APPEND ICES
Appendix 1: Questionnaire
Dear Sir/ Madam, I am a student at Bugema University, Uganda.
I am carrying out a research on «Assessment of community health workers
incentives on improving maternal mortality rate, a case study of Rwinkwavu
district hospital, Kayonza District, Rwanda». The purpose of this
questionnaire is purely academic. I request you to spare a few minutes of your
precious time to answer this questionnaire. Your responses will be treated with
confidentially that they deserve as academic material. I thank you in
anticipation of your cooperation because you aid my research education through
your responses.
Your cooperation will be highly appreciated.
SECTION A: Social - Demographics Characteristics of the
respondents: Please tick ( ) your answer on the following
demographics information
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1. Residency
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Village ..........................
cell.................................... Sector...........................
Health Center................................
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2. Age
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15-19 20-35 36-50 51-60
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2. Gender
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Male Female
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3. Marital Status
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Single Widow/Widower
Married Divorced
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4. Educational Level
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No Formal Education Primary
Secondary
Post- Secondary
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No job Farmer Cultivator
Farming culivator
Professional employment Trading
SECTION B. The CHWs' incentives in charge of
maternal and newborn health
Concept of Community Performance Based Financing (CPBF)
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1. CHWs financial incentives
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SA
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A
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SD
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DA
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1.1.I receive sufficient salary when I meet the monthly target
visits
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1. 2.I receive the following incentives
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a) Monthly bonus
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b) Quarterly BPF
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2. CHWs non-financial incentives
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a) A bag
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b) Umbrella
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c) Rain coat
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d) Register for monthly reporting
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e) Register for women in reproductive age and pregnancy women
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f) Register of follow up for pregnancy women
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2.I receive training and assistance in community maternal and new
born health
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2.3. I conduct monthly inventory based on my store card
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2.4. I advise clients (referral) to go to use health facility
services
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2.5. I have sufficient equipment to conduct maternal health
services
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a) Timer for respiration count
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b) Mobile Phone
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c) Thermometer
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d) Weighing scale
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e) Measurement of upper arm circumference
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3. Membership in CHWs cooperatives
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3.1. I receive quarterly supervision from health facility
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3.2. I receive perdiem during the monthly meetings
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3.3. I am a member of community health workers' cooperative in my
sector
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3.4. I receive 30% of quarterly PBF from my cooperative
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3.5. I access loans from my cooperative
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SECTION C. What is the level of Maternal
Health Services?
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Concept of Maternal and newborn Health Services
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Actual Total visit
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Target
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1.Census of women in reproductive age
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2. Visit 3 times all pregnancy women in the village
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3. Women visited in first prenatal care visits to homes
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4. Women visited by CHWs free times during pregnancy
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5. Women who completed 4 standards ANC
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6. Deliveries at health facilities by health professionals
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7. Home deliveries
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8. Home deliveries referred immediately at health facility
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9. Women presented in postpartum consultation within 10
days
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10.Women vaccinated against tetanus during pregnancy
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11.Women who receive iron to prevent anemia during
pregnancy
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12. At risk pregnancies referred to health facility
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Appendix 2: Data Collection Letter
Appendix 3: Acceptance
Collection Letter
Appendix 4: Geographical
Map of Rwinkwavu District Hospital
Appendix 5: Map of Rwanda
Showing Kayonza District where Located Rwinkwavu District Hospital in
South
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