Form No 11

Evaluation of North Darfur Integrated Health Programme and the Health Care Delivery System at
North Darfur State and Kutum Locality
PHC GOAL Facility Staff Interview

Area /village: name number : ....

Health Center: name .......................... number :.....
1. Post
2. Age
3. Sex

1.
2.
1.
2.
3.
1.
2.
3.
4.
5.

4.Employment status

5.Qualification

6.Years of experience
7.Number of years working in
this facility
8. Where have you been working
before joining this facility

Male
Female
Full time in GOAL
Full time seconded from Ministry of Health
Part time staff
High secondary school
Technical diploma (2 -3 years diploma)
University degree
Graduate degree
Other (specify)

1. Another GOAL facility

2. MOH facility
3. Other (specify)

9.Do you have the following:

1. Yes
2. No
9.1
9.2
9.3
9.4
10. When was the last time you
received in the service training

Written job description

Training plan
Career plan
Incentives
1. During the past year
2. Within the past two years
3. In more than two years
1. Yes, very appropriate
2. No, higher than the required task
3. No, lower than the required task

11. Do you think your skills and

training are appropriate to your
assigned tasks
12. When was the last time you
have been supervised
13. Indicate the degree of satisfaction with the following resources in the facility:
1. Very Dissatisfied
2. Dissatisfied
3. Satisfied
1

4. Very Satisfied
X Undecided
13. 1 Availability of basic
equipment
13.2 Availability of stationery
13.3 Availability of cleaning
materials
13.4 Physical working conditions
13.5 Hours of work
13.6 Recognition for good work
13.7 Amount of responsibility
given
13.8 Rate of pay
13.9 Colleagues and fellow
workers
13.10 Overall satisfaction

Form No 11


PHC GOAL Facility Staff Interview
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9.Do you have the

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