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Medical Outreach Spring 2019 Survey

We are conducting this survey to collect and analyze data to determine how we can best meet your needs. We value your important contributions to provide more people with the medicines and health care they need and to strengthen the institutions that serve them. We will use the information we collect to better support you. Survey data will not be shared externally in an identifiable fashion.

As a thank you for your survey participation we will enter your name into a contest to win an iPad!

Please respond to the questions below and contact medicaloutreach@americares.org with any questions.

1. Would you be interested in ordering product by the unit (bottles or vials vs. full cases)?

Please enter an 'other' value for this selection.

2. If available through our online inventory, would you be interested in any of the types of medications below to take and use during your medical outreach trips?

Please rate the level of importance for each medication.

Space Cell	Critical	Potentially Useful	Not Useful
Alzheimer's Medications	Alzheimer's Medications: Critical	Alzheimer's Medications: Potentially Useful	Alzheimer's Medications: Not Useful
Antimigraine Medications (Triptans)	Antimigraine Medications (Triptans): Critical	Antimigraine Medications (Triptans): Potentially Useful	Antimigraine Medications (Triptans): Not Useful
Antiparkinsons Medications	Antiparkinsons Medications: Critical	Antiparkinsons Medications: Potentially Useful	Antiparkinsons Medications: Not Useful
Antidepressant Medications	Antidepressant Medications: Critical	Antidepressant Medications: Potentially Useful	Antidepressant Medications: Not Useful
Oral Contraceptive Tablets	Oral Contraceptive Tablets: Critical	Oral Contraceptive Tablets: Potentially Useful	Oral Contraceptive Tablets: Not Useful
Acne Medications	Acne Medications: Critical	Acne Medications: Potentially Useful	Acne Medications: Not Useful
Antipsychotics (Schizophrenia/Bipolar Medications)	Antipsychotics (Schizophrenia/Bipolar Medications): Critical	Antipsychotics (Schizophrenia/Bipolar Medications): Potentially Useful	Antipsychotics (Schizophrenia/Bipolar Medications): Not Useful
HIV Antiviral Medications	HIV Antiviral Medications: Critical	HIV Antiviral Medications: Potentially Useful	HIV Antiviral Medications: Not Useful
Menopause Medications	Menopause Medications: Critical	Menopause Medications: Potentially Useful	Menopause Medications: Not Useful
Plasma Substitutes/Blood Products	Plasma Substitutes/Blood Products: Critical	Plasma Substitutes/Blood Products: Potentially Useful	Plasma Substitutes/Blood Products: Not Useful

3. Does your team perform ophthalmic surgeries?

4. If we make interocular eye lens implants available, would you be interested in receiving them?

4. What type of local organization or entity does your U.S.-based team primarily work with?

5. What type of geographical area is it where this local organization or entity is located?

Please enter an 'other' value for this selection.

5. What is your level of agreement with the following statement?

My team assesses in-country needs and agreed health outcomes with local partner prior to trip departure.

6. How long have you been working with your local partner organization or entity?

7. Do you make repeated medical outreach trips to the same in-country treatment center?

8. Does your team train local medical personnel during your trips?

9. What type of training does your team conduct?

9. Are you interested in being considered for an opportunity to work with Americares Medical Outreach Program and your in-country partner as part of a special initiative to conduct a local needs assessment and provide resources such as training and supplies to support local healthcare capacity?

Please enter an 'other' value for this selection.

10. Please select your desired level of participation in the Americares Medical Outreach Web Forum.

Check all that apply.

I am currently a member of the forum.
I am not currently a member of the forum.
I would like to engage in more frequent discussions with other health care providers.
I would like to be a discussion leader.
I need assistance using the web forum and would like to talk to a staff member.
I am not interested in using the web forum.
Other Please enter an 'other' value for this selection.

11. What resources and/or discussion topics would you like to see and engage in on the web forum?

11. We are looking to find innovative ways to support your trips. Which of the following opportunities interests you?

Select all that apply.

Space Cell	Interested	Not Interested
Willing to support integration of donated videoconferencing system to your in-country partner facility and utilize telemedicine once back in the U.S. by making yourself available for consults and trainings	Willing to support integration of donated videoconferencing system to your in-country partner facility and utilize telemedicine once back in the U.S. by making yourself available for consults and trainings: Interested	Willing to support integration of donated videoconferencing system to your in-country partner facility and utilize telemedicine once back in the U.S. by making yourself available for consults and trainings: Not Interested
Willing to deliver donated surgical instruments to your in-country partner facility and have an instrument sterilization expert travel with you to train local staff	Willing to deliver donated surgical instruments to your in-country partner facility and have an instrument sterilization expert travel with you to train local staff: Interested	Willing to deliver donated surgical instruments to your in-country partner facility and have an instrument sterilization expert travel with you to train local staff: Not Interested
Willing to either train local anesthesiologist(s), or have a trainer join your trip to train	Willing to either train local anesthesiologist(s), or have a trainer join your trip to train: Interested	Willing to either train local anesthesiologist(s), or have a trainer join your trip to train: Not Interested
Willing to perform a needs assessment at your partner surgical center(s) to identify gaps. Based on results, gaps may be addressed to build capacity	Willing to perform a needs assessment at your partner surgical center(s) to identify gaps. Based on results, gaps may be addressed to build capacity: Interested	Willing to perform a needs assessment at your partner surgical center(s) to identify gaps. Based on results, gaps may be addressed to build capacity: Not Interested
Willing to support a train the trainer program to train your in-country partner surgeons on surgical procedures	Willing to support a train the trainer program to train your in-country partner surgeons on surgical procedures: Interested	Willing to support a train the trainer program to train your in-country partner surgeons on surgical procedures: Not Interested

Comments

12. Please share what we can provide to you to help increase capacity at your partner facility other than medicines or consumable products. We are looking to provide long-term support.

13. Are you part of a surgical team?

14. Are you interested in receiving pulse oximeters to be donated to your in-country partner facility through our Safe Surgery Initiative?

Please answer yes if applicable even if you have received units in the past but your facility needs more.

Please enter an 'other' value for this selection.

14. Would you be interested in joining the Americares Emergency Response (ER) Cadre?

If so, we will reach out to you with additional details on the expectations of a roster member, the application and the onboarding process.

Qualified medical professionals who complete the application and onboarding process are added to our ER Roster and called upon during times of disaster.