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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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DDI/XML JSON
Created on
Jun 26, 2017
Last modified
Jun 26, 2017
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Data file: f23_cba_children

Criterion Based Audit: CBA2 - Children from 2 months up to years old

Cases: 793
Variables: 378

Variables

REGION
Region
DISTRICT
District
FACILITY
Facility number
C2_FILTR
C2_FILTR_ CBA 2: CHILDREN FROM 2 MONTH UP TO 5 YEARS OLD
C2_4_DD
c2.4_dd
C2_4_MM
c2.4_mm
C2_4_YY
c2.4_yy
C2_5
Patient code
C2_6
Patient's gender
C2_7
Is patient's age recorded in the Medical History form?
C2_7A_DD
c2.7a_dd
C2_7A_MM
c2.7a_mm
C2_7A_YY
c2.7a_yy
C2_8
Reasons for bringing child to health facility recorded
C2_8A
Diarrhea
C2_8B
Fever
C2_8C
Cough
C2_8D
Fast/difficult breathing/pneumonia
C2_8E
Throat problems
C2_8F
Ear Problem
C2_8G
Unable of drink/breastfeed, vomiting everything, convulsions, lethargic/unconsci
C2_8I
OTHER (SPEIFY)
C2_8I_OTHER
c2.8i_OTHER
C2_9
Weight taken and recorded
C2_10
Temperature measured and recorded
C2_11
Is the patient's diagnosis recorded in the Medical Card?
C2_12_1
Pneumonia
C2_12_1A
Severe pneumonia
C2_12_1B
No Pneumonia (cough or cold)
C2_12_1C
Wheezing
C2_12_2
Dehydration & Diarrhea
C2_12_2A
Diarrhea with severe dehydration
C2_12_2B
Diarrhea with some dehydration
C2_12_2C
No dehydration
C2_12_2D
Severe persistent Diarrhea
C2_12_2E
Persistent Diarrhea
C2_12_2F
Dysentery
C2_12_3
Ear problems
C2_12_3A
Mastoiditis
C2_12_3B
Acute ear infection
C2_12_3C
Chronic ear infection
C2_12_4
Fever
C2_12_4A
Very severe febrile diseases
C2_12_4B
Fever
C2_12_4C
Measles with complications
C2_12_4D
Measles
C2_12_5
Malnutrition and Anemia
C2_12_5A
Severe Malnutrition
C2_12_5B
Low weight
C2_12_5C
Not low weight
C2_12_5D
Anaemia
C2_12_5E
Severe Anemia
C2_12_5F
No Anaemia
C2_12_6
OTHER
C2_12_6_OTHER
c2.12_6_OTHER
C2_13
Are the following signs assessed and recorded in the Patient's Medical Card?
C2_13_1
Skin
C2_13_1A
Normal
C2_13_1B
Distal cyanosis
C2_13_1C
Central cyanosis
C2_13_2
Cough
C2_13_3
Nasal discharge
C2_13_3A
A thin and clear discharge
C2_13_3B
A thick and yellowish or greenish yellow discharge
C2_13_3C
A watery discharge
C2_13_3D
A blood-streaked nasal discharge
C2_13_3E
A thick, green colored, one sided and foul smelling discharge
C2_13_4
Drinks water/fluids
C2_13_5
Vomiting
C2_13_6
Child's general condition assessed and recorded
C2_13_6A
Lethargic or unconscious
C2_13_6B
Restless, irritable
C2_13_6C
Convulsions
C2_13_7
Breathing
C2_13_7_1
Normal
C2_13_7_2A
Fast - Age <2 months: =>60/minute
C2_13_7_2B
Fast - Age 2-12 months: =>50/minute
C2_13_7_2C
Fast - Age 12 months to 5 years: =>40/minute
C2_13_7_3
Nasal flaring
C2_13_7_4
Grunting
C2_13_7_5
Lower chest wall indrawing
C2_13_7_6
Stridor when the child is calm
C2_13_7_7
Mouth breathing
C2_13_8
Auscultation
C2_13_8_1
Normal
C2_13_8_2
Abnormal
C2_13_8_2A
Decreased breath sounds
C2_13_8_2B
Bronchial breath sounds
C2_13_8_2C
Crackles
C2_13_8_2D
Plural rub
C2_13_8_2E
Breath sounds are reduced or absent
C2_13_9
Temperature recorded
C2_13_9A
Temperature is =< 36.6?C
C2_13_9B
Temperature is = >36.6?C
C2_13_10
X-ray taken and results recorded
C2_13_11
Vaccination status recorded
C2_14
Is the degree of dehydration defined and recorded in the medical card?
C2_14_1
Very Severe Pneumonia
C2_14_2
Severe Pneumonia
C2_14_3
Pneumonia (non-severe)
C2_14_4
Pleural effusion and empyema
C2_14_5
Cough or cold
C2_14_6
Classification not recorded
C2_15
Treatment of Very Severe Pneumonia
C2_15A
Urgently referred to the hospital
C2_15B
Treated in outpatient settings
C2_15C
No intervention initiated
C2_16
Treatment prescribed
C2_16_1
Antibiotic therapy
C2_16_1A1
Chloramphenicol 25 mg/kg IM or IV every 8 hours until the child has improved.
C2_16_1A2
Chloramphenicol 25 mg/kg orally 3 times a day during 10 days
C2_16_1B1
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours and gentamicin 7.5 mg/kg
C2_16_1B2
If the child has not improved within 48 hours, switched to gentamicin (7.5 mg/kg
C2_16_1B3
When the child improved, continued Cloxacillin (or Dicloxacillin) orally 4 times
C2_16_1B4
Other antibiotic
C2_16_2
Supportive treatment
C2_16_2A
Paracetamol ( if fever recorded)
C2_16_2B
Bronchodilator
C2_16_2C
Fluids
C2_16_2D
Oxygen Therapy
C2_16_2E
Breastfeeding
C2_16_2F
Patient monitored every 3 hours and status recorded
C2_17
Treatment of severe pneumonia
C2_17_1A
Has the Patient: Being urgently referred to the Hospital
C2_17_1B
Has the Patient:Treated in outpatient settings
C2_17_1C
Has the Patient:No intervention initiated
C2_18
Treatment prescribed
C2_18_1
Antibiotic therapy
C2_18_1A1
Benzylpenicillin 50 000 units/kg IM or IV every 6 hours for at least 3 days
C2_18_1A2
When the child improved, switched to oral amoxicillin (15 mg/kg 3 times a day).
C2_18_1A3
If the child did not improve within 48 hours, or deteriorated, switched to chlor
C2_18_2
Supportive treatment
C2_18_2A
Paracetamol
C2_18_2B
Bronchodilator
C2_18_2C
Fluids
C2_18_2D
Oxygen Therapy
C2_18_2E
Breastfeeding
C2_18_2F
Patient monitored every 6 hours and status recorded
C2_19
Treatment of Pneumonia (non-severe)
C2_19_1A
Has the Patient: Being urgently referred to the Hospital
C2_19_1B
Has the Patient:Refused to be hospitalized
C2_19_1C
Has the Patient:Treated in outpatient settings
C2_19_1D
Has the Patient:No intervention initiated
C2_20
Treatment prescribed
C2_21_1
Antibiotic therapy
C2_21_1A1
Cotrimoxazole (4 mg/kg trimethoprim/20 mg/kg Sulfamethoxazole twice a day) for 5
C2_21_1A2
The first dose was given at the clinic and the mother was taught how to give the
C2_21_2
Follow-up visit set
C2_22
Treatment of pleural effusion and empyema
C2_22_1A
Has the Patient: Being urgently referred to the Hospital
C2_22_1B
Has the Patient: Refused to be hospitalized
C2_22_1C
Has the Patient: Treated in outpatient settings
C2_22_1D
Has the Patient: No intervention initiated
C2_23
Treatment prescribed
C2_23_1
Drainage
C2_23_2
Pleural fluid was sent for analyses for protein and glucose content, cell count
C2_23_3
Antibiotic therapy
C2_23_3A1
Chloramphenicol (25 mg/kg IM or IV every 8 hours) until the child has improved.
C2_23_4
Mother educated on danger signs, treatment, feeding and care
C2_23_5
Follow-up visit set
C2_24
Treatment of cough or cold
C2_24_1A
Has the Patient: Being urgently referred to the Hospital
C2_24_1B
Has the Patient: Refused to be hospitalized
C2_24_1C
Has the Patient: Treated in outpatient settings
C2_24_1D
Has the Patient: No intervention initiated
C2_25
Treatment prescribed
C2_25_1
The throat smoothened and the cough relieved with a safe remedy, such as a warm,
C2_25_2
Secretions from the child's nose cleared
C2_25_3
Paracetamol
C2_25_4
Not Advised:
C2_25_4A
Not Advised: Antibiotics
C2_25_4B
Not Advised: Medicated nose drops
C2_25_4C
Not Advised: Remedies containing atropine
C2_25_5
Follow-up visit set
C2_26
Patient Assessment complete
C2_27
Are the following signs assessed and recorded in the Patient's Medical Card?
C2_27_1
Number of liquid stools recorded
C2_27_2
Length of diarrhea recoded (for how long child has diarrhea)
C2_27_3
Presence of blood recorded
C2_27_4
Presence of vomiting recorded
C2_27_5
Frequency of vomiting per 24 hours recorded
C2_27_6
Volume of liquid received by a child per 24 hours recorded
C2_27_7
Child
C2_27_7_1
Lethargic or unconscious
C2_27_7_2
Restless, irritable
C2_27_7_3
Sunken eyes
C2_27_7_4
Not able to drink or drinking poorly
C2_27_7_5
Drinks eagerly, thirsty
C2_27_7_6
Skin pinch goes back very slowly
C2_27_7_7
Skin pinch goes back slowly
C2_27_8
Child
C2_27_8_1
Weight is compared with the weight from the previous visit and result recorded
C2_27_8_2
Less than 25 grams lost for each kilogram of the child
C2_27_8_3
25-100 grams lost for each kilogram of the child
C2_27_8_4
More than 100 grams for each kilogram of weight
C2_27_9
Temperature recorded
C2_27_9_1
Temperature is < 38.5
C2_27_9_2
Temperature is >38.5
C2_27_10
Radial Pulse
C2_27_10_1
Radial pulse normal
C2_27_10_2
Radial pulse weak
C2_27_10_3
Radial pulse quick
C2_27_10_4
Radial pulse not detectable
C2_28
Is the degree of dehydration defined and recorded in the medical card?
C2_28_1
Severe Dehydration
C2_28_2
Some Dehydration
C2_29
Treatment of Severe Dehydration
C2_29_1
IV fluid administered immediately
C2_29_1_1
Child is reassessed every 1-2 hours and recorded:
C2_29_1_1A
Hydration status improved
C2_29_1_1B
Hydration status not improved
C2_29_1_2
IV fluid administered immediately
C2_29_1_2A
Infant
C2_29_1_2B
Child
C2_29_1_3
ORS is given (about 5 ml/kg/hour):
C2_29_1_4
Child is reassessed and recorded:
C2_29_1_5
Dehydration classified and treatment plan defined to continue the treatment
C2_29_2
The patient has been referred URGENTLY to hospital for IV treatment
C2_29_3
Rehydration with ORS solution by tube (or mouth) was administered: (20ml/kg/hour
C2_29_4
Treatment of Some Dehydration with ORS
C2_29_4_1
Amount of ORS determined and given to the patient during first 4 hours
C2_29_4_2
Child is reassessed after 4 hours and status recorded
C2_29_4_3
The patient has been referred URGENTLY to hospital for IV treatment
C2_29_4_4
Dehydration classified and treatment plan defined to continue the treatment
C2_29_5
Home based treatment prescribed
C2_29_5_1
Zinc supplements prescribed
C2_29_5_2
ORS packets given to mother
C2_29_5_3
Next (return) appointment defined
Q2_30
Ear Pain
Q2_31
Ear discharge recorded
Q2_31A
Ear discharge recorded for less than 2 weeks
Q2_31B
Ear discharge recorded for more than 2 weeks
Q2_32
Ear examined and Pus draining recorded
Q2_33
Tender swelling behind the ear
Q2_34A
Classification/Diagnosis: Mastoiditis
Q2_34B
Classification/Diagnosis: Acute Ear Infection
Q2_34C
Classification/Diagnosis: Chronic Ear Infection
Q2_34D
Classification/Diagnosis: No Ear Infection
Q2_36
Mastoiditis
Q2_36_1
Has the patient referred to hospital?
Q2_36_2
Has the patient referred to Specialist?
Q2_36_3
Has the pre-referral treatment initiated?
Q2_36_3A
First dose of antibiotic given
Q2_36_3B
The first dose of Paracetamol given in case of present ear pain
Q2_37_1
Has the patient referred to hospital?
Q2_37_2
Has the patient been referred to specialist?
Q2_37_3
Has the pre-referral treatment initiated?
Q2_37_3A
Oral Amoxicillin given and prescribed for 3 days
Q2_37_3B
Paracetamol given in case of ear pain
Q2_37_3C
Follow-up visit in 2 days recorded
Q2_38_1
Has the patient referred to hospital?
Q2_38_2
Has the patient referred to Specialist?
Q2_38_3
Has the treatment initiated?
Q2_38_3A
Ear was dried by wicking
Q2_38_3B
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Q2_38_3C
Referred to the specialist
Q2_39_1
Has the patient referred to hospital for ear problems?
Q2_39_2
Has the patient referred to Specialist for ear problems?
Q2_39_3
Has the treatment initiated?
Q2_39_3A
Ear was dried by wicking
Q2_39_3B
Ear drops (Ciprofloxacillin, Ciprofloxacin, Oploxain) prescribed/given
Q2_39_3C
Other?
Q2_39_3C_OTHER
q2.39.3c_OTHER
C2_30
Temperature in anamnesis recorded
C2_30A
Number of days recorded
C2_30B
If more than 7 days has the fever been present every day?
C2_31
A child been in Malaria zone during past year assessed and recorded
C2_32
A child having measles in past 3 months assessed and recorded
C2_33
The child examined on stiff neck and recorded
C2_34
Child assessed on runny nose and recorded
C2_35
Signs of measles recorded
C2_35A
Generalized rash
C2_35B
Runny nose
C2_35C
Red eyes
C2_35D
Mouth ulcers present
C2_35E
Pus draining from the eye
C2_35F
Clouded cornea
C2_36
Signs of complicated measles assessed and recorded
C2_36A
Diarrhea
C2_36B
Pneumonia
C2_36C
Stridor
C2_36D
Mouth ulcers
C2_36E
Ear infection
C2_36F
Eye infection
C2_37A
Severe complicated measles
C2_37B
Measles with eye or mouth complications
C2_37C
Measles
C2_37D
Severe Febrile disease
C2_37E
Simple fever
C2_37F
Malaria
C2_37G
OTHER
C2_37G_OTHER
c2.37g_Other
C2_38_1
Has the patient referred to hospital?
C2_38_2
Has the patient referred to Specialist?
C2_38_3
Has the pre-referral treatment initiated?
C2_38_3A
First dose of antibiotic given
C2_38_3B
Vitamin A
C2_38_3C
Tetracycline eye ointment applied
C2_38_3D
Mouth ulcers treated with gentian violet
C2_38_3E
Paracetamol given for high fever (38,50 C or above)
Total: 378
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