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Quality Improvement and Clinical Governance Initiative - Piloting Quality Improvement Packages in Primary Care Centers Impact Evaluation 2014-2016
Baseline & Follow-up Surveys

Nigeria, 2014 - 2016
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Reference ID
NGA_2014_QICGI_v01_M
Producer(s)
David Evans, Mario Macis, Felipe Dunsch
Metadata
Documentation in PDF DDI/XML JSON
Study website
Created on
Oct 12, 2023
Last modified
Oct 12, 2023
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Data file: QE_facility_round1-7_version2

QE Facility Data, Rounds 1-7

Cases: 471
Variables: 669

Variables

state
In what state are we?
clinic
Which clinic is this?
surveyround
Which survey round is this? (1-7)
unique_id
interviewer_name
To the enumerator: What is your name?
supervisor_id
To the enumerator: Who is your quality checker?
num_patients1
Record number of patients in the waiting room/area upon arrival of enumerator at
conducted
DO NOT ASK THIS just record it: Can this interview be conducted?
nointerv
Why not?
nointerv_other
Specify other.
old_oic
Are you ${oic_pl}?
incharge
Are you the in-charge?
incharge_here
Is the in-charge here today?
position
What is your profession/position?
position_other
Specify other.
ic_edu
Before we get to the rest of the staff I would like to ask you 3 questions: What
ic_edu_other
Specify other.
ic_outside
Do you have any other source of income?
ic_pub_or_pri
What are your sources for other income?
ic_pub_or_pri1
Other public sector job
ic_pub_or_pri2
Other private sector job
ic_pub_or_pri3
Trading
ic_pub_or_pri4
Artisan
ic_pub_or_pri5
Rent income
ic_pub_or_pri6
Other
ic_pub_or_pri_other
Specify other.
years
How long have you been working at this clinic?
numstaff
How many clinical staff work at this facility?
non_clinstaff
How many non-clinical staff work here (including paid or unpaid volunteers)?
stafflist
Do you have a written list of all of your clinical staff?
roster_see
Can I please see the staff roster/list of clinical staff?
suffstaff
Given your normal patient load do you feel this facility has enough staff?
whatstaff
What kind of staff do you need?
whatstaff1
doctor
whatstaff2
nurse(RN)
whatstaff3
midwife(RN)
whatstaff4
CHEW or village health worker
whatstaff5
lab technician
whatstaff6
pharmacist
whatstaff7
record keeper
whatstaff8
security guards
whatstaff9
health attendant/assistant
whatstaff10
gardener
whatstaff11
other
whatstaff12
I don't know
whatstaff13
refuse to answer
whatstaff_other
Specify other.
addstaff
What action WOULD you take if you need additional staff?
addstaff1
report to SURE-P focal person
addstaff2
report to other government agency
addstaff3
report to LGA
addstaff4
report to STATE Ministry of Health
addstaff5
report to State Primary Healthcare Development Agency (SPHCDA)
addstaff6
There is no one I can contact
addstaff7
report to WDC
addstaff8
Other
addstaff9
I don't know
addstaff10
Refuse to answer
addstaff_other
Specify other.
requstaff
In the past six months has this facility submitted a request for additional sta
who_requstaff
To whom have you submitted a request for additional staff?
who_requstaff1
report to SURE-P focal person
who_requstaff2
report to other government agency
who_requstaff3
report to LGA
who_requstaff4
report to STATE Ministry of Health
who_requstaff5
report to State Primary Healthcare Development Agency (SPHCDA)
who_requstaff6
There is no one I can contact
who_requstaff7
report to WDC
who_requstaff8
Other
who_requstaff9
I don't know
who_requstaff10
Refuse to answer
who_requstaff_other
Specify other.
obst_staff
What do YOU THINK are the obstacles to attracting qualified personnel?
obst_staff1
No qualified applicants
obst_staff2
Salaries too low
obst_staff3
The government is not employing new people
obst_staff4
No career opportunities
obst_staff5
Lack of staff quarters or housing
obst_staff6
Bad roads
obst_staff7
Lack of social amenities
obst_staff8
No phone/internet network
obst_staff9
No electricity
obst_staff10
Lack of water
obst_staff11
Rural area
obst_staff12
Dangerous security situation
obst_staff13
other
obst_staff14
I don't know
obst_staff15
Refuse to answer
obst_staff_other
Specify other.
replace_action
If you need to replace underperforming personnel what action do you need to tak
replace_action1
report to SURE-P focal person
replace_action2
report to other government agency
replace_action3
report to LGA
replace_action4
report to STATE Ministry of Health
replace_action5
report to State Primary Healthcare Development Agency (SPHCDA)
replace_action6
There is no one I can contact
replace_action7
report to WDC
replace_action8
Other
replace_action9
I don't know
replace_action10
Refuse to answer
replace_action_other
Specify other.
requreplace
In the past six months has this facility submitted a request to replace any per
staffleft
Last month how many staff left the clinic for any reason?
whereleft
Where did the highest ranking person leave to work?
why_left
What are the main reason staff left this facility?
why_left1
Salary too low
why_left2
Homesick
why_left3
Poor work conditions
why_left4
Delayed payments of salary
why_left5
End of term/contract/retirement
why_left6
Bad relationship with colleagues
why_left7
Hostile community
why_left8
Lack of skills
why_left9
Retirement
why_left10
Transferred
why_left11
Other
why_left12
I don't know
why_left13
Refuse to answer
why_left_other
Specify other.
meets
Last month were any staff meetings held at this facility?
manymeetings
How many meetings were held?
lengthmeeting
In minutes what was the duration of the last meeting? (only for meetings held L
minutesmeet
Do you have a written summary for the most recent meeting last month?
approachedby
Last month have you been approached by any staff with suggestions for PHC impro
approached_inch
Last month have you approached the in-charge with suggestions for PHC improveme
whatsuggest
What was the most recent suggestion?
resources_ext
Do you receive inputs (assistance/help) from any of these sources?
resources_ext1
Money/commodities from LGA
resources_ext2
Money/commodities from SURE-P
resources_ext3
Money/commodities from the Community
resources_ext4
Money/commodities from the WDC
resources_ext5
Money/commodities from an NGO/aid agency
resources_ext6
Community members help with work at the PHC
resources_ext7
Community members give equipment/drugs
resources_ext8
No inputs/resources
resources_ext9
Other
resources_ext10
I don't know
resources_ext11
Refuse to answer
resources_ext_other
Specify other.
perf_syst
Do you have a system for MEASURING personnel performance?
perf_syst_what
If so what is it? (MEASUREMENT)
perf_syst_what1
Regular employee feedback talk
perf_syst_what2
SURE-P evaluation form
perf_syst_what3
Civil servants evaluation form (APA)
perf_syst_what4
Recorded feedback from patients
perf_syst_what5
Peer review by colleagues
perf_syst_what6
Other (specify)
perf_syst_what_other
Specify other.
syst_reward
Do you have a system for REWARDING personnel performance?
syst_reward_what
If so what is it? (REWARD)
syst_reward_what1
Monetary incentives for high performing staff
syst_reward_what2
Non-monetary incentives (awards) for high performing staff
syst_reward_what3
Monetary penalties for underperforming staff
syst_reward_what4
Non-monetary penalties for underperforming staff
syst_reward_what5
Regular promotions
syst_reward_what6
Verbal affirmations
syst_reward_what7
Recommendation for training/workshop
syst_reward_what8
Other (specify)
syst_reward_what_other
Specify other.
complaint
At this PHC what action is taken if a patient makes a complaint about the perfo
complaint1
No action is taken
complaint2
The complaint is recorded
complaint3
The staff is interviewed to clarify/talked to staff member
complaint4
Staff was disciplined or reprimanded
complaint5
I file a request for salary to be withheld
complaint6
Other
complaint_other
Specify other.
complaints_no
Can you think of any instances of this taking place last month?
compl_what
What was the most recent complaint?
compl_what1
Rude behavior by staff
compl_what2
Maltreatment by staff
compl_what3
Waiting times too long
compl_what4
Medication not dispensed
compl_what5
No complaint recorded
compl_what6
Other (Specify)
compl_what7
I don't know
compl_what8
Refuse to answer
compl_what_other
Specify other.
compl_record
Do you keep a record for patient complaints?
compl_record_see
Can we see the patient complaint record?
days
How many DAYS a week is this PHC open to receive patients?
hours
How many HOURS a day is this PHC open to receive patients?
powergrid
Is this clinic currently connected to the national power grid?
mainpower
What is the main source of power for this facility?
mainpower_other
Specify other.
generator
Does this clinic have a functional generator?
fuel
Do you currently have fuel for the generator?
hours_grid
On the last day that you were working how many hours did you have power from th
hours_generator
On the last day that you were working how many hours did you have power from th
days_nopower
Last week how many days did the PHC have no access to power at all from any sou
water_source
What is the primary source of clean water for this facility?
water_source_other
Specify other.
water_seasonal
Is clean water through your main source available all year or are there seasonal
nowater_days
How many DAYS last week you did not have access to clean water?
num_patients_not
Last month how many patients did you see who needed care but could not be treat
num_senthome
You said ${num_patients_not} patients. How many of them were sent home?
num_refer
How many of the ${num_patients_not} patients were referred?
severe_pat
Think about the last time (NOT JUST LAST MONTH) that you had a patient whose con
pat_condition
What was the condition of the patient?
pat_condition1
Acute Typohoid
pat_condition2
Pneumonia
pat_condition3
Multiple fracture
pat_condition5
Severe malnutrition
pat_condition6
Convulsion
pat_condition7
Antepartum-Hemorrhage
pat_condition8
Postpartum-Hemorrhage
pat_condition9
Eclampsia
pat_condition10
Pre-Eclampsia
pat_condition11
Other
pat_condition12
I don't know
pat_condition13
Refuse to answer
pat_condition_other
Specify other.
referred
Was this patient referred to another hospital or clinic?
outcome
Did the patient recover?
recovery
Did the patient recover fully or partially?
recovery_other
Specify other.
doc_referral
Did you document why you referred this patient elsewhere?
doc_ref_see
Can we see the document?
obst_transfer
Were there obstacles for the timely transfer of this patient?
obst_what_trans
What were the obstacles?
obst_what_trans1
No idea where to transfer the patient to
obst_what_trans2
There was no vehicle
obst_what_trans3
The patient refused to be transferred
obst_what_trans4
The patient was too sick to be transferred
obst_what_trans5
Other (Specify)
obst_what_trans6
I don't know
obst_what_trans7
Refuse to answer
obst_what_trans_other
Specify other.
med_issues
Do you have printed guidelines for the treatment of the following medical issues
med_issues1
Maternal health
med_issues2
Family planning
med_issues3
Immunization guidelines/schedule
med_issues4
Pneumonia
med_issues5
Malaria
med_issues6
None
med_issues7
Diarrhea
med_issues8
HIV/AIDS
med_issues9
Other
med_issues_other
Specify other.
veri_med_issues
Please show me those guidelines you indicated.
veri_med_issues1
Maternal health
veri_med_issues2
Family planning
veri_med_issues3
Immunization guidelines/schedule
veri_med_issues4
Pneumonia
veri_med_issues5
Malaria
veri_med_issues6
None
veri_med_issues7
Diarrhea
veri_med_issues8
HIV/AIDS
veri_med_issues9
Other
veri_med_issues_other
Specify other.
refer_guideli
How often do you REFER to/CONSULT the guidelines?
refer_guideli_other
Specify other.
deviate
Are there any situations in which you feel like it is important to DEVIATE from
why_deviate
Please explain WHY you deviated from the guidelines.
adhere_guideli
How often do you ADHERE to the guidelines?
adhere_guideli_other
Specify other.
train_guideli
During the last year: Have your staff received training in clinical guidelines?
who_train
If yes from whom?
who_train1
external trainer (LGA/Ministry etc)
who_train2
colleague (midwife/CHEW/JCHEW)
who_train3
video/DVD
who_train4
collegue (doctor)
who_train5
NGO/World Bank/UN agency etc)
who_train6
National Primary Healthcare Development Agency (NPHCDA)
who_train7
Other
who_train_other
Specify other.
postersyr
Since last year have you put up any posters with clinical information (IEC)?
postersmth
During the last month have you put up any posters with clinical information (IE
immunization
Do you offer immunization services?
coldchain
Do you have functioning coldchain equipment to store drugs like vaccines for a l
coldchain_other
Specify other.
coldchain_equ
What kind of coldchain equipment do you have?
coldchain_equ1
fridge
coldchain_equ2
coldbox
coldchain_equ3
vaccine carrier (e.g. Giostyle)
coldchain_equ4
deep freezer
coldchain_equ5
other
coldchain_equ_other
Specify other.
anc_lastmon
Last month: how many antenatal visits did this facility receive?
num_deliver
How many deliveries took place at this PHC in the last month?
deliver_comp
How many deliveries had complications? (for the mother or child - during or afte
sepsis
How many cases of neonatal sepsis?
tetanus
How many cases of neonatal tetanus?
neodeaths
How many cases of neonatal deaths?
stillbirths
How many stillbirths were there?
fatalities_m
Mothers: Were there any fatalities during or around deliveries? How many?
fatalities_c
Children: Were there any fatalities during or around deliveries? How many?
silent_records
To Enumerator: Did the respondent use written records to answer the questions?
record_pic1
Please take a picture of the records shown to you.
record_pic2
Additional image (if necessary): Please take a picture of the records shown to y
record_pic3
Additional image (if necessary): Please take a picture of the records shown to y
partograph
Is there a partograph available in the facility?
parto_visible
Is it posted visibly?
apgar
Check the records for the 10 most recent births. How many have an 'apgar' report
diag_malaria
How many patients were diagnosed with malaria last month?
diag_rdt
How many of those were diagnosed via rapid diagnostic test (RDT)?
diag_other
How many were diagnosed with other lab testing methods? (for example microscope)
treated_mal
How were malaria patients treated?
treated_mal1
ACTs
treated_mal2
Traditional medicine
Total: 669
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