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HEALTH_AND_WELL-BEING
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DDI-UGA-APHRC-BAOBAB-2023-V1.0
Measuring Abortion Incidence, Severity of Complications, and Health Facilities’ Capacity to Provide Abortion Care in Refugee Settings in Uganda, BAOBAB STUDY
Uganda
,
2023
Health and Well-Being (HaW)
Yohannes Wado
Study description
Documentation
Data Description
Get Microdata
Data files
KIS_UGANDA_RECAST
PMS_MRR_UGANDA_RECAST
Uganda_HFS_RECAST
Variable Groups
KIS
INTERVIEW DETAILS
SECTION 1: BACKGROUND
SECTION 2: GENERAL QUESTIONS
SECTION 3: INDUCED ABORTIONS
SECTION 5: A. ANSWER CERTAINTY
SECTION 5: B. MISCARRIAGE TREATMENT
SECTION 6: STIGMA QUESTIONS
PMS_MRR
PMS PATIENT SECTION
INTRODUCTION
SECTION 1: BASIC INFORMATION
SECTION 2: REPRODUCTIVE HEALTH HISTORY
SECTION 3: SYMPTOMS AND CARE-SEEKING DECISIONS
SECTION 4: QUALITY OF ABORTION AND FAMILY PLANNING SERVICES
SECTION 5: ABORTION KNOWLEDGE AND ATTITUDES
SECTION 6: SECURITY, CONFLICT AND VIOLENCE
PMS PROVIDER SECTION
INTERVIEW DETAILS
Section 1: General Information on Patient Intake
Section 2: Initial Examination and Observations
Section 3: Complication Questions
Section 4: Procedures and Medications
Section 5: Likely Abortion Questions
Section 6: Final Outcome
MRR
iNTERVIEW DETAILS
Section 1: Patient’s Medical Assessment
Section B: Laboratory Findings
Section C: Assessment of Complication Severity
Section D: Management
Section E: Outcomes
HFS
INTERVIEW DETAILS
SECTION 1: GENERAL FACILILTY QUESTIONS
SECTION 2: AVAILABILITY OF PAC SERVICES
SECTION 3: AVAILABILITY OF LEGAL TERMINATION OF PREGNANCY SERVICES
SECTION 4: ABORTION COMPLICATION CASELOADS
SECTION 5: CONTRACEPTIVE COUNSELING AND PROVISION
SECTION 6: SERVICES FOR SPECIFIC POPULATIONS
SECTION 7: KNOWLEDGE AND ATTITUDES TOWARDS ABORTION
SECTION 8: AVAILABILITY OF EQUIPMENT
Variable Groups
Variable group: INTERVIEW DETAILS
Variables
632
pms_q504_m
A woman who has an abortion should be isolated from other people in the communi
pms_q504_n
If a man has sex with a woman who has had an abortion, he will become infected
pms_q504_o
I would tease a woman who has had an abortion so that she will be ashamed about
pms_q504_p
I would try to disgrace a woman in my community if I found out she'd had an abo
pms_q504_q
I would stop being friends with someone if I found out that she had an abortion
pms_q504_r
I would point my finger at a woman who had an abortion so that other people kne
pms_q600
600. Thinking about your current place of residence, have you always lived ther
pms_q601
601. Why did you decide to leave your former place of residence?
pms_q601_1
q601_1
pms_q601_2
q601_2
pms_q601_3
q601_3
pms_q601_4
q601_4
pms_q601_5
q601_5
pms_q601_96
q601_96
pms_q601_99
q601_99
pms_q601_spy
601. Other reason (Specify)
pms_q602
602. Did you come from another country?
pms_q602a
602a. What country are you from?
pms_q602a_spy
602a. Other country (Specify)
pms_q602b
602b.How long ago did you move to Uganda?
pms_q603
603. Do you currently live in a camp/settlement?
pms_qv_grp2_ask
If you would like some support to help with the consequences of experiencing vi
pms_q604
604. Would you say that your current neighborhood/place of residence is an area
pms_q604_1
q604_1
pms_q604_2
q604_2
pms_q604_0
q604_0
pms_q604_99
q604_99
pms_q605a
605a. During the last month, how safe did you feel going to a health facility d
pms_q605b
605b. During the last month, how safe did you feel going to a health facility d
pms_q606
606. In the past 12 months, have you heard about anyone who disappeared or who
pms_q607
607. In the past 12 months, have you witnessed (actually seen) someone close to
pms_q608
608. In the past 12 months, have you been separated from family member(s) becau
pms_q608_1
q608_1
pms_q608_2
q608_2
pms_q608_0
q608_0
pms_q608_99
q608_99
pms_q609
609. In the past 12 months, have you been exposed to armed combat (such as shel
pms_q610
610. In the past 12 months, have you been hit, punched, kicked, slapped, choked
pms_q610_1
q610_1
pms_q610_2
q610_2
pms_q610_0
q610_0
pms_q610_99
q610_99
pms_q611
611. In the past 12 months, have you been forced to have sex against your will?
pms_q611_1
q611_1
pms_q611_2
q611_2
pms_q611_0
q611_0
pms_q611_99
q611_99
pms_q612
612. In the past 12 months, were you ever forced to have sex to be able to eat,
pms_q613
613. In the past 12 months, were you ever physically forced or made to feel tha
pms_q614
614. Is the pregnancy that just ended a result of a sexual intercourse against
pms_q615
615. Has anyone forced you to lose this pregnancy?
pms_q616a
616a. If you wish, I can refer you to services for your experiences of violence
pms_pms_counselling
This is the end of my questions, and I want to thank you for your help on this
pms_result_pms_pat_r1
End of the Patient PMS Interview. Outcome of the interview
pms_pms_comments
End Comments of the Patient PMS interview
pms_AFS
pms_q1
1. INTERVIEW DETAILS Date of provider interview
pms_start_time
Start time of provider interview
pms_q3
3. Is the respondent available for an interview?
pms_q3a
3a. Has this provider already consented to participate in the study?
pms_short_consent
Shortened Consent Text for Providers Who Have Already Been Consented – Prospe
pms_short_consent_sign
Gather initials FW'S NOTE::You must SAVE the initials before you proceed to the
V635
B1. Do you agree to participate in the survey? (provider)
pms_b2a
B2a. There is a chance that we may also want to recontact you to clarify detail
pms_b2b
B2b. Thank you for agreeing to participate in this study. To confirm your conse
pms_b2b_sign
Gather initials FW'S NOTE::You must SAVE the initials before you proceed to the
pms_b2c
Note to Interviewer: Do not read this out loud: B2c. Investigator or person who
pms_b2c_sign
Field interviewer to sign or insert initials FW'S NOTE::You must SAVE the signa
pms_b3
Note to Interviewer: Do not read this out loud: B3. Investigator or person who
pms_SubmissionDate
SubmissionDate
pms_starttime
Start time
pms_endtime
End time
pms_deviceid
Device id
pms_subscriberid
Subscriber id
pms_simid
simid
pms_devicephonenum
devicephonenum
pms_caseid
caseid
pms_device_info
device_info
pms_duration
Duration
pms_dateofpms
G2. Date of data collection visit
pms_g3
G3. Time started
pms_A1_region
A1. Region
settlement
A2_settlement_name
pms_level
A3a. Facility level
pms_A4_generated_id
A4_generated_id
pms_A5
A5. Is the patient incapacitated and unable to consent? [By answering no, you a
pms_A6
A6. Is the patient under the age of 15?
pms_A7
A7. Interview dialect
pms_A7_spy
A7.Specify other interview dialect
pms_A8a
A8a.Interpreter availability NOTE: If you (the interviewer) do not speak the la
pms_A8b
A8b. On-site interpreter availability
pms_consent_used
consent_used
pms_C1
C1. Do you agree to participate in the survey?
pms_C2
C2. Reason for non-consent
pms_C2_spy
C2. What other reason(s) led to her refusal to be interviewed?
pms_B1
B1. Do you agree to participate in the survey? (under 15 patient)
pms_C2a
C2a. There is a chance that we may also want to recontact you to inform you of
pms_C3
C3. Thank you for agreeing to participate in this study. To confirm your consen
pms_B2
B2. Thank you for allowing us to interview your provider and review your medica
pms_investigator
Investigator or person who conducted Informed Consent discussion: I confirm tha
pms_q101
101. What is your age?
pms_q102
102. What is your current marital status?
pms_q103
103. What is your religious belief?
pms_q103_spy
103. Specify other religion
pms_q104
104. Are you currently in school?
pms_q105
105. What is your highest level of education?
pms_q106
106. How many people, including you, live in your household?
pms_q107
107. During the past month, has your household income allowed you to take care
pms_q108
108. After taking care of all your household expense requirements, have members
pms_q109
109. Have you ever had to go for a full day without a meal during the past mont
pms_q110
110. During the past month, have you earned money for yourself?
pms_q111
111. Do you have electricity in your household?
pms_q112
112. What is the main source of the lighting/power in your household?
pms_q112_spy
112. Specify other source of lighting/power
pms_q113_questions_label
113. Which of the listed household items do you have in your household? Househo
pms_q113_1
1. Television
pms_q113_2
2. Radio
pms_q113_3
3. Mobile phone
pms_q121
121. Do you have any difficulty seeing, even if wearing glasses? Would you sayâ
pms_q122
122. Do you have any difficulty hearing, even if using a hearing aid? Would you
pms_q123
123. Do you have difficulty walking or climbing steps? Would you say…
pms_q124
124. Do you have difficulty remembering or concentrating? Would you say…
pms_q125
125. Do you have difficulty with self-care, such as washing all over or dressin
pms_q126
126. Using your usual language, do you have difficulty communicating, for examp
pms_q200
200. How many pregnancies have you had in total, including the one you are seek
pms_q201
201. Have you ever given birth?
pms_q202
202. In total, how many children have you given birth to (including any that ma
pms_q203
203. How many biological living children do you have, including those who are n
pms_q204
204. When was your last birth?
pms_q204_str
q204_str
pms_q204_unk
For don't know or refused to answer on day, month, or year, mark this check box
pms_q204_unit
Interviewer: Please check what is not known or refused:
pms_q204_unit_88
q204_unit_88
pms_q204_unit_8888
q204_unit_8888
pms_q205
205. Before the pregnancy that brought you to the hospital today, how many othe
pms_q206
206. Thinking about the pregnancy that brought you to the health facility today
pms_q206_1
q206_1
pms_q206_2
q206_2
pms_q206_3
q206_3
pms_q206_4
q206_4
pms_q206_96
q206_96
pms_q206_98
q206_98
pms_q206_99
q206_99
pms_q206_spy
206. Specify other way (Specify)
pms_q206a
206a. What kind of pregnancy test did you take?
pms_q206a_spy
206a.Specify other pregnancy test
pms_q207
207. Thinking about the pregnancy that brought you to the hospital today, at th
pms_q207_spy
207. Specify other decision (Specify)
pms_q208
208. How much longer would you like to have waited before getting pregnant?
pms_q209
209. You said you wanted the pregnancy at first but later changed your mind. Wh
pms_q209_1
q209_1
pms_q209_2
q209_2
pms_q209_3
q209_3
pms_q209_4
q209_4
pms_q209_5
q209_5
pms_q209_6
q209_6
pms_q209_96
q209_96
pms_q209_98
q209_98
pms_q209_99
q209_99
pms_q209_spy
209. Specify other reason
pms_q210
210 What are the reason(s) why you did not want the pregnancy at that time? Do
pms_q210_1
q210_1
pms_q210_2
q210_2
pms_q210_3
q210_3
pms_q210_4
q210_4
pms_q210_5
q210_5
pms_q210_6
q210_6
pms_q210_7
q210_7
pms_q210_8
q210_8
pms_q210_9
q210_9
pms_q210_10
q210_10
pms_q210_11
q210_11
pms_q210_12
q210_12
pms_q210_13
q210_13
pms_q210_14
q210_14
pms_q210_96
q210_96
pms_q210_98
q210_98
pms_q210_99
q210_99
pms_q210_spy
210 Specify the other reason(s) why you did not want to get pregnant at all
pms_q211
211. How many weeks (or months) pregnant were you before you lost your pregnanc
pms_q211_unit
q211_unit
pms_q211b
211b. How many pregnant were you before you lost your pregnancy?
pms_q212
212. At the time you became pregnant, were you using a method of contraception?
pms_q213
213. Why were you not using any contraceptive method? Do not read answer catego
pms_q213_1
q213_1
pms_q213_2
q213_2
pms_q213_3
q213_3
pms_q213_4
q213_4
pms_q213_5
q213_5
pms_q213_6
q213_6
pms_q213_7
q213_7
pms_q213_8
q213_8
pms_q213_9
q213_9
pms_q213_10
q213_10
pms_q213_11
q213_11
pms_q213_12
q213_12
pms_q213_13
q213_13
pms_q213_14
q213_14
pms_q213_15
q213_15
pms_q213_16
q213_16
pms_q213_96
q213_96
pms_q213_98
q213_98
pms_q213_99
q213_99
pms_q213_spy
213. Specify other reason
pms_q214
214. Which methods were you using (or what were you doing) at the time you beca
pms_q214_1
q214_1
pms_q214_2
q214_2
pms_q214_3
q214_3
pms_q214_4
q214_4
pms_q214_5
q214_5
pms_q214_6
q214_6
pms_q214_7
q214_7
pms_q214_8
q214_8
pms_q214_9
q214_9
pms_q214_10
q214_10
pms_q214_11
q214_11
pms_q214_12
q214_12
pms_q214_96
q214_96
pms_q214_98
q214_98
pms_q214_99
q214_99
pms_q214_spy
214. Specify other reason
pms_q215
215. Did you do anything to intentionally end your pregnancy?
pms_q216
216. Who made the decision to stop this pregnancy? Do not read answer categorie
pms_q216_1
q216_1
pms_q216_2
q216_2
pms_q216_3
q216_3
pms_q216_4
q216_4
pms_q216_5
q216_5
pms_q216_6
q216_6
pms_q216_96
q216_96
pms_q216_99
q216_99
pms_q216_spy
216. Specify other persons who made the decision
pms_q217
217. How long ago did you first try to stop this pregnancy?
pms_q217_unit
q217_unit
pms_q217_period
Indicate period in
pms_q218
218. What are things you did to try to end the pregnancy? Do not read answer ca
pms_q218_1
q218_1
pms_q218_2
q218_2
pms_q218_3
q218_3
pms_q218_4
q218_4
pms_q218_5
q218_5
pms_q218_6
q218_6
pms_q218_7
q218_7
pms_q218_8
q218_8
pms_q218_9
q218_9
pms_q218_10
q218_10
pms_q218_11
q218_11
pms_q218_96
q218_96
pms_q218_98
q218_98
pms_q218_99
q218_99
pms_qa18a
218. Other pill type (Specify)
pms_q218_spy
218. Specify other things you tried
pms_q218_choice_name
q218_choice_name
pms_q218_name
q218_name
pms_q219a
219a. You said you took pills to end your pregnancy, but you are not sure what
pms_q219a_1
q219a_1
pms_q219a_2
q219a_2
pms_q219a_3
q219a_3
pms_q219a_4
q219a_4
pms_q219a_5
q219a_5
pms_q219a_0
q219a_0
pms_q219a_98
q219a_98
pms_q219a_99
q219a_99
pms_q219b
219b. You said you took pills to end your pregnancy. Where did you get the pill
pms_q219b_1
q219b_1
pms_q219b_2
q219b_2
pms_q219b_3
q219b_3
pms_q219b_4
q219b_4
pms_q219b_5
q219b_5
pms_q219b_6
q219b_6
pms_q219b_7
q219b_7
pms_q219b_8
q219b_8
pms_q219b_9
q219b_9
pms_q219b_10
q219b_10
pms_q219b_96
q219b_96
pms_q219b_98
q219b_98
pms_q219b_99
q219b_99
pms_q219b_spy
219c. Specify other place
pms_q219c
219c. How did you learn about where you could go to get the medicines? Do not r
pms_q219c_1
q219c_1
pms_q219c_2
q219c_2
pms_q219c_3
q219c_3
pms_q219c_4
q219c_4
pms_q219c_5
q219c_5
pms_q219c_6
q219c_6
pms_q219c_7
q219c_7
pms_q219c_8
q219c_8
pms_q219c_9
q219c_9
pms_q219c_96
q219c_96
pms_q219c_98
q219c_98
pms_q219c_99
q219c_99
pms_q219c_spy
219c. Specify other place
pms_q219d
219d. What type of person provided the medicines to you? That is, who either wr
pms_q219d_spy
219d. Specify other person
pms_q219d_name
q219d_name
pms_q219d_provider
q219d_provider
pms_q219e
219e. What type of person provided the medicines to your friend, family member,
pms_q219e_spy
219e. Specify other person
pms_q219e_name
q219e_name
pms_q219e_provider
q219e_provider
pms_provider
provider
pms_provider_combined
provider_combined
pms_q219f
219f. Did the write a prescription to go purchase the medi
pms_q219g
219g. Did you pay for the medicines yourself, or did someone buy them for you?
pms_q219h
219h. Did the give you instructions for how to take this m
pms_q219i
Misoprostol/Mifepristone dose 219i. How many tablets of this medicine did the $
pms_q219j
Administration of pills 219j. How did the tell you to admi
pms_q219j_1
q219j_1
pms_q219j_2
q219j_2
pms_q219j_3
q219j_3
pms_q219j_4
q219j_4
pms_q219j_96
q219j_96
pms_q219j_99
q219j_99
pms_q219j_spy
219j. Specify other way
pms_q219k
219k. What did the tell you to expect after taking the tab
pms_q219k_0
q219k_0
pms_q219k_1
q219k_1
pms_q219k_2
q219k_2
pms_q219k_3
q219k_3
pms_q219k_4
q219k_4
pms_q219k_5
q219k_5
pms_q219k_6
q219k_6
pms_q219k_7
q219k_7
pms_q219k_8
q219k_8
pms_q219k_96
q219k_96
pms_q219k_99
q219k_99
pms_q219k_spy
219k. Specify other expectation
pms_q219l
219l. Did the tell you how much bleeding you should expect
pms_q220a
220a. You told me you had a surgical procedure. Where did you go to get the pro
pms_q220a_spy
220a. Specify other expectation
pms_q220b
220b. How did you learn about where you could go to have the procedure? Do not
pms_q220b_1
q220b_1
pms_q220b_2
q220b_2
pms_q220b_3
q220b_3
pms_q220b_4
q220b_4
pms_q220b_5
q220b_5
pms_q220b_6
q220b_6
pms_q220b_7
q220b_7
pms_q220b_8
q220b_8
pms_q220b_9
q220b_9
pms_q220b_96
q220b_96
pms_q220b_98
q220b_98
pms_q220b_99
q220b_99
pms_q220b_spy
220b. Specify other way you learned
pms_q220c
220c. What kind of surgical procedure did you get? Relevant definitions: Manual
pms_q220c_spy
220c.Specify other procedure
pms_q220d
220d. Who performed the surgical procedure?
pms_q220d_spy
Specify other person
pms_q220
220. You said you used traditional methods, like herbs to end your pregnancy. W
pms_q221a
221a. Where did you go to get the Do not read response categories
pms_q221a_spy
221a. Other place (Specify)
pms_q221b
221b. How did you learn that the could help end a pregnancy? Do no
pms_q221b_1
q221b_1
pms_q221b_2
q221b_2
pms_q221b_3
q221b_3
pms_q221b_4
q221b_4
pms_q221b_5
q221b_5
pms_q221b_6
q221b_6
pms_q221b_7
q221b_7
pms_q221b_8
q221b_8
pms_q221b_9
q221b_9
pms_q221b_96
q221b_96
pms_q221b_98
q221b_98
pms_q221b_99
q221b_99
pms_q221b_spy
221b. Specify other way you learned
pms_q221c
221c. What type of person provided the Do not read response catego
pms_q221c_spy
221c.Specify other person
pms_q300
Now I will ask you questions about the symptoms you experienced and the decisio
pms_q300_1
q300_1
pms_q300_2
q300_2
pms_q300_3
q300_3
pms_q300_4
q300_4
pms_q300_5
q300_5
pms_q300_6
q300_6
pms_q300_96
q300_96
pms_q300_99
q300_99
pms_q300_spy
300. Specify other reasons
pms_q301
301. When did your first symptoms begin?
pms_q301_str
q301_str
pms_q301_unk
For Don't know or Refused to answer, Mark this check box
pms_q301a
301a. Time of the day
pms_label_q302
302. Please describe the problems you had when you first started having health
pms_q302_1
1. Bleeding
pms_q302_2
2. Pain
pms_q302_3
3. Fever
pms_q302_4
4. Vaginal discharge (other than blood)
pms_q302_96
5. Other (Specify)
pms_q302_96_spy
302.6. Specify the other complications you experienced.
pms_q303
303. When did you realize you needed help?
pms_q303_str
q303_str
pms_q303_unk
For Don't know or Refused to answer, Mark this check box
pms_q303a
303a. Time of the day
pms_q304
304. What did you do when you realized you needed help? [Do not read answer cat
pms_q304_1
q304_1
pms_q304_2
q304_2
pms_q304_3
q304_3
pms_q304_4
q304_4
pms_q304_5
q304_5
pms_q304_6
q304_6
pms_q304_7
q304_7
pms_q304_96
q304_96
pms_q304_99
q304_99
pms_q304_spy
304. Specify other thing you did when you realized you needed help
pms_q305
305. Did you seek help directly in this health facility when you first realized
pms_q306
306. Where did you go before arriving at this health facility? [Do not read res
pms_q306_1
q306_1
pms_q306_2
q306_2
pms_q306_3
q306_3
pms_q306_4
q306_4
pms_q306_96
q306_96
pms_q306_99
q306_99
pms_q306_spy
306. Specify other place you went
pms_q306a
306a. How many other facilities/hospitals did you go to before arriving at this
pms_q307
Date (DD/MM/YYYY)
pms_q307_str
q307_str
pms_q307_unk
For Don't know or Refused to answer, Mark this check box
pms_q307a
307a. Time of the day
pms_q308
308. In your opinion, once you realized that you needed help, was the decision
pms_q309
309. What was or were the reason(s) why you think that the decision took longer
pms_q309_1
q309_1
pms_q309_2
q309_2
pms_q309_3
q309_3
pms_q309_4
q309_4
pms_q309_5
q309_5
pms_q309_6
q309_6
pms_q309_7
q309_7
pms_q309_8
q309_8
pms_q309_9
q309_9
pms_q309_10
q309_10
pms_q309_11
q309_11
pms_q309_12
q309_12
pms_q309_13
q309_13
pms_q309_14
q309_14
pms_q309_15
q309_15
pms_q309_96
q309_96
pms_q309_99
q309_99
pms_q309_spy
309. Specify other reasons
pms_q310
310. How did you get to this health facility?
pms_q310_spy
Specify other way you came to this health facility
pms_q311
311. When did you arrive at this health facility?
pms_q311_str
q311_str
pms_q311_unk
For Don't know or Refused to answer, Mark this check box
pms_q311a
311a. Time of the day
pms_label_q312
312. Now please describe the problems you had as a result of this pregnancy, bu
pms_q312_1
1. Bleeding
pms_q312_2
2. Pain
pms_q312_3
3. Fever
pms_q312_4
4. Vaginal discharge (other than blood)
pms_q312_96
5. Other (Specify)
pms_q312_96_spy
312. Specify the other complications you experienced.
pms_q313
313. Thinking about all your health problems put together, will you consider yo
pms_q314
314. In your opinion, what do you think of the time it took you to arrive at th
pms_q315
315. What (was/were) the reason(s) why you think it took too long to arrive at
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q315_1
pms_q315_2
q315_2
pms_q315_3
q315_3
pms_q315_4
q315_4
pms_q315_5
q315_5
pms_q315_6
q315_6
pms_q315_7
q315_7
pms_q315_8
q315_8
pms_q315_96
q315_96
pms_q315_97
q315_97
pms_q315_99
q315_99
pms_q315_spy
Specify other reasons
pms_q316
316. How much did you pay for the journey to this health facility (e.g. fare, p
pms_q317
317. Were there additional transportation costs for any person (people) who cam
pms_label_q318
318. Did you pay for each of the following goods or services during your stay i
pms_q318_1
1. Consultation (including admission card fee)
pms_q318_2
2. Medicine
pms_q318_3
3. Hospital supplies
pms_q318_4
4. Lab tests (e.g., x-ray, blood test)
pms_q318_5
5. Additional money paid to staff (e.g., appreciation fees)
pms_q318_6
6. Patient's food and lodging
pms_q318_7
7. Meals and lodging for the person who accompanied you here
pms_q318_8
8. Other costs
pms_q319a
319a. Please specify what kind of consultations you paid for:
pms_q319b
319b. How much did you pay for the consultations, including admission card fee,
pms_q320a
320. Please specify what kind of medicines you paid for: [Enter for 'Don'
pms_q320b
320b. How much did you pay for the medicines that you received here? [Enter `88
pms_q321a
321. Please specify what kind of hospital supplies you paid for: [Enter f
pms_q321b
321b. How much did you pay for supplies? [Enter for 'Don't know' and `999
pms_q322a
322. Please specify what kind of lab tests (including x-rays, scans) you paid f
pms_q322b
322b. How much did you pay for lab tests (including x-rays, scans)? [Enter `888
pms_q323a
323. Please give details of additional money paid to staff (e.g. appreciation f
pms_q323b
323b. How much was the additional money paid? [Enter for 'Don't know' and
pms_q324
COST OF FOOD/LODGING 324. How much did you pay for any food and/or lodging? [En
pms_q325
325. How much did you pay for meals and/or lodging for the person/people who ac
pms_q326a
326a. Please give details of what other costs you paid for that we did not ment
pms_q326b
326b. How much was the additional money paid for any other costs not mentioned
pms_q327
327. (Only in case it is not possible to breakdown expenses), How much in total
pms_label_q328
328. How were the services that you received today paid for? [Read each payment
pms_q328_1
1. Cash (Include any co-payment to insurance)
pms_q328_2
2. National Hospital Insurance Fund (NHIF)
pms_q328_3
3. Community Health Insurance Scheme
pms_q328_4
4. Private health insurance
pms_q328_5
5. Waived/exempted
pms_q328_6
6. Given opportunity to pay later (Credit)
pms_q328_96
7. Other (specify)
pms_q328_96_spy
328.7. Please Specify other way
pms_q329
329. Where did you get the funds to pay for the services? (Do not prompt. Selec
pms_q329_1
q329_1
pms_q329_2
q329_2
pms_q329_3
q329_3
pms_q329_4
q329_4
pms_q329_5
q329_5
pms_q329_6
q329_6
pms_q329_7
q329_7
pms_q329_8
q329_8
pms_q329_9
q329_9
pms_q329_10
q329_10
pms_q329_96
q329_96
pms_q329_98
q329_98
pms_q329_99
q329_99
pms_q329_10_spy
329. Sell assets (e.g. animal, household goods) - Specify
pms_q329_96_spy
329. Other Specify
pms_q330
330. Did you receive financial or material help to pay for the expenses related
pms_q330a
330a. Specify value in UGSH [Enter for 'Don't know' and for 'No re
pms_q330b
330b.Specify what, and estimate value in UGSH.
pms_q331
331. Were you the main provider who provided PAC care to this patient? FOR INTE
pms_q400
400. How do you feel about the amount of time you waited to be seen by a provid
pms_q401
401. During your time in this facility did the doctors, nurses, or other health
pms_qpc_grp1_label
Questions
pms_q402a
a. Did the doctors, nurses, or other health care providers call you by your nam
pms_q402b
b. Did the doctors, nurses, or other staff at this facility treat you with resp
pms_q402c
c. During your time in this facility, would you say you were treated differentl
pms_q402d
d. When you were speaking to the doctors, nurses or other staff at this facilit
pms_q402e
e. Do you feel like your health information was or will be kept confidential at
pms_q402f
f. Did the doctors, nurses or other staff at this facility ask your permission/
pms_q402g
g. Did the doctors, nurses or other staff at this facility speak to you in a la
pms_q402h
h. Did the doctors and nurses explain to you why they were doing examinations o
pms_q402i
i. Did the doctors and nurses explain to you why they were giving you any medic
pms_q402j
j. At any point during your time at this facility, did the doctors and nurses a
pms_qpc_grp2_label
Questions
pms_q402k
k.Did you feel you could ask the doctors, nurses or other staff at this facilit
pms_q402l
l. Did the doctors and nurses ask how much pain you were in?
pms_q402m
m. Do you feel the doctors or nurses did everything they could to help control
pms_q402n
n. Did you feel the doctors, nurses, or other health providers shouted at you,
pms_q402o
o. Did you feel like you were treated roughly like pushed, beaten, slapped, pin
pms_q402p
p. During your time at this facility, did any staff at the facility ask you or
pms_q402q
q. Did you feel you could completely trust the doctors, nurses or other staff a
pms_q403
403. Did the health workers in this facility talk to you about taking family pl
pms_q404
404. What method(s) of family planning did they tell you were available? [Do no
pms_q404_1
q404_1
pms_q404_2
q404_2
pms_q404_3
q404_3
pms_q404_4
q404_4
pms_q404_5
q404_5
pms_q404_6
q404_6
pms_q404_7
q404_7
pms_q404_8
q404_8
pms_q404_9
q404_9
pms_q404_96
q404_96
pms_q404_98
q404_98
pms_q404_99
q404_99
pms_q404_spy
404. Specify the other method(s)
pms_q405
405. Are you leaving the facility with a method of family planning or a referra
pms_q406
406. Did you want to leave the facility with a family planning method?
pms_q407
407. Why did you not get a method today? [Do not read response options out loud
pms_q407_1
q407_1
pms_q407_2
q407_2
pms_q407_3
q407_3
pms_q407_4
q407_4
pms_q407_5
q407_5
pms_q407_96
q407_96
pms_q407_99
q407_99
pms_q407_spy
407. Specify the other reason(s)
pms_q408
408. Which family planning method are you leaving with? [Do not read response o
pms_q408_1
q408_1
pms_q408_2
q408_2
pms_q408_3
q408_3
pms_q408_4
q408_4
pms_q408_5
q408_5
pms_q408_6
q408_6
pms_q408_7
q408_7
pms_q408_8
q408_8
pms_q408_9
q408_9
pms_q408_96
q408_96
pms_q408_98
q408_98
pms_q408_99
q408_99
pms_q408_spy
408. Specify the other method(s)
pms_q409
409. Is this the method you wanted to leave with?
pms_q501
501. To your knowledge, under which circumstances is abortion LEGAL in Uganda?
pms_q501_1
q501_1
pms_q501_2
q501_2
pms_q501_3
q501_3
pms_q501_4
q501_4
pms_q501_5
q501_5
pms_q501_6
q501_6
pms_q501_7
q501_7
pms_q501_8
q501_8
pms_q501_9
q501_9
pms_q501_10
q501_10
pms_q501_11
q501_11
pms_q501_12
q501_12
pms_q501_13
q501_13
pms_q501_14
q501_14
pms_q501_15
q501_15
pms_q501_96
q501_96
pms_q501_98
q501_98
pms_q501_99
q501_99
pms_q501_spy
501. Under what other circumstances is abortion legal?
pms_q502
502. Do you believe you could find a way to have an abortion in this community?
pms_q503
503. Where do you think you could go for help having an abortion in this commun
pms_q503_1
q503_1
pms_q503_2
q503_2
pms_q503_3
q503_3
pms_q503_4
q503_4
pms_q503_5
q503_5
pms_q503_6
q503_6
pms_q503_7
q503_7
pms_q503_8
q503_8
pms_q503_9
q503_9
pms_q503_10
q503_10
pms_q503_96
q503_96
pms_q503_98
q503_98
pms_q503_99
q503_99
pms_q503_spy
503. Specify other place you think you could go for help
pms_qabortion_grp_label1
504. Questions
pms_q504_a
A woman who has an abortion is committing a sin
pms_q504_b
Once a woman has one abortion, she will make it a habit.
pms_q504_c
A woman who has had an abortion cannot be trusted.
pms_q504_d
A woman who has an abortion brings shame to her family
pms_q504_e
The health of a woman who has an abortion is never as good as it was before the
pms_q504_f
A woman who has had an abortion might encourage other women to get abortions.
pms_q504_g
A woman who has an abortion is a bad mother
pms_q504_h
A woman who has an abortion brings shame to her community.
pms_q504_i
A woman who has had an abortion should be prohibited from going to religious se
pms_qabortion_grp_label2
504. CONT…D Questions
pms_q504_j
A man should not marry a woman who has had an abortion because she may not be a
pms_q504_k
A woman who has an abortion should be treated the same as everyone else.
pms_q504_l
A woman who has an abortion can make other people fall ill or get sick.