Questionnaire used during the interview with JHOs

Questions for Ward JHOs (Please circle answers as appropriate)

Ward:                                                                University:

How often do you test visual acuity?                     Daily / Weekly / Monthly / Rarely

The last time you tested visual acuity?           1 day ago / 1 wk ago / 1 mth ago / > 1 mth

Proportion of times when Snellen chart used:           0% / <10% / 10-50% / >50% / Always

How often do you use the ophthalmoscope?          Daily / Weekly / Monthly / Rarely

The last time you used the ophthalmoscope?  1 day ago / 1 wk ago / 1 mth ago / > 1 mth

Proportion of times when topical mydriatics used:    0% / <10% / 10-50% / >50% / Always

Is there a working ophthalmoscope in the ward?      Y  /  N  /  Don’t know

Is there a Snellen chart in the ward?                          Y  /  N  /  Don’t know

What do you look at with the ophthalmoscope?   Optic disc  /  Vessels  /  Macula / Other:

When topical mydriatics are used, what is the source?      Own  /  Ward  /  Other:

If topical mydriatics are not used, what is/are the reason(s) for not using them?

·        Not available in the ward

·        Not aware of any in the ward

·        No time to look for them

·        Worried about side effects

·        Able to see well enough without them

·        Other:

If a working ophthalmoscope with batteries is easily accessible in the wards, would you examine the fundus with the ophthalmoscope more frequently than you are now?

·        Y

·        N. If N, why not?

Too busy

                Not confident of using the ophthalmoscope

                Unable to see anything useful using the ophthalmoscope

                Do not feel it necessary

                Other:

If topical mydriatics are easily accessible in the wards, how frequently would you dilate the pupils when using the ophthalmoscope?

·            0%

·        <10%

·        10-50%

·        >50%

·        All the time

Thank you very much for your time.