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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
Metadata
DDI/XML JSON
Created on
Jun 26, 2017
Last modified
Jun 26, 2017
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70447
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1866

Data file: f1_rhc

F1 - Health Facility Assessment Questionnaire (Rural Health Center)

Cases: 216
Variables: 449

Variables

FACILITY
FACILITY_NAME
REGION
Region
DISTRICT
District
S1Q1
Are you in charge of this facility today?
S1Q2
Are you authorized to represent this facility?
S1Q3
What is your job title at this facility?
S1Q3_OTHER
OTHER - What is your job title at this facility?
S1Q4
Is this facility a district hospital, a health center or a health post?
S1Q4_OTHER
OTHER - Is this facility a district hospital, a health center or a health post
S1Q5
Who owns this health facility?
S1Q5_OTHER
OTHER - Who owns this health facility?
S1Q6
In what year was the facility commissioned?
S1Q7A
When was the last major investment in the infrastructure? - MONTH MM
S1Q7B
When was the last major investment in the infrastructure? - YEAR YYYY
S1Q8_1
At what time of the day does outpatient care start? - Weekdays
S1Q8_2
At what time of the day does outpatient care start? - Saturday
S1Q8_3
At what time of the day does outpatient care start? - Sunday
S1Q8_4
At what time of the day does outpatient care start? - Holidays
S1Q9_1
At what time does outpatient care end? - Weekdays
S1Q9_2
At what time does outpatient care end? - Saturday
S1Q9_3
At what time does outpatient care end? - Sunday
S1Q9_4
At what time does outpatient care end? - Holidays
S1Q10_1
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q10_2
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q10_3
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q10_4
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q10_5
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q10_6
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q10_7
On what days does the facility offer antenatal care clinics, and for how many ho
S1Q11
What is the distance from the health facility to the nearest higher level health
S1Q12
What is the distance from the health facility to the nearest higher level health
S1Q13_1
What are the three main sources of funding or income (in the sense of incoming c
S1Q13_2
What are the three main sources of funding or income (in the sense of incoming c
S1Q13_3
What are the three main sources of funding or income (in the sense of incoming c
S1Q13_4
What are the three main sources of funding or income (in the sense of incoming c
S1Q13_5
What are the three main sources of funding or income (in the sense of incoming c
S1Q13_6
What are the three main sources of funding or income (in the sense of incoming c
S1Q13_OTHER
S1Q13_OTHER
S1Q14
Were there any electric power outages in the last 7 days?
S1Q15
How many hours was electric power missing in the last 7 days?
S1Q16
What is the primary source of water?
S1Q16_OTHER
S1Q16_OTHER
S1Q17
Is this primary source of water used only by the facility, or is it shared with
S1Q18
In the last 7 days, was there any time when there was no water available in the
S1Q19
In the last 7 days, for how many hours was there no water available at the facil
S1Q20
How long does it take to fetch water from the primary source for the health faci
S1Q21
Does the facility have a functioning two-way radio?
S1Q22
Does the health facility have official line, whether a landline or a mobile line
S1Q23
In the last 7 days, was there any time when the facility did not have any teleph
S1Q24
How many hours was telephone out in the last 7 days?
S1Q25
Do any of the health facility staff have a mobile phone line?
S1Q26
Does this facility refer patients to other facilities?
S1Q27A
Where does the facility refer the following: - Lab tests (clinicaly and bacte
S1Q27B
Where does the facility refer the following: - In-patient
S1Q27C
Where does the facility refer the following: - Specialized care
S1Q27D
Where does the facility refer the following: - Surgery
S1Q27E
Where does the facility refer the following: - Care during childbirth
S1Q27F
Where does the facility refer the following: - Uncomplicated delivery
S1Q27G
Where does the facility refer the following: - Complicated delivery
S1Q27H
Where does the facility refer the following: - Neonatology care
S1Q27I
Where does the facility refer the following: - Other
S1Q27_OTHER1
OTHER_1 / Where does the facility refer the following: - Lab tests (clinic
S1Q27_OTHER2
OTHER_2 / Where does the facility refer the following: - In-patient
S1Q27_OTHER3
OTHER_3 / Where does the facility refer the following: - Specialized care
S1Q27_OTHER4
OTHER_4 / Where does the facility refer the following: - Surgery
S1Q27_OTHER5
OTHER_5 / Where does the facility refer the following: - Care during child
S1Q27_OTHER6
OTHER_6 / Where does the facility refer the following: - Uncomplicated del
S1Q27_OTHER7
OTHER_7 / Where does the facility refer the following: - Complicated deliv
S1Q27_OTHER8
OTHER_8 / Where does the facility refer the following: - Neonatology care
S1Q27_OTHER9
S1Q27_OTHER9
S1Q28_1
How far is the main referral facility from this facility one way in kilometers?
S1Q28_2
How far is the main referral facility from this facility one way in kilometers?
S1Q28_3
How far is the main referral facility from this facility one way in kilometers?
S1Q28_OTHER
S1Q28_OTHER
S1Q29
Does the facility have access to any kind of transportation (to pick up patients
S1Q30_01
How many working [VEHICLES] does the facility have access to? - Ambulance own
S1Q30_02
How many working [VEHICLES] does the facility have access to? - Ambulance owne
S1Q30_03
How many working [VEHICLES] does the facility have access to? - Private vehicl
S1Q30_04
How many working [VEHICLES] does the facility have access to? - Private vehicl
S1Q30_05
How many working [VEHICLES] does the facility have access to? - Other vehicle
S1Q30_06
How many working [VEHICLES] does the facility have access to? - Private vehicl
S1Q30_07
How many working [VEHICLES] does the facility have access to? - Motorbike owne
S1Q30_08
How many working [VEHICLES] does the facility have access to? - Rented motorbi
S1Q30_09
How many working [VEHICLES] does the facility have access to? - Bicycle owned
S1Q30_10
How many working [VEHICLES] does the facility have access to? - Other, specify
S1Q30_OTHER
OTHER - How many working [VEHICLES] does the facility have access to?
S1Q31
Is at least one vehicle functional today?
S1Q32
Why not?
S1Q32_OTHER
OTHER - Why not?
S1Q33
Does the facility own a functioning computer?
S1Q34
Does the facility have a general outpatient consultation room?
S1Q35
Is this room equipped with a safety box or closed container present for disposal
S1Q36
Does the room have posted procedures for decontamination procedure steps?
S1Q37
Does the room have a basin with a water source and soap?
S1Q38_1
What disinfectant(s) are being used in the facility? - Chlorhexidine (gluconat
S1Q38_2
What disinfectant(s) are being used in the facility? - Bleaching powder
S1Q38_3
What disinfectant(s) are being used in the facility? - Sodium Hypochlorite/Chl
S1Q38_4
What disinfectant(s) are being used in the facility? - Methylated spirit
S1Q38_5
What disinfectant(s) are being used in the facility? - Other
S1Q38_OTHER
OTHER - What disinfectant(s) are being used in the facility?
S1Q39
In the last 30 days, was there any time when the facility ran out of disinfectan
S1Q40
In the last 30 days for how many days was the facility out of disinfectant(s)?
S1Q41
Is there a functional incinerator/ drip for disposing of medical waste?
S1Q42
What procedure is used for decontaminating medical equipment after initial use?
S1Q42_OTHER
S1Q42_OTHER
S1Q43
What procedure is used for sterilizing medical equipment before reuse?
S1Q43_OTHER
S1Q43_OTHER
S1Q44
Is the protocol for sterilizing equipment displayed?
S1Q45
Is there a provision for the disposal of bio medical waste?
S1Q46
How is biomedical waste disposed of?
S1Q46_OTHER
OTHER - How is biomedical waste disposed of?
S2Q1
Has a facility workplan been developed for the current calendar and/or financial
S2Q2_1
Who was involved in setting this workplan? - Health facility director
S2Q2_2
Who was involved in setting this workplan? - Health facility staff
S2Q2_3
Who was involved in setting this workplan? - Non governmental Organization sta
S2Q2_4
Who was involved in setting this workplan? - Ministry of Health / District Hea
S2Q2_5
Who was involved in setting this workplan? - PHC Chief accountant
S2Q2_6
Who was involved in setting this workplan? - PHC management
S2Q2_7
Who was involved in setting this workplan? - Hospital management
S2Q2_8
Who was involved in setting this workplan? - Other
S2Q2_OTHER
S2Q2_OTHER
S2Q3
Are priority health-related activities identified in this workplan for the curre
S2Q4_01
Now I will read you a list of services. For each service, please tell me whether
S2Q4_02
Now I will read you a list of services. For each service, please tell me whether
S2Q4_03
Now I will read you a list of services. For each service, please tell me whether
S2Q4_04
Now I will read you a list of services. For each service, please tell me whether
S2Q4_05
Now I will read you a list of services. For each service, please tell me whether
S2Q4_06
Now I will read you a list of services. For each service, please tell me whether
S2Q4_07
Now I will read you a list of services. For each service, please tell me whether
S2Q4_08
Now I will read you a list of services. For each service, please tell me whether
S2Q4_09
Now I will read you a list of services. For each service, please tell me whether
S2Q4_10
Now I will read you a list of services. For each service, please tell me whether
S2Q4_11
Now I will read you a list of services. For each service, please tell me whether
S2Q4_12
Now I will read you a list of services. For each service, please tell me whether
S2Q4_OTHER
OTHER - Now I will read you a list of services. For each service, please tell me
S2Q5
How many health facility staff meetings were held in the last 3 months?
S2Q6
Do all facility staff have written job descriptions?
S2Q7_1
In the last 3 months, how many visits were made to the health facility by the hi
S2Q7_2
In the last 3 months, how many visits were made to the health facility by the hi
S2Q7_3
In the last 3 months, how many visits were made to the health facility by the hi
S2Q7_4
In the last 3 months, how many visits were made to the health facility by the hi
S2Q7_OTHER
S2Q7_OTHER
S2Q8_1
In the last 3 months, how many visits were made by the local government and a do
S2Q8_2
In the last 3 months, how many visits were made by the local government and a do
S2Q9
In the last 12 months, how many times was the performance of staff assessed inte
S2Q10
In the last 12 months, how many times was the performance of staff assessed exte
S2Q11
In the last 12 months, how many times was the performance of the facility as a w
S2Q12
Does the facility obtain information on patient opinion through client surveys,
S2Q13
Is there a formal mechanism to inform the staff about patient opinion ?
S2Q14
How is patient feedback obtained?
S2Q14_OTHER
OTHER - How is patient feedback obtained?
S2Q15
In the last 12 months, have any changes occurred as a result of patient opinion?
S2Q16
Is there any health house under this rural health center?
S2Q17
How many health houses?
S2Q18
Are there any health houses that are not functional?
S2Q19
Why they are not functioning?
S2Q19_OTHER
OTHER - Why they are not functioning?
S2Q20
How often do you supervise them?
S2Q20_OTHER
OTHER - How often do you supervise them?
S3Q1
Has the RHC hired any staff member in the past 12 months?
S3Q2_1
Who has the authority to hire new staff? - Health facility manager/in charge
S3Q2_2
Who has the authority to hire new staff? - Health facility staff
S3Q2_3
Who has the authority to hire new staff? - Ministry of Health / District Healt
S3Q2_4
Who has the authority to hire new staff? - Local government
S3Q2_5
Who has the authority to hire new staff? - Other
S3Q2_OTHER
OTHER - Who has the authority to hire new staff? -
S3Q3
Has RHC involved any staff dissmisal decisions in the past 12 months?
S3Q4_1
Who has the authority to dismiss staff? - Health facility manager/in charge
S3Q4_2
Who has the authority to dismiss staff? - Health facility staff
S3Q4_3
Who has the authority to dismiss staff? - Ministry of Health / District Health
S3Q4_4
Who has the authority to dismiss staff? - Local government
S3Q4_5
Who has the authority to dismiss staff? - Other
S3Q4_OTHER
OTHER - Who has the authority to dismiss staff?
S3Q5_1
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_2
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_3
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_4
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_5
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_6
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_7
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_8
How many authorized positions are there in the facility for [POSITION TYPE]s? -
S3Q5_OTHER
S3Q5_OTHER
S3Q6_1
How many authorized positions for [POSITION TYPE] are currently filled? - Head
S3Q6_2
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
S3Q6_3
How many authorized positions for [POSITION TYPE] are currently filled? - Obst
S3Q6_4
How many authorized positions for [POSITION TYPE] are currently filled? - Clin
S3Q6_5
How many authorized positions for [POSITION TYPE] are currently filled? - Midw
S3Q6_6
How many authorized positions for [POSITION TYPE] are currently filled? - Fami
S3Q6_7
How many authorized positions for [POSITION TYPE] are currently filled? - Feld
S3Q6_8
How many authorized positions for [POSITION TYPE] are currently filled? - Othe
S3Q7_1
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_2
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_3
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_4
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_5
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_6
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_7
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S3Q7_8
In the last 12 months, how many [POSITION TYPE] have left the facility permanent
S5Q0
NAME LAB TECHNICIAN OR BEST INFORMED STAFF MEMBER
S5Q1
Does the facility provide laboratory services?
S5Q2
For the following tests, please tell me if you are able to perform them today, i
S5Q3
How many of the [
S5Q4
RECORD SOURCE OF THE INFORMATION. RECORD ONE RESPONSE FOR EACH TEST.
S5Q5
Where is the lab equipment located?
S5Q5_OTHER
OTHER - Where is the lab equipment located?
S5Q6_1
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Microscope
S5Q6_2
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Centrifuge
S5Q6_3
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Hemoglobinometer
S5Q6_4
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Refrigerator for storing reage
S5Q6_5
RECORD QUANTITY OF EACH EQUIPMENT FUNCTIONING - Glucometers
S5Q7
Is there a Tuberculosis Laboratory Register?
S5Q8
How many laboratory technicians are trained in Acid-Fast Bacilli (AFB) microscop
S6Q1
Does this facility provide immunization services?
S6Q2
Is there a separate room or area for immunizations?
S6Q3
Are immunizations regularly given to children at the facility, or in outreach a
S6Q4
Is there a vaccination outreach work plan for the current year?
S6Q5
In the last 30 days, on how many days did the facility staff do vaccination outr
S6Q6_1
Does this facility have a [STORAGE METHOD] for storing vaccines? - Ice Lined R
S6Q6_2
Does this facility have a [STORAGE METHOD] for storing vaccines? - Cold Box
S6Q6_3
Does this facility have a [STORAGE METHOD] for storing vaccines? - Refrigerato
S6Q6_4
Does this facility have a [STORAGE METHOD] for storing vaccines? - Vaccine Car
S6Q7
Is a temperature log kept?
S6Q8
Are antenatal services provided at this facility?
S6Q9
In the last 6 months, on how many days did the facility staff do outreach in the
S6Q10
In the last 6 months, were iron and folate routinely prescribed?
S6Q11
Do women who come to the facility for antenatal care get an antenatal or materna
S6Q12
Where are the maternal health cards kept once issued to a mother?
S6Q12_OTHER
OTHER - Where are the maternal health cards kept once issued to a mother?
S6Q13
Could you show me some cards that belong to specific patients?
S6Q14
Are postnatal services provided at this facility?
S6Q15
In the last 6 months, on how many days did the facility staff do outreach in the
S6Q16
Does this facility provide service of rules breastfeeding mothers postpartum?
S6Q17_1
What services are breastfeeding does in this facility? - Inform pregnant women
S6Q17_2
What services are breastfeeding does in this facility? - Help to mothers initi
S6Q17_3
What services are breastfeeding does in this facility? - Show to mothers how t
S6Q17_4
What services are breastfeeding does in this facility? - Give newborn infants
S6Q17_5
What services are breastfeeding does in this facility? - Don't give teats and
S6Q18
Does this facility provide service examination of the child for the presence of
S6Q19_1
What services examination of the child for the presence of clinical signs of cac
S6Q19_2
What services examination of the child for the presence of clinical signs of cac
S6Q19_3
What services examination of the child for the presence of clinical signs of cac
S6Q19_4
What services examination of the child for the presence of clinical signs of cac
S6Q19_5
What services examination of the child for the presence of clinical signs of cac
S6Q20
Are provided at this facility nutrition services for child under 5?
S6Q21
In the last 6 months, on how many days did the facility staff do outreach in the
S6Q22_1
What services are nutrition for child under 5 does in this facility? - Recomme
S6Q22_2
What services are nutrition for child under 5 does in this facility? - Recomme
S6Q22_3
What services are nutrition for child under 5 does in this facility? - Recomme
S6Q22_4
What services are nutrition for child under 5 does in this facility? - Recomme
S6Q22_5
What services are nutrition for child under 5 does in this facility? - Recomme
S6Q23
Are provided at this facility hypertension services ?
S6Q24
In the last 6 months, on how many days did the facility staff do outreach in the
S6Q25_1
What services are hypertension in this facility? - Screening
S6Q25_2
What services are hypertension in this facility? - Revealing patients with hyp
S6Q25_3
What services are hypertension in this facility? - BP measurement 3 times with
S6Q25_4
What services are hypertension in this facility? - Dispensary observation
S6Q25_5
What services are hypertension in this facility? - Introduction the control ch
S6Q25_6
What services are hypertension in this facility? - Non-pharmacological treatme
S6Q25_7
What services are hypertension in this facility? - Health nutrition
S6Q26_1
What services are diabet in this facility? - Obesity prevention
S6Q26_2
What services are diabet in this facility? - Health nutrition
S6Q26_3
What services are diabet in this facility? - Dispensary observation
S6Q26_4
What services are diabet in this facility? - Free distribution of diabetic dru
S6Q26_5
What services are diabet in this facility? - Establishment patient card
S6Q26_6
What services are diabet in this facility? - Glucometry
S6Q26_7
What services are diabet in this facility? - Other
S6Q26_OTHER
OTHER - What services are diabet in this facility?
S7Q1
Do you have an estimate of the size of the catchment population that this facili
S7Q2_1
How many people is the catchment [POPULATION CATEGORY]? - Total population
S7Q2_2
How many people is the catchment [POPULATION CATEGORY]? - Total male populatio
S7Q2_3
How many people is the catchment [POPULATION CATEGORY]? - Total female populat
S7Q2_4
How many people is the catchment [POPULATION CATEGORY]? - Total female 15-49 y
S7Q2_5
How many people is the catchment [POPULATION CATEGORY]? - Total patients over
S7Q2_6
How many people is the catchment [POPULATION CATEGORY]? - Total <5 years popul
S7Q2_7
How many people is the catchment [POPULATION CATEGORY]? - Total <1 year popula
S7Q3
Number of TOTAL patients
S7Q4
Number of TOTAL male patients
S7Q5
Number of TOTAL female patients
S7Q6
Number of TOTAL pregnant women
S7Q7
Number of TOTAL under 5 patients
S7Q8
Number of TOTAL male under 5 patients
S7Q9
Number of TOTAL female under 5 patients
S7Q10
Number of TOTAL under 1 patients
S7Q11
Number of TOTAL male under 1 patients
S7Q12
Number of TOTAL female under 1 patients
S7Q13
Number of TOTAL over 60
S7Q14
Monthly Integrated Activity Reports
S7Q15
Monthly Aggregated Activity Reports
S7Q16
Notifiable Disease Report
S7Q17
Vaccination/immunization Coverage Report
S7Q18
Family Planning Register
S9Q1
Does your facility provaide cervices free of charge for patients
S9Q2_1
Which patients your health facility provides health care service free of charge?
S9Q2_2
Which patients your health facility provides health care service free of charge?
S9Q2_3
Which patients your health facility provides health care service free of charge?
S9Q2_4
Which patients your health facility provides health care service free of charge?
S9Q2_5
Which patients your health facility provides health care service free of charge?
S9Q2_6
Which patients your health facility provides health care service free of charge?
S9Q3
Do patients pay laboratory fees for tests?
S9Q4
Do patients pay fees for supplies (e.g. compresses, syringes, etc.)?
Total: 449
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