DDI-MCC-LSO-HEALTH-PDG-2018-v2 DDI_LSO_2018_MCC-HS_v01_M Millennium Challenge Corporation 2019-08-28 Metadata Editor Version 2 (June 2020). Edited version based on version 2 (DDI_LSO-HEALTH-PDG-2018-v2) that was produced by the Millennium Challenge Corporation. The Health Project was designed to improve health outcomes for people using the HCs and OPDs renovated under the Lesotho Compact. In addition, patients in all hospitals in the country are potential “participants” since blood transfusions are given in all of the hospitals, with more frequent use in Maseru hospitals. The Project also provided a considerable amount of training and was intended to support increased enrollment at NHTC, so health professionals and students can also be considered “participants.” LSO_2018_MCC-HS_v01_M Health Sector 2018 Independent Performance Evaluation MCC-HFS 2018 Pim de Graaf Millennium Challenge Corporation Metadata Editor Millennium Challenge Corporation Health Hospitals Lesotho HIV AIDS Health Hospitals Lesotho The Health Project had national coverage in terms of the health care facilities improved and communities benefiting Patients, health professionals, health care system, districts, OPDs, HCs Sample survey data [ssd] Pim de Graaf Basotho Staff Millennium Challenge Corporation 1 HFS 2018 PATIENT-USER IN A HEALTH CENTER OR OPD.dta 232 68 .dta Respondent ID 232 6737359840 6804936017 6769203337.18534 23248459.5398459 Collector ID 232 171166078 171456608 171400255.198276 115124.580810681 171166078 45 171456608 187 Email Address 232 * * * Sysmiss 232 First Name 232 * * * Sysmiss 232 Last Name 232 * * * Sysmiss 232 Custom Data 1 232 * * * Sysmiss 232 Patient ID 232 Name of surveyor 1 231 1 1 6 2.98268398268398 1.89957745407937 1 88 2 21 3 37 4 1 5 60 6 24 Sysmiss 1 Name of Surveyor 2 29 203 1 6 2.41379310344828 1.50041045287401 1 4 2 21 6 4 Sysmiss 203 DE-IDENTIFIED: Health facility 232 1 36 18.3620689655172 10.4059561297162 1 7 2 7 3 6 4 6 5 7 6 7 7 6 8 7 9 6 10 7 11 6 12 6 13 7 14 6 15 7 16 6 17 6 18 6 19 7 20 6 21 6 22 7 23 7 24 6 25 7 26 8 27 7 28 6 29 6 30 6 31 6 32 6 33 6 34 6 35 6 36 7 Start date/time: year 232 2018 2018 2018 2018 232 Start date/time: month 232 2 4 2.84051724137931 0.514294110992806 2 52 3 165 4 15 Start date/time: time 232 The respondent is 232 1 16 > 60 44 21 - 30 48 31 - 40 56 41 - 50 31 51 - 60 36 The respondent is 232 Female 155 Male 77 Are you here for your own care or to accompany a dependent? 232 Dependent 77 Own care 155 How many times have you visited this health facility during the last 12 months , 231 1 0 30 6.67532467532468 5.76671459123272 0 28 1 16 2 22 3 25 4 18 5 14 6 11 7 3 8 3 9 8 10 12 11 13 12 44 13 1 15 4 18 1 20 1 22 1 23 1 24 1 25 1 26 1 30 2 Sysmiss 1 How many times have you visited this health facility during the last 12 months t 231 1 0 30 2.58441558441558 4.19114174342687 0 102 1 34 2 27 3 10 4 14 5 9 6 4 7 6 8 2 9 1 10 6 11 2 12 11 20 1 23 1 30 1 Sysmiss 1 What is the main reason for your visit or your dependent's v: General outpatient 232 125 General outpatient 107 What is the main reason for your visit or your dependent's vivit to the heal: TB 232 225 TB 7 What is the main reason for your visit or your dependent's vivit: Under 5 clinic 232 221 Under 5 clinic 11 What is the main reason for your visit or your dependent's vivit : ANC 1st visit 232 228 ANC 1st visit 4 What is the main reason for your visit or your dependent's vivit: HIV/AIDS visit 232 180 HIV/AIDS visit 52 What is the main reason for your visit or your dependent's : ANC follow up visit 232 227 ANC follow up visit 5 What is the main reason for your visit or your dependent's vivi: Chronic illness 232 189 Chronic illness 43 What is the main reason for your visit or your dependent's vivit to : Post-natal 232 * * * Sysmiss 232 What is the main reason for your visit or your dependent's vivi: Family planning 232 228 Family planning 4 What is the main reason for your visit or your dependent's vivit to the h: Other 232 226 NOT MENTIONED 1 NOT SPECIFIED 2 NOTHING 1 OTHER 2 Were you given medicines or prescription? QC028 232 Both 11 Medicine 205 Neither 15 Prescription 1 Did you think you would need medicine or a prescription? 232 187 No 12 Yes 33 Did you have to pay for transport to get to the health facility? Add: No 232 103 No 129 Did you have to pay for transport to get to the health facility? Add: Yes 232 228 Yes 4 Did you have to pay for transport to get to the health facility? Add: Amount 232 129 10 16 10.00 FOR PETROL 1 12 3 13 2 15 7 16 1 16.5 1 18 2 20 11 21 1 25 3 26 1 30 3 35 1 36 1 40 2 45 1 5 8 50 1 55 1 6 12 6.5 11 7 5 7.5 1 8 6 85 1 Do you have to pay for transport to go back home? Add: No 232 104 No 128 Do you have to pay for transport to go back home? Add: Don't know 232 * * * Sysmiss 232 Do you have to pay for transport to go back home? Add: Yes (Amount) 232 128 10 17 10.00 FOR HIKE, 20.00 FOR TAXI 1 10.00 FOR PETROL 1 12 3 13 2 15 6 16 1 16.5 1 18 3 20 10 21 1 24 1 25 3 26 1 30 3 35 1 36 1 40 2 45 1 5 8 50 1 55 1 6 12 6.5 10 7 5 7.5 1 8 6 85 1 What did today's consultation cost you? QC018 232 2 I have to pay the following amount 36 Nothing 194 What did today's consultation cost you? QC01: I have to pay the following amount 232 196 15 19 17.5 1 30 4 50 1 7.5 10 N.A.: I did not do a consultation 1 Did you have to pay for any other service in the health facility? Add 232 1 No 215 Yes, I had to pay the following amount for the following  services 16 Did you have : Yes, I had to pay the following amount for the following services 232 216 10.00 FOR HEALTH BOOKLET 1 100.00 GRIP BUNDAGE 1 15 3 15.00 ANTINATAL CLINIC 1 15.00 CONSULTATION 2 15.00 DENTAL PROBLEMS 1 15.00 DENTAL SERVICE 1 150.00 DIABETES 1 1600.00 OPERATION 1 20 1 250.00 DELIVERY 1 7.50 CONSULTATION 1 BUKANA 10.00 1 Were you satisfied with the way the nurse handled your case? QC021 232 4 Dissatisfied 5 I did not see a nurse today 13 Less satisfied 3 Somewhat satisfied 10 Very satisfied 197 (Only in OPDs), not health center: QC022 were you satisfied with the way the doc 232 168 Dissatisfied 1 I did not see a doctor today 19 Less than satisfied 1 Neutral  or no opinion 1 somewhat satisfied 1 Very satisfied 41 Were you satisfied with the treatment or service you got? QC023 232 1 Dissatisfied 7 Less than satisfied 8 somewhat satisfied 23 Very satisfied 193 How long did you have to wait for your consultation today? QC019 232 1 I did not need consultation today 2 I waited for 229 How long did you have to wait for your consultation today? QC019: I waited for 232 3 10 MINUTES 1 0 MINUTES 2 1 BOUR 30 MINUTES 1 1 HOUR 43 1 HOUR 10 MINUTES 1 1 HOUR 15 MINUTES 2 1 HOUR 30 MINUTES 9 1 HOUR 50 MINUTES 1 1 MINUTE 4 1.5 HOURS 1 1:15 MINUTES 1 10 MINUTES 11 15 MINUTES 6 2 HOURS 28 2 HOURS 30 MINUTES 5 2 MINUTES 2 2:15 MINUTES 1 2:30 MINUTES 3 20 MINUTES 8 25 MINUTES 1 2O MINUTES 1 3 HOURS 20 3 HOURS 30 MINUTES 1 3 MINUTES 1 30 MINUTES 39 34 MINUTES 1 3O MINUTES 1 4 HOURS 8 45 MINUTES 4 5 HOURS 4 5 MINUTES 15 6 HOURS 3 How long did you have to wait for the dispensary today? QC020 232 2 I did not need to go to dispensary today 12 I waited for 218 How long did you have to wait for the dispensary today? QC020: I waited for 232 14 0 1 0 MINUTE 1 0 MINUTES 11 1 HOUR 14 1 HOUR 30 MINUTES 2 1 MINUTE 16 10 MINUTES 28 15 MINUTES 16 1O MINUTES 1 2 HOURS 1 2 MINUTE 1 2 MINUTES 9 20 MINUTES 6 3 HOURS 1 3 MINUTES 8 30 MINUTES 30 4 MINUTES 1 40 MINUTES 1 45 MINUTES 1 5 MINUTES 66 6 MINUTES 2 8 MINUTES 1 Do you think that health staff paid proper time and attention to your problem? A 232 Absolutely not 6 I don't know. I am not sure. No opinion 2 Not really 4 Yes, absolutely 219 Yes, but could be better 1 Can you explain what was the problem with the services? 232 221 AS I WAS ARRIVING THE NURSE WAS ALREADY WRITING MY PROBLEMS BEFORE I COULD EXPLAIN THEM TO HER 1 DELAYS IN GETTING SERVICES AS NURSES WERE HAVING A MEETING. BLOOD SAMPLE WAS NOT TAKEN, TOLD TO COME AGAIN NEXT TUESDAY 1 ENSURE THERE IS ENOUGH DRUGS/MEDICINE 1 GIVE ME THE SAME MEDICATION FOR THE DIFFERENT ILLNESS 1 SERVICES WHERE DELAYED 1 THE DOCTOR DID NOT EXAMINE PROPERLY AS AFTER I TOLD HIM MY PROBLEM, HE WROTE IN A HEALTH BOOKLET AND LET ME GO 1 THE DOCTOR DID NOT TAKE ENOUGH TIME TO UNDERSTAND MY ILLNESS. AT THE DISPENSARY, THERE WAS NO EXPLANATION ON HOW TAKE MEDICATION 1 THEY DELAY TO BEGIN SERVICES 1 THEY DO NOT WANT US TO FREE AND THEY DO NOT LISTEN TO CONCERNS 1 THEY JUST ASKED ME MY PROBLEM BUT I CANNOT TELL THEM BECAUSE EVERYONE COMES IN AND OUT OF THE CONSULTATION ROOM, THEY DON'T RESPECT US 1 THEY TALK TO US GENERAL NOT INDIVIDUALLY 1 Were you satisfied with the waiting area? QC024 232 Dissatisfied 29 Less than satisfied 35 somewhat satisfied 25 Very satisfied 143 If less than satisfied or dissatisfied, any particular reason? 232 Were you satisfied with the consultation room? QC025 232 Dissatisfied 6 Less than satisfied 7 Neutral  or no opinion 1 somewhat satisfied 15 Very satisfied 203 If less than satisfied or dissatisfied, any particular reason? 232 219 BEDS SHOULD BE COVERED 1 DOCTOR WAS COMPLAINING ABOUT LACK OF INSTRUMENTS 1 IT IS ALSO COLD NOW THAT THERE IS NO ELECTRICITY 1 IT IS COLD THERE IS NO HEATING 1 IT IS COLD, IT COULD BE HEATED WHEN IT'S COLD 1 NO PRIVACY AT ALL IN THERE 1 THE PLACE IS COLD IN WINTER 1 THE PLACE IS UNTIDY 1 THE WINDOW'S CURTAINS HAS NO PRIVACY AT ALL. IT'S LIKE IT COULD BE ALL CLOSED 1 THERE IS NO SPACE AT ALL 1 THERE IS NOT ENOUGH SPACE IN THAT ROOM 1 TOO SMALL 1 WHEN THE QUE IS LONG SOME PEOPLE WAIT OUTSIDE, COULD BE EXTENDED 1 did you make use of toilets facilities? QC026 232 No 124 Yes 108 Are you satisfied with the toilet facilities QC027 232 78 Dissatisfied 42 Less than satisfied 12 Neutral  or no opinion 22 somewhat satisfied 18 Very satisfied 60 Do you think persons with HIV or suspected to have HIV may feel embarrassed or a 232 Don't know 9 Maybe or sometimes 13 Not at all 179 Surely 31 Has this fear/shame changed over the past years, in general? add 232 167 Don't know 1 Got worse 2 Improved 56 Remained the same 6 Do you think some patients may feel ashamed to come to the health facility, due 232 Don't know 6 Maybe 9 Not at all 119 Surely 98 Describe the shame or fear that some patients may feel. Add 232 Are you aware of any actions at the health facility to reduce fear or feelings o 232 1 No 126 Not sure 32 Yes 73 Please describe these actions 232 Has the shame/fear related to HIV/AIDS and going to the health facility changed 232 5 No 34 Yes 193 Please explain 232 Did you ever visit this facility before it was renovated in the period 2010-2013 232 1 No 53 Yes 178 How would you compare the facility before and after renovations? Add 232 54 Don't see much difference or don't know 6 It is improved now 170 It is worse 2 What has become worse than before? Add 232 226 EVERYTHING HAS CHANGED. THE SERVICES HAVE IMPROVED 1 IT I DIRTY HERE 1 NOTHING 1 TH ONLY IMPROVEMENT IS THAT EVERY PATIENT TEST FOR HIV AS COMPARED TO PREVIOUSLY WHEN A PATIENT ONLY FOR HIV IF THEY WANTED TO 1 THE SERVICES DO NOT MATCH THE STATUS OF THE FACILITY, THERE ARE NO DELIVERIES CONDUCTED. NO DENTAL SERVICES, NO DRS VISIT 1 THE WAY WE RECEIVE SERVICES KEEPS CHANGING SO WE GET TOO CONFUSED 1 What, if anything, could be (further) improved about the facility? Add 232 End if interview: Date / Time 232