By the end of this session, you will be able to:

summarize questions´ contents into key words

visualize how questions are grouped into categories of information

summarize questionnaire sections 14 to 17

Session 10 content

• Questionnaire review: Section 14: Communicable disease services
• Questionnaire review: Section 15: Noncommunicable disease services
• Questionnaire review: Section 16: Services for mental health and neurological conditions
• Questionnaire review: Section 17: Services for special needs

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Section 14.�Communicable disease services

Sub-sections

• 14.1 Malaria
• 14.2 Neglected tropical diseases
• 14.3 Sexually transmitted infections

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Categories of information

• 14.1 Malaria
• 14.1.1 Service availability
• Diagnosis and/or treatment of malaria (one option)
• Links with CHWs (one option)
• Malaria diagnosis (one option)
• Diagnosis methods (several options); clinical symptoms, RDT, microscopy
• Treatment prescription (one option)
• 14.1.2 Support for quality services
• National/other guidelines for diagnosis and/or treatment (one option + observation)
• Training of staff in past 2 years (several options); RDT diagnosis, treatment

Categories of information

• 14.2 Neglected tropical diseases (NTDs)
• 14.2.1 Service availability
• NTD diagnosis and/or treatment (one option)
• NTDs diagnosed/treated (several options); lymphoedema, soil-transmitted diseases, schistosomiasis, trachoma, onchocerciasis, lymphatic filariasis, dengue, guinea-worm disease, visceral leishmaniasis
• 14.2.2 Community interventions
• Links with CHWs (one option)

Practice: �What information and how is it being collected?

• Refer participants to the sub-section 14.3 in the paper questionnaire
• Ask participants to work in pairs
• Display the next slide and ask participants to write down the key words and the kind of response for each question in the sub-section
• Give participants 10 minutes to fill in the information
• Go to next slide and ask different pairs to give you the key words for each question
• Click in the slide to get the right answer.

Categories of information

• 14.3 Sexually transmitted infections (STI)
• 14.3.1 Service availability
• STI diagnosis and/or treatment (one option)
• ( )
• ( )
• 14.3.2 Support for quality services
• ( )
• ( )

Categories of information

• 14.3 Sexually transmitted infections (STI)
• 14.3.1 Service availability
• STI diagnosis and/or treatment (one option)
• Providers diagnose (one option)
• Providers prescribe treatment (one option)
• 14.3.2 Support for quality services
• National/other guidelines for diagnosis and/or treatment (one option + observation)
• Training past 2 years in diagnosis and/or treatment (one option)

Section 15.�Noncommunicable disease services

Sub-sections

• 15.1 Noncommunicable diseases
• 15.1.1 Systems to support quality services for NCDs
• 15.2 Diabetes
• 15.3 Cardiovascular disease
• 15.4 Chronic respiratory disease
• 15.5 Cancer
• 15.5.1 Cervical cancer
• 15.5.2 Breast cancer
• 15.5.3 Colorectal cancer
• 15.5.4. Prostate cancer

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Categories of information

• 15.1 Noncommunicable diseases (NCDs)
• Diagnosis and/or management of NCDs (one option)
• Links with CHWs (one option)
• 15.1.1 Systems to support quality services for NCDs
• Availability of documents (several options + observation); register with information on start of treatment, adherence and outcomes, register with information on start of treatment, appointment system for routine follow-up, individual patient treatment cards

Categories of information

• 15.2 Diabetes
• 15.2.1 Service availability
• Any service (one option)
• Services available (several options); diabetes diagnoses, treatment prescription, follow-up services, counselling for self-management
• 15.2.2 Support for quality services
• National/other guidelines for diagnosis and/or management (one option + observation)
• Training in past 2 years in diagnosis and/or treatment

Categories of information

• 15.3 Cardiovascular disease
• 15.3.1 Service availability
• Any service (one option)
• Types of services for CVDs (several options: diagnosis, treatment, counselling, referral); hypertension, acute myocardial infarction, congestive heart failure, cerebral vascular accident/stroke
• 15.3.2 Support for quality services
• National/other guidelines for diagnosis and/or management (one option + observation)
• Training in past 2 years in diagnosis and/or management (one option)

Practice: �What information and how is it being collected?

• Refer participants to the sub-section 15.4 in the paper questionnaire.
• Ask participants to work in pairs.
• Tell them to identify and write down the key words and the kind of response for each question for sub-section 15.4
• Go to next slide and ask different pairs to give you the key words for each question
• Click in the slide to get the right answer.

Categories of information

• 15.4 Chronic respiratory disease (CRD)
• 15.4.1 Service availability
• Any service (one option)
• ( )
• 15.4.2 Equipment
• ( )
• 15.4.3 Support for quality services
• ( )
• ( )

Categories of information

• 15.4 Chronic respiratory disease (CRD)
• 15.4.1 Service availability
• Any service (one option)
• Types of CRD services (several options: diagnosis, treatment, counselling, referral); asthma, chronic obstructive pulmonary disease
• 15.4.2 Equipment
• Equipment available and functional (several options + observation); peak flow meters, spacers for inhalers
• 15.4.3 Support for quality services
• National/other guidelines for diagnosis and/or management (one option + observation)
• Training in past 2 years in diagnosis and/or management (one option)

Categories of information

• 15.5 Cancer
• Service availability
• Any service (one option)
• Support for quality services
• National cancer registry (one option)
• Facility cancer registry-database (one option + observation)
• Treatment adherence-outcome records (one option + observation)

Categories of information

• 15.5.1 Cervical cancer
• Service availability
• Any service for cervical cancer
• PAP collection, PAP reading, HPV results reading, colposcopy, cervical biopsy, digital cervicography, treatment of pre-invasive lesions
• Equipment
• Speculum, glass slides, latex gloves, goose-neck lamp, gynecological examination table, digital cervicography equipment, colposcopy equipment, materials for providing loop electrosurgical excision procedure, materials for cryotherapy
• Support for quality services
• National/other guidelines for cervical cancer screening, diagnosis, and/or treatment
• Training in past 2 years in procedures for obtaining cervical specimens, reading HPV tests, and/or visual inspection with acetic acid

Categories of information

• 15.5.2 Breast cancer
• Service availability
• Any service for breast cancer
• Manual breast examination, mammography, fine needle aspiration cytology, core needle biopsy of lump specimen, chemotherapy, radiation therapy, lumpectomy, mastectomy, outpatient maintenance treatment (perform in facility, refer, not available)
• Support for quality services
• National/other guidelines for breast cancer screening, diagnosis, and/or treatment
• Training in past 2 years in breast cancer screening, diagnosis and/or treatment

Categories of information

• 15.5.3 Colorectal cancer
• Service availability
• Any service for colorectal cancer
• Stool guaiac test/faecal immunochemical test, colonoscopy, biopsy of colon polyp, surgical interventions, chemotherapy (perform in facility, refer, not available)
• Support for quality services
• National/other guidelines for colorectal cancer screening, diagnosis, and/or treatment
• Training in past 2 years in colorectal cancer screening, diagnosis and/or treatment

Categories of information

• 15.5.4 Prostate cancer
• Service availability
• Any service for prostate cancer
• Digital rectal examination, prostate biopsy, surgical interventions, radiation therapy (perform in facility, refer, not available)
• Support for quality services
• National/other guidelines for prostate cancer screening, diagnosis, and/or treatment
• Training in past 2 years in prostate cancer screening, diagnosis and/or treatment

Section 16.�Services for mental health and neurological conditions

Sub-sections

• 16.1 Service availability
• 16.2 Support for quality services

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Categories of information

• 16.1 Service availability
• Any service for mental health and/or neurological conditions
• Level of care; inpatient only, outpatient only, both, not available
• Types of services (diagnosis, treatment; counselling, referral); mood disorders, schizophrenia, anxiety-related disorders, epilepsy, dementia, substance abuse
• 16.2 Support for quality
• National/other guidelines for diagnosis and/or management of mental and/or neurological conditions
• Training in past 2 years in diagnosis, counselling and/or treatment of mental health/neurological conditions

Section 17.�Services for special needs

Sub-sections

• 17.1 Palliative care
• 17.2 Rehabilitative care
• 17.3 Rape or intimate partner violence survivors
• 17.4 Children affected by maltreatment

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Categories of information

• 17.1 Palliative care
• 17.1.1 Service availability
• Any services for palliative cancer
• Level of care; inpatient, outpatient, home care
• 17.1.2 Support for quality services
• National/other guidelines for palliative care
• Training in past 2 years in palliative care

Categories of information

• 17.2 Rehabilitative care
• 17.2.1. Service availability
• Any services for rehabilitative care
• 17.2.2. Site conditions
• Treatment area
• 17.2.3 Equipment
• Parallel bars, height adjustable treatment bed, upper limb exercise equipment, measuring tape, walking frames/crutches, compression bandages, casting and splinting kit, audiometric equipment, equipment for paediatric rehabilitation, patient education materials
• 17.2.4 Support for quality services
• National/other guidelines for rehabilitation care
• Training in past 2 years in assessment or treatment for rehabilitation needs of patients

Categories of information

• 17.3 Rape or intimate partner violence survivors
• 17.3.1. Service availability
• Any services for survivors of rape and or intimate partner violence
• Forensic assessment and examination, hepatitis B immunization, post exposure prophylaxis for HIV, emergency contraception, presumptive treatment for sexually transmitted infections, tetanus toxoid/immunoglobulin, counselling on induced abortion services, induced abortion services
• 17.3.2. Site conditions
• Safe and locked filing to keep records confidential
• Same sex worker always available
• 17.3.3 Support for quality services
• National/other guidelines on services for rape and/or intimate partner violence, form for documenting case, consent form
• Training in past 2 years in care of survivors

Categories of information

• 17.4 Children affected by maltreatment
• 17.4.1 Service availability
• Any services for children affected by maltreatment
• 17.4.2 Support for quality services
• National/other guidelines for identification of and/or services for children affected by maltreatment, form for documenting case palliative care
• Training in past 2 years in identification of and/or services for children affected by maltreatment

Group knowledge check�15’

• Group participants in teams, ideally in tables
• Inform teams that questionnaires and notes cannot be consulted
• Ask teams to nominate a notetaker to record responses
• Show teams each question for a few seconds, and give teams time to discuss internally and to record the agreed-upon response
• Ask note-takers with the recorded responses to come to the front area
• Display slides with answer key. Ask the cofacilitator to review notetakers’ record after each answer
• Ask notetakers with the wrong answer to go back to their table, so that only note-takers with all the right answers will be standing at the end of the answer review
• Congratulate teams for their effort
• Clarify as appropriate

1. In the communicable disease services section, we ask about availability of services for: (single answer)

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• Malaria, tuberculosis, neglected tropical diseases, and sexually transmitted infections
• Malaria, neglected tropical diseases, sexually transmitted infections and notifiable diseases
• Malaria, soil-transmitted diseases, trachoma, dengue and guinea-worm disease
• Malaria, neglected tropical diseases, and sexually transmitted infections
• Malaria, tuberculosis, HIV, neglected tropical diseases, and other sexually transmitted infections

2. In the noncommunicable disease services section, we ask about availability of services for (single answer)

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• Hypertension, asthma, and cancer
• Diabetes, hypertension, chronic obstructive pulmonary disease, cervical cancer and prostate cancer
• Hypertension, acute myocardial infarction, congestive heart failure and cerebral vascular accident/stroke, asthma, and chronic obstructive pulmonary disease
• Diabetes, hypertension, asthma, and cancer
• Diabetes, cardiovascular disease, chronic respiratory disease and cancer

3. We will need to collect information on equipment for the following noncommunicable diseases: (single answer)

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• Only diabetes
• Only cancer
• Diabetes, cardiovascular disease, chronic respiratory disease, and cancer
• Chronic respiratory disease and cervical cancer
• All of the above

4. In the services for special needs section, we will collect information on site conditions for: (select all that apply):

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• Palliative care
• Rehabilitative care
• Rape or intimate partner violence survivors
• Children affected by maltreatment
• All of the above

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1. In the communicable disease services section, we ask about availability of services for: (single answer)

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• Malaria, tuberculosis, neglected tropical diseases, and sexually transmitted infections
• Malaria, neglected tropical diseases, sexually transmitted infections and notifiable diseases
• Malaria, soil-transmitted diseases, trachoma, dengue and guinea-worm disease
• Malaria, neglected tropical diseases, and sexually transmitted infections
• Malaria, tuberculosis, HIV, neglected tropical diseases, and other sexually transmitted infections

2. In the noncommunicable disease services section, we ask about availability of services for: (single answer)

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• Hypertension, asthma, and cancer
• Diabetes, hypertension, chronic obstructive pulmonary disease, cervical cancer and prostate cancer
• Hypertension, acute myocardial infarction, congestive heart failure and cerebral vascular accident/stroke, asthma, and chronic obstructive pulmonary disease
• Diabetes, hypertension, asthma, and cancer
• Diabetes, cardiovascular disease, chronic respiratory disease and cancer

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3. We will need to collect information on equipment for the following noncommunicable diseases: (single answer)

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• Only diabetes
• Only cancer
• Diabetes, cardiovascular disease, chronic respiratory disease, and cancer
• Chronic respiratory disease and cervical cancer
• All of the above

4. In the services for special needs section, we will collect information on site conditions for: (select all that apply):

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• Palliative care
• Rehabilitative care
• Rape or intimate partner violence survivors
• Children affected by maltreatment
• All of the above

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You have now completed Session 10.

In the next session, we will look at how to assign questionnaire sections to data collectors in the CSPro application.