This survey is to be conducted at NGO/Mission (not for profit) clinics and hospitals (outpatient department only). Ask to speak to the person in charge. Present the letter signed by the Director General of the Ministry of Health. Explain the purpose of the study and the amount of time required to complete the questionnaire. Respond […]
Tag Archives: Data collection forms
Patient Exit Interview for Facilities
OffUse this form to interview patients as they exit the facility. Interviews should be conducted with at least 10 patients.
List of Products Sold in Pharmacies
OffList of Products Sold by Type of Facility, etc.
Procedure for Data Collection
OffSuggested Data Collection procedure by facility.
Instructions For Forms
OffSee here for instructions on how to use the forms.
District Medical Store Questionnaire
OffThis form is to be used for District Medical Stores. The questionnaire is followed by a review of inventory levels of tracer items, a price comparison form, and cost analysis form.
Central Medical Store Questionnaire
OffThis questionnaire is to be applied at the Central Medical Store. The questionnaire is followed by a tracer drug inventory tick, a drug price form, and cost analysis form.
Tanzania ADDO Endline Evaluation
OffThe attached data collection forms are provided for the evaluation of SEAM ADDO program. This data collection effort will include visits to 50 ADDO facilities in Ruvuma and approximately 60 Duka la Dawa Baridi drug retail outlets in Singida. The same information will be gathered at each facility. The forms are designed to collect data […]