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Facility Assessment CHC PHCPID 21
My Projects Project Home Project Setup Online Designer Data Dictionary Codebook

The Codebook is a human-readable, read-only version of the project's Data Dictionary and serves as a quick reference for viewing the attributes of any given field in the project without having to download and interpret the Data Dictionary. Note: Checkbox fields have their coded values displayed both in the format defined by users in the Online Designer/Data Dictionary as well as in the extended format seen in data imports and exports (i.e., field___code).

Data Dictionary Codebook 07/04/2025 10:26pm
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
Facility Assessment CHC PHC (PID: 21)
07/04/2025 10:26pm
Instruments
Instrument Form Name
Form 1 form_1
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Form 1(form_1)
1 [record_id] Record ID text
2 [date_visit] Date of visit text (date_dmy), Required
3 [time_chc] Time text (datetime_dmy)
Field Annotation: @NOW @HIDDEN
4 [name_assessor] Name of the assessor text, Required
5 [name_district] Name of the district dropdown, Required
11.Sangrur
22.Other
6 [other_district]
Show the field ONLY if:
[name_district] = '2'
Other text
7 [name_taluk] Name of the taluk dropdown, Required
1Sangrur
2Sunam
3Dhuri
4Bhawanigrah
5Moonak
6Other
8 [other_taluk]
Show the field ONLY if:
[name_taluk] = '6'
Other text
9 [name_vlg] Name of the Village text, Required
10 [name_facility] Name of the Facility text, Required
11 [facility_publ_priv] is the facility radio, Required
1Public
2Private
12 [type_facili]
Show the field ONLY if:
[facility_publ_priv] = '1'
Type of facility radio, Required
1CHC
2PHC
13 [no_beds] Total number of beds text (number), Required
14 [no_antenatal_bed] Number of antenatal beds text (number), Required
15 [no_lr_beds] Number of LR beds text (number), Required
16 [no_postnatal_bed] Number of postnatal beds text (number), Required
17 [nbsu_avail] Newborn Stabilization Unit available? yesno, Required
1Yes
0No
18 [no_beds_nbsu]
Show the field ONLY if:
[nbsu_avail] = '1'
Number of beds text (number), Required
19 [vsble_proto_antnl] 1.1 Is there a visible protocol for antenatal check-up yesno, Required
1Yes
0No
20 [visi_proto_anten]
Show the field ONLY if:
[vsble_proto_antnl] = '1'
1.1.1 Can answer all options given below checkbox, Required
1visi_proto_anten___1History
2visi_proto_anten___2LMP
3visi_proto_anten___3USG
4visi_proto_anten___4Tests
5visi_proto_anten___5Immunizations
6visi_proto_anten___6HRP
7visi_proto_anten___7Medications
21 [vsbl_admsn] 1.2 Is there a visible protocol for admission of mothers to LR yesno, Required
1Yes
0No
22 [visib_proto_admis]
Show the field ONLY if:
[vsbl_admsn] = '1'
1.2.1 Can answer all options given below checkbox, Required
1visib_proto_admis___1Reporting to the doctor
2visib_proto_admis___2Checking the GA
3visib_proto_admis___3Checking if in Labour
4visib_proto_admis___4Monitoring
23 [mngmt_proto] 1.3 Is there a visible protocol for the
management of complications (what
interventions, when these interventions need to
be performed, when to refer) 		yesno, Required
1Yes
0No
24 [visib_proto_mngmt]
Show the field ONLY if:
[mngmt_proto] = '1'
1.3 Can answer all options given below checkbox, Required
1visib_proto_mngmt___11.3.1 Antepartum hemorrhage
2visib_proto_mngmt___21.3.2 Infections
3visib_proto_mngmt___31.3.3 Pre-eclampsia / Eclampsia
4visib_proto_mngmt___41.3.4 Preterm labour/PPROM / PROM
5visib_proto_mngmt___51.3.5 Maternal complication
6visib_proto_mngmt___61.3.6 Foetal complication
7visib_proto_mngmt___7History of major medical illness
8visib_proto_mngmt___8Other
25 [visib_proto_mngmt_othr]
Show the field ONLY if:
[visib_proto_mngmt(8)] = '1'
Other text
26 [foetal_complication]
Show the field ONLY if:
[visib_proto_mngmt(6)] = '1'
Foetal complication checkbox, Required
1foetal_complication___1Absent or Reduced Fetal Movement
2foetal_complication___2Cord prolapse
3foetal_complication___3Cord around the neck
4foetal_complication___4Fetal Growth Retardation
27 [maternal_complication]
Show the field ONLY if:
[visib_proto_mngmt(5)] = '1'
Maternal complication checkbox, Required
1maternal_complication___1Mal-position or malpresentation/Obstructed labour
2maternal_complication___2Transverse lie
3maternal_complication___3Abruptio placenta
4maternal_complication___4Bad obstetrical history
5maternal_complication___5Multiple pregnancy
28 [hstry_mdcl]
Show the field ONLY if:
[visib_proto_mngmt(7)] = '1'
History of major medical illness checkbox, Required
1hstry_mdcl___1Asthma
2hstry_mdcl___2COPD
3hstry_mdcl___3Heart disease
4hstry_mdcl___4Bleeding disorder
5hstry_mdcl___5Gestational diabetes
6hstry_mdcl___6Other
29 [oth_spec_1]
Show the field ONLY if:
[hstry_mdcl(6)] = '1'
Other text, Required
30 [vsbl_mtrnl_nwbrn] 1.4 Is there a visible protocol available for the provision of respectful maternal and newborn care? yesno
1Yes
0No
31 [visib_proto_res_mate_rn]
Show the field ONLY if:
[vsbl_mtrnl_nwbrn] = '1'
Can answer all options given below checkbox, Required
1visib_proto_res_mate_rn___1Communicating and assisting the mother during labour and postnatal period
2visib_proto_res_mate_rn___2Support for breastfeeding
3visib_proto_res_mate_rn___3Management of pain for newborns
4visib_proto_res_mate_rn___4Open visitation for mother to NBSU
5visib_proto_res_mate_rn___5Father and family members permitted to visit the baby in NBSU
32 [essen_nwbrn] 1.5 Is there a visible protocol available on essential newborn care at birth yesno, Required
1Yes
0No
33 [visib_proto_essen]
Show the field ONLY if:
[essen_nwbrn] = '1'
Can answer all options given below checkbox, Required
1visib_proto_essen___1Skin to-skin contact
2visib_proto_essen___2Delayed cord clamping
3visib_proto_essen___3Neonatal resuscitation, when needed
34 [visib_proto_discha] 1.6 Is there a visible protocol for the discharge of a woman? yesno, Required
1Yes
0No
35 [vsble_infect_cntrl] 1.7 Is there a visible protocol for infection control yesno, Required
1Yes
0No
36 [visib_proto_infect]
Show the field ONLY if:
[vsble_infect_cntrl] = '1'
Can answer all options given below checkbox
1visib_proto_infect___1Hand hygiene/washing
2visib_proto_infect___2Cleaning and disinfection of surfaces
3visib_proto_infect___3Use of personal protective equipment
4visib_proto_infect___4Segregation and disposal of waste
5visib_proto_infect___5Management of body fluid spills
6visib_proto_infect___6Sterilisation and disinfection of equipmen
37 [vsble_dsply] Is there a visible display or availability of names and phone numbers of
specialists to refer to higher-level 		yesno, Required
1Yes
0No
38 [phn_no] Can answer all options given below checkbox, Required
1phn_no___1Public health facilities
2phn_no___2Private health facilities
39 [sec_2] Obtain this information from the head or incharge of the hospital. You could also find
this information from registers on personnel. Place a check against each box. 		descriptive
40 [obst_avail] 2.1 Is there an obstetrician available on call? yesno, Required
1Yes
0No
41 [pedia_avail] 2.2 Is there a pediatrician available on call in the NBSU? yesno, Required
1Yes
0No
42 [medic_offic_avail] 2.3 Is a medical officer available 24/7 to attend to women in labour? Or the baby at birth? yesno, Required
1Yes
0No
43 [anesthec] 2.4 Is there an anaesthetist on call/ MO trained on Anaesthesia yesno, Required
1Yes
0No
44 [staff_nurses] 2.5 Are staff nurses rotated to all departments in the health facility? yesno, Required
1Yes
0No
45 [no_stff_nrs_traind] 2.6 Number of staff nurses trained to provide EmONC in LR(9998 - Not documented, 9999 - Not available) text (number), Required
46 [no_stff_nurs_provd] 2.7 Number of staff nurses trained to provide NRP through NSSK (9998 - Not documented, 9999 - Not available) text (number), Required
47 [no_stff_nrs_lbr] 2.8 Number of staff nurses in labour room per shift (9998 - Not documented, 9999 - Not available) text (number), Required
48 [no_stff_nrs_sncu] 2.9 Number of staff nurses in NBSU per shift(9998 - Not documented, 9999 - Not available) text (number), Required
49 [sec_3] Section 3 Accreditation descriptive
50 [facili_accrdtd] 3.1 Is the facility accredited by yesno, Required
1Yes
0No
51 [facili_accrid]
Show the field ONLY if:
[facili_accrdtd] = '1'
Can answer all options given below checkbox, Required
1facili_accrid___1NQAS
2facili_accrid___2LAKSHYA
3facili_accrid___3MUSQAN
4facili_accrid___4NABH
52 [sec_4] Section 4 Infrastructure
4. Infrastructure: Walk through the facility and check for the following infrastructure. You could ask MO in charge or Nursing superintendent or the senior staff nurse for Section 4 and Section 5 		descriptive
53 [triage_mothrs] 4.1 Is there a Triage area for mothers? yesno, Required
1Yes
0No
54 [triage_mthrs]
Show the field ONLY if:
[triage_mothrs] = '1'
Can answer all options given below checkbox, Required
1triage_mthrs___1LR
2triage_mthrs___2Anywhere else in the health facility
55 [facili_bld_bnk] Does the facility have a blood bank/blood storage facility? yesno, Required
1Yes
0No
56 [facili_pharmcy] 4.3 Does the facility have a pharmacy available? yesno, Required
1Yes
0No
57 [facili_pharma_avai_l]
Show the field ONLY if:
[facili_pharmcy] = '1'
Type of pharmacy radio, Required
124 * 7
2Non 24 * 7
58 [facili_lab_facili] 4.4 Does the facility have a lab facility? yesno, Required
1Yes
0No
59 [facili_lab]
Show the field ONLY if:
[facili_lab_facili] = '1'
Type of lab radio, Required
124 * 7
2Non 24 * 7
60 [sterlization_prcss] 4.5 Does the facility have materials and equipment for disinfection and sterilization of equipment and instrument? yesno, Required
1Yes
0No
61 [facili_sterlization_prcss]
Show the field ONLY if:
[sterlization_prcss] = '1'
Type of sterilization checkbox, Required
1facili_sterlization_prcss___1CSSD
2facili_sterlization_prcss___2autoclave
3facili_sterlization_prcss___3linked with an external agency for sterile equipment
62 [amblnc_avail] 4.6 Is there an ambulance available 24/7? yesno, Required
1Yes
0No
63 [amblnc_yes]
Show the field ONLY if:
[amblnc_avail] = '1'
Does it have checkbox, Required
1amblnc_yes___1Emergency equipment for mothers/adults
2amblnc_yes___2Emergency equipment for newborn babies
3amblnc_yes___3Incubator
64 [hand_wash_facili] 4.7 Are there hand-washing facilities (Tap/ Soap/Liquid Handwash) available? yesno, Required
1Yes
0No
65 [yes_4_6]
Show the field ONLY if:
[hand_wash_facili] = '1'
Is it available in checkbox
1yes_4_6___1LR
2yes_4_6___2NBSU
66 [water_avail] 4.8 Is there 24/7 water available? yesno, Required
1Yes
0No
67 [yes_4_7]
Show the field ONLY if:
[water_avail] = '1'
Does it have checkbox
1yes_4_7___1LR
2yes_4_7___2NBSU
68 [adeq_oxy] 4.9 Is there an oxygen central supply/concentrators/cylinders adequate? yesno, Required
1Yes
0No
69 [oxygn_avail]
Show the field ONLY if:
[adeq_oxy] = '1'
Can answer all options below checkbox, Required
1oxygn_avail___1LR
2oxygn_avail___2NBSU
70 [access_elect] 4.10 Is there 24/7 access to electricity? yesno, Required
1Yes
0No
71 [seprat_area_infec_mo_th] 4.11 Is there a separate area for infected mothers in LR? yesno, Required
1Yes
0No
72 [newbrn_resus_cornr] 4.12 Is there a newborn resuscitation corner with radiant warmer in the LR? yesno, Required
1Yes
0No
73 [sec_5] Section 5 Basic Laboratory and Imaging descriptive
74 [lab_chck_bio] 5.1 Does the laboratory have a facility to check Biochemistry? yesno, Required
1Yes
0No
75 [lab_chck_biochem]
Show the field ONLY if:
[lab_chck_bio] = '1'
specify (Can answer multiple answers) checkbox, Required
1lab_chck_biochem___1S. electrolytes
2lab_chck_biochem___2Renal function tests
3lab_chck_biochem___3Liver function tests
76 [lab_facili] 5.2 Does the laboratory have a facility to check for the following (CBC, Clotting time, Blood grouping and Rh typing)? yesno, Required
1Yes
0No
77 [lab_facili_chck]
Show the field ONLY if:
[lab_facili] = '1'
Can answer all options below checkbox, Required
1lab_facili_chck___1CBC
2lab_facili_chck___2Clotting time
3lab_facili_chck___3Blood grouping and Rh typing
78 [facili_avail_urine] 5.3 Are there facilities available to do urine testing for the following? yesno, Required
1Yes
0No
79 [lab_facili_urine]
Show the field ONLY if:
[facili_avail_urine] = '1'
Can answer all options below checkbox, Required
1lab_facili_urine___1Protein
2lab_facili_urine___2Sugar
3lab_facili_urine___3Microscopy
80 [facili_diab] 5.4 Does the laboratory have a facility to do testing for diabetes? yesno, Required
1Yes
0No
81 [lab_facili_test]
Show the field ONLY if:
[facili_diab] = '1'
Can answer all options below checkbox, Required
1lab_facili_test___1Random blood sugar
2lab_facili_test___2GTT test
82 [lab_facili_chck_5_5] 5.5 Does the laboratory have a facility to check for the following (Malaria, VDRL / RPR for Syphilis, Hepatitis B, HIV, Dengue)? yesno, Required
1Yes
0No
83 [lab_facili_5_5]
Show the field ONLY if:
[lab_facili_chck_5_5] = '1'
Can answer all options below checkbox, Required
1lab_facili_5_5___1Malaria
2lab_facili_5_5___2VDRL / RPR for Syphilis
3lab_facili_5_5___3Hepatitis B
4lab_facili_5_5___4HIV
5lab_facili_5_5___5Dengue
84 [sec_6] Equipment, Supplies and Drugs: Walk through the LR and check for the following equipment as
given in Section 6. You could check for availability in the LR or the pharmacy for supplies and drugs as
given in Section 7. 		descriptive
85 [functional_equipment_are_t] Functional equipment - Are the following available and functional in the LR? descriptive
86 [thermo_msrs_temp] 6.1 Thermometer to measure temperature? yesno, Required
1Yes
0No
87 [msrs_tape] 6.2 Measuring tape to measure fundal height/abdominal girth/height?
yesno, Required
1Yes
0No
88 [digi_weigh_machn] 6.3 Digital/ Beam weighing machine to check weight of an adult?
yesno, Required
1Yes
0No
89 [didgi_wegh_mchn_bab_y] 6.4 Digital/ Beam weighing machine to check weight of a baby?
yesno, Required
1Yes
0No
90 [bp_apparts] 6.5 BP apparatus? yesno, Required
1Yes
0No
91 [suction_apparts] 6.6 Suction apparatus? yesno, Required
1Yes
0No
92 [appr_sze_neon_bag] 6.7 Are appropriate size neonatal bag and masks available?
yesno, Required
1Yes
0No
93 [adlt_sze_bag] 6.8 Are appropriate size Adult bag and masks available? yesno, Required
1Yes
0No
94 [gluco_avail] 6.9 Is there a glucometer available? yesno, Required
1Yes
0No
95 [referg_avail] 6.10 Is there a refrigerator available? yesno, Required
1Yes
0No
96 [minte_needl_clck] 6.11 Is there a minute needle/digital clock available? yesno, Required
1Yes
0No
97 [sec_7] Section 7 Supplies and drugs: descriptive
98 [medic_avail_lr_facil_i] 7.1 Are the following medications available in LR / health facility? checkbox, Required
1medic_avail_lr_facil_i___1Inj. MgSO4
2medic_avail_lr_facil_i___2Antibiotics (oral / injectable)
3medic_avail_lr_facil_i___3Inj. Oxytocin
4medic_avail_lr_facil_i___4Methergin (oral /injectable)
5medic_avail_lr_facil_i___5IV fluids
6medic_avail_lr_facil_i___6Inj. Adrenalin
7medic_avail_lr_facil_i___7Blood and blood products
8medic_avail_lr_facil_i___8Tab. IFA
9medic_avail_lr_facil_i___9Tab. Calcium
10medic_avail_lr_facil_i___10Anticonvulsants (oral /injectable)
11medic_avail_lr_facil_i___11Antenatal corticosteroids (Dexamethasone/Betamethasone)
12medic_avail_lr_facil_i___12Inj. Insulin
13medic_avail_lr_facil_i___13Antidiabetics (oral)
14medic_avail_lr_facil_i___14Antihypertensives (oral / injectable)
15medic_avail_lr_facil_i___15Tocolytics (oral / injectable)
16medic_avail_lr_facil_i___16Tab. Misoprostol
17medic_avail_lr_facil_i___17Inj Lasix
18medic_avail_lr_facil_i___18Plasma Expanders
99 [yes_stock_out] 7.2 Has there been stock out of any supplies in the last three months? yesno, Required
1Yes
0No
100 [stock_3_mnths]
Show the field ONLY if:
[yes_stock_out] = '1'
Can answer more than one answer checkbox, Required
1stock_3_mnths___1Sanitizers
2stock_3_mnths___2Suction tubes
3stock_3_mnths___3Sanitary pads
4stock_3_mnths___4Sutures
5stock_3_mnths___5MgSO4
6stock_3_mnths___6Antibiotics (oral / injectable)
7stock_3_mnths___7Oxytocin
8stock_3_mnths___8Methergin (oral / injectable)
9stock_3_mnths___9IV fluids
10stock_3_mnths___10Adrenalin
11stock_3_mnths___11Blood and blood products
12stock_3_mnths___12IFA
13stock_3_mnths___13Calcium
14stock_3_mnths___14Anticonvulsants
15stock_3_mnths___15Antenatal Corticosteroids
16stock_3_mnths___16Antidiabetics
17stock_3_mnths___17Antihypertensive
18stock_3_mnths___18Tocolytics
19stock_3_mnths___19Misoprostol
20stock_3_mnths___20Inj Lasix
21stock_3_mnths___21Plasma Expanders
22stock_3_mnths___22Glucometer strip
23stock_3_mnths___23Urine Testing strips for albumin and sugar
24stock_3_mnths___24Blood testing kits (HIV / HBsAg / Syphilis / Hemoglobin)
101 [iec_mater_avail] 7.3 Is there IEC material available for women as given below? checkbox, Required
1iec_mater_avail___1Prevention of infection
2iec_mater_avail___2Danger signs during pregnancy
3iec_mater_avail___3Preparedness for childbirth
4iec_mater_avail___4None of the above
102 [comments_7] Comments notes
103 [sec_8] Section Header: Section 8: Record Review in Delivery Point :Review the ANC and Parturition register to obtain the information for the last three months. If information is not available, mention it below as following code : (9998 - Not documented, 9999 Not available) descriptive
104 [month_1_chc] Name of Month 1 text, Required
105 [month_2_chc] Name of Month 2 text, Required
106 [month_3_chc] Name of Month 3 text, Required
107 [no_antenal_moth_reg_mnth_1] 8.1 Number of Antenatal mothers registered in the facility - Month 1


(9998 - Not documented, 9999 - Not available) 		text (number), Required
108 [no_antenal_moth_reg_mnth_2] 8.1 Number of Antenatal mothers registered in
the facility - Month 2 		text (number), Required
109 [no_antenal_moth_reg_mnth_3] 8.1 Number of Antenatal mothers registered in the facility Month 3 text (number), Required
110 [no_women_4_anc_mnth_1] 8.2 Number of women with 4 ANCs Month 1 text (number), Required
111 [no_women_4_anc_mnth_2] 8.2 Number of women with 4 ANCs Month 2 text (number), Required
112 [no_women_4_anc_mnth_3] 8.2 Number of women with 4 ANCs Month 3 text (number), Required
113 [no_wmn_risk_factrs_1] Number of women with risk factors - Month 1 text (number), Required
114 [no_wmn_risk_factrs_2] Number of women with risk factors - Month 2 text (number), Required
115 [no_wmn_risk_factrs_3] Number of women with risk factors - Month 3 text (number), Required
116 [seve_anemi_mnth_1] 8.3.1 Severe anemia (< 7gm/dl) Month 1 text (number), Required
117 [seve_anemi_mnth_2] 8.3.1 Severe anemia (< 7gm/dl) Month 2 text (number), Required
118 [seve_anemi_mnth_3] 8.3.1 Severe anemia (< 7gm/dl) Month 3 text (number), Required
119 [raisd_bp_mnth_1] 8.3.2 Raised BP (>140/90) Month 1 text (number), Required
120 [raisd_bp_mnth_2] 8.3.2 Raised BP (>140/90) Month 2 text (number), Required
121 [raisd_bp_mnth_3] 8.3.2 Raised BP (>140/90) Month 3 text (number), Required
122 [mult_prgn_mnth_1] 8.3.3 Multiple pregnancy Month 1 text (number), Required
123 [mult_prgn_mnth_2] 8.3.3 Multiple pregnancy Month 2 text (number), Required
124 [mult_prgn_mnth_3] 8.3.3 Multiple pregnancy Month 3 text (number), Required
125 [prev_boh_mnth_1] 8.3.4 Previous BOH Month 1 text (number), Required
126 [prev_boh_mnth_2] 8.3.4 Previous BOH Month 2 text (number), Required
127 [prev_boh_mnth_3] 8.3.4 Previous BOH Month 3 text (number), Required
128 [gdm_mnth_1] 8.3.5 GDM Month 1 text (number), Required
129 [gdm_mnth_2] 8.3.5 GDM Month 2 text (number), Required
130 [gdm_mnth_3] 8.3.5 GDM Month 3 text (number), Required
131 [bleed_disordr_mnth_1] 8.3.6 Bleeding disorder month 1 text (number), Required
132 [bleed_disordr_mnth_2] 8.3.6 Bleeding disorder month 2 text (number), Required
133 [bleed_disordr_mnth_3] 8.3.6 Bleeding disorder month 3 text (number), Required
134 [infect_mnth_1] 8.3.7 Infections (HIV/Hepatitis/Malaria/VDRL/any other Month 1 text (number), Required
135 [infect_mnth_2] 8.3.7 Infections (HIV/Hepatitis/Malaria/VDRL/any other Month 2 text (number), Required
136 [infect_mnth_3] 8.3.7 Infections (HIV/Hepatitis/Malaria/VDRL/any other Month 3 text (number), Required
137 [othr_med_cond_mnth_1] 8.3.8 Other medical condition (Tuberculosis/Asthma/COPD/ Heart disease/Bleeding disorders/others....)
Month-1 		text (number), Required
138 [othr_med_cond_mnth_2] 8.3.8 Other medical condition (Tuberculosis/Asthma/COPD/ Heart disease/Bleeding disorders/others....)
Month-2 		text (number), Required
139 [othr_med_cond_mnth_3] 8.3.8 Other medical condition (Tuberculosis/Asthma/COPD/ Heart disease/Bleeding disorders/others....)
Month-3 		text (number), Required
140 [regstrs_antnal_mothrs_mnth_1] 8.4 Number of registered antenatal mothers who came for delivery
Month - 1 		text (number), Required
141 [regstrs_antnal_mothrs_mnth_2] 8.4 Number of registered antenatal mothers who came for delivery Month - 2 text (number), Required
142 [regstrs_antnal_mothrs_mnth_3] 8.4 Number of registered antenatal mothers who came for delivery
Month - 3 		text (number), Required
143 [no_wmn_ultrsnd_mnth_1] 8.5 Number of women who come in labour and who had an ultrasound report
Month 1 		text (number), Required
144 [no_wmn_ultrsnd_mnth_2] 8.5 Number of women who come in labour and who had an ultrasound report
Month 2 		text (number), Required
145 [no_wmn_ultrsnd_mnth_3] 8.5 Number of women who come in labour and who had an ultrasound report Month 3 text (number), Required
146 [no_wmn_complications_mnth_1] Number of women with labour complications
Month 1 		text (number), Required
147 [no_wmn_complications_mnth_2] Number of women with labour complications
Month 2 		text (number), Required
148 [no_wmn_complications_mnth_3] Number of women with labour complications
Month 3 		text (number), Required
149 [bleed_0_mnth_1] 8.6.1 Bleeding per vagina (APH) Month 1 text (number), Required
150 [bleed_0_mnth_2] 8.6.1 Bleeding per vagina (APH) Month 2 text (number), Required
151 [bleed_0_mnth_3] 8.6.1 Bleeding per vagina (APH) Month 3 text (number), Required
152 [hgh_fvr_0_mnth_1] 8.6.2 High fever Month -1 text (number), Required
153 [hgh_fvr_0_mnth_2] 8.6.2 High fever Month -2 text (number), Required
154 [hgh_fvr_0_mnth_3] 8.6.2 High fever Month -3 text (number), Required
155 [preclamp_0_mnth_1] 8.6.3 Pre-eclampsia / Eclampsia Month 1 text (number), Required
156 [preclamp_0_mnth_2] 8.6.3 Pre-eclampsia / Eclampsia Month 2 text (number), Required
157 [preclamp_0_mnth_3] 8.6.3 Pre-eclampsia / Eclampsia Month 3 text (number), Required
158 [pretrm_0_mnth_1] 8.6.4 PROM /PPROM / preterm labour Month 1 text (number), Required
159 [pretrm_0_mnth_2] 8.6.4 PROM /PPROM / preterm labour Month 2 text (number), Required
160 [pretrm_0_mnth_3] 8.6.4 PROM /PPROM / preterm labour Month 3 text (number), Required
161 [ftl_obs_0_mnth_1] 8.6.5 Fetal and obstetric complications Month - 1 text (number), Required
162 [ftl_obs_0_mnth_2] 8.6.5 Fetal and obstetric complications Month - 2 text (number), Required
163 [ftl_obs_0_mnth_3] 8.6.5 Fetal and obstetric complications Month - 3 text (number), Required
164 [oth_mdcl_prblm_0_mnth_1] 8.6.6 Other medical problems Month -1 text (number), Required
165 [oth_mdcl_prblm_0_mnth_2] 8.6.6 Other medical problems Month -2 text (number), Required
166 [oth_mdcl_prblm_0_mnth_3] 8.6.6 Other medical problems Month -3 text (number), Required
167 [no_wmn_nrml_delv_mnth_1] 8.7 Number of women who had normal delivery Month 1 text (number), Required
168 [no_wmn_nrml_delv_mnth_2] 8.7 Number of women who had normal delivery Month 2 text (number), Required
169 [no_wmn_nrml_delv_mnth_3] 8.7 Number of women who had normal delivery Month 3 text (number), Required
170 [vaccum_0_mnth_1] 8.8.1 Vacuum Month 1 text (number), Required
171 [vaccum_0_mnth_2] 8.8.1 Vacuum Month 2 text (number), Required
172 [vaccum_0_mnth_3] 8.8.1 Vacuum Month 3 text (number), Required
173 [forceps_0_mnth_1] 8.8.2 Forceps Month -1 text (number), Required
174 [forceps_0_mnth_2] 8.8.2 Forceps Month -2 text (number), Required
175 [forceps_0_mnth_3] 8.8.2 Forceps Month -3 text (number), Required
176 [no_lscs_mnth_1] 8.9 Number of LSCS Month 1 text (number), Required
177 [no_lscs_mnth_2] 8.9 Number of LSCS Month 2 text (number), Required
178 [no_lscs_mnth_3] 8.9 Number of LSCS Month 3 text (number), Required
179 [no_liv_brths_mnth_1] 8.10 Number of live births Month 1 text (number), Required
180 [no_liv_brths_mnth_2] 8.10 Number of live births Month 2 text (number), Required
181 [no_liv_brths_mnth_3] 8.10 Number of live births Month 3 text (number), Required
182 [macertd_0_mnth_1] 8.11.1 Macerated Month 1 text (number), Required
183 [macertd_0_mnth_2] 8.11.1 Macerated Month 2 text (number), Required
184 [macertd_0_mnth_3] 8.11.1 Macerated Month 3 text (number), Required
185 [frsh_0_1] 8.11.2 Fresh Month 1 text (number), Required
186 [frsh_0_2] 8.11.2 Fresh Month 2 text (number), Required
187 [frsh_0_3] 8.11.2 Fresh Month 3 text (number), Required
188 [no_erly_neontl_dths_mnth_1] 8.12 Number of early neonatal deaths (within 24 hours of birth) Month 1 text (number), Required
189 [no_erly_neontl_dths_mnth_2] 8.12 Number of early neonatal deaths (within 24 hours of birth) Month 2 text (number), Required
190 [no_erly_neontl_dths_mnth_3] 8.12 Number of early neonatal deaths (within 24 hours of birth) Month 3 text (number), Required
191 [genrl_cmmnts] General Comments notes
192 [chckd_1] Nurse Mentor name text, Required
193 [dt_3] Date text (date_dmy), Required
194 [chckd_2] Supervisor Name text, Required
195 [dt_4] Date text (date_dmy), Required
196 [chckd_3] Taluk coordinator name text, Required
197 [dt_5] Date text (date_dmy)
 
 198 [form_1_complete]
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