| Value |
Category |
| -Agojo is a health center 11 however its working as an health center 111 due to employed MTI staffs .
-I interviewed a midwife because the incharge had gone for a quarter review meeting at the district when I called her on phone 📱. |
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| -I reached at the healthcenter I found the incharge who was an MTI who told the rolled midwife(incharge maternityto get involved the interview.
-She was very knowledgeable and answered all the questions to her best. |
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| 1. Noted that facility does not offer dilation & curritage services though equipment is in place due to attitude of healthy workers.
2.The facility has a referral system where they use ambulances to take patients to other healthy centres for |
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| 1. The facility provides PAC services but on a small scale being a lower level facility, it only handles mild forms of abortion cases where extream cases are referred to higher level healthy centres.
2. The facility has a referral system where |
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| 1. The facility receives resources for post abortion care from IP in the region i.e Medical Teams International (MTI) other than MOH.
2. Healthy workers supporting PAC services at this facility are entirely MTI staff
3. PAC services at this fa |
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| 1. The staff interviewed at Kyangwali HCIV gave a broad explanation regarding this study survey that they offer PAC services 24 hours per day, 7 days per week.
On average 60% cases are refugees and 40% are nationals. Refugees are greater than |
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| Ambulance is on site but most equipments to be used on an emergency are got from the department that has the emergency.
This facility has a volunteer that helps in sign language.
All pac patients are treated as inpatients only, and scan is per |
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| Ambulance is shared with other facilities but nationals pay for the fuel unlike the refugees.
They don't offer PAC services always because they are two midwives only and currently maternity section is closed because one of the midwives is on si |
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| Do mainly referal |
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| Entering this health facility was easy for me since i had made an appointment.
I introduced myself to the incharge who delegated a registered midwife to me, she was knowledgeable about the study and she had been there for almost 2years. |
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| Facility has no any source of electricity and its working days and time are not consistent, all staff at this facility are new.
They give Tetanus toxoid vaccine but the vaccine is kept at aware houes(general pharmacy for settlement)
The midwife |
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| Fairly good structures, it's a referral centre |
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| Good |
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| Good structures, very organised setup and welcoming staff |
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| Good, very knowlegable |
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| Good. She was very knowlagable but they don't get out patients for PAC. When when a PAC patients comes in she's normally retained for like 2 days as they monitor them and then later counsel them for family planning |
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| I found the incharge who was an MTI who directed to the midwife who consented to get involved in the study. |
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| I have met the incharge and she has gotten for me a midwife to interview. They have both been friendly and thus, the interview has been completed successfully, but I observed that the midwife had a negative attitude towards abortion because s |
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| I interviewed two respondent and both were midwives and one of them was an incharge Maternity.
The one I started with had worked night shift but was around, she is the one that the incharge delegated me too. so in the middle of the interview a |
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| In-charge didn't have good knowledge about the statistics and about the trainings that his staff had got despite the long term he has been there of 8months though after we engaged the midwife who helped. |
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| Interview was completed though the respondent posed for lunch for like 30mins and then again for a meeting which took almost 1½hrs but she told me to wait and complete it today.
Facility is well equipped according to intervie conducted. |
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| Interview went on well and no challenges were faced both on the tool and the people I interviewed. |
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| Interview went on well, no challenges were faced from the time of facility entry until the interview was done and no problem was encountered when using the tool. |
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| Kagoma health centre II was calm with very few patients, the respondent reported that they are ever busy but due to the rainy season, most of the people had gone for garden work.
The respondent was knowledgeable, calm and patient.
The resp |
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| Mahani Health Centre II is a one building Health Centre.
Though it was very busy with patients, it was a special day for the Young Child Clinic i,e immunisation day.
The respondent was patient, calm and attentive, actually she even paused |
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| Most of the family planning methods are provided even the permanent the fact that they have a doctor on call.
After offering PAC services all mothers must go with a family planning method as a continuous treatment for PAC for those who don't co |
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| Mukondo health centre II was very busy, each department was occupied right from the reception.
Two respondents were interviewed, the incharge maternity wing and her assistant. They were very cooperative and knowledgeable.
For some questions |
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| No challenges were encountered during this survey both from the tablet and the interaction we had.
The facility has no infrastructures but has most equipments for PAC services. |
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| No challenges were faced while collecting data from this facility.
Qtn 419 answer was 0% because she was like they've never referred any PAC client. Referral centre(Arua RRH) has no translators so this make most refugees fear to be referred the |
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| On reaching kasango health centre ii, I was recieved by the facility incharge who introduced me to the midwife.
The midwife who was the respondent was a bit busy with about four expectant mothers at the ward. After I introduced myself to her, |
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| Positive comments:
1. The facility does not offer post-abortion services those requiring treatment are given first aid and referred to higher level facility.
2. The facility has a stand-by ambulance used to transport patients who require extr |
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| Positive comments:
1. The facility has Starndard Operating Procedures (SOPs)/guidelines available for provision of PAC services.
2. The respondent was very cooperative and knowledgeable about PAC services which enabled me gather all informatio |
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| Positive findings:
1. According to my findings post-abortion care services are Provided at this facility. Services are in form of out- patients and in- patients care however, in-patients are more and usually refugees(96%), nationals are usuall |
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| Respondent was busy with clients so she was up and down but thoug we managed to complete it.
Qtn 408 all the clients who received PAC services first had medication with misoprostal to open the cervix and then after different types of surgical |
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| Ruhoko HC is currently running as an Out-Post service centre however, it was up-graded to HCIII in January 2023 by the Uganda Ministry of Health.
It operates for 8 hours i.e from 8am to 5pm perday for 5 days. It offers only out- patients servic |
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| She's been lovely, she seemed well conversant with the place since she's been there more than 6 months |
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| She's been so good, knowlegable and welcoming |
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| Since its only one person who knows how to use MVA, when he's not around they refer to Omigo HCIV. So they need more trainings in using MVA. |
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| Staffs were very organised although they are lacking an
MVA kit.
Their ambulance(trycycle/tukutuku) is not equiped with all the required equipments. |
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| The facility had only two staffs ,no midwife ,no drugs and equipments, the facility is also too small to provide PAC services, it's far from the main road and there is no access route like a big road to the facility, they also lack family plann |
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| The facility has no medical doctor attached here but his on call whenever there is a procedure that needs to be performed by him.
Research went on well and we were able to finish with one respondent. |
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| The facility is composed of only temporally structures which however they have enough staff .the midwife was knowledgeable and was able to answer the questions as asked. |
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| The facility is well stocked, has the capacity and most equipment to provide PAC services and most of PAC procedures are done from the theatre.
Nationals pay for fuel incase they need to refer them.
Family planning methods are provided from Mon |
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| The facility lacks infrastructures where the services can be offered from and the also lack some drugs and family planning supplies like sayana press |
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| The facility lacks most of the equipments ,drugs, staffs to provide post abortion care services, the midwife had knowledge about PAC but she lacks commodities and rooms to provide the services. The facility is too small ,no beds for admissions |
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| The facility lacks the posters that shows its a facility and when I asked why they don't have she told me it was taken by the wind 5months ago ,also lack of infrastructures and lack of auditory privacy while offering services .she also thanked |
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| The facility only offer inpatients post abortion care cos they register and monitor these women atleast one day before discharge to avoid complications that may occur when she is sent home early irrespective whether the abortion was incomplete |
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| The facility was well equipped with drugs family planning methods, ambulance, blood,and staffs .the incharge was welcoming and cooperative and said they don't offer termination of pregnancy but they refer to Aura hospital |
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| The health center is well organised although they lost some temporally structures which were acting as wards for in patients as they fell down due to poor weather conditions. |
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| The health providers have been welcoming. I observed that the facility provides PAC services but most of the time they refer those with abortions thus they just give first aid but some patients referred for further management, they come back |
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| The incharge got an emergency meeting call from the district and she dedicated the maternity incharge to be interviewed. |
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| The incharge had bias about termination of pregnancy and said whoever does it should be taken to prison especially the untrained people |
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| The incharge was good he recommended a mid wife and She's been knowlegable,they don't have a facility doctor but as the whole of imvepi settlement the has 1 who moves around facilities |
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| The incharge was knowledgeable and when I reached on questions about Family planning she gave a midwife to provide the information I needed she took time to show me all the equipments and drugs in the facility. The hospital was well equipped wi |
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| The incharge was positive about the interview she gave all the information I needed and she enjoyed the sections especially termination of pregnancy indicating that it should be allowed in Uganda to minimise the emergency cases they get due to |
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| The interview was a successful one .She was knowledgeable enough but the facility in temporary tents and have small rooms where services are offers |
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| The interview was a successful one. I interview a midwife who was knowledgeable, the facility was well equipped but they lack buildings cos the old ones have cracks and they shifted to temporary tents |
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| The interview was a successful one. The incharge had information about the facility and he requested that abortion should be allowed cos they are tired of handling emergencies related to abortion complications |
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| The interview was successful one but the charge was not knowledgeable enough about the outpatients and inpatients who recieve post abortion care services
because he is not always at the facility and when the monthly reports come they don't in |
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| The interview was successfully conducted and completed.
The respondent was calm, patient and comfortable. |
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| The interview went on so well but the incharge never wanted any questions related to termination of pregnancy, he was knowledgeable enough and gave me time to complete the interview |
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| The interview went on well the facility was so clean and well equipped, the midwife puased the interview for 10minutes cos she had a patient but later we finished the interview |
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| The interview went on well they were knowledgeable enough and they gave me a lot of time. The is well equipped but they lack some equipments like tenaculum, uterine sound ,the post abortion patients treated as inpatients |
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| The interview went on well with an enrolled midwife that was delegated to me by the government incharge via a phone call though in the first place I talked to an MTI incharge who had a negative attitude even after introducing myself well and pr |
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| The interview went on well, she was knowledgeable and had stayed at the facility for 4years ,the facility is well equipped with most of the equipment but they lack some and also there is shortage of family planning supplies, and more training o |
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| The interview went on well, the facility has a doctor but he is for the zone and he is always available on call ,she was knowledgeable but the facility doesn't have permanent buildings. They have temporary tents cos the buildings have cracks an |
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| The interview went on well, the facility was well equipped organised and clean its operating as health lll but according to what they have and what the offer it's a health center iv,And more training should be done cos there are few people tra |
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| The interview went on well. The facility had no infrastructure and there was no privacy for post abortion care services to be offered from . |
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| The interviewee has been welcoming and resourceful. Have gotten to know that the facility just provides first aid to mothers with abortions and then refer them immediately thus they treat outpatients only and this is because they don't perm |
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| The medical doctor is for the whole settlement so he visits this HP once a week. He is not specifically stationed at the facility |
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| The mid wife was more knowlegable. Its a lower HC they only conduct emergency deliveries they have 1 emergency bed. They do first aid on PAC patients and then refer to a higher level facility since they don't have equipments. |
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| The midwife has been so receptive and good. She was well conversant with the place, patient and well informed. The hospital environment was clean . |
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| The midwife wasn't sure about the statistics, she had been just transferred 2weeks back to this facility however she was knowledgeable and aware of what is taking place in the facility. |
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| The registered midwife I interviewed had knowledge gap cos when was one month old at the facility and she was the only one at the facility. The facility is too congested yet they recieve many clients they have an ambulance but its not functiona |
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| The respondent has been welcoming and resourceful. To my observation the facility offers postabortion care services.
I noticed that the facility mostly treats mothers with abortions as inpatients, although the midwife told they also tre |
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| The respondent has been positive however, she has said that being a Health Centre II, patients are always referred to either Maratatu B Health III or Kyangwali Health IV.
On addition to the above, she says that they give some help to the patie |
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| The respondent has been welcoming and knowledgeable. The facility offers post abortion care services according to my observations at that level.
However, the respondent says the facility will be upgrading to HCIV soon. And also he says they |
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| The respondent has been welcoming and resourceful and knowledgeable (incharge) about postabortion care. The facility is well equipped with so many methods of post abortion care whereby we walked around they have MVA set, misoprostol alone and |
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| The respondent has been welcoming and resourceful.
Noticed that the facility offers PAC services and family planning methods though some of them like implanon method is out of stock and its coming to year.
Noticed thefacility do termination |
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| The respondent was very cooperative and knowledgeable. The facility operates 24hrs a day, 7 days a week.
They offer PAC services as inpatient only because the patients who come at this facility for treatment always have severe complications. |
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| The respondent was welcoming and resourceful. The interview was successfully conducted and completed .
However Ngurwe being a lower lever facility, they only manage PAC patients as outpatients only and then refer to HCIV. Therefore He says th |
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| The respondent(registered midwife incharge maternity ward) has been welcoming and resourceful though she has been alone on the ward and very busy we managed to complete the interview successfully.
According to the information and my obser |
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| The respondents have been awelcominb and willing to share the information.
Have noted that the facility is well equipped with supplies.
However, the respondents suggest that they need examination lights in rooms where PAC services are provi |
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| The respondents have been knowledgeable and resourceful. The interview has been completed successfully.
I have observed that the facility conducts deliveries only to mothers who come already in second stage of labor and cannot reach t |
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| The respondents were friendly ,welcoming and resourceful. Although it's a HCIII, they have most of the equipments that are found in HCIV. They receive referrals from other health centers. |
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| The situation at Rulongo Health centre III was relatively busy with patients at all departments. The facility was up-graded to Health centre iii from Health centre ii in July last year according to the respondent.
The respondent was calm, kno |
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| The situation at the facility was calm with few patients at the out patients department and at the maternal and child health unit.
Two respondents, both midwives were interviewed, they were calm and patient. In situations they had differing an |
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| There are only two staff at this facility ie incharge and one midwife so it's very hard for them to provide PAC services as expected. |
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| There scan is also for all zones,
most Referrals are received from imvepi HP.
In Referral site mostly Arua regional regional referral, clients don't want to go because of language barrier this due to few translators that keep patients waiting f |
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| There staffs who were trained on delivery of SRH services to PAC patient(sign language) but they can't communicate with it and fortunately they have never received a patient with such a disability.
This facility has one doctor though she isn't |
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| There was lack of privacy but she was OK with me interviewing her in an open place and no structures for the services to be offered. Lack of professional team because they were only three people at zone 6 health center ll ,lack of supplies li |
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| They don't do SAC but mainly refer such cases to Yimba, they get refferal from VHTs not health centers since this is a lower HP. |
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| They have a zone doctor who visits once a week |
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| They offer blood transfusion but pick it from Gulu and sometimes when they get to Gulu they end up getting only two units of blood. The interview was good |
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| They receive out patients only since its a lower facility. They also have no power. Its a wooden facility. They have temporary latrines covered with tents but are constructing permanent ones. |
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| Upon being recieved by the incharge, he handed me over to the most resourceful person in regard to our study thats the midwife at the Facilty.
Though it had rained cuts and dogs, the out patients department and the antenatal clinic were busy wi |
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| Very good.very receptive and knowlegable staff. They get Sac cases but due to government policy they don't offer SAC so young women tend to do the unsafe abortion and come back with complications |
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| Very knowlegable midwife |
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| Very organised space and knowlegable incharge |
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| Waited for so long since the incharge had a meeting was later attended to. |
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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.
