Health Systems Strengthening Project Impact Evaluation 2015, Baseline Survey

Liberia, 2013 - 2015

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Reference ID

LBR_2015_HRBFIE-BL_v01_M

Producer(s)

Kenneth Leonard (University of Maryland), Luke Bawo, Rianna Mohammed-Roberts

Metadata

DDI/XML JSON

Created on

Jan 16, 2021

Last modified

Jan 16, 2021

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103967

Data file: o_v_1_a

Obstetrics Vignette

Cases:	89
Variables:	161

Variables

facility

ind_id

factor1

I can make a difference

factor2

This hospital and management provide the right tools

factor3

In this organization, I am taken seriously

factor4

I am keen to improve

factor5

Feedback, teamwork, recognition

total_score

q100a

Q100: a. Calls for help

q100b

Q100: b. Explains to the woman what is being done, reassuring her

q100c

Q100: c. Asks assistant to check for signs of shock, including blood pressure, p

q100d

Q100: d. Palpates the uterus to assess for tone

q100e

Q100: e. Massages the uterus when uterus feels soft and/or flabby

q101a

q101b

Q101: b. systolic BP <90mm Hg

q101c

Q101: c. cold clammy skin

q101d

Q101: d. pallor

q101e

Q101: e. respirations > 30 / min

q101f

Q101: f. anxious and confused or unconscious

q101g

q102a

Q102: a. Is patient in shock?

q102b

Q102: b. Health worker answers?

q103a

Q103: a. Systolic BP is >90 mmHg

q103b

Q103: b. Pulse is <110 beats per minute

q103c

Q103: c. Normal mental status

q103d

q104a

Q104: a. atonic uterus

q104b

Q104: b. cervical and perineal tears

q104c

Q104: c. retained placenta or placental fragments

q104d

Q104: d. ruptured uterus

q104e

Q104: e. clotting disorder

q104f

q105a

Q105: a. Massages the uterus to stimulate a contraction

q105b

Q105: b. Gives oxytocin IV (20 IU / L at 60 gtts/min) OR Ergometrine 0.2 mg slow

q105c

Q105: c: Gives misoprostol 800 mg orally

q105d

Q105: d. Continues to monitor (or has assistant monitor) BP, pulse and blood los

q106a

Q106: a. Checks blood pressure

q106b

Q106: b. Gives medication IM (oxytocin 10 IU or ergometrine 0.2 mg)

q107a

Q107: a. Explains to Tenneh what is being done and what to expect

q107b

Q107: b. Performs internal bimanual compression of the uterus

q107c

Q107: c. Has assistant locate placenta and examines for missing pieces

q108a

Q108: a. Explains to Tenneh what s/he is going to do and what to expect

q108b

Q108: b. Gives pethidine and diazepam IV slowly or uses ketamine or another drug

q108c

Q108: c. Gives a single dose of prophylactic antibiotics (ampicillin 2 g IV plus

q108d

Q108: d. Using elbow-length sterile or HLD gloves, palpates inside the uterus fo

q109a

Q109: a. Observes the woman closely until effect of IV sedation has worn off

q109b

Q109: b. Monitors vital signs (P, BP, R), uterine firmness, and bleeding every 1

q109c

Q109: c. Encourages breastfeeding to help uterus contraction

q110a

Q110: a. Examines perineum, vagina and cervix for tears and repairs

q110b

Q110: b. Considers use of bedside clotting test.

q110c

Q110: c. Calls for help

q110d

Q110: d. Encourages breastfeeding to help uterus contraction

q111a

Q111: a. Requests for type and cross-match for possible transfusion

q111b

Q111: b. Makes plan for monitoring vital signs, uterine firmness and blood loss

q111c

Q111: c. Continues with routine postpartum care, including breastfeeding of infa

v105

Verify Q105, option b.: If Q105b is yes, then verify presence of oxytocin IV, er

v106

Verify Q106, option b:If Q106b is yes, then verify presence of oxytocin or ergom

v108b

Verify Q108, option b: If Q108b is yes, then verify presence of pethidine and di

v108c

Verify Q108, option c: If Q108c is yes, then verify presence of antibiotics: amp

v108d

Verify Q108, option d: If Q108d is yes, then verify presence of elbow-length st

q10a_spec

Q10a: Please specify

q108b_spec

Q108: b. PLEASE SPECIFY NAME AND DOSAGE

q108c_spec

Q108: c. PLEASE SPECIFY NAME AND DOSAGE

q101g_other

Q101: g. Please specify

q103d_other

Q103: d. Please, specify

q104f_other

Q104: f. Please, specify

q10asp

Q10a: Please specify

q108bsp

Q108: b. PLEASE SPECIFY NAME AND DOSAGE

q108csp

Q108: c. PLEASE SPECIFY NAME AND DOSAGE

q101got

Q101: g. Please specify

q103dot

Q103: d. Please, specify

q104fot

Q104: f. Please, specify

q1

Q1: Facility ID

q2

Q2: Facility Name

q3

Q3: Observer number

q4d

Q4: Today's day (DD)

q4m

Q4: Today's month (MM)

q4y

Q4: Today's year (YYYY)

q4bhh

Q4b: Hour simulation started (HH)

q4bmm

Q4b: Minute simulation started (MM)

q4btu

Q4b: Time unit simulation started (AM/PM)

q4c

qno

Questionnaire number

q5a

Q5a: Has the health worker previously signed a consent form ?

q6a

Q6a: ASK HEALTH WORKER : Do I have your permission to be present at this consult

q7a

Q7a: READ FULL CONSENT SCRIPT TO HEALTH WORKER AND OBTAIN SIGNATURE. Did the hea

q8a

Q8a: Staff Roster ID number

q9a

q10a1

Q10a: 1. MD-Obstetrician/Gynecologist

q10a2

Q10a: 2. MD-Neonatologist

q10a3

Q10a: 3. MD-Surgeon

q10a4

Q10a: 4. MD- Family Physician

q10a5

Q10a: 5. MD - Pediatrician

q10a6

Q10a: 6. Physician's Assistant

q10a7

Q10a: 7. Nurse midwife

q10a8

Q10a: 8. Bachelor and Science of Nursing Nurse

q10a9

Q10a: 9. Diploma Nurse

q10a10

Q10a: 10. Nurse with Associate Degree

q10a11

Q10a: 11. Licensed Practical Nurse

q10a12

Q10a: 12. Certified midwife

q10a13

Q10a: 13. Registered midwife

q10a14

Q10a:14. Nurse aide

q10a96

Q10a: 96. Other

tbeg

RECORD TIME OF BEGINNING OF THE SIMULATION (HH:MM)

hh

mm

tunit

rtends

RECORD TIME OF END OF THE SIMULATION (HH:MM)

hhends

mmends

tuends

v105b

Verify Q105, option b.: If Q105b is yes, then verify presence of oxytocin IV, er

v106b

Verify Q106, option b:If Q106b is yes, then verify presence of oxytocin or ergom

comm

PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:

round

First (2013) or Second (2015) data collection round

qid

Questionnaire ID

q4btunit

Q4b: Time unit simulation started (AM/PM)

q10a

Q10a: Health worker category code

rtendsim

RECORD TIME OF END OF THE SIMULATION (HH:MM)

hhendsim

mmendsim

tunitendsim

com_ov1a

PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:

instrument

cadre_1

MD-Obstetrician/ Gynecologist

cadre_2

MD-Neonatologist

cadre_3

cadre_4

MD- Family Physician

cadre_5

MD - Pediatrician

cadre_6

Physician's Assistant

cadre_7

cadre_8

Bachelor of Science of Nursing Nurse

cadre_9

cadre_10

Nurse with Associate Degree

cadre_11

Licensed Practical Nurse

cadre_12

Certified midwife

cadre_13

cadre_14

cadre_15

Nurse Anethnetist

cadre_16

cadre_17

Circulating Nurse

cadre_18

cadre_19

cadre_20

cadre_96

first_cadre

First Cadre Listed

short_cadre

date

consenttime

begintime

endtime

firsttimegap

secondtimegap

duplicate_o_v_1_a

merge

q102

assess_correct

Q102 * correct assessment that patient is not in shock

sum

Mean Vignette Score (average of items correctly used/mentioned)

obs

vsum

Mean Capacity Vignette Score (average of items correct and available)

cap_gap

Mean Capacity Competence Gap (competence-capacity)

Total: 161

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