ACQUIRE Evaluation and Research Studies - Baseline Survey 2005

Interviewer Selection and Training

The survey employed six teams, with 3–4 persons per team. Each team included at least one general data collector, a physician, and a field supervisor. In total, there were 18 general data collectors, six physicians, and six supervisors, all of whom were selected based on educational qualifications, relevant experience, willingness to work in hardship areas, and sex. The team attended a one-week data collection training workshop in Dhaka. The training, led by ACQUIRE/Bangladesh, was conducted in Bangla. Each team leader was provided a training guide for each instrument. The questionnaires were translated into Bangla and back-translated into English for accuracy.

Pretesting and Fieldwork

The entire data collection team pilot tested all four instruments for four days following the training and then returned to Dhaka to discuss the results, solve problems, clarify terms and procedures, and make necessary adjustments to the tools. Data collection began immediately following the training in Dhaka in four districts from April 23 to July 7, 2004. Data collection was intermittent, as the teams had to return to Dhaka and then go back out again several times due to competing project priorities and political unrest.

Upon arriving at the facility, the field supervisor conducted the facility audit. During this time, the physician observed a client-provider session. Directly afterward, the interviewer conducted the client exit interview and the physician interviewed the service provider. To reduce nonresponse and reporting biases, interviews were conducted in the service-provision area when no other staff or clients were present. In an effort to maintain confidentiality during the interview, if the serviceprovision area was unavailable or other staff were in the service-provision area, the interviewer selected another area within the facility (or directly outside the facility) where no one could hear the interview being conducted.

At the comprehensive sites, each team used quota sampling to identify at least three clients to interview (new clients were preferred), and all providers were interviewed. At the UHCs and MCWCs, the service providers included one MO, two FWVs, and one senior FWV. At the FWCs, the providers included one FWV and one SACMO. During the time when the teams were interviewing and observing clients and providers, the field supervisor completed the facility audit and traveled to the nearest noncomprehensive site to conduct one facility audit. The teams stayed at the comprehensive sites for one day and returned to the sites when the required numbers of clients were unavailable during the first day.

Data Collection/ Interview Status

All data were collected using structured methods and closed-ended questionnaires. Facility audits were completed in each of the 121 facilities. Client-provider interactions (CPIs) were observed for 240 FP clients at 85 facilities. Exit interviews were obtained from 245 FP clients at 85 facilities. Interviews were obtained from 193 service providers at 86 facilities.

Each data collection team included at least one general data collector, a physician, and a field supervisor. Upon arrival at the facility, the field supervisor conducted the facility audit. During this time, the physician observed the client-provider session. Directly following, the interviewer conducted the client exit interview and the physician interviewed the service provider.

Informed consent was obtained from clients and service providers prior to interviews. Consent was carefully documented and stored. To reduce nonresponse and reporting biases, team members conducted interviews in the service-provision area when no other staff or clients were present. To maintain confidentiality during the interview, if the service-provision area was unavailable and other staff were in the service-provision area, the interviewer selected another area within the facility (or directly outside the facility) where no one could hear the interview being conducted.