Generated Narrative: Questionnaire espen-mda-supervision-hf Tag: ESPEN (Details: ICR Project Tag code espen = 'ESPEN') Structure LinkID Text Cardinality Type Description & Constraints EspenMDASupervisionHF ESPEN MDA demo Form 5 (supervision at health facility): geographic coverage of villages treated, per-drug stock triplets (remaining/expired/concordance), distributor training, social mobilization, supervision area, pharmacovigilance, and free-text challenges/solutions/recommendations. No extraction templates: per the campaign-form pattern (ICRCampaignFormResponse, working doc §4.6) the QuestionnaireResponse itself is the supervision record. Questionnaire https://icr.healthcampaigns.org/Questionnaire/espen-mda-supervision-hf#0.1.0 #xD; s_recorder_id Select the recorder ID 0..1 string #xD; s_state Select region 1..1 string #xD; s_district Select district 1..1 string #xD; s_health_facility Health facility 1..1 string #xD; s_location Village 1..1 string #xD; s_supervisor_Level Supervisor level 1..1 choice Options: 5 options #xD; s_date_start Campaign start date 1..1 date #xD; s_date_end Campaign end date 1..1 date #xD; s_disease Disease covered by the MDA 1..* choice Value Set: ICR NTD Disease #xD; s_medicine Select the medicine package 1..* choice Value Set: ICR MDA Medicine Package #xD; location Geographic coverage 0..1 group #xD; s_nb_villages_total Total number of villages 1..1 integer #xD; s_nb_villages_treated Number of villages treated 1..1 integer #xD; s_nb_villages_non_treated Number of villages not treated 0..1 integer #xD; s_reason_non_treatment Reasons for non-treatment 0..* choice Enable When: s_nb_villages_non_treated > 0 Options: 6 options #xD; logistic_ivm Ivermectine Medication Management 0..1 group #xD; s_stock_remain_ivm Is there any Ivermectine remaining stock? 1..1 boolean #xD; s_stock_expired_ivm Are there any expired Ivermectine medications? 1..1 boolean #xD; s_stock_concordance_ivm Does the physical stock of Ivermectine match the theoretical stock? 1..1 boolean #xD; logistic_alb Albendazole Medication Management 0..1 group #xD; s_stock_remain_alb Is there any Albendazole remaining stock? 1..1 boolean #xD; s_stock_expired_alb Are there any expired Albendazole medications? 1..1 boolean #xD; s_stock_concordance_alb Does the physical stock of Albendazole match the theoretical stock? 1..1 boolean #xD; logistic_meb Mebendazole Medication Management 0..1 group #xD; s_stock_remain_meb Is there any Mebendazole remaining stock? 1..1 boolean #xD; s_stock_expired_meb Are there any expired Mebendazole medications? 1..1 boolean #xD; s_stock_concordance_meb Does the physical stock of Mebendazole match the theoretical stock? 1..1 boolean #xD; logistic_dec Diethylcarbamazine Medication Management 0..1 group #xD; s_stock_remain_dec Is there any Diethylcarbamazine remaining stock? 1..1 boolean #xD; s_stock_expired_dec Are there any expired Diethylcarbamazine medications? 1..1 boolean #xD; s_stock_concordance_dec Does the physical stock of Diethylcarbamazine match the theoretical stock? 1..1 boolean #xD; logistic_pzq Praziquantel Medication Management 0..1 group #xD; s_stock_remain_pzq Is there any Praziquantel remaining stock? 1..1 boolean #xD; s_stock_expired_pzq Are there any Praziquantel expired medications? 1..1 boolean #xD; s_stock_concordance_pzq Does the physical stock of Praziquantel match the theoretical stock? 1..1 boolean #xD; logistic_az_sus Azytromicine Suspension Medication Management 0..1 group #xD; s_stock_remain_az_sus Is there any remaining stock of Azytromicine Suspension? 1..1 boolean #xD; s_stock_expired_az_sus Are there any expired Azytromicine suspension? 1..1 boolean #xD; s_stock_concordance_az_sus Does the physical stock of Azytromicine suspension match the theoretical stock? 1..1 boolean #xD; logistic_az_tab Azytromicine tablet Medication Management 0..1 group #xD; s_stock_remain_az_tab Is there any remaining stock of Azytromicine tablet? 1..1 boolean #xD; s_stock_expired_az_tab Are there any expired medications of Azytromicine tablet? 1..1 boolean #xD; s_stock_concordance_az_tab Does the physical stock of Azytromicine tablet match the theoretical stock? 1..1 boolean #xD; logistic_tetra Medication Management 0..1 group #xD; s_stock_remain_tetra Is there any remaining stock? 1..1 boolean #xD; s_stock_expired_tetra Are there any expired medications? 1..1 boolean #xD; s_stock_concordance_tetra Does the physical stock match the theoretical stock? 1..1 boolean #xD; s_training Distributor training 0..1 group #xD; s_dc_trained_h Number of male distributors trained 1..1 integer #xD; s_dc_trained_f Number of female distributors trained 1..1 integer #xD; s_manual_used Distributor manual used? 1..1 boolean #xD; s_mobilisation Social Mobilisation 0..1 group #xD; s_population_informed Was the population informed before the campaign? 1..1 boolean #xD; s_chanel_utilises Communication channels used 1..* choice Options: 5 options #xD; s_supervision Area of supervision 0..1 group #xD; s_dc_supervised Number of distributors supervised 1..1 integer #xD; s_villages_supervised Number of villages supervised 0..1 integer #xD; s_pharmacovigilance Pharmacovigilance 0..1 group #xD; s_side_effect Were any adverse effects reported? 1..1 boolean #xD; s_sever_side_effect Were any serious adverse effects reported? 1..1 boolean #xD; s_difficultes Challenges encountered 0..1 text #xD; s_solutions Proposed solutions 0..1 text #xD; s_recommandations Supervisor recommendations 0..1 text #xD; Documentation for this format Options Sets Answer options for s_supervisor_Level National Regional District Partner Health facility Answer options for s_reason_non_treatment https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs#not-visited ("Absence of DC") https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs#refusal ("Population refusal") https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs#medication-shortage ("Medication shortage") https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs#insecurity ("Insecurity") https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs#difficult-access ("Difficult access") https://icr.healthcampaigns.org/CodeSystem/icr-missed-reason-cs#not-required ("Not required") Answer options for s_chanel_utilises https://icr.healthcampaigns.org/CodeSystem/icr-communication-channel-cs#radio ("Radio") https://icr.healthcampaigns.org/CodeSystem/icr-communication-channel-cs#town-criers ("Town criers") https://icr.healthcampaigns.org/CodeSystem/icr-communication-channel-cs#community-leaders ("Community leaders") https://icr.healthcampaigns.org/CodeSystem/icr-communication-channel-cs#schools ("Schools") https://icr.healthcampaigns.org/CodeSystem/icr-communication-channel-cs#posters ("Posters")
ESPEN MDA demo Form 5 (supervision at health facility): geographic coverage of villages treated, per-drug stock triplets (remaining/expired/concordance), distributor training, social mobilization, supervision area, pharmacovigilance, and free-text challenges/solutions/recommendations. No extraction templates: per the campaign-form pattern (ICRCampaignFormResponse, working doc §4.6) the QuestionnaireResponse itself is the supervision record.
Is there any Ivermectine remaining stock?
Are there any expired Ivermectine medications?
Does the physical stock of Ivermectine match the theoretical stock?
Is there any Albendazole remaining stock?
Are there any expired Albendazole medications?
Does the physical stock of Albendazole match the theoretical stock?
Is there any Mebendazole remaining stock?
Are there any expired Mebendazole medications?
Does the physical stock of Mebendazole match the theoretical stock?
Diethylcarbamazine Medication Management
Is there any Diethylcarbamazine remaining stock?
Are there any expired Diethylcarbamazine medications?
Does the physical stock of Diethylcarbamazine match the theoretical stock?
Is there any Praziquantel remaining stock?
Are there any Praziquantel expired medications?
Does the physical stock of Praziquantel match the theoretical stock?
Azytromicine Suspension Medication Management
Is there any remaining stock of Azytromicine Suspension?
Are there any expired Azytromicine suspension?
Does the physical stock of Azytromicine suspension match the theoretical stock?
Azytromicine tablet Medication Management
Is there any remaining stock of Azytromicine tablet?
Are there any expired medications of Azytromicine tablet?
Does the physical stock of Azytromicine tablet match the theoretical stock?
Does the physical stock match the theoretical stock?
Was the population informed before the campaign?
Were any serious adverse effects reported?