Accueil / Catalogue de données central / NER-DS-MSP-SARA-2015-V0.1
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ENQUETE SUR L'EVALUATION DE LA DISPONIBILITE ET LA CAPACITE OPERATIONNELLE DES SERVICES DE SANTE AU NIGER (SARA) 2015

Niger, , 2015
Direction des Statistiques
Dernière modification September 27, 2022 Affichage par page 47262 Métadonnées DDI/XML JSON

Data file: DB_SARA_2015

Cases 372
variables 1166

variables

q005
Region/Province
q007
Type d’établissement
q007_a
q008
Managing authority
q008_a
q009
Urban/rural
q010
Outpatient only
q015
Consent
q016_a
Hour beginning
q016_b
Minutes beginning
q200_01a
Médecins généralistes (non spécialistes) AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_01b
Médecins généralistes (non spécialistes) À TEMPS PARTIEL
q200_02a
Médecins spécialistes AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_02b
Médecins spécialiste À TEMPS PARTIEL
q200_03a
Autres cliniciens (techniciens supérieurs de santé) AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_04a
Professionnels des soins infirmiers (IC, IB, ASB, IDE, TSSI) AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_05a
Professionnels des soins obstétricaux (Sage-femmes, TSSO) AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_08a
Pharmaciens AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_11a
Techniciens de laboratoire (TL, TSL, BIOLOGISTE) AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q200_12a
Auxiliaires (manœuvres, Filles de salle, matrone, ASC) AFFECTÉS/ EMPLOYÉS/ DÉTACHÉS
q301
Number overnight/inpatient beds
q302
Number of maternity beds
q400
Land line telephone
q401
Cellular telephone
q402
Short wave radio
q403
Computer
q404
Acces to email/internet
q405
Ambulance- have/own
q406
Ambulance- access to
q407
Fuel available for ambulance
q408
Electricity available any source
q409
Electricity used for
q410
Electricity main source
q410_a
Electricity main source_autre
q411
Electricity secondary source
q411_a
q412
Electricity reliability
q413
q414
Fuel/battery available for generator
q416
Solar system functional
q417
Facility open hours
q418
Most common source of water
q418_a
q419
Water source on facility premises
q420
Room with auditory and visual privacy
q421
Toilet
q422
Guidelines standard precautions
q423_01a
Electric autoclave- available
q423_01b
Electric autoclave- functioning
q423_02a
Non-electric autoclave- available
q423_02b
Non-electric autoclave- functioning
q423_03a
Stérilisateur électrique à chaleur sèche (Poupinel) DISPONIBLE
q423_03b
Stérilisateur électrique à chaleur sèche (Poupinel) FONCTIONNE
q423_04a
Electric boiler or steamer- available
q423_04b
Electric boiler or steamer- functioning
q423_05a
Non-electric pot with cover- available
q423_06a
Heat source for non-electric equipment- available
q423_06b
Heat source for non-electric equipment- functioning
q424
Final disposal of sharps
q424_a
q425
Final disposal of medical waste
q425_a
q427
Incinerator functioning today
q428
Fuel available for incinerator
q430
Last supervision visit from DHMT
q431_01
Pharmacy
q431_02
Staffing
q431_03
Data
ins_q500
EQUIPMENT INSTRUCTION
q500_01a
Adult weighing scale- available
q500_01b
Adult weighing scale- functioning
q500_02a
Child weighing scale- available
q500_02b
Child weighing scale- functioning
q500_03a
Infant weighing scale-available
q500_03b
Infant weighing scale-functioning
q500_04a
Mètre ruban (ou toise ou toise murale)- available
q500_04b
Mètre ruban (ou toise ou toise murale)- functioning
q500_05a
Thermometer- available
q500_05b
Thermometer- functioning
q500_06a
Stethoscope- available
q500_06b
Stethoscope- functioning
q500_07a
Blood pressure apparatus- available
q500_07b
Blood pressure apparatus- functioning
q500_08a
Light source- available
q500_08b
Light source- functioning
q500_09a
Intravenous infusion kits- available
q500_10a
Concentrateurs d’oxygène DISPONIBLE
q500_10b
Concentrateurs d’oxygène FONCTIONNE
q500_11a
Oxygen cylinders- available
q500_11b
Oxygen cylinders- functioning
q500_12a
Central oxygen supply- available
q500_12b
Central oxygen supply- functioning
q500_13a
Flowmeter for oxygen therapy- available
q500_13b
Flowmeter for oxygen therapy- functioning
q500_14a
Oxygen delivery apparatus- available
q500_14b
Oxygen delivery apparatus- functioning
q501
Oxygen unavailable any time past 3 months
q600_01
Clean running water
q600_02
Hand washing soap
q600_03
Alcohol based hand rub
q600_04
Disposable latex gloves
q600_05
Waste receptacle
q600_07
Désinfectant environnemental (par exemple chlore, alcool, eau de janvel)
q600_08
Disposable syringes with disposable needles
q600_09
Auto-disable syringes
q700
Family planning services offered
q701_01
Pilules contraceptives orales combinées (estrogène-progestérone) (Oralcon, Stedi)
q701_02
Progestin-only contraceptive pills
q701_03
Combined estrogen progesterone injectable contraceptives
q701_04
Progestin-only injectable contraceptives
q701_05
Male condoms
q701_06
Female condoms
q701_07
IUCD
q701_08
Implants (Jadel, Implanon)
q701_09
Cycle beads
q701_10
Emergency contraceptive pill
q701_11
Male sterilization
q701_12
Female sterilization
q702_01
Combined estrogen progesterone oral contraceptive pills
q702_02
Male condoms
q702_03
Emergency contraceptive pill
q702_04
IUCD
q703_01
Guidelines family planning
q703_02
Family planning check-lists/job-aids
q703_03
Régistre pour les nouvelles utilisatrices (méthode de longue durée)
q704_01
Staff trained family planning
q704_02
Staff trained adolescent sexual health
q705
Stock contraceptives
q706_01
Combined estrogen progesterone oral contraceptive pills
q706_02
Progestin-only contraceptive pills (Microlut)
q706_03
Combined estrogen progesterone injectable contraceptives (Oralcon,Stédiril,Adepa
q706_04
Progestin-only injectable contraceptives (Sayana press, Dépo provera,....)
q706_05
Male condoms
q706_06
Female condoms
q706_07
Implant (3 ans et 5 ans l)
q706_08
Emergency contraceptive pills
q706_09
Intrauterine contraceptive device (IUCD)
q707_01
Female condoms stockout
q707_02
Implant stockout (3 ans ou 5 ans)
q707_03
Emergency contraceptive pills stockout
q800
ANC services offered
q801_01
Iron supplementation
q801_02
Folic acid and iron supplementation
q801_03
IPT for malaria
q801_04
Tetanus toxoid vaccination
q801_05
Monitoring for hypertensive disorder of pregnancy
q801_07
Dépistage de la malnutrition
q802_01
Guidelines ANC
q802_02
Fiches CPNR vierges
q802_03
Directives nationales, liste de contrôle et/ou fiche de prise en charge pour le
q802_04
Régistre de CPNR
q803_01
Staff trained ANC
q803_02
Staff trained IPTp
q900
PMTCT services offered
q901_01
HIV counseling and testing to pregnant women
q901_02
HIV counseling and testing to infants born to HIV+ women
q901_03
ARV prophylaxis to HIV+ pregnant women
q901_04
ARV prophylaxis to newborns of HIV+ pregnant women
q901_05
Infant and young child feeding counseling
q901_06
Nutritional counseling for HIV+ women and their infants
q901_07
Family planning counseling to HIV+ pregnant women
q902_01
Guidelines PMTCT
q902_02
Guidelines infant and young child feeding
q903_01
Staff trained PMTCT
q903_02
Staff trained in infant and young child feeding
q904
Room with auditory/visual privacy for PMTCT
q1000
Delivery services offered
q1001_01
Administration of oxytocin injection
q1001_02
Monitoring of labour with partograph
q1001_03
Immediate and exclusive breastfeeding
q1001_04
Hygenic cord care
q1001_05
Protection thermique (séchage du nouveau-né immédiatement après la naissance con
q1001_06
Conseils sur l'allaitement maternel exclusif
q1002_01
Parenteral administration of antibiotics
q1002_02
Parenteral administration of oxytocic
q1002_03
Parenteral administration of magnesium sulphate
q1002_04
Assisted vaginal delivery
q1002_05
Manual removal of placenta
q1002_06
Aspiration manuelle intra-Utérine (AMIU)
q1002_07
Neonatal resuscitation
q1002_08
Cesarean section
q1002_09
Blood transfusion
q1002_10
Antibiotics for preterm or prolonged PROM
q1002_11
Corticosteroids in preterm labour
q1002_12
Kangaroo mother care
q1002_13
Injectable antibiotics for neonatal sepsis
q1002_14
Administration par voie orale du Misoprostol pour le traitement de l?hémorragie
q1003_01
Guidelines essential childbirth care
q1003_02
Régistre d'accouchement
q1003_03
Guidelines essential newborn care
q1004_01
Staff trained newbon resuscitation
q1004_02
Staff trained essential childbirth care
q1005_01a
Examination light- available
q1005_01b
Examination light- functioning
q1005_02a
Delivery pack- available
q1005_02b
Delivery pack- functioning
q1005_03a
Cord clamp- available
q1005_03b
Cord clamp- functioning
q1005_04a
Episiotomy scissors- available
q1005_04b
Episiotomy scissors- functioning
q1005_05a
Scissors or blade to cut cord- available
q1005_05b
Scissors or blade to cut cord- functioning
q1005_06a
Suture material with needle- available
q1005_07a
Needle holder- available
q1005_07b
Needle holder- functioning
q1005_08a
Manual vacuum extractor- available
q1005_08b
Manual vacuum extractor- functioning
q1005_09a
Vacuum aspirator or D&C kit- available
q1005_09b
Vacuum aspirator or D&C kit- functioning
q1005_10a
Incubator- available
q1005_10b
Incubator- functioning
q1005_11a
Disposable latex gloves
q1005_12a
Blank partograph
q1005_13a
Delivery bed- available
q1005_13b
Delivery bed- functioning
q1005_14a
Resuscitation table (with heat source)- available
q1005_14b
Resuscitation table (with heat source)- functioning
q1005_15a
Newborn bag and mask size 1 for term babies- available
q1005_15b
Newborn bag and mask size 1 for term babies- functioning
q1005_16a
Newborn bag and mask size 0 for pre-term babies- available
q1005_16b
Newborn bag and mask size 0 for pre-term babies- functioning
q1005_17a
Electric suction pump- available
q1005_17b
Electric suction pump- functioning
q1005_18a
Suction catheter- available
q1005_18b
Suction catheter- functioning
q1005_19a
Suction bulb, single use- available
q1005_19b
Suction bulb, single use- functioning
q1005_20a
Suction bulb, sterilizable multi-use- available
q1005_20b
Suction bulb, sterilizable multi-use- functioning
q1005_21a
Speculum- available
q1005_21b
Speculum- functioning
q1005_22a
Infant weighing scale- available
q1005_22b
Infant weighing scale- functioning
q1005_23a
Blood pressure apparatus- available
q1005_23b
Blood pressure apparatus- functioning
q1005_24a
Clean running water- available
q1005_25a
Hand washing soap- available
q1005_26a
Alcohol based hand rub- available
q1006
Stock obstetric care meds
q1007_01
Antibiotic eye ointment for newborn
q1007_02
Gentamicin injection
q1007_03
Ampicillin powder for injection
q1007_04
Hydralazine injection
q1007_05
Metronidazole injection
q1007_06
Azithromycin cap/tab or oral liquid
q1007_07
Cefixime cap/tab
q1007_08
Benzathine benzylpenicillin powder for injection
q1007_09
Nifedipine cap/tab
q1007_10
Methyldopa tablet
q1007_11
Calcium gluconate injection
q1007_12
Magnesium sulphate injectable
q1007_13
Skin disinfectant
q1007_14
Intravenous solution with infusion set
q1007_15
Sodium chloride injectable solution
q1007_16
Betamethasone injection
q1007_17
Dexamethasone injection
q1007_18
Oxytocin injection
q1007_19
Misoprostol cap/tab
q1008
Oxytocin stored in cold storage
q1010
Guidelines CEmOC
q1011
Staff trained CEmOC
q1012
Health worker for caesarean section 24hrs
q1013
Anaesthestist 24hrs
q1100
Immunization services offered
q1101
Facility provide immunization services today
q1102_01
Doses de naissance (*BCG VPO)
q1102_02
Vaccination infantile (Penta, Pneumo, Rota, VAR et VAA)
q1102_04
Vaccination pour femme enceinte (Tétanos)
q1103
Frequency offering routine full child immunization at facility
q1103_a
q1104
Frequency offering routine full child immunization as outreach
q1104_a
q1105
Guidelines child immunization
q1106_01
Staff trained immunization service delivery
q1106_02
Staff trained vaccine management and cold chain
q1106_03
Staff trained data reporting and monitoring of service delivery
q1106_04
Staff trained disease surveillance and reporting
q1106_05
Staff trained injection safety and waste management
q1106_06
Staff trained RED
q1106_07
Staff trained new vaccine prior to introduction
q1107_01
Auto-disable syringes
q1107_02
Sharps container
q1107_03
Vaccine carriers
q1107_04
Ice packs
q1107_05
Immunization cards
q1107_06
Cahier de pointage officiel pour la vaccination ou feuille de pointage intégrée
q1107_07
Official immunization registers
q1108
Refrigerator available and functioning
q1109
Energy source fridge
q1111_01a
Thermometer- available
q1111_01b
Thermometer- functioning
q1111_02a
Enregistreur continu de température (Fridge-tag)- available
q1111_02b
Enregistreur continu de température (Fridge-tag)- functioning
q1112
Temperature of fridge monitored twice daily
q1113
Temperature log completed last 30 days
q1114
Temperature out of range in last 30 days
q1116_01
Measles vaccine and diluent
q1116_02
DPT-Hib-HepB
q1116_03
Oral polio vaccine
q1116_04
BCG vaccine and diluent
q1116_05
Rotavirus vaccine
q1116_06
Pneumococcal vaccine
q1116_07
Antitetanic vaccine
q1117_01
Measles vaccine and diluent- stock-out
q1117_02
DPT-Hib-HepB- stock-out
q1117_03
Oral polio vaccine- stock-out
q1117_04
BCG vaccine and diluent- stock-out
q1117_05
Rotavirus vaccine- stock-out
q1117_06
Pneumococcal vaccine- stock-out
q1117_07
Antitetanic vaccine - stock-out
q1117_08
Human papillomavirus vaccine (HPV)- stock-out
q1200
Preventative and curative care service offered
q1201_01
Diagnose/treat child malnutrition
q1201_02
Vitamin A supplementation
q1201_03
Iron supplementation
q1201_04
ORS to children with diarrhea
q1201_05
Zinc to children with diarrhea
q1201_06
Growth monitoring
q1201_07
Treatment of pneumonia
q1201_08
Administration of amoxicillin
q1201_09
Treatment of malaria in children
q1201_10
Traitement anti parasitaire aux enfants souffrant de malnutrition
q1202_01
Guidelines IMCI
q1202_02
Guidelines growth monitoring
q1202_03
Régistre / Fiche PCIME
q1202_04
Protocole nationale pour la prise en charge de la malnutrition aigue de l'enfant
q1203_01
Staff trained IMCI
q1203_02
Staff trained growth monitoring
q1204_01a
Length/height measuring equipment (toise) - available
q1204_01b
Length/height measuring equipment (toise) - functioning
q1204_02a
Growth charts- available
q1204_03a
Balance
q1204_03b
Balance
q1204_04a
Timer/ChronoMètre
q1204_04b
Timer/ChronoMètre
q1300
Adolescent health services offered
q1301
Guidelines service provision to adolescents
q1302
Staff trained adolescent health service provision
q1400
HIV counselling and testing services offered
q1401
Guidelines HIV counselling and testing
q1402_01
Staff trained HIV counselling and testing
q1402_02
Staff trained HIV/AIDS prevention/care/management adolescents
q1403
HIV counselling and testing for adolescents
q1404
Room with auditory/visual privacy for HIV
q1405
HIV rapid test kit available
q1406
Condoms in service site
q1407_01
Clean running water
q1407_02
Hand washing soap
q1407_03
Alcohol based hand rub
q1407_04
Disposable latex gloves
q1407_05
Waste receptacle
q1407_06
Sharps box
q1407_07
Environmental disinfectant
q1407_08
Disposable syringes with disposable needles
q1407_09
Auto-disable syringes
q1500
ARV services offered
q1501_01
Prescribe ART
q1501_02
Prescribe ART to adolescents
q1502
Treatment follow-up services for ART patients
q1503
Guidelines ART
q1504
Staff trained ART
q1600
HIV care and support services offered
q1601_01
Treatment for OIs
q1601_02
Palliative care
q1601_03
IV treatment of fungal infections
q1601_04
Treatment for Kaposi's sarcoma
q1601_05
Nutritional rehabilitation services
q1601_06
Fortified protein supplementaiton
q1601_07
Care for pediatric HIV patients
q1601_08
Preventative treatment for TB
q1601_09
Preventative treatment for OIs
q1601_10
Micronutrient supplementation
q1601_11
Family planning counseling
q1601_12
Condom provision
q1602
System for testing HIV patients for TB
q1603_01
Guidelines clinical management of HIV/AIDS
q1603_02
Guidelines palliative care
q1604
Staff trained clinical management HIV/AIDS
q1700
STI services offered
q1701
Diagnose STIs
q1702
Treatment for STIs
q1703
Guidelines STI diagnosis and treatment
q1704
Staff trained STI diagnosis and treatment
q1800
Tuberculosis services offered
q1801
Diagnose TB
q1802_01
Clinical symptoms only
q1802_02
Sputum smear microscopy examination
q1802_03
Culture
q1802_04
Rapid test
q1802_05
Chest X-ray
q1803
Prescribe drugs for TB patients
q1804
Provide drugs for TB patients
q1805
Manage and provide treatment follow-up for TB atients
q1806
System for testing TB patients for HIV
q1807_01
Guidelines diagnosis/treatment of TB
q1807_02
Guidelines management of HIV/TB coinfection
q1807_03
Guidelines MDR-TB
q1807_04
Guidelines TB infection control
q1808_01
Staff trained TB diagnosis and treatment
q1808_02
Staff trained management of HIV/TB coinfection
q1808_03
Staff trained MDR-TB
q1808_04
Staff trained TB infection control
q1809
Stock TB medicines
q1810_01
Ethambutol
q1810_02
Isoniazid
q1810_03
Pyrazinamide
q1810_04
Rifampicin
q1810_05
Isoniazid+Rifampicin
q1810_06
Isoniazid+Ethambutol
q1810_07
Isoniazid+Rifampicin+Pyrazinamide
q1810_08
Isoniazid+Rifampicin+Ethambutol
q1810_09
Isoniazid+Rifampicin+Pyrazinamide+Ethambutol
q1810_10
Streptomycin injectable
q1900
Malaria services offered
q1901
Diagnose malaria
q1902_01
Clinical symptoms
q1902_02
Rapid diagnostic testing (RDT)
q1902_03
Microscopie (goutte Epaisse/frottis/densitéparasitaire)
q1903
Malaria RDT available
q1904
RDT stock-out
q1905
Days of stock-out
q1906
Prescribe treatment for malaria
q1907
Guidelines diagnosis/treatment malaria
q1908
Staff trained malaria diagnosis
q1909
Staff trained malaria treatment
q1910
IPT for malaria
q2000
NCD services offered
q2001
Diagnosis/manage diabetes
q2002
Guidelines diabetes diagnosis/management
q2003
Staff trained diabetes diagnosis/management
q2004
Diagnose/manage cardiovasular disease
q2005
Guidelines cardiovascular disease diagnosis/management
q2006
Staff trained cardiovascular disease diagnosis/management
q2007
Diagnose/manage chronic respiratory disease
q2008
Guidelines chronic respiratory disease diagnosis/management
q2009
Staff trained chronic respiratory disease diagnosis/management
q2010_01a
Peak flow meters- available
q2010_01b
Peak flow meters- functioning
q2010_02a
Spacers for inhalers- available
q2010_02b
Spacers for inhalers- functioning
q2011
Diagnosis cervical cancer
q2012
Guidelines cervical cancer prevention and control
q2013
Staff trained cervical cancer prevention and control
q2014_01a
Lugol/Acetic acid- available
q2014_02a
Speculum- available
q2014_02b
Speculum- functioning
q2100
Surgical services offered
q2101_01
Incision and drainage of abscesses
q2101_02
Wound debridement
q2101_03
Acute burn management
q2101_04
Suturing
q2101_05
Closed repair of fracture
q2101_06
Cricothyroidotomy
q2101_07
Male circumcision
q2101_08
Hydrocele reduction
q2101_09
Chest tube insertion
q2101_10
Closed repair of dislocated joint
q2101_11
Biopsy of lymph node or mass or other
q2101_12
Removal of foreign body
q2101_13
Tracheostomy
q2101_14
Tubal ligation
q2101_15
Vasectomy
q2101_16
Dilatation & Curettage
q2101_17
Obstetric fistula repair
q2101_18
Episiotomy, cervical and vaginal laceration
q2101_19
Appendectomy
q2101_20
Hernia repair (strangulated)
q2101_21
Hernia repair (elective)
q2101_22
Cystostomy
q2101_23
Urethral stricture dilatation
q2101_24
Laparotomy
q2101_25
Congenital hernia repair
q2101_26
Neonatal surgery
q2101_27
Cleft palate repair
q2101_28
Contracture release
q2101_29
Skin grafting
q2101_30
Traitement (Réduction et fixation) des fractures ouvertes
q2101_31
Amputation
q2101_32
Cataract surgery
q2101_33
Club foot repair
q2101_34
Drainage of osteomyelitis-septic arthritis
q2102_01a
Resuscitator bag and mask- adult- available
q2102_01b
Resuscitator bag and mask- adult- functioning
q2102_02a
Resuscitator bag and mask- pediatric- available
q2102_02b
Resuscitator bag and mask- pediatric- functioning
q2102_03a
Needle holder- available
q2102_03b
Needle holder- functioning
q2102_04a
Scalpel handle with blades- available
q2102_04b
Scalpel handle with blades- functioning
q2102_05a
Retractor- available
q2102_05b
Retractor- functioning
q2102_06a
Surgical scissors- available
q2102_06b
Surgical scissors- functioning
q2102_07a
Nasogastric tubes (adulte ) - available
q2102_07b
Nasogastric tubes (adulte ) - functioning
q2102_31a
Sonde nasogastrique enfant- available
q2102_31b
Sonde nasogastrique enfant - functioning
q2102_08a
Tourniquet- available
q2102_08b
Tourniquet- functioning
q2102_09a
Suction pump (manual or electric) with catheter- available
q2102_09b
Suction pump (manual or electric) with catheter- functioning
q2102_11a
Oropharyngeal airway- adult- available
q2102_11b
Oropharyngeal airway- adult- functioning
q2102_12a
Oropharyngeal airway- pediatric- available
q2102_12b
Oropharyngeal airway- pediatric- functioning
q2102_13a
Magills forceps- adult- available
q2102_13b
Magills forceps- adult- functioning
q2102_14a
Magills forceps- pediatric- available
q2102_14b
Magills forceps- pediatric- functioning
q2102_15a
Endotracheal tube neonatal- uncuffed size below 3- available
q2102_15b
Endotracheal tube neonatal- uncuffed size below 3- available- functioning
q2102_16a
Endotracheal tube paediatric- uncuffed size 3-5- available
q2102_16b
Endotracheal tube paedatric- uncuffed size 3-5- functioning
q2102_17a
Endotracheal tube adult- cuffed sizes 5.5-9.0- available
q2102_17b
Endotracheal tube adult- cuffed sizes 5.5-9.0- functioning
q2102_18a
Laryngoscope handle and blade- adult- available
q2102_18b
Laryngoscope handle and blade- adult- functioning
q2102_19a
Laryngoscope handle and blade- pediatric- available
q2102_19b
Laryngoscope handle and blade- pediatric- functioning
q2102_20a
Laryngoscope handle and blade- neonatal- available
q2102_20b
Laryngoscope handle and blade- neonatal- functioning
q2102_21a
Anaesthesia machine- available
q2102_21b
Anaesthesia machine- functioning
q2102_22a
Tubings and connectors- available
q2102_22b
Tubings and connectors- functioning
q2102_23a
Stylet- available
q2102_23b
Stylet- functioning
q2102_24a
Spinal needle- available
q2102_24b
Spinal needle- functioning
q2102_25a
Newborn bag and mask size 1 for term babies- available
q2102_25b
Newborn bag and mask size 1 for term babies- functioning
q2102_26a
Oxygen concentrators- available
q2102_26b
Oxygen concentrators- functioning
q2102_27a
Oxygen cylinders- available
q2102_27b
Oxygen cylinders- functioning
q2102_28a
Central oxygen supply- available
q2102_28b
Central oxygen supply- functioning
q2102_29a
Flowmeter for oxygen therapy- available
q2102_29b
Flowmeter for oxygen therapy- functioning
q2102_30a
Oxygen delivery apparatus- available
q2102_30b
Oxygen delivery apparatus- functioning
q2103
Oxygen unavailable anytime past 3 months
q2104_01
Suture material
q2104_02
Skin disinfectant
q2104_03
Ketamine injection
q2104_04
Lidocaine 1% or 2%
q2104_05
Splits for extremities
q2104_06
Material for cast
q2104_07
Thiopental powder
q2104_08
Suxamethonium bromide (powder)
q2104_09
Atropine injection
q2104_10
Diazepam injection
q2104_11
Halothane inhalation
q2104_12
Bupivacine injection
q2104_13
Lidocaine 5% heavy spinal solution
q2104_14
Epinephrine injection
q2104_15
Ephedrine injection
q2105
Guidelines IMEESC
q2106
Staff trained IMEESC
q2107
Staff trained in surgery present in facility
q2108
Staff trained in anesthesia present in facility
q2109_01
Clean running water
q2109_02
Hand washing soap
q2109_03
Alcohol based hand rub
q2109_04
Disposable latex gloves
q2109_05
Waste receptacle
q2109_06
Sharps box
q2109_07
Environmental disinfectant
q2109_08
Disposable syringes with disposable needles
q2109_09
Auto-disable syringes
q2200
Blood transfusion services offered
q2201
Blood availability interruptions
q2202
Blood from national/regional blood bank
q2203
Any other source of blood
q2204
Facility screens blood
q2205_01
Screens blood for HIV
q2205_02
Screens blood for syphilis
q2205_03
Screens blood for Hepatitis B
q2205_04
Screens blood for Hepatitis C
q2206
Refrigerator for blood storage available an functioning
q2207
Temperature of fridge monitored once every 24 hours
q2208
Temperature log completed last 30 days
q2209
Temperature out of range in last 30 days
q2210
Guidelines safe blood transfusion practices
q2211
Staff trained safe blood transfusion practices
q3000
Diagnostic testing conducted
q3100_02
Rapid syphilis testing
q3100_03
HIV rapid testing
q3100_04
Urine rapid tests for pregnancy
q3100_05
Urine protein dipstick testing
q3100_06
Urine glucose dipstick testing
q3100_07
Urine ketone dipstick testing
q3100_08
DBS collection for HIV viral load or EID
q3101_01
Malaria rapid diagnostic kit
q3101_02
Syphilis rapid test kit
q3101_03
HIV rapid test kit
q3101_04
Urine pregnancy test kit
q3101_05
Dipsticks for urine protein
q3101_06
Dipsticks for urine glucose
q3101_07
Dipsticks for urine ketone bodies
q3101_08
Filter paper for collecting DBS
q3102
Malaria RDT stock-out
q3103
Malaria RDT days of stock-out
q3200_01
Glycémie à  l'aide d'un appareil de biochimie (SpectrophotoMètre)
q3200_02
Hemoglobin
q3200_03
General microscopy/ wet mounts
q3200_04
Malaria smear
q3200_05
HIV antibody testing by ELISA
q3201_01a
Light microscope- available
q3201_01b
Light microscope- functioning
q3201_02a
Glass slides and cover slips- available
q3201_02b
Glass slides and cover slips- functioning
q3201_03a
Refrigerator- available
q3201_03b
Refrigerator- functioning
q3201_04a
Glucometer/SpectrophotoMètre- available
q3201_04b
Glucometer/SpectrophotoMètre- functioning
q3201_05a
Glucometer test strips- available
q3201_05b
Glucometer test strips- functioning
q3201_06a
Colorimeter or haemoglobinometer- available
q3201_06b
Colorimeter or haemoglobinometer- functioning
q3201_07a
HemoCue- available
q3201_07b
HemoCue- functioning
q3201_08a
Wright-Giemsa stain or other acceptable- available
q3201_08b
Wright-Giemsa stain or other acceptable- functioning
q3201_09a
ELISA washer- available
q3201_09b
ELISA washer- functioning
q3201_10a
ELISA reader- available
q3201_10b
ELISA reader- functioning
q3201_11a
Incubator- available
q3201_11b
Incubator- functioning
q3201_12a
Specific assay kit- HIV antibody testing by ELISA- available
q3201_12b
Specific assay kit- HIV antibody testing by ELISA- functioning
q3202
Accredited/certified microscopist/Tecnicien de Laboratoire
q3301
Ziehl-Neelson test for TB
q3302_01a
Fluorescence microscope- available
q3302_01b
Fluorescence microscope- functioning
q3302_02a
Ziehl-Neelson stain- available
q3302_02b
Ziehl-Neelson stain- functioning
q3302_03a
Auramine Rhodamine stain- available
q3302_03b
Auramine Rhodamine stain- functioning
q3303
Xpert MTB/RIF test for TB
q3304_01a
GeneXpert 4 module unit with laptop- available
q3304_01b
GeneXpert 4 module unit with laptop- functioning
q3304_02a
TB rapid test cartridge- available
q3304_02b
TB rapid test cartridge- functioning
q3400
Liver function/renal function/WBC counts
q3401_01
ALT testing
q3401_02
Other liver function testing
q3401_03
Serum creatinine testing
q3401_04
Other renal function testing
q3402_01a
Biochemistry analyzer- available
q3402_01b
Biochemistry analyzer- functioning
q3402_02a
Centrifuge- available
q3402_02b
Centrifuge- functioning
q3402_03a
Specific assay kit- liver function test- available
q3402_03b
Specific assay kit- liver function test- functioning
q3402_04a
Specific assay kit- renal function test- available
q3402_04b
Specific assay kit- renal function test- functioning
q3403
Full blood count and differential
q3404_01a
Hematology analyzer- available
q3404_01b
Hematology analyzer- functioning
q3404_02a
Stains for full blood count and differential- available
q3404_02b
Stains for full blood count and differential- functioning
q3405
CD4 count- absolute and percentage
q3406_01a
CD4 counter- available
q3406_01b
CD4 counter- functioning
q3406_02a
Specific assay kit- CD4 test- available
q3406_02b
Specific assay kit- CD4 test- functioning
q3500
Blood group serology
q3501_01
ABO blood grouping
q3501_02
Rhesus blood group testing
q3501_03
Cross-match by direct agglutination
q3501_04
Cross-match by indirect anti-globulin testing
q3502_01a
Centrifuge- available
q3502_01b
Centrifuge- functioning
q3502_02a
37 degree incubator- available
q3502_02b
37 degree incubator- functioning
q3502_03a
Grouping sera- available
q3502_03b
Grouping sera- functioning
q3601_01
Serum electrolyte testing
q3601_02
Urine microscopy testing
q3601_03
Syphilis serology testing
q3601_04
Gram stain testing
q3601_05
CSF/body fluid counts
q3601_06
Cryptococcal antigen testing
q3601_07
Molecular biological technique for HIV viral load or HIV early-infant diagnosis
q3602_01a
Specific assay kit- serum electrolyte test- available
q3602_01b
Specific assay kit- serum electrolyte test- functioning
q3602_02a
Specific assay kit- syphilis serology- available
q3602_02b
Specific assay kit- syphilis serology- functioning
q3602_03a
Gram stains- available
q3602_03b
Gram stains- functioning
q3602_04a
White blood counting chamber- available
q3602_04b
White blood counting chamber- functioning
q3602_05a
Specific assay kit- cryptococcal antigen- available
q3602_05b
Specific assay kit- cryptococcal antigen- functioning
q3602_06a
Assay specific automated system for estimating HIV viral load- available
q3602_06b
Assay specific automated system for estimating HIV viral load- functioning
q3602_07a
Centrifuge- available
q3602_07b
Centrifuge- functioning
q3602_08a
Vortex mixer- available
q3602_08b
Vortex mixer- functioning
q3602_09a
Pipettes- available
q3602_09b
Pipettes- functioning
q3602_10a
Biochemistry analyzer- available
q3602_10b
Biochemistry analyzer- functioning
q3603
Diagnostic imaging offered
q3604_01a
X-ray machine- available
q3604_01b
X-ray machine- functioning
q3604_02a
Ultrasound equipment- available
q3604_02b
Ultrasound equipment- functioning
q3604_03a
CT scan- available
q3604_03b
CT scan- functioning
q3604_04a
ECG- available
q3604_04b
ECG- functioning
q4000
Stock medicines, vaccines, commodities
q4001_01
Co-trimoxazole tab
q4001_02
Fluconzaole tab or suspension
q4001_03
Albendazole or Mebendazole tab
q4001_04
Metronidazole tap
q4001_05
Amoxicillin cap
q4001_06
Ceftriaxone injection
q4001_07
Ciprofloxacin cap/tab
q4002_01
Metformin cap/tab
q4002_02
Insuline régulière injectable ou insulin à  action intermédiaire
q4002_03
Glucose 50% injection
q4002_04
ACE inhibitor
q4002_05
Thiazide
q4002_06
Beta blocker
q4002_07
Calcium channel blocker
q4002_08
Aspirin tab
q4002_09
Beclometasone inhaler
q4002_10
Prednisolone tab
q4002_11
Hydrocortisone injection
q4002_12
Epinephrine injection
q4002_13
Furosemide cap/tab
q4002_14
Glibenclamide 5mg cap/tab
q4002_15
Gliclazide tablet or glipizide tablet
q4002_16
Glyceryl trinitrate sublingual tablet
q4002_17
Ibuprofen tablet
q4002_18
Isosorbide dinitrate tablet
q4002_19
Omeprazole 20 mg cap/tab
q4002_20
Paracetamol tablet
q4002_21
Salbutamol inhaler
q4002_22
Simvastatin cap/tab
q4002_23
Spironolactone tablets
q4003_01
Combined estrogen progesterone oral contraceptive pills
q4003_02
Pilules contraceptives progestatives (microlut,
q4003_03
Combined estrogen progesterone injectable contraceptives
q4003_04
Contraceptifs injectables progestatifs (dépo-provera, sayana-press)
q4003_05
Male condoms
q4003_06
Female condoms
q4003_07
Implant (3ans et 5 ans)
q4003_08
Emergency contraceptive pill
q4003_09
Intrauterine contraceptive device
q4004_01
Female condoms- stockout
q4004_02
Implant- stockout
q4004_03
Emergency contraceptive pill- stockout
q4005_01
Iron tablets
q4005_02
Folic acid tablets
q4005_03
Iron and folic acid combined tablets
q4005_04
Tetanus toxoid vaccine
q4005_05
Sodium chloride injectable solution
q4005_06
Calcuim gluconate injection
q4005_07
Magnesium sulphate injectable
q4005_08
Ampicillin powder for injection
q4005_09
Gentamicin injection
q4005_10
Hydralazine injection
q4005_11
Metronidazole injection
q4005_12
Misoprostol 200µg tablets
q4005_13
Azithromycin cap/tab or oral liquid
q4005_14
Cefixime cap/tab
q4005_15
Benzathine benzylpenicillin powder for injection
q4005_16
Betamethasone injection
q4005_17
Dexamethasone injection
q4005_18
Nifedipine cap/tab
q4005_19
Methyldopa tablet
q4005_20
Oxytocin injection
q4006
Oxytocin stored in cold storage
q4007_01
Oxytocin injection- stockout
q4007_02
Misoprostol 200µg tablets- stockout
q4007_03
Magnesium sulphate injection- stockout
q4007_04
Gentamicin injection- stockout
q4007_05
Procaine benzylpenicillin injection- stockout
q4007_06
Ceftriaxone injection- stockout
q4007_07
Betamethasone injection- stockout
q4007_08
Dexamethasone injection- stockout
q4008_01
Procaine penicillin injection
q4008_02
ORS sachets
q4008_03
Zinc sulphate tablets
q4008_04
Zinc sulphate syrup or dispersable tablets
q4008_05
Vitamin A capsules
q4008_06
Antibiotic eye ointment for newborns
q4008_07
Co-trimoxazole syrup/suspension
q4008_08
Paracetamol syrup/suspension
q4008_09
Amoxicillin 250mg or 500mg dispersible tab or syrup/suspension
q4009
Identification labels visible amox
q4010
FEFO storage order amox
q4011_01
Amoxicillin 250mg or 500mg dispersible tab/syrup suspension- stockout
q4011_02
ORS sachets- stockout
q4011_03
Zinc sulphate tablets- stockout
q4011_04
Zinc sulphate syrup or dispersable tablets- stockout
q4012
Stock malaria medicines
q4013_01
Combinaison thérapeutique à base Arthésunate (ACT)
q4013_02
Artemisinin not as combination therapy
q4013_03
Artesunate rectal and injection dosage forms
q4013_04
SP
q4013_05
ITNs
q4013_06
ITN vouchers
q4013_08
Quinine (forme orale/injectable)
q4013_09
Primaquine
q4014
ACT stock-out past 4 weeks
q4015
ACT days of stock-out
q4016
Stock TB medicines
q4017_01
Ethambutol
q4017_02
Isoniazid
q4017_03
Pyrazinamide
q4017_04
Rifampicin
q4017_05
Isoniazid+Rifampicin
q4017_06
Isoniazid+Ethambutol
q4017_07
Isoniazid+Rifampicin+Pyrazinamide
q4017_08
Isoniazid+Rifampicin+Ethambutol
q4017_09
Isoniazid+Rifampicin+Pyrazinamide+Ethambutol
q4017_10
Streptomycin injectable
q4018
Stock ARVs
q4019_01
Ziovudine
q4019_02
Ziovudine syrup
q4019_03
Abacavir
q4019_04
Lamivudine
q4019_05
Tenofovir Disproxil Fumarate
q4019_06
Nevirapine
q4019_07
Nevirapine syrup
q4019_08
Efavirenz
q4019_09
Emtricitabine
q4019_10
Lamivudine+Abacavir
q4019_11
Ziovudine+Lamivudine
q4019_12
Ziovudine+Lamivudine+Abacavir
q4019_13
Ziovudine+Lamivudine+Nevirapine
q4019_14
Tenofovir+Emtricitabine
q4019_15
Tenofovir+Lamivudine
q4019_16
Tenofovir+Lamivudine+Efavirenz
q4019_17
Tenofovir+Emtricitabine+Efavirenz
q4019_18
Didanosine
q4019_19
Lamivudine syrup
q4019_20
Stavudine 30 or 40
q4019_21
Stavudine syrup
q4019_22
Efavirenz syrup
q4019_23
Delavirdine
q4019_24
Enfuvirdite
q4019_25
Stavudine+Lamivudine
q4019_26
Stavudine+Lamivudine+Nevirapine
q4020
Stock protease inhibitors
q4021_01
Lopinavir
q4021_02
Indinavir
q4021_03
Nelfinavir
q4021_04
Saquinavir
q4021_05
Ritonavir
q4021_06
Atazanavir
q4021_07
Fosamprenavir
q4021_08
Tipranavir
q4021_09
Darunavir
q4022_01
Normal saline IV solution
q4022_02
Ringers lactate IV solution
q4022_03
5% dextrose IV solution
q4022_04
IV treatment for fungal infections
q4022_05
Skin disinfectant
q4022_06
Gowns
q4022_07
Eye protection (goggles, face shields)
q4022_08
Medical (surgical or procedual) masks
q4022_09
Absorbable suture material
q4022_10
Non-absorbable suture material
q4022_11
Ketamine injection
q4022_12
Lidocaine 1% or 2%
q4022_13
Diazepam injection
q4022_14
Thiopental powder
q4022_15
Suxamethonium bromide (powder)
q4022_16
Atropine injection
q4022_17
Halothane inhalation
q4022_18
Bupivacine injection
q4022_19
Lidocaine 5% heavy spinal solution
q4022_20
Epinephrine injection
q4022_21
Ephedrine injection
q4023_01
Amitriptyline tablet
q4023_02
Carbamazepine tablet
q4023_03
Chlorpromazine injection
q4023_04
Diazepam tablet
q4023_05
Diazepam injection or diazepam rectal tubes
q4023_06
Fluoxetine tablet
q4023_07
Fluphenazine injection
q4023_08
Haloperidol tablet
q4023_09
Lithium tablet
q4023_10
Phenobarbital tablet
q4023_11
Phenytoin tablet
q4023_12
Valproate sodium tablet
q4023_13
Lorazepam injection
q4023_14
Levodopa + carbidopa tablet
q4024_01
Dexamethasone injection
q4024_02
Haloperidol injection
q4024_03
Butyl Hyoscine bromure ou butyl scopolamine injectable ou hiosine butylbromide
q4024_04
Lorazepam tablet
q4024_05
Metoclopramide injection
q4024_06
Morphine granules, tablet
q4024_07
Morphine injection
q4024_08
Préparation senna (laxatif) ou bisacodyl
q4024_09
Loperamide tab/cap
q4100
Person responsible for managing medical supplies
q4100_a
q4101_01
Facility itself
q4101_02
A higher level facility
q4101_03
Other
q4101_03a
q4102
How resupply quanities determined
q4103
Main source of pharmaceutical supplies
q4103_a
q4104
How are pharmaceutical supplies delivered to facility
q4104_a
q4105_01
Local supplier delivers
q4105_02
Higher facility delivers
q4105_03
This facility collects
q4105_04
Other
q4105_04a
q4106
How long took between order and delivery
q5000a
End time- hours
q5000b
End time- minutes
q5001a
Results code
q5001b
comments_about_respondent
comments_on_specific_questions
any_other_comments
supervisor_s_observations
name_of_the_supervisor
qdayend
Date-Day
qmonthend
Date- Month
qyearend
Date- Year
dv_q001
Facility number
dv_q002
dv_q003
dv_q006a
dv_q007a
dv_008
Facility provide antenatal care
dv_009
Facility report ANC data to reporting system
dv_010_01
ANC reporting system: HMIS
dv_010_02
ANC reporting system: Programme specific
dv_010_03
ANC reporting system: NGO or institutions
dv_010_04
ANC reporting system: Other
dv_010_04a
dv_011a_01
Documents used to record ANC: ANC register
dv_011a_02
Documents used to record ANC: ANC tally sheets
dv_011a_03
Documents used to record ANC: Patient cards
dv_011a_04
Documents used to record ANC: Other
dv_011a_04a
dv_011b
Source document for monthly reporting: ANC
dv_011b_a
dv_012_01a
Source document ANC1 available - Month 1
dv_012_01b
Number of ANC1 Visits, Source Documents - Month 1
dv_013_01a
Monthly report ANC1 available - Month 1
dv_013_01b
Number of ANC1 Visits, Monthly report - Month 1
dv_014
ANC: Reasons for Discrepancy
dv_014_a
dv_017_04a
dv_018a_04a
dv_018b_a
dv_021_a
dv_022
Facility provide immunization services
dv_023
Facility report immunization data to reporting system
dv_024_01
Immunization reporting system: HMIS
dv_024_02
Immunization reporting system: Immunization/EPI programme
dv_024_03
Immunization reporting system: NGO or institutions
dv_024_04
Immunization reporting system: Other
dv_024_04a
ins_dv_025
Immunization documents used to record number of children getting immunized instr
dv_025_01
Documents used to record Immunization: Child register or child immunization regi
dv_025_02
Documents used to record Immunization: Immunization tally sheets
dv_025_03
Documents used to record Immunization: Child health cards or child immunization
dv_025_04
Documents used to record Immunization: Other
dv_025_04a
dv_026
Source document for monthly reporting: DTP
dv_026_a
dv_033_01a
Source document DTP3 available - Month 1
dv_033_01b
Number of DTP3 Visits, Source Documents - Month 1
dv_034_01a
Monthly report DTP3 available - Month 1
dv_034_01b
Number of DTP3 Visits, Monthly report - Month 1
dv_035
DTP3: Reasons for Discrepancy
dv_038_a
dv_041_a
dv_044_a
dv_047_03a
dv_048a_04a
dv_048b_a
dv_051_a
dv_054_04a
dv_055a_06a
dv_055b_a
dv_058_a
dv_061_04a
dv_062a_06a
dv_062b_a
dv_065_a
dv_066
Facility provide ART
dv_067
Facility report number of patients on ART to reporting system
dv_068_01
ART reporting system: HMIS
dv_068_02
ART reporting system: National HIV/AIDS program
dv_068_03
ART reporting system: NGO or institutions
dv_068_04
ART reporting system: Other
dv_068_04a
dv_069a_01
Documents used to record ART: Pre-ART register
dv_069a_02
Documents used to record ART: ART tally sheets
dv_069a_03
Documents used to record ART: Patient cards
dv_069a_04
Documents used to record ART: ART register
dv_069a_05
Documents used to record ART: Other
dv_069a_05a
dv_069b
Source document for monthly reporting: ART
dv_069b_a
dv_070_01a
Source document ART available - T2 2015
dv_070_01b
Number of ART Visits, Source Documents - Month 1
dv_071_01a
Monthly report ART available - T2 2015
dv_071_01b
Number of ART Visits, quarterly report - T2 20151
dv_072
ART: Reasons for Discrepancy
dv_072_a
dv_075_04a
dv_076a_05a
dv_076b_a
dv_079_a
dv_080
Facility provide TB diagnosis and/or treatment
dv_081
Facility report the total number of TB cases (all types) to reporting system
dv_082_01
TB reporting system: HMIS
dv_082_02
TB reporting system: National TB programme
dv_082_03
TB reporting system: NGO or institutions
dv_082_04
TB reporting system: Other
dv_082_04a
dv_083a_01
Documents used to record TB: TB register
dv_083a_02
Documents used to record TB: Presumptive TB register
dv_083a_03
Documents used to record TB: Patient cards
dv_083a_04
Documents used to record TB: TB lab register
dv_083a_05
Documents used to record TB: Outpatient register
dv_083a_06
Documents used to record TB: Electronic patient record system
dv_083a_07
Documents used to record TB: Other
dv_083a_07a
dv_083b
Source document for monthly reporting: TB
dv_083b_a
dv_084_01a
Source document TB available - T2 2015
dv_084_01b
Number of notified cases TB, Source Documents - Quarter 1
dv_084_01c
Number of TB cases transferred in, Source Documents - Quarter 1
dv_084_01d
Number of TB cases from register minus cases transferred in, Source Documents -
dv_085_01a
Source document TB available - Quarter 2
dv_085_01b
Number of notified cases TB, Source Documents - Quarter 2
dv_086
TB: Reasons for Discrepancy
dv_086_b
dv_086a_01
Missing data: year of registration
dv_086a_02
Missing data: sex
dv_086a_03
Missing data: age
dv_086a_04
Missing data: disease classification
dv_086a_05
Missing data: type of patient
dv_086a_06
Missing data: bacteriological results
dv_086a_07
Missing data: number of cases missing 6 data points
dv_087
Facility provide malaria diagnosis
dv_088a
Facility report malaria cases to reporting system
dv_088b
Indicator definition used for reporting malaria cases
dv_088b_a
dv_089_01
Malaria reporting system: HMIS
dv_089_02
Malaria reporting system: National malaria programme
dv_089_03
Malaria reporting system: NGO or institutions
dv_089_04
Malaria reporting system: Other
dv_089_04a
dv_090a_01
Documents used to record Malaria cases: OPD register
dv_090a_02
Documents used to record Malaria cases: Tally sheets
dv_090a_03
Documents used to record Malaria cases: Patient cards
dv_090a_04
Documents used to record Malaria cases: Lab register
dv_090a_05
Documents used to record Malaria cases: Other
dv_090a_05a
dv_090b
Source document for monthly reporting: Malaria cases
dv_090b_a
dv_091_01a
Source document Malaria cases available - T2 2015
dv_091_01b
Number of Malaria cases, Source Documents - Month 1
dv_092_01a
Monthly report Malaria cases available - Month 1
dv_092_01b
Number of Malaria cases, Monthly report - Month 1
dv_093
Malaria cases: Reasons for Discrepancy
dv_093_a
dv_096_04a
dv_097a_04a
dv_097b_a
dv_102_a
dv_107_a
saf_008
Responsibility for recording service delivery assigned to staff
saf_009
Staff trained in data collection and compilation
saf_010
Dedicated staff to review aggregate numbers before submission
saf_011_01
Number of ANC1 visits- standard definiton
saf_011_02
Number of DTP3 (penta3)- standard definiton
saf_011_03
Current on ART- standard definiton
saf_011_04
TB cases notified- standard definiton
saf_011_05
Confirmed malaria cases treated- standard definiton
saf_011_06
Other- standard definiton
saf_011_06a
saf_012_01
What they were supposed to report on
saf_012_02
How reports are to be submitted
saf_012_03
To whom the reports should be submitted
saf_012_04
When the reports are due
saf_013
Clear instructions on how to complete reporting forms
saf_014_001a
Cahier de séance CPNR- available
saf_014_001b
ANC register- standard or improvised materials
saf_014_001c
ANC register- entries up to the current day
saf_014_001d
ANC register- stock-out in last 12 months
saf_014_002a
Immunization tally sheets- forms available
saf_014_002b
Immunization tally sheets- standard or improvised materials
saf_014_002c
Immunization tally sheets- entries up to the current day
saf_014_002d
Immunization tally sheets- stock-out in last 12 months
saf_014_003a
ART register- forms available
saf_014_003b
ART register- standard or improvised materials
saf_014_003c
ART register- entries up to the current day
saf_014_003d
ART register- stock-out in last 12 months
saf_014_004a
TB register- forms available
saf_014_004b
TB register- standard or improvised materials
saf_014_004c
TB register- entries up to the current day
saf_014_004d
TB register- stock-out in last 12 months
saf_014_005a
Malaria diagnostic testing log- forms available
saf_014_005b
Malaria diagnostic testing log- standard or improvised materials
saf_014_005c
Malaria diagnostic testing log- entries up to the current day
saf_014_005d
Malaria diagnostic testing log- stock-out in last 12 months
saf_014_006a
Other- forms available
saf_014_006a1
saf_014_006b
Other- standard or improvised materials
saf_014_006c
Other- entries up to the current day
saf_014_006d
Other- stock-out in last 12 months
saf_015
Standard reporting form for all health programs
saf_016_001a
Maternal health- forms available
saf_016_001b
Maternal health- HMIS or program form
saf_016_001c
Maternal health- standard or improvised form
saf_016_001d
Maternal health- stock-out in the last 12 months
saf_016_002a
Child health/immunization- forms available
saf_016_002b
Child health/immunization- HMIS or program form
saf_016_002c
Child health/immunization- standard or improvised form
saf_016_002d
Child health/immunization- stock-out in the last 12 months
saf_016_003a
HIV/AIDS- forms available
saf_016_003b
HIV/AIDS- HMIS or program form
saf_016_003c
HIV/AIDS- standard or improvised form
saf_016_003d
HIV/AIDS- stock-out in the last 12 months
saf_016_004a
TB- forms available
saf_016_004b
TB- HMIS or program form
saf_016_004c
TB- standard or improvised form
saf_016_004d
TB- stock-out in the last 12 months
saf_016_005a
Malaria- forms available
saf_016_005b
Malaria- HMIS or program form
saf_016_005c
Malaria- standard or improvised form
saf_016_005d
Malaria- stock-out in the last 12 months
saf_016_006a
Other- forms available
saf_016_006a1
saf_016_006b
Other- HMIS or program form
saf_016_006c
Other- standard or improvised form
saf_017
Routine process for checking quality of reports
saf_018
Accuracy check are routinely conducted
saf_019
Consistency checks of summarized data routinely conducted
saf_020
Checks for timely entry and completeness routinely conducted
saf_021
Written documentation of the results of data quality controls
saf_022
Written policy on how to conduct data quality checks
saf_023
Facility receives regular supervisory visits
saf_024
Documented supervisory visit in past 6 months
saf_025
Copies of submitted reports for past 12 months available
saf_026
Filled data collection forms for last 12 months available
saf_027
Archived data organized
saf_028
Appropriate and adequate space for organization of reports
saf_029
Access to data limited to the appropriate staff
saf_030
For computerized systems, database administration procedure in place
saf_031
Date of latest back-up is appropriate
saf_032
Computerized system password protected
saf_033
Personal data maintained according to confidentiality guidelines
weight
weight
total: 1166