Abortion Incidence and Severity of Complications in Kenya 2022, Health Facilities Survey (HFS)

Kenya, 2023
Health and Well-Being (HaW)

Kenneth Juma

CSV JSON

End of interview General comments (comments)

Data file: HFS_RECAST

Overview

vald 576

Interval discrete

Questions and instructions

Literal question

General comments

Categories

Value	Category
,Q.112 The respondent gave an estimate of number of Health care professional(gynaecologists,nurses,clinical and interns)attending to the Reproductive Health Department. Lab technicians,pharmacists,anaesthetists serve the hospital at large.they
-Interview successful. Respondent requested the incorporation of policies and recommendations that encourage frequent Continous Medical Education that engages the private health sector. -For question 810 the facility offers blood grouping only
-Interview successful. The facility does not offer blood transfusion because they lack reagents for conducting UECs and Full haemogram, thus are restricted blood from the regional blood Bank otherwise they are equipped with fridges for storage.
1. Back up source of power only covers records department and OPD. 2. Facility uses ambulance for Uriri sub county. 3.Many facilities induce abortion then they refer to Othoro hospital. 4. There is erratic supply of Misoprostol and mifepristo
1. Based on the conversation with the health provider, patients do not request for termination of pregnancy services but are advised by the health care provider when needed. This then translates to patients being booked for T.O.P appointment d
1. Facility has an improvised PAC register asks to be given one. 2. Facility offers PAC only, they lack licence to do termination of pregnancy services. 3. It's well equipped, assists government facilities with some consumables
1. Facility has no ambulance, uses bodaboda for emergency. 2.Facility uses misoprostol alone. 3.Facility offers termination of pregnancy services but they have never had a case in the last six months. 4. The facility receives atleast one PAC p
1. Facility has no backup solar or generator 2.Uses motorbike incase of emergency 3. Has a conjested consultation room 4.MVA kit is old 5. Receives many patients from Tarime and Nyamwanga in Tanzania 6. No staff toilet, toilets available shar
1. Facility is well equipped 2. On call doctor does laparotomy 3. MVA kits need to be bought 4. Sayana Press not available 5. Need to demystify myths on PAC.
1. Facility uses ambulance from Suna East sub county, the vehicle is always available. 2.TOP legal cases are referred to PAC centres like Migori County Referral Hospital, since Not all sites are aloud to do TOP services. Only providers traine
1. Facility uses probox for emergency 2. Facility personnels not allowed to induce termination of pregnancy services. Cases requiring termination are referred 3.No running water, water stored in reservoir tanks. 4.MVA set not properly functi
1. Facility uses solar and post pay phone. 2. Phone only used to send specific data. 3.Uses sub county ambulance for emergency 4. Need to have more MVA kits 5. At times PAC personnels perform procedure to remove IUCD if the clients change lif
1. Great interview 2. Facility doesn't have gynaecologist hence TOP services not offered. 3.The Facility has partners like CIHEB and Tukicheki which support most of it's activities. 4. Only disposable surgical gown is available. 5. MVA kit n
1. I found friendly staffs, their facility is well equipped. 2. I talked with the hospital administrator who also doubles as a registered clinical officer, he connected me with the provider knowledgeable on PAC services. 3. The facility uses R
1. I met Dr.Idagiza Akidiva [0722255732, 0734815037] who facilitated my interview with the nurse dealing with the PAC services. 2. The facility is well equipped and offers PAC services. 3.On question 212, it came out that the facility offers h
1. Interview was completed successfully. 2. All the cases were recorded as UTI so it was had to get the actual dates for the latest PAC case in the facility
1. Partner NGOs do permanent methods like vasectomy and female sterilisation at the facility. 2. Water stored in reservoir tanks 3. Oxygen cylinders not functional 4. Power backup only available at OPD and maternity wing.
1. Termination of pregnancy not done, it's a faith based hospital. 2. Contraceptive services are against the hospital policies, hence not done. 3. Only misoprostol is used in case of incomplete abortion
1. The facility does PAC services only, termination services not allowed by the donor of the facility. 2. Permanent contraceptive methods done after booking. 3.A new modern ultrasound needed 4.MVA kits not properly functioning
1. The facility is well equipped. 2. It offers both PAC and TOP services. 3. No challenges
1. The facility is well equipped. 2.Medical superintendent linked me with people knowledgeable on PAC services (Dr. IAN OMUOM-0716250547). 3. I noted that training of adolescents and people living with disabilities on SRH was combined together
1. The respondent said the facility does not offer legal TOP because they've never had cases requiring that, whether emergency or elective. 2. They do not offer contraceptives since it is a faith based institution.
1. Train one on PAC 2. Train personnels on MVA 3. Facility only two beds for post natal mothers 4. Relies on Uriri sub county ambulance for emergency 5. Erratic supply of reagents 6.Facility runs out of supplies most frequently 7. All cases
1. Wi-Fi available for health records department only. 2. Facility uses Uriri sub county ambulance for emergency 3. There are no equipment to keep blood safe 4. Erratic supply of drugs.
1. WiFi not functional 2.Facility uses sub county ambulance 3.Providers procure misoprostol and mifepristine. 4.IUD has run out of stock 5. Facility uses water from the well, available in reservoir tanks too.
1.Contraceptives not given on discharge to PAC patients due to trauma they are given an appointment to come back after 2 weeks. 2.For TOP they normally combine medication and surgical I.e give misoprostol and then do MVA.
1.Great interview, the facility does not have cytotec since KMET left. 2.MVA kit not available 3. Learned that some HIV patients still get pregnant despite the use of FP since ARV suppresses the strength of the contraceptives. 4. No running w
1.Insufficient infrastructure though there were new structures being constructed. 2.Due to inadequate equipments,they refer their Termination of pregnancy services to Kapenguria County referral.
1.Lean workforce 2.Insufficient and poor infrastructure 3.A gross lack of equipments such as MVA kits despite the health providers being knowledgeable on their use(ministry has never provided them)
1.Lean workforce 2.Insufficient equipments
1.Lean workforce 2.Insufficient facilities
1.Lean workforce 2.Limited equipments.
1.Lean workforce. 2.Insufficient facilities.
1.Some health Providers received training on Adolescents and Young youth on Sexual Reproductive Health and at the same time On SRH on disability 2.The facility had one Referral from Marsabit County who got Perforated Uterus from abortion Compl
1.The facility has not for the past 1 year being offering maternity services and PAC services since NHif and Linda Mama has a technical hitch from the facilities side. 2.The facility doesn't provide contraceptives upon discharge, instead they
1.The facility in as much as it is a level 4,Ambul they don't offer PAC due to hospital policies and it being a faith based. They refer the pac patient immediately on arrival. 2.The nurse had very little knowledge on some medical equipment in
1.The facility theatre is under construction, hence termination of pregnancy services not done. 2.There is no enough blood in stock. Request majorly made from Migori County Referral Hospital. 3. Termination cases referred to MCRH since Awendo f
1.There are a few equipment in the facility. 2.Disinfectants are out of stock 3.Theatre currently not operational 4. A few segregation bins, only for maternity and OPD 5. I met with the hospital administrator, Rose Nzilani and gave her the surv
1.Total lack of PAC equipments despite the nurse being knowledgeable in the use of most of them. 2.Nurse removes the remaining products of conception manually. 3.Women perform abortion using a mixture of fresh animal blood and herbs (Sikin po l
1.Well equipped. 2.Relatively good human resource.
1.limited services offered due to their strong morals and ethics.
A Very interactive session.The facility offers TOP only when woman's health is at risk and not when requested by clients
A lot is needed to improve the health sector especially in remote areas.
According to NHIF, the facility should have two operating room, the facility just have one operating room so it doesn't conduct surgical abortion at the moment.
According to the PAC log book, some of the PAC patients are not captured and it is not updated.
Advocacy on Abortion to be done when requested or upon consent depending on the situation of clients.
All general practioners,nurses,Clinical officers,are capable of handling PAC patient but they are guided by the policy that surgeries such as MVA/EVA/laparascopy. should be carried out by a gynaecologist.They are always on site at any particula
All the clinician are less than one month old.Did the interview with the nurse incharge of the facility.
Although the facility offer PAC services in emergency scenarios, the ownership prohibits issue of contraceptives and FP Services including terminations. MVA is done just like normal medical condition hence using the available general equipments
Anaesthetists are 2 in number but they are part time. I talked to the one incharge who is also the medical director. They rarely do Referrals unless it's an ICU case, that is when they can refer and that hasn't happened even in the past year an
Another of Improvement needed for the facility to provide comprehensive PAC services.
At the facility there was no room for privacy even to HIV clients for counselling.
Based on the rspose on Q204.5, The respondent highlighted that the PAC patients the facility has handled had complete miscarriage and misoprostol was not needed for the same.
Being a level 5 hospital nurses are not allowed to use the different methods for post abortion care.
Being at the remote side of the lake shores Suba south,the facility capacity to offer Abortion services is minimal due to lack of trained staffs and equipments.
Complete interview
Completed the interview successfully
Cooperation from the hospital management and the interviewee Had a smooth interview
Cooperative respondent
Don't keep PAC records.
Done
Done interview successfully
During the interview( Section 6) The respondent received a call, tgat her patient had died. I had to stop the interview so she could handle the case. Since i had a good rapport, we continued the interview when her shift was done.
Faced some challenges securing this interview.
Facility do not offer pac services at all
Facility does not offer PAC services due to stigmatisation from the community.
Facility does not offer any family planning because it is a faith based.
Facility does not offer contraceptive because it is a faith based organisation.
Facility has only one functional room that provides treatment basic ailments. PAC, contraceptive and delivery services not offered.
Facility level Previously it was a level 3 facilty.Has recently (December 2022)been upgraded to a level 4. They rarely do referrals on reproductive health matters because they have 2 residential gynaecologists to handle the cases. Q.108 They ou
Facility offers PAC services.
Facility offers both PAC and TOP services, however in the last six months, they have never treated any patient with Termination of Pregnancy case.
Facility offers maternity services as inpatient only
Facility offers pac services
Facility relocated from California ward to Eastleigh North ward.
Facility uses MOH 301 register to record all the patients seeking pac services
Faith based facility doesn't offer FP commodities
For Post abortion care methods,I choose other since they mostly manage small cases using antibiotics and Referral for severe cases
For TOP , they normally use both the Misoprotosol and MVA at same time.
From the talks with the nurses they are doing Termination of pregnancy but they don't record and they are not allowed to talk about it. Most cases they get they usually refer to Marie stoppes. They said that Marie stoppes usually visit them a
Fud
General cooperation
Good
Good interview session The nurse was taking time on comprehension of the qurstions so i had to probe more.
Good interview.
I feel like the information given concerning PAC is not true.
I had a good experience. Got shown around the hospital premise. Confirmed the availability of equipment and they are functional. The ambulance is too equipped They were cooperative throughout the interview
I had scheduled to interview Dr. Samira( gynecologist) but she was so busy, she opted I interview Dr.Riziki( Doctor on duty). Turned out she was also the most knowledgeable post abortion care and complication service provider too
I interviewed a Clinical officer- Reproductive Health. Gynaecologists 3 are visiting, meaning are part time. Nurses are 27 in number, but only 10 are government employed. The facility rare uses D&C and D&E. The facility doesn't do TOP, they re
I interviewed and talked to three health care providers; Clinical officer and two nurses. I talked to all three because they are sometimes in the facility during different hours, either day on night shift, part time or full-time. Leading to eac
I interviewed deputy nurse in charge, since the nurse incharge went on leave. The facility only has regular visiting gynecologist and obstetrician who are 5 in number. Anaesthetists are also regular visiting ones and they are 6 in number. MVA a
I interviewed nurse incharge and a nurse from Obstetrician/ Gynecologist Ward. The facility has had one transfer case of Post Abortion Care to Kenyatta Hospital in Nairobi since the patient's case required a Dermatologist. The facility does not
I interviewed the Head of department Obstetrician and gynecologist. Q417 the last cast the facility had was 2 years ago. The Referrals that the facility does are mostly to lower level facilities since the patients cannot sometimes afford. Als
I interviewed the clinical officer on duty All the health care providers within the facility are all part time and none of them is permanent. This is because its still new and they are planning to start employing permanent workers from next mo
I interviewed the main consultant obstetrician and gynecologist. The facility has 5 main consultant obstetrician and gynecologist. The hospital is known for mostly working with visiting doctors and gynecologist who have visiting rights. These
I interviewed the nurse incharge. The facility has 1 gynecologist and 3 visiting consultants gynecologist and they are the ones who most do the post abortion care methods. The 3 visiting and 1 main hospital gynecologist are the ones who have
I interviewed the owner who is also the medical director. The facility is still new since it was renovated and expanded in January, and therefore still trying to incorporate some services leading to them having new patients. The facility offers
I talked to the nurse in charge (matron). They mostly don't do Referral unless it's an ICU case that is when they can sometimes refer. She also told me that in rare cases do women or girls come upfront for TOP but instead they come already blee
I talked to the nurse in charge. The facility operates 5 days per week,8 hours per day. No inpatients,only outpatient since they have no admission beds due to limited space and this is because of lot of politics. They normally do not do deliv
I talked to the nurse on duty who is always in the facility and the main health care provider The facility provides these services; Outpatient services Antenatal Clinic Family planning services Maternal child health Laboratory Counselling
I talked to the one incharge who did advance Nursing. The facility is a level 2 trying to shift to Level 3A so they have 10 beds for inpatients but not allowed to use until they shift to being level 3A. As per the moment they still only offer o
I was able to physically observe the ambulance and all the basic equipment were not installed.The doctor explained that the equipment are only carried into the ambulance when there's a referral case.
I wasn't able to see the PAC register. I was told its with the gynaecologist and she is not around. The interview was smooth.
I wasn't able to view the PAC register (the C.O couldn't trace the whereabouts of the book). Indicated that the providers are lagging in updating the register
I wasn't able to view the PAC register. The healthcare provider indicated that they combine PAC patients in the outpatient register. Sometimes they don't even record The health provider also noted that the facility is a wannabe level 3 (sees i
Improve services PAC services privacy on the PAC patients, sensation on community , Church and at home for PAC services
In question 506,the number of PAC patients who receive contraceptive is low because mostly are young girls who are still at school and they Don't want to encourage them.
Insufficient equipments
Interview completd successfully
Interview completed
Interview completed and was successful
Interview completed successfully
Interview completed successfully . Mariestopes kenya do visit the facility monthly for bilateral tubal ligations.
Interview completed successfully.
Interview completed successfully. Interviewed Medical officer in charge of reproductive health and was receptive. The other health care providers were also collaborative when it came to equipments check. The institution has one ambulance and du
Interview completed successfully. The facility does not receive most post abortion care clients since it considers the procedures involved expensive for most of them and does not have insurance covers catering for the services.
Interview completed successfully. The facility offers contraceptive methods and counselling to Al clients irrespective of whether they are PAC patients. The dispensary refers its cases to kipsaraman dispensary as it is more equipped.
Interview completed successfully. The facility started offering general health services including post abortion care services last year September. Previously it was a speciality facility for oncology cases only.
Interview completed.
Interview conducted succesfully
Interview conducted successflly
Interview conducted successfully
Interview done
Interview done successfully
Interview done successfully.
Interview successful
Interview successful.
Interview successful. According to the respondent the facility has the capability to offer termination of pregnancy services, however, they have never had any case that needed this type of care.
Interview successful. Respondent was cooperative.
Interview was complete Smooth flow of interview
Interview was completed successfully
Interview was good but the respondent was sensitive on TOP section
Interview was smooth Easy flow of study interview
Interview was successful
Interview was successful and comprehensive
Interview was successfully done
Interview went on well
Interview went on well and the respondent wax well knowledgeable on PAC
It has been a very informative session
It was a successful and interactive interview
It was a very busy facility, the hospital rarely refer PAC patients, they are well equipped to handle all the patients. On Termination of pregnancy they don't book appointments.
It was an interactive session, the facility offers PAC services
It was smooth Interview was done collectively with much cooperation from the staff
It's a faith based organisation doesn't offer contraceptives, they also insisted that they don't offer PAC but after a lengthy conversation they agreed that they use oxytocin and miso to clear and only if need be but majority of clients they on
It's an eye treatment only hospital
Lean equipments. (The nurse incharge has a well equipped private clinic where most unrecorded abortion cases are taken to)
Lean skilled human resource Gross lack of drugs
Lean workforce
Lean workforce Insufficient facilities and equipments
Lean workforce Insufficient facilities and equipments No good access roads to facility
Lean workforce Insufficient infrastructure
Lean workforce Insufficient structures and facilities
Lean workforce Lean equipments
Lean workforce. Insufficient facilities.
Main branch of this facility is located few kilometres away. 1. They share all the professional personnels in both facilities. 2.They receive PAC patients then take them to the main branch. 3. It only treats PAC patients medically. 4. It's a
Mediheal hospital Nakuru(Hyrax)is a level 4 Hospital
Mediheal hospital town clinic shares their health care professionals with the main hospital.The health care professionals at the main hospital rotate within the other hospitals I.e Mediheal (annex) and the town clinic. The don't have a resident
Met Samuel ,nurse incharge of the maternity ward on Wednesday 3/05/2023,gave me his number(0742160948) and we scheduled for a Friday m 5/05/2023 ,2pm . On Friday,upon getting there there was an overhaul replacement of the entire workforce and D
Misoprostol used at the Facility is bought on need basis from the chemist For legal TOP they lack a clinician to perform the process because the two staff stationed there are only nurses The Facility is at the border of rift Valley and western
Most cases are referred to the higher level facility.
Most of the PAC patients they get are referral. They are fully capable to offer the PAC services without referring clients to other hospital.
Most of the TOP cases are usually girls in school and have their parents with them, consenting the Termination of the pregnancies.
Most services are to be offered but still waiting for accreditation like MCH, TOP, FP ETC
Most, if not all severe cases needing PAC Services are referred to Meru Teaching and Referral Hospital.
NB/Clinical officers and a few nurses in the maternity unit are able to provide postabortion care using different methods such as manual vacuum aspiration,dilatation and curratage etc. but according to the hospital protocol only gynaecologist a
NO COMMENT
No training for PAC for any health care providers Need more MVA kit Provision of post abortion care room
No clear record keeping ie no PAC registry book. Patient are treated using cards No medical post abortion complications management e.g misoprostol ,mifeprostone or combipack because the supplies are not available in the facility. Much cooperat
No deliveries yet because the facility has not Been accredited by NHIF or any other insurance. Again It has been in operation for less than 2 years.
No pac register but pac patients are recorded on theatre registers and captured on post natal records.
None
Noted poor recording of cases that visited the facility for PAC services
On Q 203. 57 health providers can provide both EVA and MVA services. While 18 can provide medical abortion services.
On Q. 417 the lower levels are advised to refer patients to the county referral hospital for better management. On Q507. The TOP patients have not received counselling because they've never had TOP cases. However, they'd offer 100% contracept
On Q.605 the health provider said that whenever they receive patients who have hearing problems, the patients often write down their complaints/requests because they are not comfortable having 3rd parties whilst seeking family planning services
Only pregnant mothers are offered the tests and vaccine in section 8 The refferals are majorly because of lack of medications
Our facilities lack trained staffs and equipments. At least one doctor to be available in each and every facility however small the facility is.
PAC Services are limited due to the facility level. From my understanding the only PAC service offered is administration of antibiotics and the facility has had 1 severe PAC case and the patient was refered to a higher level facility.
PAC patients are referred to Mwingi Level 4 Hospital due to its superior capacity and resources compared to Kyuso Sub County Hospital, despite both hospitals being on the same level.
PAC services are offered in ward 4 only
Pac is only offered when the incharge is on duty.
Periodic shortage of abortion medication and equipments eg Beds.
Poor record keeping on outpatients with Abortion complications cases. On termination,the clinicians at the outpatient department in different sections clearly manage clients at their disposals. Have refused to estimate the numbers.
Q.107 The health facility outsources ambulance services,which comes with equipment and emergency care personnel. It does not have a delivery set,but when they have a emergency case where it might be needed the nurse comes with it from the facil
Q.109 They are no emergency ambulance care providers,it the facility nurses that accompany the patient,in case of a referral or emergency. Q112 The respondent was not able to give the total number of health care providers in the facility.The i
Q.200 The facility can provide basic management such giving painkillers, antibiotics or fluids then refer patients to higher facilities for comprehensive care. The 9 Health Care workers that can attend to the PAC patients that is all they do.
Q.410 and Q. 411 The respondent needed to clarify that,they are not able to give an average of clients for TOP services because they are very rare.and inaddition it's not the clients that request for termination of pregancy its usually under th
Q.800 The facility ambulance did not have the necessary equipment,but the respondent clarified that the emergency kit plus other equipments are kept in the facility and when an emergency occurs that's when they are taken to the ambulance.After
Q402 - Q407 there are months the facility might not receive PAC patients.especially when schools are closed for holiday. Q417 - The referrals come from UON satellite branches.
QUESTIONS 409 AND 410 ARE THE SAME QUESTIONS 509a AND 509b ARE THE SAME.
Requested for the study questionnaire in soft copy to their email address:- terriclinics@gmail.com
Respondent requested for incentives to compensate for their time
Responses were contradicting at somepoint as he kept changing responses. MVA and medical abortion is only done by Medical doctors and he can't tell the actual PAC numbers.The facility has no Gynae ward hence inpatient cases are referred to Thi
So Facilities not equipped at the moment you need Theater
Staffs were friendly and interested to see the impact of the study on PAC services across the country.
Successful
Successfull
Support Village facilities in order to Improve our leaving standard health wise.
THE FACILITY JUST TRANSITIONED IN LESS THAN TWO MONTHS AGO FROM A DISPENSARY TO A LEVEL 4 HOSPITAL.
THE INTERVIEW ENDED WELL
THE INTERVIEW WENT ON WELL
THE NURSE SAID THAT THE FACILITY OFFERS PAC SERVICES BUT THEY HAVE NEVER HAD A CASE.
THE RECENT DATE PAC PATIENT WAS ATTENDED TO IS ON 10/5/2023. THE RESPONDENT INSISTED THAT TOPS ARE ONLY DONE UNDER MEDICAL CONDITION ONLY.
THE RECENT PAC DATE VISIT FROM THE REGISTRY WAS ON 27/4/2023
THE RESPONDENT INSISTED THAT THEY WILL PARTICIPATE ANOTHER TIME AND ON ANOTHER STUDY BECAUSE THEY ARE STILL ON TRANSITION IN TERMS OF MANAGEMENT AND SETTLING DOWN.
THE RESPONDENT SAID THAT THEY DONT HAVE A SPECIFIC PAC REGISTER FOR PATIENTS.
THE RESPONDENT SAID THAT THEY USE A PRIVATE VEHICLE AS AN AMBULANCE THE MOST RECENT PAC PATIENT VISIT DATE WAS ON 26/4/2023.
THE RESPONDENT SAID THAT THIS IS A LEVEL 3 HOSPITAL NOT 4. THE FACILITY OFFERS PAC SERVICES BUT THEY HAVE NOT GOTTEN THE CASES. THE RESPONDENT DID NOT FIND THE PAC REGISTER BOOK FOR ME TO CHECK.
THE RESPONDENT SAID THAT TOP IS ONLY DONE TO PATIENTS WHOSE LIVES ARE AT RISK. MOST RECENT DATE FOR PAC PATIENT FROM THE REGISTER IS ON 8/5/2023.
TOP patient mostly were women with ectopic pregnancy
Talked to the clinical officer on duty. The Hospital is mostly known for maternity as it's name states so the facility has been trying to incorporate a lot of services, PAC being one of them. The facility it self doesn't offer Termination of p
Talked to two clinical officers who are knowledgeable with post abortion care in the facility
Thank you
The 10 gynaecologist have admission rights and run clinics on different days in the facility Interview was completed successfully
The CO incharge is on maternity leave and she is the one who is trained to perform MVA only and not medical abortion even though misopristone is available at the facility. The respondent is currently the one in charge.
The Clinical Officer in-charge of the facility was on leave, I interviewed a nursing officer. However, I sought clarification from the Clinical Officer in-charge in some of the answers through a phone call.
The County Director Medical Services did not communicate with the Sub County ,there was delay in getting started with study at Bura Sub County Hospital
The Facility doesn't have an ambulance but a private vehicle that doesn't have equipment in section 800.
The Facility doesn't offer PAC because of the close proximity to chebiemit subcounty
The Facility have not had any PAC client but they have the capability to offer the service. The respondent however said that they offer contraceptive counselling to women who come to the Facility and still said if the get a PAC client they wo
The Facility is institution supported and faith based it lacks an ambulance but has an emergency private vehicle
The Facility performs PAC though due to close proximity of Iten County refferal hospital they receive very few patients like for example for the entire 2022 there was only 1 PAC patient who was managed and later reffered. This was a follow up d
The Facility provide PC but does mot provide TOP services
The Interview was a success.
The Kitui Family Care is a Level 3 facility. The incharge is the owner of the facility but works elsewhere. I interviewed a clinician who oversees the routine Hospital operations.
The Medical superintendent was quite busy Dr. Kashero, she had handed me over to the Matron in charge Rose, she then gave me my respondent. He was the turns out to be the most knowledgeable person on post abortion care and complications.
The Mutuati Sub-district Hospital is located right next to the Mutuati Catholic Mission Hospital, so most of the patients who somehow go to this facility end up being directed to the Mutuati Sub-district Hospital. At the start of the interview,
The Number of nurses registered to work at the facility is 462.This data tool doesn't accept input of a value greater than 350 In this facility I was informed the intern doctors attached in the gynaecology ward are very involved in doing Post a
The Nurse was very supportive of the study and hope we share the report
The PAC book was misplaced that's why I couldn't see it
The Respondent wished that he was not selected to participate in this particular study. He is a physician and offers consultancy services to various health conditions but not to reproductive health related matters.Neither does he provide consul
The TOP Service are offered as per Doctors diagnosis
The clerical officer stated that he wished there would be more community education and empowerment on PAC services and that adolescents should be educated more on family planning methods so that the number of adolescent pregnancies could reduce
The dispensary has only one nurse and she was transferred into the facility on 17th January 2023.
The doctor was open minded on offering contraceptive methods despite the facility being faith based
The facilities doesn't have the capability of handling TOP
The facility refers most of their post abortion care patients due to lack of commodities and equipments necessary for post abortion care
The facility being situated in close proximity to Mwingi Level 4 Hospital it rarely performs delivery services as well as receiving those patients with serious cases of abortion complications.
The facility can offer Family planning services PAC services and TOP services.They have equipments,commodities,trained health care providers,they have just not received PAC clients.
The facility do have misoprostol and mifepristone combipack.
The facility do help lots of people being it's location in the far most remote area. In need of medical commodities to support a larger population that turn.
The facility do offer only clinical services. Have interviewed clinical officer in charge.
The facility does not conduct termination of pregnancy at all.
The facility does not have Medication for abortion, the client buys from outside when the Health Care Providers request
The facility does not have modern family planning methods
The facility does not offer PAC services and has never done any referrals related to PAC. However much they offer contraceptives and contraceptive counselling,they clarified that they have not yet offered any to a PAC patient.
The facility does not offer contraceptives/MVA to PAC patients, but they encourage natural methods. Due to their faith.
The facility does not offer family planning it's against Catholic beliefs The facility treat all PAC Patients as in Patients
The facility does not offer pac services
The facility does not offer pac services. Few healthcare providers. Does not operate 24/7.
The facility does not provide Termination of pregnancy services
The facility does not provide comprehensive abortion care but has the capacity to treat septic abortion.
The facility does not provide family planning services as it is a faith based mission hospital . That is the policy of the hospital
The facility does not provide termination of pregnancy as its against facility rules and regulations .
The facility does not stock family planning because it is stocked in the main hospital and at the town clinic.
The facility does offer post abortion care but there are no enough health care professionals and commodity supplies.
The facility doesn't provide contraceptives so qn 515 N/A. No MCH services because mother and Child hospital is directly opposite, they refer there for contraceptive provision
The facility doesn't have a resident obstetrician/gynaecologist but have 12 gynaecologist with admission rights who run clinics at the facility. The respondent insisted that they never refer out their patients because their patients are insur
The facility doesn't have inpatient department. They usually hold women who have given birth for atheist twelve hours before they discharge them.
The facility doesn't not terminate pregnancy when a patient asks
The facility doesn't offer PAC services the least they could do is just pain management and refer to next facility. The facility is two years Old with only two health workers who are nurses.
The facility doesn't stock Misoprostol but when there's a case requiring medical post-abortion procedure the patient is advised to purchase the drugs elsewhere.
The facility gets most of their respondents from the villages
The facility had a lot of research protocols and this too,along of time to be granted. In the cadre section the number of nurses are 900, medical specialist 113 CO Anaesthesiologst 29 Nurse Anaesthesiologist 7 General Anaesthesiologist 6, inter
The facility has 3 gynecologist who are part timbers and work in shifts. They also have 2 part time medical doctors. Most laparotomy cases are of ectopic pregnancy. The last PAC Referral that the facility did was 2 years ago. So in the past yea
The facility has a non government organisation Tujenge Jamii coming in once every month to conduct bilateral tubal ligations.
The facility has been closed since 2020 during the COVID 19 pandemic.
The facility has been operational for about 1year and the former employee's contract was not renewed. So the current incharge(who's the only healthcare provider) is 4 months into the facility.
The facility has no inpatients bed but have three beds for holding maternity patients for observation.
The facility has not been offering family planning Methods since it's still new,yet to get all the supplies though the have a pharmacy where they sell e-pills and COCs
The facility has not offered PAC services in the last 1 year
The facility has not offered PAC services in the last 2 years
The facility has one nurse and one patient attendant.
The facility has only 1 functional delivery coach for delivery
The facility has poor record keeping on PAC cases
The facility has the capability to offer Post abortion care but it is restricted by the management. PAC is handled only by the main hospital (Nairobi women hospital-Hyrax ) All referrals are directed to the main hospital
The facility has two nurses and one patient attendant who takes charge when the nurses aren't around such as providing medical assistance to patient.
The facility has very limited human resources and infrastructure hence limiting them the provision of post abortion care services e.g they borrow/rent an MVA kit whenever there's a post abortion case from the private facility around and have t
The facility have enough resources to do PAC but the cost for conducting the procedures is high.In short the Hospital is expensive. The interviewee said the facility depends on Insurance compared to the casual clients.
The facility incharge was protective on provision of information especially post abortion care services offered in the facility
The facility is a Level 5
The facility is a faith based and they do not offer termination of pregnancy and family planning services.
The facility is a level 3B according to the respondent.
The facility is a level 4 but operates like like a level 2( words from the nurse)
The facility is a new one with only one nurse.
The facility is a private level 4, they don't do any referral unless it's an ICU case. For QN 402, it's usually not easy to tell because patients come here to be attended by their private doctors and most of the time they don't share full detai
The facility is in a condition to treat most patients and therefore rarely do Referrals. When comes to curettage (D&C, D&E), the facility only uses D&C but not D&E. The facility doesn't have and also do not use misoprostol in combination with m
The facility is not busy. I only found one patient waiting for the clinician to arrive. The facility lacks essential medical supplies and does not offer pac services
The facility is not equipped to Have inpatients at all,For PAC they can only manage cases using antibiotics and for those with severe complications they refer them to Kibirichia District Hospital. There are two nurses that are trained for MVA a
The facility is not offering most of the services due to unresolved issues with MoH for like a year now.
The facility is not operational at the moment but they were very willing to be part of the research
The facility is not providing MVA services since the kit is faulty. Interviewees were welcoming and willingly shared information.
The facility is now a level 4 facility Q 101 They offer 24/7 maternity services only. Q.408 The facility lacks all necessary kits,equipments and adequate commodities to conduct any of the medical and or surgical PAC methods. Q.409 The facility
The facility is on Machakos county and kiambu county border hence majority of the patients comes from machakos county. The facility is geographically located in kiambu county.
The facility is resourced in terms of trained healthcare workers
The facility is the main referral hospital in Seme sub county Kisumu county, they receive a lot of patients PAC , the only challenge is that they don't keep records.
The facility is well equipped and can handle even extreme PAC Cases
The facility is well equipped and supportive during the survey most cases of PAC are not recorded.
The facility keeps a record of PAC patients in the electronic medical record which I was not allowed to view because the records personnel had many tasks /busy
The facility lack enough trained staffs. Being a level 4 it needs a number of trained staffs at maternity, one nurse cannot facilitate the services for everyone. The sub County coordinator to assist in the service delivery.
The facility lack the standard capacity to provide pack services.
The facility lacked a separate logbook or PAC register hence took long to trace PAC patient(the last one recorded was in January)
The facility looks like they handle a lot of PAC patients compared to the numbers they gave.
The facility lost a PAC patient in march 2023 severe sepsis. The interview was great, an open minded nurse in charge.
The facility mostly manages cases with complete abortion through administration of antibiotics to prevent infections and to stop bleeding. Due to lack of capacity to provide comprehensive post-abortion care, serious cases of abortion complicati
The facility mostly serves Islamic community.
The facility name changed to Beleview South Hospital.
The facility offers adequate pac services
The facility offers pac
The facility offers pac services
The facility offers pac services but do not offer TOP. The nurse in charge was very knowledgeable and very helpful
The facility offers pac services.
The facility offers post abortion care services but lack the equipments and medication supply to do the same and the health care works need comprehensive post abortion care training
The facility only offers inpatients services for PAC patients only because most of their patients are usually admitted and in rare cases do they have outpatient. Its been so long since they ever had an outpatient service for PAC and that is why
The facility provide PAC services and under authorization also does TOP services
The facility purely provides lab services.They collect samples from facilities and and draw samples from clients for diagnosis. Some of the tests they carry out include Biopsy, The facility narrowed down to lab services in the year 2016. The Re
The facility receives very few patients, its a private one and they do not accept NHIF this makes it very expensive . They stopped stocking various contraceptives because people prefer the free o es from government hospitals.
The facility refer most of PAC patients to machakos level 5 hospital
The facility seems to receive more PAC patients but they don't record or report. Most patients come at night for the services.
The facility serves mostly Muslims. They are very rigid on using contraceptives.
The facility service providers doesn't want to come out clean to this matter related to Abortion and Termination of pregnancies, we need more training to the health providers to create awareness on this delicate matter in order to improve the
The facility uses emedical system to record pac patients
The facility was closed down last year October; talked to the CO in charge when it was operational via mobile phone, the facility did not offer post abortion care and complications services. The facility used to provide equal access to health a
The facility's ambulance is not functional at the moment and has no equipment.
The gynecologist only offer consultation and does not conduct comprehensive medical services in the facility.
The gynecologist stated that he has always dealt with all PAC related patients and has never referred any to a higher level facility.
The health care providers require comprehensive PAC service training and supply for both medication and equipment for service provision.
The health provider was well versed/had quite an experience on PAC provision
The healthcare provider agreed they do TOPs under KMET with collaboration with the county government. Also noted that safe abortion should be legalized to minimise morbidity rates
The healthcare provider indicated that during referrals in for PAC patients it may be difficult to identify those from outside nyanza and western region.(some maybe visiting relatives for a while)
The healthcare providers are unable to provide medical abortion because of lack of medication. However they are in a capacity to provide the service.
The help care provider lacks essential PAC medications due to the the level of the facility
The hospital has never received a PAC for for the last 1 year though it does offer the services
The hospital has only six beds in the maternity section . Being at the border with Kericho they receive patients from there. Most clients prefer private facilities to government ones. They feel their secrets are safe there.
The hospital name was changed to Langas Racecourse Nursing Home Interview was completed successfully
The hospital only has 5 beds that they use for maternity inpatient only.
The incharge willingly offered the information in details and was concerned if the facility will have an upgrade matters the PAC services post the study.
The interview ended well
The interview proceeded very well with no interruption.
The interview proceeded well without any disturbance.
The interview was a success
The interview was a success I came to know the problem faced by health care provider in this facility that hind better provision of PAC services and other medical services to patients. These are factors like lack of enough training for staff an
The interview was a successful one
The interview was complete.
The interview was informative.Respondents were receptive,engaging and were open to answering all the questions asked.
The interview was lively the respondent was fully committed
The interview was smooth with maximum cooperation from the hospital management and the staff who we worked with all through
The interview was successful
The interview was successful the respondent was cooperative
The interviewer was well versed with post abortion care services, hospital had most of the medical equipment
The main challenge the facility is facing is very far that's why the low number of PAC.
The management staffs kind of restricted to share any crucial information to the public. He was stoned faced and in hurry to finish.
The nurse said PAC services is a seasonal thing . When schools are closed and its time for reopening the number always spikes compared to other times. The facility lost one college girl last year to unsafe abortion. By the time the girl reache
The offer PAC services but there case load is low. For the last 6months they have received only one case and had severe anemia that was refered.
The provider was very collaborative and well versed in the subject
The respondent said haemoglobin should be separated from blood count test
The respondent said they have oxygen plant that's why they don't have ventilators
The respondent was able to answer most of the questions asked and was also very knowledgeable about PAC. Was hesitant and refused to state if they keep a logbook or register of PAC patients.
The respondent was cooperative,well informed and understood the questions very well
The respondent was keen and wanted to know more of the benefits for the study He wanted to get help with the permanent methods to be provided.
The respondent was the matron in charge of female ward, then I had to talked to the gynecologist Dr.Maria and finally I had to talk to the Medical superintendent Dr. Malik to get information on the number of professionals working in the facilit
The respondent was unable to give a response to Question 515 because the facility is inspired by religion, and does not provide any method of contraception. However, counselling on contraceptive methods is done to PAC patients.
The respondent was very cooperative
The respondents were welcoming and willingly gave information.
The respondents were welcoming and willingly shared information on the study. However question 517 was incomplete.
The staff was very cooperative and consented to the study.
There are a lot of health care providers who have the knowledge and skills for offering PAC Services but only a handful of them are practising as PAC service providers.
There are numerous cases that are not put on record especially for TOP cases and complications on post Abortion.
There interview was done privately.
There is a lot to be done than said to improve the services for Abortion complications patients in our communities.
There is little turn out of patience at God Agulu dispensary.
There is need from water supply, electricity supply, equipments supply, trained personnel's, medication supply etc at Abuoro dispensary.
There is one Lab technician and is usually out sourced,mainly to collect samples for diagnosis. Ambulance is also outsourced from neighbouring facilities(e.g Aga Khan,Guru Nanak)whenever they need to transfer patients.It usual comes with the e
There was incomplete abortion case received during the interview, MVA was done in April but seems there was retained products of conception and MVA had to be done again today. She presented with severe bleeding. Q405 is the actual number in the
There's well organisations in at the facility and was accorded the support I needed by the Rev. Father Bernard Mongandi the Patron.
They are eagerly waiting for the PMS training
They changed name from kahawa wendani Hospital to lifeline groups of Hospitals in 2020
They do not offer pac services
They doesn't want to come out clearly about Abortion numbers since there is availability of drugs fully.
They don't do referrals.its in very rare cases.The respondent noted that facility is capable of handling any reproductive health emergencies Referrals can be done when a patient's insurance cover cannot be used to cater for the bills in that fa
They don't keep PAC register and they only refer cases due to cost related not Medical ground
They facility does not offer TOP, prefer to transfer TOP patients to government hospitals.
They get blood for transfusion from Nyahururu Referral when there's need
They offer PAC but they receive very little PAC patients since many of them opt to go to a nearby Health Centre.
They only have files for PAC patients no register
They treat all PAC patients who come to their Facility hence no refferal
This facility does not exist.
This is a faith based facility so they don't agree on termination of pregnancies and the use of contraceptives, being a mission hospital for Catholics.
This is one of my best interviews. She is most knowledgeable after working in this facility for ten years.
Values given on Q. 411 are for patients who were advised by health providers based on the indications for TOP On Q411 patients don't make appointment ahead of time but have always been attended as emergencies.
Vasectomy was once done in the hospital however it was not successful as the client was still fertile thereafter. Ampicillin use was ruled out in the hospital as well as tramadol, diclofenac.
Very cooperative
Very cooperative respondent
Very cooperative staff
Very informative reproductive health nurse.
Very informative staff
Very knowledgeable nurse
Very knowledgeable respodent. The facility offers pac and top services
Very welcoming. The facility does not offer any pac services
Warm welcome Interview was smooth
Was a good interview
Was not able to type the date of the most recent PAC patient visit entered on the registry because the tab did not allow And it is 27/4/2023
Well equipped. Sufficient facilities.
Well informed interviewees
Wonderful reception received warm
Wonderful respondent, he has a vast knowledge of PAC in these Facility.

Warning: these figures indicate the number of cases found in the data file. They cannot be interpreted as summary statistics of the population of interest.

Question pretext

N/A

Question post text

N/A

Interviewer instructions

N/A

Description

Text

General comments from the interviewer on the survey

Universe

Field interviewers

others

Notes

"End of interview General comments"