Uganda - Campaign to End Fistula

56OBSTETRIC FISTULA (VVF)PROVIDER/FACILITY ASSESSMENT.Form 1NAME OFHOSPITAL……………………………………………REGION…………………..……ADDRESS BOX………………………………………E-MAIL………………………..RESPONDENT’S NAME……………………………………………………………….QUALIFICATIONS……………………………………………………………………..1. Do you take active part in management of fistula?………………………………………………………………………………………2. Have you been trained specifically in management of fistula? (Hands on training infistula repair/care)?………………………………………………………………………………………3. If yes: Where?………………………………………………………………....For how long?……………………………………………………………….………By whom?…………………………………………………………………………..4. What aspects of management are you involved in?a. Surgery……………………………………………………………..………….b. Nursing post operative………………………………………………………...c. Prevention (post delivery)…………………………………………..………..d. Advocacy / IEC………………………………………………….…………...e. Others…………………………………………………………….………….5. If NO to Q2.a. Is your pre-service training exposure adequate for you to manage fistula?………………………………………………………………………………