usaid-gov/mnch-workers-knowledge-test-an5y-7rrr

  • family planning
  • maternal child survival
  • maternal neonatal and child health
  • mcsp
  • mnch
  • + 2

MNCH Workers Knowledge Test

MNCH Workers Knowledge Test

GH Pro conducted an endline evaluation of USAID’s Maternal Child Survival Program (MCSP-MNCH)1 to assess if it had achieved its objectives and planned outputs, as stated in its program description, in Nigeria’s Ebonyi and Kogi states. Five questions evaluated increases in access and utilization of reproductive, maternal, newborn, and child health interventions; gender-transformative strategies; sustainability; the program’s learning agenda vis-à-vis the Nigerian government’s learning needs; and use of program data.

The evaluation team used a retrospective analytic and a cross-sectional design to address the five questions, and mixed methods were used for data collection, including reviews of the national District Health Information System (DHIS) 2, MCSP-MNCH datasets, and 51 program documents.

Apparent improvements were noted in the utilization of six interventions: oxytocin, partograph, Chlorhexidine 4% gel, newborn resuscitation, essential newborn care, and integrated Community Case Management, particularly with referral of danger signs. MCSP-MNCH baseline data was not available nor calculable for magnesium sulphate or Kangaroo Mother Care. Data was also not available for postpartum family planning for first-time parents and Bubble Continuous Positive Airway Pressure for newborn resuscitation, as a study was undergoing analysis and data was not ready. Furthermore, the dataset MCSP-MNCH provided to the evaluation team was incomplete, imprecise, and contained errors, raising concerns about noted improvements.

The program’s work in male engagement and Mothers Savings and Loans Clubs hold promise for transforming gender norms but reached too few people. Most of the program’s reproductive health and MNCH interventions are likely to be included in budgets in Ebonyi and Kogi through the World Bank’s Saving One Million Lives project, but without specific commitment from the states’ governors, funding release may be jeopardized. The learning agenda helped inform implementation, but the government did not help shape the research. Last, MCSP-MNCH project created a new DHIS database instance for its project data only, including new indicators that it introduced (like application of Chlorhexidine 4% gel for newborn cord care), as well as indicators that were already available in the national DHIS 2 database; it is housed within the same server as the national DHIS 2.

Columns

NameSocrata field nameColumn name in sgr mountData typeDescription
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209w: Ask client to repeat information to ensure understandingf209_please_tell_me_how_you_22f209_please_tell_me_how_you_22Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209t: Confirm the method the client wants or help them to choose an appropriate methods according to their situation f209_please_tell_me_how_you_19f209_please_tell_me_how_you_19Text
9. You have access to policy makers and government representatives_9_you_have_access_to_policy_9_you_have_access_to_policyNumber
F125: Are there aspects of your life outside work that interfere with your ability to do your job? (PROBE: Anything else?) F125d: Safety in getting to/from workf125_are_there_aspects_of_3f125_are_there_aspects_of_3Checkbox
F200: What are the key steps for performing active management of the third stage of labor? PROBE: If health worker mentions uterotonic, ask when should uterotonic be given? F200e: Check uterine tone and massage if softf200_what_are_the_key_steps_3f200_what_are_the_key_steps_3Text
F200: What are the key steps for performing active management of the third stage of labor? PROBE: If health worker mentions uterotonic, ask when should uterotonic be given? F200f: Don’t knowf200_what_are_the_key_steps_4f200_what_are_the_key_steps_4Text
F200: What are the key steps for performing active management of the third stage of labor? PROBE: If health worker mentions uterotonic, ask when should uterotonic be given? F200g: Other (specify): f200_what_are_the_key_steps_5f200_what_are_the_key_steps_5Text
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122b: Observe your workf122_the_last_time_you_were_1f122_the_last_time_you_were_1Checkbox
F121: How does your supervisor treat you? (Read all options)f121_how_does_your_supervisorf121_how_does_your_supervisorText
F120: Do you receive technical support or supervision in your work at this facility? If so, when was the most recent time?f120_do_you_receive_technicalf120_do_you_receive_technicalText
F116: How many years in total have you provided such services? Service may have been here or in another facility (Observer: enter 00 if less than 1 year of service)f116_how_many_years_in_totalf116_how_many_years_in_totalNumber
F115: In your current position, and as a part of your work for this facility, do you personally provide care for newborns?f115_in_your_current_positionf115_in_your_current_positionCheckbox
F114b: Please specify which training you wanted to attendf114b_please_specify_whichf114b_please_specify_whichText
F114a: Why were you unable to attend training?f114a_why_were_you_unablef114a_why_were_you_unableText
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201b: Empty the urinary bladderf201_what_actions_are_1f201_what_actions_are_1Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201c: Give uterotonics IM or IVf201_what_actions_are_2f201_what_actions_are_2Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201f: Start IV fluidsf201_what_actions_are_5f201_what_actions_are_5Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201h: Refer to doctor or hospitalf201_what_actions_are_7f201_what_actions_are_7Text
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? F204a: Give 4g IV over 5-10 minutesf204_how_do_you_administerf204_how_do_you_administerText
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? [F204b: Follow with 5 g MgSO4 in each buttock as deep IM injection with 1 ml of 2%f204_how_do_you_administer_1f204_how_do_you_administer_1Text
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? [F204f: Do not give repeat dose if: respiratory rate is <16 breaths/min, patellar rf204_how_do_you_administer_5f204_how_do_you_administer_5Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205b: Liquour/amniotic fluid every 4 hours or when full dilatation is expectedf205_how_often_should_various_1f205_how_often_should_various_1Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205f: Contractions every hourf205_how_often_should_various_5f205_how_often_should_various_5Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205d: Cervical dilatation every 4 hours or when full dilatation is expected4f205_how_often_should_various_3f205_how_often_should_various_3Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205c: Moulding every 4 hours or when full dilatation is expectedf205_how_often_should_various_2f205_how_often_should_various_2Text
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302c: Delayed bathingf302_please_tell_me_when_2f302_please_tell_me_when_2Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302d: Suction newbornf302_please_tell_me_when_3f302_please_tell_me_when_3Checkbox
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201a: Massage the fundusf201_what_actions_aref201_what_actions_areText
If other for 200g, please specifyif_other_for_200g_pleaseif_other_for_200g_pleaseText
F200: What are the key steps for performing active management of the third stage of labor? PROBE: If health worker mentions uterotonic, ask when should uterotonic be given? F200d: Controlled cord tractionf200_what_are_the_key_steps_2f200_what_are_the_key_steps_2Text
F200: What are the key steps for performing active management of the third stage of labor? PROBE: If health worker mentions uterotonic, ask when should uterotonic be given? [F200c: Administration of a uterotonic after delivery of baby and checking for sf200_what_are_the_key_steps_1f200_what_are_the_key_steps_1Text
F200: What are the key steps for performing active management of the third stage of labor? PROBE: If health worker mentions uterotonic, ask when should uterotonic be given? [F200a: Administration of a uterotonic immediately / within 1 minute of deliveryf200_what_are_the_key_stepsf200_what_are_the_key_stepsText
If other for 125, please state belowif_other_for_125_please_stateif_other_for_125_please_stateText
F125: Are there aspects of your life outside work that interfere with your ability to do your job? (PROBE: Anything else?) F125e: Lack of support from spouse or other family membersf125_are_there_aspects_of_4f125_are_there_aspects_of_4Checkbox
F125: Are there aspects of your life outside work that interfere with your ability to do your job? (PROBE: Anything else?) F125c: Lack of transportf125_are_there_aspects_of_2f125_are_there_aspects_of_2Checkbox
F125: Are there aspects of your life outside work that interfere with your ability to do your job? (PROBE: Anything else?) F125a: Childcare responsibilitiesf125_are_there_aspects_off125_are_there_aspects_ofCheckbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124p: Morf124_among_the_various_things_15f124_among_the_various_things_15Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124o: Morf124_among_the_various_things_14f124_among_the_various_things_14Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124l: Betf124_among_the_various_things_11f124_among_the_various_things_11Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124k: Betf124_among_the_various_things_10f124_among_the_various_things_10Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124i: Incf124_among_the_various_things_8f124_among_the_various_things_8Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124g: Morf124_among_the_various_things_6f124_among_the_various_things_6Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124f: Betf124_among_the_various_things_5f124_among_the_various_things_5Checkbox
F123_: Do you think that you have equal treatment and opportunities as your colleagues of the opposite sex F123e: in terms of work schedule?f123_do_you_think_that_you_4f123_do_you_think_that_you_4Checkbox
F123_: Do you think that you have equal treatment and opportunities as your colleagues of the opposite sex F123a: in terms of training?f123_do_you_think_that_youf123_do_you_think_that_youCheckbox
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122e: Provide updates on administrative or technical issues related to your workf122_the_last_time_you_were_4f122_the_last_time_you_were_4Checkbox
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122d: Provide any written comment about how you were doing your jobf122_the_last_time_you_were_3f122_the_last_time_you_were_3Checkbox
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122c: Give you verbal feedback about how you were doing your jobf122_the_last_time_you_were_2f122_the_last_time_you_were_2Checkbox
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209j: Discuss return to fertility based on breastfeeding practicef209_please_tell_me_how_you_9f209_please_tell_me_how_you_9Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209i: Ask about current breastfeeding practice and plans for continuationf209_please_tell_me_how_you_8f209_please_tell_me_how_you_8Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209h: Review benefits of healthy timing and spacing of birthsf209_please_tell_me_how_you_7f209_please_tell_me_how_you_7Text
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113g: Administer magnesium sulfate for the treatment of severe pre-eclampsia or eclampsiaf113_in_the_past_3_years_5f113_in_the_past_3_years_5Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113h: Management of postpartum hemorrhagef113_in_the_past_3_years_6f113_in_the_past_3_years_6Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113n: Postpartum family planningf113_in_the_past_3_years_8f113_in_the_past_3_years_8Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113s: Gender based violencef113_in_the_past_3_years_11f113_in_the_past_3_years_11Checkbox
F117: During the past 3 years have you received any pre- or in-service training on subjects related to newborn care?f117_during_the_past_3_yearsf117_during_the_past_3_yearsCheckbox
F118: In the past 3 years, which of the following topics did you receive training on? (read each answer aloud): F118a: Essential newborn care (e.g., cord care, warming, early and exclusive breastfeeding)f118_in_the_past_3_yearsf118_in_the_past_3_yearsCheckbox
F118: In the past 3 years, which of the following topics did you receive training on? (read each answer aloud): F118b: Newborn resuscitation with bag and mask (e.g.HBB) 1 0f118_in_the_past_3_years_1f118_in_the_past_3_years_1Checkbox
F119: During the past 3 years have you received any pre- or in-service training on subjects related to postpartum family planning?f119_during_the_past_3_yearsf119_during_the_past_3_yearsCheckbox
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122a: Check your records or reportsf122_the_last_time_you_weref122_the_last_time_you_wereCheckbox
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122f: Discuss problems you have encounteredf122_the_last_time_you_were_5f122_the_last_time_you_were_5Checkbox
F123: What is the sex of your supervisorf123_what_is_the_sex_of_yourf123_what_is_the_sex_of_yourText
F123_: Do you think that you have equal treatment and opportunities as your colleagues of the opposite sex F123b: in terms of professional advancement?f123_do_you_think_that_you_1f123_do_you_think_that_you_1Checkbox
F123_: Do you think that you have equal treatment and opportunities as your colleagues of the opposite sex F123c: in terms of preferred geographic posts?f123_do_you_think_that_you_2f123_do_you_think_that_you_2Checkbox
F209: Given the information presented above, what is your working diagnosis? (do not read answers aloud and circle only 1 answer)f209_given_the_informationf209_given_the_informationText
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for LGA_21_roles_and_responsibilities_2_21_roles_and_responsibilities_2Number
22 Staff are satisfied with this clinic and workspace and equipment to provide RMMNCH_22_staff_are_satisfied_with_22_staff_are_satisfied_withNumber
23 This facility has the hardware/servers it needs to ensure maternal, neonatal, child health services are accessed and used: hardware (servers)_23_this_facility_has_the_2_23_this_facility_has_the_2Number
23 This facility has access to software it needs to ensure maternal, neonatal, child health services are accessed and used: software_23_this_facility_has_access_1_23_this_facility_has_access_1Number
23 The staff at this facility have access to phones they need to ensure maternal, neonatal, child health services are accessed and used: running water_23_the_staff_at_this_facility_1_23_the_staff_at_this_facility_1Number
25 The RMNCH data obtained from the national DHIS 2 is reliable_25_the_rmnch_data_obtained_25_the_rmnch_data_obtainedNumber
26 You are satisfied with Government's use of the RHMNCH data to promote decision making_26_you_are_satisfied_with_26_you_are_satisfied_withNumber
28 This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include documented mechanisms for: a. continual learning_28_this_facility_has_28_this_facility_hasNumber
This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include: Continual learningthis_facility_has_sufficientthis_facility_has_sufficientNumber
This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include: Supervisionthis_facility_has_sufficient_3this_facility_has_sufficient_3Number
29. The MCSP project results are known to the public through the media_29_the_mcsp_project_results_29_the_mcsp_project_resultsNumber
30. The community is aware of MCSP and its perception of MCSP activities are positive_30_the_community_is_aware_30_the_community_is_awareNumber
31. The business sector have a positive perception of MCSP activities_31_the_business_sector_have_31_the_business_sector_haveNumber
We may also take pictures of you, the facility, equipment, commodities, and in general the environment. The pictures will be used as illustrative only (to show a picture of a facility, provider, commodities, etc) in project documents or websites. Do we hawe_may_also_take_pictureswe_may_also_take_picturesCheckbox
Are you the Facility in-charge?are_you_the_facility_in_chargeare_you_the_facility_in_chargeCheckbox
F008: Health worker categoryf008_health_worker_categoryf008_health_worker_categoryText
F108: In your current position, and as a part of your work for this facility, do you personally provide any delivery services? By that, I mean conducting the actual delivery of newborns.f108_in_your_current_positionf108_in_your_current_positionCheckbox
F109: How many years in total have you provided such services? Service may have been here or in another facility. (Observer: enter 00 if less than 1 year of service)f109_how_many_years_in_totalf109_how_many_years_in_totalNumber
F110: How often do you use a partograph to monitor and manage labor fully? (read each answer except for “don’t know” and “no response” aloud):f110_how_often_do_you_usef110_how_often_do_you_useText
F112: During the past 3 years have you received any pre- or in-service training on subjects related to labour and delivery care?f112_during_the_past_3_yearsf112_during_the_past_3_yearsText
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113a: Routine care for labor and normal vaginal deliveryf113_in_the_past_3_yearsf113_in_the_past_3_yearsCheckbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113d: Basic emergency obstetric and newborn care (EmONC)/life-saving skills (LSS)f113_in_the_past_3_years_3f113_in_the_past_3_years_3Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F114m: Resuscitation of newborn with bag and mask/Helping Babies Breathef113_in_the_past_3_years_7f113_in_the_past_3_years_7Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113q: HMIS data quality and usef113_in_the_past_3_years_9f113_in_the_past_3_years_9Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113r: Gender and human rightsf113_in_the_past_3_years_10f113_in_the_past_3_years_10Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): Otherf113_in_the_past_3_years_12f113_in_the_past_3_years_12Checkbox
If other in 113t, please specify belowif_other_in_113t_pleaseif_other_in_113t_pleaseText
F114: In the past 3 years, were there any trainings that you wanted to attend but were not able to?f114_in_the_past_3_yearsf114_in_the_past_3_yearsText
23 The staff at this facility have access to phones they need to ensure maternal, neonatal, child health services are accessed and used: phone_23_the_staff_at_this_facility_23_the_staff_at_this_facilityNumber
24 The RMNCH data obtained from the national DHIS 2 is complete_24_the_rmnch_data_obtained_24_the_rmnch_data_obtainedNumber
27 You are satisfied with this facilities’ use of the RMNCH data to promote decision making_27_you_are_satisfied_with_27_you_are_satisfied_withNumber
This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include: Staff recruitment and retentionthis_facility_has_sufficient_1this_facility_has_sufficient_1Number
This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include: Communicationsthis_facility_has_sufficient_2this_facility_has_sufficient_2Number
This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include: Internal QAthis_facility_has_sufficient_4this_facility_has_sufficient_4Number
This facility has sufficient organizational infrastructure to ensure delivery of quality RMNCH services. These include: Data validation processesthis_facility_has_sufficient_5this_facility_has_sufficient_5Number
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124a: Morf124_among_the_various_thingsf124_among_the_various_thingsCheckbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124d: Betf124_among_the_various_things_3f124_among_the_various_things_3Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124h: Regf124_among_the_various_things_7f124_among_the_various_things_7Checkbox
If 205l, is selected, please state belowif_205l_is_selected_pleaseif_205l_is_selected_pleaseText
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124q: Donf124_among_the_various_things_16f124_among_the_various_things_16Checkbox
F125: Are there aspects of your life outside work that interfere with your ability to do your job? (PROBE: Anything else?) F125b: Household responsibiltiiesf125_are_there_aspects_of_1f125_are_there_aspects_of_1Checkbox
If other for 204zz, please state belowif_other_for_204zz_pleaseif_other_for_204zz_pleaseText
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209aa: Document all necessary information in appropriate recordsf209_please_tell_me_how_you_26f209_please_tell_me_how_you_26Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209z: Provide post-method counseling including when to returnf209_please_tell_me_how_you_25f209_please_tell_me_how_you_25Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209x: Provide the methodf209_please_tell_me_how_you_23f209_please_tell_me_how_you_23Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? [F209v: Reinforce specific information about chosen method including how it works, when to start, how to use, side effects,f209_please_tell_me_how_you_21f209_please_tell_me_how_you_21Text
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302i: Avoid prelacteal feed / waterf302_please_tell_me_when_8f302_please_tell_me_when_8Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302k: Don’t knowf302_please_tell_me_when_11f302_please_tell_me_when_11Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303a: Explain to the mother what is happeningf303_please_tell_me_whenf303_please_tell_me_whenCheckbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? [F303k: If the baby does not begin to breathe, respiratory rate is less than 30/minute or is breathing with difficulty, continue tof303_please_tell_me_when_10f303_please_tell_me_when_10Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? [F304b: Check that the baby does not have any contraindications to apnea, bCPAP like gastrointestinal, neurological, anatomical, hypovolf304_please_tell_me_when_1f304_please_tell_me_when_1Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? [F304c: Ensure all required equipment and supplies are available - oxygen, saline/sterile water, humidifier, orogastric (OG) tube, pulse of304_please_tell_me_when_2f304_please_tell_me_when_2Checkbox
F123_: Do you think that you have equal treatment and opportunities as your colleagues of the opposite sex F123d: in terms of time off?f123_do_you_think_that_you_3f123_do_you_think_that_you_3Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124b: Morf124_among_the_various_things_1f124_among_the_various_things_1Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124c: Morf124_among_the_various_things_2f124_among_the_various_things_2Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124e: Lesf124_among_the_various_things_4f124_among_the_various_things_4Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124j: Betf124_among_the_various_things_9f124_among_the_various_things_9Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124m: Morf124_among_the_various_things_12f124_among_the_various_things_12Checkbox
F124: Among the various things related to your working situation that you would like to see improved, can you tell me the three that you think would most improve your ability to provide good quality of care services? (PROBE: Anything else?) [F124n: Emof124_among_the_various_things_13f124_among_the_various_things_13Checkbox
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? [F204d: Maintain with 5 g MgSO4 + 1 ml 2% lignocaine IM every 4 hours into alternatf204_how_do_you_administer_3f204_how_do_you_administer_3Text
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? [F204e: Continue maintenance dose for 24 hours after delivery or after the last conf204_how_do_you_administer_4f204_how_do_you_administer_4Text
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407b: Being slappedf407_since_you_have_joined_1f407_since_you_have_joined_1Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407d: Being punched with a fist or hit with something that hurtf407_since_you_have_joined_3f407_since_you_have_joined_3Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407i: Being physically forced to perform other sexual actsf407_since_you_have_joined_8f407_since_you_have_joined_8Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407j: Other (Specify):f407_since_you_have_joined_9f407_since_you_have_joined_9Checkbox
F410: It is appropriate and important for a man to participate in MNCH services and FP counselingf410_it_is_appropriate_andf410_it_is_appropriate_andText
F413: Male and female children that are receiving health services should be provided the same attention and caref413_male_and_female_childrenf413_male_and_female_childrenText
If higher than 8, ask if they can list the sources:if_higher_than_8_ask_if_theyif_higher_than_8_ask_if_theyText
F122: The last time you were personally supervised, did your supervisor do any of the following (read each aloud): F122g: Participate in quality of care improvement activitiesf122_the_last_time_you_were_6f122_the_last_time_you_were_6Checkbox
StatestatestateText
Does this facility provide MNCH services?does_this_facility_providedoes_this_facility_provideCheckbox
F007: Sex of health workerf007_sex_of_health_workerf007_sex_of_health_workerText
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301k: Clock or watch with secondsf301_what_basic_equipment_10f301_what_basic_equipment_10Checkbox
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209l: Determines client’s need for contraception including methods currently being used if any f209_please_tell_me_how_you_11f209_please_tell_me_how_you_11Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209P: Ask which method the client is interested in if not using one alreadyf209_please_tell_me_how_you_15f209_please_tell_me_how_you_15Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209s: Review other methods available that can be used during the postpartum periodf209_please_tell_me_how_you_18f209_please_tell_me_how_you_18Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209xx: Don’t knowf209_please_tell_me_how_you_27f209_please_tell_me_how_you_27Text
F111: How often do you use active management of the third stage of labor (AMTSL) during normal vaginal births (INTERVIEWER: READ EACH ANSread each answer except for “don’t know” and “no response” aloud):f111_how_often_do_you_usef111_how_often_do_you_useText
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113b: Use of partographf113_in_the_past_3_years_1f113_in_the_past_3_years_1Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113c: Active Management of Third Stage of Labor (AMSTL)f113_in_the_past_3_years_2f113_in_the_past_3_years_2Checkbox
F113: In the past 3 years, did you receive any training on the following topics (read each answer aloud): F113e: Comprehensive emergency obstetric and newborn care (CEmONC)f113_in_the_past_3_years_4f113_in_the_past_3_years_4Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303e: Aspirate the mouth and then the nosef303_please_tell_me_when_4f303_please_tell_me_when_4Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303c: Quickly wrap the baby leaving the face and upper part of the chest exposed f303_please_tell_me_when_2f303_please_tell_me_when_2Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303 b: Place the baby on a clean dry hard surfacef303_please_tell_me_when_1f303_please_tell_me_when_1Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302h: Provide eye prophylaxis / antibiotic ointmentf302_please_tell_me_when_7f302_please_tell_me_when_7Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302g: Weigh newbornf302_please_tell_me_when_6f302_please_tell_me_when_6Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302b: Provide thermal protection (skin to skin)f302_please_tell_me_when_1f302_please_tell_me_when_1Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301y other (specify):f301_what_basic_equipment_12f301_what_basic_equipment_12Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301x: Don’t knowf301_what_basic_equipment_11f301_what_basic_equipment_11Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301j: Flat surfacef301_what_basic_equipment_9f301_what_basic_equipment_9Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301i: Mucus extractor / suction / bulb syringef301_what_basic_equipment_8f301_what_basic_equipment_8Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301h: Newborn face mask size 0f301_what_basic_equipment_7f301_what_basic_equipment_7Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301g: Newborn face mask size 1f301_what_basic_equipment_6f301_what_basic_equipment_6Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301f: Self-inflating ventilation bagf301_what_basic_equipment_5f301_what_basic_equipment_5Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301e: Source of warmth: heating lamp or incubatorf301_what_basic_equipment_4f301_what_basic_equipment_4Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? F305k: Don’t knowthis_question_is_only_for_10this_question_is_only_for_10Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? F305g: Cover the baby with the mother’s clothes and an additional shawl or blankthis_question_is_only_for_6this_question_is_only_for_6Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304q: Don’t knowf304_please_tell_me_when_16f304_please_tell_me_when_16Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? [F304n: Conducted and documented 2 hourly assessments including respiratory severity score, vital signs, nasal clearing and suctioning,f304_please_tell_me_when_13f304_please_tell_me_when_13Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304h: Ensure pressure does not exceed recommended limitf304_please_tell_me_when_7f304_please_tell_me_when_7Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304d: Apply pulse oximeterf304_please_tell_me_when_3f304_please_tell_me_when_3Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301d: Cap for babyf301_what_basic_equipment_3f301_what_basic_equipment_3Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301c: Sterile or disposable cord ties / clampsf301_what_basic_equipment_2f301_what_basic_equipment_2Checkbox
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301a: Dry warm towels or clothsf301_what_basic_equipmentf301_what_basic_equipmentCheckbox
If other for 209, please state hereif_other_for_209_please_stateif_other_for_209_please_stateText
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F204zz: Other (specify):f209_please_tell_me_how_you_28f209_please_tell_me_how_you_28Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209y: Ask client whether they have any questions and address themf209_please_tell_me_how_you_24f209_please_tell_me_how_you_24Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209u: Confirm that the client does not have contraindications to the chosen method f209_please_tell_me_how_you_20f209_please_tell_me_how_you_20Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209r: Confirm whether method chosen is appropriate during breastfeeding in relation to the age of the baby f209_please_tell_me_how_you_17f209_please_tell_me_how_you_17Text
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303f: If still not breathing, initiate ventilation using bag and mask ensuring that the mask covers the nose, mouth and chinf303_please_tell_me_when_5f303_please_tell_me_when_5Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303i: Ventilate 40 times per minute for 1 minutef303_please_tell_me_when_8f303_please_tell_me_when_8Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? [F303l: If there is no breathing after 20 minutes of ventilation, explain the mother what is happening, suspend resuscitation and recordf303_please_tell_me_when_11f303_please_tell_me_when_11Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303m: Don’t knowf303_please_tell_me_when_12f303_please_tell_me_when_12Checkbox
Comments about 303comments_about_303comments_about_303Text
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304g: Titrated oxygen to ensure oxygen saturation of 90-99% and respiratory severity score <4f304_please_tell_me_when_6f304_please_tell_me_when_6Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304i: Insert OG tube and decompress baby’s stomach regularlyf304_please_tell_me_when_8f304_please_tell_me_when_8Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304l: Keep airways clear through gentle nasal suctioningf304_please_tell_me_when_11f304_please_tell_me_when_11Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? [F305b: Counsel the mother on care of the small baby including feeding, danger signs andthis_question_is_only_for_1this_question_is_only_for_1Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? [F305d: Confirm that the baby does not have any contraindications to KMC such as sepsis,this_question_is_only_for_3this_question_is_only_for_3Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? F305e: Dress the baby in diapers and cap onlythis_question_is_only_for_4this_question_is_only_for_4Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? [F305i: Supervise mother closely and monitor the baby regularly, documenting the vitthis_question_is_only_for_8this_question_is_only_for_8Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? [F305j: Carry out discharge talk including continuing care at home, danger signs and whenthis_question_is_only_for_9this_question_is_only_for_9Checkbox
F401: Is this facility equipped to allow women to deliver in a non-lithotomy (non-horizontal) position?f401_is_this_facility_equippedf401_is_this_facility_equippedCheckbox
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? [F209o: Use effective communication skills – listening, questioning, eye contact, simple language, open and friendly no-verbf209_please_tell_me_how_you_14f209_please_tell_me_how_you_14Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209m: Use job aids like BCS cards and posters to facilitate counselingf209_please_tell_me_how_you_12f209_please_tell_me_how_you_12Text
8. You have clearly identified needs in the community, and engaged community In addressing priorities_8_you_have_clearly_identified_8_you_have_clearly_identifiedNumber
5. MCSP has supported policy development or implementation that supports government abilities to implement RMNCH activities._5_mcsp_has_supported_policy_5_mcsp_has_supported_policyNumber
3 The Govt of Nigeria understand the gains (impact, result, etc.) of the RHMNCH interventions described above_3_the_govt_of_nigeria_3_the_govt_of_nigeriaNumber
9. Neonatal Resuscitation_9_neonatal_resuscitation_9_neonatal_resuscitationNumber
7. Bubble continuous Positive Airway Pressure (bCPAP)_7_bubble_continuous_positive_7_bubble_continuous_positiveNumber
6. Kangaroo Mother Care (KMC)_6_kangaroo_mother_care_kmc_6_kangaroo_mother_care_kmcNumber
4. Post partum family planning (PPFP) of first time parents (FTPs)_4_post_partum_family_planning_4_post_partum_family_planningNumber
1. Uterotonics (oxytocin, misoprostol)_1_uterotonics_oxytocin_1_uterotonics_oxytocinNumber
F414: Both male and female clients deserve to receive services without being yelled at, harassed, hit or abused in any way.f414_both_male_and_femalef414_both_male_and_femaleText
F408: Have you observed or heard about clients experiencing any of the following? F408f: Other (Specify):f408_have_you_observed_or_5f408_have_you_observed_or_5Checkbox
F208: Please tell me about the protocols of medication administration. PROBE: Anything else? F208c: Documentation of medication with proper timingsf208_please_tell_me_about_2f208_please_tell_me_about_2Text
F208: Please tell me about the protocols of medication administration. PROBE: Anything else? F207f: Other (Specify):f208_please_tell_me_about_3f208_please_tell_me_about_3Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209a: Greet the client (and spouse) and offer her/them a seatf209_please_tell_me_how_youf209_please_tell_me_how_youText
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209b:Introduce self to the client(s)f209_please_tell_me_how_you_1f209_please_tell_me_how_you_1Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209c: Ask for client’s names and call her/them by itf209_please_tell_me_how_you_2f209_please_tell_me_how_you_2Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209g: Ask about reproductive goals and contraceptive needsf209_please_tell_me_how_you_6f209_please_tell_me_how_you_6Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205l: Other (specify): f205_how_often_should_various_11f205_how_often_should_various_11Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205g: Pulse every hourf205_how_often_should_various_6f205_how_often_should_various_6Text
F208: Please tell me about the protocols of medication administration. PROBE: Anything else? F208a: Rights of medication administrationf208_please_tell_me_aboutf208_please_tell_me_aboutText
23 This facility has the electricity it needs to ensure maternal, neonatal, child health services are accessed and used: electricity_23_this_facility_has_the_1_23_this_facility_has_the_1Number
23 This facility has access to computers it needs to ensure maternal, neonatal, child health services are assessed and used: b. computers_23_this_facility_has_access_23_this_facility_has_accessNumber
23 This facility has the access to internet it needs to ensure maternal, neonatal, child health services are accessed and used: internet_23_this_facility_has_the_23_this_facility_has_theNumber
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for CTC_21_roles_and_responsibilities_6_21_roles_and_responsibilities_6Number
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for WDC_21_roles_and_responsibilities_5_21_roles_and_responsibilities_5Number
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for national policy makers_21_roles_and_responsibilities_4_21_roles_and_responsibilities_4Number
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for State policy makers, supervisors, admin, etc_21_roles_and_responsibilities_3_21_roles_and_responsibilities_3Number
19 Govt of Nigeriastate, LGA, community is able to source and manage additional funds to continue with RHMMNCH services mentioned above._19_govt_of_nigeria_state_19_govt_of_nigeria_stateNumber
18 The Govt of Nigeria will be able to continue to implement RHMNCH activities if MCSP funding stops_18_the_govt_of_nigeria_will_18_the_govt_of_nigeria_willNumber
16. Govt of Nigeria (national, state, local got have sufficient access to technology to ensure DHIS reliability as the primary source of data for RMNCH_16_govt_of_nigeria_national_16_govt_of_nigeria_nationalNumber
14. LGA and State supervisors in Ebonyi and Kogi states are sufficiently trained and have the skills to implement RHMNCH activities within their health facility_14_lga_and_state_supervisors_14_lga_and_state_supervisorsNumber
12. There is sufficient type of staffing to implement RHMNCH activities at health facility_12_there_is_sufficient_type_12_there_is_sufficient_typeNumber
11. Policy makers really understand priorities and needs of communities addressed by MCSP_11_policy_makers_really_11_policy_makers_reallyNumber
10. Govt state, LGA has capacity to advocate for additional resources to support/maintain quality RMNCH [_10_govt_state_lga_has_10_govt_state_lga_hasNumber
7. These RMNCH interventions are part of MOH strategic planning processes at (national, state, local)_7_these_rmnch_interventions_7_these_rmnch_interventionsNumber
6. The Govt (national, state, local) able to resolve roadblocks in implementing MCSP (ADVOCACY)_6_the_govt_national_state_6_the_govt_national_stateNumber
4. The Govt of Nigeria (national, state, LGA feel responsible for maintaining the implementation of these RHMNCH interventions after MCSP ends._4_the_govt_of_nigeria_4_the_govt_of_nigeriaNumber
2 The vision of the MCSP project is the same as the vision that the Govt has for RHMNCH_2_the_vision_of_the_mcsp_2_the_vision_of_the_mcspNumber
10. iCCM by PPMVs_10_iccm_by_ppmvs_10_iccm_by_ppmvsNumber
8. Essential Newborn Care_8_essential_newborn_care_8_essential_newborn_careNumber
5. Chlorhexidine for newborn cord care_5_chlorhexidine_for_newborn_5_chlorhexidine_for_newbornNumber
3. Partogram_3_partogram_3_partogramNumber
2. Magnesium Sulphate_2_magnesium_sulphate_2_magnesium_sulphateNumber
F416: PLEASE PROVIDE ANY COMMENT YOU MAY HAVE ON THE SURVEY YOU ADMINISTERED:f416_please_provide_anyf416_please_provide_anyText
F415: Unmarried clients should not use family planning servicesf415_unmarried_clients_shouldf415_unmarried_clients_shouldText
F412: A woman who has not had a boy child should not be encouraged to use family planningf412_a_woman_who_has_notf412_a_woman_who_has_notText
F411: A woman should not choose a family planning method until she consults with her spouse/partnerf411_a_woman_should_not_choosef411_a_woman_should_not_chooseText
F409: A woman who comes to the health facility for services without a companion should be treated the same as any other patient.f409_a_woman_who_comes_tof409_a_woman_who_comes_toText
For 408, if other, please state herefor_408_if_other_please_statefor_408_if_other_please_stateText
F408: Have you observed or heard about clients experiencing any of the following? F408e: Being kicked dragged or beatenf408_have_you_observed_or_4f408_have_you_observed_or_4Checkbox
F408: Have you observed or heard about clients experiencing any of the following? F408d: Being punched with a fist or hit with something that hurtf408_have_you_observed_or_3f408_have_you_observed_or_3Checkbox
F408: Have you observed or heard about clients experiencing any of the following? F408c: Being harrassedf408_have_you_observed_or_2f408_have_you_observed_or_2Checkbox
F408: Have you observed or heard about clients experiencing any of the following? F408b: Being threatenedf408_have_you_observed_or_1f408_have_you_observed_or_1Checkbox
F408: Have you observed or heard about clients experiencing any of the following? F408a: Being yelled atf408_have_you_observed_orf408_have_you_observed_orCheckbox
If other for 407, please state hereif_other_for_407_please_stateif_other_for_407_please_stateText
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407f: Being chokedf407_since_you_have_joined_5f407_since_you_have_joined_5Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407e: Being kicked dragged or beatenf407_since_you_have_joined_4f407_since_you_have_joined_4Checkbox
F406: Treating clients with respect and dignity during labor, birth, and after birth is a health workers duty. To what extent does the environment here allow you to provide respectful maternity care? Provide comment to explain:f406_treating_clients_withf406_treating_clients_withText
F405: Please describe how one might be disrespectful to a female health co-workerf405_please_describe_howf405_please_describe_howText
F404: Please describe how one might be disrespectful to a male health co-workerf404_please_describe_howf404_please_describe_howText
F403: If different cadres are mentioned, please note (for example, “Doctors do not respect midwives”). Provide comment to explain:f403_if_different_cadresf403_if_different_cadresText
F402: To what extent are health workers treated respectfully in this facility by other providers? (If participant describes in detail disrespect that occurs at the facility, please document the specific information in F403)f402_to_what_extent_are_healthf402_to_what_extent_are_healthText
F400: Is this facility equipped to allow for birth companions to be present?f400_is_this_facility_equippedf400_is_this_facility_equippedCheckbox
Comments for F305comments_for_f305comments_for_f305Text
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? F305h: Encourage the mother to breastfeed the baby on demandthis_question_is_only_for_7this_question_is_only_for_7Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? [F305f: Position the baby on the mother’s chest in the upright, extended and prone positithis_question_is_only_for_5this_question_is_only_for_5Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? F305c: Confirm that the mother is willing to carry out KMCthis_question_is_only_for_2this_question_is_only_for_2Checkbox
This question is only for facilities that offer Kangaroo Mother Care (KMC) F305: Please tell me, how do you take of low birth weight babies? PROBE: Anything else? F305a: Assess and classify the baby as low birth weight or pretermthis_question_is_only_forthis_question_is_only_forCheckbox
Comments about 304comments_about_304comments_about_304Text
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304p: Ensure parents are kept informed of baby’s progressf304_please_tell_me_when_15f304_please_tell_me_when_15Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304o: Took appropriate action based on baby’s clinical condition – discharge or refer to higher level caref304_please_tell_me_when_14f304_please_tell_me_when_14Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? [F304m: Complete appropriate records – equipment checklist, respiratory severity score, vital signs (respiratory rate, heart rate, bloodf304_please_tell_me_when_12f304_please_tell_me_when_12Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304k: Administer IV fluids if unable to give OG feedsf304_please_tell_me_when_10f304_please_tell_me_when_10Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304j: Initiate feeding with breast milk or substitute via OG tubef304_please_tell_me_when_9f304_please_tell_me_when_9Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304f: Ensure closed system with no leakagef304_please_tell_me_when_5f304_please_tell_me_when_5Checkbox
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for TWG_21_roles_and_responsibilities_1_21_roles_and_responsibilities_1Number
21 Roles and responsibilities for maintaining and improving RHMNCH gains after MCSP are clearly defined for Health Workers at this facility._21_roles_and_responsibilities_21_roles_and_responsibilitiesNumber
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407h: Being physically forced to have sexual intercoursef407_since_you_have_joined_7f407_since_you_have_joined_7Checkbox
20. The Government at (national, state, local levels) can sustain monitoring of RHMNCH activities (including supportive supervision, DQA, on the job training, etc.)._20_the_government_at_national_20_the_government_at_nationalNumber
17. Financial support for implementing key RMNCH activities can come from elsewhere (sources outside of MCSP)_17_financial_support_for_17_financial_support_forNumber
15. Health facilities are sufficiently equipped, meaning they have skilled providers, equipment, tools, and commodities to implement RHMNCH_15_health_facilities_are_15_health_facilities_areNumber
13. Health staff in Ebonyi and Kogi state are sufficiently trained and have the skills to implement RHMNCH activities within their health facility_13_health_staff_in_ebonyi_13_health_staff_in_ebonyiNumber
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304e: Commence bCPAP, carefully inserting the nasal prongs avoid trauma f304_please_tell_me_when_4f304_please_tell_me_when_4Checkbox
F304: Please tell me, when a baby has had resuscitation and is still not breathing well? PROBE: Anything else? F304a: Confirm that the baby requires bCPAP – tachypnea and difficulty in breathingf304_please_tell_me_whenf304_please_tell_me_whenCheckbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? [F303j: If the baby is breathing well without difficulty, place in skin to skin contact with mother and check to ensure that the babf303_please_tell_me_when_9f303_please_tell_me_when_9Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303h: Ventilate 1 or 2 times to check whether the chest is risingf303_please_tell_me_when_7f303_please_tell_me_when_7Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303g: Ensure that there is appropriate seal between the baby’s face and the maskf303_please_tell_me_when_6f303_please_tell_me_when_6Checkbox
F303: Please tell me, when a baby is delivered and is not breathing well, what would you do? PROBE: Anything else? F303d: Position the baby so that the neck is slightly extendedf303_please_tell_me_when_3f303_please_tell_me_when_3Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302h: Apply chlorhexidine gel to the cord stumpf302_please_tell_me_when_10f302_please_tell_me_when_10Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302j: Cut cord with sterile blade / scissorsf302_please_tell_me_when_9f302_please_tell_me_when_9Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302f: Assess / examine newborn within 1 hourf302_please_tell_me_when_5f302_please_tell_me_when_5Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302e: Ensure mother initiates breastfeeding within 1 hourf302_please_tell_me_when_4f302_please_tell_me_when_4Checkbox
F302: Please tell me, when a baby is delivered and there is no complication, what care is important to give them immediately after birth and in the first hour? PROBE: Anything else? F302a: Ensure baby was breathing / cryingf302_please_tell_me_whenf302_please_tell_me_whenCheckbox
If other for 301, please state hereif_other_for_301_please_stateif_other_for_301_please_stateText
F301: What basic equipment and supplies must be available to ensure the baby receives appropriate immediate care after birth? PROBE: Anything else? F301b: Sterile blade or scissorsf301_what_basic_equipment_1f301_what_basic_equipment_1Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407g: Being threatened or attacked with a knife, gun or weaponf407_since_you_have_joined_6f407_since_you_have_joined_6Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407c: Having arm twisted or hair pulledf407_since_you_have_joined_2f407_since_you_have_joined_2Checkbox
F407: Since you have joined this facility, have you or your co-workers experienced any of the following from a colleague or supervisor? F407a: Being pushed, shaken or having objects thrown at you/themf407_since_you_have_joinedf407_since_you_have_joinedCheckbox
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209q: Confirm whether client is breastfeeding and intends to continuef209_please_tell_me_how_you_16f209_please_tell_me_how_you_16Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209k: Discuss methods that can be used in the postpartum period including computability with breastfeedingf209_please_tell_me_how_you_10f209_please_tell_me_how_you_10Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209n: Encourage client(s) to ask questions and address their needs/concernsf209_please_tell_me_how_you_13f209_please_tell_me_how_you_13Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209f: Assure client(s) of confidentialityf209_please_tell_me_how_you_5f209_please_tell_me_how_you_5Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209e: Ensure privacy and prevent interruptions during counselingf209_please_tell_me_how_you_4f209_please_tell_me_how_you_4Text
F209: Please tell me how you would counsel a mother for family planning in the postpartum period? PROBE: Any other actions? F209d: Obtain or confirm biographic informationf209_please_tell_me_how_you_3f209_please_tell_me_how_you_3Text
If other for 207F, please state belowif_other_for_207f_pleaseif_other_for_207f_pleaseText
F208: Please tell me about the protocols of medication administration. PROBE: Anything else? F208b: Proper identification of patient at time of preparation / administration / after completing medicationf208_please_tell_me_about_1f208_please_tell_me_about_1Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205k: Urine output every 2 hoursf205_how_often_should_various_10f205_how_often_should_various_10Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205j: Fluid intake every hourf205_how_often_should_various_9f205_how_often_should_various_9Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205i: Temperature every 4 hoursf205_how_often_should_various_8f205_how_often_should_various_8Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205h: Blood pressure every 4 hoursf205_how_often_should_various_7f205_how_often_should_various_7Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205e: Descent every 4 hours or when full dilatation is expectedf205_how_often_should_various_4f205_how_often_should_various_4Text
F205: How often should various parameters be checked and recorded on a partograph during first stage of labour? F205a: Fetal heart rate every 30 minutesf205_how_often_should_variousf205_how_often_should_variousText
If other is selected for 204, please state hereif_other_is_selected_forif_other_is_selected_forText
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? F204i: Other (specify):f204_how_do_you_administer_8f204_how_do_you_administer_8Text
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? F204h: Don’t knowf204_how_do_you_administer_7f204_how_do_you_administer_7Text
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? F204g: Keep antidote ready always (1 g calcium gluconate-10 mls of 10% solution)f204_how_do_you_administer_6f204_how_do_you_administer_6Text
F204: How do you administer the magnesium sulphate in managing a woman with severe pre-eclampsia or eclampsia? What are the guiding principles? PROBE: Any other actions? F204c: If convulsions recur within 15 mins, add 2 g. MgSO4 IV over 5 minsf204_how_do_you_administer_2f204_how_do_you_administer_2Text
If other for F201l: Please specifyif_other_for_f201l_pleaseif_other_for_f201l_pleaseText
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201l: Other (specify):f201_what_actions_are_11f201_what_actions_are_11Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201k: Don’t knowf201_what_actions_are_10f201_what_actions_are_10Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201j: Insert uterine balloon tamponadef201_what_actions_are_9f201_what_actions_are_9Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201i: Raise foot of bedf201_what_actions_are_8f201_what_actions_are_8Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201g: Take blood for Hb, grouping and x-matchingf201_what_actions_are_6f201_what_actions_are_6Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201e: Perform abdominal compression of aortaf201_what_actions_are_4f201_what_actions_are_4Text
F201: What actions are appropriate for a woman who presents with, or develops heavy bleeding postpartum from atonic/uncontracted uterus? PROBE: Any other actions or interventions? F201d: Perform bimanual compression of uterusf201_what_actions_are_3f201_what_actions_are_3Text

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