Injection Use and Practices in Uganda - EDM Research Series No. 014
(1994; 54 pages) View the PDF document
Table of Contents
View the documentACKNOWLEDGEMENTS
Open this folder and view contents1. INTRODUCTION
Open this folder and view contents2. METHODOLOGY
Open this folder and view contents3. EXTENT OF INJECTION USE
Open this folder and view contents4. HYGIENE OF INJECTION PRACTICE
View the document5. POPULARITY OF INJECTIONS
Open this folder and view contents6. CONCLUSIONS AND RECOMMENDATIONS
View the documentREFERENCES
Close this folderLIST OF APPENDICES
View the documentAppendix 1
View the documentAppendix 2
View the documentAppendix 3
View the documentOTHER DOCUMENTS IN THE DAP RESEARCH SERIES
 

Appendix 3

List of patients and their details (to be filled in by the provider)

Provider

__________

Date filled

__________

Nature of facility

__________

   

Date checked

__________

   

Date

No.

Patient name

Age

Relation

Symptoms

Inject. (tick)

Type & amount

Other med. type & amount

Cost

 

1

               
 

2

               
 

3

               
 

4

               
 

5

               
 

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7

               
 

8

               
 

9

               
 

10

               
 

11

               
 

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13

               
 

14

               
 

15

               
 

..

               
 

30

               

 

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Last updated: May 3, 2013