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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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77439

Data file: o_v_3

Obstetrics Vignette - Newborn Health Simulation

Cases: 145
Variables: 242

Variables

a
A. Wipe face after birth of head
b
B. Cord care (sterile-cut; applying nothing to stump)
c1
C. Cord care (Sterile-cut; applying chlorhexadine)
d
D. Ensure baby is breathing
e
E. Provide thermal protection
f1
F. Bathe newborn shortly after birth
g1
G. Suction newborn with bulb
h
H. Initiate breastfeeding within one hour
i1
I. Assess/Examine newborn within one hour
j1
J. Weigh newborn
k1
K. Provide eye prophylaxis
l1
L. Administer Vitamin K
m1
M. Give prelacteal feeds
n1
N. Other
o
O. Breathing difficulties
p
P. Cold to touch or fever
q
Q. Restlessness/ Irritability or difficulty to arouse
r
R. Poor / No breastfeeding
s
S. Abdominal distention / Vomiting
t
T. Infection foci on skin, umbilical stump, throat or eyes
u
U. No apparent source of infection
v
V. Other
w
W. Maternal fever ? 38oC before or during labor
x
X. Membranes ruptured ? 18 hours prior to delivery (prolonged labor)
y
Y. Maternal history of uterine infection or fever anytime from the onset of
z
Z. Foul smelling amniotic fluid
aa
AA. Other
bb1
BB. Obtain blood cultures
cc1
CC. Establish IV line and give fluids only
dd1
DD. Start prophylaxis immediately after birth with ampicillin and gentimicin
ee1
EE. After two days reassess infant and continue treatment only if signs of se
ff1
FF. Other
gg1
GG. Obtain blood cultures, before starting antibiotics
hh1
HH. Obtain the weigh of the newborn to determine the amount of antibiotics
ii1
II. Give ampicillin (or penicillin) and gentamicin for at least 10 days, with
jj1
JJ. Give Cloxacillin if extensive skin pustules or abscesses, as these might
kk
KK. Encourage frequent breastfeeding
ll1
A. Other
mm1
B. Give expressed breastmilk via nasogastric tube
nn
C. Maintain warmth with skin-to-skin contact
oo
D. Change antibiotic treatment or refer baby
pp
E. Inform Medical Doctor
qq
F. Refer baby
rr
G. Other
ss
A. Provide thermal protection
tt
B. Provide extra support to mother to establish and maintain breastfeeding
uu
C. Monitor newborn closely for first 24 hours
vv
D. Ensure infection prevention
ww
E. Monitor sucking capacity
xx
F. Refer to hospital
yy
G. Other
c2
f2
g2
i2
j2
k2
l2
m2
n2
bb2
cc2
dd2
ee2
ff2
gg2
hh2
ii2
jj2
ll2
mm2
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
Q4c: Result
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
Q9a: Gender
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
Hour
mm
Minutes
tunit
Time Unit
q101a
Q101:A. Wipe face after birth of head
q101b
Q101:B. Cord care (sterile-cut; applying nothing to stump)
q101c
Q101:C. Cord care (Sterile-cut; applying chlorhexadine)
q101d
Q101:D. Ensure baby is breathing
q101e
Q101:E. Provide thermal protection
q101f
Q101:F. Bathe newborn shortly after birth
q101g
Q101:G. Suction newborn with bulb
q101h
Q101:H. Initiate breastfeeding within one hour
q101i
Q101:I. Assess/Examine newborn within one hour
q101j
Q101:J. Weigh newborn
q101k
Q101:K. Provide eye prophylaxis
q101l
Q101:L. Administer Vitamin K
q101m
Q101:M. Give prelacteal feeds
q101n
Q101N. Other
q101not
Q101:N. Please specify
q102a
Q102:A. Breathing difficulties
q102b
Q102:B. Cold to touch or fever
q102c
Q102:C. Restlessness/ Irritability or difficulty to arouse
q102d
Q102:D. Poor / No breastfeeding
q102e
Q102:E. Abdominal distention / Vomiting
q102f
Q102:F. Infection foci on skin, umbilical stump, throat or eyes
q102g
Q102:G. No apparent source of infection
q102h
Q102:H. Other
q102hsp
Q102:H. Please specify
q103a
Q103:A. Maternal fever ? 38oC before or during labor
q103b
Q103:B. Membranes ruptured ? 18 hours prior to delivery (prolonged labor)
q103c
Q103:C. Maternal history of uterine infection or fever anytime from the onset of
q103d
Q103:D. Foul smelling amniotic fluid
q103e
Q103:E. Other
q103esp
Q103:E. Please specify
q104a
Q104:A. Obtain blood cultures
q104b
Q104:B. Establish IV line and give fluids only
q104c
Q104:C. Start prophylaxis immediately after birth with ampicillin and gentimicin
q104d
Q104:D. After two days reassess infant and continue treatment only if signs of s
q104e
Q104:E. Other
q104sp
Q104:E. Please specify
q105a
Q105:A. Obtain blood cultures, before starting antibiotics
q105b
Q105:B. Obtain the weigh of the newborn to determine the amount of antibiotics
q105c
Q105:C. Give ampicillin (or penicillin) and gentamicin for at least 10 days, wit
q105d
Q105:D. Give Cloxacillin if extensive skin pustules or abscesses, as these might
q105e
Q105:E. Encourage frequent breastfeeding
q105f
Q105:F. Other
q105sp
Q105:F. Please specify
q106a
Q106:A. Give expressed breastmilk via nasogastric tube
q106b
Q106:B. Maintain warmth with skin-to-skin contact
q107a
Q107:A. Change antibiotic treatment or refer baby
q107b
Q107:B. Inform Medical Doctor
q107c
Q107:C. Refer baby
q107d
Q107:D. Other
q107dsp
Q107:D. Please specify
q108a
Q108:A. Provide thermal protection
q108b
Q108:B. Provide extra support to mother to establish and maintain breastfeeding
q108c
Q108:C. Monitor newborn closely for first 24 hours
q108d
Q108:D. Ensure infection prevention
q108e
Q108:E. Monitor sucking capacity
q108f
Q108:F. Refer to hospital
q108g
Q108:G. Other
q108gsp
Q108:G. Please specify
rtends
RECORD TIME OF END OF THE SIMULATION (HH:MM)
hhends
Hour
mmends
Minutes
tuends
Time Unit
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
n_other
N. Please specify
v_other
V. Please specify
aa_other
AA. Please specify
ff_other
FF. Please specify
ll_other
A. Please specify
rr_other
G. Please specify
yy_other
G. Please specify
rtendsim
RECORD TIME OF END OF THE SIMULATION (HH:MM)
hhendsim
Hour
mmendsim
Minutes
tunitendsim
Time Unit
com_ov3
PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:
facility
ind_id
temp1
instrument
cadre_1
MD-Obstetrician/ Gynecologist
cadre_2
MD-Neonatologist
cadre_3
MD-Surgeon
cadre_4
MD- Family Physician
cadre_5
MD - Pediatrician
cadre_6
Physician's Assistant
cadre_7
Nurse midwife
cadre_8
Bachelor of Science of Nursing Nurse
cadre_9
Diploma Nurse
cadre_10
Nurse with Associate Degree
cadre_11
Licensed Practical Nurse
cadre_12
Certified midwife
cadre_13
Midwife
cadre_14
Nurse aide
cadre_15
Nurse Anethnetist
cadre_16
Scrub Nurse
cadre_17
Circulating Nurse
cadre_18
cadre_19
cadre_20
OR Technician
cadre_96
Other
first_cadre
First Cadre Listed
short_cadre
Cadre Group
date
consenttime
begintime
endtime
firsttimegap
secondtimegap
mergemissing
duplicate_o_v_3
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
Total Score
merge
q101_corr
Q101: Average of correct items:
q101_wrong
Q101: Wrong, proportion saying prelactal feeding is important
q102
Q102: average of correct items:
q103
Q103: average of correct items:
q104
Q104: average of correct items:
q105
Q105: average of correct items:
q106
Q106: average of correct items:
q108
Q108: average of correct items:
sum
Mean Vignette Score (average of items correctly used/mentioned)
obs
available
Mean availability score(average of equipment available)
vsum
Mean Capacity Vignette Score (average of items correct and available)
cap_gap
Mean Capacity Competence Gap (competence-capacity)
Total: 242
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