Injection Practices in the Developing World - Results and Recommendations from Field Studies in Uganda and Indonesia - EDM Research Series No. 020
(1996; 157 pages) Voir le document au format PDF
Table des matières
Afficher le documentExecutive summary
Afficher le documentAcknowledgements
Ouvrir ce répertoire et afficher son contenu1. Introduction
Ouvrir ce répertoire et afficher son contenu2. Towards a rapid assessment methodology for injection practices research
Ouvrir ce répertoire et afficher son contenu3. Background: the social and cultural context of injections
Ouvrir ce répertoire et afficher son contenu4. The prevalence of injection use in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu5. The popularity of injections in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu6. The appropriateness of injection use in Uganda and Indonesia
Ouvrir ce répertoire et afficher son contenu7. Conclusions and recommendations
Afficher le documentReferences
Ouvrir ce répertoire et afficher son contenuAppendix 1: Indicators for injection use and for assessment of hygienic practices
Ouvrir ce répertoire et afficher son contenuAppendix 2: Methods applied in the injection practices research
Fermer ce répertoireAppendix 3: Tools used in the injection practices research
Afficher le documentAppendix 3.A Household survey Uganda
Afficher le documentAppendix 3.B Household survey Indonesia
Afficher le documentAppendix 3.C Questionnaire for providers Indonesia
Afficher le documentAppendix 3.D Treatment form for providers Uganda
Afficher le documentAppendix 3.E Form for patient chart review, Indonesia
Afficher le documentAppendix 3.F Questionnaire for exit interviews at health facilities, Indonesia
Afficher le documentAppendix 3.G Standards for hygienic assessment Uganda
 

Appendix 3.A Household survey Uganda

PART I

District

_______________________________________

RC

4

_______________________________________

RC

3

_______________________________________

RC

2

_______________________________________

RC

1

_______________________________________

 

Household number

_______________________________________

Respondent's name

_______________________________________

Sex

M/F

Age ___________________________________

Education level

_______________________________________

Occupation

_______________________________________

Name of supervisor

_______________________________________

Name of interviewer

_______________________________________

Date of interview

Date of check back _______________________

1. Name of household head ____________________________________

2. What is his/her principal source of income?

0. Unemployed
1. Civil servant (employed by government)
2. Employed by a private firm (Bank etc.)
3. Self-employed/business
4. Farming/fishing
5. Others specify __________________

3. Education level reached by household head (specify)
__________________________________________________________

4. Number of members in the household? ________________________

5. Who was the last person to get an injection in this household?
(Which household member?)

 

Name

________________________________________________

 
 

Age:

 
 

1.

0-4 years

 

2.

5-14 years

 

3.

15 and above

 
 

Sex:

 
 

1.

Male

 

2.

Female

6. When (time) was this injection received?

7. For what reason was the injection given?

1. Therapeutic
2. Drip (infusion)
3. Contraception
4. Immunization

8. If it was therapy, what symptoms were being treated?
(Please note down the symptoms in local terms)
_________________________________________________________
_________________________________________________________

9. What medicine was injected? (use local term)
_________________________________________________________
_________________________________________________________

10. Where was the injection provided? (Use local categorization)
_________________________________________________________

11. Who provided the injection?
_________________________________________________________

12. Do you have any kind of relationship with the injection provider?

1. Yes
2. No

13. If yes, what is the nature of relationship?

1. Parent
2. Relative
3. Friend
4. Neighbour
5. Other __________________________________________

EQUIPMENT AT HOME

14. Do you keep needles and syringes in your home?

1. Yes
2. No

15. If yes, where did you obtain them?
_________________________________________________________

16. Do you keep injectables?

1. Yes
2. No

17. If yes, what type of injectables do you have?

1. Chloroquine
2. PPF
3. Others _________________________________________

18. Where did you obtain the injectables (1. Yes 2. No)

1. Government facility
2. Non-governmental facility
3. Private clinic
4. Pharmacy
5. Drug shop
6. Shop or market place
7. Drug pedlar or hawker
8. Friend, relative or neighbour

COMPLICATIONS

19. Has any member of family ever had any complications with injections?

1. Yes
2. No

20. If yes, what kind of injection complications (1. Yes 2. No)

1. Abscess
2. Allergy
3. Lameness

21. From where was that injection obtained? (find out the local categorization of facilities)

1. Governmental hospital
2. Government HC
3. Non-governmental HC
4. Private clinic
5. Non-formal facility
6. At home
7. Others (specify) ________________________________________

22. Who provided that injection?
__________________________________________________________

23. What do you think was the cause of the complication?

1. Provider
2. Bad injectable
3. Bad equipment
4. I do not know
5. Others specify ____________________________________________

HYPOTHETICAL TRACER CONDITIONS

24. What treatment should be given for the following illnesses? Please fill in Table I.

Table I: Treatment form for tracer conditions based on hypothetical questions

Tracer condition

Inject. only

Inject. & oral

Oral

Herbal med.

Non-medicin.

Nothing

Cough & cold

           

Diarrhoea

           

Intestinal worms

           

Vomiting

           

Fever/rise in body temperature

           

PART II: TWO WEEKS RECALL PERIOD
(PLEASE NOTE IF THERE IS CHANGE IN THE RESPONDENT)

1. Has anyone in this home been sick during the last two weeks?

 

1.

Yes

2.

No

2. In the last two weeks has anyone in this home received any form of injection?

 

(1.

Yes

2.

No)

1. Therapeutic
2. Immunization
3. Drip (infusion)
4. Contraception
5. None

3. If it was a therapeutic injection then fill in Table II.

4. If it was an immunization then fill in Table III.

Table II: Sickness and treatment in two weeks period

Name

Age

Sex

Symptoms

Tracer condition

Treatment (form)

No. of inject.

Medicine (local term)

Source cost

                 
                 
                 

Table III: Immunization record

Name

Sex

Age

No. of Injections

       
       
       
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