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Harmonized Health Facility Assessment: Indicators, Questionnaires, and Country Adaptation

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  1. Course introduction
    1 Topic
  2. Module 1: HHFA introduction
    6 Topics
    |
    1 Quiz
  3. Module 2: HHFA questionnaire content and structure
    4 Topics
    |
    1 Quiz
  4. Module 3: HHFA indicators
    8 Topics
    |
    7 Quizzes
  5. Module 4: Questionnaire adaptation
    5 Topics
    |
    5 Quizzes
  6. Course assessment
    1 Quiz
  7. Resources
  8. End of course
  9. Note on Course Certificates
  10. HHFA Quality of care record review questionnaire adaptation workshop package
    1 Topic
Lesson Progress
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Let’s review what we covered in this module.

Basics of questionnaire adaptation

  • During the questionnaire adaptation process, every question in the questionnaire must be reviewed.
  • There are 3 types of HHFA questionnaire adaptations: Deleting, adding or modifying a question.
  • All adaptations must be made (and maintained) in Track Changes.
  • Do not change the question numbers or the order of the questions.
  • Adaptations to the questionnaire require corresponding adaptations to other HHFA tools.

Deleting and adding questions

  • To delete a question, delete the entire row in Track Changes.
  • Do not re-use the number of the deleted question or re-number the subsequent questions.
  • To add a question, insert a new row in Track Changes.
  • For new questions, always use the country-specific numbering system with the ISO 2 code.
  • For new response options, use a list when only one response is possible.
  • Use a table when multiple responses are possible.
  • After deleting or adding a question, check the skip patterns.

Modifying HHFA questions

  • Modifying an HHFA question means making changes to the text of the question in ways that will not change the meaning of the question or its response options.
  • If changes to the question text will change the meaning of the question or its response options, the question should be deleted and replaced with a new country-specific question.
  • Some HHFA questions contain the instruction “COUNTRY ADAPT”.
  • All HHFA questions should be reviewed by the country.
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