Health Results Based Financing Impact Evaluation 2012

Kyrgyz Republic, 2012 - 2013

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Reference ID

KGZ_2012_HRBFIE-BL_v01_M

Producer(s)

Jed Friedman, Aneesa Arur, Eeshani Kandpal

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DDI/XML JSON

Created on

Mar 29, 2019

Last modified

Mar 29, 2019

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103692

Data file: B3.1_FINAL_anon

The dataset contains information from "Maternal and Newborn Quality of Care Facility Assessment: Labor & Delivery Observation Checklist."

Cases:	388
Variables:	415

Variables

Number

Number of questionnaire

num1

Unique code of patient

Facility number

Observer number

Today's date

b6_1

Health worker line number

b6_2

Health worker line number

b6_3

Health worker line number

b6_4

Health worker line number

b6_5

Health worker line number

b7_1

Sex of health worker

b7_2

Sex of health worker

b7_3

Sex of health worker

b7_4

Sex of health worker

b7_5

Sex of health worker

b8_1

Health worker categoryMD

b8_2

Health worker categoryMD

b8_3

Health worker categoryMD

b8_4

Health worker categoryMD

b8_5

Health worker categoryMD

b10

Who gave consent

b11

Client code

b12

Client initials or other identifier

b13

Record time the observation

b14

Client is admitted for:

b15

Where is client coming from:

b100

Was this section observed?

b101

Respectfully greets the pregnant woman

b102

Encourages the women to have a support person present during labor and birth

b103

Asks women (and support person) if she has any questions

b104

Checks client card OR asks client her age, length of pregnancy, and parity

b105_1

Asks whether she has experienced any of the following for current pregnancy:

b105_2

Asks whether she has experienced any of the following for current pregnancy:Vagi

b105_3

Asks whether she has experienced any of the following for current pregnancy:Feve

b105_4

Asks whether she has experienced any of the following for current pregnancy:Seve

b105_5

Asks whether she has experienced any of the following for current pregnancy:Swol

b105_6

Asks whether she has experienced any of the following for current pregnancy:Conv

b105_7

Asks whether she has experienced any of the following for current pregnancy:Seve

b105_8

Asks whether she has experienced any of the following for current pregnancy:Pers

b105_9

Asks whether she has experienced any of the following for current pregnancy:Seve

b105_10

Asks whether she has experienced any of the following for current pregnancy:Foul

b105_11

Asks whether she has experienced any of the following for current pregnancy:Freq

b105_12

Asks whether she has experienced any of the following for current pregnancy:Whet

b106

Checks woman's HIV status (checks card or asks woman)

b107

Offers woman HIV test

b108

Is woman HIV positive?

b109_1

Asks about or counsels on the following topics for HIV positive mothers Asks if

b109_2

Asks about or counsels on the following topics for HIV positive mothers Asks cli

b109_1a

Asks about or counsels on the following topics for HIV positive mothers Explains

b109_3

Asks about or counsels on the following topics for HIV positive mothers Explains

b109_4

Asks about or counsels on the following topics for HIV positive mothers Administ

b109_5

Asks about or counsels on the following topics for HIV positive mothers Explains

b109_6

Asks about or counsels on the following topics for HIV positive mothers Explains

b110

Client has any previous pregnancies?

b111_1

Asks about complications during previous pregnancies:Heavy bleeding during or af

b111_2

Asks about complications during previous pregnancies:Anemia

b111_3

Asks about complications during previous pregnancies:High blood pressure

b111_4

Asks about complications during previous pregnancies:Convulsions

b111_5

Asks about complications during previous pregnancies:Multiple pregnancies (twins

b111_6

Asks about complications during previous pregnancies:Prolonged labour

b111_7

Asks about complications during previous pregnancies:C-section

b111_8

Asks about complications during previous pregnancies:Assisted delivery (forceps,

b111_9

Asks about complications during previous pregnancies:Prior neonatal death (death

b111_10

Asks about complications during previous pregnancies:Prior stillbirth (baby born

b111_11

Asks about complications during previous pregnancies:Prior abortion/miscarriage

b112

Washes his/her hands with soap and water or uses disinfectant before any initial

b113

Explains procedures to woman (support person) before proceeding

b114

Takes temperature

b115

Takes pulse

b116

Takes blood pressure

b116_1

Takes blood pressureTake client’s blood pressure in sitting or lateral position

b116_2

Takes blood pressureTake client’s blood pressure in sitting or lateral position

b117

Asks/notes amount of urine output

b118

Tests urine for presence of protein

b119

Performs general examination

b120_1

Performs the following steps for abdominal examination:Checks fundal height with

b120_2

Performs the following steps for abdominal examination:Checks fetal presentation

b120_3

Performs the following steps for abdominal examination:Checks fetal heart rate w

b121

Performs vaginal examination

b122

Wears high-level disinfected or sterile gloves for vaginal examination

b123

Informs pregnant woman of findings

b200

Was this section observed?

b201

At least once, explains what will happen in labor to woman (support person)

b202

At least once, encourages woman to consume fluids/food during labor

b203

At least once, encourages/assists woman to ambulate and assume different positio

b204

Observer: Is a support person present at some point during labor?

b205

Drapes woman (one drape under buttocks, one over abdomen)

b206

Partograph used to monitor labor

b207

Action line on partograph reached

b208

Record time action line was reached

b209

If action line reached on partograph, was any definitive action taken?

b210

Record time action was taken

b211

What definitive action was taken:

b212

Washes his/her hands with soap and water or uses antiseptic prior to any examina

b213

Wears high-level disinfected or sterile surgical gloves

b214

Puts on clean protective clothing in preparation for birth (goggles, gown or apr

b215

Explains procedures to woman (support person) before proceeding

b216

Number of vaginal examinations

b217

Augments labor with oxytocin

b218

Oxytocin administered intravenously (IV)

b219

Performs artificial rupture of membrane

b220

Administers antibiotics

b221

Why were antibiotics administered?

b222

Which antibiotic was administered? (CIRCLE ALL THAT APPLY)

b223

Prepares uterotonic drug to use for AMTSL

b224

Which drug ( uterotonic)

b225

Timer (clock or watch with seconds hand)

b226

Self-inflating ventilation bag (250 or 500 mL)

b227

Newborn face mask size 0

b228

Newborn face mask size 1

b229

Suction bulb

b230

Catheter

b231

Suction machine

b232

At least two cloths/blankets (one to dry; one to cover)

b233

Cap/hat for the newborn

b234

Disposable cord ties or clamps

b235

Sterile scissors or blade

b236

Has the woman completed the first stage of labor?

b300

Was this section observed?

b301

Washes his/her hands with soap and water or uses antiseptic before any examinati

b302

Wears high-level disinfected or sterile surgical gloves

b303

Puts on clean protective clothing in preparation for birth (

b304

Performs episiotomy

b305

Presentation of baby is cephalic (head first)

b306

As baby's head is delivered, supports perineum

b307

Record time of the delivery of the baby

b308

Checks for another baby prior to giving the uterotonic

b309

Second baby present?

b310

Administers uterotonic?

b311

Record time uterotonic given

b312

Timing of administration of uterotonic

b313

Which uterotonic given

b314

Record dose and units of uterotonic given

b315

b316

Route uterotonic given:

b317

Record time the cord was clamped

b318

Applies traction to the cord while applying suprapubic counter traction

b319

Performs uterine massage immediately following the delivery of the placenta

b320

Was placenta delivered before administration of uterotonic?

b321

Assesses completeness of the placenta and membranes

b322

Assesses for perineal and vaginal lacerations

b323

Did more than one health worker assist with the birth?

b324

Did mother gave birth in lithotomy position (on back)

b325

Is a support person (companion) for mother present at birth?

b400

Was this section observed?

b401

Immediately dries baby with towel

b402

Discards the wet towel

b403

Is the baby breathing or crying?

b404

Places baby on mother's abdomen "skin to skin"

b405

Covers baby with dry towel

b406

If not placed skin to skin, wraps baby in dry towel

b407

Ties or clamps cord when pulsations stop, or by 2-3 minutes after birth (not imm

b408

Cuts cord with clean blade or clean scissors

b409

Is a support person (companion) for mother present?

b410

Checks baby's temperature 15 minutes after birth

b411

Checks baby's skin color 15 minutes after birth

b412

Takes mother's vital signs 15 minutes after birth

b413

Palpates uterus 15 minutes after delivery of placenta

b414

Mother and newborn kept in same room after delivery (rooming-in)

b415

Baby bathed within the first hour after birth

b416

Baby kept skin to skin with mother for the first hour after birth

b417

Breastfeeding initiated within the first hour after birth

b418

Provides tetracycline eye ointment prophylaxis

b419

Administers Vitamin K to newborn

b420

Is the mother HIV positive?

b421

Administers ARVs to newborn

b422

Administers antibiotics to mother postpartum

b423

Why were antibiotics administered?

b424

Which antibiotic was administered? (CIRCLE ALL THAT APPLY)

b425

Disposes of all sharps in a puncture-proof container immediately after use

b426

Decontaminates all reusable instruments in 0.5% chlorine solution

b427

Sterilizes or uses high-level disinfection for all reusable instruments

b428

Disposes of all contaminated waste in leak-proof containers

b429

Removes apron and wipe with chlorine solution

b430

Washes his/her hands with soap and water or uses antiseptic

b431

Was the patient treated respectfully throughout the procedure?

b432

Was there a newborn resuscitation?

b433

Disposes of disposable suction catheters and mucus extractors in a leak-proof co

b434

Takes the bag and mask apart and inspects for cracks and tears

b435

Decontaminates the bag and mask in 0.5% chlorine solution

b436

Sterilizes or uses high-level disinfection for bag, valve and mask

b437

Decontaminates reusable suction devices in 0.5% chlorine solution

b438

Sterilizes or uses high-level disinfection for reusable suction devices

b439

Washes his/her hands with soap and water or uses antiseptic

b439t

Record time L&D observation ended

b500

Was this section observed?

b501

Record time resuscitation started

b502

Clears the airway by suctioning the mouth first and then the nose

b503

Stimulates baby with back rubbing

b504

does newborn starts to breathe or cry spontaneously?

b505

Calls for help

b506

Ties or clamps cord immediately

b507

Cuts cord with clean blade or clean scissors

b508

Places the newborn on his/her back on a clean, warm surface or towel

b509

Places the head in a slightly extended position to open the airway

b510

Tells the woman (and her support person) what is going to be done

b511

Listens woman and provides support and reassurance

b512

Checks mouth, back of throat and nose for secretions, and clears if necessary

b513

Places the correct-sized mask on the newborn's face so that it covers the chin,

b514

Checks the seal by ventilating two times and observing the rise of the chest

b515

is newborn's chest rising in response to ventilation?

b516

Checks the position of the newborn's head to make sure that the neck is in a sli

b517

Checks mouth, back of throat and nose for secretions, and clears if necessary

b518

Checks the seal by ventilating two times and observing the rise of the chest

b519

is newborn's chest rising in response to ventilation?

b520

Checks the position of the newborn's head again to make sure that the neck is in

b521

Repeats suction of mouth and nose to clear secretions, if necessary

b522

Checks the seal by ventilating two times and observing the rise of the chest

b523

is newborn's chest rising in response to ventilation?

b524

Ventilates at a rate of 30 to 50 breaths/minute

b525

Conducts assessment of newborn breathing after 1 minute of ventilation

b526

Condition of newborn at assessment

b527

Continues Ventilation

b528

Conducts assessment of newborn breathing after prolonged ventilation (10 minutes

b529

Condition of newborn at assessment

b530

Continues Ventilation

b531

Record time that resuscitation actions ended (or time of death if baby died)

b532

Was the resuscitation successful?

b533

Arranges transfer to special care either in facility or to outside facility

b534

Explains to the mother (and her support person if available) what happened

b535

Listens to mother and responds attentively to her questions and concerns

b536

Did you call for help or intervene during the resuscitation to save the life of

b537

COMMENTS ON QUALITY OF CARE:

b601

Record outcome for the mother

b602

Record outcome for the newborn or fetus

b603_1

Did you see any of the following harmful or inappropriate practices by health wo

b603_2

Did you see any of the following harmful or inappropriate practices by health wo

b603_3

Did you see any of the following harmful or inappropriate practices by health wo

b604

Did you see any of the following practices done without an appropriate indicatio

b605

Was there a newborn resuscitation?

b606

Condition of the newborn at birth

b607

Procedures necessary to initiate breathing

b608

Time from birth to initiation of spontaneous breathing or time of death if unsuc

b609

Any clinical observations during resuscitation, including baby vital signs

b610

Final outcome of resuscitation measures

b611

Partograph used to monitor labor

b612

Which partograph used

b613

Initiated use of partograph at the appropriate time according to partograph used

b614

Fetal heart rate plotted at least every half hour

b615

Cervical dilatation plotted at least every four hours

b616

Descent of head plotted at least every four hours

b617

Frequency and duration of contractions plotted at least every half hour

b618

Maternal pulse plotted at least every half hour

b619

BP recorded at least every four hours

b620

Temperature recorded at least every two hours

b621

OBSERVER: Did you see provider fill out partograph after delivery

b622

Birth time

b623

Delivery method

b624

irthweight

b625

Was action line on partograph reached?

b626

Record time action line was reached

b627

If action line reached on partograph, was any definitive action taken?

b628

Record time action was taken

b629

What definitive action was taken:

b630

Record age of woman

b631

Record the gravidity of the woman

b632

Record the parity of the woman prior to this delivery

b633

Time of admission to labor ward

b634

Centimeters dilated upon admission to labor ward

b635

Time membranes ruptured

b636

How did the membranes rupture?

b637

Type of delivery

b638

Time of birth

b639

Birthweight in grams

b640

Record gestational age at birth in weeks

b641

Was she diagnosed with severe PE/E?

b642

Was baby delivered within 24 hours of PE/E diagnosis?

b643

Did the mother have blood loss more than 500mL?

b644

Was she diagnosed with postpartum hemorrhage?

b645

Did the mother develop a fever of 38° C or higher during labor?

b646

Was she diagnosed with chorioamnionitis during labor?

b647

Were antibiotics administered to mother at any time?

b648

When were antibiotics administered?

b649

Why were antibiotics administered?

b650

Which antibiotic was administered

b651

Is mother HIV positive?

b652

Was newborn given ARV(s)?

b653

Record type of ARV(s) given to newborn

b654_1

Comments on quality of careWAS MOTHER TREATED RESPECTFULLY?

b654_2

Comments on quality of careWAS MOTHER INFORMED OF PROCEDURES?

b654_3

Comments on quality of careWAS THE SITUATION CHAOTIC OR CALM?

b654_4

Comments on quality of careWERE THERE ANY MAJOR DELAYS IN NEEDED TREATMENT?

b654_5

Comments on quality of careIF SO, FOR WHAT PROCEDURES AND WHY?

b654_6

Comments on quality of careWERE MULTIPLE HEALTH WORKERS INVOLVED?

b654_7

Comments on quality of careIF SO, DID THESE HEALTH WORKERS KNOW THEIR ROLES?

b654_8

Comments on quality of careIF YES, DID THEY CARRY OUT THESE ROLES?

b654_9

Comments on quality of careWERE NECESSARY EQUIPMENT, SUPPLIES, MEDICATIONS AVAIL

b700

Was this section observed?

b701

Confirm that consent was received from client (or her proxy if she is incapacita

b702

Record time complication started

b703

Monitors bleeding

b704

How much bleeding was there (in mL)

b705

Performs uterine massage

b706

Time massage performed

b707

Gives oxytocin

b708

Record dose (in IU)

b709

Is route of administration intravenous (IV)?

b710

Time oxytocin given

b711

Other uterotonic given

b712

Which other uterotonic was given:

Total: 415

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