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