Cross-sectional survey of health worker motivation in Ethiopia – Data codebook

Permanent identifier

https://doi.org/10.17037/DATA.00001565

Data description

A collection of digital outputs produced as part of a repeat cross-sectional survey of quality improvement and health worker motivation in Ethiopia. It includes a topic guide for use in qualitative interviews with Health Extension Workers, an endline survey form designed for use in Open Data Kit (ODK), a study protocol, and accompanying datasets. Written materials are held in Oromiffa and English.

Data collection methods

Repeat cross-sectional survey of health worker motivation in Ethiopia. Data collection and analysis followed a sequential mixed methods approach. Baseline quantitative data were collected in April and May 2018 immediately prior to the start of the QI programme. Qualitative data were collected in April and May 2019. Endline quantitative data were collected in June 2019 at the end of the QI programme test of scale phase. In the baseline survey for each woreda we mapped the hospital and all health centres and health posts and obtained permission letters from woreda health offices. In each hospital or health centre/post, we obtained a list of all eligible MNH providers and randomly selected participants for interviews. Their names were written in alphabetical order next to a column of randomly generated numbers and interviewers sequentially chose participants from the smallest random number upwards until the requisite number of participants was reached. If participants were not available, we sought to arrange interviews via phone and returned to the facility up to three times before classifying them as unreachable and selecting the next worker from the list. In each woreda, we interviewed around 30 participants across a range of health worker and management cadres, including the heads or clinical directors of the woreda, each hospital, and each health centre. We interviewed around four maternal and child health care providers from the hospitals and two from each health centre, around five HEWs from each health centre, and one HEW from each health post. In the endline survey, conducted 15 months after the baseline survey and immediately after learning session four, we sought to re-interview all participants regardless of if they were in the same post as at baseline. We used mobile phone numbers provided at baseline and alongside information from woreda health office staff to locate participants. If participants could not be located after three attempts via phone and other channels, they were deemed to be uncontactable. When all participants had been either contacted or deemed uncontactable, we re-sampled at the facility level using the same randomisation methods as at baseline.

Data codebook

Variable Name Variable Label Answer Label Answer Code Variable Type
job_title What is your job title?     Numeric
    Woreda Health Office Head 1  
    CEO 2  
    Chief medical director 3  
    Matron or nursing director 4  
    Case team leader 5  
    Case team coordinator 6  
    Disease prevention and health promotion officer 7  
    Supervisor 8  
    Care provider 9  
    Health Extension Worker 10  
    PHCU Director 11  
    Director (other) 12  
    Other (specify on next page) 98  
sdc1gender What is your gender?     Numeric
    Male 1  
    Female 2  
sdc1time_facility How long have you been working in your job? (This information was collected by the study, but is not present in the dataset provided to the repository).     Numeric
    Less than one month 1  
    Between one month and six months 2  
    Between six months and one year 3  
    Between one and two years 4  
    Between two and four years 5  
    Longer than four years 6  
sdc1time_healthsystem How many years have you worked in the health system? (This information was collected by the study, but is not present in the dataset provided to the repository).     Numeric
    Less than one month 1  
    Between one month and six months 2  
    Between six months and one year 3  
    Between one and two years 4  
    Between two and four years 5  
    Longer than four years 6  
sdc1training If any, what kind of medical training do you have?     Numeric
    No formal medical training 0  
    Generalist (non-specialist) medical doctor 1  
    Specialist medical doctor 2  
    Health Officer 3  
    Nursing Professional (excluding degree nurse) 5  
    Degree nurse 6  
    Midwifery professional (excluding degree midwife) 7  
    Degree midwife 8  
    Health Extension Worker 9  
    Integrated emergency surgical officer (IESO) 10  
    Other health worker (specify on next page) 98  
sdc1highest_qual What is your highest qualification?     Numeric
    School certificate 1  
    Diploma (/level 4) 2  
    Degree 3  
    Degree - masters and above 4  
    Specialist medical degree 5  
    Certificate (level 1, 2 or 3) 6  
age What is your age in years? Open ended   long
patient_facing Are you in a patient-facing role?     Numeric
    No 0  
    Yes 1  
overall_motivation How would you rate your overall motivation at your current work?     Numeric
    Excellent 1  
    Very good 2  
    Good 3  
    Fair 4  
    Poor 5  
recommend On a scale of 0 to 10 where 10 is the most likely and 0 is least likely, how likely are you to recommend your employer as a place to work?     Numeric
    0 0  
    1 1  
    2 2  
    3 3  
    4 4  
    5 5  
    6 6  
    7 7  
    8 8  
    9 9  
    10 10  
management_mworkload_fair In my opinion, the workload where I work is fairly distributed amongst me and my colleagues     Numeric
    Agree 1  
    Disagree 2  
    Neither agree or disagree 3  
management_moften_rush My colleagues and I often have to rush tasks because there is too much work to do     Numeric
    Agree 1  
    Disagree 2  
    Neither agree or disagree 3  
management_moften_share_training When a colleague has attended a seminar/workshop/training, they often share with others what they have learnt     Numeric
    Agree 1  
    Disagree 2  
    Neither agree or disagree 3  
management_menough_hcws There are enough health care staff in this Woreda to deliver good quality maternal services     Numeric
    Agree 1  
    Disagree 2  
    Neither agree or disagree 3  
motiv_1 In general, I am satisfied with my role     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_9 I am proud to be working in my role     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_30 I do not have enough opportunities to attend training sessions to develop my career     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_5 I am respected in my community for the work I do     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_22 I can solve most problems I have at work if I work hard     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_10 I feel committed to my role     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_13 I can complete all of the work I am expected to do     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_8 I feel like performing the duties required of me     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_21 If I do well at work, I will achieve my goals     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_7 I am strongly motivated by the income I can earn at work     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_12 I intend to stop working in this role in the next 12 months     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_20 My supervisors and managers are supportive of me     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_28 I feel it is not so important doing a good job if nobody else knows about it     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_16 I am keenly aware of the career goals I have set for myself     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_2 I am proud of the work I do     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_6 At the moment I don’t feel like working as hard as I can     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_18 My job makes me feel good about myself.     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_23 I gain knowledge from being in this role     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_29 As long as I can do what I enjoy, I'm not that concerned about exactly what income or awards I earn     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_3 I am strongly motivated by the recognition I get from other people     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_4 It is important that I do a good job so that the health system works well     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_15 Sometimes I don’t understand why I am asked to do certain things, but I do them anyway     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_24 My work is important because I help people     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_27 Training sessions that I attend are worthwhile and add benefit to my career path     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_11 To be motivating, hard work must be rewarded with more status and money.     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_17 My work place provides everything I need to do my job properly     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_19 Suggestions made by people like me on how to improve their work are usually ignored by supervisors     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_14 I am willing to do more than is asked of me in my role     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_25 The system of choosing who attends training sessions is fair     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
motiv_26 My salary accurately reflects my skills and workload     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
wellbeingwellbeing1 Over the last two weeks… I have felt cheerful and in good spirits     Numeric
    At no time 0  
    Some of the time 1  
    Less than half of the time 2  
    More than half of the time 3  
    Most of the time 4  
    All of the time 5  
wellbeingwellbeing2 Over the last two weeks… I have felt calm and relaxed     Numeric
    At no time 0  
    Some of the time 1  
    Less than half of the time 2  
    More than half of the time 3  
    Most of the time 4  
    All of the time 5  
wellbeingwellbeing3 Over the last two weeks… I have felt active and vigorous     Numeric
    At no time 0  
    Some of the time 1  
    Less than half of the time 2  
    More than half of the time 3  
    Most of the time 4  
    All of the time 5  
wellbeingwellbeing4 Over the last two weeks… I woke up feeling fresh and rested     Numeric
    At no time 0  
    Some of the time 1  
    Less than half of the time 2  
    More than half of the time 3  
    Most of the time 4  
    All of the time 5  
wellbeingwellbeing5 Over the last two weeks… My daily life has been full of things that interest me     Numeric
    At no time 0  
    Some of the time 1  
    Less than half of the time 2  
    More than half of the time 3  
    Most of the time 4  
    All of the time 5  
dce_rprp_salary Relative to your colleagues, do you think you are paid…     Numeric
    Less than average 0  
    About average 1  
    More than average 2  
dce_rprp_impact Do you think your work has…     Numeric
    A small impact on improving health in the community 0  
    A medium impact on improving health in the community 98  
    A large impact on improving health in the community 1  
dce_rprp_mgmt Do you think your management is…     Numeric
    Not supportive, and makes work more difficult 0  
    Supportive, and makes work easier 1  
dce_rprp_facility Do you think the place you work has…     Numeric
    Unreliable electricity and other services, with supplies you need not always available 0  
    Reliable electricity and other services, supplies are always available 1  
         
dce_rprp_training How many days did you receive training in the last year?     Numeric
    None 0  
    1 - 5 days 1  
    6-10 days 2  
    11+ days 3  
dce_rprp_workload How would you describe your workload?     Numeric
    Light: more than enough time to complete duties 0  
    Medium: enough time to complete duties 1  
    Heavy: barely enough time to complete duties 2  
most_motiv Thinking about your job, which of these factors makes you feel the most motivated? By that I mean, makes you more eager to go to work or try harder in your job     Numeric
    Salary 1  
    Opportunities to improve health 2  
    Management style 3  
    Office quality 4  
    Training 5  
    Workload 6  
most_demotiv Thinking about your job, which of these factors demotivates you the most? By that I mean, makes you less eager to go to work or try harder in your job     Numeric
    Salary 1  
    Opportunities to improve health 2  
    Management style 3  
    Office quality 4  
    Training 5  
    Workload 6  
participant_dce_easy How difficult did you find this task to choose between different jobs?     Numeric
    Very easy 1  
    Easy 2  
    A little difficult 3  
    Quite difficult 4  
    Very difficult 5  
income_qssalary_increase During the past 12 months has your salary increased?     Numeric
    Yes 1  
    No 0  
income_qssalary_ontime During the last 12 months did you receive all your salary on time?     Numeric
    Yes 1  
    No 0  
income_qssalary_fair How fairly do you think the salary you are paid reflects your workload?     Numeric
    Very fair 1  
    Quite fair 2  
    Neither fair or unfair 3  
    Quite unfair 4  
    Very unfair 5  
list_rand1list_rand1_q Below are 3 statements. I will ask you how many of these statements you agree with. You shouldn’t tell me which specific statement you agree with, just the number of statements you agree with. (1) Most of the time I enjoy my work, (2) I think I am good at my job, (3) My salary reflects the work I put in     Numeric
    0 statements 0  
    1 statement 1  
    2 statements 2  
    3 statements 3  
list_rand2list_rand2_q Below are 4 statements. I will ask you how many of these statements you agree with. You shouldn’t tell me which specific statement you agree with, just the number of statements you agree with. (1) Most of the time I enjoy my work, (2) I think I am good at my job, (3) In the last three months, I have been absent from work without permission, (4) My salary reflects the work I put in     Numeric
    0 statements 0  
    1 statement 1  
    2 statements 2  
    3 statements 3  
    4 statements 4  
rmc_armc1 Now I would like to focus on respectful care during child birth. Treating clients with respect and dignity during childbirth, labour, delivery and soon after delivery is part of the client rights. In your own opinion what would constitute clients rights during labour and delivery? (DO NOT read these out to respondents - let the respondent answer the question, and select as many options as you think they fit)     String
    a) Informing/orienting the clients of her where about in the facility/ ward/unit 1  
    b) Explaining clients when and how procedures will be performed and the out comes 2  
    c) Obtaining consent for all procedures to be done 3  
    d) Allowing her to choose her birthing position 4  
    e) Allowing her to choose a birth partner/companion during labour and delivery 5  
    f) Respecting her as an individual with her own rights despite her background 6  
    g) Respecting her privacy 7  
    h) Keeping her information confidential 8  
    i) Informing client of danger signs during labour and delivery and after birth 9  
    j) Informing her of the labour progress and expected possible duration of labour 10  
    k) Ensuring that the procedures are promptly done within the required guidelines 11  
    l) Ensuring privacy and confidentiality at all time while attending to client during labour and delivery 12  
    m) Ensuring that the mothers labour is monitored using a partograph 13  
    n) Taking client to theatre for caesarean section when is not really necessary 14  
rmc_armc2 In your own opinion, are these clients rights violated during childbirth in this facility?     Numeric
    Yes 1  
    No 0  
rmc_armc3 Which of these rights are frequently violated?     String
    a) Informing/orienting the clients of her where about in the facility/ ward/unit 1  
    b) Explaining clients when and how procedures will be performed and the out comes 2  
    c) Obtaining consent for all procedures to be done 3  
    d) Allowing her to choose her birthing position 4  
    e) Allowing her to choose a birth partner/companion during labour and delivery 5  
    f) Respecting her as an individual with her own rights despite her background 6  
    g) Respecting her privacy 7  
    h) Keeping her information confidential 8  
    i) Informing client of danger signs during labour and delivery and after birth 9  
    j) Informing her of the labour progress and expected possible duration of labour 10  
    k) Ensuring that the procedures are promptly done within the required guidelines 11  
    l) Ensuring privacy and confidentiality at all time while attending to client during labour and delivery 12  
    m) Ensuring that the mothers labour is monitored using a partograph 13  
    n) Taking client to theatre for caesarean section when is not really necessary 14  
rmc_armc4 In your own personal capacity have you ever done anything that made clients feel their rights have been violated?     Numeric
    Yes 1  
    No 0  
    Don’t know 98  
rmc_armc5 Which of these rights are frequently violated?     String
    a) Informing/orienting the clients of her where about in the facility/ ward/unit 1  
    b) Explaining clients when and how procedures will be performed and the out comes 2  
    c) Obtaining consent for all procedures to be done 3  
    d) Allowing her to choose her birthing position 4  
    e) Allowing her to choose a birth partner/companion during labour and delivery 5  
    f) Respecting her as an individual with her own rights despite her background 6  
    g) Respecting her privacy 7  
    h) Keeping her information confidential 8  
    i) Informing client of danger signs during labour and delivery and after birth 9  
    j) Informing her of the labour progress and expected possible duration of labour 10  
    k) Ensuring that the procedures are promptly done within the required guidelines 11  
    l) Ensuring privacy and confidentiality at all time while attending to client during labour and delivery 12  
    m) Ensuring that the mothers labour is monitored using a partograph 13  
    n) Taking client to theatre for caesarean section when is not really necessary 14  
rmc_brmc_b_1 I feel that it is not always necessary to obtain consent from clients when conducting a vaginal examination     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
rmc_brmc_b_2 If a woman’s uterus rapture during labour and delivery and it becomes necessary for the doctor to perform hysterectomy in order to save her life. It is not always necessary to inform her of this unplanned procedure before she is discharged home     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
rmc_brmc_b_3 On admission mothers should be allowed to select the provider/s of their choice during labour and delivery.     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
rmc_brmc_b_4 Treating mothers with care and respect during child birth does not necessarily make clients come back to this facility     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
rmc_brmc_b_5 During labor and delivery being harsh to the mothers ensures that they cooperated with you during procedures     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
rmc_brmc_b_6 Sharing beds with other mothers in this facility is generally acceptable to the mothers during labour and delivery     Numeric
    Strongly agree 1  
    Agree 2  
    Neutral 3  
    Disagree 4  
    Strongly disagree 5  
disrespect_any Some clients have reported to have been disrespected during labour and delivery     Numeric
    No 0  
    Yes 1  
    Don’t know 98  
disrespect_what What has happened?     String
    Pinching 1  
    Slapping 2  
    Pushing 3  
    Beating 4  
    Stitching episiotomy without anesthesia 5  
    Threatening mothers if they do not cooperate 6  
    Using harsh language/tone while talking the mother 7  
disrespect_what_1 Pinching     Numeric
    No 0  
    Yes 1  
disrespect_what_2 Slapping     Numeric
    No 0  
    Yes 1  
disrespect_what_3 Pushing     Numeric
    No 0  
    Yes 1  
disrespect_what_4 Beating     Numeric
    No 0  
    Yes 1  
disrespect_what_5 Stitching episiotomy without anesthesia     Numeric
    No 0  
    Yes 1  
disrespect_what_6 Threatening mothers if they do not cooperate     Numeric
    No 0  
    Yes 1  
disrespect_what_7 Using harsh language/tone while talking the mother     Numeric
    No 0  
    Yes 1  
vignette_1knowledge_1 In the final part of this survey, I would like to ask you what you would do in a clinical situation. Mrs. X, a married woman of 26, has recently moved into the area and comes to see you for the first time.  She is obviously pregnant and reports that she has not received any antenatal care for this pregnancy.  Please tell me what questions you would ask Mrs X and what actions you would take. What questions would you ask Mrs X about her previous pregnancies? (DO NOT READ OPTIONS ALOUD. FOR EACH OPTION, NOTE WHETHER THE HEALTH WORKER MENTIONED THIS ACTION OR NOT.)     String
    Number of previous pregnancies 1  
    Number of live births 2  
    Number of miscarriages/stillbirths/abortions 3  
    Any bleeding during last pregnancy 4  
    Mode of previous deliveries 5  
    Birth weight of previous babies 6  
    Tetanus immunization during last pregnancy 7  
    Any genetic abnormalities in previous babies 8  
    Place of previous deliveries 9  
    Year(s) of previous deliveries 10  
    History of twin birth 11  
vignette_1knowledge_2 What questions would you ask Mrs X about her current pregnancy?     String
    Last normal menstrual date 1  
    Any health problems now 2  
    Any contractions 3  
    Any vaginal bleeding 4  
    Blurring of vision 5  
    Edema 6  
    Leakage of liquid 7  
    Decreased or absent foetal movement 8  
    Quicknening 9  
    Weight loss/gain 10  
    Any nausea or vomiting 11  
    Are you taking any medication? 12  
    Have you had tetanus immunization? 13  
    If the pregnancy was planned or unplanned 14  
vignette_1knowledge_3 What questions would you ask Mrs X about her medical history?     String
    Any history of high blood pressure 1  
    Any history of diabetes 2  
    Any previous STI/HIV? 3  
    Previous use of family planning? 4  
    Ever had a pap smear? 5  
    History of heart disease, malaria, liver disease or goiter 6  
    Family history of hereditary disease 7  
    Any allergies to medication 8  
    Current or previous smoker 9  
    Any history of alcohol use 10  
    Any history of illicit drug use 11  
    Any history of epilepsy 12  
vignette_1knowledge_4 What physical examinations would you perform on Mrs X?     String
    Body height 1  
    Body weight 2  
    Blood pressure 3  
    Temperature 4  
    Respiratory rate 5  
    Palpate abdomen (Leopold maneuvers) 6  
    Listen to fetal heartbeat 7  
    Pelvic examination to check for edema/swelling 8  
    Measure size of womb 9  
    HEENT 10  
    Examine lower extremities 11  
vignette_1knowledge_5 What investigations would you perform on Mrs X?     String
    Pregnancy test 1  
    Hemoglobin test 2  
     Urine test for diabetes 3  
    Malaria test 15  
    Urine protein 4  
    Ultrasound 5  
    Blood platelets count 6  
    Liver enzymes 7  
    Serum urea and creatine  8  
    HIV test 9  
    STI test 10  
    Rubella antibodies  11  
    Blood group and RH and cross matching 12  
    Hepatitis B or C antigen 13  
    VDRL or RPR 14  
vignette_1knowledge_6 What drugs or supplies would you provide/ prescribe to Mrs X?     String
    Insecticide treated mosquito net 1  
    Iron/folic acid supplements 2  
    Intermittant preventive treatment for malaria 3  
    Tetanus vaccination 4  
    Deworming 5  
participant_enjoy Final question: how enjoyable was it to complete this survey?     Numeric
    Very enjoyable 1  
    A little enjoyable 2  
    Not very enjoyable 3  
    Not at all enjoyable 4  
woreda What woreda are you working in?     Numeric
    Jimma Town 1  
    Bunno Bedelle 2  
    Wogera 3  
    Aefrata & gedem 4  
    Chena (6HC) 5  
    Chencha 6  
    Degua Temben 7  
    Adama 101  
    Chole 102  
    Delanta 103  
    Menit Goldiye 104  
    Angacha 105  
    Mereb Leke 106  
    Sayint 201  
    Wegdi 202  
    Haramaya 203  
    Cheliya 204  
    Damot Gale 205  
    Sodo Zuriya 206  
    Tsegede 207  
    Shinsho endea 908  
    Other 98  
region Geographic region     Numeric
    Oromia 1  
    Amhara 2  
    SNNPR 3  
    Tigray 4  
time_facility How long have you been working in your job?     Numeric
    Less than one month 1  
    Between one month and six months 2  
    Between six months and one year 3  
    Between one and two years 4  
    Between two and four years 5  
    Longer than four years 6  
time_healthsystem How many years have you worked in the health system?     Numeric
    Less than one month 1  
    Between one month and six months 2  
    Between six months and one year 3  
    Between one and two years 4  
    Between two and four years 5  
    Longer than four years 6  
study_id What is the study ID? (Top of consent form) Open ended   Numeric
hospital hospital     Numeric
    Does not work in hospital 0  
    Works in hospital 1  
health_centre health_centre     Numeric
    Does not work in health centre 0  
    Works in health centre 1  
health_post health_post     Numeric
    Does not work in health post 0  
    Works in health post 1  
hhold_head Are you the head of your household?     Numeric
    Yes 1  
    Yes, jointly with my partner 2  
    Yes, jointly with other household members 3  
    No 0  
cash_prov Who is the main provider of cash for goods in your household?     Numeric
    Self 1  
    Spouse 2  
    Myself and my spouse 3  
    My parents or siblings 4  
    My spouse’s parents or siblings 5  
    My son 6  
    My daughter 7  
    Other, Specify 98  
hh_expenses Typically, out of every ETB 100 that you earn, how many ETB go towards household expenses?     Numeric
hh_expenses_spouse Typically, out of every ETB 100 spent towards household expenses, how many ETB come from your spouse? (Probe if initial answer is ""don't know"". If participants really does not know, enter 9999)     Integer
hh_decshhdecs_1 Who in your household decides…Whether you work or not?     Numeric
    Myself alone 1  
    Myself and my spouse 2  
    Myself and other family members 3  
    Spouse alone 4  
    Other members of the family (with my spouse) 5  
    Other members of the family (without me or my spouse) 6  
    Not applicable 99  
    Other, specify 98  
hh_decshhdecs_2 Who in your household decides…How your personal earnings (not those of the household) will be used?     Numeric
    Myself alone 1  
    Myself and my spouse 2  
    Myself and other family members 3  
    Spouse alone 4  
    Other members of the family (with my spouse) 5  
    Other members of the family (without me or my spouse) 6  
    Not applicable 99  
    Other, specify 98  
hh_decshhdecs_3 Who in your household decides…What decisions are made in your spouse’s business/ job?     Numeric
    Myself alone 1  
    Myself and my spouse 2  
    Myself and other family members 3  
    Spouse alone 4  
    Other members of the family (with my spouse) 5  
    Other members of the family (without me or my spouse) 6  
    Not applicable 99  
    Other, specify 98  
qi_aware Are you aware of the Quality Improvement programme run by IHI?     Numeric
    Yes 1  
    No 0  
    Don’t know 98  
qi_team Have you been part of the Quality Improvement team in this facility? For HEWs, ask if they are part of the team in that health centre.     Numeric
    Yes 1  
    No 0  
    Don’t know 98  
no_ls Which learning sessions have you attended? (If any)     String
    Learning session 1 1  
    Learning session 2 2  
    Learning session 3 3  
    Learning session 4 4  
    Did not attend a learning session 0  
qi_length How long have you been working on this quality improvement team? (enter number of months)     Numeric
qi_size Estimate the number of people who are on your quality improvement team     Integer
qi_freq How frequently did your quality improvement team meet?     Numeric
    Never 0  
    1 time in last year 1  
    2 times in last year 2  
    3 times in last year 3  
    4 times in last year 4  
    5 times in last year 5  
    6 times in last year 6  
    7 times in last year 7  
    8 times in last year 8  
    9 times in last year 9  
    10 times in last year 10  
    11 times in last year 11  
    12 times in last year 12  
    More than 12 times in last year 13  
qi_activities From the following list of activities, which did you see your QI team do in the last 12 months?     String
    Review of data to assess if quality/performance is in positive or negative direction 1  
    Discuss root causes for problems or lower performances 2  
    Propose and decide new ideas to test to solve problems or lower performances 3  
    Prepare detailed plan for addressing problems or lower performances 4  
    Implement and monitor a change/plan to address problems or lower performances 5  
    Prioritization exercise 6  
qi_mentor Have you received coaching or mentoring visits on QI?     Numeric
    Yes 1  
    No 0  
    Don’t know 98  
endline Was the participant part of the endline survey     Numeric
    No 0  
    Yes 1  
baseline Was the participant part of the baseline survey     Numeric
    No 0  
    Yes 1  
followed_up Followed up     Numeric
    No 0  
    Yes 1  
end_id END ID NUMBER     Integer
facility_id_endline FACILTIY END ID NUMBER     Integer
knowledge_1 In the final part of this survey, I would like to ask you what you would do in a clinical situation. Mrs. X, a married woman of 26, has recently moved into the area and comes to see you for the first time.  She is obviously pregnant and reports that she has not received any antenatal care for this pregnancy.  Please tell me what questions you would ask Mrs X and what actions you would take. What questions would you ask Mrs X about her previous pregnancies? DO NOT READ OPTIONS ALOUD.  FOR EACH OPTION, NOTE WHETHER THE HEALTH WORKER MENTIONED THIS ACTION OR NOT.     String
    Number of previous pregnancies 1  
    Number of live births 2  
    Number of miscarriages/stillbirths/abortions 3  
    Any bleeding during last pregnancy 4  
    Mode of previous deliveries 5  
    Birth weight of previous babies 6  
    Tetanus immunization during last pregnancy 7  
    Any genetic abnormalities in previous babies 8  
    Place of previous deliveries 9  
    Year(s) of previous deliveries 10  
    History of twin birth 11  
knowledge_1_1 Number of previous pregnancies     Numeric
    No 0  
    Yes 1  
knowledge_1_2 Number of live births     Numeric
    No 0  
    Yes 1  
knowledge_1_3 Number of miscarriages/stillbirths/abortions     Numeric
    No 0  
    Yes 1  
knowledge_1_4 Any bleeding during last pregnancy     Numeric
    No 0  
    Yes 1  
knowledge_1_5 Mode of previous deliveries     Numeric
    No 0  
    Yes 1  
knowledge_1_6 Birth weight of previous babies     Numeric
    No 0  
    Yes 1  
knowledge_1_7 Tetanus immunization during last pregnancy     Numeric
    No 0  
    Yes 1  
knowledge_1_8 Any genetic abnormalities in previous babies     Numeric
    No 0  
    Yes 1  
knowledge_1_9 Place of previous deliveries     Numeric
    No 0  
    Yes 1  
knowledge_1_10 Year(s) of previous deliveries     Numeric
    No 0  
    Yes 1  
knowledge_2 What questions would you ask Mrs X about her current pregnancy?     String
    Last normal menstrual date 1  
    Any health problems now 2  
    Any contractions 3  
    Any vaginal bleeding 4  
    Blurring of vision 5  
    Edema 6  
    Leakage of liquid 7  
    Decreased or absent foetal movement 8  
    Quicknening 9  
    Weight loss/gain 10  
    Any nausea or vomiting 11  
    Are you taking any medication? 12  
    Have you had tetanus immunization? 13  
    If the pregnancy was planned or unplanned 14  
knowledge_2_1 Last normal menstrual date     Numeric
    No 0  
    Yes 1  
knowledge_2_2 Any health problems now     Numeric
    No 0  
    Yes 1  
knowledge_2_3 Any contractions     Numeric
    No 0  
    Yes 1  
knowledge_2_4 Any vaginal bleeding     Numeric
    No 0  
    Yes 1  
knowledge_2_5 Blurring of vision     Numeric
    No 0  
    Yes 1  
knowledge_2_6 Edema     Numeric
    No 0  
    Yes 1  
knowledge_2_7 Leakage of liquid     Numeric
    No 0  
    Yes 1  
knowledge_2_8 Decreased or absent foetal movement     Numeric
    No 0  
    Yes 1  
knowledge_2_9 Quicknening     Numeric
    No 0  
    Yes 1  
knowledge_2_10 Weight loss/gain     Numeric
    No 0  
    Yes 1  
knowledge_2_11 Any nausea or vomiting     Numeric
    No 0  
    Yes 1  
knowledge_2_12 Are you taking any medication?     Numeric
    No 0  
    Yes 1  
knowledge_2_13 Have you had tetanus immunization?     Numeric
    No 0  
    Yes 1  
knowledge_2_14 If the pregnancy was planned or unplanned     Numeric
    No 0  
    Yes 1  
knowledge_3 What questions would you ask Mrs X about her medical history?     String
    Any history of high blood pressure 1  
    Any history of diabetes 2  
    Any previous STI/HIV? 3  
    Previous use of family planning? 4  
    Ever had a pap smear? 5  
    History of heart disease, malaria, liver disease or goiter 6  
    Family history of hereditary disease 7  
    Any allergies to medication 8  
    Current or previous smoker 9  
    Any history of alcohol use 10  
    Any history of illicit drug use 11  
    Any history of epilepsy 12  
knowledge_3_1 Any history of high blood pressure     Numeric
    No 0  
    Yes 1  
knowledge_3_2 Any history of diabetes     Numeric
    No 0  
    Yes 1  
knowledge_3_3 Any previous STI/HIV?     Numeric
    No 0  
    Yes 1  
knowledge_3_4 Previous use of family planning?     Numeric
    No 0  
    Yes 1  
knowledge_3_5 Ever had a pap smear?     Numeric
    No 0  
    Yes 1  
knowledge_3_6 History of heart disease, malaria, liver disease or goiter     Numeric
    No 0  
    Yes 1  
knowledge_3_7 Family history of hereditary disease     Numeric
    No 0  
    Yes 1  
knowledge_3_8 Any allergies to medication     Numeric
    No 0  
    Yes 1  
knowledge_3_9 Current or previous smoker     Numeric
    No 0  
    Yes 1  
knowledge_3_10 Any history of alcohol use     Numeric
    No 0  
    Yes 1  
knowledge_3_11 Any history of illicit drug use     Numeric
    No 0  
Dataset missing knowledge_3_12 Q on epilepsy   Yes 1  
knowledge_4 What physical examinations would you perform on Mrs X?     String
    Body height 1  
    Body weight 2  
    Blood pressure 3  
    Temperature 4  
    Respiratory rate 5  
    Palpate abdomen (Leopold maneuvers) 6  
    Listen to fetal heartbeat 7  
    Pelvic examination to check for edema/swelling 8  
    Measure size of womb 9  
    HEENT 10  
    Examine lower extremities 11  
knowledge_4_1 Body height     Numeric
    No 0  
    Yes 1  
knowledge_4_2 Body weight     Numeric
    No 0  
    Yes 1  
knowledge_4_3 Blood pressure     Numeric
    No 0  
    Yes 1  
knowledge_4_4 Temperature     Numeric
    No 0  
    Yes 1  
knowledge_4_5 Respiratory rate     Numeric
    No 0  
    Yes 1  
knowledge_4_6 Palpate abdomen (Leopold maneuvers)     Numeric
    No 0  
    Yes 1  
knowledge_4_7 Listen to fetal heartbeat     Numeric
    No 0  
    Yes 1  
knowledge_4_8 Pelvic examination to check for edema/swelling     Numeric
    No 0  
    Yes 1  
knowledge_4_9 Measure size of womb     Numeric
    No 0  
    Yes 1  
knowledge_4_10 HEENT     Numeric
    No 0  
    Yes 1  
knowledge_4_11 Examine lower extremities     Numeric
    No 0  
    Yes 1  
knowledge_5 What investigations would you perform on Mrs X?     String
    Pregnancy test 1  
    Hemoglobin test 2  
     Urine test for diabetes 3  
    Urine protein 4  
    Ultrasound 5  
    Blood platelets count 6  
    Liver enzymes 7  
    Serum urea and creatine  8  
    HIV test 9  
    STI test 10  
    Rubella antibodies  11  
    Blood group and RH and cross matching 12  
    Hepatitis B or C antigen 13  
    VDRL or RPR 14  
    Malaria test 15  
knowledge_5_1 Pregnancy test     Numeric
    No 0  
    Yes 1  
knowledge_5_2 Hemoglobin test     Numeric
    No 0  
    Yes 1  
knowledge_5_3  Urine test for diabetes     Numeric
    No 0  
    Yes 1  
knowledge_5_4 Urine protein     Numeric
    No 0  
    Yes 1  
knowledge_5_5 Ultrasound     Numeric
    No 0  
    Yes 1  
knowledge_5_6 Blood platelets count     Numeric
    No 0  
    Yes 1  
knowledge_5_7 Liver enzymes     Numeric
    No 0  
    Yes 1  
knowledge_5_8 Serum urea and creatine      Numeric
    No 0  
    Yes 1  
knowledge_5_9 HIV test     Numeric
    No 0  
    Yes 1  
knowledge_5_10 STI test     Numeric
    No 0  
    Yes 1  
knowledge_5_11 Rubella antibodies      Numeric
    No 0  
    Yes 1  
knowledge_5_12 Blood group and RH and cross matching     Numeric
    No 0  
    Yes 1  
knowledge_5_13 Hepatitis B or C antigen     Numeric
    No 0  
    Yes 1  
knowledge_5_14 VDRL or RPR     Numeric
    No 0  
    Yes 1  
knowledge_5_15 Malaria test     Numeric
    No 0  
    Yes 1  
knowledge_6 What drugs or supplies would you provide/ prescribe to Mrs X?     String
    Insecticide treated mosquito net 1  
    Iron/folic acid supplements 2  
    Intermittant preventive treatment for malaria 3  
    Tetanus vaccination 4  
    Deworming 5  
knowledge_6_1 Insecticide treated mosquito net     Numeric
    No 0  
    Yes 1  
knowledge_6_2 Iron/folic acid supplements     Numeric
    No 0  
    Yes 1  
knowledge_6_3 Intermittant preventive treatment for malaria     Numeric
    No 0  
    Yes 1  
knowledge_6_4 Tetanus vaccination     Numeric
    No 0  
    Yes 1