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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96990

Data file: o_v_2_a

Obstetrics Vignette

Cases:	87
Variables:	153

Variables

a

A. Keep the baby warm.

b1

B. Clamp and cut the cord if necessary

c

C. Transfer the baby to a dry, clean and warm surface.

d

D. Inform the mother that the baby has difficulty initiating breathing and t

e1

E. Keep the baby wrapped (and under a radiant heater if possible).

f

F. Open the airway.

g

G. Position the head so it is slightly extended.

h1

H. Suction first the mouth and then the nose.

i

I. Repeat suction if necessary.

j1

J. Ventilate the baby.

k1

K. Place mask to cover chin, mouth and nose (to form seal).

l

L. Squeeze the bag 2 or 3 times and look if the chest is rising.

m

M. Check the position of the head and reposition if necessary.

n

N. Check the seal of the mask and reseal if necessary.

o

O. Squeeze the bag 40 squeezes per minute (up to 20 minutes) until the newbo

p1

P. Put the baby on oxygen.

q

Q. Stop resuscitation measures (baby is dead).

r

R. Explain to the mother what has happened.

s

S. Offer supportive care and comfort to the mother (e.g., offer her the oppo

t

T. Record the event.

u

U. Inform medical doctor.

b2

e2

h2

j2

k2

p2

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

q101a

Q101:A. Keep the baby warm.

q101b

Q101:B. Clamp and cut the cord if necessary

q101c

Q101:C. Transfer the baby to a dry, clean and warm surface.

q101d

Q101:D. Inform the mother that the baby has difficulty initiating breathing and

q101e

Q101:E .Keep the baby wrapped (and under a radiant heater if possible).

q101f

Q101:F .Open the airway.

q101g

Q101:G. Position the head so it is slightly extended.

q101h

Q101:H. Suction first the mouth and then the nose:

q101i

Q101:I. Repeat suction if necessary.

q101j

Q101:J. Ventilate the baby

q101k

Q101:K. Place mask to cover chin, mouth and nose (to form seal)

q101l

Q101:L. Squeeze the bag 2 or 3 times and look if the chest is rising.

q102m

Q102:M. Check the position of the head and reposition if necessary.

q102n

Q102:N. Check the seal of the mask and reseal if necessary.

q102o

Q102:O. Squeeze the bag 40 squeezes per minute (up to 20 minutes) until the newb

q102p

Q102:P. Put the baby on oxygen.

q103q

Q103:Q. Stop resuscitation measures (baby is dead).

q103r

Q103:R. Explain to the mother what has happened.

q103s

Q103:S. Offer supportive care and comfort to the mother (e.g., offer her the opp

q103t

Q103:T. Record the event.

q013u

Q103:U. Inform medical doctor.

rtends

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

hhends

mmends

tuends

q104

WERE MULTIPLE HEALTH WORKERS INVOLVED?

q105

IF SO, DID THESE HEALTH WORKERS KNOW THEIR ROLES?

q106

IF YES, DID THEY CARRY OUT THESE ROLES?

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

q10a_spec

Q10a: Please specify

rtendsim

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

hhendsim

mmendsim

tunitendsim

q10

WERE MULTIPLE HEALTH WORKERS INVOLVED?

q11

IF SO, DID THESE HEALTH WORKERS KNOW THEIR ROLES?

q12

IF YES, DID THEY CARRY OUT THESE ROLES?

com_ov2a

PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:

ind_id

temp1

facility

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

mergemissing

duplicate_o_v_2_a

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

merge

sum

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

obs

vsum

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

corr

Essential items: open airway, suction, ventilate

available

Mean availability score(average of equipment available)

cap_gap

Mean Capacity Competence Gap (competence-capacity)

Total: 153

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