Intake script v0.1-draft

n1 · statement

नमस्ते। यह आपातकालीन सेवा नहीं है। आप जो लिखते हैं उसे डॉक्टर या प्रशिक्षित स्वास्थ्य कर्मी पढ़ता है। जाँच के नतीजे या चिकित्सा सलाह यहाँ कभी नहीं भेजी जाती — वे केवल आपसे मिलकर दी जाती हैं।

Welcome. This is not an emergency service. A doctor or trained health worker reads what you send. We will never send test results or medical advice here — those are only given in person.

next: n2

n2 · single

यह किसके बारे में है?

Who is this about?

• [child] My child
• [self] Myself
• [other] Someone else in my family · escalate:clinical

next: {"child":"n3","self":"n4","other":"n2b"}

n2b · free · escalate:clinical

बताइए वे आपके कौन हैं, और उम्र पता हो तो लिखिए।

Please tell us who they are to you, and their age if you know it.

next: n4

n3 · value

बच्चे की उम्र कितनी है? (वर्ष)

How old is the child? (years)

next: n4

n4 · single

क्या किसी स्वास्थ्य कर्मी या डॉक्टर ने आपको अस्पताल भेजा है?

Has a health worker or doctor referred you to a hospital?

• [yes_slip] Yes, I have a slip
• [yes_noslip] Yes, but no slip
• [no] No

next: {"yes_slip":"n5","yes_noslip":"n5","no":"n6"}

n5 · single

कौन सा अस्पताल?

Which one?

• [deic] DEIC / district hospital
• [bigger] A bigger hospital
• [unsure] Not sure

next: n7

n6 · statement

आप यहाँ सवाल पूछ सकते हैं। अगर किसी स्वास्थ्य कर्मी ने कागज़ दिया है, तो उसे साथ रखिए।

You can still ask a question here. If a health worker gave you a paper, keep it with you.

next: n11

n7 · single

क्या आप जा पाए हैं?

Have you been able to go yet?

• [went] Yes, we went
• [notyet] Not yet
• [cannot] We cannot go

next: {"went":"n8","notyet":"n9","cannot":"n10"}

n8 · single

वहाँ क्या हुआ?

What happened at the visit?

• [date] We were given a date to come back
• [tests] Tests were done
• [elsewhere] We were sent somewhere else
• [unsure] I am not sure

next: n11

n9 · single

देरी किस वजह से है?

What is holding it up?

• [waiting] Waiting for a date
• [undecided] Not decided yet
• [soon] Travelling soon

next: n11

n10 · multi · escalate:barrier

क्या मुश्किल बना रहा है?

What is making it difficult?

• [distance] Distance
• [cost] Cost of travel
• [escort] No one to come with us
• [work] Cannot miss work
• [unwell] Child is unwell
• [unclear] I did not understand the slip
• [other] Something else

next: n10b

n10b · free

इसके बारे में कुछ और बताना चाहें?

Anything you want to add about that?

next: n11

n11 · multi

क्या इनमें से कुछ देखा गया है? केवल वही चुनें जो आपने स्वयं देखा है। कुछ न चुनना भी ठीक है।

Has anyone noticed any of these? Tick only what you have seen yourself. It is fine to tick nothing.

• [c1] My child could do something before — sitting, walking, speaking or holding things — and cannot do it now. · critical
• [c2] Another child in our family died young without a clear reason, or there were repeated pregnancy losses. · critical
• [c3] We were related by blood before marriage (for example, cousins).
• [c4] My child is not gaining weight or height even though they are fed.
• [c5] My child has been admitted to hospital more than once with vomiting, drowsiness or unconsciousness. · critical
• [c6] My child's belly looks unusually large.
• [c7] My child's face, hands or body shape look different from the rest of our family.
• [c8] My child is getting weaker — trouble climbing stairs, pushes on the thighs to stand, falls often. · critical
• [c9] My child has fits even while taking medicine.
• [c10] My child cannot see or hear as well as before.

next: n12

n12 · multi

इनमें से आपके पास क्या है?

Which of these do you already have?

• [slip] Referral slip
• [imm] Immunisation card
• [growth] Growth chart
• [old] Old hospital papers
• [photos] Photographs of relatives
• [none] None of these

next: n13

n13 · free

आप सबसे ज़्यादा किस बात में मदद चाहते हैं?

What would you most like us to help with?

next: n14

n14 · single

हम जवाब कैसे दें?

How should we reply?

• [chat] Here in this chat
• [phone] Please phone me

next: n15

n15 · statement

धन्यवाद। कोई व्यक्ति इसे पढ़कर बताए गए समय के भीतर जवाब देगा — सोमवार से शनिवार, सुबह 9 से शाम 5 बजे। अपनी बातचीत पर लौटने के लिए यह लिंक सुरक्षित रखें।

Thank you. A person will read this and reply within the published response time, Monday to Saturday, 9am–5pm. Save this link to come back to your conversation.

next: end