Health Results Based Financing Impact Evaluation 2014

Tajikistan, 2014 - 2015

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Reference ID

TJK_2014_HRBFIE-FBL_v01_M

Producer(s)

Damien de Walque, Aneesa Arur, Gil Shapira

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Created on

Jun 26, 2017

Last modified

Jun 26, 2017

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Data file: f22_hh

Clinical Vignettes - Health House

Cases:	323
Variables:	283

Variables

FACILITY

DISTRICT

HPID

Health worker number (from staff listing)

V0_6

Sex of health worker

V0_7

Health worker category

V0_7_OTHER

V1_1_01

V1_1_02

ASK MOTHER CHILD

V1_1_03

HOW LONG A CHILD HAS THIS PROBLEM

V1_1_04

ASK WHETHER THE CHILD HAS DIFFICULTY IN FEEDING

V1_1_05

ASK WHETHER THE CHILD HAS FITS OR SPASMS (CONVULSION)

V1_1_06

MEASURE TEMPERATURE

V1_1_07

ASK WHETHER THE CHILD HAS FAST AND DIFICULT BREATHING

V1_1_08

ASK WHETHER THE CHILD HAS DIARRHEA

V1_1_09

ASK WHETHER THE CHILD HAS VOMITING

V1_1_10

OTHER, NOT LISTED ABOVE

V1_1_11

MEASURE WEIGHT AND HEIGHT

V1_1_12

MEASURE THE TEMPERATURE OF THE CHILD

V1_1_13

LOOK AT THE UMBILICUS: IS IT RED OR DRAINING PUS

V1_1_14

CHECK THE BREATHING

V1_1_15

MUCOUS MEMBRANES (mouth and eyes)

V1_1_16

SEE IF CHILD IS LATHERING OR UNCONSCIOUSNESS

V1_1_17

STATUS OF A BIG FONTANEL

V1_1_18

OTHER NOT LISTED ABOVE (POINT)

V1_1_OTHER10

V1_1_OTHER18

V1_2_1

Based on this assessment what is you major diagnosis? - SEVERE DEHYDRATION

V1_2_2

Based on this assessment what is you major diagnosis? - SOME DEHYDRATION

V1_2_3

Based on this assessment what is you major diagnosis? - NO DEHYDRATION

V1_2_4

Based on this assessment what is you major diagnosis? - OTHER NOT LISTED ABOVE

V1_2_5

Based on this assessment what is you major diagnosis? - DON

V1_2_OTHER

OTHER - Based on this assessment what is you major diagnosis?

V1_3_1

RECOMMENDS URGENT REFERRAL TO A HOSPITAL

V1_3_2

ADMINISTER RINGER LACTATE OR NORMAL SALINE IV SOLUTION

V1_3_3

ADMINISTER LIQUID BY NASO-GASTRIC TUBE

V1_3_4

PRESCRIBE OR ADMINISTER ANTIBIOTICS

V1_3_5

ADMINISTER ORS AT THE FACILITY

V1_3_6

PRESCRIBE ORS FOR HOME TREATMENT

V1_3_7

GIVE ONE DOSE OF PARACETAMOL

V1_3_8

PRESCRIBE PARACETAMOL FOR HOME TREATMENT

V1_3_9

OTHER NOT LISTED ABOVE

V1_3_OTHER

V1_4_1

RECOMMENDATION: - ADVISE ON GIVING ORS ON THE WAY TO HOSPITAL

V1_4_2

RECOMMENDATION: - RECOMMENDS TO GIVE FOOD AND FLUIDS OTHER THAN BREASTMILK

V1_4_3A

THE CORRECT FEEDING: - BREASTFEED AS OFTEN AS CHILD WANTS

V1_4_3B

THE CORRECT FEEDING: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN

V1_4_3C

THE CORRECT FEEDING: - GIVE 3-4 MEALS A DAY

V1_4_3D

THE CORRECT FEEDING: - OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHI

V1_4_4A

WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED

V1_4_4B

WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER

V1_4_4C

WHEN TO RETURN IMMEDIATELY: - FEVER

V1_4_4D

WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING

V1_4_4E

WHEN TO RETURN IMMEDIATELY: - BLOOD IN STOOL

V1_4_4F

WHEN TO RETURN IMMEDIATELY: - OTHER NOT LISTED ABOVE

V1_4_4F_OTHER

V2_1_01

V2_1_02

ASK MOTHER CHILD

V2_1_03

ASK THE MOTHER WHAT IS A CHILD

V2_1_04

ASK WHETHER A CHILD HAD MEASLES WITHIN LAST 3 MONTHS

V2_1_05

ASK WHETHER A CHILD COUGH

V2_1_06

ASK WHETHER A CHILD VOMITING

V2_1_07

ASK WHETHER A CHILD HAD CONVULSIONS

V2_1_08

V2_1_09

MEASURE WEIGHT AND HEIGHT

V2_1_10

MEASURE TEMPERATURE

V2_1_11

SEE IF CHILD IS LETHARGIC OR UNCONSIOUSNESS

V2_1_12

OBSERVE IF CHILD IS CONVULSING

V2_1_13

COUNT THE BERATH IN ONE MINUTE

V2_1_14

LOOK AND FEEL FOR STIFF NECK

V2_1_15

LOOK FOR RUNNY NOSE

V2_1_16

V2_1_17

LOOK FOR RED EYES

V2_1_18

OBSERVE CHEST INDRAWING

V2_1_19

LOOK AND LISTEN FOR STRIDOR AND WHEEZING

V2_1_20

V2_1_OTHER8

V2_1_OTHER20

V2_2_1

SEVERE PNEUMONIA OR VERY SEVERE ILLNESS

V2_2_2

V2_2_3

PNEUMONIA WITH WHEEZE

V2_2_4

V2_2_5

OTHER , NOT LISTED ABOVE

V2_2_6

V2_2_OTHER

V2_3_1A

PRESCRIBE OR ADMINISTER ANTIBIOTICS: - GIVE THE FIRST DOSE OF ANTIBIOTIC

V2_3_1B

PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE ORAL ANTIBIOTIC AT HOME FOR 5

V2_3_1C

PRESCRIBE OR ADMINISTER ANTIBIOTICS: - PRESCRIBE INJECTABLE ANTIBIOTIC FOR 5 DA

V2_3_2

RECOMMENDS URGENT REFERRAL TO A HOSPITAL

V2_3_3

ANTIMALIRIA TREATMENT

V2_3_5

PRESCRIBE DOSE OF PARACETAMOL AT THE FACILITY

V2_3_6

PRESCRIBE PARACETAMOL FOR HOME TREATMENT

V2_3_7

GIVE AN INHALER FOR WHEEZING

V2_3_8

SOOTHE THE THROAT AND RELIEVE THE COUGH WITH A SAFE REMEDY

V2_3_9

OTHER, NOT LISTED ABOVE

V2_3_9_OTHER

V2_4_1

TEACH A CAREGIVER HOW TO GIVE THE ANTIBIOTIC AT HOME

V2_4_2

TEACH A CAREGIVER ABOUT MAKING OR BUYING AND GIVING A SAFE REMEDY

V2_4_3A

HOW TO FEED CORRECTLY: - BREASTFEED MORE

V2_4_3B

HOW TO FEED CORRECTLY: - ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AN

V2_4_4A

WHEN TO RETURN IMMEDIATELY: - NOT ABLE TO DRINK AND OR BREASTFEED

V2_4_4B

WHEN TO RETURN IMMEDIATELY: - BECOMES SICKER

V2_4_4C

WHEN TO RETURN IMMEDIATELY: - FEVER CONTINUES

V2_4_4D

WHEN TO RETURN IMMEDIATELY: - FAST AND DIFFICULT BREATHING

V2_4_4E

WHEN TO RETURN IMMEDIATELY: - CONVULSIONS

V2_4_5

OTHER NOT LISTED ABOVE

V2_4_5_OTHER

V3_1_01

V3_1_02

ASK MOTHER CHILD

V3_1_03

ASK THE MOTHER WHAT IS A CHILD

V3_1_04

MEASURE WEIGHT AND HEIGHT

V3_1_05

MEASURE TEMPERATURE

V3_1_06

COUNT THE BREATH IN ONE MINUTE

V3_1_07

LOOK FOR ICHEST NDRAWING

V3_1_08

LOOK FOR NASAL FLARING

V3_1_09

LOOK AND FEEL FOR GRAUNTING

V3_1_10

LOOK AND FEEL FOR BULGING FONTANELLE

V3_1_11

LOOK FOR PUS DRAINING FROM THE EAR

V3_1_12

LOOK AT UMBILICUS ON READNESS AND PUS

V3_1_13

LOOK FOR PUSTULES ON THE SKIN

V3_1_14

SEE WHETHER AN INFANT IS LETHARGIC OR UNCONSCIOUS

V3_1_15

ASSESS YOUNG INFANT

V3_1_16

OTHER NOT LISTED ABOVE

V3_1_OTHER

V3_2_1

Based on this assessment what is your main diagnosis? - VERY SEVERE ILLNESS

V3_2_2

Based on this assessment what is your main diagnosis? - LOCAL BACTERIAL INFECT

V3_2_3

Based on this assessment what is your main diagnosis? - NOT A SEVERE ILLNESS A

V3_2_4

Based on this assessment what is your main diagnosis? - ANOTHER DIAGNOSIS

V3_2_5

Based on this assessment what is your main diagnosis? - DON'T KNOW

V3_2_OTHER

Based on this assessment what is your main diagnosis? - OTHER, SPECIFY

V3_3_1

ADMINISTER INTRAMUSCULAR INJECT FIRST DOSE OF ANTIBIOTIC

V3_3_2

TREAT TO PREVENT LOW BLOOD SUGAR BY GIVING 20-50 ML EXPRESSED BREAST MILK BEFORE

V3_3_3

ADVISE MOTHER HOW TO KEEP AN INFANT WARM ON THE WAY TO THE HOSPITAL

V3_3_4

REFER URGENTLY TO THE HOSPITAL

V3_3_5

OTHER NOT LISTED ABOVE

V3_3_OTHER

V3_4_1

Please explain what will be the dosage of GENTAMICIN? - 2 mg/ml

V3_4_2

Please explain what will be the dosage of GENTAMICIN? - 5 mg/ml

V3_4_3

Please explain what will be the dosage of GENTAMICIN? - 10 mg/ml

V3_4_4

Please explain what will be the dosage of GENTAMICIN? - OTHER NOT LISTED ABOVE

V3_4_5

Please explain what will be the dosage of GENTAMICIN? - Do not know

V3_4_OTHER

V4_1_01

V4_1_02

ASK MOTHER CHILD

V4_1_03

ASK ABOUT AGE OF THE CHILD

V4_1_04

ASK THE MOTHER WHAT IS A CHILD

V4_1_05

ASK WHETHER THE CHILD VOMITS

V4_1_06

ASK WHETHER A CHILD HAS FITS OR SPASMS (CONVULSION)

V4_1_07

ASK WHETHER A CHILD HAS COUGH OR DIFFICULT BREATHING

V4_1_08

WILL ASK WHETHER A CHILD HAS A DIARRHOEA

V4_1_09

V4_1_10

MEASURE WEIGHT AND HEIGHT OR LENGTH

V4_1_11

MEASURE TEMPERATURE

V4_1_12

CHECK WHETHER A CHILD CAN DRINK OR BREASTFEED

V4_1_13

LOOK WHETHER THE CHILD IS LETARGIC OR UNCONTIOUS

V4_1_14

COUNT THE BREATH IN ONE MINUTE

V4_1_15

LOOK FOR CHEST INDRAWING

V4_1_16

LOOK AND LISTEN FOR STRIDOR OR WHEEZING

V4_1_17

WILL LOOK AND FEEL FOR ODEMA ON BOTH FEET

V4_1_18

CHECK SKIN AND PALMS OF A CHILD ON PALMAR PALLOR

V4_1_19

ASSESS CHILD FEEDING

V4_1_20

V4_1_21

V4_1_22

OTHER NOT LISTED ABOVE

V4_1_OTHER

V4_2_1

Based on this assessment, what is your main diagnosis? - SEVERE MALNUTRITION O

V4_2_2

Based on this assessment, what is your main diagnosis? - LOW WEIGHT OR ANEMIA

V4_2_3

Based on this assessment, what is your main diagnosis? - OTHER NOT LISTED ABOV

V4_2_4

Based on this assessment, what is your main diagnosis? - I DO NOT NKOW

V4_3_1

URGENTLY REFER TO THE HOSPITAL

V4_3_2

GIVE IRON CONTAINING DRUG

V4_3_3

GIVE VITAMINE CONTAINING DRUG

V4_3_4A

GIVE 4-5 MEALS A DAY

V4_3_4B

ALSO GIVE THICK PORRIGE OR WELL MASHED FOODS (ANIMAL AND VITAMIN A RICH FOOD)

V4_3_4C

OFFER 1 OR 2 SNACKS EACH DAY BETWEEN MEALS WHEN THE CHILD SEEMS HUNGRY

V4_3_5A

NOT ABLE TO DRINK AND OR BREASTFEED

V4_3_5B

V4_3_5C

FEVER CONTINUES

V4_3_5D

FAST BREATHING DIFFICULT BREATHING

V4_3_6

WHEN TO RETURN FOR FOLLOW-UP

V4_3_7

OTHER NOT LISTED ABOVE

V4_3_7_OTHER

V5_1_01

ASK HOW OLD IS A PATIENT

V5_1_02

ASK TO DESCRIBE IN MORE DETAIL PROBLEMS

V5_1_03

ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED

V5_1_04

ASK WHETHER HE FEELS NAUSIA

V5_1_05

ASK WHETHER HE VOMITED

V5_1_06

ASK ABOUT OLIGURIA OR ABOUT PROBLEMS WITH KIDNEY

V5_1_07

ASK ABOUT VISION PROBLEMS DURING THE HEADACHE

V5_1_08

ASK ABOUT WHETHER HE HAS CHEST PAIN

V5_1_09

ASK SMOKING STATUS

V5_1_10

ASK ABOUT ALCOHOL INTAKE

V5_1_11

ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE

V5_1_12

ASK WHETHER THE PATIENT HAS DIABETIS

V5_1_13

ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY

V5_1_14

ASK ABOUT FOOD INTAKE

V5_1_15

ASK ABOUT WEIGHT GAIN/LOSS

V5_1_16

ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS

V5_1_17

OTHER, NOT LISTED ABOVE

V5_1_18

MEASURE BLOOD PRESSURE

V5_1_19

ASSESS HIS WEIGHT AND HIGHT

V5_1_20

V5_1_22

A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H

V5_1_23A

A BLOOD SAMPLE TO MEASURE: - GLUCOSE

V5_1_23B

A BLOOD SAMPLE TO MEASURE: - ELECTROLYTES

V5_1_23C

A BLOOD SAMPLE TO MEASURE: - CREATININE

V5_1_23D

A BLOOD SAMPLE TO MEASURE: - ESTIMATED GLOMERULAR FILTRATION RATE

V5_1_23E

A BLOOD SAMPLE TO MEASURE: - SERUM TOTAL CHOLESTEROL

V5_1_23F

A BLOOD SAMPLE TO MEASURE: - HDL CHOLESTEROL

V5_1_24

12-LEAD ELECTROCARDIOGRAPHY

V5_1_21

OTHER, NOT LISTED ABOVE

V5_1_25

OTHER, NOT LISTED ABOVE

V5_1_OTHER17

V5_1_OTHER21

V5_1_OTHER25

V5_2

V5_3_1

ANTI-HYPERTENSIVE DRUG TREATMENT STARTED IMMEDIATELY

V5_3_2A

REDUCE THE INTAKE OF SALT

V5_3_2B

REDUCE THE INTAKE OF FATTY MEAT

V5_3_2C

REDUCE THE INTAKE OF FATTY FOOD

V5_3_3

ADVISE ON PHYSICAL ACTIVITY

V5_3_4

REFUSE OF SMOKING AND NOS (CHEWING TOBACO)

V5_3_5

AVOID UNHEALTHY ALCOHOL USE

V5_3_6

HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING

V5_3_7

FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH

V5_3_8

OTHER NOT LISTED ABOVE

V5_3_8_OTHER

V5_3_9

V6_1_01

ASK HOW OLD IS A PATIENT

V6_1_02

ASK TO DESCRIBE IN MORE DETAIL PROBLEMS

V6_1_03

ASK WHETHER IT IS FOR THE FIRST TIME WHEN SUCH SYMTOMS ARE PRESENTED

V6_1_04

ASK WHETHER HE FEELS NAUSEA

V6_1_05

ASK WHETHER HE VOMITED

V6_1_06

ASK ABOUT OLIGURIA AND ABOUT THE PROBLEM OF KIDNEY

V6_1_07

ASK ABOUT VISION PROBLEMS DURING THE HEADACHE

V6_1_08

ASK ABOUT WHETHER HE HAS CHEST PAIN

V6_1_09

ASK SMOKING STATUS

V6_1_10

ASK ABOUT ALCOHOL INTAKE

V6_1_11

ASK FAMILY HISTORY OF PREMATURE CORONARY HEART DISEASE OR STROKE

V6_1_12

ASK WHETHER THE PATIENT HAS DIABETIS

V6_1_13

ASK ABOUT LIFESTYLE /PHYSICAL ACTIVITY

V6_1_14

ASK ABOUT FOOD INTAKE

V6_1_15

ASK WHETHER HE IS ALREADY ON ANTIHYPERTENSIVE THERAPY OR OTHER MEDICATIONS

V6_1_16

ASSESS HIS WEIGHT

V6_1_17

V6_1_18

MEASURE BLOOD PRESSURE

V6_1_OTHER19

V6_1_20

A URINE SAMPLE FOR ESTIMATION OF THE ALBUMIN: CREATININE RATIO AND TESTING FOR H

V6_1_21

A BLOOD SAMPLE TO MEASURE:

V6_1_21A

A BLOOD SAMPLE TO MEASURE: PLASMA GLUCOSE,

V6_1_21B

A BLOOD SAMPLE TO MEASURE: ELECTROLYTES,

V6_1_21C

A BLOOD SAMPLE TO MEASURE: CREATININE,

V6_1_21D

A BLOOD SAMPLE TO MEASURE: ESTIMATED GLOMERULAR FILTRATION RATE,

V6_1_21E

A BLOOD SAMPLE TO MEASURE: SERUM TOTAL CHOLESTEROL

V6_1_21F

A BLOOD SAMPLE TO MEASURE: HDL CHOLESTEROL

V6_1_22

A BLOOD SAMPLE TO MEASURE: 12-LEAD ELECTROCARDIOGRAPHY

V6_1_19

V6_1_23

A BLOOD SAMPLE TO MEASURE: OTHER

V6_1_OTHER23

V6_2

V6_3_1

ANTI-HYPERTENSIVE DRUG TREATMENT

V6_3_2

PRESCRIBE ANTIHYPERTENSIVE DRUGS AT HOME

V6_3_3

PRESCRIBE GIPOGLICEMIC DRUGS

V6_3_4

ADVISE ON HEALTHY NUTRITION

V6_3_4A

REDUCE THE INTAKE OF SALT

V6_3_4B

REDUCE THE INTAKE OF FATTY MEAT

V6_3_4C

REDUCE THE INTAKE OF FATTY FOOD

V6_3_5

ADVISE ON PHYSICAL ACTIVITY

V6_3_6

SMOKING CESSATION AND NOS (CHEWING TOBACO)

V6_3_7

AVOID UNHEALTHY ALCOHOL USE

V6_3_8

HOME BLOOD PRESSURE MONITORING TWICE A DAY IN THE MORNING AND THE EVENING

V6_3_9

GIVE ADVICE ON LEG HYGIENE (NAILS, TREATMENT OF CORNS, WEAR APPROPRIATE FOOTWEAR

V6_3_10

FOLLOW UP VISITS AND MONITORING EVERY 3 MONTH

V6_3_11

OTHER NOT LISTED ABOVE

V6_3_11_OTHER

V6_4_1

What drugs will you prescribe? - Thiazide-like Diuretic

V6_4_2

What drugs will you prescribe? - Ace inhibitor

V6_4_3

What drugs will you prescribe? - Calcium channel blocker

V6_4_4

What drugs will you prescribe? - Beta-blocker

V6_4_5

What drugs will you prescribe? - Other not listed above

V6_4_OTHER

V6_5

Will you prescribe all drugs mentioned by you or some of them?

V6_5_OTHER

REGION

Total: 283

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