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"kebbi", "generated_names_from_labels_we_can_use": "kebbi"}, {"label": "Ondo", "name": "ondo", "generated_names_from_labels_we_can_use": "ondo"}, {"label": "Niger", "name": "niger", "generated_names_from_labels_we_can_use": "niger"}]}, "style": "pages", "namespaces": "esri=\"http://esri.com/xforms\"\nenk=\"http://enketo.org/xforms\"", "children": [{"name": "start000000", "label": "Start Time", "type": "start"}, {"name": "end00000000", "label": "End Time", "type": "end"}, {"name": "phonenumber", "type": "phonenumber"}, {"name": "username", "type": "username"}, {"name": "email", "type": "email"}, {"name": "timestarted", "label": "Calculate time started", "type": "calculate", "bind": {"calculate": "format-date-time(now(),'%H:%M')"}}, {"name": "background", "label": "**Background**", "type": "group", "children": [{"name": "GrpInformtn", "label": "**Metadata**", "type": "group", "children": [{"name": "state", "label": "State", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "autocomplete minimal w1"}, "children": [{"name": "adamawa", "label": "Adamawa"}, {"name": "rivers", "label": "Rivers"}, {"name": "enugu", "label": "Enugu"}, {"name": "lagos", "label": "Lagos"}, {"name": "plateau", "label": "Plateau"}, {"name": "kebbi", "label": "Kebbi"}, {"name": "ondo", "label": "Ondo"}, {"name": "niger", "label": "Niger"}]}, {"name": "CalcState00", "label": "Calculate State", "type": "calculate", "bind": {"calculate": "if(${state} = '','',once(now()))"}}, {"name": "lga", "label": "LGA", "type": "select one external", "bind": {"required": "TRUE"}, "control": {"appearance": "autocomplete minimal w1"}, "choice_filter": "states = ${state}", "query": "LGAs"}, {"name": "CalcLGA00", "label": "Calculate LGA", "type": "calculate", "bind": {"calculate": "if(${lga} = '','',once(now()))"}}, {"name": "ward", "label": "Ward", "type": "select one external", "bind": {"required": "TRUE"}, "control": {"appearance": "autocomplete minimal w1"}, "choice_filter": "LGAs = ${lga}", "query": "wards"}, {"name": "CalcWard00", "label": "Calculate Ward", "type": "calculate", "bind": {"calculate": "if(${ward} = '','',once(now()))"}}, {"name": "healthfacility", "label": "Health Facility", "type": "select one external", "bind": {"required": "TRUE"}, "control": {"appearance": "autocomplete minimal w2"}, "choice_filter": "wards = ${ward}", "query": "facilities"}, {"name": "CalcFacility00", "label": "Calculate health facility", "type": "calculate", "bind": {"calculate": "if(${healthfacility} = '','',once(now()))"}}, {"name": "healthfacilitytype", "label": "What type of health facility is it?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "primary_health_facility_public", "label": "Primary health facility (Public)"}, {"name": "primary_health_facility_private", "label": "Primary health facility (Private)"}, {"name": "secondary_health_facility_publi", "label": "Secondary health facility (Public)"}, {"name": "secondary_health_facility_priva", "label": "Secondary health facility (Private)"}, {"name": "tertiary_health_facility_public", "label": "Tertiary health facility (Public)"}, {"name": "tertiary_health_facility_privat", "label": "Tertiary health facility (Private)"}]}, {"name": "gpscoordinate", "label": "Collect the GPS coordinates of this facility.", "type": "geopoint", "bind": {"required": "TRUE"}, "control": {"appearance": "w4", "accuracyThreshold": "5"}}, {"name": "investigator", "label": "Name of Investigator", "type": "text", "bind": {"required": "TRUE"}}, {"name": "investigator2", "label": "Is your name ${investigator}?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "date", "label": "Date", "hint": "This is included for validation purposes", "type": "date", "bind": {"required": "TRUE", "relevant": "${investigator2} ='yes'"}}, {"name": "investigatornote", "label": "Investigator: introduce yourself\n\nHello, my name is ${investigator} and I am here to conduct an interview as part of an evaluation of the malaria \nsurveillance system.\n\n{provide and review the consent form}", "type": "note"}, {"name": "consent", "label": "Has the participant (signed the consent form OR provided verbal consent) agreed to participate?", "type": "select one", "bind": {"constraint": ".='yes'", "required": "TRUE", "jr:constraintMsg": "Respondent must sign the consent form or provide verbal consent to complete the survey"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "end_con_not_giv", "label": "Consent not given. End of Survey", "type": "note", "bind": {"relevant": "${consent}='no'"}}]}, {"name": "ConsentInfo", "label": "**Consent**", "type": "group", "children": [{"name": "intervieweename", "label": "Name of interviewee:", "type": "text", "bind": {"required": "TRUE", "relevant": "${consent}='yes'"}}, {"name": "intervieweerole", "label": "Role of the interviewee:", "type": "text", "bind": {"required": "TRUE"}}, {"name": "intervieweecontact", "label": "Contact information:", "type": "text", "bind": {"required": "TRUE"}}]}, {"name": "promptnote1", "label": "Read this to remind the respondent what surveillance is. Epidemiological Surveillance is a continuous and systematic process of identifying, collecting, compiling, analyzing, and interpreting data on diseases in order to take timely and effective action. In summary, surveillance is the collection, recording, and use of data.", "type": "note"}]}, {"name": "contextandinfrastructure", "label": "**Context and Infrastructure**", "type": "group", "children": [{"name": "DocumentationInfo", "label": "**Documentation**", "type": "group", "children": [{"name": "guidelines_1", "label": "Are there national guidelines for malaria surveillance (e.g., objectives, description of indicators, etc.)?\n(Check all that apply)", "type": "select all that apply", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes_on_the_internet", "label": "Yes, on the internet"}, {"name": "yes_in_a_manual_or_other_refere", "label": "Yes, in a manual or other reference document"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "guidelines_2", "label": "How many national guidelines for malaria surveillance are here?", "type": "integer", "bind": {"required": "TRUE", "relevant": "selected(${guidelines_1},'yes_on_the_internet') or selected(${guidelines_1},'yes_in_a_manual_or_other_refere')"}}, {"name": "guidelines_3", "label": "Do you have a copy of (every malaria surveillance guideline) here?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes;_shared_or_shown_copy__>_sa", "label": "Yes; shared or shown copy --> save name and version"}, {"name": "yes;_copy_not_available_i_e__co", "label": "Yes; copy not available (i.e., could not produce guideline)"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "guidelines_3a", "label": "Record the exact title of each guideline:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${guidelines_3},'yes;_shared_or_shown_copy__>_sa') or selected(${guidelines_3},'yes;_copy_not_available_i_e__co')"}}, {"name": "guidelines_3b", "label": "Do you use other manuals?", "type": "select one", "bind": {"required": "TRUE", "relevant": "selected(${guidelines_3},'no')"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__interviewer_to_write_exact", "label": "Yes - interviewer to write exact title"}]}, {"name": "guidelines_3b_yes", "label": "Record exact title of other manuals:", "type": "text", "bind": {"required": "TRUE", "relevant": "${guidelines_3b}='yes__interviewer_to_write_exact'"}}, {"name": "guidelines_4", "label": "Have any of the guidelines you use at this facility for malaria surveillance been updated in the previous 24 months?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}]}, {"name": "resourcesInfo", "label": "**Resources (Personnel, Equipment, Infrastructure)**", "type": "group", "children": [{"name": "resource_0", "label": "Please list all of the duties you conduct as part of your role (e.g., collect data in facility registers, review completeness and data quality, collate data and submit to LGA, etc.)", "hint": "Prompt: Add a list of duties/tasks based on literature review", "type": "text", "bind": {"required": "TRUE"}}, {"name": "equip_1", "label": "Which of the following equipment/services do you use to record and report malaria data?", "hint": "Prompt: Consider all equipment needed to do surveillance at {this or all} level of the health system", "type": "select all that apply", "bind": {"required": "TRUE"}, "children": [{"name": "patient_register_books", "label": "Patient register books"}, {"name": "paper_forms", "label": "Paper forms"}, {"name": "computers", "label": "Computers"}, {"name": "printer", "label": "Printer"}, {"name": "mobile_phone_s", "label": "Mobile phone(s)"}, {"name": "mobile_network_connection_voice", "label": "Mobile network connection (voice or SMS)"}, {"name": "internet_connection_mobile_or_f", "label": "Internet connection (mobile or fixed)"}, {"name": "electricity", "label": "Electricity"}, {"name": "other_\u2010_specify", "label": "Other \u2010 specify"}]}, {"name": "equip_1_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${equip_1}, 'other_\u2010_specify')"}}, {"name": "equip_2", "label": "During the last 30 days, which equipment/services (selected in previous question) were constantly available", "type": "select all that apply", "bind": {"required": "TRUE", "relevant": "count-selected(${equip_1})>1"}, "itemset": "equip_types", "choice_filter": "selected(${equip_1}, name)", "children": [{"name": "patient_register_books", "label": "Patient register books"}, {"name": "paper_forms", "label": "Paper forms"}, {"name": "computers", "label": "Computers"}, {"name": "printer", "label": "Printer"}, {"name": "mobile_phone_s", "label": "Mobile phone(s)"}, {"name": "mobile_network_connection_voice", "label": "Mobile network connection (voice or SMS)"}, {"name": "internet_connection_mobile_or_f", "label": "Internet connection (mobile or fixed)"}, {"name": "electricity", "label": "Electricity"}, {"name": "other_\u2010_specify", "label": "Other \u2010 specify"}]}, {"name": "equip_2_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${equip_2}, 'other_\u2010_specify')"}}, {"name": "equip_3", "label": "Which duties, thinking about those stated previously, are most affected by a lack of equipment/services?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "equip_3_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${equip_3}='yes__specify'"}}, {"name": "equip_4", "label": "How often does a lack of equipment/services keep you from carrying out your duties?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "always", "label": "Always"}, {"name": "sometimes", "label": "Sometimes"}, {"name": "never", "label": "Never"}]}, {"name": "equip_5", "label": "Are there any other supplies, tools, equipment (those the program does not currently provide) that would be helpful for carrying out your duties?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "equip_5_yes", "label": "Specify:", "type": "text", "bind": {"relevant": "${equip_5}='yes__specify'"}}]}, {"name": "compensationInfo", "label": "**Compensation**", "type": "group", "children": [{"name": "compens_1", "label": "What does the government provide you in return for your work in this health facility?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "nothing", "label": "Nothing"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "compens_1_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${compens_1}='yes__specify'"}}, {"name": "compens_2", "label": "How often do you receive these from the program as expected?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${compens_1}='yes__specify'"}, "children": [{"name": "always", "label": "Always"}, {"name": "sometimes", "label": "Sometimes"}, {"name": "never", "label": "Never"}]}, {"name": "compens_3", "label": "How satisfied are you with the current form(s) of compensation provided by the program?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "very_dissatisfied", "label": "Very dissatisfied"}, {"name": "dissatisfied", "label": "Dissatisfied"}, {"name": "somewhat_satisfied", "label": "Somewhat satisfied"}, {"name": "satisfied", "label": "Satisfied"}, {"name": "very_satisfied", "label": "Very satisfied"}]}, {"name": "compens_4", "label": "Are there any addtional forms of compensation or incentives you would like to receive for your work?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "compens_4_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${compens_4}='yes__specify'"}}]}]}, {"name": "processandtechnical", "label": "**Process and Technical**", "type": "group", "children": [{"name": "promptnote2", "label": "Read this to remind the respondent what surveillance is. Epidemiological Surveillance is a continuous and systematic process of identifying, collecting, compiling, analyzing, and interpreting data on diseases in order to take timely and effective action. In summary, surveillance is the collection, recording, and use of data.", "type": "note"}, {"name": "recordingInfo", "label": "**Recording**", "type": "group", "children": [{"name": "recording_0", "label": "Thinking about the process of RECORDING individual patient interactions:", "type": "note"}, {"name": "recording_1", "label": "How difficult is the data collection process?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "data_collection_is_impossibly_c", "label": "data collection is impossibly complex/unmanageable;"}, {"name": "data_collection_is_complex_unma", "label": "data collection is complex/unmanageable"}, {"name": "data_collection_is_somewhat_sim", "label": "data collection is somewhat simple, straightforward, and strealined"}, {"name": "data_is_collection_is_simple_st", "label": "data is collection is simple, straightforward, and streamlined"}, {"name": "data_collection_is_extremely_si", "label": "data collection is extremely simple, straightforward, and streamlined"}]}, {"name": "recording_2", "label": "What are the main challenges in recording malaria case data?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no_challenges", "label": "No challenges"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "recording_2_yes", "label": "Specify challenge(s):", "type": "text", "bind": {"required": "TRUE", "relevant": "${recording_2}='yes__specify'"}}]}, {"name": "reportingInfo", "label": "**Reporting**", "type": "group", "children": [{"name": "reporting_0", "label": "Thinking about the process of REPORTING data:", "type": "note"}, {"name": "reporting_1", "label": "How often do you report data?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "reporting_1_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${reporting_1}='other__specify'"}}, {"name": "reporting_2", "label": "How difficult is the data reporting process?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "data_reporting_is_impossibly_co", "label": "data reporting is impossibly complex/unmanageable;"}, {"name": "data_reporting_is_complex_unman", "label": "data reporting is complex/unmanageable"}, {"name": "data_reporting_is_somewhat_simp", "label": "data reporting is somewhat simple, straightforward, and strealined"}, {"name": "data_is_reporting_is_simple_str", "label": "data is reporting is simple, straightforward, and streamlined"}, {"name": "data_reporting_is_extremely_sim", "label": "data reporting is extremely simple, straightforward, and streamlined"}]}, {"name": "reporting_3", "label": "What are the main challenges in reporting malaria case data?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no_challenges", "label": "No challenges"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "reporting_3_yes", "label": "Specify challenge(s):", "type": "text", "bind": {"required": "TRUE", "relevant": "${reporting_3}='yes__specify'"}}]}, {"name": "analysisInfo", "label": "**Analysis**", "type": "group", "children": [{"name": "analysis_0", "label": "Do you analyze the malaria data that you collect?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "analysis_1", "label": "If Yes, how often?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${analysis_0}='yes'"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "quarterly", "label": "Quarterly"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "analysis_1_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${analysis_0}='yes' and ${analysis_1}='other__specify'"}}, {"name": "analysis_2", "label": "Do you ever see results of analysis from malaria case data that you and others report from higher levels?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "analysis_3", "label": "If Yes, how do you receive the results?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${analysis_2}='yes'"}, "children": [{"name": "access_results_directly_through", "label": "Access results directly through electronic monitoring system (e.g., dashboards)"}, {"name": "weekly_monthly_reports", "label": "Weekly/Monthly reports"}, {"name": "annual_report_only", "label": "Annual report only"}, {"name": "presented_at_data_monitoring_re", "label": "Presented at data monitoring/review meetings"}, {"name": "posted_regularly_on_a_website", "label": "Posted regularly on a website"}, {"name": "other_\u2010>_specify", "label": "Other \u2010> specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "analysis_3_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${analysis_3}='other_\u2010>_specify'"}}, {"name": "analysis_4", "label": "If Yes, how often are results received or updated?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${analysis_2}='yes'"}, "children": [{"name": "in_real\u2010time_e_g__dashboards", "label": "In real\u2010time (e.g., dashboards)"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "other_\u2010>_specify", "label": "Other \u2010> specify"}, {"name": "never", "label": "Never"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "analysis_4_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${analysis_4}='other_\u2010>_specify'"}}]}, {"name": "qualityassuranceInfo", "label": "**Quality Assurance**", "type": "group", "children": [{"name": "validation_1", "label": "Do you receive feedback on the quality of malaria data?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "validation_2", "label": "If Yes, how often do you receive feedback?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${validation_1}='yes'"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "validation_2_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${validation_2}='other__specify'"}}, {"name": "validation_3", "label": "If Yes, how do you receive feedback?\n(Check all that apply)", "type": "select all that apply", "bind": {"required": "TRUE", "relevant": "${validation_1}='yes'"}, "children": [{"name": "routine_reporting_on_data_quali", "label": "Routine reporting on data quality indicators"}, {"name": "standard_presentations_on_data", "label": "Standard presentations on data quality indicators used in data review meetings"}, {"name": "feedback_with_corrective_action", "label": "Feedback with corrective actions given by app, phone, or email"}, {"name": "quarterly_bulletin", "label": "Quarterly bulletin"}, {"name": "other_\u2010>_specify", "label": "Other \u2010> specify"}, {"name": "none", "label": "None"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "validation_3_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${validation_3},'other_\u2010>_specify')"}}, {"name": "validation_5", "label": "Do you review the data that you record and report with the Officer in Charger (OIC)?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "validation_6", "label": "If Yes, how often?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${validation_5}='yes'"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "validation_6_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${validation_6}='other__specify'"}}, {"name": "validation_7", "label": "What steps do you and your supervisor take to ensure that the data you report is accurate?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "validation_7_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${validation_7}='yes__specify'"}}, {"name": "validation_8", "label": "Have you participated in a data quality audit (DQA)?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "validation_9", "label": "If Yes, when was the most recent DQA?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${validation_8}='yes'"}, "children": [{"name": "last_month", "label": "Last month"}, {"name": "3_months_ago", "label": "3 months ago"}, {"name": "6_months_ago", "label": "6 months ago"}, {"name": "12_months_ago", "label": "12 months ago"}, {"name": "more_than_12_months_ago", "label": "More than 12 months ago - specify Year"}, {"name": "other_specifyy", "label": "Other- specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "validation_9_other", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${validation_9}='other_specifyy'"}}, {"name": "validation_9_year", "label": "Specify Year:", "type": "date", "bind": {"required": "TRUE", "relevant": "${validation_9}='more_than_12_months_ago'"}, "control": {"appearance": "year"}}]}]}, {"name": "performance", "label": "**Performance**", "type": "group", "children": [{"name": "datauseInfo", "label": "**Data Use**", "type": "group", "children": [{"name": "datause_1", "label": "Have you heard of DHIS2 data collection system?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "datause_2", "label": "If Yes, do staff at this facility have access to DHIS2?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${datause_1}='yes'"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "datause_3", "label": "If Yes, do the staff at this facility access and view DHIS2 malaria data online?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${datause_1}= 'yes' and ${datause_2}='yes'"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "datause_4", "label": "What ways other than the internet, if any, are the staff at this facility able to view summaries of DHIS2 malaria data?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${datause_1}='yes' and ${datause_3}='yes'"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "datause_4_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${datause_4}='yes__specify'"}}, {"name": "datause_5", "label": "What type(s) of equipment and resources does this facility have to access DHIS2 malaria data?", "type": "select all that apply", "bind": {"required": "TRUE", "relevant": "${datause_1}='yes' and ${datause_2}='yes'"}, "children": [{"name": "staff_with_relevant_skills", "label": "Staff with relevant skills"}, {"name": "computers", "label": "Computers"}, {"name": "mobile_phone_s", "label": "Mobile phone(s)"}, {"name": "mobile_network_connection_voic", "label": "Mobile network connection (voice or SMS)"}, {"name": "internet_connection_mobile_or", "label": "Internet connection (mobile or fixed)"}, {"name": "electricity", "label": "Electricity"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "datause_5_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${datause_5},'other__specify')"}}, {"name": "datause_6", "label": "Are there any additional equipment resources needed to access DHIS2 malaria data?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${datause_1}='yes' and ${datause_2}='yes'"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "datause_6_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${datause_6}='yes__specify'"}}, {"name": "datause_7", "label": "How does this facility use malaria data?", "type": "select all that apply", "bind": {"required": "TRUE"}, "children": [{"name": "this_facility_does_not_use_mala", "label": "This facility does not use malaria data"}, {"name": "to_inform_or_improve_the_distri", "label": "To inform or improve the distribution of commodities (e.g., inform stock\u2010out, trigger commodities purchase, inform commodity forecasting)"}, {"name": "view_or_create_charts_showing_m", "label": "View or create charts showing malaria trends over time or by population groups (e.g., incidence, deaths)"}, {"name": "determine_if_and_where_cases_ar", "label": "Determine if and where cases are geographically concentrated"}, {"name": "to_guide_improvements_to_or_tri", "label": "To guide improvements to or trigger supervision of case management"}, {"name": "to_guide_improvements_to_or_tri", "label": "To guide improvements to or trigger supervision of surveillance"}, {"name": "to_initiate_trainings_or_other", "label": "To initiate trainings or other surveillance staff capacity development"}, {"name": "other_\u2010_specify", "label": "Other \u2010 specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "datause_7_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${datause_7}, 'other_\u2010_specify')"}}]}]}, {"name": "behavioural", "label": "**Behavioural**", "type": "group", "children": [{"name": "promptnote3", "label": "Read this to remind the respondent what surveillance is. Epidemiological Surveillance is a continuous and systematic process of identifying, collecting, compiling, analyzing, and interpreting data on diseases in order to take timely and effective action. In summary, surveillance is the collection, recording, and use of data.", "type": "note"}, {"name": "proficiencyInfo", "label": "**Proficiency**", "type": "group", "children": [{"name": "prof_1", "label": "Does the NMEP/HMIS have a training program which includes staff involved in data collection and reporting processes?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_2", "label": "How often do staff receive training specifically on malaria surveillance here?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${prof_1}='yes'"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "monthly", "label": "Monthly"}, {"name": "quarterly", "label": "Quarterly"}, {"name": "biannually", "label": "Biannually"}, {"name": "annually", "label": "Annually"}, {"name": "other__specify", "label": "Other - specify"}, {"name": "never_received_training", "label": "Never received training"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_2_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${prof_2}='other__specify'"}}, {"name": "prof_3", "label": "When was your most recent training on malaria surveillance?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${prof_1}='yes'"}, "children": [{"name": "last_month", "label": "Last month"}, {"name": "3_months_ago", "label": "3 months ago"}, {"name": "6_months_ago", "label": "6 months ago"}, {"name": "12_months_ago", "label": "12 months ago"}, {"name": "more_than_12_months_ago", "label": "More than 12 months ago - specify Year"}, {"name": "other_specifyy", "label": "Other- specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_3_other", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${prof_3}='other_specifyy'"}}, {"name": "prof_3_year", "label": "Specify Year:", "type": "date", "bind": {"required": "TRUE", "relevant": "${prof_3}='more_than_12_months_ago' and ${prof_1}='yes'"}, "control": {"appearance": "year"}}, {"name": "prof_4", "label": "What surveillance topics/activities were covered by the training?", "type": "select all that apply", "bind": {"required": "TRUE", "relevant": "${prof_1}='yes'"}, "children": [{"name": "data_collection_entering_patien", "label": "Data collection (entering patient information)"}, {"name": "data_reporting_compiling_malari", "label": "Data reporting (compiling malaria case reports)"}, {"name": "data_entry_if_different_from_da", "label": "Data entry (if different from data collection)"}, {"name": "review_quality_of_malaria_case", "label": "Review quality of malaria case data"}, {"name": "analysis_and_interpretation_of", "label": "Analysis and interpretation of malaria case data and data use"}, {"name": "preparation_of_dissemination_re", "label": "Preparation of dissemination reports (such as bulletins, feedback reports)"}, {"name": "supervision_and_or_decision_mak", "label": "Supervision and/or decision-making"}, {"name": "other_specify", "label": "Other- specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_4_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${prof_4},'other_specify')"}}, {"name": "prof_5", "label": "Is the NMEP M&E Standard Operating Procedure (SOP) available to staff?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes;_shared_or_shown_copy_\u2010>_sa", "label": "Yes; shared or shown copy \u2010> save name and version"}, {"name": "yes;_copy_not_available_e_g__co", "label": "Yes; copy not available (e.g., could not produce job aid(s))"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_6", "label": "Do you use the NMEP M&E SOP for malaria surveillance tasks?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${prof_5}='yes;_shared_or_shown_copy_\u2010>_sa' or ${prof_5}='yes;_copy_not_available_e_g__co'"}, "children": [{"name": "always", "label": "Always"}, {"name": "sometimes", "label": "Sometimes"}, {"name": "never", "label": "Never"}]}, {"name": "prof_7", "label": "Is the HMIS instructional manual available to staff?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes;_shared_or_shown_copy_\u2010>_sa", "label": "Yes; shared or shown copy \u2010> save name and version"}, {"name": "yes;_copy_not_available_e_g__co", "label": "Yes; copy not available (e.g., could not produce job aid(s))"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_8", "label": "Do you use the HMIS instructional manual for malaria surveillance tasks?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${prof_7}='yes;_shared_or_shown_copy_\u2010>_sa' or ${prof_7}='yes;_copy_not_available_e_g__co'"}, "children": [{"name": "always", "label": "Always"}, {"name": "sometimes", "label": "Sometimes"}, {"name": "never", "label": "Never"}]}, {"name": "prof_9", "label": "Is a staff capacity development plan available to staff here?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes;_shared_or_shown_copy_>_sav", "label": "Yes; shared or shown copy -> save name and version"}, {"name": "yes;_copy_not_available_e_g__co", "label": "Yes; copy not available (e.g., could not produce plan(s))"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "prof_10", "label": "Please list any tasks related to surveillance that you have difficulty conducting.", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "prof_10_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${prof_10}='yes__specify'"}}, {"name": "prof_11", "label": "Why are these tasks difficult for you to complete (e.g., register stockouts, inadequate training, high workload, unclear role)?", "type": "text", "bind": {"required": "TRUE", "relevant": "${prof_10}='yes__specify'"}}, {"name": "prof_12", "label": "What are the main barriers/challenges you face in conducting your duties?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no_barriers_challenges", "label": "No barriers/challenges"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "prof_12_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${prof_12}='yes__specify'"}}, {"name": "prof_13", "label": "Are there any parts of your role that you would like more training?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "prof_13_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${prof_13}='yes__specify'"}}]}, {"name": "commitmentInfo", "label": "**Committment**", "type": "group", "children": [{"name": "commit_1", "label": "How committed do you feel to make sure the data you record and report is accurate?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "not_committed_at_all", "label": "Not committed at all"}, {"name": "not_committed", "label": "Not committed"}, {"name": "somewhat_committed", "label": "Somewhat committed"}, {"name": "committed", "label": "Committed"}, {"name": "very_committed", "label": "Very committed"}]}, {"name": "commit_2", "label": "Do you think that surveillance data is effectively reviewed, used, and communicated back to facilities?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "commit_3", "label": "Which, if any, are factors that significantly influence your committment to complete high-quality routine surveillance tasks.", "type": "select all that apply", "bind": {"required": "TRUE"}, "children": [{"name": "tasks_are_too_difficult", "label": "Tasks are too difficult"}, {"name": "tasks_are_too_long", "label": "Tasks are too long"}, {"name": "other_tasks_take_priority", "label": "Other tasks take priority"}, {"name": "tasks_are_not_my_responsibility", "label": "Tasks are not my responsibility"}, {"name": "i_am_not_adequately_compensated", "label": "I am not adequately compensated for tasks"}, {"name": "i_am_not_adequately_trained_for", "label": "I am not adequately trained for tasks"}, {"name": "too_many_tools_needed_to_perfor", "label": "Too many tools needed to perform tasks"}, {"name": "other__specify", "label": "Other - specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "commit_3_oth", "label": "Specify Other:", "type": "text", "bind": {"required": "TRUE", "relevant": "selected(${commit_3}, 'other__specify')"}}]}, {"name": "accountabilityInfo", "label": "**Accountability**", "type": "group", "children": [{"name": "account_1", "label": "Do you receive feedback on surveillance data collection and reporting tasks?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_2", "label": "Do you feel that the feedback is adequate?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_1}='yes'"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_3", "label": "Does this facility use the feedback that is received?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_1}='yes'"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_4", "label": "Please provide examples of how this facility uses feedback.", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_1}='yes' and ${account_3}='yes'"}}, {"name": "account_5", "label": "Is there a supervision plan for data collection and reporting in place?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_6", "label": "How frequently do staff from LGA conduct supervisory visits for facility surveillance data collection and reporting?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_5}='yes'"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "quarterly", "label": "Quarterly"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "account_6_oth", "label": "Specify other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_6}='other__specify'"}}, {"name": "account_7", "label": "When was the last supervisory visit by LGA staff?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_5}='yes'"}, "children": [{"name": "last_month", "label": "Last month"}, {"name": "3_months_ago", "label": "3 months ago"}, {"name": "6_months_ago", "label": "6 months ago"}, {"name": "12_months_ago", "label": "12 months ago"}, {"name": "more_than_12_months_ago", "label": "More than 12 months ago - specify Year"}, {"name": "other_specifyy", "label": "Other- specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_7_other", "label": "Specify other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_7}='other_specifyy'"}}, {"name": "account_7_year", "label": "Specify Year:", "type": "date", "bind": {"required": "TRUE", "relevant": "${account_7}='more_than_12_months_ago' and ${account_5}='yes'"}, "control": {"appearance": "year"}}, {"name": "account_8", "label": "How frequently do staff from State conduct supervisory visits for facility surveillance data collection and reporting?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_5}='yes'"}, "children": [{"name": "daily", "label": "Daily"}, {"name": "weekly", "label": "Weekly"}, {"name": "monthly", "label": "Monthly"}, {"name": "quarterly", "label": "Quarterly"}, {"name": "other__specify", "label": "Other - specify"}]}, {"name": "account_8_oth", "label": "Specify other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_8}='other__specify'"}}, {"name": "account_9", "label": "When was the last supervisory visit by State staff?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_5}='yes'"}, "children": [{"name": "last_month", "label": "Last month"}, {"name": "3_months_ago", "label": "3 months ago"}, {"name": "6_months_ago", "label": "6 months ago"}, {"name": "12_months_ago", "label": "12 months ago"}, {"name": "more_than_12_months_ago", "label": "More than 12 months ago - specify Year"}, {"name": "other_specifyy", "label": "Other- specify"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_9_oth", "label": "Specify other:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_9}='other__specify'"}}, {"name": "account_9_year", "label": "Specify Year:", "type": "date", "bind": {"required": "TRUE", "relevant": "${account_9}='more_than_12_months_ago' and ${account_5}='yes'"}, "control": {"appearance": "year"}}, {"name": "account_10", "label": "Rate the quality of management for M&E activities.", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "management_is_highly_supportive", "label": "Management is highly supportive"}, {"name": "management_is_adequate", "label": "Management is adequate"}, {"name": "management_is_poor_and_or_hinde", "label": "Management is poor and/or hinders my ability to perform high quality surveillance tasks"}, {"name": "refuse_to_answer", "label": "Refuse to answer"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_11", "label": "How would you rank your level of accountability to complete high quality data collection and reporting tasks?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "extremely_low", "label": "Extremely low"}, {"name": "low", "label": "Low"}, {"name": "somewhat_high", "label": "Somewhat high"}, {"name": "high", "label": "High"}, {"name": "very_high", "label": "Very high"}]}, {"name": "account_12", "label": "List incentives (if any) for conducting high quality data collection and reporting tasks", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "account_12_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_12}='yes__specify'"}}, {"name": "account_13", "label": "List any consequences (if any) for low performance (i.e., noncompliance with surveillance guidelines/protocols/regulations)", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "none", "label": "None"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "account_13_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_13}='yes__specify'"}}, {"name": "account_14", "label": "{Do you} or {Does your manager} regularly share surveillance system outputs with all health staff?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__specify_how", "label": "Yes - specify how"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_14_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_14}='yes__specify_how'"}}, {"name": "account_15", "label": "{Do you} or {Does your manager} regularly promote the importance of high-quality reporting and recording malaria of surveillance data?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__specify_how", "label": "Yes - specify how"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_15_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_15}='yes__specify_how'"}}, {"name": "account_17a", "label": "Are you a manager?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "yes", "label": "Yes"}, {"name": "no", "label": "No"}]}, {"name": "account_17", "label": "For managers --> As a manager, have you made any efforts to improve quality of recording and reporting malaria surveillance data?", "type": "select one", "bind": {"required": "TRUE", "relevant": "${account_17a}='yes'"}, "children": [{"name": "no", "label": "No"}, {"name": "yes__describe_efforts", "label": "Yes - describe efforts"}, {"name": "dont_know", "label": "Don't know"}]}, {"name": "account_17_yes", "label": "Describe:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_17}='yes__describe_efforts'"}}, {"name": "account_18", "label": "What do you do when you have issues or problems with your routine surveillance tasks?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "nothing", "label": "Nothing"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "account_18_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${account_18}='yes__specify'"}}, {"name": "account_19", "label": "Is adherence to guidelines, SOPs, and regulations important for high quality surveillance?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "not_important_at_all", "label": "Not Important at all"}, {"name": "not_important", "label": "Not important"}, {"name": "somewhat_important", "label": "Somewhat important"}, {"name": "important", "label": "Important"}, {"name": "very_important", "label": "Very important"}]}, {"name": "account_20", "label": "In your job role, how important is performing high quality data collection and reporting tasks?", "type": "select one", "bind": {"required": "TRUE"}, "control": {"appearance": "likert"}, "children": [{"name": "not_important_at_all", "label": "Not Important at all"}, {"name": "not_important", "label": "Not important"}, {"name": "somewhat_important", "label": "Somewhat important"}, {"name": "important", "label": "Important"}, {"name": "very_important", "label": "Very important"}]}]}, {"name": "workloadInfo", "label": "**Workload**", "type": "group", "children": [{"name": "workload_1", "label": "In most months, how often do you feel that you have enough time to complete all of your tasks expected of you as part of your role?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "always", "label": "Always"}, {"name": "sometimes", "label": "Sometimes"}, {"name": "never", "label": "Never"}]}, {"name": "workload_3", "label": "Which types of duties, if any, would you like to be added to your current role?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no_additional_duties", "label": "No additional duties"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "workload_3_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${workload_3}='yes__specify'"}}, {"name": "workload_4", "label": "Which types of duties, if any, would you like to be removed from your current role?", "type": "select one", "bind": {"required": "TRUE"}, "children": [{"name": "no_duties_removed", "label": "No duties removed"}, {"name": "yes__specify", "label": "Yes - specify"}]}, {"name": "workload_4_yes", "label": "Specify:", "type": "text", "bind": {"required": "TRUE", "relevant": "${workload_4}='yes__specify'"}}]}]}, {"name": "end_survey", "label": "End of Survey", "type": "note"}, {"name": "meta", "type": "group", "control": {"bodyless": true}, "children": [{"name": "instanceID", "type": "calculate", "bind": {"readonly": "true()", "calculate": "concat('uuid:', uuid())"}}, {"name": "instanceName", "type": "calculate", "bind": {"calculate": "concat(${start000000},' ',${timestarted},'_','PATH_HealthFacility','_',${healthfacility}, '_', jr:choice-name(${state},'${state}'))"}}]}]}