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  1. Surveys
  2. 2013
  3. February
  4. P
  5. PMTCT S. Kivu
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Exit Survey
 
 
Site Name
   
 
 
 
Date of site visit?
 
 
 
Do you have stock of the following (Select all that apply)?
 
ARVs for mothers
 
ARVs for exposed infants
 
Determine tests
 
Unigold tests
 
Double check tests
 
Cotrimoxizole

 
 
 
Have you had patients lost to follow-up
 
no
 
yes
 
 
 
 
Are the people doing PMTCT now trained?
 
yes
 
no
 
 
 
 
What PMTCT topics would the staff at the site like to learn more about (Select all that apply)?
 
VCT algorithm
 
how to perform HIV testing
 
how to counsel couples
 
family planning
 
ARV dosing
 
cotrimoxizole dosing
 
follow-up strategies
 
general information about HIV
 
infant feeding
 
early infant diagnosis
 
Other