , NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
DON
DON
DON
DON
DON
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- DON'T KNOW
804
1
2
1
MENTIONED
2
NOT MENTIONED
v2.2_OTHER
v2.2_OTHER
v2.2_OTHER
v2.2_OTHER
v2.2_OTHER
Based on this assessment what would be your main diagnosis? CIRCLE ONE MENTIONED
- OTHER, SPECIFY
157
acute bronchitis
acute respiratory infection
allergy
anemia
asthma
bronchitis
chronic pneumonia
diarrhea
fever
fever of unknown etiology
fever, anemia
foreign body
healthy
influnza
laryngitis
malaria
pneumonia
respiratory failure
tonsilitis
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #2
Let's assume that Sabir has - PNEUMONIA
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5 DAYS
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DAYS
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
RECOMMENDS URGENT REFERRAL TO A HOSPITAL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- RECOMMENDS URGENT REFERRAL TO A HOSPITAL
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
ANTIMALIRIA TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT:
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
PRESCRIBE PARACETAMOL FOR HOME TREATMENT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: PRESCRIBE PARACETAMOL FOR HOME TREATMENT
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
GIVE AN INHALER FOR WHEEZING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: GIVE AN INHALER FOR WHEEZING
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: OTHER, NOT LISTED ABOVE
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
v2.3.9_OTHER
v2.3.9_OTHER
v2.3.9_OTHER
v2.3.9_OTHER
v2.3.9_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Sabir with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER TREATMENT: SPECIFY
121
Biseptol
Bromhexinum
aminophylline
amoxacillin
amoxicillin
ampicillin
analginum + diphenhydramine
analginum + diphenhydramine a,amoxacillin
analginum + diphenhydramine, direct to doctor
antibiotics
biseptol
broncholitin
chafing
chafing, analginum + diphenhydramine
dexamethasone
diazollin
diazollin, calcium gluconateca
direct to doctor
direct to hospital
direct to pediatrician
direct to pedicatrician
direct to the doctor
direct to the doctor and vitamins
direct to the family doctor
drinking plenty of fluids
expectorant syrup
fluids and biseptol, salbutamol
hospitalization
keep in warm
oxygen
prednisolone
referral
salbutamol
salbutamol, intravenosis
salbutamol,aminofillin
syrup Bromhexinum
syrup Doctor Mom
syrup Petrussin
syrup Travisil
vitamins
vitamins and aloe
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
HOW TO FEED CORRECTLY: - BREASTFEED MORE
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- HOW TO FEED CORRECTLY: - BREASTFEED MORE
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- WHEN TO RETURN IMMEDIATELY: - CONVULSIONS
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- OTHER NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v2.4.5_OTHER
v2.4.5_OTHER
v2.4.5_OTHER
v2.4.5_OTHER
v2.4.5_OTHER
What you will consult and teach caregivers? CIRCLE ALL MENTIONED
- OTHER, SPECIFY
17
anxiety
blood in stool
caugh continues
caugh impaired consciousness, breathlessness
cyanosis
diarrhea
exhaustion
stridor breathing
vomiting
weakness
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO # 3
I will now read the next case scenario.
SCENARIO #3: CARD # 1 A young mother comes into your clinic on Tuesday morning with a young infant. Mother is very concerned because he is her first child and is very precious to the family. The infant was born one week ago. Mother tells you that during the weekend she noticed that infant was not taking the breast as often as he normally did. She got worried and wanted to take him to the clinic on Monday. She herself had an appointment on Tuesday for follow up checkup after pregnancy. Her husband told her to wait and take the infant to the clinic on Tuesday when she has her appointment so that they do not have to pay for transportation twice. Mother is now worried because she thinks the infant is feeding less often than before.
ASK THE QUESTION V3. 1 BUT DO NOT READ ANSWERS PROVIDED.
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER'S NAME
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK MOTHER CHILD'S NAME
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASK THE MOTHER WHAT IS THE CHILD'S PROBLEM
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
MEASURE WEIGHT AND HEIGHT
OBSERVE:
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE WEIGHT AND HEIGHT
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- MEASURE TEMPERATURE
804
1
2
1
MENTIONED
2
NOT MENTIONED
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- COUNT THE BREATH IN ONE MINUTE
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
LOOK FOR ICHEST NDRAWING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR CHEST NDRAWING
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
LOOK FOR NASAL FLARING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR NASAL FLARING
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
LOOK AND FEEL FOR GRAUNTING
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND FEEL FOR GRAUNTING
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
LOOK AND FEEL FOR BULGING FONTANELLE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AND FEEL FOR BULGING FONTANELLE
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
LOOK FOR PUS DRAINING FROM THE EAR
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK FOR PUS DRAINING FROM THE EAR
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
LOOK AT UMBILICUS ON READNESS AND PUS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- LOOK AT UMBILICUS ON READNESS AND PUS
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
LOOK FOR PUSTULES ON THE SKIN
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
LOOK FOR PUSTULES ON THE SKIN
804
1
2
1
MENTIONED
2
NOT MENTIONED
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
ASSESS YOUNG INFANT
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- ASSESS YOUNG INFANT'S MOVEMENT
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v3.1_OTHER
v3.1_OTHER
v3.1_OTHER
v3.1_OTHER
v3.1_OTHER
How will you assess the child? Describe the process of assessment. CIRCLE ALL MENTIONED
- OTHER, SPECIFY
153
allergy or convultions
ask about breastfeeding
ask about stool and urine
auscultation of heart and lungs
auscultation of heart and lungs and mouth
auscultation of heat, check the breast of mother
auscultation of lungs
blood in stool
breastfeeding
breastfeeding, examine mouth, abdomen
breastfeeding, examine throat
caugh
check reflexes
check reflexes and examine throat
check reflexes and skin
check the breastfeeding
convulsions
convulsions, diarrhea, frontanelle, eyes
diarrhea and high temperature
diarrhea and vomiting
examine abdomen
examine abdomen and auscultation of heart and lung
examine abdomen and lympatic nodes
examine abdomen and mouth
examine eyes and mouth
examine eyes and mouth and nose
examine heart
examine heart and lungs
examine heartbeat
examine legs
examine lungs
examine lungs and heart
examine mouth
examine mouth and abdomen
examine mouth and skin
examine oropharynx
examine oropharynx and breastfeeding
examine skin and eyes
examine skin and throat
examine the breast of mother
examine the child, check the breastfeeding
examine the stool and skin
examine throat
examine throat and abdomen
examine throat and diarrhea
examine throat, check temperature
examine throoat and ears
exmaine mouth
eyes
family doctor consultation
gemeral examination
general condition, development, caugh,abdomen, heartbeat
greeting, aks about complaints
had diarrhea and vomiting, convultions, throat, ausultation, abdomen palpation
had the child caugh, if the child was not fallen
heatbeat, weight after birth, breastfeeding, diarrhea, skin
history of pregnancy, vomiting, diarrhea, heartbeat, lungs
how long does this condition last
how long the child is having high temperature
how the child is urinating
how the child was born
if the child had diarrhea
if the child had diarrhea and caugh
if the child had diarrhea and vomiting
if the child had diarrhea, examine throat
if the child had high temperature
if the child had high temperature and diarrhea
if the child had high temperature, sleep and reflexes
if the child had jaundice
if the child had vomiting, diarrhea, examine mouth, heartbeat
if the child was vaccinated
if the house is warm
muscle stiffness
nutrition
nutrition of mother, examine the abdomen
pulse
sleep
sleep and eyes
sleeping
stool and diarrhea
test the milk
urination and vaccination
vomiting
vomiting and neusea
vomiting, examine abdomen, pulse
vomiting, stool, urine
weight after birth
weight, height, nutrition, abdomen and stool
where the child was born
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- VERY SEVERE ILLNESS
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- LOCAL BACTERIAL INFECTION
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- NOT A SEVERE ILLNESS AND NOT A LOCAL BACTERIAL INFECTION
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- ANOTHER DIAGNOSIS
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- ANOTHER DIAGNOSIS
804
1
2
1
MENTIONED
2
NOT MENTIONED
Based on this assessment what is your main diagnosis? - DON
Based on this assessment what is your main diagnosis? - DON
Based on this assessment what is your main diagnosis? - DON
Based on this assessment what is your main diagnosis? - DON
Based on this assessment what is your main diagnosis? - DON
ASK THE QUESTION V3.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- OTHER, SPECIFY
376
acute respiratory infection
anemia
bloating
bronchitis
common cold
congenital disorder
diarrhea
fever
flu
foreign body
healthy
heart disease
intrauterine infection
lanryngothracheobronchitis
laryngitis
otitis
pneumonia
stomatitis
trauma
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #3 Let's assume that Mumtaz has a diagnosis of - SEVERE ILLNESS
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC
804
1
2
1
Yes
2
No
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE DEPARTURE OR 20-50 ML (10 ML/KG) SUGAR WATER
804
1
2
1
Yes
2
No
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL
804
1
2
1
Yes
2
No
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
REFER URGENTLY TO THE HOSPITAL
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- REFER URGENTLY TO THE HOSPITAL
804
1
2
1
Yes
2
No
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER, NOT LISTED ABOVE
804
1
2
1
Yes
2
No
V3_3_OTHER
V3_3_OTHER
V3_3_OTHER
V3_3_OTHER
V3_3_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide with the most appropriate treatment? CIRCLE ALL MENTIONED
- OTHER, SPECIFY
131
accompanied by a doctor to be hospitalized
aminophylin, analgin+diphenhydramine intra muscular
aminosynn after cramps
amoxacillin
amoxicillin
ampicillin
analgin+diphenhydramine
analgin+diphenhydramine, paracetamol
analgin+diphenhydramine,ampicillin
antibiotics per oss
biseptol
blood test for malaria
dexametasone
dexametasone intravenosus
dexametasone, analgin+diphenhydramine
direct to hospital
direct to hospital reduce the temperature
direct to the doctor
direct to the doctor and hospitalize
expectorant, reduce temperature and frequent drinking
good care
good health care by doctor
measure the temperature, ampicillin
oxygen
palupera pills
paracetamol
pencillin
penicilling
rubbing
rubbing and paracetamol
rubbing, analgin+diphenhydramine
salbutamol
sedative treatment
syrup biseptol, amoxacillin
to reduce the temperature
to reduce the temperature feed frequently
to reduce the temperature, oxygen
vitamins
vitamins, ampicillin
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml
IF THE HEALTH WORKER DID NOT MENTION ADMINISTRATION OF ANTIBIOTIC INTRAMUSKULAR IN THE QUESTION V3.3 MOVE TO THE NEXT SNENARIO, IF MENTIONED MOVE TO THE QUESTION V3.4
The health worker decided to administer Gentamicin before referring to the hospital
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- 2 mg/ml
294
510
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- 5 mg/ml
293
511
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- 10 mg/ml
293
511
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- OTHER NOT LISTED ABOVE
293
511
1
2
1
Yes
2
No
Sysmiss
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? - Do not know
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- Do not know
293
511
1
2
1
Yes
2
No
Sysmiss
v3.4_OTHER
v3.4_OTHER
v3.4_OTHER
v3.4_OTHER
v3.4_OTHER
Please explain what will be the dosage of GENTAMICIN? CIRCLE ONE MENTIONED
- Other, specify
Go to another scenario
10
0,1 mg\kg weigh
0,5 mg\kg weigh
20-30 mg\kg weigh
4 mg/kg
4 mg\kg weigh
4-5mg\kg weigh
7,5 mg/kg
7.5 mg\kg weigh
7mg/kg
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
ASK MOTHER
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO # 4
I will now read the next case scenario.
SCENARIO #4: CARD # 1 A young mother brings her child on a quiet morning in your clinic. You invite them into your clinic room. Mother sits her child on her lap. She looks tired, and you ask how she came to the clinic this morning. She said she had to wait for a bus to come. It took a long time. The trip to the clinic is on a rough road and it is hot, so she does not feel well. She said she was worried about her child getting sicker during the long trip.
ASK THE QUESTION V4. 1 BUT DO NOT READ ANSWERS PROVIDED.
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK MOTHER'S NAME
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
ASK MOTHER CHILD
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK MOTHER CHILD'S NAME
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
ASK ABOUT AGE OF THE CHILD
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK ABOUT AGE OF THE CHILD
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
ASK THE MOTHER WHAT IS A CHILD
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK THE MOTHER WHAT IS A CHILD'S PROBLEM
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
ASK WHETHER THE CHILD VOMITS
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK WHETHER THE CHILD VOMITS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
ASK WHETHER THE CHILD HAS COUGH OR DIFFICULT BREATHING
804
1
2
1
MENTIONED
2
NOT MENTIONED
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
WILL ASK WHETHER A CHILD HAS A DIARRHOEA
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
WILL ASK WHETHER THE CHILD HAS A DIARRHEA
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER (POINT)
OTHER (POINT)
OTHER (POINT)
OTHER (POINT)
OTHER (POINT)
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
ASK:
OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
MEASURE WEIGHT AND HEIGHT OR LENGTH
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
MEASURE WEIGHT AND HEIGHT OR LENGTH
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
MEASURE TEMPERATURE
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
MEASURE TEMPERATURE
804
1
2
1
MENTIONED
2
NOT MENTIONED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
LOOK WHETHER THE CHILD IS LETHARGIC OR UNCONSCIOUS
804
1
2
1
MENTIONED
2
NOT MENTIONED
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
COUNT THE BREATH IN ONE MINUTE
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
COUNT THE BREATH IN ONE MINUTE
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
LOOK FOR CHEST INDRAWING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
LOOK FOR CHEST INDRAWING
804
1
2
1
MENTIONED
2
NOT MENTIONED
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
LOOK AND LISTEN FOR STRIDOR OR WHEEZING
804
1
2
1
MENTIONED
2
NOT MENTIONED
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET
804
1
2
1
MENTIONED
2
NOT MENTIONED
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
ASSESS CHILD FEEDING
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
ASSESS CHILD FEEDING
804
1
2
1
MENTIONED
2
NOT MENTIONED
BLOOD TEST
BLOOD TEST
BLOOD TEST
BLOOD TEST
BLOOD TEST
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
BLOOD TEST
804
1
2
1
MENTIONED
2
NOT MENTIONED
TEST ON WORMS
TEST ON WORMS
TEST ON WORMS
TEST ON WORMS
TEST ON WORMS
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
TEST FOR WORMS
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
OTHER NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v4.1_OTHER
v4.1_OTHER
v4.1_OTHER
v4.1_OTHER
v4.1_OTHER
How will you assess the child? Describe the process of assessment and examination CIRCLE ALL MENTIONED
OBSERVE:
OTHER, SPECIFY
128
ECG
Neurological examination
ask appetite
ask if any poisonous drug was not eaten
ask if breastfeeding
ask temperature, heartbeat
blood test
blood test for hipatitis
blood test on malaria, blood sugar, blood test, examine mouth
breastfeeding, auscultation of lungs
breathing, frontanelle, ears, throat, abdomen
breathing, heartbeat, examine mouth
contact with infected person
cyanosis
direct to doctor
drinking, blood test
drinking, nutrition, other medicine, contact with infected person
examen ears, skin
examen eyes
examen eyes, ears, abdomen
examen lymphatic nodes, examen lungs, heart
examen mouth and ears
examen throat
examen tongue and teeth
examination of eyes, fontanelle
examination, ausultation
examine abdomen
examine abdomen and measure temperature
examine abdomen and mouth
examine abdomen, ears, check temperature
examine abdomen, stool, extremitas
examine abdomen, throat, ears
examine breathing
examine ears and eyes
examine eyes
examine head and mouth
examine heart and extremities
examine lungs
examine mouth and eyes
examine mouth, throat, eyes, movement, heartbeat
examine skin
examine the abdomen
examine the skin, ask about appetite
examine throat
eyes and ears
fontanelle
fontanelle, navel, movement, examine mouth, ears, eyes
general condition, examen mouth, eyes, heartbeat, abdomen, liver, splien, movemennt, restless
general examination
greeting
headache
heartbeat
heartbeat and fever
history of birht, heartbeating, examine skin, ask about drugs given
how did mother and child get to facility, what did the child eat
how the child is dressed
how the child was born
if child cried, if the child has dehydratation
if got cold, examine heart, nose, ears
if the child can drink and eat
if the child had temperature
if the child had temperature, sleeping
if the child had temperature? examine ears and mouth
if the child hasabdominal bloating
if the child is anxious
if the child is drinking
if the child is sleepy
if the child is weak
if the child lost consciousness
if the child was not fallen
lungs auscultation
neusea and vomiting
nutrition
nutrition and appetite
nutrition, frontanelle
nutrition, how long was the child outside under sun
nutrition, stool, frontanele, abdomen, eyes, heart
palpation, percussion
pulse
referral
sleeping
sleeping, examen mouth
teeth
temperature, other infectious disease
temperature, vaccination, examine skin, abdomen, urineation, heart
unine
urination, hemoglobin, examen throat
urine test
vomiting
what did the child eat and drink, examen skin, ausultation of heart and lungs
what did the child eat?
what did the child eat? examine mouth
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #4
SCENARIO #4: CARD #2 Mother's name is DIldora. Based on the assessment you learn that Rustam is 2 years old and 4 months; a child weights 10.2 kg, height is 103, his temperature is 370 C and this is his first visit to the clinic. He is able to drink; he is not vomiting and did not have convulsions. Rustam is active and kicks mothers skirt with legs; there is no edema on both feet. His breath is 45 per minute, and you hear no harsh noise. There are no signs of pneumonia. Rustam's weight for age Z score is between - 2Z and - 3Z. You observed that child's palms are pale - there is some palmar pallor.
ASK THE QUESTION V4.2 BUT DO NOT READ ANSWERS PROVIDED
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- SEVERE MALNUTRITION OR SEVERE ANAEMIA
804
1
2
1
Yes
2
No
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- MALNUTRITION OR ANAEMIA
804
1
2
1
Yes
2
No
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- OTHER, NOT LISTED ABOVE
804
1
2
1
Yes
2
No
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? - I DO NOT NKOW
Based on this assessment, what is your main diagnosis? CIRCLE ONLY ONE MENTIONED
- I DO NOT NKOW
804
1
2
1
Yes
2
No
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
URGENTLY REFER TO THE HOSPITAL
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO #4 Let's assume that the child has been classified as - MALNUTRITION or ANAEMIA
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
- URGENTLY REFER TO THE HOSPITAL
804
1
2
1
Yes
2
No
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
GIVE IRON CONTAINING DRUG
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
- GIVE IRON CONTAINING DRUG
804
1
2
1
Yes
2
No
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
GIVE VITAMINE CONTAINING DRUG
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
- GIVE VITAMIN CONTAINING DRUG
804
1
2
1
Yes
2
No
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
GIVE 4-5 MEALS A DAY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
RECOMMEND: HOW TO FEED CORRECTLY:
- GIVE MEALS MORE FREQUENTLY (4-5 TIMES A DAY)
804
1
2
1
Yes
2
No
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
RECOMMEND: HOW TO FEED CORRECTLY:
- ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)
804
1
2
1
Yes
2
No
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
RECOMMEND: HOW TO FEED CORRECTLY:
- OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY
804
1
2
1
Yes
2
No
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
NOT ABLE TO DRINK AND OR BREASTFEED
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- NOT ABLE TO DRINK AND OR BREASTFEED
804
1
2
1
Yes
2
No
BECOMES SICKER
BECOMES SICKER
BECOMES SICKER
BECOMES SICKER
BECOMES SICKER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- BECOMES SICKER
804
1
2
1
Yes
2
No
FEVER CONTINUES
FEVER CONTINUES
FEVER CONTINUES
FEVER CONTINUES
FEVER CONTINUES
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FEVER CONTINUES
804
1
2
1
Yes
2
No
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
FAST BREATHING DIFFICULT BREATHING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- FAST BREATHING DIFFICULT BREATHING
804
1
2
1
Yes
2
No
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
WHEN TO RETURN FOR FOLLOW-UP
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- WHEN TO RETURN FOR FOLLOW-UP
804
1
2
1
Yes
2
No
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER NOT LISTED ABOVE
804
1
2
1
Yes
2
No
v4.3.7_OTHER
v4.3.7_OTHER
v4.3.7_OTHER
v4.3.7_OTHER
v4.3.7_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Rustam with the most appropriate treatment? CIRCLE ALL MENTIONED
WHEN TO RETURN IMMEDIATELY:
- OTHER, SPECIFY
15
bleeding
convultions and vomiting
diarrhea
high temperature
loss of consciousness
odema
paleness
vominting, convultions, blood in stool
vomiting
weakness
weight loss
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
I will now read the next case scenario.
CASE SCENARIO #5- CARD #1 Nassir comes to your clinic for the first time. He does not feel well and tells you that has severe headache, difficulty in breathing, and pounding in neck and ears. He thinks he has a high blood pressure.
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #5
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK HOW OLD IS A PATIENT
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE FEELS NAUSEA
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE VOMITED
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT WHETHER HE HAS CHEST PAIN
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK SMOKING STATUS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT ALCOHOL INTAKE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER THE PATIENT HAS DIABETES
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT FOOD INTAKE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
ASK ABOUT WEIGHT GAIN/LOSS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT WEIGHT GAIN/LOSS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: MEASURE BLOOD PRESSURE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
ASSESS HIS WEIGHT AND HIGHT
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS HIS WEIGHT AND HEIGHT
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS PULSE
804
1
2
1
MENTIONED
2
NOT MENTIONED
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR HAEMATURIA USING A REAGENT STRIP
804
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
A BLOOD SAMPLE TO MEASURE: - GLUCOSE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - GLUCOSE
804
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
A BLOOD SAMPLE TO MEASURE: - CREATININE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - CREATININE
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL
804
Sysmiss
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
12-LEAD ELECTROCARDIOGRAPHY
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: 12-LEAD ELECTROCARDIOGRAPHY
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
OTHER, NOT LISTED ABOVE
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: OTHER, NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v5.1_OTHER17
v5.1_OTHER17
v5.1_OTHER17
v5.1_OTHER17
v5.1_OTHER17
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: OTHER, NOT LISTED ABOVE - SPECIFY
51
appetite and sleeping
ask about high temperature
ask about high temperature and diarrhea
ask about high temperature, character of headache
ask if the patients has cough
ask the surname
chronic stress at work, other diseases
cold, stress, family situation, tbc
diarrhea
diarrhea, sleeping
disease history
dizziness
frequent urination
headache
headache character
how long does this condition last?
if any medicine was given
if patient had trauma
if patient was examined by doctor
if the patient had allergy or trauma or diarrhea
if the patient has heart disease
if the patient has odema
if the patient is anxious
if the patients had emotional stress
if the patients had insomnia, if was in migration
if the patients had stress
if the patients had stress at home and job
if the patients has stress
nutrition
other diseases
physical labor
sleeping
test of sputum
what is the job of patient
v5.1_OTHER21
v5.1_OTHER21
v5.1_OTHER21
v5.1_OTHER21
v5.1_OTHER21
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: OTHER NOT LISTED ABOVE- SPECIFY
118
ECG
auscultation of heart
auscultation of heart and lungs
breathing, examine mouth, ears, eyes
direct to doctor
examen breathing
examen breathing and examine heart
examen heart
examine breathing
examine breathing and heartbeat
examine breathing, abdomen, kidneys, skin,percussion
examine eyes
examine kidney
examine skin
examine skin and breathing
examine skin, ausultation heart
examine throat
measure temperature
measure temperature and examine breathing
measure temperature and examine troat
measure temperature, breathing
send to doctor
v5.1_OTHER25
v5.1_OTHER25
v5.1_OTHER25
v5.1_OTHER25
v5.1_OTHER25
How will you assess Nassir? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
DIRECT: OTHER, NOT LISTED ABOVE - SPECIFY
55
Ultrasound
Ultrasound of kidney
blood sugar test
blood test
blood test for sugar
blood test, urine test
blood test, urine test, blood test for malaria
brood and uring test
coagulation of blood
computer imaging
direct to hospital
eyes examination, chest X-ray
internist
laboratory test
ophthalmoscopy, otoscopy
send to cardiologist
send to doctor
send to hospital
urine test
What is Nassir
What is Nassir
What is Nassir
What is Nassir
What is Nassir
PLEASE READ THE RESPONDENT CARD #2 OF THE CASE SCENARIO 5
SCENARIO #5: - CARD #2 Based on your assessment you learned that Nassir is 65 years old, weights 95 kg, his height is 170 cm, smokes more than 25 years 2 packs a day; on average twice per months drinks alcohol. Eats only 2 times a day with high intake of meat, rice and bread. He is not employed and mostly spends time either in the garden or at home. He does not have any cardio vascular diseases in family history. At present feels difficulty in breathing and pounding in neck and ears. No other symptoms are present. His Blood pressure is 160/90 mmHg, and has the fast pulse. Time to time takes drugs to treat cold or flu.
What is Nassir's risk level of cardio vascular disease? CIRCLE ONLY ONE THAT APPLIES
803
1
1
98
1
<15% LOW RISK ( I DGREE)
2
15% - 20% MODERATE RISK (II DEGREE)
3
20% - 30% HIGH RISK (III DEGREE)
4
?30% EXTRIMLY HIGH RISK (IV DEGREE)
6
96
DO NOT KNOW
98
OTHER
Sysmiss
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO 5 Let's assume that Nassir's CVD risk has been identified as -15 - 20% moderate risk (2)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
- ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON HEALTHY NUTRITION
- REDUCE THE INTAKE OF SALT
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON HEALTHY NUTRITION
- REDUCE THE INTAKE OF FATTY MEAT
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON HEALTHY NUTRITION
- REDUCE THE INTAKE OF FATTY FOOD
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- ADVISE ON PHYSICAL ACTIVITY
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- REFUSE OF SMOKING AND NOS (CHEWING TOBACO)
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- AVOID UNHEALTHY ALCOHOL USE
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- FOLLOW UP VISITS AND MONITORING EVERY 3 MONTHS
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- OTHER NOT LISTED ABOVE
803
1
1
2
1
MENTIONED
2
NOT MENTIONED
Sysmiss
v5.3.8_OTHER
v5.3.8_OTHER
v5.3.8_OTHER
v5.3.8_OTHER
v5.3.8_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- OTHER, SPECIFY
119
Dibazolum, valerian
acpirine, lemon
aspirin
cardiac glycosides
control of doctor
dairly visit to hospital
dark bread
diet
diuretics
dog-rose
drink juices
eat cow meat, papaverine and Dibazolum
fresh air and movement
fruits and reduction of stress
fruits, send to doctor
glycine
hospitalization
internist consultation
laboratory test
less physical tension
magnesium sulfate
magnesium sulfate, send to cardiologist
measure blood pressure
papaverine
papaverine and Dibazolum
pills
refer to hospital
referral
register patients and monitor
relaxation
return after 2 days
return after 3 days
return after 3-4 days
return after one week
return every month
return next day
returtn after 3-4 days
returtn after 3days
sedatives
send to cardiologist
send to cardiologist or neurologist
send to doctor
send to doctor, return after 2 days
send to doctor, return after 3 days
send to family doctor
send to hospital
send to internist
send to neurologist
treatment
treatment at hospital
visit RHC next day
weight loss
weight loss, aspirin, test the blood for sugar
weight reduction
I DO NOT KNOW
I DO NOT KNOW
I DO NOT KNOW
I DO NOT KNOW
I DO NOT KNOW
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Nasir with the most appropriate treatment?
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
- I DO NOT KNOW
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
ASK HOW OLD IS A PATIENT
PLEASE READ TO THE HEALTH WORKER CARD #1 OF THE CASE SCENARIO #6
Section 2. Assessment
I will now read the next case scenario. SCENARIO #6: - CARD# 1 Otabek comes to your clinic for the first time. He does not feel well and tells you that has severe headache, difficulty in breathing, and pounding in neck and ears
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK HOW OLD IS A PATIENT
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK TO DESCRIBE IN MORE DETAIL PROBLEMS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
ASK WHETHER HE FEELS NAUSIA
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE FEELS NAUSEA
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
ASK WHETHER HE VOMITED
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE VOMITED
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT VISION PROBLEMS DURING THE HEADACHE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
ASK ABOUT WHETHER HE HAS CHEST PAIN
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT WHETHER HE HAS CHEST PAIN
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
ASK SMOKING STATUS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK SMOKING STATUS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
ASK ABOUT ALCOHOL INTAKE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT ALCOHOL INTAKE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
ASK WHETHER THE PATIENT HAS DIABETIS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER THE PATIENT HAS DIABETES
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
ASK ABOUT FOOD INTAKE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK ABOUT FOOD INTAKE
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
ASK: ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
ASSESS HIS WEIGHT
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS HIS WEIGHT
804
1
2
1
MENTIONED
2
NOT MENTIONED
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
ASSESS PULSE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: ASSESS PULSE
804
1
2
1
MENTIONED
2
NOT MENTIONED
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
MEASURE BLOOD PRESSURE
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: MEASURE BLOOD PRESSURE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v6.1_OTHER19
v6.1_OTHER19
v6.1_OTHER19
v6.1_OTHER19
v6.1_OTHER19
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: OTHER, NOT LISTED ABOVE
119
ECG
auscultation
auscultation of heart and lungs
auscultation of heart and lungs, examine skin
examie breathing
examie throat
examine breathing
examine ears
examine ears and throat
examine eyes
examine eyes, nose, ears
examine heart
examine heart and lungs
examine heart, measure temperature
examine heartbeat
examine kidneys, skin, lympatic nodes
examine skin
general examination
heartbeat, breathing
lungs auscultaion
lungs ausultation
measure temperature
measure temperature and heartbeat, lungs, abdomen
measure temperature, examine lungs, heart
otoscopy
test if odema is present
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR HAEMATURIA USING A REAGENT STRIP
804
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
A BLOOD SAMPLE TO MEASURE:
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: A BLOOD SAMPLE TO MEASURE:
804
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: PLASMA GLUCOSE
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: ELECTROLYTES
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
A BLOOD SAMPLE TO MEASURE: CREATININE,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: CREATININE
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: ESTIMATED GLOMERULAR FILTRATION RATE
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: SERUM TOTAL CHOLESTEROL
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: HDL CHOLESTEROL
804
Sysmiss
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: 12-LEAD ELECTROCARDIOGRAPHY
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER
OTHER
OTHER
OTHER
OTHER
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
OBSERVE: OTHER, NOT LISTED ABOVE (SPECIFY)
804
1
2
1
MENTIONED
2
NOT MENTIONED
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
A BLOOD SAMPLE TO MEASURE: OTHER
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: OTHER
804
1
2
1
MENTIONED
2
NOT MENTIONED
v6.1_OTHER23
v6.1_OTHER23
v6.1_OTHER23
v6.1_OTHER23
v6.1_OTHER23
How will you assess Otabek? Describe all the steps you will undertake to assess the patient CIRCLE ALL THAT APPLY
REFER\RECOMMEND: OTHER, SPECIFY
75
ECG
Ultrasoud examination of kidney
Ultrasound
X-ray examination
blood and urine test
blood and urine test, X-ray examination,
blood and urine test, X-ray examination, ECG
blood and urine test, X-ray examination, Ultasound of kidney
blood and urine test, X-ray examination, blood sugar
blood and urine test, blood sugar
blood and urine test, blood sugar test
blood coagulation test
blood sugar
blood sugar test
blood test
blood test, and send to doctor
cardilologist and neurologist consultation
cardilologist consultation
consultation of endocrinologist and cardiologist
send to cardiologist and neurologist
send to doctor
send to doctor, urine test
send to hospital
send to internist
temperature
temperature, ECG
temperature, blood sugar test
test blood and urine
test blood and urine, malaria test, X-ray exam
test blood sugar
What is Otabek
What is Otabek
What is Otabek
What is Otabek
What is Otabek
PLEASE READ TO THE HEALTH WORKER CARD #2 OF THE CASE SCENARIO #6
CASE SCENARIO #6: CARD # 2 Based on your assessment you learned that Otabek is 65 years old, weights 95 kg, his height is 170 cm, smokes more than 25 years 2 packs a day; on average twice per months drinks alcohol. Eats only 2 times a day with high intake of meat, rice and bread. He is not employed and mostly spends time either in the garden or at home. He does not have any cardio vascular diseases in family history, however his father died suddenly but the reason was not known. He once has been consulted by a doctor and diagnosed with hypertension and diabetes Mellitus. The doctor prescribed some drugs for hypertension, but he cannot afford to buy. For the treatment of Diabetes he was advised to be on a diet, limit salt intake and lose weight. At present feels difficulty in breathing and pounding in neck and ears. No other symptoms are present. His Blood pressure is 160/90 mmHg, higher than usual (140/80mm Hg) and has the fast pulse. He does not measure blood pressure regularly; only when has headache and pounding in ears. In such cases takes pain killer and puts feet in the hot water. Time to time takes drugs to treat cold or flu.
What is Otabek's risk level of cardio vascular disease? CIRCLE ONLY ONE THAT APPLIES
804
1
98
1
<15% LOW RISK ( I DGREE)
2
15% - 20% MODERATE RISK (II DEGREE)
3
20% - 30% HIGH RISK (III DEGREE)
4
?30% EXTRIMLY HIGH RISK (IV DEGREE)
96
DO NOT KNOW
98
OTHER
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
ANTI-HYPERTENSIVE DRUG TREATMENT
PLEASE READ THE RESPONDENT CARD #3 OF THE CASE SCENARIO 6 Let's assume that level of the risk of CVD of Otabek identified as -20 - 30% high risk(3)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
PRESCRIBE: ANTI-HYPERTENSIVE DRUG TREATMENT
804
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
PRESCRIBE: ANTIHYPERTENSIVE DRUGS AT HOME
804
1
2
1
MENTIONED
2
NOT MENTIONED
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
PRESCRIBE GIPOGLICEMIC DRUGS
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
PRESCRIBE: GIPOGLICEMIC DRUGS
804
1
2
1
MENTIONED
2
NOT MENTIONED
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
ADVISE ON HEALTHY NUTRITION
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: ADVISE ON HEALTHY NUTRITION
804
1
2
1
Yes
2
No
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
REDUCE THE INTAKE OF SALT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: REDUCE THE INTAKE OF SALT
804
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
REDUCE THE INTAKE OF FATTY MEAT
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: REDUCE THE INTAKE OF FATTY MEAT
804
1
2
1
MENTIONED
2
NOT MENTIONED
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
REDUCE THE INTAKE OF FATTY FOOD
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: REDUCE THE INTAKE OF FATTY FOOD
804
1
2
1
MENTIONED
2
NOT MENTIONED
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
ADVISE ON PHYSICAL ACTIVITY
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: ADVISE ON PHYSICAL ACTIVITY
804
1
2
1
MENTIONED
2
NOT MENTIONED
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
SMOKING CESSATION AND NOS (CHEWING TOBACO)
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: SMOKING CESSATION AND NOS (CHEWING TOBACO)
804
1
2
1
MENTIONED
2
NOT MENTIONED
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
AVOID UNHEALTHY ALCOHOL USE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: AVOID UNHEALTHY ALCOHOL USE
804
1
2
1
MENTIONED
2
NOT MENTIONED
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING
804
1
2
1
MENTIONED
2
NOT MENTIONED
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR AND ASSESS FEET / LEGS AT RISK OF DEVELOPING ULCERS USING SIMPLE METHODS (INSPECTION, PRICK SENSATION))
804
1
2
1
MENTIONED
2
NOT MENTIONED
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH
804
1
2
1
MENTIONED
2
NOT MENTIONED
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
OTHER NOT LISTED ABOVE
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: OTHER NOT LISTED ABOVE
804
1
2
1
MENTIONED
2
NOT MENTIONED
v6.3.11_OTHER
v6.3.11_OTHER
v6.3.11_OTHER
v6.3.11_OTHER
v6.3.11_OTHER
Assuming that all the needed drugs are in stock in the health facility. What are the all actions you would undertake and/or prescriptions you would write to provide Otabek with the most appropriate treatment? CIRCLE ALL THAT APPLY
RECOMMEND: OTHER, SPECIFY
136
Haemodesum, cavinton, diuretics
aspirin
aspirin, weight reduction, consultation of endocrinologist
avoid emotional tension
avoid stress, sleep well
avoid the stress, aspirine
calm patient
check up for diabetes
consult doctor, tea with lemon
consultation by doctor
consultation of cardiologist
consultation of cardiologist and endocrinologist
consultation of doctor
consultation of endocrinologist
consultation of endocrinologist and ophtalmologist
consultation of internist
diet
diuretics, green tea
follow the regime of rest and work
fruits
fruits, vegetable, green herbs
glycine
glycine, send to doctor
hospitalization
magnesium sulfate, send to hospital, weigh reduction
milk product, chicken
milk products, fluids
monitor the patient
monitoring by doctor
nonsteroidal anti inflamatory drugs
painkiller pills, send to doctor
pills
reduction of blood pressure
referral
return after 2 days
return after 3 days
return after one day
return after one week
return after one weeks
return after two weeks
return to hospital after one day
send to cardiologist
send to cardiologist and endocrinologist
send to doctor
send to endocrinologist
send to family doctor
send to hospital
send to internist
sress reduction, aspirin, aminophiline
tea, milk product
weght reduction, consultation of endocrinologist
weight reduction
weight reduction, aspirine
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
What drugs will you prescribe? - Thiazide-like Diuretic
IF THE HEALTH WORKERS MANTIONED PRESCRIBED ANTI-HIPERTENSIVE DRUGS THEN READ THE QUESTION 6.4 TO HIM\HER AND LIST THE MENTIONED DRUGS. IF DO NOT MENTIONED THEN ASKNOWLEDGE HIM\HER AND COMPLETE THE INTERVIEW.
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Thiazide-like Diuretic
804
1
2
1
MENTIONED
2
NOT MENTIONED
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What drugs will you prescribe? - Ace inhibitor
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Ace inhibitor
804
1
2
1
MENTIONED
2
NOT MENTIONED
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What drugs will you prescribe? - Calcium channel blocker
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Calcium channel blocker
804
1
2
1
MENTIONED
2
NOT MENTIONED
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What drugs will you prescribe? - Beta-blocker
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Beta-blocker
804
1
2
1
MENTIONED
2
NOT MENTIONED
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What drugs will you prescribe? - Other not listed above
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Other not listed above
804
1
2
1
MENTIONED
2
NOT MENTIONED
v6.4_OTHER
v6.4_OTHER
v6.4_OTHER
v6.4_OTHER
v6.4_OTHER
What antihypertensive drugs will you prescribe? CIRCLE ALL MENTIONED
- Other, specify
49
Dibazolum
Dibazolum and magnesium
Dibazolum and papaverine
Dibazolum and papaverine, glycine
Dibazolum and papaverine, magnesium sulfate
Dimedrol and papaverine
Papazoum
aspirin
aspirine
aspirine, glycine
furosemide
magnesium sulfate
magnesium sulfate, papaverin
magnesium sulfate, valerian
papaverine, magnesium sulfate
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them?
Will you prescribe all drugs mentioned by you or some of them? CIRCLE ALL THAT APPLY
804
1
2
1
MENTIONED
2
NOT MENTIONED
v6.5_OTHER
v6.5_OTHER
v6.5_OTHER
v6.5_OTHER
v6.5_OTHER
Will you prescribe all drugs mentioned by you or some of them? CIRCLE ALL THAT APPLY
- Other, specify
28
Dibazolum and papaverine
amlodipine
atenolol
lisinopril
nifedipine
papazolum
804
1
2
1
SOGD
2
KHATLON
Region
Region
Region
Region
Region
Region
574
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
District
574
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility number
Facility number
Facility number
Facility number
Facility number
Facility number
574
110101
312601
c1.4_dd
c1.4_dd
c1.4_dd
c1.4_dd
c1.4_dd
Today's date (day/month/year)
- day
574
1
30
c1.4_mm
c1.4_mm
c1.4_mm
c1.4_mm
c1.4_mm
Today's date (day/month/year)
- month
574
1
12
1
2
10
11
12
c1.4_yy
c1.4_yy
c1.4_yy
c1.4_yy
c1.4_yy
Today's date (day/month/year)
- year
574
2015
2015
2015
Patient code
Patient code
Patient code
Patient code
Patient code
Patient code
574
1
40
Patient's gender
Patient's gender
Patient's gender
Patient's gender
Patient's gender
Patient's gender
572
2
2
Not recorded
1
Male
2
Female
Sysmiss
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
574
1
No
1
Yes
c1.7a_dd
c1.7a_dd
c1.7a_dd
c1.7a_dd
c1.7a_dd
If yes, please record the date of birth
- date
r
NO > C1.9
551
23
-99
31
c1.7a_mm
c1.7a_mm
c1.7a_mm
c1.7a_mm
c1.7a_mm
If yes, please record the date of birth
- month
551
23
-99
12
c1.7a_yy
c1.7a_yy
c1.7a_yy
c1.7a_yy
c1.7a_yy
If yes, please record the date of birth
- year
551
23
1924
2014
AGE
AGE
AGE
AGE
AGE
551
23
1
91
Please identify the age of the patient as per categories given below:
Please identify the age of the patient as per categories given below:
Please identify the age of the patient as per categories given below:
Please identify the age of the patient as per categories given below:
Please identify the age of the patient as per categories given below:
Please identify the age of the patient as per categories given below:
551
23
1
4
1
<40 years
2
40- < 55 years
3
55 - <65 years
4
? 65 years
Sysmiss
Patient's problems (symptoms)
Patient's problems (symptoms)
Patient's problems (symptoms)
Patient's problems (symptoms)
Patient's problems (symptoms)
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Patient's problems (symptoms)
574
1
2
1
Yes
2
No
Blood pressure
Blood pressure
Blood pressure
Blood pressure
Blood pressure
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Blood pressure
574
1
2
1
Yes
2
No
Nausea
Nausea
Nausea
Nausea
Nausea
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Nausea
574
1
2
1
Yes
2
No
Vomiting
Vomiting
Vomiting
Vomiting
Vomiting
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Vomiting
574
1
2
1
Yes
2
No
Oliguria
Oliguria
Oliguria
Oliguria
Oliguria
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Oliguria
574
1
2
1
Yes
2
No
Vision problems
Vision problems
Vision problems
Vision problems
Vision problems
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Vision problems
574
1
2
1
Yes
2
No
Chest pain
Chest pain
Chest pain
Chest pain
Chest pain
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Chest pain
574
1
2
1
Yes
2
No
Smoking status
Smoking status
Smoking status
Smoking status
Smoking status
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Smoking status
574
1
2
1
Yes
2
No
Alcohol intake, quantity and frequency
Alcohol intake, quantity and frequency
Alcohol intake, quantity and frequency
Alcohol intake, quantity and frequency
Alcohol intake, quantity and frequency
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Alcohol intake, quantity and frequency
574
1
2
1
Yes
2
No
Family history of premature coronary heart disease or stroke
Family history of premature coronary heart disease or stroke
Family history of premature coronary heart disease or stroke
Family history of premature coronary heart disease or stroke
Family history of premature coronary heart disease or stroke
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Family history of premature coronary heart disease or stroke
574
1
2
1
Yes
2
No
Diabetes status (absence /presence)
Diabetes status (absence /presence)
Diabetes status (absence /presence)
Diabetes status (absence /presence)
Diabetes status (absence /presence)
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Diabetes status (absence /presence)
574
1
2
1
Yes
2
No
Measures weight
Measures weight
Measures weight
Measures weight
Measures weight
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Measures weight
574
1
2
1
Yes
2
No
Presence of kidney diseases
Presence of kidney diseases
Presence of kidney diseases
Presence of kidney diseases
Presence of kidney diseases
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Presence of kidney diseases
574
1
2
1
Yes
2
No
Lifestyle /physical activity
Lifestyle /physical activity
Lifestyle /physical activity
Lifestyle /physical activity
Lifestyle /physical activity
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Lifestyle /physical activity
574
1
2
1
Yes
2
No
Food intake/diet
Food intake/diet
Food intake/diet
Food intake/diet
Food intake/diet
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Food intake/diet
574
1
2
1
Yes
2
No
Weight gain/loss
Weight gain/loss
Weight gain/loss
Weight gain/loss
Weight gain/loss
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Weight gain/loss
574
1
2
1
Yes
2
No
Taking antihypertensive therapy
Taking antihypertensive therapy
Taking antihypertensive therapy
Taking antihypertensive therapy
Taking antihypertensive therapy
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Taking antihypertensive therapy
574
1
2
1
Yes
2
No
Taking other medicines
Taking other medicines
Taking other medicines
Taking other medicines
Taking other medicines
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Taking other medicines
574
1
2
1
Yes
2
No
When for the first time such symptoms were presented
When for the first time such symptoms were presented
When for the first time such symptoms were presented
When for the first time such symptoms were presented
When for the first time such symptoms were presented
Are the following recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- When for the first time such symptoms were presented
574
1
2
1
Yes
2
No
Weight
Weight
Weight
Weight
Weight
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Weight
574
1
2
1
Yes
2
No
Blood pressure
Blood pressure
Blood pressure
Blood pressure
Blood pressure
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Blood pressure
574
1
2
1
Yes
2
No
Edema
Edema
Edema
Edema
Edema
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Edema
574
1
2
1
Yes
2
No
Pulse
Pulse
Pulse
Pulse
Pulse
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Pulse
574
1
2
1
Yes
2
No
Urine test results on Albumin
Urine test results on Albumin
Urine test results on Albumin
Urine test results on Albumin
Urine test results on Albumin
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Urine test results on Albumin
574
1
2
1
Yes
2
No
Urine test results on creatinine
Urine test results on creatinine
Urine test results on creatinine
Urine test results on creatinine
Urine test results on creatinine
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Urine test results on creatinine
574
1
2
1
Yes
2
No
Urine test results on hematuria
Urine test results on hematuria
Urine test results on hematuria
Urine test results on hematuria
Urine test results on hematuria
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Urine test results on hematuria
574
1
2
1
Yes
2
No
Blood test results on plasma glucose
Blood test results on plasma glucose
Blood test results on plasma glucose
Blood test results on plasma glucose
Blood test results on plasma glucose
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Blood test results on plasma glucose
574
1
2
1
Yes
2
No
Blood test results on electrolytes
Blood test results on electrolytes
Blood test results on electrolytes
Blood test results on electrolytes
Blood test results on electrolytes
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Blood test results on electrolytes
574
1
2
1
Yes
2
No
Blood test results on glomerular filtration rate
Blood test results on glomerular filtration rate
Blood test results on glomerular filtration rate
Blood test results on glomerular filtration rate
Blood test results on glomerular filtration rate
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Blood test results on glomerular filtration rate
574
1
2
1
Yes
2
No
Blood test results on serum total cholesterol and HDL cholesterol
Blood test results on serum total cholesterol and HDL cholesterol
Blood test results on serum total cholesterol and HDL cholesterol
Blood test results on serum total cholesterol and HDL cholesterol
Blood test results on serum total cholesterol and HDL cholesterol
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Blood test results on serum total cholesterol and HDL cholesterol
574
1
2
1
Yes
2
No
Total blood cholesterol
Total blood cholesterol
Total blood cholesterol
Total blood cholesterol
Total blood cholesterol
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Total blood cholesterol
574
1
2
1
Yes
2
No
Other not listed above
Other not listed above
Other not listed above
Other not listed above
Other not listed above
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- Other not listed above
574
1
2
1
Yes
2
No
c1.10_OTHER
c1.10_OTHER
c1.10_OTHER
c1.10_OTHER
c1.10_OTHER
Are the results of physical and laboratory examinations listed below recorded in the patient's medical history form? CIRCLE ALL THAT APPLY
- OTHER, specify
139
X-ray examination
biochemical analysis of blood, blood, urine analysis, electrocardiogram
blood analysis
blood analysis, electrocardiogram, urine test,
blood analysis, electrocardiogram, urine test, X-ray examination
blood analysis, electrocardiogram, urine test, X-ray examination, ultrasound
blood analysis, ultrasound
blood analysis, ultrasound, urine test, X-ray examination
blood analysis, urine test
blood analysis, urine test, X-ray examination
blood analysis, urine test, electrocardiogram
blood analysis, urine test, electrocardiogram, ultrasound of heart
blood sugar
blood test on coagulation system
blood test on coagulation system, electrocardiogram
blood test on rheumatism
electrocardiogram
electrocardiogram, blood sugar
electrocardiogram, ultrasound
ultrasound
ultrasound of the kidneys
Is the cardio vascular risk estimated and recorded?
Is the cardio vascular risk estimated and recorded?
Is the cardio vascular risk estimated and recorded?
Is the cardio vascular risk estimated and recorded?
Is the cardio vascular risk estimated and recorded?
Is the cardio vascular risk estimated and recorded?
NO > C1.14
574
1
2
1
Yes
2
No
Please record the CVD risk level defined in patient's medical history form
Please record the CVD risk level defined in patient's medical history form
Please record the CVD risk level defined in patient's medical history form
Please record the CVD risk level defined in patient's medical history form
Please record the CVD risk level defined in patient's medical history form
Please record the CVD risk level defined in patient's medical history form
470
104
1
5
1
<15% (I DGREE)
2
15% - < 20% (II DGREE)
3
20% - <30% (III DGREE)
4
?30% (IV DGREE)
5
Not recorded
Sysmiss
Was the cardiovascular risk estimated correctly?
Was the cardiovascular risk estimated correctly?
Was the cardiovascular risk estimated correctly?
Was the cardiovascular risk estimated correctly?
Was the cardiovascular risk estimated correctly?
Was the cardiovascular risk estimated correctly?
469
105
1
2
1
Yes
2
No
Sysmiss
ANTIHYPERTENSIVE DRUGS
ANTIHYPERTENSIVE DRUGS
ANTIHYPERTENSIVE DRUGS
ANTIHYPERTENSIVE DRUGS
ANTIHYPERTENSIVE DRUGS
USE WHO/ISH RISK PREDICTION CHART SELECT APPROPRATE CHART DEPENDING ON THE PRESENCE OR ABSENCE OF DIABETIS SELECT MALE OR FEMALE TABLES DEPENDING ON THE GENDER OF THE PATIENT SELECT SMOKER/NON-SMOKER BOXES DEPENDING ON THE SMOKING STATUS OF THE PATIENT SELECT AGE BOX WITHIN THE BOX FIND NEAREST CELL WHERE THE INDIVIDUALS SYSTOLIC BLOOD PRESSURE (MMHG) AND TOTAL BLOOD CHOLESTEROL LEVEL (MMOL/L) CROSS DEFINE THE RISK
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- ANTIHYPERTENSIVE DRUGS
574
1
2
1
Yes
2
No
LIPID LOWERING DRUGS (STATINS):
LIPID LOWERING DRUGS (STATINS):
LIPID LOWERING DRUGS (STATINS):
LIPID LOWERING DRUGS (STATINS):
LIPID LOWERING DRUGS (STATINS):
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- LIPID LOWERING DRUGS (STATINS):
574
1
2
1
Yes
2
No
HYPOGLYCEMIC DRUGS:
HYPOGLYCEMIC DRUGS:
HYPOGLYCEMIC DRUGS:
HYPOGLYCEMIC DRUGS:
HYPOGLYCEMIC DRUGS:
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- HYPOGLYCEMIC DRUGS:
574
1
2
1
Yes
2
No
ANTIPLATELETE DRUGS
ANTIPLATELETE DRUGS
ANTIPLATELETE DRUGS
ANTIPLATELETE DRUGS
ANTIPLATELETE DRUGS
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- ANTIPLATELETE DRUGS
574
1
2
1
Yes
2
No
HORMONE REPLACEMENT
HORMONE REPLACEMENT
HORMONE REPLACEMENT
HORMONE REPLACEMENT
HORMONE REPLACEMENT
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- HORMONE REPLACEMENT
574
1
2
1
Yes
2
No
VITAMIN B
VITAMIN B
VITAMIN B
VITAMIN B
VITAMIN B
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- VITAMIN B
574
1
2
1
Yes
2
No
VITAMIN C
VITAMIN C
VITAMIN C
VITAMIN C
VITAMIN C
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- VITAMIN C
574
1
2
1
Yes
2
No
VITAMIN E
VITAMIN E
VITAMIN E
VITAMIN E
VITAMIN E
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- VITAMIN E
574
1
2
1
Yes
2
No
FOLIC ACID SUPPLEMENTS
FOLIC ACID SUPPLEMENTS
FOLIC ACID SUPPLEMENTS
FOLIC ACID SUPPLEMENTS
FOLIC ACID SUPPLEMENTS
What treatment did the health worker prescribed to the patient? CIRCLE ALL THAT APPLY
- FOLIC ACID SUPPLEMENTS
574
1
2
1
Yes
2
No
Region
Region
Region
Region
Region
Region
793
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
District
793
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility number
Facility number
Facility number
Facility number
Facility number
Facility number
793
110101
312101
C2_FILTR_ CBA 2: CHILDREN FROM 2 MONTH UP TO 5 YEARS OLD
C2_FILTR_ CBA 2: CHILDREN FROM 2 MONTH UP TO 5 YEARS OLD
C2_FILTR_ CBA 2: CHILDREN FROM 2 MONTH UP TO 5 YEARS OLD
C2_FILTR_ CBA 2: CHILDREN FROM 2 MONTH UP TO 5 YEARS OLD
C2_FILTR_ CBA 2: CHILDREN FROM 2 MONTH UP TO 5 YEARS OLD
793
1
1
1
Yes
2
No
c2.4_dd
c2.4_dd
c2.4_dd
c2.4_dd
c2.4_dd
Today's date (day/month/year)
- day
793
1
30
c2.4_mm
c2.4_mm
c2.4_mm
c2.4_mm
c2.4_mm
Today's date (day/month/year)
- month
793
1
12
1
2
3
4
6
8
11
12
c2.4_yy
c2.4_yy
c2.4_yy
c2.4_yy
c2.4_yy
Today's date (day/month/year)
- year
793
2012
2015
2012
2013
2014
2015
Patient code
Patient code
Patient code
Patient code
Patient code
Patient code
791
2
-99
47
Patient's gender
Patient's gender
Patient's gender
Patient's gender
Patient's gender
Patient's gender
791
2
2
Not recorded
1
Male
2
Female
Sysmiss
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
Is patient's age recorded in the Medical History form?
NO > C1.9
784
9
1
No
1
Yes
Sysmiss
c2.7a_dd
c2.7a_dd
c2.7a_dd
c2.7a_dd
c2.7a_dd
If yes, please record the date of birth
-----------(dd)
790
3
1
31
c2.7a_mm
c2.7a_mm
c2.7a_mm
c2.7a_mm
c2.7a_mm
If yes, please record the date of birth
----------(mm)
790
3
1
12
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
c2.7a_yy
c2.7a_yy
c2.7a_yy
c2.7a_yy
c2.7a_yy
If yes, please record the date of birth
--------------(yy)
790
3
2009
2015
2009
2010
2011
2012
2013
2014
2015
Sysmiss
Reasons for bringing child to health facility recorded
Reasons for bringing child to health facility recorded
Reasons for bringing child to health facility recorded
Reasons for bringing child to health facility recorded
Reasons for bringing child to health facility recorded
Pull 10% of Medical Records (but not less than 5) of sick children in the past 3 months.
CIRCLE ALL SIGNES RECORDED BY THE PROVIDER IN THE PATIENT'S MEDICAL CARD
Reasons for bringing child to health facility recorded
793
1
2
1
Yes
2
No
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Reasons for bringing child to health facility recorded
- Diarrhea
773
20
1
2
1
Yes
2
No
Sysmiss
Fever
Fever
Fever
Fever
Fever
Reasons for bringing child to health facility recorded
- Fever
773
20
1
2
1
Yes
2
No
Sysmiss
Cough
Cough
Cough
Cough
Cough
Reasons for bringing child to health facility recorded
- Cough
773
20
1
2
1
Yes
2
No
Sysmiss
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Reasons for bringing child to health facility recorded
- Fast/difficult breathing/pneumonia
773
20
1
2
1
Yes
2
No
Sysmiss
Throat problems
Throat problems
Throat problems
Throat problems
Throat problems
Reasons for bringing child to health facility recorded
- Throat problems
773
20
1
2
1
Yes
2
No
Sysmiss
Ear Problem
Ear Problem
Ear Problem
Ear Problem
Ear Problem
Reasons for bringing child to health facility recorded
- Ear Problem
773
20
1
2
1
Yes
2
No
Sysmiss
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Reasons for bringing child to health facility recorded
- Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconscious
773
20
1
2
1
Yes
2
No
Sysmiss
OTHER (SPEIFY)
OTHER (SPEIFY)
OTHER (SPEIFY)
OTHER (SPEIFY)
OTHER (SPEIFY)
Reasons for bringing child to health facility recorded
- OTHER
773
20
1
2
1
Yes
2
No
Sysmiss
c2.8i_OTHER
c2.8i_OTHER
c2.8i_OTHER
c2.8i_OTHER
c2.8i_OTHER
Reasons for bringing child to health facility recorded
- OTHER (SPECIFY)
394
acute respiratory infection
acute respiratory infection, bronchitis
anemia
crying, restless
feeding difficulties
healthy
immunization
insomnia
intrauterine hypotrophy
loss of appetite
lowering the weight
lowering the weight, immunization
malnutrition moderate
moodiness
moodiness, restless
nausea
nose running
restless
restless child
restless child, insomnia
restless, irritated
routine examination
runny nose
runny nose, weakness
skin disease
sneezing
sneezing, loss of appetite
swelling
temperature rise
tonsilitis
vomiting
weakness
weakness, acute respiratory infection
weakness, loss of appetite
weakness, pain in abdomen
weakness, vomiting
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
Reasons for bringing child to health facility recorded
- Weight taken and recorded
773
20
1
2
1
Yes
2
No
Sysmiss
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
Reasons for bringing child to health facility recorded
- Temperature measured and recorded
773
20
1
2
1
Yes
2
No
Sysmiss
Is the patient's diagnosis recorded in the Medical Card?
Is the patient's diagnosis recorded in the Medical Card?
Is the patient's diagnosis recorded in the Medical Card?
Is the patient's diagnosis recorded in the Medical Card?
Is the patient's diagnosis recorded in the Medical Card?
Is the patient's diagnosis recorded in the Medical Card?
793
1
2
1
Yes
2
No
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Pneumonia
YES > Section 3
752
41
1
2
1
Yes
2
No
Sysmiss
Severe pneumonia
Severe pneumonia
Severe pneumonia
Severe pneumonia
Severe pneumonia
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Pneumonia
- Severe pneumonia
YES > Section 3
231
562
1
2
1
Yes
2
No
Sysmiss
No Pneumonia (cough or cold)
No Pneumonia (cough or cold)
No Pneumonia (cough or cold)
No Pneumonia (cough or cold)
No Pneumonia (cough or cold)
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Pneumonia
- No Pneumonia (cough or cold)
YES > Section 3
231
562
1
2
1
Yes
2
No
Sysmiss
Wheezing
Wheezing
Wheezing
Wheezing
Wheezing
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Pneumonia
- Wheezing
YES > Section 3
231
562
1
2
1
Yes
2
No
Sysmiss
Dehydration & Diarrhea
Dehydration & Diarrhea
Dehydration & Diarrhea
Dehydration & Diarrhea
Dehydration & Diarrhea
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
YES > Section 4
752
41
1
2
1
Yes
2
No
Sysmiss
Diarrhea with severe dehydration
Diarrhea with severe dehydration
Diarrhea with severe dehydration
Diarrhea with severe dehydration
Diarrhea with severe dehydration
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
- Diarrhea with severe dehydration
YES > Section 4
82
711
1
2
1
Yes
2
No
Sysmiss
Diarrhea with some dehydration
Diarrhea with some dehydration
Diarrhea with some dehydration
Diarrhea with some dehydration
Diarrhea with some dehydration
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
- Diarrhea with some dehydration
YES > Section 4
82
711
1
2
1
Yes
2
No
Sysmiss
No dehydration
No dehydration
No dehydration
No dehydration
No dehydration
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
- No dehydration
YES > Section 4
82
711
1
2
1
Yes
2
No
Sysmiss
Severe persistent Diarrhea
Severe persistent Diarrhea
Severe persistent Diarrhea
Severe persistent Diarrhea
Severe persistent Diarrhea
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
- Severe persistent Diarrhea
YES > Section 4
82
711
1
2
1
Yes
2
No
Sysmiss
Persistent Diarrhea
Persistent Diarrhea
Persistent Diarrhea
Persistent Diarrhea
Persistent Diarrhea
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
- Persistent Diarrhea
YES > Section 4
82
711
2
2
1
Yes
2
No
Sysmiss
Dysentery
Dysentery
Dysentery
Dysentery
Dysentery
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Dehydration & Diarrhea
- Dysentery
YES > Section 4
82
711
1
2
1
Yes
2
No
Sysmiss
Ear problems
Ear problems
Ear problems
Ear problems
Ear problems
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Ear problems
YES > Section 5
752
41
1
2
1
Yes
2
No
Sysmiss
Mastoiditis
Mastoiditis
Mastoiditis
Mastoiditis
Mastoiditis
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Ear problems
- Mastoiditis
YES > Section 5
15
778
1
2
1
Yes
2
No
Sysmiss
Acute ear infection
Acute ear infection
Acute ear infection
Acute ear infection
Acute ear infection
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Ear problems
- Acute ear infection
YES > Section 5
14
779
1
2
1
Yes
2
No
Sysmiss
Chronic ear infection
Chronic ear infection
Chronic ear infection
Chronic ear infection
Chronic ear infection
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Ear problems
- Chronic ear infection
YES > Section 5
14
779
2
2
1
Yes
2
No
Sysmiss
Fever
Fever
Fever
Fever
Fever
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Fever
YES > Section 6
752
41
1
2
1
Yes
2
No
Sysmiss
Very severe febrile diseases
Very severe febrile diseases
Very severe febrile diseases
Very severe febrile diseases
Very severe febrile diseases
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Fever
- Very severe febrile diseases
YES > Section 6
108
685
2
2
1
Yes
2
No
Sysmiss
Fever
Fever
Fever
Fever
Fever
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Fever
- Fever
YES > Section 6
108
685
1
2
1
Yes
2
No
Sysmiss
Measles with complications
Measles with complications
Measles with complications
Measles with complications
Measles with complications
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Fever
- Measles with complications
YES > Section 6
108
685
2
2
1
Yes
2
No
Sysmiss
Measles
Measles
Measles
Measles
Measles
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Fever
- Measles
YES > Section 6
108
685
2
2
1
Yes
2
No
Sysmiss
Malnutrition and Anemia
Malnutrition and Anemia
Malnutrition and Anemia
Malnutrition and Anemia
Malnutrition and Anemia
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
YES > Section 7
752
41
1
2
1
Yes
2
No
Sysmiss
Severe Malnutrition
Severe Malnutrition
Severe Malnutrition
Severe Malnutrition
Severe Malnutrition
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
- Severe Malnutrition
YES > Section 7
61
732
1
2
1
Yes
2
No
Sysmiss
Low weight
Low weight
Low weight
Low weight
Low weight
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
- Low weight
YES > Section 7
61
732
1
2
1
Yes
2
No
Sysmiss
Not low weight
Not low weight
Not low weight
Not low weight
Not low weight
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
- Not low weight
YES > Section 7
61
732
1
2
1
Yes
2
No
Sysmiss
Anaemia
Anaemia
Anaemia
Anaemia
Anaemia
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
- Anaemia
YES > Section 7
61
732
1
2
1
Yes
2
No
Sysmiss
Severe Anemia
Severe Anemia
Severe Anemia
Severe Anemia
Severe Anemia
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
- Severe Anemia
YES > Section 7
61
732
1
2
1
Yes
2
No
Sysmiss
No Anaemia
No Anaemia
No Anaemia
No Anaemia
No Anaemia
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
Malnutrition and Anemia
- No Anaemia
YES > Section 7
61
732
2
2
1
Yes
2
No
Sysmiss
OTHER
OTHER
OTHER
OTHER
OTHER
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
- OTHER
YES > END
752
41
1
2
1
Yes
2
No
Sysmiss
c2.12_6_OTHER
c2.12_6_OTHER
c2.12_6_OTHER
c2.12_6_OTHER
c2.12_6_OTHER
What is the patient's diagnosis recorded in the Medical Card? CIRCLE ALL THAT APPLY
- OTHER, SPECIFY
YES > END
335
Acute respiratory infection
Allergy
anemia
brain trauma
brain trauma with increased intracranial pressure
bronchitis
congenital heart disease
dropsy
enterobiasis
flatulence
healthy
hepatitis
immunization
immunzation
increased intracranial pressure
newborn in the period of adaptation
pharyngitis
routine examination
syndrome teething
tonsillitis
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Assess results of physical examination from IMCI medical form. In the absence of such form review the medical card of the patient CIRCLE ALL THAT APPLY
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
252
541
1
2
1
Yes
2
No
Sysmiss
Skin
Skin
Skin
Skin
Skin
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Skin
NO> C2.13.2
252
541
1
2
1
Yes
2
No
Sysmiss
Normal
Normal
Normal
Normal
Normal
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Skin
- Normal
221
572
1
2
1
Yes
2
No
Sysmiss
Distal cyanosis
Distal cyanosis
Distal cyanosis
Distal cyanosis
Distal cyanosis
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Skin
- Distal cyanosis
221
572
1
2
1
Yes
2
No
Sysmiss
Central cyanosis
Central cyanosis
Central cyanosis
Central cyanosis
Central cyanosis
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Skin
- Central cyanosis
221
572
1
2
1
Yes
2
No
Sysmiss
Cough
Cough
Cough
Cough
Cough
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
252
541
1
2
1
Yes
2
No
Sysmiss
Nasal discharge
Nasal discharge
Nasal discharge
Nasal discharge
Nasal discharge
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
- Nasal discharge
NO> C2.13.4
252
541
1
2
1
Yes
2
No
Sysmiss
A thin and clear discharge
A thin and clear discharge
A thin and clear discharge
A thin and clear discharge
A thin and clear discharge
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
- A thin and clear discharge
68
725
1
2
1
Yes
2
No
Sysmiss
A thick and yellowish or greenish yellow discharge
A thick and yellowish or greenish yellow discharge
A thick and yellowish or greenish yellow discharge
A thick and yellowish or greenish yellow discharge
A thick and yellowish or greenish yellow discharge
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
- A thick and yellowish or greenish yellow discharge
68
725
2
2
1
Yes
2
No
Sysmiss
A watery discharge
A watery discharge
A watery discharge
A watery discharge
A watery discharge
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
- A watery discharge
68
725
1
2
1
Yes
2
No
Sysmiss
A blood-streaked nasal discharge
A blood-streaked nasal discharge
A blood-streaked nasal discharge
A blood-streaked nasal discharge
A blood-streaked nasal discharge
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
- A blood-streaked nasal discharge
68
725
2
2
1
Yes
2
No
Sysmiss
A thick, green colored, one sided and foul smelling discharge
A thick, green colored, one sided and foul smelling discharge
A thick, green colored, one sided and foul smelling discharge
A thick, green colored, one sided and foul smelling discharge
A thick, green colored, one sided and foul smelling discharge
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Cough
- A thick, green colored, one sided and foul smelling discharge
68
725
2
2
1
Yes
2
No
Sysmiss
Drinks water/fluids
Drinks water/fluids
Drinks water/fluids
Drinks water/fluids
Drinks water/fluids
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Drinks water/fluids
252
541
1
2
1
Yes
2
No
Sysmiss
Vomiting
Vomiting
Vomiting
Vomiting
Vomiting
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Vomiting
252
541
1
2
1
Yes
2
No
Sysmiss
Child's general condition assessed and recorded
Child's general condition assessed and recorded
Child's general condition assessed and recorded
Child's general condition assessed and recorded
Child's general condition assessed and recorded
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Child's general condition assessed and recorded
NO > C2.13.7
252
541
1
2
1
Yes
2
No
Sysmiss
Lethargic or unconscious
Lethargic or unconscious
Lethargic or unconscious
Lethargic or unconscious
Lethargic or unconscious
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Child's general condition assessed and recorded
- Lethargic or unconscious
167
626
1
2
1
Yes
2
No
Sysmiss
Restless, irritable
Restless, irritable
Restless, irritable
Restless, irritable
Restless, irritable
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Child's general condition assessed and recorded
- Restless, irritable
167
626
1
2
1
Yes
2
No
Sysmiss
Convulsions
Convulsions
Convulsions
Convulsions
Convulsions
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Child's general condition assessed and recorded
- Convulsions
167
626
1
2
1
Yes
2
No
Sysmiss
Breathing
Breathing
Breathing
Breathing
Breathing
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Breathing
NO > C2.13.8
252
541
1
2
1
Yes
2
No
Sysmiss
Normal
Normal
Normal
Normal
Normal
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Breathing
- Normal
152
641
1
2
1
Yes
2
No
Sysmiss
Fast - Age <2 months: =>60/minute
Fast - Age <2 months: =>60/minute
Fast - Age <2 months: =>60/minute
Fast - Age <2 months: =>60/minute
Fast - Age <2 months: =>60/minute
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Breathing
- Fast - Age <2 months: =>60/minute
152
641
1
2
1
Yes
2
No
Sysmiss
Fast - Age 2-12 months: =>50/minute
Fast - Age 2-12 months: =>50/minute
Fast - Age 2-12 months: =>50/minute
Fast - Age 2-12 months: =>50/minute
Fast - Age 2-12 months: =>50/minute
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Breathing
- Fast - Age 2-12 months: =>50/minute
152
641
1
2
1
Yes
2
No
Sysmiss
Fast - Age 12 months to 5 years: =>40/minute
Fast - Age 12 months to 5 years: =>40/minute
Fast - Age 12 months to 5 years: =>40/minute
Fast - Age 12 months to 5 years: =>40/minute
Fast - Age 12 months to 5 years: =>40/minute
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Breathing
- Fast - Age 12 months to 5 years: =>40/minute
152
641
1
2
1
Yes
2
No
Sysmiss
Nasal flaring
Nasal flaring
Nasal flaring
Nasal flaring
Nasal flaring
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Nasal flaring
152
641
1
2
1
Yes
2
No
Sysmiss
Grunting
Grunting
Grunting
Grunting
Grunting
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Grunting
152
641
1
2
1
Yes
2
No
Sysmiss
Lower chest wall indrawing
Lower chest wall indrawing
Lower chest wall indrawing
Lower chest wall indrawing
Lower chest wall indrawing
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Lower chest wall indrawing
152
641
1
2
1
Yes
2
No
Sysmiss
Stridor when the child is calm
Stridor when the child is calm
Stridor when the child is calm
Stridor when the child is calm
Stridor when the child is calm
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Stridor when the child is calm
152
641
1
2
1
Yes
2
No
Sysmiss
Mouth breathing
Mouth breathing
Mouth breathing
Mouth breathing
Mouth breathing
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Mouth breathing
152
641
1
2
1
Yes
2
No
Sysmiss
Auscultation
Auscultation
Auscultation
Auscultation
Auscultation
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Auscultation
NO >C2.13.9
252
541
1
2
1
Yes
2
No
Sysmiss
Normal
Normal
Normal
Normal
Normal
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Normal
226
567
1
2
1
Yes
2
No
Sysmiss
Abnormal
Abnormal
Abnormal
Abnormal
Abnormal
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Abnormal
226
567
1
2
1
Yes
2
No
Sysmiss
Decreased breath sounds
Decreased breath sounds
Decreased breath sounds
Decreased breath sounds
Decreased breath sounds
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Abnormal
- Decreased breath sounds
226
567
1
2
1
Yes
2
No
Sysmiss
Bronchial breath sounds
Bronchial breath sounds
Bronchial breath sounds
Bronchial breath sounds
Bronchial breath sounds
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Abnormal
- Bronchial breath sounds
226
567
1
2
1
Yes
2
No
Sysmiss
Crackles
Crackles
Crackles
Crackles
Crackles
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Abnormal
- Crackles
226
567
1
2
1
Yes
2
No
Sysmiss
Plural rub
Plural rub
Plural rub
Plural rub
Plural rub
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Abnormal
- Plural rub
226
567
1
2
1
Yes
2
No
Sysmiss
Breath sounds are reduced or absent
Breath sounds are reduced or absent
Breath sounds are reduced or absent
Breath sounds are reduced or absent
Breath sounds are reduced or absent
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Abnormal
- Breath sounds are reduced or absent
226
567
1
2
1
Yes
2
No
Sysmiss
Temperature recorded
Temperature recorded
Temperature recorded
Temperature recorded
Temperature recorded
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Temperature recorded
252
541
1
2
1
Yes
2
No
Sysmiss
Temperature is =< 36.6?C
Temperature is =< 36.6?C
Temperature is =< 36.6?C
Temperature is =< 36.6?C
Temperature is =< 36.6?C
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Temperature recorded
- Temperature is =< 36.6?C
208
585
1
2
1
Yes
2
No
Sysmiss
Temperature is = >36.6?C
Temperature is = >36.6?C
Temperature is = >36.6?C
Temperature is = >36.6?C
Temperature is = >36.6?C
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Temperature recorded
- Temperature is = >36.6?C
208
585
1
2
1
Yes
2
No
Sysmiss
X-ray taken and results recorded
X-ray taken and results recorded
X-ray taken and results recorded
X-ray taken and results recorded
X-ray taken and results recorded
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
X-ray taken and results recorded
> C2.15
252
541
1
2
1
Yes
2
No
Sysmiss
Vaccination status recorded
Vaccination status recorded
Vaccination status recorded
Vaccination status recorded
Vaccination status recorded
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Vaccination status recorded
252
541
1
2
1
Yes
2
No
Sysmiss
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
252
541
1
2
1
Yes
2
No
Sysmiss
Very Severe Pneumonia
Very Severe Pneumonia
Very Severe Pneumonia
Very Severe Pneumonia
Very Severe Pneumonia
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
- Very Severe Pneumonia
252
541
1
2
1
Yes
2
No
Sysmiss
Severe Pneumonia
Severe Pneumonia
Severe Pneumonia
Severe Pneumonia
Severe Pneumonia
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
- Severe Pneumonia
252
541
1
2
1
Yes
2
No
Sysmiss
Pneumonia (non-severe)
Pneumonia (non-severe)
Pneumonia (non-severe)
Pneumonia (non-severe)
Pneumonia (non-severe)
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
- Pneumonia (non-severe)
252
541
1
2
1
Yes
2
No
Sysmiss
Pleural effusion and empyema
Pleural effusion and empyema
Pleural effusion and empyema
Pleural effusion and empyema
Pleural effusion and empyema
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
- Pleural effusion and empyema
252
541
1
2
1
Yes
2
No
Sysmiss
Cough or cold
Cough or cold
Cough or cold
Cough or cold
Cough or cold
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
- Cough or cold
252
541
1
2
1
Yes
2
No
Sysmiss
Classification not recorded
Classification not recorded
Classification not recorded
Classification not recorded
Classification not recorded
Are the following signs assessed and recorded in the Patient's Medical Card? CIRCLE ALL THAT APPLY
Diagnosis
-
251
542
1
2
1
Yes
2
No
Sysmiss
Treatment of Very Severe Pneumonia
Treatment of Very Severe Pneumonia
Treatment of Very Severe Pneumonia
Treatment of Very Severe Pneumonia
Treatment of Very Severe Pneumonia
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment of Very Severe Pneumonia
2
791
1
2
1
Yes
2
No
Sysmiss
Urgently referred to the hospital
Urgently referred to the hospital
Urgently referred to the hospital
Urgently referred to the hospital
Urgently referred to the hospital
Treatment of Very Severe Pneumonia
Was the patient: Urgently referred to the hospital
YES > C2.26
NO > C2.16
2
791
1
2
1
Yes
2
No
Sysmiss
Treated in outpatient settings
Treated in outpatient settings
Treated in outpatient settings
Treated in outpatient settings
Treated in outpatient settings
Treatment of Very Severe Pneumonia
Was the patient: Treated in outpatient settings
YES >C2.16.1
1
792
2
2
1
Yes
2
No
Sysmiss
No intervention initiated
No intervention initiated
No intervention initiated
No intervention initiated
No intervention initiated
Treatment of Very Severe Pneumonia
No intervention initiated
YES > C2.24
1
792
2
2
1
Yes
2
No
Sysmiss
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment of Very Severe Pneumonia
Treatment prescribed
1
792
2
2
1
Yes
2
No
Sysmiss
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Treatment of Very Severe Pneumonia
Antibiotic therapy
NO > C2.16.2
1
792
2
2
1
Yes
2
No
Sysmiss
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
Treatment of Very Severe Pneumonia
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
NO > A2
793
1
Yes
2
No
Sysmiss
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
Treatment of Very Severe Pneumonia
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
NO > B1
793
1
Yes
2
No
Sysmiss
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg
Treatment of Very Severe Pneumonia
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg IM once a day for 10 days
793
1
Yes
2
No
Sysmiss
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg
Treatment of Very Severe Pneumonia
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg IM once a day) and Cloxacillin (50 mg/kg IM or IV every 6 hours)
793
1
Yes
2
No
Sysmiss
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times
Treatment of Very Severe Pneumonia
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times a day for a total course of 3 weeks
793
1
Yes
2
No
Sysmiss
Other antibiotic
Other antibiotic
Other antibiotic
Other antibiotic
Other antibiotic
793
1
Yes
2
No
Sysmiss
Supportive treatment
Supportive treatment
Supportive treatment
Supportive treatment
Supportive treatment
Treatment of Very Severe Pneumonia
Supportive treatment
NO> C2.26
1
792
2
2
1
Yes
2
No
Sysmiss
Paracetamol ( if fever recorded)
Paracetamol ( if fever recorded)
Paracetamol ( if fever recorded)
Paracetamol ( if fever recorded)
Paracetamol ( if fever recorded)
Treatment of Very Severe Pneumonia
Supportive treatment
- Paracetamol ( if fever recorded)
793
1
Yes
2
No
Sysmiss
Bronchodilator
Bronchodilator
Bronchodilator
Bronchodilator
Bronchodilator
Treatment of Very Severe Pneumonia
Supportive treatment
- Bronchodilator
793
1
Yes
2
No
Sysmiss
Fluids
Fluids
Fluids
Fluids
Fluids
Treatment of Very Severe Pneumonia
Supportive treatment
- Fluids
793
1
Yes
2
No
Sysmiss
Oxygen Therapy
Oxygen Therapy
Oxygen Therapy
Oxygen Therapy
Oxygen Therapy
Treatment of Very Severe Pneumonia
Supportive treatment
- Oxygen Therapy
793
1
Yes
2
No
Sysmiss
Breastfeeding
Breastfeeding
Breastfeeding
Breastfeeding
Breastfeeding
Treatment of Very Severe Pneumonia
Supportive treatment
- Breastfeeding
793
1
Yes
2
No
Sysmiss
Patient monitored every 3 hours and status recorded
Patient monitored every 3 hours and status recorded
Patient monitored every 3 hours and status recorded
Patient monitored every 3 hours and status recorded
Patient monitored every 3 hours and status recorded
Treatment of Very Severe Pneumonia
Supportive treatment
- Patient monitored every 3 hours and status recorded
793
1
Yes
2
No
Sysmiss
Treatment of severe pneumonia
Treatment of severe pneumonia
Treatment of severe pneumonia
Treatment of severe pneumonia
Treatment of severe pneumonia
Treatment of Very Severe Pneumonia
22
771
1
2
1
Yes
2
No
Sysmiss
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Treatment of Very Severe Pneumonia
Has the Patient: Has the Patient: Being urgently referred to the Hospital
YES > C2.26
NO> C2.18.1
22
771
1
2
1
Yes
2
No
Sysmiss
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Treatment of Very Severe Pneumonia
Has the Patient: Has the Patient:Treated in outpatient settings
19
774
1
2
1
Yes
2
No
Sysmiss
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Treatment of Very Severe Pneumonia
No intervention initiated
19
774
2
2
1
Yes
2
No
Sysmiss
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment of Very Severe Pneumonia
19
774
1
2
1
Yes
2
No
Sysmiss
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Treatment of Very Severe Pneumonia
Antibiotic therapy
NO> C2.17.2
19
774
1
2
1
Yes
2
No
Sysmiss
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
Treatment of Very Severe Pneumonia
Antibiotic therapy
- Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
NO> A2
13
780
1
2
1
Yes
2
No
Sysmiss
When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day).
When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day).
When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day).
When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day).
When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day).
Treatment of Very Severe Pneumonia
Antibiotic therapy
- When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day). The total course of treatment is 5 days
NO> A3
13
780
1
2
1
Yes
2
No
Sysmiss
If the child did not improve within 48 hours, or deteriorated, switched to chlor
If the child did not improve within 48 hours, or deteriorated, switched to chlor
If the child did not improve within 48 hours, or deteriorated, switched to chlor
If the child did not improve within 48 hours, or deteriorated, switched to chlor
If the child did not improve within 48 hours, or deteriorated, switched to chlor
Treatment of Very Severe Pneumonia
Antibiotic therapy
- If the child did not improve within 48 hours, or deteriorated, switched to chloramphenicol (25 mg/kg every 8 hours IM or IV) until the child has improved. Then continued orally for a total course of 10 days.
13
780
1
2
1
Yes
2
No
Sysmiss
Supportive treatment
Supportive treatment
Supportive treatment
Supportive treatment
Supportive treatment
Treatment of Very Severe Pneumonia
Supportive treatment
NO> C2.26
19
774
1
2
1
Yes
2
No
Sysmiss
Paracetamol
Paracetamol
Paracetamol
Paracetamol
Paracetamol
Treatment of Very Severe Pneumonia
Supportive treatment
- Paracetamol
14
779
1
2
1
Yes
2
No
Sysmiss
Bronchodilator
Bronchodilator
Bronchodilator
Bronchodilator
Bronchodilator
Treatment of Very Severe Pneumonia
Supportive treatment
- Bronchodilator
14
779
1
2
1
Yes
2
No
Sysmiss
Fluids
Fluids
Fluids
Fluids
Fluids
Treatment of Very Severe Pneumonia
Supportive treatment
- Fluids
14
779
1
2
1
Yes
2
No
Sysmiss
Oxygen Therapy
Oxygen Therapy
Oxygen Therapy
Oxygen Therapy
Oxygen Therapy
Treatment of Very Severe Pneumonia
Supportive treatment
- Oxygen Therapy
14
779
1
2
1
Yes
2
No
Sysmiss
Breastfeeding
Breastfeeding
Breastfeeding
Breastfeeding
Breastfeeding
Treatment of Very Severe Pneumonia
Supportive treatment
- Breastfeeding
14
779
1
2
1
Yes
2
No
Sysmiss
Patient monitored every 6 hours and status recorded
Patient monitored every 6 hours and status recorded
Patient monitored every 6 hours and status recorded
Patient monitored every 6 hours and status recorded
Patient monitored every 6 hours and status recorded
Treatment of Very Severe Pneumonia
Supportive treatment
- Patient monitored every 6 hours and status recorded
14
779
1
2
1
Yes
2
No
Sysmiss
Treatment of Pneumonia (non-severe)
Treatment of Pneumonia (non-severe)
Treatment of Pneumonia (non-severe)
Treatment of Pneumonia (non-severe)
Treatment of Pneumonia (non-severe)
Treatment of Pneumonia (non-severe)
11
782
1
2
1
Yes
2
No
Sysmiss
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Treatment of Pneumonia (non-severe)
Has the Patient: Been urgently referred to the Hospital
YES > C2.26
NO> C2.19
11
782
1
2
1
Yes
2
No
Sysmiss
Has the Patient:Refused to be hospitalized
Has the Patient:Refused to be hospitalized
Has the Patient:Refused to be hospitalized
Has the Patient:Refused to be hospitalized
Has the Patient:Refused to be hospitalized
Treatment of Pneumonia (non-severe)
Has the Patient: Refused to be hospitalized
6
787
1
2
1
Yes
2
No
Sysmiss
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Has the Patient:Treated in outpatient settings
Treatment of Pneumonia (non-severe)
Has the Patient: Treated in outpatient settings
6
787
1
2
1
Yes
2
No
Sysmiss
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Has the Patient:No intervention initiated
Treatment of Pneumonia (non-severe)
No intervention initiated
6
787
1
2
1
Yes
2
No
Sysmiss
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment of Pneumonia (non-severe)
Treatment prescribed
11
782
1
2
1
Yes
2
No
Sysmiss
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Treatment of Pneumonia (non-severe)
Treatment prescribed
- Antibiotic therapy
NO> C2.21.2
11
782
1
2
1
Yes
2
No
Sysmiss
Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5
Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5
Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5
Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5
Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5
Treatment of Pneumonia (non-severe)
Treatment prescribed
- Antibiotic therapy: Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5 days or amoxicillin (15 mg/kg 3 times a day) for 5 days
7
786
1
2
1
Yes
2
No
Sysmiss
The first dose was given at the clinic and the mother was taught how to give the
The first dose was given at the clinic and the mother was taught how to give the
The first dose was given at the clinic and the mother was taught how to give the
The first dose was given at the clinic and the mother was taught how to give the
The first dose was given at the clinic and the mother was taught how to give the
Treatment of Pneumonia (non-severe)
Treatment prescribed
- Antibiotic therapy: The first dose was given at the clinic and the mother was taught how to give the other doses at home
7
786
1
2
1
Yes
2
No
Sysmiss
Follow-up visit set
Follow-up visit set
Follow-up visit set
Follow-up visit set
Follow-up visit set
Treatment of Pneumonia (non-severe)
- Follow-up visit set
NO> C2.26
11
782
1
2
1
Yes
2
No
Sysmiss
Treatment of pleural effusion and empyema
Treatment of pleural effusion and empyema
Treatment of pleural effusion and empyema
Treatment of pleural effusion and empyema
Treatment of pleural effusion and empyema
Treatment of pleural effusion and empyema
1
792
2
2
1
Yes
2
No
Sysmiss
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Treatment of pleural effusion and empyema
Has the Patient: Been urgently referred to the Hospital
YES > C2.26
NO> C2.23
1
792
2
2
1
Yes
2
No
Sysmiss
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Treatment of pleural effusion and empyema
Has the Patient: Refused to be hospitalized
793
1
Yes
2
No
Sysmiss
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Treatment of pleural effusion and empyema
Has the Patient: Treated in outpatient settings
793
1
Yes
2
No
Sysmiss
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Treatment of pleural effusion and empyema
No intervention initiated
793
1
Yes
2
No
Sysmiss
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment of pleural effusion and empyema
Treatment prescribed
1
792
2
2
1
Yes
2
No
Sysmiss
Drainage
Drainage
Drainage
Drainage
Drainage
Treatment of pleural effusion and empyema
Drainage
1
792
2
2
1
Yes
2
No
Sysmiss
Pleural fluid was sent for analyses for protein and glucose content, cell count
Pleural fluid was sent for analyses for protein and glucose content, cell count
Pleural fluid was sent for analyses for protein and glucose content, cell count
Pleural fluid was sent for analyses for protein and glucose content, cell count
Pleural fluid was sent for analyses for protein and glucose content, cell count
Treatment of pleural effusion and empyema
- Pleural fluid was sent for analyses for protein and glucose content, cell count and differential count, and examined after Gram and Ziehl-Neelsen staining, and bacterial and Mycobacterium tuberculosis culture.
NO> C2.23.3
1
792
2
2
1
Yes
2
No
Sysmiss
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Antibiotic therapy
Treatment of pleural effusion and empyema
Antibiotic therapy
NO> C2.23.4
1
792
2
2
1
Yes
2
No
Sysmiss
Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved.
Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved.
Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved.
Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved.
Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved.
Treatment of pleural effusion and empyema
Antibiotic therapy
- Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved. Then continued orally 3 times a day for a total of 4 weeks
793
1
Yes
2
No
Sysmiss
Mother educated on danger signs, treatment, feeding and care
Mother educated on danger signs, treatment, feeding and care
Mother educated on danger signs, treatment, feeding and care
Mother educated on danger signs, treatment, feeding and care
Mother educated on danger signs, treatment, feeding and care
Treatment of pleural effusion and empyema
Mother educated on danger signs, treatment, feeding and care
1
792
2
2
1
Yes
2
No
Sysmiss
Follow-up visit set
Follow-up visit set
Follow-up visit set
Follow-up visit set
Follow-up visit set
Treatment of pleural effusion and empyema
- Follow-up visit set
NO> C2.26
1
792
2
2
1
Yes
2
No
Sysmiss
Treatment of cough or cold
Treatment of cough or cold
Treatment of cough or cold
Treatment of cough or cold
Treatment of cough or cold
Treatment of cough or cold
196
597
1
2
1
Yes
2
No
Sysmiss
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Has the Patient: Being urgently referred to the Hospital
Treatment of cough or cold
Has the Patient: Been urgently referred to the Hospital
YES> C2.26
NO> C2.25
196
597
1
2
1
Yes
2
No
Sysmiss
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Has the Patient: Refused to be hospitalized
Treatment of cough or cold
Has the Patient: Refused to be hospitalized
193
600
1
2
1
Yes
2
No
Sysmiss
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Has the Patient: Treated in outpatient settings
Treatment of cough or cold
Has the Patient: Treated in outpatient settings
193
600
1
2
1
Yes
2
No
Sysmiss
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Has the Patient: No intervention initiated
Treatment of cough or cold
No intervention initiated
YES> C2.26
193
600
1
2
1
Yes
2
No
Sysmiss
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment prescribed
Treatment of cough or cold
Treatment prescribed
194
599
1
2
1
Yes
2
No
Sysmiss
The throat smoothened and the cough relieved with a safe remedy, such as a warm,
The throat smoothened and the cough relieved with a safe remedy, such as a warm,
The throat smoothened and the cough relieved with a safe remedy, such as a warm,
The throat smoothened and the cough relieved with a safe remedy, such as a warm,
The throat smoothened and the cough relieved with a safe remedy, such as a warm,
Treatment of cough or cold
The throat smoothened and the cough relieved with a safe remedy, such as a warm, sweet drink
194
599
1
2
1
Yes
2
No
Sysmiss
Secretions from the child's nose cleared
Secretions from the child's nose cleared
Secretions from the child's nose cleared
Secretions from the child's nose cleared
Secretions from the child's nose cleared
Treatment of cough or cold
Secretions from the child's nose cleared
194
599
1
2
1
Yes
2
No
Sysmiss
Paracetamol
Paracetamol
Paracetamol
Paracetamol
Paracetamol
Treatment of cough or cold
Paracetamol
194
599
1
2
1
Yes
2
No
Sysmiss
Not Advised:
Not Advised:
Not Advised:
Not Advised:
Not Advised:
Treatment of cough or cold
Not Advised:
194
599
1
2
1
Yes
2
No
Sysmiss
Not Advised: Antibiotics
Not Advised: Antibiotics
Not Advised: Antibiotics
Not Advised: Antibiotics
Not Advised: Antibiotics
Treatment of cough or cold
Not Advised: Antibiotics
194
599
1
2
1
Yes
2
No
Sysmiss
Not Advised: Medicated nose drops
Not Advised: Medicated nose drops
Not Advised: Medicated nose drops
Not Advised: Medicated nose drops
Not Advised: Medicated nose drops
Treatment of cough or cold
Not Advised: Medicated nose drops
194
599
1
2
1
Yes
2
No
Sysmiss
Not Advised: Remedies containing atropine
Not Advised: Remedies containing atropine
Not Advised: Remedies containing atropine
Not Advised: Remedies containing atropine
Not Advised: Remedies containing atropine
Treatment of cough or cold
Not Advised: Remedies containing atropine
194
599
1
2
1
Yes
2
No
Sysmiss
Follow-up visit set
Follow-up visit set
Follow-up visit set
Follow-up visit set
Follow-up visit set
Treatment of cough or cold
Follow-up visit set
194
599
1
2
1
Yes
2
No
Sysmiss
Patient Assessment complete
Patient Assessment complete
Patient Assessment complete
Patient Assessment complete
Patient Assessment complete
Treatment of cough or cold
Patient Assessment complete
217
576
1
2
1
Yes
2
No
Sysmiss
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Are the following signs assessed and recorded in the Patient's Medical Card?
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Are the following signs assessed and recorded in the Patient's Medical Card?
84
709
1
2
1
Yes
2
No
Sysmiss
Number of liquid stools recorded
Number of liquid stools recorded
Number of liquid stools recorded
Number of liquid stools recorded
Number of liquid stools recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Number of liquid stools recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Length of diarrhea recoded (for how long child has diarrhea)
Length of diarrhea recoded (for how long child has diarrhea)
Length of diarrhea recoded (for how long child has diarrhea)
Length of diarrhea recoded (for how long child has diarrhea)
Length of diarrhea recoded (for how long child has diarrhea)
Are the following signs assessed and recorded in the Patient's Medical Card?
- Length of diarrhea recoded (for how long child has diarrhea)
83
710
1
2
1
Yes
2
No
Sysmiss
Presence of blood recorded
Presence of blood recorded
Presence of blood recorded
Presence of blood recorded
Presence of blood recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Presence of blood recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Presence of vomiting recorded
Presence of vomiting recorded
Presence of vomiting recorded
Presence of vomiting recorded
Presence of vomiting recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Presence of vomiting recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Frequency of vomiting per 24 hours recorded
Frequency of vomiting per 24 hours recorded
Frequency of vomiting per 24 hours recorded
Frequency of vomiting per 24 hours recorded
Frequency of vomiting per 24 hours recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Frequency of vomiting per 24 hours recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Volume of liquid received by a child per 24 hours recorded
Volume of liquid received by a child per 24 hours recorded
Volume of liquid received by a child per 24 hours recorded
Volume of liquid received by a child per 24 hours recorded
Volume of liquid received by a child per 24 hours recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Volume of liquid received by a child per 24 hours recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Child
Child
Child
Child
Child
Are the following signs assessed and recorded in the Patient's Medical Card?
- Child's general condition assessed and recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Lethargic or unconscious
Lethargic or unconscious
Lethargic or unconscious
Lethargic or unconscious
Lethargic or unconscious
Are the following signs assessed and recorded in the Patient's Medical Card?
- Lethargic or unconscious
83
710
1
2
1
Yes
2
No
Sysmiss
Restless, irritable
Restless, irritable
Restless, irritable
Restless, irritable
Restless, irritable
Are the following signs assessed and recorded in the Patient's Medical Card?
- Restless, irritable
83
710
1
2
1
Yes
2
No
Sysmiss
Sunken eyes
Sunken eyes
Sunken eyes
Sunken eyes
Sunken eyes
Are the following signs assessed and recorded in the Patient's Medical Card?
- Sunken eyes
83
710
1
2
1
Yes
2
No
Sysmiss
Not able to drink or drinking poorly
Not able to drink or drinking poorly
Not able to drink or drinking poorly
Not able to drink or drinking poorly
Not able to drink or drinking poorly
Are the following signs assessed and recorded in the Patient's Medical Card?
- Not able to drink or drinking poorly
83
710
1
2
1
Yes
2
No
Sysmiss
Drinks eagerly, thirsty
Drinks eagerly, thirsty
Drinks eagerly, thirsty
Drinks eagerly, thirsty
Drinks eagerly, thirsty
Are the following signs assessed and recorded in the Patient's Medical Card?
- Drinks eagerly, thirsty
83
710
1
2
1
Yes
2
No
Sysmiss
Skin pinch goes back very slowly
Skin pinch goes back very slowly
Skin pinch goes back very slowly
Skin pinch goes back very slowly
Skin pinch goes back very slowly
Are the following signs assessed and recorded in the Patient's Medical Card?
- Skin pinch goes back very slowly
83
710
1
2
1
Yes
2
No
Sysmiss
Skin pinch goes back slowly
Skin pinch goes back slowly
Skin pinch goes back slowly
Skin pinch goes back slowly
Skin pinch goes back slowly
Are the following signs assessed and recorded in the Patient's Medical Card?
- Skin pinch goes back slowly
83
710
1
2
1
Yes
2
No
Sysmiss
Child
Child
Child
Child
Child
Are the following signs assessed and recorded in the Patient's Medical Card?
- Child's weight recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Weight is compared with the weight from the previous visit and result recorded
Weight is compared with the weight from the previous visit and result recorded
Weight is compared with the weight from the previous visit and result recorded
Weight is compared with the weight from the previous visit and result recorded
Weight is compared with the weight from the previous visit and result recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Weight is compared with the weight from the previous visit and result recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Less than 25 grams lost for each kilogram of the child
Less than 25 grams lost for each kilogram of the child
Less than 25 grams lost for each kilogram of the child
Less than 25 grams lost for each kilogram of the child
Less than 25 grams lost for each kilogram of the child
Are the following signs assessed and recorded in the Patient's Medical Card?
- Less than 25 grams lost for each kilogram of the child's weight
83
710
1
2
1
Yes
2
No
Sysmiss
25-100 grams lost for each kilogram of the child
25-100 grams lost for each kilogram of the child
25-100 grams lost for each kilogram of the child
25-100 grams lost for each kilogram of the child
25-100 grams lost for each kilogram of the child
Are the following signs assessed and recorded in the Patient's Medical Card?
- 25-100 grams lost for each kilogram of the child's weight
83
710
1
2
1
Yes
2
No
Sysmiss
More than 100 grams for each kilogram of weight
More than 100 grams for each kilogram of weight
More than 100 grams for each kilogram of weight
More than 100 grams for each kilogram of weight
More than 100 grams for each kilogram of weight
Are the following signs assessed and recorded in the Patient's Medical Card?
- More than 100 grams for each kilogram of weight
83
710
1
2
1
Yes
2
No
Sysmiss
Temperature recorded
Temperature recorded
Temperature recorded
Temperature recorded
Temperature recorded
Are the following signs assessed and recorded in the Patient's Medical Card?
- Temperature recorded
83
710
1
2
1
Yes
2
No
Sysmiss
Temperature is < 38.5
Temperature is < 38.5
Temperature is < 38.5
Temperature is < 38.5
Temperature is < 38.5
Are the following signs assessed and recorded in the Patient's Medical Card?
- Temperature is < 38.5
83
710
1
2
1
Yes
2
No
Sysmiss
Temperature is >38.5
Temperature is >38.5
Temperature is >38.5
Temperature is >38.5
Temperature is >38.5
Are the following signs assessed and recorded in the Patient's Medical Card?
- Temperature is >38.5
83
710
1
2
1
Yes
2
No
Sysmiss
Radial Pulse
Radial Pulse
Radial Pulse
Radial Pulse
Radial Pulse
Are the following signs assessed and recorded in the Patient's Medical Card?
- Radial Pulse
83
710
1
2
1
Yes
2
No
Sysmiss
Radial pulse normal
Radial pulse normal
Radial pulse normal
Radial pulse normal
Radial pulse normal
Are the following signs assessed and recorded in the Patient's Medical Card?
- Radial pulse normal
83
710
1
2
1
Yes
2
No
Sysmiss
Radial pulse weak
Radial pulse weak
Radial pulse weak
Radial pulse weak
Radial pulse weak
Are the following signs assessed and recorded in the Patient's Medical Card?
- Radial pulse weak
83
710
1
2
1
Yes
2
No
Sysmiss
Radial pulse quick
Radial pulse quick
Radial pulse quick
Radial pulse quick
Radial pulse quick
Are the following signs assessed and recorded in the Patient's Medical Card?
- Radial pulse quick
83
710
1
2
1
Yes
2
No
Sysmiss
Radial pulse not detectable
Radial pulse not detectable
Radial pulse not detectable
Radial pulse not detectable
Radial pulse not detectable
Are the following signs assessed and recorded in the Patient's Medical Card?
- Radial pulse quick
83
710
1
2
1
Yes
2
No
Sysmiss
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Is the degree of dehydration defined and recorded in the medical card?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Is the degree of dehydration defined and recorded in the medical card?
NO > STEP 3
83
710
1
2
1
Yes
2
No
Sysmiss
Severe Dehydration
Severe Dehydration
Severe Dehydration
Severe Dehydration
Severe Dehydration
Is the degree of dehydration defined and recorded in the medical card?
- Severe Dehydration
YES> C2.29
50
743
1
2
1
Yes
2
No
Sysmiss
Some Dehydration
Some Dehydration
Some Dehydration
Some Dehydration
Some Dehydration
Is the degree of dehydration defined and recorded in the medical card?
- Some Dehydration
YES> C2.29.4
43
750
1
2
1
Yes
2
No
Sysmiss
Treatment of Severe Dehydration
Treatment of Severe Dehydration
Treatment of Severe Dehydration
Treatment of Severe Dehydration
Treatment of Severe Dehydration
Treatment of Severe Dehydration
44
749
1
2
1
Yes
2
No
Sysmiss
IV fluid administered immediately
IV fluid administered immediately
IV fluid administered immediately
IV fluid administered immediately
IV fluid administered immediately
Treatment of Severe Dehydration
IV fluid administered immediately
43
750
1
2
1
Yes
2
No
Sysmiss
Child is reassessed every 1-2 hours and recorded:
Child is reassessed every 1-2 hours and recorded:
Child is reassessed every 1-2 hours and recorded:
Child is reassessed every 1-2 hours and recorded:
Child is reassessed every 1-2 hours and recorded:
Treatment of Severe Dehydration
Child is reassessed every 1-2 hours and recorded:
NO? C2.29.1.3
4
789
1
2
1
Yes
2
No
Sysmiss
Hydration status improved
Hydration status improved
Hydration status improved
Hydration status improved
Hydration status improved
Treatment of Severe Dehydration
Child is reassessed every 1-2 hours and recorded:
Hydration status improved
NO? C2.29.1.4
4
789
1
2
1
Yes
2
No
Sysmiss
Hydration status not improved
Hydration status not improved
Hydration status not improved
Hydration status not improved
Hydration status not improved
Treatment of Severe Dehydration
Child is reassessed every 1-2 hours and recorded:
Hydration status not improved
NO? C2.29.1.2
3
790
2
2
1
Yes
2
No
Sysmiss
IV fluid administered immediately
IV fluid administered immediately
IV fluid administered immediately
IV fluid administered immediately
IV fluid administered immediately
Treatment of Severe Dehydration
IV fluid administered immediately
3
790
1
2
1
Yes
2
No
Sysmiss
Infant
Infant
Infant
Infant
Infant
Treatment of Severe Dehydration
IV fluid administered immediately
- Infant - 70 ml/kg in 5 hour
4
789
1
2
1
Yes
2
No
Sysmiss
Child
Child
Child
Child
Child
Treatment of Severe Dehydration
IV fluid administered immediately
- Child - 70 ml/kg in 2 ½ hours
3
790
1
1
1
Yes
2
No
Sysmiss
ORS is given (about 5 ml/kg/hour):
ORS is given (about 5 ml/kg/hour):
ORS is given (about 5 ml/kg/hour):
ORS is given (about 5 ml/kg/hour):
ORS is given (about 5 ml/kg/hour):
Treatment of Severe Dehydration
ORS is given (about 5 ml/kg/hour):
42
751
1
2
1
Yes
2
No
Sysmiss
Child is reassessed and recorded:
Child is reassessed and recorded:
Child is reassessed and recorded:
Child is reassessed and recorded:
Child is reassessed and recorded:
Treatment of Severe Dehydration
Child is reassessed and recorded:
79
714
1
2
1
Yes
2
No
Sysmiss
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Treatment of Severe Dehydration
Dehydration classified and treatment plan defined to continue the treatment
79
714
1
2
1
Yes
2
No
Sysmiss
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
Treatment of Severe Dehydration
The patient has been referred URGENTLY to hospital for IV treatment
NO> C2.29.3
79
714
1
2
1
Yes
2
No
Sysmiss
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour
Treatment of Severe Dehydration
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour for 6 hours. Total of 120 ml/kg)
79
714
1
2
1
Yes
2
No
Sysmiss
Treatment of Some Dehydration with ORS
Treatment of Some Dehydration with ORS
Treatment of Some Dehydration with ORS
Treatment of Some Dehydration with ORS
Treatment of Some Dehydration with ORS
Treatment of Some Dehydration with ORS
83
710
1
2
1
Yes
2
No
Sysmiss
Amount of ORS determined and given to the patient during first 4 hours
Amount of ORS determined and given to the patient during first 4 hours
Amount of ORS determined and given to the patient during first 4 hours
Amount of ORS determined and given to the patient during first 4 hours
Amount of ORS determined and given to the patient during first 4 hours
Treatment of Some Dehydration with ORS
Amount of ORS determined and given to the patient during first 4 hours
83
710
1
2
1
Yes
2
No
Sysmiss
Child is reassessed after 4 hours and status recorded
Child is reassessed after 4 hours and status recorded
Child is reassessed after 4 hours and status recorded
Child is reassessed after 4 hours and status recorded
Child is reassessed after 4 hours and status recorded
Treatment of Some Dehydration with ORS
Child is reassessed after 4 hours and status recorded
83
710
1
2
1
Yes
2
No
Sysmiss
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
The patient has been referred URGENTLY to hospital for IV treatment
Treatment of Some Dehydration with ORS
The patient has been referred URGENTLY to hospital for IV treatment
YES > END
83
710
1
2
1
Yes
2
No
Sysmiss
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Dehydration classified and treatment plan defined to continue the treatment
Treatment of Some Dehydration with ORS
Dehydration classified and treatment plan defined to continue the treatment
66
727
1
2
1
Yes
2
No
Sysmiss
Home based treatment prescribed
Home based treatment prescribed
Home based treatment prescribed
Home based treatment prescribed
Home based treatment prescribed
Treatment of Some Dehydration with ORS
Home based treatment prescribed
NO > END
66
727
1
2
1
Yes
2
No
Sysmiss
Zinc supplements prescribed
Zinc supplements prescribed
Zinc supplements prescribed
Zinc supplements prescribed
Zinc supplements prescribed
Treatment of Some Dehydration with ORS
Zinc supplements prescribed
44
749
1
2
1
Yes
2
No
Sysmiss
ORS packets given to mother
ORS packets given to mother
ORS packets given to mother
ORS packets given to mother
ORS packets given to mother
Treatment of Some Dehydration with ORS
ORS packets given to mother
44
749
1
2
1
Yes
2
No
Sysmiss
Next (return) appointment defined
Next (return) appointment defined
Next (return) appointment defined
Next (return) appointment defined
Next (return) appointment defined
Treatment of Some Dehydration with ORS
Next (return) appointment defined
44
749
1
2
1
Yes
2
No
Sysmiss
Ear Pain
Ear Pain
Ear Pain
Ear Pain
Ear Pain
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Ear Pain
YES > C2.30.A
13
780
1
2
1
Yes
2
No
Sysmiss
Ear discharge recorded
Ear discharge recorded
Ear discharge recorded
Ear discharge recorded
Ear discharge recorded
Ear discharge recorded
YES > C2.31.A
13
780
1
2
1
Yes
2
No
Sysmiss
Ear discharge recorded for less than 2 weeks
Ear discharge recorded for less than 2 weeks
Ear discharge recorded for less than 2 weeks
Ear discharge recorded for less than 2 weeks
Ear discharge recorded for less than 2 weeks
Ear discharge recorded
- Ear discharge recorded for less than 2 weeks
NO > C2.31.B
5
788
1
2
1
Yes
2
No
Sysmiss
Ear discharge recorded for more than 2 weeks
Ear discharge recorded for more than 2 weeks
Ear discharge recorded for more than 2 weeks
Ear discharge recorded for more than 2 weeks
Ear discharge recorded for more than 2 weeks
Ear discharge recorded
- Ear discharge recorded for more than 2 weeks
5
788
2
2
1
Yes
2
No
Sysmiss
Ear examined and Pus draining recorded
Ear examined and Pus draining recorded
Ear examined and Pus draining recorded
Ear examined and Pus draining recorded
Ear examined and Pus draining recorded
Ear examined and Pus draining recorded
13
780
1
2
1
Yes
2
No
Sysmiss
Tender swelling behind the ear
Tender swelling behind the ear
Tender swelling behind the ear
Tender swelling behind the ear
Tender swelling behind the ear
Tender swelling behind the ear
13
780
2
2
1
Yes
2
No
Sysmiss
Classification/Diagnosis: Mastoiditis
Classification/Diagnosis: Mastoiditis
Classification/Diagnosis: Mastoiditis
Classification/Diagnosis: Mastoiditis
Classification/Diagnosis: Mastoiditis
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Classification/Diagnosis: Mastoiditis
YES> STEP 3
13
780
2
2
1
Yes
2
No
Sysmiss
Classification/Diagnosis: Acute Ear Infection
Classification/Diagnosis: Acute Ear Infection
Classification/Diagnosis: Acute Ear Infection
Classification/Diagnosis: Acute Ear Infection
Classification/Diagnosis: Acute Ear Infection
Classification/Diagnosis: Acute Ear Infection
YES > C2.37
13
780
1
2
1
Yes
2
No
Sysmiss
Classification/Diagnosis: Chronic Ear Infection
Classification/Diagnosis: Chronic Ear Infection
Classification/Diagnosis: Chronic Ear Infection
Classification/Diagnosis: Chronic Ear Infection
Classification/Diagnosis: Chronic Ear Infection
Classification/Diagnosis: Chronic Ear Infection
YES > C2.38
13
780
2
2
1
Yes
2
No
Sysmiss
Classification/Diagnosis: No Ear Infection
Classification/Diagnosis: No Ear Infection
Classification/Diagnosis: No Ear Infection
Classification/Diagnosis: No Ear Infection
Classification/Diagnosis: No Ear Infection
Classification/Diagnosis: No Ear Infection
YES > C2.39
13
780
2
2
1
Yes
2
No
Sysmiss
Mastoiditis
Mastoiditis
Mastoiditis
Mastoiditis
Mastoiditis
Treatment
- Mastoiditis
793
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Treatment
- Mastoiditis: Has the patient referred to hospital?
YES> C2.36.3
793
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Treatment
- Mastoiditis: Has the patient referred to Specialist?
YES> C2.36.3
793
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Treatment
- Mastoiditis: Has the pre-referral treatment initiated?
NO > END
793
1
Yes
2
No
Sysmiss
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
Treatment
- Mastoiditis: Has the pre-referral treatment initiated?
- First dose of antibiotic given
793
1
Yes
2
No
Sysmiss
The first dose of Paracetamol given in case of present ear pain
The first dose of Paracetamol given in case of present ear pain
The first dose of Paracetamol given in case of present ear pain
The first dose of Paracetamol given in case of present ear pain
The first dose of Paracetamol given in case of present ear pain
Treatment
- Mastoiditis: Has the pre-referral treatment initiated?
- The first dose of Paracetamol given in case of present ear pain
> END
793
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Treatment
Acute Ear Infection
- Has the patient referred to hospital?
YES> C2.37.3
10
783
1
2
1
Yes
2
No
Sysmiss
Has the patient been referred to specialist?
Has the patient been referred to specialist?
Has the patient been referred to specialist?
Has the patient been referred to specialist?
Has the patient been referred to specialist?
Treatment
Acute Ear Infection
- Has the patient been referred to specialist?
YES> C2.37.3
10
783
1
2
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Treatment
Acute Ear Infection
- Has the pre-referral treatment initiated?
NO> C2.38
10
783
1
2
1
Yes
2
No
Sysmiss
Oral Amoxicillin given and prescribed for 3 days
Oral Amoxicillin given and prescribed for 3 days
Oral Amoxicillin given and prescribed for 3 days
Oral Amoxicillin given and prescribed for 3 days
Oral Amoxicillin given and prescribed for 3 days
Treatment
Acute Ear Infection
- Has the pre-referral treatment initiated?
- Oral Amoxicillin given and prescribed for 3 days
8
785
1
1
1
Yes
2
No
Sysmiss
Paracetamol given in case of ear pain
Paracetamol given in case of ear pain
Paracetamol given in case of ear pain
Paracetamol given in case of ear pain
Paracetamol given in case of ear pain
Treatment
Acute Ear Infection
- Has the pre-referral treatment initiated?
- Paracetamol given in case of ear pain
8
785
1
2
1
Yes
2
No
Sysmiss
Follow-up visit in 2 days recorded
Follow-up visit in 2 days recorded
Follow-up visit in 2 days recorded
Follow-up visit in 2 days recorded
Follow-up visit in 2 days recorded
Treatment
Acute Ear Infection
- Has the pre-referral treatment initiated?
- Follow-up visit in 2 days recorded
8
785
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Treatment
Chronic Ear Infection
- Has the patient referred to hospital?
YES> C2.38.3
793
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Treatment
Chronic Ear Infection
- Has the patient referred to Specialist?
YES> C2.38.3
793
1
Yes
2
No
Sysmiss
Has the treatment initiated?
Has the treatment initiated?
Has the treatment initiated?
Has the treatment initiated?
Has the treatment initiated?
Treatment
Chronic Ear Infection
- Has the treatment initiated?
NO> C2.39
793
1
Yes
2
No
Sysmiss
Ear was dried by wicking
Ear was dried by wicking
Ear was dried by wicking
Ear was dried by wicking
Ear was dried by wicking
Treatment
Chronic Ear Infection
- Has the treatment initiated?
- Ear was dried by wicking
793
1
Yes
2
No
Sysmiss
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Treatment
Chronic Ear Infection
- Has the treatment initiated?
- Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
793
1
Yes
2
No
Sysmiss
Referred to the specialist
Referred to the specialist
Referred to the specialist
Referred to the specialist
Referred to the specialist
Treatment
Chronic Ear Infection
- Has the treatment initiated?
- Referred to the specialist
793
1
Yes
2
No
Sysmiss
Has the patient referred to hospital for ear problems?
Has the patient referred to hospital for ear problems?
Has the patient referred to hospital for ear problems?
Has the patient referred to hospital for ear problems?
Has the patient referred to hospital for ear problems?
Treatment
No Ear Infection
- Has the patient referred to hospital for ear problems?
YES> C2.39.3
793
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist for ear problems?
Has the patient referred to Specialist for ear problems?
Has the patient referred to Specialist for ear problems?
Has the patient referred to Specialist for ear problems?
Has the patient referred to Specialist for ear problems?
Treatment
No Ear Infection
- Has the patient referred to Specialist for ear problems?
YES> C2.39.3
793
1
Yes
2
No
Sysmiss
Has the treatment initiated?
Has the treatment initiated?
Has the treatment initiated?
Has the treatment initiated?
Has the treatment initiated?
Treatment
No Ear Infection
- Has the treatment initiated?
NO > END
793
1
Yes
2
No
Sysmiss
Ear was dried by wicking
Ear was dried by wicking
Ear was dried by wicking
Ear was dried by wicking
Ear was dried by wicking
Treatment
No Ear Infection
- Has the treatment initiated?
- Ear was dried by wicking
793
1
Yes
2
No
Sysmiss
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Treatment
No Ear Infection
- Has the treatment initiated?
- Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
793
1
Yes
2
No
Sysmiss
Other?
Other?
Other?
Other?
Other?
Treatment
No Ear Infection
- Has the treatment initiated?
- Other?
793
1
Yes
2
No
Sysmiss
q2.39.3c_OTHER
q2.39.3c_OTHER
q2.39.3c_OTHER
q2.39.3c_OTHER
q2.39.3c_OTHER
Treatment
No Ear Infection
- Other? Specify
Temperature in anamnesis recorded
Temperature in anamnesis recorded
Temperature in anamnesis recorded
Temperature in anamnesis recorded
Temperature in anamnesis recorded
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Temperature in anamnesis recorded
NO> C2.31
107
686
1
2
1
Yes
2
No
Sysmiss
Number of days recorded
Number of days recorded
Number of days recorded
Number of days recorded
Number of days recorded
Temperature in anamnesis recorded
- Number of days recorded
YES > C2.30.B
105
688
1
2
1
Yes
2
No
Sysmiss
If more than 7 days has the fever been present every day?
If more than 7 days has the fever been present every day?
If more than 7 days has the fever been present every day?
If more than 7 days has the fever been present every day?
If more than 7 days has the fever been present every day?
Temperature in anamnesis recorded
- If more than 7 days has the fever been present every day?
39
754
2
2
1
Yes
2
No
Sysmiss
A child been in Malaria zone during past year assessed and recorded
A child been in Malaria zone during past year assessed and recorded
A child been in Malaria zone during past year assessed and recorded
A child been in Malaria zone during past year assessed and recorded
A child been in Malaria zone during past year assessed and recorded
A child been in Malaria zone during past year assessed and recorded
107
686
1
2
1
Yes
2
No
Sysmiss
A child having measles in past 3 months assessed and recorded
A child having measles in past 3 months assessed and recorded
A child having measles in past 3 months assessed and recorded
A child having measles in past 3 months assessed and recorded
A child having measles in past 3 months assessed and recorded
A child having measles in past 3 months assessed and recorded
107
686
2
2
1
Yes
2
No
Sysmiss
The child examined on stiff neck and recorded
The child examined on stiff neck and recorded
The child examined on stiff neck and recorded
The child examined on stiff neck and recorded
The child examined on stiff neck and recorded
The child examined on stiff neck and recorded
107
686
2
2
1
Yes
2
No
Sysmiss
Child assessed on runny nose and recorded
Child assessed on runny nose and recorded
Child assessed on runny nose and recorded
Child assessed on runny nose and recorded
Child assessed on runny nose and recorded
Child assessed on runny nose and recorded
107
686
1
2
1
Yes
2
No
Sysmiss
Signs of measles recorded
Signs of measles recorded
Signs of measles recorded
Signs of measles recorded
Signs of measles recorded
Signs of measles recorded
107
686
1
2
1
Yes
2
No
Sysmiss
Generalized rash
Generalized rash
Generalized rash
Generalized rash
Generalized rash
Signs of measles recorded
- Generalized rash
YES > C2.36
1
792
2
2
1
Yes
2
No
Sysmiss
Runny nose
Runny nose
Runny nose
Runny nose
Runny nose
Signs of measles recorded
- Runny nose
YES > C2.36
1
792
2
2
1
Yes
2
No
Sysmiss
Red eyes
Red eyes
Red eyes
Red eyes
Red eyes
Signs of measles recorded
- Red eyes
YES > C2.36
1
792
2
2
1
Yes
2
No
Sysmiss
Mouth ulcers present
Mouth ulcers present
Mouth ulcers present
Mouth ulcers present
Mouth ulcers present
Signs of measles recorded
- Mouth ulcers present
YES > C2.36
1
792
2
2
1
Yes
2
No
Sysmiss
Pus draining from the eye
Pus draining from the eye
Pus draining from the eye
Pus draining from the eye
Pus draining from the eye
Signs of measles recorded
- Pus draining from the eye
YES > C2.36
1
792
2
2
1
Yes
2
No
Sysmiss
Clouded cornea
Clouded cornea
Clouded cornea
Clouded cornea
Clouded cornea
Signs of measles recorded
- Clouded cornea
YES > C2.36
1
792
2
2
1
Yes
2
No
Sysmiss
Signs of complicated measles assessed and recorded
Signs of complicated measles assessed and recorded
Signs of complicated measles assessed and recorded
Signs of complicated measles assessed and recorded
Signs of complicated measles assessed and recorded
Signs of complicated measles assessed and recorded
2
791
2
2
1
Yes
2
No
Sysmiss
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Signs of complicated measles assessed and recorded
- Diarrhea
793
1
Yes
2
No
Sysmiss
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Pneumonia
Signs of complicated measles assessed and recorded
- Pneumonia
793
1
Yes
2
No
Sysmiss
Stridor
Stridor
Stridor
Stridor
Stridor
Signs of complicated measles assessed and recorded
- Stridor
793
1
Yes
2
No
Sysmiss
Mouth ulcers
Mouth ulcers
Mouth ulcers
Mouth ulcers
Mouth ulcers
Signs of complicated measles assessed and recorded
- Mouth ulcers
793
1
Yes
2
No
Sysmiss
Ear infection
Ear infection
Ear infection
Ear infection
Ear infection
Signs of complicated measles assessed and recorded
- Ear infection
793
1
Yes
2
No
Sysmiss
Eye infection
Eye infection
Eye infection
Eye infection
Eye infection
Signs of complicated measles assessed and recorded
- Eye infection
793
1
Yes
2
No
Sysmiss
Severe complicated measles
Severe complicated measles
Severe complicated measles
Severe complicated measles
Severe complicated measles
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- Severe complicated measles
YES > C2.38
107
686
2
2
1
Yes
2
No
Sysmiss
Measles with eye or mouth complications
Measles with eye or mouth complications
Measles with eye or mouth complications
Measles with eye or mouth complications
Measles with eye or mouth complications
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- Measles with eye or mouth complications
YES > C2.39
107
686
2
2
1
Yes
2
No
Sysmiss
Measles
Measles
Measles
Measles
Measles
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- Measles
YES > C2.40
107
686
2
2
1
Yes
2
No
Sysmiss
Severe Febrile disease
Severe Febrile disease
Severe Febrile disease
Severe Febrile disease
Severe Febrile disease
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- Severe Febrile disease
YES > C2.41
107
686
1
2
1
Yes
2
No
Sysmiss
Simple fever
Simple fever
Simple fever
Simple fever
Simple fever
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- Simple fever
YES > C2.42
107
686
1
2
1
Yes
2
No
Sysmiss
Malaria
Malaria
Malaria
Malaria
Malaria
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- Malaria
YES > C2.43
107
686
1
2
1
Yes
2
No
Sysmiss
OTHER
OTHER
OTHER
OTHER
OTHER
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- OTHER
107
686
1
2
1
Yes
2
No
Sysmiss
c2.37g_Other
c2.37g_Other
c2.37g_Other
c2.37g_Other
c2.37g_Other
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
- OTHER, SPECIFY
55
acute bronchitis
acute bronchitis, anemia
acute pneumonia
acute respiratory infection
acute respiratory infection, bronchitis
cough
cough and cold
diarrhea
diarrhea without dehydratation
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the patient referred to hospital?
YES> C2.38.3
793
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the patient referred to Specialist?
YES> C2.38.3
793
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated:
NO>END
793
1
Yes
2
No
Sysmiss
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: First dose of antibiotic given
793
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Vitamin A
793
1
Yes
2
No
Sysmiss
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Tetracycline eye ointment applied
793
1
Yes
2
No
Sysmiss
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Mouth ulcers treated with gentian violet
793
1
Yes
2
No
Sysmiss
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Paracetamol given for high fever (38,50 C or above)
793
1
Yes
2
No
Sysmiss
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Child treated to prevent low blood sugar
793
1
Yes
2
No
Sysmiss
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Follow up in 2 days scheduled
793
1
Yes
2
No
Sysmiss
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe complicated measles
- Has the pre-referral treatment initiated: Referred for further assessment
793
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the patient referred to hospital?
YES> C2.39.3
793
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the patient referred to Specialist?
YES> C2.39.3
793
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated?
NO> END
793
1
Yes
2
No
Sysmiss
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : First dose of antibiotic given
793
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Vitamin A
793
1
Yes
2
No
Sysmiss
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Tetracycline eye ointment applied
793
1
Yes
2
No
Sysmiss
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Mouth ulcers treated with gentian violet
793
1
Yes
2
No
Sysmiss
Paracetamol given for high fever (38,5 C or above)
Paracetamol given for high fever (38,5 C or above)
Paracetamol given for high fever (38,5 C or above)
Paracetamol given for high fever (38,5 C or above)
Paracetamol given for high fever (38,5 C or above)
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Paracetamol given for high fever (38,5 C or above)
793
1
Yes
2
No
Sysmiss
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Child treated to prevent low blood sugar
793
1
Yes
2
No
Sysmiss
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Follow up in 2 days scheduled
793
1
Yes
2
No
Sysmiss
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles with eye or mouth complications
- Has the pre-referral treatment initiated? : Referred for further assessment
793
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the patient referred to hospital?
YES> C2.40.3
793
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the patient referred to Specialist?
YES> C2.40.3
793
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?
NO>END
793
1
Yes
2
No
Sysmiss
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: First dose of antibiotic given
793
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Vitamin A
793
1
Yes
2
No
Sysmiss
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Tetracycline eye ointment applied
793
1
Yes
2
No
Sysmiss
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Mouth ulcers treated with gentian violet
793
1
Yes
2
No
Sysmiss
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Paracetamol given for high fever (38,50 C or above)
793
1
Yes
2
No
Sysmiss
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Child treated to prevent low blood sugar
793
1
Yes
2
No
Sysmiss
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Follow up in 2 days scheduled
793
1
Yes
2
No
Sysmiss
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Measles
- Has the pre-referral treatment initiated?: Referred for further assessment
793
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the patient referred to hospital?
YES> C2.41.3
1
792
1
1
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the patient referred to Specialist?
YES> C2.41.3
1
792
1
1
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?:
NO> END
1
792
1
1
1
Yes
2
No
Sysmiss
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: First dose of antibiotic given
1
792
1
1
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Vitamin A
1
792
2
2
1
Yes
2
No
Sysmiss
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Tetracycline eye ointment applied
1
792
2
2
1
Yes
2
No
Sysmiss
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Mouth ulcers treated with gentian violet
1
792
2
2
1
Yes
2
No
Sysmiss
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Paracetamol given for high fever (38,50 C or above)
1
792
2
2
1
Yes
2
No
Sysmiss
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Child treated to prevent low blood sugar
1
792
2
2
1
Yes
2
No
Sysmiss
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Follow up in 2 days scheduled
1
792
2
2
1
Yes
2
No
Sysmiss
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Severe fever
- Has the pre-referral treatment initiated?: Referred for further assessment
1
792
2
2
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the patient referred to hospital?
YES> C2.42.3
43
750
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the patient referred to Specialist?
YES> C2.42.3
43
750
1
2
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? :
NO> END
43
750
1
2
1
Yes
2
No
Sysmiss
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
First dose of antibiotic given
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : First dose of antibiotic given
42
751
1
2
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Vitamin A
42
751
2
2
1
Yes
2
No
Sysmiss
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Tetracycline eye ointment applied
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Tetracycline eye ointment applied
42
751
2
2
1
Yes
2
No
Sysmiss
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Mouth ulcers treated with gentian violet
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Mouth ulcers treated with gentian violet
42
751
2
2
1
Yes
2
No
Sysmiss
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Paracetamol given for high fever (38,50 C or above)
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Paracetamol given for high fever (38,50 C or above)
42
751
1
2
1
Yes
2
No
Sysmiss
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Child treated to prevent low blood sugar
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Child treated to prevent low blood sugar
42
751
2
2
1
Yes
2
No
Sysmiss
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Follow up in 2 days scheduled
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Follow up in 2 days scheduled
42
751
1
2
1
Yes
2
No
Sysmiss
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Referred for further assessment
Check treatment provided and/or prescribed as recorded in the medical card and circle all that apply
Fever
- Has the pre-referral treatment initiated? : Referred for further assessment
42
751
1
2
1
Yes
2
No
Sysmiss
Weight recorded
Weight recorded
Weight recorded
Weight recorded
Weight recorded
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Weight recorded
- Severe wasting observed and recorded
61
732
1
2
1
Yes
2
No
Sysmiss
Palmar Pallor observed and recorded
Palmar Pallor observed and recorded
Palmar Pallor observed and recorded
Palmar Pallor observed and recorded
Palmar Pallor observed and recorded
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Palmar Pallor observed and recorded
61
732
1
2
1
Yes
2
No
Sysmiss
Edema of both feet observed and recorded
Edema of both feet observed and recorded
Edema of both feet observed and recorded
Edema of both feet observed and recorded
Edema of both feet observed and recorded
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Edema of both feet observed and recorded
61
732
1
2
1
Yes
2
No
Sysmiss
Wight for age determined and recorded
Wight for age determined and recorded
Wight for age determined and recorded
Wight for age determined and recorded
Wight for age determined and recorded
Assess results of physical examination from the medical card of the patient CIRCLE ALL THAT APPLY
Weight for age determined and recorded
61
732
1
2
1
Yes
2
No
Sysmiss
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Classification: Severe malnutrition or severe anemia
YES > C2.48
61
732
1
2
1
Yes
2
No
Sysmiss
Anemia or very low weight
Anemia or very low weight
Anemia or very low weight
Anemia or very low weight
Anemia or very low weight
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Classification: Anaemia or very low weight
YES > C2.49
61
732
1
2
1
Yes
2
No
Sysmiss
No anemia and not very low weight
No anemia and not very low weight
No anemia and not very low weight
No anemia and not very low weight
No anemia and not very low weight
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Classification: No anaemia and not very low weight
YES > C2.50
61
732
1
2
1
Yes
2
No
Sysmiss
Other
Other
Other
Other
Other
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Classification: Other
61
732
1
2
1
Yes
2
No
Sysmiss
c2.47d_Other
c2.47d_Other
c2.47d_Other
c2.47d_Other
c2.47d_Other
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Classification: Other, Specify
3
mild malnutrition
moderate anemia
moderate malnutrition
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Severe malnutrition or severe anemia
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
4
789
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the patient referred to hospital?
YES > C2.48.3
4
789
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the patient referred to Specialist?
YES > C2.48.3
4
789
2
2
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the pre-referral treatment initiated?
4
789
1
2
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the pre-referral treatment initiated?: Vitamin A
4
789
2
2
1
Yes
2
No
Sysmiss
Iron
Iron
Iron
Iron
Iron
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the pre-referral treatment initiated?: Iron
4
789
1
2
1
Yes
2
No
Sysmiss
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the pre-referral treatment initiated?: Follow up visit scheduled
4
789
1
2
1
Yes
2
No
Sysmiss
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
Severe malnutrition or severe anemia
- Has the pre-referral treatment initiated?: Mother consulted on feeding
> STEP 4
4
789
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the patient referred to hospital?
YES > C2.49.3
46
747
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the patient referred to Specialist?
YES > C2.49.3
46
747
1
2
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the pre-referral treatment initiated?:
46
747
1
2
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the pre-referral treatment initiated?: Vitamin A
32
761
1
2
1
Yes
2
No
Sysmiss
Iron
Iron
Iron
Iron
Iron
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the pre-referral treatment initiated?: Iron
32
761
1
2
1
Yes
2
No
Sysmiss
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the pre-referral treatment initiated?: Follow up visit scheduled
32
761
1
2
1
Yes
2
No
Sysmiss
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- Anemia or very low weight
Has the pre-referral treatment initiated?: Mother consulted on feeding
> STEP 4
32
761
1
2
1
Yes
2
No
Sysmiss
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Has the patient referred to hospital?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the patient referred to hospital?
YES > C2.50.3
1
792
1
1
1
Yes
2
No
Sysmiss
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Has the patient referred to Specialist?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the patient referred to Specialist?
YES > C2.50.3
1
792
2
2
1
Yes
2
No
Sysmiss
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Has the pre-referral treatment initiated?
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the pre-referral treatment initiated? :
793
1
Yes
2
No
Sysmiss
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Vitamin A
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the pre-referral treatment initiated? : Vitamin A
793
1
Yes
2
No
Sysmiss
Iron
Iron
Iron
Iron
Iron
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the pre-referral treatment initiated? : Iron
793
1
Yes
2
No
Sysmiss
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Follow up visit scheduled
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the pre-referral treatment initiated? : Follow up visit scheduled
793
1
Yes
2
No
Sysmiss
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Mother consulted on feeding
Please check the diagnosis recorded in the IMCI form or medical card and circle respective classification below
Treatment
- No anemia and not very low weight
Has the pre-referral treatment initiated? : Mother consulted on feeding
2
791
2
2
1
Yes
2
No
Sysmiss
Region
Region
Region
Region
Region
Region
504
1
2
1
SOGD
2
KHATLON
District
District
District
District
District
District
504
11
31
11
12
13
14
15
21
22
23
24
25
26
27
28
29
30
31
Facility number
Facility number
Facility number
Facility number
Facility number
Facility number
504
110401
312601
c3.4_dd
c3.4_dd
c3.4_dd
c3.4_dd
c3.4_dd
Today's date (day/month/year)
- day
504
-99
31
c3.4_mm
c3.4_mm
c3.4_mm
c3.4_mm
c3.4_mm
Today's date (day/month/year)
- month
504
-99
12
c3.4_yy
c3.4_yy
c3.4_yy
c3.4_yy
c3.4_yy
Today's date (day/month/year)
- year
504
2014
2015
2014
2015
Patient code
Patient code
Patient code
Patient code
Patient code
Patient code
503
1
-99
99
Patient
Patient
Patient
Patient
Patient
Patient's gender
501
3
2
Not recorded
1
Male
2
Female
Sysmiss
Is patient
Is patient
Is patient
Is patient
Is patient
Is patient's age recorded in the Medical History form?
NO > C1.9
504
1
No
1
Yes
c3.7a_dd
c3.7a_dd
c3.7a_dd
c3.7a_dd
c3.7a_dd
If yes, please record the date of birth
-----------(dd)
NO >C1.9
480
24
1
31
c3.7a_mm
c3.7a_mm
c3.7a_mm
c3.7a_mm
c3.7a_mm
If yes, please record the date of birth
----------(mm)
NO >C1.9
480
24
1
12
1
2
3
4
5
6
7
8
9
10
11
12
Sysmiss
c3.7a_yy
c3.7a_yy
c3.7a_yy
c3.7a_yy
c3.7a_yy
If yes, please record the date of birth
--------------(yy)
NO >C1.9
480
24
1959
2014
Child is sick
Child is sick
Child is sick
Child is sick
Child is sick
Pull 5 patient records of one year old that have been vaccinated in the past 6 months.
Assess results of physical examination from the medical card of the child
Child is sick
NO > C3.12
504
1
2
1
Yes
2
No
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Diarrhea
28
476
1
2
1
Yes
2
No
Sysmiss
Fever
Fever
Fever
Fever
Fever
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Fever
28
476
2
2
1
Yes
2
No
Sysmiss
Cough
Cough
Cough
Cough
Cough
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Cough
28
476
1
2
1
Yes
2
No
Sysmiss
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Fast/difficult breathing/pneumonia
28
476
1
2
1
Yes
2
No
Sysmiss
Throat problems
Throat problems
Throat problems
Throat problems
Throat problems
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Throat problems
28
476
1
2
1
Yes
2
No
Sysmiss
Ear Problem
Ear Problem
Ear Problem
Ear Problem
Ear Problem
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Ear Problem
28
476
2
2
1
Yes
2
No
Sysmiss
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconscious
28
476
2
2
1
Yes
2
No
Sysmiss
AIDS
AIDS
AIDS
AIDS
AIDS
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- AIDS
28
476
1
2
1
Yes
2
No
Sysmiss
OTHER
OTHER
OTHER
OTHER
OTHER
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- OTHER
28
476
1
2
1
Yes
2
No
Sysmiss
c3.9i_OTHER
c3.9i_OTHER
c3.9i_OTHER
c3.9i_OTHER
c3.9i_OTHER
Contradictions to immunization observed and recorded CIRCLE ALL SIGNES RECORDED
- OTHER, SPECIFY
1
increased intracranial pressure
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
Weight taken and recorded
29
475
1
2
1
Yes
2
No
Sysmiss
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
Temperature measured and recorded
29
475
1
1
1
Yes
2
No
Sysmiss
Has the decision made to immunize a child on a given day?
Has the decision made to immunize a child on a given day?
Has the decision made to immunize a child on a given day?
Has the decision made to immunize a child on a given day?
Has the decision made to immunize a child on a given day?
Has the decision made to immunize a child on a given day?
YES > STEP 3
504
1
2
1
Yes
2
No
Diarrhea
Diarrhea
Diarrhea
Diarrhea
Diarrhea
What were the reasons for postponing the vaccination?
- Diarrhea
28
476
1
2
1
Yes
2
No
Sysmiss
Fever
Fever
Fever
Fever
Fever
What were the reasons for postponing the vaccination?
- Fever
28
476
2
2
1
Yes
2
No
Sysmiss
Cough
Cough
Cough
Cough
Cough
What were the reasons for postponing the vaccination?
- Cough
28
476
1
2
1
Yes
2
No
Sysmiss
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
Fast/difficult breathing/pneumonia
What were the reasons for postponing the vaccination?
- Fast/difficult breathing/pneumonia
28
476
2
2
1
Yes
2
No
Sysmiss
Throat problems
Throat problems
Throat problems
Throat problems
Throat problems
What were the reasons for postponing the vaccination?
- Throat problems
28
476
1
2
1
Yes
2
No
Sysmiss
Ear Problem
Ear Problem
Ear Problem
Ear Problem
Ear Problem
What were the reasons for postponing the vaccination?
- Ear Problem
28
476
2
2
1
Yes
2
No
Sysmiss
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
What were the reasons for postponing the vaccination?
- Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconscious
28
476
2
2
1
Yes
2
No
Sysmiss
AIDS
AIDS
AIDS
AIDS
AIDS
What were the reasons for postponing the vaccination?
- AIDS
28
476
2
2
1
Yes
2
No
Sysmiss
OTHER
OTHER
OTHER
OTHER
OTHER
What were the reasons for postponing the vaccination?
- OTHER
28
476
1
2
1
Yes
2
No
Sysmiss
c3.13i_OTHER
c3.13i_OTHER
c3.13i_OTHER
c3.13i_OTHER
c3.13i_OTHER
What were the reasons for postponing the vaccination?
- OTHER, SPECIFY
5
age not suitable
does not match the immunization schedule
does not vaccinated in RHC
increased intracranial pressure
vaccination is not received due to schedule
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
Has the follow up visit scheduled for vaccination?
43
461
1
2
1
Yes
2
No
Sysmiss
Has the treatment prescribed to a sick child?
Has the treatment prescribed to a sick child?
Has the treatment prescribed to a sick child?
Has the treatment prescribed to a sick child?
Has the treatment prescribed to a sick child?
Has the treatment prescribed to a sick child?
43
461
1
2
1
Yes
2
No
Sysmiss
Has the vaccine administered to a child as per the immunization calendar and sta
Has the vaccine administered to a child as per the immunization calendar and sta
Has the vaccine administered to a child as per the immunization calendar and sta
Has the vaccine administered to a child as per the immunization calendar and sta
Has the vaccine administered to a child as per the immunization calendar and sta
STEP 3: CHECK IMMUNIZATION
Has the vaccine administered to a child as per the immunization calendar and status?
504
1
2
1
Yes
2
No