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Health_and_Well-Being

Abortion Incidence and Severity of Complications in Kenya 2022, Prospective Morbidity Survey (PMS)

Kenya, 2023
Health and Well-Being (HaW)
Kenneth Juma
Last modified June 04, 2025 Page views 5199 Documentation in PDF Metadata DDI/XML JSON

Data file: PMS_Recast

Cases 4145
Variables 899

Variables

deviceid
subscriberid
simid
devicephonenum
caseid
device_info
duration
qa1
Select the Region
qa1_name
qa1_a_county
Select the County
qa1_a_county_name
team_lead
Select Team Leader's name
g1
G1. Select name of the data collector:
g1_name
g3
G3. Time started
qa2
Select the Facility's name
qa2_name
qa2_spy
Facility name (Specify Name)
qa2_name_name
preloaded_county
preloaded_County
preloaded_constituency
preloaded_Constituency
preloaded_ward
preloaded_Ward
preloaded_qa3
preloaded_facility_type_category
preloaded_Facility_type_category
preloaded_owner
preloaded_Owner
preloaded_regulatory_body
preloaded_Regulatory_body
preloaded_lat
preloaded_Lat
preloaded_long
preloaded_Long
a4_generated_id
A4_generated_id
a4_chart_no
a5
A5. Is the patient incapacitated and unable to consent? [By answering no, you a
a6
A6. Is the patient under the age of 15?
a7
A7. Interview dialect
a7_spy
A7.Specify other interview dialect
consent_used
c1
C1. Do you agree to participate in the survey?
c2
C2. Reason for non-consent
c2_spy
C2. What other reason(s) led to her refusal to be interviewed?
bb1
B1. Do you give your consent to interview your provider and review your medical
c2a
C2a. There is a chance that we may also want to recontact you to inform you of
c3
C3. Thank you for agreeing to participate in this study. To confirm your consen
b2
]
investigator
Investigator or person who conducted Informed Consent discussion: I confirm tha
q101
q102
102. What is your current marital status?
q103
103. What is your religious belief?
q103_spy
103. Specify other religion
q104
104. Are you currently in school?
q105
105. What is your highest level of completed schooling?
q106
106. How many people, including you, live in your household?
q107
107. During the past month, has your household income allowed you to take care
q108
108. After taking care of all your household expense requirements, have members
q109
109. Have you ever had to go for a full day without a meal during the past mont
q110
110. During the past month, have you earned money for yourself?
q111
111. What is the main source of the lighting/power in your household?
q112_spy
112. Specify other source of lighting/power
q113_questions_label
113. Which of the listed household items do you have in your household? Househo
q113_1
1. Television
q113_2
2. Radio
q113_3
3. Mobile phone
q121
121. Do you have any difficulty seeing, even if wearing glasses? Would you sayâ
q122
122. Do you have any difficulty hearing, even if using a hearing aid? Would you
q123
123. Do you have difficulty walking or climbing steps? Would you say…
q124
124. Do you have difficulty remembering or concentrating? Would you say…
q125
125. Do you have difficulty with self-care, such as washing all over or dressin
q126
126. Using your usual language, do you have difficulty communicating, for examp
q200
q201
201. Have you ever given birth?
q202a
q202b
202b. Were any of these births multiples (twins, triplets, etc.)?
q203_nomult
203. How many biological living children do you have, including those who are n
q203_mult
203. How many biological living children do you have, including those who are n
q204_str
q204_unk
For don't know or refused to answer on day, month, or year, mark this check box
q204_unit
Interviewer: Please check/mark what is not known or refused
q204_unit_88
q204_unit_888
q204_unit_8888
q205
205. Before the pregnancy that brought you to the hospital today, how many othe
q206
206. Thinking about the pregnancy that brought you to the health facility today
q206_1
q206_2
q206_3
q206_4
q206_96
q206_98
q206_99
q206_spy
206. Specify other way (Specify)
q206a
206a. What kind of pregnancy test did you take? Do not read answer categories o
q206a_spy
206a.Specify other pregnancy test
q207
207. Thinking about the pregnancy that brought you to the hospital today, at th
q207_spy
207. Specify other decision (Specify)
q208
208. How much longer would you like to have waited before getting pregnant?
q209
209. You said you wanted the pregnancy at first but later changed your mind. Wh
q209_1
q209_2
q209_3
q209_4
q209_5
q209_6
q209_96
q209_98
q209_99
q209_spy
209. Specify other reason
q210
210 What are the reason(s) why you did not want the pregnancy at that time? Do
q210_1
q210_2
q210_3
q210_4
q210_5
q210_6
q210_7
q210_8
q210_9
q210_10
q210_11
q210_12
q210_13
q210_14
q210_96
q210_98
q210_99
q210_spy
210 Specify the other reason(s) why you did not want to get pregnant at all
q211
211. How many weeks (or months) pregnant were you before you lost your pregnanc
q211_unit_eng
q211_unit_swa
q211b
211b. Specify number of pregnant
q212
212. At the time you became pregnant, were you using a method of contraception?
q213
213. Why were you not using any contraceptive method? Do not read answer catego
q213_1
q213_2
q213_3
q213_4
q213_5
q213_6
q213_7
q213_8
q213_9
q213_10
q213_11
q213_12
q213_13
q213_14
q213_15
q213_16
q213_96
q213_98
q213_99
q213_spy
213. Specify other reason
q214
214. Which methods were you using (or what were you doing) at the time you beca
q214_1
q214_2
q214_3
q214_4
q214_5
q214_6
q214_7
q214_8
q214_9
q214_10
q214_11
q214_12
q214_96
q214_98
q214_99
q214_spy
214. Specify other reason
q215
215. Did you do anything to intentionally end your pregnancy?
q216
216. Who made the decision to stop this pregnancy? Do not read answer categorie
q216_1
q216_2
q216_3
q216_4
q216_5
q216_6
q216_96
q216_99
q216_spy
216. Specify other persons who made the decision
q217a
217. How long ago did you first try to stop this pregnancy?
q217_unit_eng
q217_unit_swa
q217_period
217. Indicate period in
q217b
217b. How many times did you attempt to end this pregnancy?
q218
218. What are things you did to try to end the pregnancy? Do not read answer ca
q218_1
q218_2
q218_3
q218_4
q218_5
q218_6
q218_7
q218_8
q218_9
q218_10
q218_11
q218_96
q218_98
q218_99
qa18a
218. Other pill type (Specify)
q218_spy
218. Specify other things you tried
q218_choice_name
q218_name_eng
q218_name_swa
q219a
219a. You said you took pills to end your pregnancy, but you are not sure what
q219a_1
q219a_2
q219a_3
q219a_4
q219a_5
q219a_0
q219a_98
q219a_99
q219b
219b. You said you took pills to end your pregnancy. Where did you get the pill
q219b_1
q219b_2
q219b_3
q219b_4
q219b_5
q219b_6
q219b_7
q219b_8
q219b_9
q219b_10
q219b_96
q219b_98
q219b_99
q219b_spy
219c. Specify other place
q219c
219c. How did you learn about where you could go to get the medicines? Do not r
q219c_1
q219c_2
q219c_3
q219c_4
q219c_5
q219c_6
q219c_7
q219c_8
q219c_9
q219c_96
q219c_98
q219c_99
q219c_spy
219c. Specify other place
q219d
219d. What type of person provided the medicines to you? That is, who either wr
q219d_spy
219d. Specify other person
q219d_name
q219d_provider
q219e
219e. What type of person provided the medicines to your friend, family member,
q219e_spy
219e. Specify other person
q219e_name
q219e_provider
provider
provider_combined_eng
provider_combined_swa
q219f
219f. Did the write a prescription to go purchase the
q219g
219g. Did you pay for the medicines yourself, or did someone buy them for you?
q219h
219h. Did the give you instructions for how to take th
q219j
Administration of pills 219j. How did the tell you to
q219j_1
q219j_2
q219j_3
q219j_4
q219j_96
q219j_99
q219j_spy
219j. Specify other way
q219k
219k. What did the tell you to expect after taking the
q219k_0
q219k_1
q219k_2
q219k_3
q219k_4
q219k_5
q219k_6
q219k_7
q219k_8
q219k_96
q219k_99
q219k_spy
219k. Specify other expectation
q219l
219l. Did the tell you how much bleeding you should ex
q220a
220a. You told me you had a surgical procedure. Where did you go to get the pro
q220a_spy
220a. Specify other location
q220b
220b. How did you learn about where you could go to have the procedure? Do not
q220b_1
q220b_2
q220b_3
q220b_4
q220b_5
q220b_6
q220b_7
q220b_8
q220b_9
q220b_96
q220b_98
q220b_99
q220b_spy
220b. Specify other way you learned
q220c
220c. What kind of surgical procedure did you get? Relevant definitions: Manual
q220c_spy
220c.Specify other procedure
q220d
220d. Who performed the surgical procedure? Do not read response categories out
q220d_spy
220d. Specify other person
q220
220. You said you used traditional methods, like herbs to end your pregnancy. W
q221a_inj
INJECTION 221a. Where did you go to get the injection. Do not read response cat
q221a_inj_spy
221a. Other place (Specify)
q221b_inj
221b. How did you learn that the injection could help end a pregnancy? Do not r
q221b_inj_1
q221b_inj_2
q221b_inj_3
q221b_inj_4
q221b_inj_5
q221b_inj_6
q221b_inj_7
q221b_inj_8
q221b_inj_9
q221b_inj_96
q221b_inj_98
q221b_inj_99
q221b_inj_spy
221b. Specify other way you learned
q221c_inj
221c. What type of person provided the injection Do not read response categorie
q221c_inj_spy
221c.Specify other person
q221a_alc
ALCOHOL 221a. Where did you go to get the alcohol Do not read response categori
q221a_alc_spy
221a. Other place (Specify)
q221b_alc
221b. How did you learn that the alcohol could help end a pregnancy? Do not rea
q221b_alc_1
q221b_alc_2
q221b_alc_3
q221b_alc_4
q221b_alc_5
q221b_alc_6
q221b_alc_7
q221b_alc_8
q221b_alc_9
q221b_alc_96
q221b_alc_98
q221b_alc_99
q221b_alc_spy
221b. Specify other way you learned
q221c_alc
221c. What type of person provided the alcohol Do not read response categories
q221c_alc_spy
221c.Specify other person
q221a_subs
MATERIALS OR SUBSTANCES FOR INSERTING INTO THE VAGINA 221a. Where did you go to
q221a_subs_spy
221a. Other place (Specify)
q221b_subs
221b. How did you learn that the materials or substances for inserting into the
q221b_subs_1
q221b_subs_2
q221b_subs_3
q221b_subs_4
q221b_subs_5
q221b_subs_6
q221b_subs_7
q221b_subs_8
q221b_subs_9
q221b_subs_96
q221b_subs_98
q221b_subs_99
q221b_subs_spy
221b. Specify other way you learned
q221c_subs
221c. What type of person provided the materials or substances for inserting in
q221c_subs_spy
221c.Specify other person
q221a_oth
OTHER () 221a. Where did you go to get the other method (${q21
q221a_oth_spy
221a. Other place (Specify)
q221b_oth
221b. How did you learn that the other method () could help end
q221b_oth_1
q221b_oth_2
q221b_oth_3
q221b_oth_4
q221b_oth_5
q221b_oth_6
q221b_oth_7
q221b_oth_8
q221b_oth_9
q221b_oth_96
q221b_oth_98
q221b_oth_99
q221b_oth_spy
221b. Specify other way you learned
q221c_oth
221c. What type of person provided the other method () Do not r
q221c_oth_spy
221c.Specify other person
q300
300. First, we are interested in knowing your main reason(s) for coming to the
q300_1
q300_2
q300_3
q300_4
q300_5
q300_6
q300_96
q300_99
q300_spy
300. Specify other reasons
q301_str
q301_unk
For Don’t know or Refused to answer, Mark this check box
q301a
301a. Time of the day
label_q302
302. Please describe the problems you had when you first started having health
q302_1
1. Bleeding
q302_2
2. Pain
q302_3
3. Fever
q302_4
4. Vaginal discharge (other than blood)
q302_96
5. Other (Specify)
q302_96_spy
302.6. Specify the other complications you experienced.
q303_str
q303_unk
For Don’t know or Refused to answer, Mark this check box
q303a
303a. Time of the day
q304
304. What did you do when you realized you needed help? [Do not read answer cat
q304_1
q304_2
q304_3
q304_4
q304_5
q304_6
q304_7
q304_96
q304_99
q304_spy
304. Specify other thing you did when you realized you needed help
q305
305. Did you seek help directly in this health facility when you first realized
q306
306. Where did you go before arriving at this health facility? [Do not read res
q306_1
q306_2
q306_3
q306_4
q306_96
q306_99
q306_spy
306. Specify other place you went
q306a
306a. How many other facilities/hospitals did you go to before arriving at this
q307_str
q307_unk
For Don’t know or Refused to answer, Mark this check box
q307a
307a. Time of the day
q308
308. In your opinion, once you realized that you needed help, was the decision
q309
309. What was or were the reason(s) why you think that the decision took longer
q309_1
q309_2
q309_3
q309_4
q309_5
q309_6
q309_7
q309_8
q309_9
q309_10
q309_11
q309_12
q309_13
q309_14
q309_15
q309_96
q309_99
q309_spy
309. Specify other reasons
q310
310. How did you get to this health facility?
q310_spy
310. Specify other way you came to this health facility
q311_str
q311_unk
For Don’t know or Refused to answer, Mark this check box
q311a
311a. Time of the day
label_q312
312. Now please describe the problems you had as a result of this pregnancy, bu
q312_1
1. Bleeding
q312_2
2. Pain
q312_3
3. Fever
q312_4
4. Vaginal discharge (other than blood)
q312_96
5. Other (Specify)
q312_96_spy
312. Specify the other complications you experienced.
q313
313. Thinking about all your health problems put together, will you consider yo
q314
314. In your opinion, what do you think of the time it took you to arrive at th
q315
315. What (was/were) the reason(s) why you think it took too long to arrive at
q315_1
q315_2
q315_3
q315_4
q315_5
q315_6
q315_7
q315_8
q315_96
q315_97
q315_99
q315_spy
315. Specify other reasons
q316
316. How much did you pay for the journey to this health facility (e.g. fare, p
q316a
316a. Other amount paid for the journey (specify)
q317
317. Were there additional transportation costs for any person (people) who cam
q318a
318a. Do you have health insurance?
q318b
318b. What type(s) of health insurance do you have? (SELECT ALL THAT APPLY)
q318b_1
q318b_2
q318b_3
q318b_96
q318b_98
q318b_99
q318_spy
318b. Specify other type of health insurance
q318c
318c. Is your insurance paying for all of the charges for the services that you
label_q318
318. Did you pay for each of the following goods or services during your stay i
q318_1
1. Consultation (including admission card fee)
q318_2
2. Medicine
q318_3
3. Hospital supplies
q318_4
4. Lab tests (e.g., x-ray, blood test)
q318_5
5. Additional money paid to staff (e.g., appreciation fees)
q318_6
6. Patient's food and lodging
q318_7
7. Meals and lodging for the person who accompanied you here
q318_8
8. Other costs
q319a
319a. Please specify what kind of consultations you paid for:
q319b
319b. How much did you pay for the consultations, including admission card fee,
q320a
320. Please specify what kind of medicines you paid for: [Enter ‘8888’ for
q320b
320b. How much did you pay for the medicines that you received here? [Enter ‘
q321a
321. Please specify what kind of hospital supplies you paid for: [Enter ‘8888
q321b
321b. How much did you pay for supplies? [Enter ‘8888’ for 'Don’t know' a
q322a
322. Please specify what kind of lab tests (including x-rays, scans) you paid f
q322b
322b. How much did you pay for lab tests (including x-rays, scans)? [Enter ‘8
q323a
323. Please give details of additional money paid to staff (e.g. appreciation f
q323b
323b. How much was the additional money paid? [Enter ‘8888’ for 'Don’t kn
q324
COST OF FOOD/LODGING 324. How much did you pay for any food and/or lodging? [En
q325
325. How much did you pay for meals and/or lodging for the person/people who ac
q326a
326a. Please give details of what other costs you paid for that we did not ment
q326b
326b. How much was the additional money paid for any other costs not mentioned
q327
327. (Only in case it is not possible to breakdown expenses), How much in total
label_q328
328. How were the services that you received today paid for? [Read each payment
q328_1
1. Cash (Include any co-payment to insurance)
q328_2
2. National Hospital Insurance Fund (NHIF)
q328_3
3. Community Health Insurance Scheme
q328_4
4. Private health insurance
q328_5
5. Waived/exempted
q328_6
6. Given opportunity to pay later (Credit)
q328_96
7. Other (specify)
q328_96_spy
328.7. Please Specify other way
q329
329. Where did you get the funds to pay for the services? (Do not prompt. SELEC
q329_1
q329_2
q329_3
q329_4
q329_5
q329_6
q329_7
q329_8
q329_9
q329_10
q329_96
q329_98
q329_99
q329_10_spy
329. What assets did you sell?
q329_96_spy
329. Other source of funds
q330
330. Did you receive financial or material help to pay for the expenses related
q330a
330a. Specify value in KES [Enter ‘8888’ for 'Don’t know' and ‘9999’
q330b
330b. Specify what, and estimate value in KES. [Enter ‘8888’ for 'Don’t k
q331
FOR INTERVIEWER (do not read aloud) 331. Were you the main provider who provide
q400
400. How do you feel about the amount of time you waited to be seen by a provid
q401
401. During your time in this facility did the doctors, nurses, or other health
qpc_grp1_label
Questions
q402a
a. Did the doctors, nurses, or other health care providers call you by your nam
q402b
b. Did the doctors, nurses, or other staff at this facility treat you with resp
q402c
c. During your time in this facility, would you say you were treated differentl
q402d
d. When you were speaking to the doctors, nurses or other staff at this facilit
q402e
e. Do you feel like your health information was or will be kept confidential at
q402f
f. Did the doctors, nurses or other staff at this facility ask your permission/
q402g
g. Did the doctors, nurses or other staff at this facility speak to you in a la
q402h
h. Did the doctors and nurses explain to you why they were doing examinations o
q402i
i. Did the doctors and nurses explain to you why they were giving you any medic
q402j
j. At any point during your time at this facility, did the doctors and nurses a
qpc_grp2_label
Questions
q402k
k.Did you feel you could ask the doctors, nurses or other staff at this facilit
q402l
l. Did the doctors and nurses ask how much pain you were in?
q402m
m. Do you feel the doctors or nurses did everything they could to help control
q402n
n. Did you feel the doctors, nurses, or other health providers shouted at you,
q402o
o. Did you feel like you were treated roughly like pushed, beaten, slapped, pin
q402p
p. During your time at this facility, did any staff at the facility ask you or
q402q
q. Did you feel you could completely trust the doctors, nurses or other staff a
q403
403. Did the health workers in this facility talk to you about taking family pl
q404
404. What method(s) of family planning did they tell you were available? [Do no
q404_1
q404_2
q404_3
q404_4
q404_5
q404_6
q404_7
q404_8
q404_9
q404_10
q404_96
q404_98
q404_99
q404_spy
404. Specify the other method(s)
q405
405. Are you leaving the facility with a method of family planning or a referra
q405a
405a. What was the prescription for/What was your referral for?
q406
406. Did you want to leave the facility with a family planning method?
q407
407. Why did you not get a method today? [Do not read response options out loud
q407_1
q407_2
q407_3
q407_4
q407_5
q407_6
q407_96
q407_99
q407_spy
407. Specify the other reason(s)
q408
408. Which family planning method are you leaving with? [Do not read response o
q408_1
q408_2
q408_3
q408_4
q408_5
q408_6
q408_7
q408_8
q408_9
q408_96
q408_98
q408_99
q408_0
q408_spy
408. Specify the other method(s)
q409
409. Is this the method you wanted to leave with?
q501
501. To your knowledge, under which circumstances is abortion LEGAL in Kenya? [
q501_1
q501_2
q501_3
q501_4
q501_5
q501_6
q501_7
q501_8
q501_9
q501_10
q501_11
q501_12
q501_13
q501_14
q501_15
q501_96
q501_98
q501_99
q501_spy
501. Under what other circumstances is abortion legal?
q502
502. Do you believe you could find a way to have an abortion in this community?
q503
503. Where do you think you could go for help having an abortion in this commun
q503_1
q503_2
q503_3
q503_4
q503_5
q503_6
q503_7
q503_8
q503_9
q503_10
q503_96
q503_98
q503_99
q503_spy
503. Specify other place you think you could go for help
qabortion_grp_label1
504. Questions
q504_a
a. A woman who has an abortion is committing a sin
q504_b
b. Once a woman has one abortion, she will make it a habit.
q504_c
c. A woman who has had an abortion cannot be trusted.
q504_d
d. A woman who has an abortion brings shame to her family
q504_e
e. The health of a woman who has an abortion is never as good as it was before
q504_f
f. A woman who has had an abortion might encourage other women to get abortions
q504_g
g. A woman who has an abortion is a bad mother
q504_h
h. A woman who has an abortion brings shame to her community.
q504_i
i. A woman who has had an abortion should be prohibited from going to religious
qabortion_grp_label2
504. CONT…D Questions
q504_j
j. A man should not marry a woman who has had an abortion because she may not b
q504_k
k. A woman who has an abortion should be treated the same as everyone else.
q504_l
l. A woman who has an abortion can make other people fall ill or get sick.
q504_m
m. A woman who has an abortion should be isolated from other people in the comm
q504_n
n. If a man has sex with a woman who has had an abortion, he will become infect
q504_o
o. I would tease a woman who has had an abortion so that she will be ashamed ab
q504_p
p. I would try to disgrace a woman in my community if I found out she’d had a
q504_q
q. I would stop being friends with someone if I found out that she had an abort
q504_r
r. I would point my finger at a woman who had an abortion so that other people
result_pms_pat_r1
End of the Patient PMS Interview. Outcome of the interview
pms_comments
End Comments of the Patient PMS interview
start_time
Start time of provider interview
q2
2. Provider’s name
q3
3. Is the respondent available for an interview?
q3a
3a. Has this provider already consented to participate in the study?
short_consent
Shortened Consent Text for Providers Who Have Already Been Consented – Prospe
short_consent_sign
Gather initials FW'S NOTE::You must SAVE the initials before you proceed to the
b1
B1. Do you agree to participate in the survey?
b2a
B2a. There is a chance that we may also want to recontact you to clarify detail
b2b
B2b. Thank you for agreeing to participate in this study. To confirm your conse
b2b_sign
Gather initials FW'S NOTE::You must SAVE the initials before you proceed to the
b2c
Note to Interviewer: Do not read this out loud: B2c. Investigator or person who
b2c_sign
Field interviewer to sign or insert initials FW'S NOTE::You must SAVE the signa
b3
Note to Interviewer: Do not read this out loud: B3. Investigator or person who
gg2
G2. Was the patient a Near Miss case? [The WHO defines 'near miss' as a woman w
gg3
G3. What type of admission was done for this patient?
gg4
i1a
I1a. What was the initial diagnosis when the patient first presented at the fac
i1b
I1b. At what point in the pregnancy loss was the patient when she first present
i1c
I1c. At what point in the pregnancy loss was the patient when she first present
i2
I2. What type of complaint did the patient come with to the facility? SELECT AL
i2_1
i2_2
i2_3
i2_4
i2_5
i2_6
i2_96
i2_98
i2_99
i3
I3. What other complaint did the patient come with? (Specify)
i4
I4. Number of days of any symptoms before presenting to this health facility, i
i5
I5. Was there evidence that the expulsion of some products of conception occurr
i6
I6. What was the patient's gestational age (in weeks) when she presented?
i7
I7. Body temperature (in Celsius) [Body temperature should be between 30 degree
i8
I8. Pulse rate [Pulse rate should not be below 10 or above 400 bpm]
i9
I9. Systolic blood pressure [Systolic blood pressure should not be below 20 or
i10
I10. Diastolic blood pressure [Diastolic blood pressure should not be below 20
i11
I11. Respiratory rate [Respiratory rate should not be below 5 or above 40 breat
i11b
I11b. Blood oxygen SpO2 (as a percentage)
i12
I12. What was the patient’s appearance upon arrival?
i13
I13. What was the patient’s mental status upon arrival?
i13_spy
I13b. What was the patient’s mental status upon arrival?
i14
I14. Did the abdomen appear normal upon initial examination?
label_i15
I15. What did you detect upon examination of the patient’s abdomen? For each
i15_1
Abdominal tenderness on palpation
i15_2
Rebounding/guarding (defense)
i15_3
Tense/hard (contracture)
i15_4
Distended abdomen
i15_5
Decreased bowel sounds
i15_6
Uterine tenderness
i15_7
Evidence of cervical and or vaginal mechanical injury
i15_8
Adnexal mass
i15_9
Tenderness in the pouch of Douglas
i15_10
Culdocentesis showing blood
i15_11
Presence of abnormal vesicular tissue coming out from uterus/vagina
cc1
C1. Was there any evidence of foreign body (medication or other object) in vagi
cc1a
C1a. What type of foreign body did you detect?
cc1a_spy
C1a. Other (Specify)
cc2
C2. Upon examination, did you detect signs of a mechanical injury?
cc2a
C2a. Which of the following mechanical injuries did you detect? SELECT ALL THAT
cc2a_1
cc2a_2
cc2a_3
cc2a_4
cc2a_5
cc2a_6
cc2a_96
cc2a_99
cc2a_spy
C2a. Specify other mechanical injuries
cc3
C3. On vaginal examination, did you notice offensive or foul smelling products
cc4
C4. Did you find any sign of infection on examination?
cc5
C5. What complications did you find on examination and investigation? Do not re
cc5_1
cc5_2
cc5_3
cc5_4
cc5_5
cc5_6
cc5_7
cc5_8
cc5_9
cc5_10
cc5_11
cc5_12
cc5_13
cc5_96
cc5_99
cc5a_spy
C5a. What other complications did you find?
cc5_i
C5i. How did you determine if they had Anemia? [Do not read response options ou
cc5_i_1
cc5_i_2
cc5_i_3
cc5_i_96
cc5_i_99
cc5_i_spy
C5i. Other way (specify)
cc6
C6. Did you detect signs of organ/system failure?
cc6a
C6a. What signs of organ/system failure did you find on examination and investi
cc6a_1
cc6a_2
cc6a_3
cc6a_4
cc6a_5
cc6a_6
cc6a_96
cc6a_99
cc6b
C6b. What other organ/system failure did you find?
cc7
C7. Was the abortion septic?
p2
P2. What was the main evacuation procedure that was performed?
p2a
P2a. What was the main evacuation procedure used?
p3
P3. Where was the evacuation procedure performed?
p3_spy
P3. Other (Specify)
p4
P4. The evacuation procedure was performed primarily by what type of provider?
p4a
P4a. What was the cadre that performed the evacuation procedure? (Specify)
p5
P5. Was the client provided any pain medication during the evacuation procedure
p5a
P5a. What did the client receive during the evacuation procedure? Do not read r
p5a_1
p5a_2
p5a_3
p5a_4
p5a_5
p5a_96
p5a_99
p5b
P5b. What other medication did the client receive?
p6
P6. Besides an evacuation procedure, did the patient receive any other surgical
p7
P7. What surgical procedure(s) were performed on the client at this facility? (
p7_1
p7_2
p7_3
p7_4
p7_5
p7_6
p7_7
p7_8
p7_96
p7_99
p7a
P7a. What other surgical procedure(s) were performed?
p8
P8. Was the client administered antibiotics during her current visit at this fa
p9a
P9a. Why were antibiotics administered?
p9a_1
p9a_2
p9a_98
p9a_99
p9
P9. What route was used to administer antibiotics?
p10
P10. Who supplied the antibiotic that was administered?
p11
P11. During the patient's visit, was she given Intravenous fluids?
p12
P12. During the patient's visit, was she given misoprostol?
p13
P13. For what indication was she given misoprostol? Do not read response option
p13_1
p13_2
p13_98
p13_99
p14
P14. How many doses of misoprostol was she given?
p17
P17. What route was the misoprostol administered? Do not read response options
p17_1
p17_2
p17_3
p17_98
p17_99
p18
P18. Did the patient receive a blood transfusion?
p19
P19. How many units were transfused? [Enter '8888' if don’t know or '9999' if
p20
P20. How many units were prescribed? [Enter '8888' if don’t know or '9999' if
p21
P21. During the patient's visit, was she given Oxytocin?
p22
P22. What dose of oxytocin was she given? [Enter '8888' if don’t know or '999
p23
P23. What route was the oxytocin administered? Do not read response options out
p23_1
p23_2
p23_98
p23_99
p24
P24. During the patient's visit, was she given any other uterotonics?
p25
P25. What other uterotonics was she given? SELECT ALL THAT APPLY.
p25_1
p25_2
p25_3
p25_4
p25_96
p25_98
p25_99
p25_spy
P25. Other (Specify)
p26
P26. Was the patient given any pain medication on discharge to manage pain afte
p27
P27. What pain medication was the patient given? Do not read response options o
p27_1
p27_2
p27_3
p27_96
p27_98
p27_99
p27_spy
P27. Other (Specify)
pro_q501
501. We know it is sometimes difficult to determine whether a patient is seekin
pro_q502
502. What are the reasons you think the abortion may have been induced? Do not
pro_q502_1
pro_q502_2
pro_q502_96
pro_q502_99
pro_q502_spy
502. Other reason (Specify)
pro_q503
503. Based on your best assessment, what method did the patient likely use to i
pro_q503_1
pro_q503_2
pro_q503_3
pro_q503_4
pro_q503_5
pro_q503_6
pro_q503_96
pro_q503_98
pro_q503_99
pro_q503_spy
503. Other (Specify)
f1
F1. What was the outcome from managing this patient?
f1a
F1a. What was the outcome from managing this patient?
f3
F3. Was the patient counseled on family planning upon discharge?
f4
F4. Was the patient given a modern method of family planning?
f5
F5. If patient was given family planning, which method? [Do not read response o
f5_1
f5_2
f5_3
f5_4
f5_6
f5_7
f5_8
f5_9
f5_96
f5_98
f5_99
f5a
F5a. What was the modern family planning method provided to the patient?
f6
F6. If patient was NOT given family planning at this facility, was the patient
e5
E5. General observations of the Provider PMS interview
final_comments
END Final comments
instancename
instanceName
formdef_version
Form version used on device
key
Unique submission ID
review_status
Review status
review_quality
review_comments
Comments made during review
review_corrections
Corrections made during review
a4_chart_no1
submissiondate
Date/time submitted
starttime
endtime
g2
G2. Date of data collection visit
q204
204. When was your last birth?
q301
301. When did your first symptoms begin?
q303
303. When did you realize you needed help?
q307
Date (DD/MM/YYYY)
q311
311. When did you arrive at this health facility?
q1
1. INTERVIEW DETAILS Date of provider interview
gg1
G1. Date of admission (or date presented, if OPD patient) [Select January 1, 20
f2
F2. Date of discharge, death, referral, etc. [Select January 1, 2030 if unknown
mrr_complete_date
Note to FW: When will you complete the Medical Records Review (MRR) for this pa
Total: 899