X hits on this document

84 views

0 shares

0 downloads

0 comments

10 / 24

-Birth certificate

Yes                                                                        No

If No, why?

If yes, how?

-Death certificate

Yes                                                                        No

If No, why?

If yes, how?

F/Family planning

-Are contraceptives available?

Yes                                                                        No

If No, why?

-Are all types available?

Yes                                                                        No

If No, why?

-Use of contraceptives

Yes                                                                        No

If No, why?

-Type(s) of contraceptives use (please notify)

-Change in type of contraceptives (please explain the reason(s)

-Availability of counseling

Yes                                                                        No

If No, why?

Document info
Document views84
Page views84
Page last viewedMon Dec 05 04:47:34 UTC 2016
Pages24
Paragraphs530
Words1733

Comments