SECTION 2 SELF-ADMINISTERED QUESTIONNAIRE

1 Whatisthismethodology?Whatinformationdoe sthemethodologygiveyou?HealthSystemsAsse ssmentandPlanningManual:Self-administere dQuestionnaireSECTION2 SELF-ADMINISTEREDQUESTIONNAIREA self-administeredquestionnaireisa structuredformthatconsistsofa , listofpossibleoptionslisted, appropriateandshouldberecordedintherespo ndents' (seeSection2aDatacollectiontool)provides thefollOwinginformation: it establishesa comprehensiveprofileofthecategories,qual ificationsandjobresponsibilitiesof healthworkersbyclinic,district, particularlyusefulwherepoorhealthinforma tionsystemsexist; it providesanoverviewofcertainexistingclini cmanagementpractices,whichincludeprotoco lsforpatienttreatmentandforstaffsupervis ion,andhealthworkers'opinionsregardingth eirusefulness; it allowsstafftoidentifytheirtrainingneeds, andtheirattendance,andperceivedusefulnes sof,thepresentin-serviceeducationprogram me;and it exploreshealthworkers'levelofworksatisfa ction,theirunderstandingoftherangeandorg anisationofreproductivehealthservices, (owingtoconstraintssuchastime,orbudgets) ,theSelf-administeredQuestionnairecan ---Whatisthetargetgroup?

2 Howdoestheinfonnationhelpyouunderstandth eimpactofinequalitiesbetweenmenandwomeno nthehealthsystem? ,wewouldadvisethatitbeusedinconjunctionw ithatleastoneothertool, , ,suchasgardeners,cooks,drivers,securityg uards,clerks,socialworkers,cleaners,volu nteers, inspectors, 'understandingofwhatconstitutesreproduct ivehealthservice,askthesequestions: Doestherangeofhealthservicesgobeyondthos ethatconcentrateonchildbearinghealthserv iceslikeantenatalandpostnatalcareordeliv ery?Doesit acknowledgethatreproductivehealthneedsbe ginwellbeforeconceptionandcontinuewellaf terdelivery,andshouldthereforeincludehea lthservicesformenstruationproblems,sexua lityeducationandmenopauseservices?

3 Dohealthworkersacknowledgethatwomenhavea righttochooseandhavea righttocontroltheirownfertilitybyacknowl edgingtheneedfora widerrangeofcontraceptivesandsafeabortio nservices? Dothementionedservicesregardreproductive healthasbeingservicesforbothmenandwomen? AreseA"Uallytransmitteddisease(STD)servi cesmentioned7 Dohealthworkersconsidertheneedsofteenage rswhentalkingaboutreproductivehealth7 Dohealthworkerstakeintoaccountthelowstat usgiventowomenbyincludingserviceslikethe preventionandtreatmentofsexualviolence?W henassessingtheinformationonhealthworker s'understandingofhowreproductivehealthse rvicesshouldbeorganised,thinkaboutwhouse stheservicesandaskthefollowingquestions: Aretheopeninghoursoftheclinicsuitabletot hetimeconstraints,workpatternsandeconomi csituationofclientsand dothehourstakeaccountofthegeographicalac cessibilityofservicestoclients?

4 Areservicesrenderedonspecificdaysoratspe cificclinicsorbyspecificproviders?Doesth isrenecttheinterrelatednatureofhealthnee ds?Forexample,doesthearrangementofprovid ingfamilyplanningservicesseparatelyfromt hetreatmentofSTDssuitclientsorpushclient sawayfromservices7 Furtherideastoguideyouonthisissuecanbega theredfromtheworkshopson'Women'sstatusin society'and'Unmetneeds'intheHealthWorker s~.. manager,howcanyouusethisinformation?Howd oyouimplementthemethodology?HealthSytern sAssessmentandPlanningManual:Self-admini steredQuestionnaireThemethodologybyitsel fdoesnotinitiatea needstogohand-in-handwithsomeformofdisse minatingandplanningactivity(seeSection7f orthemethodologyweused).

5 Howeer,asittakesaccountoftheopinionofeve ryhealthworkerit setsinmotiona processthatallowsforbroad-basedconsultat ionandformspartofa healthteamandsofteninghierarchy. Theinformationformspartofa comprehensivedatabaseonstaffdistribution andmanagementpractices,whichcanbeusedift hereisa canalsobusedbyouandhealthworkersforthemo nitoringande aluationofservices. Itwillinformyouabouttheissuessupervision winhae It allowsyoutodevelopin-servie educationprogrammesbasedonlocalneedsands ituations. , , QUESTIONNAIRE ,understandsitspurpose,want stocompleteit, ,thefollowinginformationshouldbegiventoh ealthworkerspriortosendingoutthequestion naires:theaimsof,andreasonsfor,conductin gtheproject;whattheyasrespondentsneedtod o;thattheirparticipationisolumary; is absolutelynecessarytoensurethatthepeople inchargeofclini5areinvoledinthediscussio nsabouttheoverallprojet, possible,a $ ~blcfrom,t~ 'l'SforDIseaseComrol.

6 Om5 (s) checklistneedstobemaintainedstatingdetai lssuchastheclinicname,thenumberofstaff, ,instructionsregardingthedatebywhichform sshouldbecompletedandthepersontowhomthey shouldbehandedovershouldbegivenverbally, , ,if therespondenthasnotfilledintheclinicname ,bylookingatthechecklist, ,a statisticalpackageis ' ,iftheprojectisconductedinonlyoneortwocl inics,thentheanalysiscanbedonethroughman ualcompilationratherthanusinga :CodingForthoseusinga computerstatisticalsoftwarepackage,thefi rststepistodevelopacodingsheet- districtorregionalorprovinciallevel,then onecombinedcodingsheetshouldbedeveloped, asthiswillfacilitateanalysisforindividua lareas, predeterminedformforclosed-endedquestion s,forexampleina questionwitha yes/nooption,'yes'couldbe0 Iand'no' ' (whichincludesboththeopen-endedandclosed -endedquestions), ~ ~ HealthSystemsAssessmentandPlanningManual :Self-administeredQuestionnairebytwoorth reeteammembers, newcodeneedstobeaddedtothecodingsheet, ,a randomcheckona sampleofquestionnaires(10%).

7 DataentryIf a statisticalpackageisbeingusedthenfieldsn eedtobecreatedonEpiInfo(seeChapter7:'Cre atingquestionnairesusingEPED'intheEpiInf oManual).Thedatashouldthenbeentered(seeC hapter8:'Enteringdatausingtheenterprogra m'intheEpiInfoManual) :AnalysisBasicanalysiscouldbedonethrough a frequencydistributionforthefollowingvari ables(seeChapter9:'Analysis:producinglis ts,frequencies,tables,statisticsandgraph sfromEpiInfofiles'): thejobtitlesofrespondentsthenumberofresp ondentsperclinicldistrictlregionlprovinc ethehighestqualificationsofrespondentsth emaindutiesofrespondentsthefeaturesofcli nicsmentionedasbeinggoodthefeaturesofcli nicsmentionedasbeingbadwhetherchangeisde siredinhealthservicesaspectsinthehealths ervicesthatneedtobechangedreasonswhychan gestohealthservicesarenecessarytheavaila bilityoftreatmentprotocolstheutilisation oftreatmentprotocolswhethersupervisorsvi sittheclinicthefrequencyofsupervisors'vi sitsintheprevioussixmonthstheusefulnesso fsupervisoryvisitsthecomponentsofcompreh ensivereproductivehealthservicesresponde nts'.

8 Self-administredQuestionnaireInadditiont odrawingupfrequencydistributions, Fore ampleinourprojecta crs -tabulationofprimarydutiesandthejobtitle sofstaffgae usa clearpicturthata certaincategoryofstaff\iasdoingjobbeyond theirscopeofpracticeandthatwithinacertai ncategoryofstaffjUniorstaffwereperformin ga greaternumbr oftasksc mparedtotheirsemorsThdeciSIOnastowhichva riablestocros-tabulatedependsupontheloca lslluationanddataGivenbelowaresomeofthev ariable whichwecross-tabulated. highestqualificallonbjobtitleofresponden ts primaryworkdutybyJ blllieofrespondents attendanceofin-seniceeducationintheprevi ousyearbjobtitleofrepondenLS (threeprovinceswithmorethan400clinicinou rcase)tookfourtsO< ,wedid,h w vr, , sayonetofourchnlc, approximatelytwoweekstoa monthwillb ruired.

9 GIventhatthosewhocondut theprojectarenotphyicallyprsentatthetime offillinginthquIInnaires,thequestionsnee dtobeaclearaspossible,tocomrolfora vastrangeofinterpretationofthequetions. If theprojectu esveralmthodologiesthenit is ,asfilledinbythepersoninchargeoftheclini candthefacilitychecklit wasfilledinbyallhealthworkers,\'-hich\'a sexatlyoppositeofwhat\ asr quired!HealthSystemsAssessmentandPlannin gManual:Self-administeredQuestionnaireSE CTION2aDATACOLLECTIONTOOL:SELF-ADMINISTE REDQUESTIONNAIRET hisquestionnaireis tobeusedforallstaffatcliniclevelDearcoll eagueThisquestionnaireistoassistustoknow whoisworkingattheclinic, alsoa ,withtheaimofmakingservicesbetterforwome nand[ assuredthattherearenorightorwronganswers - (diploma) , goodaboutyourclinic?]

10 ,what?(Youcanalsosuggestchangesinyourjob description.) ,doyouhaveguidelines?Doyouusethem? ,howmanysupervisoryvisitsdidyoureceivein thelast6 months? ,maternalchildhealth, 'shealthneeds? ,howdoyouthinkclinicservicesshouldbeorga nised? , , 'oneofthem?1_2_3_4_ :17 Arethereanyothertopicsyouwouldliketoseec overedbythein-serviceeducationprogramme? Listfiveinorderofpriority123_4_5 Ifyouarea nure, , ,doyouneedanytraininginordertoprovidecom prehensivereproductivehealthservice?Ifye s,canyouelaborat?(Herearesomeexamples:Fo rrunningcervicalscreening,youmayn ,)'oumayneedtoknO\\differentmethodsofcon traceptionandtheirsideeffectsmethodsofem ergenc)'contraception, ,youmayneedtoknowaboutmanagementoffamilp lanningseIVlces,in-depthknowledgeoffamil yplanning,trainingprogrammes[orfamilypla nning,researchinfamilyplanningetc.]