1.HospitalnameandAddress.docVIP

1. Hospital name and Address: 2. The hospital is: Solely a maternity hospital A government hospital (Mark all that apply) A general hospital A private hospital A teaching hospital Other (specify) 3. Name and title of hospital director or administrator: Telephone and extension: E-mail: 4. Name and title of the director of maternity services: Telephone and extension: E-mail: 5. Name and title of the director of antenatal services/clinic: Telephone and extension: E-mail: 6. Number of maternity beds (postpartum): 7. Average daily number of mothers with ful