Evaluation of the effectiveness of safe motherhood interventions among mothers with children under 2 years old in 5 provinces of Vietnam during the period 2006 - 2012

8. Don't know

7. Prone to uterine cancer

8. Other (specify ………………….)

9. Don't know

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I. OPINIONS ON THE QUALITY OF REPRODUCTIVE HEALTH CARE SERVICES

I.1	From her home to the medical facility home	1. Under 30 minutes	
	How long is the nearest water? (by common means)	2. From 30 minutes to less than 1 hour	
	best)	3. From 1 to under 2 hours	
		4. From 2 to under 5 hours	
		5. Over 5 hours	

I.2 Please give your opinion about your commune health station (The investigator reads each opinion in turn, asks if it is true or not, and marks an 'X' in the appropriate box)

Correct	Not always true	Wrong	Don't know
1. Medical staff are always present at the medical station.				
2. Medical staff are always caring and open				
3. People do not have to wait long				
4. Clean and tidy medical station				
5. Have a separate area for single people				
6. Skilled medical staff				
7. Do health care workers take time to talk to customers about health issues?				
8. All information of people coming for examination/treatment at the medical facility is kept confidential.				
9. Full and clean medical equipment				
10. Have pictures/photos promoting contraceptive methods				
11. Have information leaflets distributed to customers or patients when they come to the health station.				
12. Common medicines are available at the commune health station.				
13. She is satisfied with the quality of service of the health center.				

I.3 Please tell me your opinion about the district hospital ( if you have not been there, you will not be asked this question ).

(The investigator reads each statement in turn, asks if it is true or false, and marks an X in the appropriate box)

Correct	Not always true	Wrong	Don't know
1. Medical staff are always present at the district hospital.				
2. Medical staff are always caring and open				
3. People do not have to wait long				
4. District hospital is clean and tidy				
5. Have a separate area for single people				
6. Skilled medical staff				
7. Do health care workers take time to talk to customers about health issues?				
8. All information of people coming for examination/treatment at the medical facility is kept confidential.				
9. Full and clean medical equipment				
10. Have pictures/photos promoting contraceptive methods				
11. Have information leaflets distributed to customers or patients when coming to the district hospital.				
12. Common medicines are available at the district hospital.				
13. She is satisfied with the service quality of the District Hospital.				

I.3A Please give your opinion about private health facilities in your locality (if you have not been there, you will not be asked this question)

(The investigator reads each statement in turn, asks if it is true or false, and marks an X in the appropriate box)

Correct	Not always true	Wrong	Don't know
1. Medical staff are always present at the health facility.				
2. Medical staff are always caring and open				
3. People do not have to wait long				
4. Clean and tidy medical facilities				
5. Have a separate area for single people				
6. Skilled medical staff				
7. Do health care workers take time to talk to customers about health issues?				
8. All information of people coming for examination/treatment at the medical facility is kept confidential.				

Correct	Not always true	Wrong	Don't know
9. Full and clean medical equipment				
10. Have pictures/photos promoting contraceptive methods				
11. Have information leaflets given to customers or patients when coming to the medical station.				
12. Common medicines available at health facilities				
13. I am satisfied with the quality of service here.				

I.4

According to her, people have	1. Be informed 2. Access to health care services and information 3. Freedom to choose, refuse or stop using contraceptive methods 4. Receive safe service 5. Confidentiality 6. Have privacy 7. Be comfortable while receiving service 8. Be respected 9. Continue to receive services as desired 10. Express your opinion about the service 11. Other (specify) .............................. 12. Don't know	
		What rights in care? reproductive health care?	
		(TV does not read)and find the correct answer, mark	
		in the appropriate box)
			
			
			
			
			
			
			
			
			

******************************************************** Thank you for taking the time to answer the questions.

APPENDIX II

SEMI STRUCTURED INTERVIEW

REGIONAL AND PROVINCIAL PROGRAM MANAGER

I. GENERAL INFORMATION:

Name of interviewee: ……………………………………………………. Work unit: …………………………………………………………………….. Position: …………………………………………………………………………….. Interview time: From …..…… to ………… date ….. month ….. year 2011… Interviewer: ……………………………………………………………………

II. INTERVIEW CONTENT

Consultation content

Suggested questions

1. PROGRAM DEVELOPMENT PROCESS

 When was the Safe Motherhood Intervention Program implemented?

 Who/which unit develops the program? Who/which unit gives comments on amendments and supplements?

 What is the role of your organization and yourself in the process of developing the program (Directly developing/consulting with stakeholders/giving comments on amendments/being informed/having no role)?

 .

2. PROGRAM IMPLEMENTATION PROCESS

2.1. Activities to build the Safe Motherhood networkprogramme

 What management levels/units does the LMAT network include? What are the roles and functions of each unit? (ask in turn for each system)

 Are annual/quarterly/monthly work plans and budgets prepared? If so, who prepares/proposes them? Who/which unit approves them? How long before/after the start of the year/quarter/month are these plans completed?

 Regulations on reporting regime? (periodic and ad hoc?

Consultation content

Suggested questions

Who/what level should send the report and to whom?).

 Regulations on monitoring, supervision and support of activities? (Which level must monitor/support which level? Frequency? Method?). How are these regulations actually implemented?

 Regulations on financial management (Reporting, auditing?).

How are these regulations actually implemented?

 Allowances/subsidies for participants?

 Assess the organizational and management capacity of stakeholders?

 What are the unreasonable points in the current management and organization of the LMAT network? What needs to be done/changed to make the network operate more effectively?

 What are the advantages/disadvantages in building and managing the LMAT network?

2.2. Editing and producing professional documents,Sample training and outreach materials used in theprofessional activities, training, propaganda

 Editing process (Who/which unit edits and produces? Who/which unit provides technical advice? How many times is the document edited before release?)

 Document types (books, flyers, posters, pictures)? Color (color printing, black and white)? Paper material? Font size (large, small…)?

 How many different types of documents are there for each audience (managers, technical staff, propaganda staff at each level? citizens)?

 What is your assessment of the quality/quantity of professional documents, training and propaganda documents? The capacity of the document compilation team? What needs to be done/changed to improve?

2.3. Technical and professional training activities on LMAT

How many basic/advanced technical and professional training courses are organized by your organization per year? How are trainers selected? (appointment/bid…?) How are trainees selected? (are they appointed by provincial hospitals or do trainees register themselves?)

 Number of students/course? (Is the number of students appropriate/too many/too few)?

 When is the training held? (when is the training held)

Consultation content

Suggested questions

Which? Why that timing? Is the timing right? What needs to change?)

 Training duration? (How long is each training course?

How many days? Is the training duration appropriate/too much/too little? What should be changed?)

 Training location (Where is the training held? Why was that location chosen? Is the location convenient for the trainees/lecturers? If not suitable, where should the training be held?)

 Training method (participatory/lecture training?)

o Do students get to practice? What percentage of the total training time is spent on practice/theory?);

o Are trainees assessed for their abilities and needs before the training? If so, how is it assessed?

o Are trainees evaluated after the training? How is it evaluated?

o Do training methods need to be changed? If so, how?

 Training materials/documents

o Who/which organization compiles the lesson plan? Who/which organization approves it?

o What materials/learning materials are provided to students? (Books/CDs, VCDs, DVDs/flyers/posters/practice tools?).

o What is your assessment of the quantity/quality of the training materials/documents? If there are any areas that are not yet complete, what should be changed?

 Financial support for trainers (consultation fee/day? Is the consultation fee reasonable?)

 Financial/administrative support for students? (Food/accommodation/travel…)

 What is your assessment of the trainer's/lecturer's competence?

o About expertise (Professional skills, examination, consultation)?

o Regarding pedagogical skills (developing lesson plans, compiling training materials, communicating,

Consultation content

Suggested questions

practical guide)?

 What is your assessment of the student's ability?

o About the ability to absorb/apply expertise?

o Regarding pedagogical skills (can trainees retrain the knowledge and skills they have been trained to others?)

 Post-training support activities? (advanced training, response via email, phone, direct support during the process of trainees implementing practical activities)

2.4. Propaganda activities about LMAT

 Training of communication staff ( Similar to training and coaching of technical staff in section 2.3)

 Media materials: If you have not asked about media materials in the document compilation activity, ask again similar to section 2.2 for media materials .

 What forms of communication are applied? (seminars, conferences, creating reports/specials broadcast on radio and television, articles in newspapers...)

 How do you rate the accessibility of stakeholders to communication programs?

 What is your assessment of the capacity of communications staff at all levels?

 Difficulties in communication work and proposed solutions?

2.5. Activities to detect and handle caseshigh risk pregnancy, pathological pregnancy

 What are the advantages/disadvantages in detecting and treating high-risk pregnancies at a regional hospital? (in terms of qualifications, equipment, is the number of patients too large compared to the number of doctors/machines)

 In cases where a high-risk or pathological pregnancy is detected, how is the pregnancy consultation/treatment support process carried out? Are there any difficulties/advantages? Solutions?

2.6. Equipment supply activities

 What equipment is provided at what levels (regional/provincial/district/commune)?

 What is your assessment of the quality and quantity of equipment at each level?

3. ABILITY

 Before the program was implemented, in the area there were

Consultation content

Suggested questions

PROGRAM SCALPATION AND SUSTAINABILITY

Are there any projects, programs… that work with similar purposes?

 Before implementing the program, propaganda activities

Is prenatal, intrapartum and postnatal care provided in the area? Which pregnant women usually receive it (subjects, areas), which pregnant women do not receive it?

 According to you, why is the program implemented in the area? Why were the pilot provinces selected? Why were the remaining provinces not selected? (economic and social characteristics)

associations, religions, customs, current situation... in the area)

 How do you evaluate the ability to maintain the LMAT program when there is no more funding support from the project? (Which level/area can maintain? Which level/area cannot maintain? Why? Solutions?)

 If you go back to when the program was first developed/implemented, what changes do you think should have been made to make the program more effective and why?

 Do you have any comments for the Phase II project (on activities, organization, etc.)?

 What are your other comments about the LMAT program?

Thank you very much for your cooperation!