Hello, my name is XX. I am working with the Ministry of Health to conduct an evaluation of the PSF program. This includes taking to community members, community leaders, health staff and PSFs themselves about how they thing the program has been going. Please be honest in your answers as there are no wrong answers and your opinion will help the MOH improve the PSF program. All of your responses will be kept confidential. I will ask you some questions that will take about 30 minutes. Involvement in this interview is voluntary and you can stop the interview at anytime. Do you have time to discuss your thoughts about the PSF program with me?
A . Awareness of roles (what PSF are expected to contribute by technical area, operational tasks, and questions related to reach)
1. How long have you been working as a PSF?
2. What were you doing before that?
3. What do you do as a PSF?
4. What is SISCa?
5. What do you do on SISCa days?
6. Do you visit people at home to talk to them about their health?
7. Who do you talk to most often?
8. Do you visit sick people (women, children) at home?
9. Do people call you or come to you when they fall sick?
10. Give examples of how you have helped specific families.
11. Do you keep any written record of the work you do, or of the health status of the people?
12. How much time do you spend doing health work each month?
13. How many days in a month do you do PSF work?
14. Can you explain the process of how you became a PSF?
15. Why did you agree to be a PSF?
16. At that time (before you were trained) what were you told would be your work as a PSF?
17. Where did you receive your training?
18. Who trained you?
19. What training did you receive?
20. During your training, what were you told you should do as a PSF?
21. What did you like or not like about the training you attended?
22. What did you like most about the training?
23. Who do you think was your best trainer? Why?
24. During the training, do you think you learnt anything you did not know earlier? What?
25. After the training, once you started working as a PSF, were you told do any additional work which you had not been given earlier?
26. What heath education/promotion materials did you receive?
27. How much do you use them?
28. What do you like about using these materials?
29. What, if any additional materials do you need?
30. What do you like / enjoy about being a PSF in your community?
31. What do you not like about being a PSF?
32. What does your spouse think about you being a PSF?
33. How many SISCa were held in your suco during the last three months?
34. Did you participate in each of them?
35. What did you do during the last SISCa?
B. Supervision and management
36. Do any of your trainers still meet you regularly?
37. When do they meet you?
38. Has any of them visited your home?
39. What work does s/he/they expect you to do?
40. Do you learn anything new from them? Can you give an example?
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42. Do they tell you how to do it right?
43. What do you do when you have a work related problem?
44. Do you have a supervisor?
45. Do you like your supervisor? Why?
46. Does your suco / aldeia chief ever talk to you about your work?
47. What do you think is the role of the community leaders the PSF program?
48. Do you get paid for participating in the SISCa?
49. How much money did you receive the last time you attended the SISCa?
50. Do you get paid for anything else you do other than participating in the SISCa?
51. How do you feel about your work as a PSF?
52. Are you happy?
C. Perceptions of strengths and limitations of the PSF program as it is (accessibility, competence, motivation, achievements, usefulness/value)
53. What do you like most about being a PSF?
54. What do you not like about being a PSF?
55. What problems do you face in carrying out your work?
56. Do you think there are health problems of people which you are unable to help?
D. Perceptions about what needs to change and how (how the PSF program could be strengthened / made more useful to people)
57. Do you have any suggestions about what should change in the PSF program so that your work can become more effective and helpful to families?
58. What else would you like to learn to make yourself more useful to people?
59. In what other ways can your supervisor help you?
60. What do you think are the biggest health problems of people in your village?
61. What else should we do to help improve the health of people?
*Follow with Competency Test Skills and Knowledge test for PSFs
Questions
What services are given at the different tables on SISCa days?
(Registration, Nutrition, MCH, Personal hygiene and Sanitation, Diagnosis & treatment, Health Education)
Name any special groups of people that you are trying to reach with SISCa
(Name as many as possible - Elderly, disabled, pregnant mothers, under 5 children, infants, adolescents, reproductive age group)
What are the main functions of a PSF?
(Name as many as possible – Information-giver, Educator, Motivator, Mediator) How many minimum hours of activities should volunteers provide on SISCa days? (Four)
How often should SISCa days take place? (Once per month)
A mother is four months pregnant. She is planning on delivering at home. She has not been to receive any care during pregnancy yet. What advice would you give?
(Record answer)
Why should one wash hands before eating food? (To prevent diarrhea)
At what other times should people should wash their hands to help prevent diarrhea?
(Name as many as possible - After toilet, after cleaning child for toilet, before preparing food, before feeding child)
What is the minimum number of times that a pregnant woman should be examined / checked- up during pregnancy?
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What is the benefit of being checked by a nurse or doctor during pregnancy?
(Identify any health problems in mother / baby, receive medication for health, assess progress of mother / baby during pregnancy)
By what age should a child receive all their immunizations? (By 12 months / one year old)
For how long should a child receive only breast milk after being born? (Six months)
What should a child start eating after 6 months, in addition to porridge? (Vegetables, eggs and /or fruit)
Until what age should a child ideally continue to receive some breast milk in addition to other food?
(Two years)
What is the consequence of a child not growing well during the first two years of life? (Permanently lost mental / physical growth and development)
Growth chart filled out correctly? Show a growth chart and ask:
- What does this growth chart show?
(Weight is increasing after 8 months, but too slowly / too small increases) - What advice would you give?
(Check breast-feeding, complementary feeding and illness, needs follow-up weighing next month)
What would you advise if weight is less by the next visit? (Near red line - Get health staff assistance)
A mother brings to you a 10 month old child with diarrhea. What will you advise her? (Record answer).
The next day, the child develops severe vomiting and refuses to drink ORS. What will you advise?
(Record answer) Total
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