CHECK LIST OF ASRH SERVICES

Counse Provide contraceptive measures

ling on 1. Yes; 0. No
Gyn
reprod
ecol
uctive Pub Treatment
ogic
health erty of
al Injec Impl Emerg Other
Unit/service and coun Daily sexually
exa Con table ant ency Other (specify)
sexual selin contra Abor Sterili transmitte
min do IUD contr contr contra (specif
health; g ceptiv tion ze d diseases
atio m acep acep ceptiv y)
safe e pills
n tives tive e pills
abortio
n
1. Hospital/
Medical Center
at district level
Mu Cang Chai 1 0 1 0 0 1 0 1 0 1 1 1 At the
district medical obstetrics
center departmen
t of the
district
health
center
Van Chan district 1 Inte 1 0 1 0 0 0 0 1 1 1 At the
medical center grat (hav obstetrics
ing e to departmen
buy) t of the
district
health
center
2. Pú Luông
polyclinic
3. Health station
commune

Nậm búng 1 1 1 1 1 1 0 0 0 0 0 1
Văn Chấn
Pú Luông 1 1 1 1 1 0 0 0 0 0 0 0
Mu Cang Chai

4. Private
obstetric clinic
MCC Private 1 1 1 0 1 0 0 0 0 0 0 1
obstetric clinic
VC Private 1 1 1 0 1 1 0 0 0 0 0
obstetric clinic
5. Pharmacy
6. Village
midwife
6. Traditional
healer