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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_vignette_round6-7_version2

QE Vignette Rounds 6-7

Cases: 1370
Variables: 391

Variables

consent
Would you like to continue?
regionx
Please select the state that we are in
facility_id
Please choose the facility we are in from the list.
interviewer_name
To the enumerator: What is your name?
num_workers
Number of clinic staff in the previous list
workers_count
Number of clinic staff in the previous list
present_ids
staff (present)
present_workers_count
Number of workers present for vignette
parent_key
Unique submission ID
starttime
Survey start time
endtime
Survey end time
staffherev
How many CLINICAL staff who perform outpatient consultation regularly are curren
clinic_staffv2_count
Additional workers currently present
setofclinic_staffv2
SET-OF-clinic_staffv2
stillwork
Does still work in this facility?
outpatient
Does perform outpatient consultation regularly?
present_id
Staff ID (only those who are still working at the PHC and providing outpatient s
key
KEY
stillhere
We would like to speak to . Is (s)he still here?
permission
Do you agree to be interviewed?
nopermission
What is the reason for refusal?
label1
History taking: Did the health worker mention any of the following?
symptoms
Does he have other symptoms?
symptoms_other
Does he have other symptoms? (Other, specify)
diarrhoea_duration
Duration of diarrhoea
diarrhoea_duration_other
Duration of diarrhoea (Other, specify)
diarrhoea_frequency
Frequency of diarrhoea
diarrhoea_frequency_other
Frequency of diarrhoea (Other, specify)
stool_consistency
Consistency of stool
stool_consistency_other
Consistency of stool (Other, specify)
stool_blood
Blood in stool
stool_blood_other
Blood in stool (Other, specify)
vomiting
Vomiting
vomiting_other
Vomiting (Other, specify)
breastfeeding
Breastfeeding
breastfeeding_other
Breastfeeding (Other, specify)
breedfeeding_well
Breastfeeding well
breedfeeding_well_other
Breastfeeding well (Other, specify)
cough
Cough
cough_other
Cough (Other, specify)
fever
Fever
fever_other
Fever (Other, specify)
general_condition
General condition
general_condition_other
General condition (Other, specify)
tears
Tears
tears_other
Tears (Other, specify)
take_other_food
Has the baby started taking other food recently?
take_other_food_other
Has the baby started taking other food recently? (Other, specify)
ways_given_otherfood
How has it been given?
ways_given_otherfood_other
How has it been given? (Other, specify)
who_prepare_feed
Who prepares and feed your son?
who_prepare_feed_other
Who prepares and feed your son? (Other, specify)
hand_washing_practice
Hand washing practice?
hand_washing_practice_other
Hand washing practice? (Other, specify)
diarrhoea_with_diarrhea
Other family members/neighbours have diarrhoea?
diarrhoea_with_diarrhea_other
Other family members/neighbours have diarrhoea? (Other, specify)
abdominal_cramps
Abdominal discomfort/cramps
abdominal_cramps_other
Abdominal discomfort/cramps (Other, specify)
last_deworming
Last deworming?
last_deworming_other
Last deworming? (Other, specify)
treatment
Medication/treatment
treatment_other
Medication/treatment (Other, specify)
label2
Physical Examination: Did the health worker mention or do any of the following?
general_fatigue
General health condition (awake/lethargic/tiredness/fatigue)
general_fatigue_other
General health condition (awake/lethargic/tiredness/fatigue) (Other, specify)
take_temperature
Take temperature
take_temperature_other
Take temperature (Other, specify)
skin_pinch
Skin pinch
skin_pinch_other
Skin pinch (Other, specify)
offer_drink
Offer drink
offer_drink_other
Offer drink (Other, specify)
mucous_mucosa
Mucous membrane (oral mucosa)
mucous_mucosa_other
Mucous membrane (oral mucosa) (Other, specify)
look_anaemia
Look for palmar pallor (or other signs of anaemia)
look_anaemia_other
Look for palmar pallor (or other signs of anaemia) (Other, specify)
neck_stiffness
Neck stiffness
neck_stiffness_other
Neck stiffness (Other, specify)
check_throat
Check ear/throat
check_throat_other
Check ear/throat (Other, specify)
check_rate
Check respiratory rate
check_rate_other
Check respiratory rate (Other, specify)
palpate_spleen
Palpate for the spleen
palpate_spleen_other
Palpate for the spleen (Other, specify)
check_wasting
Check for visible severe wasting
check_wasting_other
Check for visible severe wasting (Other, specify)
weight_weight
Weight
weight_weight_other
Weight (Other, specify)
sunken_eyes
Sunken eyes
sunken_eyes_other
Sunken eyes (Other, specify)
check_chart
Check weight (against a growth chart)
check_chart_other
Check weight (against a growth chart) (Other, specify)
look_feet
Look for oedema of both feet (swollen feet)
look_feet_other
Look for oedema of both feet (swollen feet) (Other, specify)
label3
Tests: Did the health worker recommend any of the following?
rbs
Random Blood Sugar (RBS)
rbs_other
Random Blood Sugar (RBS) (Other, specify)
stool_rota_adeno_virus
Stool for rota/adeno virus (Culture)
stool_rota_adeno_virus_other
Stool for rota/adeno virus (Culture) (Other, specify)
stool_ova_and_cyst
Stool for ova and cyst (Microscopy)
stool_ova_and_cyst_other
Stool for ova and cyst (Microscopy) (Other, specify)
observer_preliminary_diagnosis
Observer: It will take some time to get the results, ask the health worker to ma
acute_diarrhea
Did s(he) make the correct diagnosis?
acute_diarrhea2
Observer: Please add any comment on the diagnosis made by clinician here
otherthan_acutediarrhoea
What other diagnosis did s(he) give?
label4
Treatment: Did the health worker prescribe any of the following?
rehydration_ors
Rehydration using Oral Rehydration Salts
rehydration_ors_other
Rehydration using Oral Rehydration Salts (Other, specify)
ringer_ls
Give 100ml/kg Ringer’s Lactate Solution. (Intravenous fluid)
ringer_ls_other
Give 100ml/kg Ringer’s Lactate Solution. (Intravenous fluid) (Other, specify)
refer_hospital
Refer to Hospital immediately
refer_hospital_other
Refer to Hospital immediately (Other, specify)
antibiotics
Antibiotics (example Flagyl, Septrin, Amoxycillin)
antibiotics_other
Antibiotics (example Flagyl, Septrin, Amoxycillin) (Other, specify)
vitamina
Vitamin A capsules.
vitamina_other
Vitamin A capsules. (Other, specify)
zinc
Zinc tablets –one daily for 10days.
zinc_other
Zinc tablets –one daily for 10days. (Other, specify)
treatment_com
Please add any comments on treatment here
label5
Health Education: Did the health worker mention any of the following?
education_ors
Education on using (ORS)
education_ors_other
Education on using (ORS) (Other, specify)
hand_washing
Hand-washing education
hand_washing_other
Hand-washing education (Other, specify)
proper_cleaning
Proper cleaning of feeding utensils.
proper_cleaning_other
Proper cleaning of feeding utensils. (Other, specify)
breast_feeding
Emphasis on not withholding feeding especially breast feeding
breast_feeding_other
Emphasis on not withholding feeding especially breast feeding (Other, specify)
oral_fluid
Giving plenty of oral fluids.
oral_fluid_other
Giving plenty of oral fluids. (Other, specify)
label6
Referral: Did the health worker mention any of the following?
facilitynot_handling
Facility does not handle cases of this type
facilitynot_handling_other
Facility does not handle cases of this type (Other, specify)
beyond_knowledge
Beyond clinician knowledge
beyond_knowledge_other
Beyond clinician knowledge (Other, specify)
case1_comment
Observer: Please add general comment on this case here
label7
History taking: Did the health worker mention any of the following?
symptom2
Does she have other symptoms?
symptom2_other
Does she have other symptoms? (Other, specify)
duration_of_cough
Duration of cough
duration_of_cough_other
Duration of cough (Other, specify)
sputum_or_drycought
Sputum production or dry cough
sputum_or_drycought_other
Sputum production or dry cough (Other, specify)
presence_colour_ofsputumt
Presence of blood in sputum / colour of sputum
presence_colour_ofsputumt_other
Presence of blood in sputum / colour of sputum (Other, specify)
presence_of_chestpaint
Presence of chest pain
presence_of_chestpaint_other
Presence of chest pain (Other, specify)
presence_difficulty_inbreathing
Presence of difficulty in breathing
presence_difficulty_inbreathing_
Presence of difficulty in breathing (Other, specify)
appetite
Appetite
appetite_other
Appetite (Other, specify)
v199
Fever
v200
Fever (Other, specify)
general_condition2
General condition (awake / lethargic):
general_condition2_other
General condition (awake / lethargic): (Other, specify)
convulsion
Convulsions
convulsion_other
Convulsions (Other, specify)
difficulty_in_swallowing
Difficulty in swallowing
difficulty_in_swallowing_other
Difficulty in swallowing (Other, specify)
running_nose2
Running nose
running_nose2_other
Running nose (Other, specify)
medication_treatment2
Medication /treatment
medication_treatment2_other
Medication /treatment (Other, specify)
recent_history_ofmeasles
Recent history of Measles
recent_history_ofmeasles_other
Recent history of Measles (Other, specify)
family_history_ofasthmat
Family history of Asthma
family_history_ofasthmat_other
Family history of Asthma (Other, specify)
redness_of_theeyest
Redness of the eyes
redness_of_theeyest_other
Redness of the eyes (Other, specify)
label8
Physical examination: Did the health worker perform or mention any of the follow
count_respiratory_rate
Count respiratory rate
count_respiratory_rate_other
Count respiratory rate (Other, specify)
observe_wall_indrawing
Observe breathing for lower chest wall in-drawing
observe_wall_indrawing_other
Observe breathing for lower chest wall in-drawing (Other, specify)
wheezing2
Breathing, is there wheezing?
wheezing2_other
Breathing, is there wheezing? (Other, specify)
auscultate_the_chest
Auscultate the chest
auscultate_the_chest_other
Auscultate the chest (Other, specify)
observe_for_nasalflaringt
Observe for nasal flaring
observe_for_nasalflaringt_other
Observe for nasal flaring (Other, specify)
take_temperature2
Take temperature
take_temperature2_other
Take temperature (Other, specify)
examine_throat2
Examine throat
examine_throat2_other
Examine throat (Other, specify)
examine_ears2
Examine ears
examine_ears2_other
Examine ears (Other, specify)
lymph_nodes2
Examine Lymph nodes
lymph_nodes2_other
Examine Lymph nodes (Other, specify)
label9
Tests: Did the health worker recommend any of the following?
chestx_ray
Chest X-ray
chestx_ray_other
Chest X-ray (Other, specify)
haemogram_count
Haemogram/Full blood count
haemogram_count_other
Haemogram/Full blood count (Other, specify)
blood_for_malariaparasitet
Blood slide for Malaria Parasite
blood_for_malariaparasitet_other
Blood slide for Malaria Parasite (Other, specify)
diagnosis2
Diagnosis2
preliminarydiagnosis2
Observer: It will take some time to get the results, ask the health worker to ma
pneumonia
Diagnosis: Did (s)he make the correct diagnosis?
otherthan_pneumonia
What other diagnosis did (s)he make?
label10
Treatment: Did the health worker prescribe any of the following?
treatx_patient
Treat as out-patient.
treatx_patient_other
Treat as out-patient. (Other, specify)
cortimoxazole
Cortimoxazole 1 tab bd x 5/7 (septrin)
cortimoxazole_other
Cortimoxazole 1 tab bd x 5/7 (septrin) (Other, specify)
amoxycillin_mg
Amoxycillin Dosage 250mg qds x 5 (Amoxyl, ampicillin)
amoxycillin_mg_other
Amoxycillin Dosage 250mg qds x 5 (Amoxyl, ampicillin) (Other, specify)
arthemeterlumef
Arthemeter-Lumefantrine 2 tabs x 2/day x 3 days (Coartem, Lonart)
arthemeterlumef_other
Arthemeter-Lumefantrine 2 tabs x 2/day x 3 days (Coartem, Lonart) (Other, specif
artesunate_amodq
Artesunate+Amodiaquine 1 tabX 1/day x 3 days (Camosunate, camoquine-artesunate)
artesunate_amodq_other
Artesunate+Amodiaquine 1 tabX 1/day x 3 days (Camosunate, camoquine-artesunate)
paracetamol2
Paracetamol dose 250 mg qds x 5 days
paracetamol2_other
Paracetamol dose 250 mg qds x 5 days (Other, specify)
revisit2
Ask parent to bring child in 2 days
revisit2_other
Ask parent to bring child in 2 days (Other, specify)
treatment2com
Please add any comments on treatment here
label11
Health Education: Did the health worker mention any of the following?
instruct_antibiotics_fordays
Instruct parent on how to administer antibiotics for 5 days.
instruct_antibiotics_fordays_oth
Instruct parent on how to administer antibiotics for 5 days. (Other, specify)
guidance_how_tofeed
Guidance on how to feed.
guidance_how_tofeed_other
Guidance on how to feed. (Other, specify)
increase_fluid_intake
Increase fluid intake.
increase_fluid_intake_other
Increase fluid intake. (Other, specify)
instruct_or_newsymptoms
Instruct parent to return anytime in case the child worsens (or has any danger s
instruct_or_newsymptoms_other
Instruct parent to return anytime in case the child worsens (or has any danger s
label12
Referral: Did the health worker mention any of the following?
dont_handlecase2
Facility does not handle cases of this type
dont_handlecase2_other
Facility does not handle cases of this type (Other, specify)
beyond_clinician_knowledge2
Beyond clinician knowledge
beyond_clinician_knowledge2_othe
Beyond clinician knowledge (Other, specify)
case2_comment
Observer: Please add general comment on this case here
label13
History taking: Did the health worker mention any of the following?
fever3_duration
Duration of fever
fever3_duration_other
Duration of fever (Other, specify)
fever3_pattern
Pattern of fever/Presence or history of fever
fever3_pattern_other
Pattern of fever/Presence or history of fever (Other, specify)
shiver_sweat3
Shiver or sweat
shiver_sweat3_other
Shiver or sweat (Other, specify)
convulsuion3
Convulsions
convulsuion3_other
Convulsions (Other, specify)
vomiting3
Vomiting
vomiting3_other
Vomiting (Other, specify)
appetite3
Appetite
appetite3_other
Appetite (Other, specify)
diarrhoea3
Diarrhoea
diarrhoea3_other
Diarrhoea (Other, specify)
cough3
Cough
cough3_other
Cough (Other, specify)
severe_cough3
Severity of cough
severe_cough3_other
Severity of cough (Other, specify)
breathing3_difficulty
Difficulty in breathing
breathing3_difficulty_other
Difficulty in breathing (Other, specify)
cough3_type
Type of cough (productive or dry)
cough3_type_other
Type of cough (productive or dry) (Other, specify)
medication_taken3
Type of medication given
medication_taken3_other
Type of medication given (Other, specify)
amount3
Amount
amount3_other
Amount (Other, specify)
vaccination3
Vaccinations
vaccination3_other
Vaccinations (Other, specify)
label14
Physical Examination: Did the health worker check or mention any of the followin
hands3
Hands (palmar pallor)
hands3_other
Hands (palmar pallor) (Other, specify)
tongue3
Tongue
tongue3_other
Tongue (Other, specify)
eyes3_sunken
Eyes, sunken?
eyes3_sunken_other
Eyes, sunken? (Other, specify)
eyes3_palecolour
Eyes, pale colour?
eyes3_palecolour_other
Eyes, pale colour? (Other, specify)
responsiveness3_generalcondition
Responsiveness / general condition
responsiveness3_other
Responsiveness / general condition (Other, specify)
skin3_condition
Skin condition
skin3_condition_other
Skin condition (Other, specify)
temperature3
Temperature
temperature3_other
Temperature (Other, specify)
pulse3
Pulse
pulse3_other
Pulse (Other, specify)
neck3_stiffness
Neck stiffness
neck3_stiffness_other
Neck stiffness (Other, specify)
puffy3_face
Puffy face
puffy3_face_other
Puffy face (Other, specify)
swelling3_thefeet
Swelling of the feet
swelling3_thefeet_other
Swelling of the feet (Other, specify)
abdomen3_liver
Abdomen/liver
abdomen3_liver_other
Abdomen/liver (Other, specify)
weight3
Weight
weight3_other
Weight (Other, specify)
respiratory3_rate
Respiratory rate
respiratory3_rate_other
Respiratory rate (Other, specify)
label14a
Test: Did the health worker recommend any of the following?
microscopy3_malariaparasite
Microscopy/ Blood slide for malaria parasite
microscopy3_malariaparasite_othe
Microscopy/ Blood slide for malaria parasite (Other, specify)
rapid3_diagnostictest
Rapid Diagnostic test
rapid3_diagnostictest_other
Rapid Diagnostic test (Other, specify)
hb3_bloodcount
Hb / Full Blood Count
hb3_bloodcount_other
Hb / Full Blood Count (Other, specify)
malaria3
What diagnosis did (s)he make?
malaria3_1
Malaria
malaria3_2
Anemia
malaria3_3
Malaria with Anemia
malaria3_4
Severe Malaria
malaria3_5
Typhoid
Total: 391
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