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Annexure 12: Questionnaires of Census of Autonomous Bodies/Corporations & Out of Pocket Health Expenditures 2018-19 Government of Pakistan Pakistan Bureau of Statistics (National Accounts) National Health Accounts Section
Census of Autonomous bodies/Corporations (Health Care Expenditure) 2011-12
Q. 1: General Information of Organization
1
Name
1.2 Address
1.3 Phone number
1.4 Fax number
1.5 E-mail address
1.6
Number of employees
Gender
Regular
Ad-hoc/Temporary
Other
Total
Male
Female
1.7 Economic activity (Please mention)
PSIC Code (for official use only)
Q. 2: How Organization provides Health Care services to its employees?
2.1 Through own Health facili- ties? If yes, please specify Number of Hospitals Number of Dispensaries
Other
(Please Specify)
2.2
Through Reimbursement of
Medical charges bills? If
yes, then please provide
data on the actual reim-
bursement
of
medical
charges.
Actual Reimbursement of medical charges
(Amount in 000 Rs)
2009/10
2010/11
2011/12
2.3
Through Health insurance to
employees?
If yes, then please provide
data on the total premiums.
Health Insurance
Total Premiums
2009/10
2010/11
2011/12
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National Health Accounts
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Function codes HE04: Provider codes HE05: Illness codes HE06:
Reason for visits unrelated to illness codes HE07:
1 Inpatient
2 Outpatient
3 Unrelated to illness
4 Self-medication
Recall Period: Last three months
- If code= 3, do not ask HE06 Private sector provider Public sector provider
1 Road Accidents
2 Fractures
3 Diarrheal disorders (including dysentery)
4 Pneumonia
5 Flue/Fever
6 Malaria
7 Typhoid
8 Chest Infection
9 Asthma
10 Liver, Kidney diseases
11Measles, Polio (Immunizable diseases)
12 Stroke/ Paralysis
13 Muscular Pain (Knee, Arm, Backbone etc.)
14 Depression / Psychological disorders
15 Eye infection/disorder (ENT)
16 Ulcer diseases
17 Hepatitis infections
18 Tuberculosis (TB)
19 Diabetes
20 Heart Diseases
21 High blood pressure
22 Gynae Issue
23 Dog Bites/Snake Bites
24 Dental care
25 Burns
26 Brain haemorrhage
27 AIDS
28 Cancer
29 Don’t Know
30 Others, Specify _______
1 Private hospital 7 Government hospital-THQ / DHQ/ Tertiary, teaching or specialized hospital
1 Delivery
2 Private doctor clinics 8 Dispensary/MCHC/BHU/RHC
2 Looking for advice on health
3 Homeopath / Hakeem /
Herbalist / Saina / Dai
9 LHV
5 To buy medicine or contraceptives
4 Pharmacy / Shops
10 LHW
6 Antenatal checkups
5 Private Laboratory 11Military Hospital
7 Immunization / vaccination
6 Others, Specify
12 Social Security Hospital 13 Railway Hospital 14Autonomous bodies /semi-government hospital 15Public Laboratory 8 Rehabilitative cares
9 Others-Specify
Out of Pocket Health Expenditures 2018-19 HE01
HE02
Was any member of the household got ill during the last three months?
Yes=1 → go to HE03
No =2 → go to HE02
by all household members? Had any household member visited the health care provider for any other reason “unrelated to illness”, (HE04, code 3). Do not ask HE06 if yes fill out the remaining questionnaire, if No Stop the Questionnaire Yes=1 No = 2
Health Related Expenditures in Rs. HE03 HE04 HE05 HE06 HE07 HE08 HE09 HE10 HE11 HE12 HE13 HE14 HE15 HE16 HE17 HE18 HE19 HE20 Personal ID
Type of healthcare
accessed
(See code below)
Type of
Provider
((See code below)
Kind of illness
(See code
below)
Reason of visits
unrelated to illness
(See code below)
Transportation
costs
Parchi and
Admission
Fees
Doctor's
fee
Medicines / Vaccine Medical Supplies Diagnostic tests Cost of Surgery Medical durables Food Tips Accompanying person Cost Others Total expenditure
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