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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97007

Data file: o_v_1_b

Obstetrics Vignette

Cases:	91
Variables:	169

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

q101a

Q101: a. Ask time of onset of present symptoms

q101b

Q101: b. Check level of consciousness

q101c

Q101: c. Measure fundal height

q101d

Q101: d. Ask/Check any convulsions

q101e

Q101: e. Check vital signs (Temp, BP, Pulse, Respiration)

q101f

Q101: f. Listen to/Assess foetal heart tones

q101g

Q101: g. Assess foetal movement

q101h

Q101: h. Check urine protein

q101i

Q101: i. Check for abdominal tenderness

q101j

Q101: j. Check any leaking of fluid from vagina

q101k

Q101: k. Check for vaginal bleeding

q101l

Q101: l. Health worker does not know

q101m

q101mot

Q101: m. Please specify

q201a

Q201: a. Kidney infection

q201b

Q201: b. Pre-eclampsia

q201c

Q201: c. Severe pre-eclampsia

q201d

Q201: d. Malaria

q201e

Q201: e. Eclampsia

q201f

Q201: f. In labour

q201g

Q201: g. Health worker does not know

q201h

q201hot

Q201: h. Please specify

q202a

Q202: a. Provide antimalarial

q202b

Q202: b. Send home on strict bed rest

q202c

Q202: c. If available, stabilize with magnesium sulfate

q202d

Q202: d. If available, stabilize with antihypertensives

q202e

Q202: e. Document findings and immediately refer Mrs. C to a higher level

q202f

Q202: f. Health worker does not know

q202g

q202got

Q202: g. Please specify

q203a

Q203: a. Give intravenous Diazepam

q203b

Q203: b. Administer oxygen at 4-6L per minute if available

q203c

Q203: c. Actively restrain

q203d

Q203: d. Place in side lying position

q203e

Q203: e. Protect from injury

q203f

Q203: f. Give magnesium sulfate

q203g

Q203: g. Give antihypertensives (nifedipine or apresoline)

q203h

Q203: h. Health worker does not know

q203i

q203iot

Q203: i. Please specify

q204a

Q204: a. IV with normal saline or ringers lactate

q204b

Q204: b. Urinary catheter and urinary bag

q204c

Q204: c. Patellar hammer

q204d

Q204: d. Wrist restraints

q204e

Q204: e. Suction machine and catheter

q204f

Q204: f. Oxygen and adult mask

q204g

Q204: g. Injectable magnesium sulphate

q204h

Q204: h. Calcium gluconate

q204i

Q204: i. Injectable antihypertensives

q204j

Q204: j. Injectable quinine

q204k

Q204: k. Artemisinin combination therapy

q204l

Q204: l. Health worker does not know

q204m

q204mot

Q204: m. Please specify

q301a

Q301: a. Repeat MgSO4 4 hours after last dose if respirations and reflexes are n

q301b

Q301: b. Repeat MgSO4 4 ONLY IF Mrs C has another convulsion

q301c

Q301: c. Maintain diastolic BP between 90-100 thru anti-hypertensives

q301d

Q301: d. Arrange for immediate C-section

q301e

Q301: e. Monitor her labour and begin partograph

q301f

Q301: f. Induce labour immediately

q301g

Q301: g. Auscultate lungs hourly

q301h

Q301: h. Record fluid intake and output hourly

q301i

Q301: i. Get and record respirations, reflexes and patellar reflexes hourly

q301j

Q301: j. Use ergometrine with amtsl

q301k

Q301: k. Health worker does not know

q301l

q101m_other

Q101: m. Please specify

q201h_other

Q201: h. Please specify

q202g_other

Q202: g. Please specify

q203i_other

Q203: i. Please specify

q204m_other

Q204: m. Please specify

q301l_other

Q301: l. Please specify

q1

Q1: Facility ID

q2

Q2: Facility Name

q3

Q3: Observer number

q4ad

Q4a: Today's day (DD)

q4am

Q4a: Today's month (MM)

q4ay

Q4a: 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

q10asp

Q10a: Please specify

tbeg

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

hh

mm

tunit

q301lot

Q301: l. Please specify

rtends

TIME AT END OF MATERNAL HEALTH KNOWLEDGE QUESTIONS

hhends

mmends

tuends

comm

PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:

round

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

REC_TYPE

qid

Questionnaire ID

q4btunit

Q4b: Time unit simulation started (AM/PM)

q10a

Q10a: Health worker category code

q10a_spec

Q10a: Please specify

rtendmhk

TIME AT END OF MATERNAL HEALTH KNOWLEDGE QUESTIONS

hhendmhk

mmendmhk

tunitendmhk

com_ov1b

PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:

cadre

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

duplicate_o_v_1_b

merge

diag_correct

Partially Correct Diagnosis (Pre-eclampsia)

diag_correct2

Correct Diagnosis (Severe Pre-eclampsia)

treat_score

average of correct treatment responses (MgSO4, antihypertensive, document)

treat_correct

Correct Treatment (stabilize with MgSO4)

convulsions_corr

Correct response to convulsions (MS, oxygen and protect from injury or lay on si

convulsions_wrong

Wrong response to convulsions (Diazepam, antihypertensives or active restraint)

essential_supplies

Number of essential items listed (a, b, c, f, g, h, i)

stabilization_corr

Correct response to stabilization (repeat MgSO4, partograph, record, reflexes)

Total: 169

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