Health Results-Based Financing Impact Evaluation 2014, Health Facility Baseline Survey

Nigeria, 2014

Reference ID

NGA_2014_HRBFIE-BL_v02_M

Producer(s)

Federal Ministry of Health, Nigeria, National Bureau of Statistics, Nigeria, World Bank

Metadata

DDI/XML JSON

Created on

Jan 18, 2017

Last modified

Mar 29, 2019

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57950

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Data file: HF1C1234567 121415

Cases:	1068
Variables:	713

Variables

Q328

(3.28) Do women who come to the facility for antenatal care get an antenatal or

Q329

(3.29) Where are the maternal health cards kept once issued to a mother?

Q330A

01 SEEN FIVE CARDS

Q330B

02 QUALIFIED PERSONNEL PROVIDED CARE

Q330C

03 NON-QUALIFIED PERSON PROVIDED CARE

Q330D

04 NO CARDS SEEN

Q331

(3.31) Functional Weighing scale present, and calibrated to zero

Q332A

01 Examinations done: weight - BP, Size, Parity, Date of last menstruation

Q332B

02 Laboratory tests: albuminuria, glucose

Q332C

03 All: Obstetrical examination done: Fetal heart rate, Uterine height, presenta

Q333

(3.33) Are delivery services offered by the facility, either in the facility or

Q334

(3.34) Do facility staff assist with deliveries only in the facility, only in th

Q335

(3.35) Is the facility able to provide delivery services to adolescent pregnant

Q336

(3.36) At least 10 partogram forms available in the facility for use in the futu

Q337

(3.37)Check five partogram forms used in the past. Are these completed according

Q338

(3.38) Who conducts the delivery in the facility?

Q339

(3.39) Is there at least one health care provider who was trained in the use of

Q340

(3.40) Does the facility have capability for administration of antibiotics, oxyt

Q341

(3.41) Does the facility have capability for removal of retained products follow

Q342

(3.42) Does the facility able to do manual removal of retained placenta?

Q343

(3.43) How many pairs of sterile gloves available in the facility now?

Q344

(3.44) How many sterilized obstetrical boxes available in the facility now?

Q345

(3.45) How many episiotomy boxes availability in the facility now?

Q346

(3.46) Does this health facility have the capacity to manage emergency caesarian

Q347

(3.47) How many c-sections were done in the past one year?

Q348

(3.48) Does the health facility have the capacity to manage Resuscitation care t

Q349

(3.49) Are postpartum services offered at this facility?

Q350

(3.50) Are popstpartum services offered at specific hours only, during general o

Q351

(3.51) In the last 30 days, on how many days was postpartum care available to wo

Q352

(3.52) In the last 6 months, how many postpartum outreach clinics were held by t

Q353

(3.53) In the last 12 months, how many maternal deaths were recorded at the faci

Q354

(3.54) In the last 12 months, how many maternal deaths were recorded in the comm

Q355

(3.55) What tuberculosis services does this health facility provide?

Q356

(3.56) Is there a separate room for diagnosis/treatment of Tuberculosis patients

Q357

(3.57) Who manages the separate Tuberculosis room in this health facility?

Q358

(3.58) Is there a Tuberculosis Register?

Q359

(3.59) Is there a Suspect Tuberculosis Case Register?

Q360

(3.60) Do patients who come for tuberculosis treatment get a tuberculosis treatm

Q361

(3.61) Where are the tuberculosis treatment cards kept once issued to a patient?

Q362

(3.62) Could you show me some cards that belong to specific patients?

Q363

(3.63) In the last 6 months, how many presumptive cases of suspected malaria wer

Q364

(3.64) In the last 6 months, how many laboratory confirmed cases of Malaria were

Q365

(3.65) Does the facility provide treatment according to the National Malaria Tre

Q366

(3.66) Is there at least one qualified staff trained in Family Planning?

Q367

(3.67) Does the facility provide family planning services for adolescent?

Q368

(3.68) Does the facility provide family planning services for unmarried adloscen

Q369

(3.69) Is there a penis model available on the desk in FP unit?

Q370

(3.70) Is there a condom box contains at least 50 condoms in FP unit?

Q371A

a. Oral Contraceptives

Q371B

b. injectable Contraceptives

Q372

(3.72) How many IUDs are available in the health center today?

Q373

(3.73) How many implants are available in the health center today?

Q374

(3.74) Does the health facility have FP individual cards that are filled accordi

Q375

(3.75) Does the facility have at least one qualified staff trained as a counsell

Q376

(3.76) In the facility, do you conduct all counsellling by a trained councillor?

Q377

(3.77) Is there a private HIV counseling room in the health facility?

Q378

(3.78) Does this facility offer inpatient care or are patients ever observed ove

Q379

(3.79)Number of officially sanctioned beds for the facility

Q380

(3.80) Actual number of patient beds in the facility now (including beds on floo

Q381

(3.81) Is there a guard duty roster for inpatient wards?

Q382

(3.82) Does each bed in the wards have covered mattress, clean bed sheet and mos

Q383

(3.83) For each bed in wards, is there a night stand for the use of patients?

Q384

(3.84) INDICATE CONDITION OF FURNITURE

Q385

(3.85) Is the space between beds in wards at least one meter?

Q386

(3.86) Does each ward have access to drinking water in the ward?

Q387

(3.87) Is the floor of ward clean (NO DEBRIS OR WATER ON FLOOR)?

Q388

(3.88) Are there functional lights in each ward?

Q389

(3.89) Are there waste baskets/bins in each ward?

Q390

(3.90) For the use of clients in inpatient department, how many sanitary toilet

Q391

(3.91) How many of these toilets are functional?

Q392

(3.92) How many inpatients are there today?

Q393

(3.93) How many beds are vacant today?

Q394

(3.94) How many wards are there in the facility for inpatients?

Q395

(3.95) Number of beds in men's wards

Q396

(3.96) Number of beds in women's wards

Q397

(3.97) Does the facility have separate pediatric ward(s)?

Q398

(3.98) How many beds are there in the pediatric wards?

Q399

(3.99) How many private or semiprivate rooms are there in the facility?

Q3400

(4.00) Number of beds in all the private/semiprivate rooms taken together

Q3401

(4.01) How many beds are vacant in private/semiprivate rooms today?

Q3402

(4.02) Do you have separate surgical wards?

Q3403

(4.03) How many beds are there in the surgical wards?

Q3404

(4.04) Does the operation theater have theater lights?

Q3405

(4.05) Does the operation theater have functional theater table?

Q3406

(4.06) Is there a blood bank in the facility?

Q3407

(4.07) Is there minimum of two units of O-negative fresh blood in stock?

Q3408

(4.08) Is the blood stored according to norm (2 to 4 C)?

Q3409

(4.09) Can the facility perform blood transfusion?

Q3410

(4.10) Are reagents for grouping and cross-matching available?

Q3411

(4.11) Does the facility provide counselling, information, education, behaviour

Q3412

(4.12) Does the facility use the national protocol for treating diarrhoea at the

Q3413

(4.13) Does the facility use ARI protocol for treating children with pneumonia?

Q3414

(4.14) Does the facility personnel use Integrated Management of Childhood Illnes

Q3415

(4.15) Does the facility provide nutritional assessment services for children an

Q3416

(4.16) Are nutritional status of all children under 5 who come for consultation

Q401A

(4.01) Do patients pay consultation or doctor's fees? MCH services

Q401B

(4.01) Do patients pay consultation or doctor's fees? Other services

Q402A

(4.02) Do patients pay laboratory fees for tests (e.g. urine/blood test)? MCH se

Q402B

(4.02) Do patients pay laboratory fees for tests (e.g. urine/blood test)? Other

Q403A

(4,03) Do patients pay fees for x-ray tests? MCH services

Q403B

(4,03) Do patients pay fees for x-ray tests? Other services

Q404A

(4.04) Do patients pay fees for supplies (e.g. compresses, syringes, etc.)? MCH

Q404B

(4.04) Do patients pay fees for supplies (e.g. compresses, syringes, etc.)? Othe

Q405A

(4.05) Do patients pay fees for medicines? MCH services

Q405B

(4.05) Do patients pay fees for medicines? Other services

Q406A

(4.06) Does the facility sell most of the drugs at cost or below cost of above c

Q406B

(4.06) Does the facility sell most of the drugs at cost or below cost of above c

Q407

(4.07) On average, drug revenue is what percentage of total drug cost for the fa

q408a

(4.08) Interviewer check wether the facility charges any fees

q408b

(4.08) Interviewer check wether the facility charges any fees

Q409A

a. Health facility manager/ in charge

Q409B

b. Health facility staff

Q409C

c. Federal Ministry of Health

Q409D

d. WARD Development Committee

Q409E

e. Health Committee

Q409F

f. State Ministry of Health

Q409G

g. LGA PHC Department

Q409H

h. Other, specify

Q410A

a. Facility infrastructure

Q410B

b. Facility equipment and supplies

Q410C

c. Drugs

Q410D

d. Facility programs

Q410E

e. Use in community

Q410F

f. Sent back to LGA PHC Department

Q410G

g. Staff salaries

Q410H

h. Staff performance bonuses

Q410I

i. Sent back to central government

Q410J

j. Sent back to state government

Q410K

K. Other, specify

Q411A

a. Widows

Q411B

b. children under 5

Q411C

c. Elderly (above 65 years)

Q411D

d. Orphans

Q411E

e. Tuberculosis patients

Q411F

f. HIV/AIDS patients

Q411G

g. Extreme poor

Q411H

h. Physically disabled persons

Q411I

i. Military personnel

Q411J

j. Pregnant women

Q411K

k. Refugees

Q411L

l. Other, specify

Q412A

a. Health facility manager/ in charge

Q412B

b. Health facility staff

Q412C

c. Federal Ministry of Health

Q412D

d. WARD Development Committee

Q412E

e. Health Committee

Q412F

f. State Ministry of Health

Q412G

g. LGA PHC Department

Q412H

h. Other, specify

Q413

(4.13) Do exempted patients receive a special exemption card that allows them to

Q414

(4.14) Does this facility participate in a health insurance scheme?

Q415

(4.15) What type of health insurance?

Q416A

a. Routine well baby visits (Including vaccination)

Q416B

b. Sick child care (< 5 years)

Q416C

c. Adult outpatient care

Q416D

d. Antenatal care for pregnant women

Q416E

e. Delivery care for pregnant women

Q416F

f. Post partum care for women and newborns

Q416G

g. Hospital admission and inpatient care

Q416H

h. Sick child >5 years

Q416I

I. Other, specify

Q417A

a. Facility infrastructure

Q417B

b. Facility equipment and supplies

Q417C

c. Drugs

Q417D

d. Facility programs

Q417E

e. Use in community

Q417F

f. Sent back to LGA PHC Department

Q417G

g. Staff salaries

Q417H

h. Staff performance bonuses

Q417I

i. Sent back to central government

Q417J

j. Sent back to state government

Q417K

k. Other, specify

Serial number of Respondent from staff roaster

Q501

(5.01)Scenario 1: The performance of your staff is improving.

Q502

(5.02) Scenario 2: Members of your staff have been unable to solve a problem ove

Q503

(5.03) Scenario 3: You are considering a major change in how things are done in

Q504

(5.04) Scenario 4: The performance of your staff has been falling in recent mont

Q505

(5.05) Scenario 5: Your staff are no longer working together as an effective tea

SN6

S/NO OF THE RESPONDENT FROM THE STAFF ROSTER

Q601

(6.01) I am able to allocate my facility budget according to how it is needed. T

Q602

(6,02) I am able to assign tasks and activities to staff as needed to achieve th

Q603

(6.03) The LGA PHC Department Team supports my decisions and actions for doing a

Q604

(6.04) I have choice over who I allocate for what tasks.

Q605

(6.05) I have choice over what services are provided in the facility.

Q606

(6.06) I have enough authority to obtain the resources I need (drugs, supplies,

Q607

(6.07) The policies and procedures for doing things are clear to me.

Q608

(6.08) The policies and procedures for doing things are useful tools for the cha

Q609

(6.09) The LGA PHC Department Team provides adequate feedback to me about my job

Q1201

(12.01) Do you have an estimate of the size of the catchment population that thi

Q1202A

a. Total population

Q1202B

b. Total male population

Q1202C

c. Total female population

Q1202D

d. Total female 15-49 years population, i.e. women of childbearing age

Q1202E

e. Total <5 years population

Q1202F

f. Total <1 year population

Q1203

(12.03) Outpatient register available and information more or less complete

Q1204

(12.04) Number of TOTAL patients (LAST COMPLETED MONTH)

Q1205

(12.05) Number of TOTAL male outpatients

Q1206

(12.06) Number of TOTAL female oupatients

Q1207

(12.07) Number of TOTAL pregnant women seen as outpatient

Q1208

(12.08) Number of TOTAL under 5 seen as outpatients

Q1209

(12.09) Number of TOTAL male under 5 seen as outpatients

Q1210

(12.10) Number of TOTAL female under 5 seen as outpatients

Q1211

(12.11) Number of TOTAL under 1 seen as Outpatients

Q1212

(12.12) Inpatient register available and information more or less complete

Q1213

(12.13) Number of TOTAL inpatients in LAST COMPLETED MONTH

Q1214

(12.14) Days of inpatient stay in LAST COMPLETED MONTH

Q1215

(12.15) Number of TOTAL male inpatients in LAST COMPLETED MONTH

Q1216

(12.16) Number of TOTAL female inpatients in LAST COMPLETED MONTH

Q1217

(12.17) Number of TOTAL under-5 inpatients in LAST COMPLETED MONTH

Q1218

(12.18) Number of TOTAL inpatients in LAST ONE YEAR

Q1219

(12.19)Number of days of stay in LAST ONE YEAR

Q1220

(12.20) Number of inpatient deaths in LAST ONE YEAR

Q1221

(12.21) Monthly Routine HMIS Report sent to LGA PHC Department

Q1222

(12.22) Notifiable Disease Report

Q1223

(12.23) Vaccination/immunization Coverage Report

Q1224

(12.24) Family Planning Register

Q1225

(12.25) Antenatal Care Register

Q1226

(12.26) Delivery Register

Q1227

(12.27) PBF Register

Q1228

(12.28) VCT/PMTCT counselling register

Q1229

(12.29) HIV treatment and referral register

Q1230

(12.30) Operation Theater register

Q1231

(12.31) Blood bank register

Q1232

(12.32) Laboratory register

Q1233

(12.33) Hospital activity report

Facilitytypecod

PrimaryLast

Indicator of each last matching case as Primary

Q1401

(14.01) Is there a reception/registration room in this facility?

Q1402

(14.02) Is the registration process private so that others cannot overhear the c

Q1403

(14.03) Is there a waiting card system with numbers?

Q1404

(14.04) Is there a waiting room or area in this facility?

Q1405

(14.05) Is there a separate waiting room for women in this facility?

Q1406

(14.06) Are there fans/air conditioners in patient waiting areas in this facilit

Q1407

(14.07) Is the patient waiting area covered from the sun/rain in this facility?

Q1408

(14.08) What is the number of sittings available in patient waiting area of this

Q1409

(14.09)Is there a toilet for the use of outpatient clients of the facility?

Q1410

(14.10) Is there a list of telephone numbers of nearby health facilities and hos

Q1411

(14.11) Is there a map available on the wall or in the notice board showing ward

Q1412

(14.12) Is there an ambulance and/or other vehicle available and functional

Q1413

(14.13) Is the vehicle log book available and maintained/filled?

Q1414

(14.14) Is the vehicle maintenance register available and filled?

Q1415

(14.15) Are walls made of durable materials well painted, floor paved with cemen

Q1416

(14.16) Are the Consultancy room and waiting space separated assuring confidenti

Q1417

(14.17) Are there observation beds (non-torn with plastic cover)

Q1418

(14.18) Do the windows with curtains or non-transparent glass?

Q1419

(14.19) Does the consultation room have functional door with lock?

Q1420

(14.20) Is there an emergency service consultacy room with electric light or fun

Q1421

(14.21) INTERVIEWER: RECORD HOW MANY OBSERVATION BEDS ARE PRESENT.

Q1422

(14.22) Does the facility deliver babies in this facility?

Q1423

(14.23) In the delivery room, is there sufficient water with soap?

Q1424

(14.24) Is there a functional light in the delivery room?

Q1425

(14.25) Is the delivery room wall made of durable materials and painted?

Q1426

(14.26) Is there a curtain between delivery bed and the entrance door?

Q1427

(14.27) Is the delivery room floor cement and the ceiling not damaged?

Q1428

(14.28) Are there window curtains in the delivery room and are the curtains, doo

Q1429

(14.29) Is the delivery room clean and/or smell disinfectants?

Q1430

(14.30) Is the delivery table in good condition with two leg supports which are

Q1431

(14.31) Are there separate toilet facilities for men and women?

Q1432

(14.32) Is sufficient water available in each of the toilets and showers?

Q1433

(14.33) Are the toilets and showers clean?

Q1434

(14.34) Can the doors of toilets and showers can be locked from inside but not f

Q1435

(14.35) Are wall of toilets and showers made of sturdy, durable materials with r

Q1436

(14.36) Do all toilets and showers have functional lighting

Q1437

(14.37) Are wastes from toilets and showers evacuated in a sanitary manner (does

Q1438

(14.38) Does the facility has three colored waste bins available; bins with lid

Q1439

(14.39) Are the red waste bins used regularly for biological wastes

Q1440

(14.40) Are the yellow waste bins are used regularly for contaminated medical wa

Q1441

(14.41) Does the facility have safety box for needles available in the facility

Q1442

(14.42) Does the facility have needle cutter available and used

Q1443

(14.43) Does the facility have accommodations for health workers who are on-call

Q1444

(14.44) Does the health facility has a boundary wall or fence which can be close

Q1445

(14.45) Is there is at least one garbage bin with lid in the courtyard or at ent

Q1446

(14.46) Is the courtyard and the lawn is clean, No garbage or medical waste in t

Q1447

(14.47) Is the waste disposal pit minimum 2 meters deep, lined with clay, concre

Q1448

(14.48) Is the waste pit is at least 15 meters from the facility and 100 meters

Q1449

(14.49) Are the health care wastes in the pit are not visible from outside

Q1450

(14.50) Is there any posting in the facility that shows the user fees for outpat

Q1451

(14.51) Is there any posting in the facility that shows laboratory fees for outp

Q1452

(14.52) Is there any posting in the facility that shows X-ray fees for outpatien

Q1453

(14.53) Is there any posting in the facility that shows medication fees [(i) uni

Q1454

(14.54) Is there any posting in the facility that shows supplies fees for outpat

Q1455A

a. Inpatient capacity (Number of beds)

Q1455B

b. Service days/hours

Q1455C

c. Staff roster

Q1455D

d. Management contact

Q1455E

e. Complaints and suggestions handling policy

Q1456

(14.56) Staff duty roster available and displayed, up-to-date and visible for st

Q1457

(14.57) List of phone number of health facility in-charge available and up to da

Q1458

(14.58) Patient education materials (Information and Education Campaign material

Q1459

(14.59) Integrated Management of Childhood Illness (IMCI) chart booklet or wall

Q1460

(14.60) Graphs for growth monitoring

Q1461

(14.61) National protocol for tuberculosis diagnosis and treatment

Q1462

(14.62) Health Management Information System (HMIS) guidelines

Q1463

(14.63) Health Management Information System (HMIS) Data

Q1464

(14.64) National Protocol for malaria diagnosis and treatment

Q1465

(14.65) National protocol for child vaccination

Q1466

(14.66) National protocol for reproductive health/family planning

Q1467

(14.67) National guidelines/protocols for providing sexual and productive health

Q1468

(14.68) National protocol for reducing unsafe abortion morbidity/mortality

Total: 713

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