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State Doctor's Attitudes to the implementation of the Termination of
Pregnancy (TOP) Act of October 1996. |
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Profile (please CIRCLE your
answers clearly) |
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specialist |
yes |
no |
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registrar/clinical assistant |
yes |
no |
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medical officer/house officer |
yes |
no |
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general practitioner |
yes |
no |
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Part-time or Full-time employment with the State? |
full |
part |
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Do you hold a district surgeon's post? |
yes |
no |
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Years qualified since basic medical degree (MBChB) |
<10 |
11to20 |
20to30 |
>30 |
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Were you occupying this post on 1 Feb. 1997? |
yes |
no |
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Will you be occupying this post after
31 December 1997? |
yes |
no |
maybe |
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age |
<30 |
31-40 |
41-50 |
50-60 |
>60 |
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Gender |
male |
female |
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Type of institution (primary=1, secondary=2, tertiary=3) |
1 |
2 |
3 |
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TRAINING (formal = structured course)
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formal |
informal |
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Have you had any hands-on training for TOP's? |
yes |
yes |
no |
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Can you use a Manual vacuum aspirator? |
yes |
yes |
no |
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Have you performed a paracervical analgesic block? |
yes |
yes |
no |
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can you perform a cervical dilatation and uterine curettage? |
yes |
yes |
no |
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Have you been trained to give pre
abortion counselling? |
yes |
yes |
no |
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Have you been trained to give post
abortion counselling? |
yes |
yes |
no |
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Can you manage post
abortion complications at your facility? |
yes |
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no |
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Have you trained any person to perform TOP's since 1 Feb 1997? |
0 |
<5 |
5 to 10 |
>10 |
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Are trainees (to perform TOPs) currently
at your institution? |
yes |
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no |
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If offered a course to train you to perform TOPs, would you attend? |
yes |
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no |
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Have you attended a Values Clarifications Workshop? |
yes |
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no |
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CURRENT SITUATION AT YOUR INSTITUTION: |
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Does your institution provide an abortion service? |
full |
limited |
no |
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If NOT, are State patient applicants referred: |
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to the private sector for TOP? |
yes |
no |
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to a non governmental organization (i.e. Marie Stopes Clinic)? |
yes |
no |
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to another State Hospital? |
yes |
no |
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Do you refer applicants to a crisis pregnancy centre? |
yes |
no |
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Is there an anaesthetic service for TOP's? |
yes |
no |
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IN YOUR OPINION: |
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Should your institution
be offering a TOP service at all? |
yes |
no |
not sure |
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If NOT, should this be offered at a specified
separate venue? |
yes |
no |
not sure |
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Should separate staff be
appointed to provide this service? |
yes |
no |
not sure |
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Should interviews, procedures and counselling be performed by: |
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doctors? |
yes |
no |
not sure |
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trained midwives? |
yes |
no |
not sure |
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trained paramedical personnel? |
yes |
no |
not sure |
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If NOT, should the service be offered anywhere at
all? |
yes |
no |
not sure |
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PERSONAL PREPAREDNESS: |
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In accordance with the Choice of TOP Act of Oct 1996, are you prepared
to: |
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1.interview and examine abortion applicants? |
yes |
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