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impact_evaluation

Health Systems Strengthening Project Impact Evaluation 2015, Baseline Survey

Liberia, 2013 - 2015
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Reference ID
LBR_2015_HRBFIE-BL_v01_M
DOI
https://doi.org/10.48529/evqc-pg35
Producer(s)
Kenneth Leonard (University of Maryland), Luke Bawo, Rianna Mohammed-Roberts
Collection(s)
Impact Evaluation Surveys
Metadata
Documentation in PDF DDI/XML JSON
Created on
Jan 13, 2020
Last modified
Jan 13, 2020
Page views
313286
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258

Data file: o_v_1_a

Obstetrics Vignette

Cases: 89
Variables: 161

Variables

facility
ind_id
factor1
I can make a difference
factor2
This hospital and management provide the right tools
factor3
In this organization, I am taken seriously
factor4
I am keen to improve
factor5
Feedback, teamwork, recognition
total_score
Total Score
q100a
Q100: a. Calls for help
q100b
Q100: b. Explains to the woman what is being done, reassuring her
q100c
Q100: c. Asks assistant to check for signs of shock, including blood pressure, p
q100d
Q100: d. Palpates the uterus to assess for tone
q100e
Q100: e. Massages the uterus when uterus feels soft and/or flabby
q101a
Q101: a. P>110
q101b
Q101: b. systolic BP <90mm Hg
q101c
Q101: c. cold clammy skin
q101d
Q101: d. pallor
q101e
Q101: e. respirations > 30 / min
q101f
Q101: f. anxious and confused or unconscious
q101g
Q101: g. Other
q102a
Q102: a. Is patient in shock?
q102b
Q102: b. Health worker answers?
q103a
Q103: a. Systolic BP is >90 mmHg
q103b
Q103: b. Pulse is <110 beats per minute
q103c
Q103: c. Normal mental status
q103d
Q103: d. Other
q104a
Q104: a. atonic uterus
q104b
Q104: b. cervical and perineal tears
q104c
Q104: c. retained placenta or placental fragments
q104d
Q104: d. ruptured uterus
q104e
Q104: e. clotting disorder
q104f
Q104: f. Other
q105a
Q105: a. Massages the uterus to stimulate a contraction
q105b
Q105: b. Gives oxytocin IV (20 IU / L at 60 gtts/min) OR Ergometrine 0.2 mg slow
q105c
Q105: c: Gives misoprostol 800 mg orally
q105d
Q105: d. Continues to monitor (or has assistant monitor) BP, pulse and blood los
q106a
Q106: a. Checks blood pressure
q106b
Q106: b. Gives medication IM (oxytocin 10 IU or ergometrine 0.2 mg)
q107a
Q107: a. Explains to Tenneh what is being done and what to expect
q107b
Q107: b. Performs internal bimanual compression of the uterus
q107c
Q107: c. Has assistant locate placenta and examines for missing pieces
q108a
Q108: a. Explains to Tenneh what s/he is going to do and what to expect
q108b
Q108: b. Gives pethidine and diazepam IV slowly or uses ketamine or another drug
q108c
Q108: c. Gives a single dose of prophylactic antibiotics (ampicillin 2 g IV plus
q108d
Q108: d. Using elbow-length sterile or HLD gloves, palpates inside the uterus fo
q109a
Q109: a. Observes the woman closely until effect of IV sedation has worn off
q109b
Q109: b. Monitors vital signs (P, BP, R), uterine firmness, and bleeding every 1
q109c
Q109: c. Encourages breastfeeding to help uterus contraction
q110a
Q110: a. Examines perineum, vagina and cervix for tears and repairs
q110b
Q110: b. Considers use of bedside clotting test.
q110c
Q110: c. Calls for help
q110d
Q110: d. Encourages breastfeeding to help uterus contraction
q111a
Q111: a. Requests for type and cross-match for possible transfusion
q111b
Q111: b. Makes plan for monitoring vital signs, uterine firmness and blood loss
q111c
Q111: c. Continues with routine postpartum care, including breastfeeding of infa
v105
Verify Q105, option b.: If Q105b is yes, then verify presence of oxytocin IV, er
v106
Verify Q106, option b:If Q106b is yes, then verify presence of oxytocin or ergom
v108b
Verify Q108, option b: If Q108b is yes, then verify presence of pethidine and di
v108c
Verify Q108, option c: If Q108c is yes, then verify presence of antibiotics: amp
v108d
Verify Q108, option d: If Q108d is yes, then verify presence of elbow-length st
q10a_spec
Q10a: Please specify
q108b_spec
Q108: b. PLEASE SPECIFY NAME AND DOSAGE
q108c_spec
Q108: c. PLEASE SPECIFY NAME AND DOSAGE
q101g_other
Q101: g. Please specify
q103d_other
Q103: d. Please, specify
q104f_other
Q104: f. Please, specify
q10asp
Q10a: Please specify
q108bsp
Q108: b. PLEASE SPECIFY NAME AND DOSAGE
q108csp
Q108: c. PLEASE SPECIFY NAME AND DOSAGE
q101got
Q101: g. Please specify
q103dot
Q103: d. Please, specify
q104fot
Q104: f. Please, specify
q1
Q1: Facility ID
q2
Q2: Facility Name
q3
Q3: Observer number
q4d
Q4: Today's day (DD)
q4m
Q4: Today's month (MM)
q4y
Q4: Today's year (YYYY)
q4bhh
Q4b: Hour simulation started (HH)
q4bmm
Q4b: Minute simulation started (MM)
q4btu
Q4b: Time unit simulation started (AM/PM)
q4c
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
tbeg
RECORD TIME OF BEGINNING OF THE SIMULATION (HH:MM)
hh
Hour
mm
Minutes
tunit
Time Unity
rtends
RECORD TIME OF END OF THE SIMULATION (HH:MM)
hhends
Hour
mmends
Minutes
tuends
Time Unity
v105b
Verify Q105, option b.: If Q105b is yes, then verify presence of oxytocin IV, er
v106b
Verify Q106, option b:If Q106b is yes, then verify presence of oxytocin or ergom
comm
PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:
round
First (2013) or Second (2015) data collection round
qid
Questionnaire ID
q4btunit
Q4b: Time unit simulation started (AM/PM)
q10a
Q10a: Health worker category code
rtendsim
RECORD TIME OF END OF THE SIMULATION (HH:MM)
hhendsim
Hour
mmendsim
Minutes
tunitendsim
Time Unity
com_ov1a
PLEASE PROVIDE ANY FURTHER COMMENTS ON THE QUALITY OF CARE:
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
duplicate_o_v_1_a
merge
q102
assess_correct
Q102 * correct assessment that patient is not in shock
sum
Mean Vignette Score (average of items correctly used/mentioned)
obs
vsum
Mean Capacity Vignette Score (average of items correct and available)
cap_gap
Mean Capacity Competence Gap (competence-capacity)
Total: 161
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