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TB and Malaria Survey

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TB and Malaria Survey Powered By Docstoc
					                      Department of Health, Center for Health Development 3
               COLLABORATING CENTER FOR DISEASE PREVENTION & CONTROL
                                       Regional Laboratory
                                     City of San Fernando, Pampanga
                                        Tel: (045)9612099 loc. 123



Name of Hospital/Laboratory:



                     Address:

              Contact Number:


  Medical Technologists              PRC Lic. No.        Contact Number          E-mail Address




Please encircle your answers.

   1) Are AFB and Malaria Blood Smear offered in your laboratory?

       (yes) AFB only

       (yes) Malaria Microscopy only

       (yes) Both AFB and Malaria Microscopy

       (no) send out, specify referral lab.

   2) Is the medical technologist performing AFB and Malaria had undergone formal training?

       (no)

       (yes) specify
               Date of training:
               Who conducted the training?
               Name of MT trained:
    3) Average examinations done annually?

        AFB
         Number found positive

        Malaria
         Number found positive



    4) Are you aware of the current TB and Malaria program of the DOH?
       (yes)
       (no)

    5) Are you willing to undergo training for TB and Malaria Microscopy?
       (yes)
       (no)

    6) If you will undergo training will the laboratory facility be willing to shoulder the expenses?
       (yes)
       (no)

    7) Is your laboratory facility willing to cooperate with the existing DOH Policies on Malaria and TB
       Microscopy?
       (yes)
       (no)



Comments and suggestions:




Thank you for taking time in answering this survey. Rest assured your inputs will be used to formulate
new policies and trainings to improve laboratory services.



Please email this survey to idtomis_chd3@yahoo.com

				
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posted:4/23/2011
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Description: DOH CHD3 Collaborating Center for Disease Prevention and Control survey on TB and Malaria to assess the current practice of private clinical laboratories in Central Luzon.