Definition of indicators Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

Slides:

Advertisements

Similar presentations

UNDP RBA Workshop on MDG-Based National Development Strategies Module 4: Health Strategies UN Millennium Project February 27-March 3, 2006.

Advertisements

Antenatal Care MICS3 Data Analysis and Report Writing.

New Challenges in M&E Lets go. Scaling Up Monitoring & Evaluation Strategic Information PROGRAM GUIDANCE RESULT NEEDS OPPORTUNITIES Resources New directions.

Donald T. Simeon Caribbean Health Research Council

Follow-up after training and supportive supervision The IMAI District Coordinator Course.

Scaling up Early Infant HIV Diagnosis (EID) in Karamoja Health Nutrition HIV coordination meeting 9 th December 2009.

Celebrating Achievements

Current situation and priorities

‘Keeping mothers and children alive and healthy in South Africa‘ Dr Sanjana Bhardwaj, MD, MPH UNICEF, South Africa Precious Robinson, DD, NDoH Lerato Lesole,

I am cutting rocks.

Module 3: Basic analyses. Module 3: Learning objectives  Understand common analyses that calculate program coverage and efficiency  Calculate program.

Neonatal Mortality in Ghana Keeps MDG 4 at the Crossroads.

Scaling up Prevention of Mother to Child Transmission of HIV (PMTCT): What Will it Take to Eliminate MTCT? Jessica Rodrigues Presentation for UNICEF Written.

1 Measuring adherence using electronic dispensing data: nationwide electronic monitoring in Namibia Dr. David Mabirizi – Country Director MSH Namibia Third.

Health system: what dynamic changes are needed to better serve Children and youth living with HIV Rene Ekpini, On behalf of Dr Mickey Chopra Chief & Associate.

Introduction to Monitoring and Evaluation for National TB Programs 20 September 2005.

Module 2: Basic analyses. Module 2: Learning Objectives  Identify approaches for setting targets  Understand common analyses that calculate program.

Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 4:

Unit 4: Monitoring Data Quality For HIV Case Surveillance Systems #6-0-1.

Drug and Therapeutics Committee Session 7A. Identifying Problems with Medicine Use: Indicator Studies.

Antenatal Care Coverage: Comparison between National and International Data and Metadata Cambodia Experience Workshop on MDG Monitoring to 2015 and beyond.

Program Evaluation: a potential platform for cross site analyses Louise C. Ivers, MD, MPH and Joia S. Mukherjee, MD, MPH Partners In Health, Division of.

1 Interpretation and use. 2 The walls inside are plastered with laboriously made graphs…

Improving Early ANC Attendance: Project ACCLAIM Mary Pat Kieffer, Godfrey Woelk, Daphne Mpofu, Rebecca Cathcart and the ACCLAIM Study Group.

Indonesia country office Household and health facility surveys in Indonesia Indonesia country team Jakarta, Indonesia.

HIV Patient ART Monitoring Meeting: International Conference Centre, Geneva March 2004 Defining the variables.

Zimbabwe National HIV&AIDS Conference, Harare, 5-8 Sept 2011

The Reaching Every District (RED) strategy.  Re-establish outreach services  Conduct supportive supervision  Establish community links with service.

Antenatal care MDG 5, Target 5b, Indicator 5.5

1 What are Monitoring and Evaluation? How do we think about M&E in the context of the LAM Project?

Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 12:

MDG Needs Assessment Training Workshop May 9-12, 2005 Health Module.

Roadmap Progress Report 2011 Zambia SARN-RBM PARTNERS ANNUAL CONSULTATIVE MEETING, JULY 2011.

LINKAGE OF IDENTIFIED CASES TO HEALTH FACILITIES SERVICE PROVISION TO KEY POPULATIONS KABUSUNZU HC.

Orientation on HIV care and ART Recording and Reporting System.

Option B+ Weekly SMS reporting; data Use to improve service delivery Zikulah Namukwaya, MD, MPH MU-JHU Care /Mulago Hospital AIDS 2014 – Stepping Up The.

Innovations in Assessing Reproductive Health Access and Utilisation in non-camp Refugees in Low to Middle Income Countries Experience from Jordan and Lebanon.

The WHO HIV Drug Resistance Strategy Presented by Dr. Don Sutherland Prepared by: Dr. Don Sutherland Dr Silvia Bertagnolio Dr Diane Bennett HIV Drug Resistance.

Creating an Enabling Environment for PE/E Interventions 23 February 2011 Addis Ababa, Ethiopia Lindsay Morgan 1 Interventions for Impact in Essential Obstetric.

Preparing for Data Analysis and Interpreting Data CEI Implementing the Reproductive Health Assessment Toolkit for Conflict-Affected Women November.

1 Implementing the Community strategy for primary health care: key lessons for Africa Prof. Anthony K. Mbonye Director Health Services, Ministry of Health.

Consultant Advance Research Team. Outline UNDERSTANDING M&E DATA NEEDS PEOPLE, PARTNERSHIP AND PLANNING 1.Organizational structures with HIV M&E functions.

Overview of Steps to Design and Implement Results Based Financing Schemes Susna De, MSc, MPH Results Based Financing to Reduce Maternal, Newborn, and Child.

Tanzanian German Programme to Support Health Monitoring and Evaluation Susanne Pritze-Aliassime.

Causality analysis Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

Identify bottlenecks Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

Data sources Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

Annual Operational Plan 5 Mid-term (July – December 2009) Progress report Dr S K Sharif Director Public Health & Sanitation.

CONSTRAINTS TO PRIMARY HEALTH CARE DELIVERY THE GOVERNMENT OBJECTIVES FOR DELIVERING PHC SERVICES To increase accessibility to quality health care services.

Introduction to Monitoring and Evaluation. Learning Objectives By the end of the session, participants will be able to: Define program components Define.

Strengthening Integration between RMNCH and HIV services Nuhu Yaqub WHO Tanzania.

Session 5: Selecting and Operationalizing Indicators.

Session 7: Planning for Evaluation. Session Overview Key definitions:  monitoring  evaluation Process monitoring and process evaluation Outcome monitoring.

Selection of interventions Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

11 Laboratory Quality Improvement for clinical HIV/AIDS Services in the Uniformed Forces Mwaibako, J, Shija, L; Haverkamp, G; van den Hombergh; Katebalila,

Decentralization of Option B+ services and implications for task shifting Dr Franck Fwamba N’kulu National AIDS & STI Control Programme Democratic Republic.

Provider Initiated HIV Counseling and Testing Unit 2: Introduction and Rational for PIHCT.

DHPI Approach at a Glance Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

DHPI Key principles Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015.

Maximum-Minimum ICS: Adjusting Distribution Systems Supply Chain Management.

PMTCT PROGRAMME MONITORING DR. S.K CHATURVEDI DR. KANUPRIYA CHATURVEDI.

Overview of recommended indicators for routine monitoring of iCCM

iCCM Recommended Indicators

11 viii. Develop capacity for signal detection and causality assessment Multi-partner training package on active TB drug safety monitoring and management.

Monitoring and Evaluation Systems for NARS Organisations in Papua New Guinea Day 2. Session 6. Developing indicators.

Find and Treat All Missing Persons with TB

MAMaZ Against Malaria, Zambia

World Health Organization

monitoring & evaluation THD Unit, Stop TB department WHO Geneva

Illustrative Cluster Detection and Response Strategy

Presentation transcript:

Definition of indicators Facilitators’ Workshop on District Health Performance Improvement Lilongwe, 25 th – 27 th March 2015

Steps Diagnose Select interventions Define indicators Identify information sources and collect data Identify the bottlenecks Identify areas lagging behind Analyse the root causes of bottlenecks Intervene Prioritize solutions with all stakeholders Define an implementation and monitoring plan Support implementation Verify Monitor frequently using existing opportunities Adjust Take corrective actions to ensure impact

Define coverage determinant indicators Indicators are standardized at country level, based on the data available in the information system and on data that are easy to collect Some rare exceptions can occur for which a specific indicator may be changed at district level (e.g. small underserved population that require a particular sampling)

Indicators to identify possible bottlenecks Determinants from supply Determinants from demand Determinants from quality

Information used to identify possible bottlenecks Availability of commodities (drugs, equipment, diagnosis kits, training materials…) Availability of trained human resources (community workers, doctors, nurses, midwives…) Geographic access through delivery points (health facilities, outreach activities, community care points…) Initial utilization (measures the demand barriers to initiate the utilization of a service, e.g. DPT/Pentavalent 1, ANC visit 1…) Continuous Utilization (measures the demand barriers to complete utilization of a service and the follow up/drop outs, e.g. DPT/Pentavalent 3, ANC visit 4…) Quality/effective coverage (measures the effectiveness of the intervention by assessing the quality of the service provided, usually in terms of adherence to guidelines)

Exercise in groups

Discussion after exercise

Antenatal care CommoditiesProportion of health centres with zero absolute stock- outs of essential commodities lasting more than 1 week in the past 3 months Human ResourcesProportion of facilities with availability of nurses and midwives compared to need (national standard) Geographic AccessProportion of pregnant women not reporting distance as a problem for access to health care UtilizationProportion of pregnant women who attended at least 1 ANC visits ContinuityProportion of pregnant women who attended at least 4 ANC visits Effective CoverageProportion of pregnant women who had their BP measured or urine analyzed during ANC

Indicators used to identify possible bottlenecks Availability of commodities  stock outs (absolute or use of buffer stock) Availability of trained human resources  vacancies of trained staff (defined according to national standards) Geographic access through delivery points  physical distance, time to reach the delivery point, direct assessment from target population Initial utilization  first measure of coverage, people using the services at least once Continuous Utilization  only for relevant interventions, for which continuity is a condition for effectiveness (we use knowledge in behavioral interventions) Quality/effective coverage  adherence to guidelines, often a proxy

How to measure the determinants of coverage (1) Commodities availability: – Ideally: percentage of the target population for which commodities are available for a given intervention – More often: percentage of delivery points without stock outs of such commodities – Challenges: difficulty obtaining data from private sector and other sources of info on commodities

How to measure the determinants of coverage (2) Trained human resources availability: – Ideally: percentage of the target population for which appropriately trained health professionals are available – More often: percentage of delivery points with insufficient human resources compared with national norms (vacancies and training)

How to measure the determinants of coverage (3) Geographic access: – Ideally: percentage of the target population able to access a delivery point for a given intervention – Usually measured in terms of: percentage of target population that lives within a certain distance from the delivery points (5 km, or 30 min. trip). Subjective assessment very reliable.

How to measure the determinants of coverage (4) Initial utilization: – Concept: percentage of the target population which has accessed a given service at least once – Usually measured in terms of: percentage of target population that used a given service.

How to measure the determinants of coverage (5) Continuous utilization: – Concept: percentage of the target population which has used a given service as recommended – Usually measured in terms of: percentage of target population that used a given service the recommended number of times. * Not usually necessary for interventions that are provided once only (e.g. early HIV diagnosis for HIV exposed children - EID)

How to measure the determinants of coverage (6) Effective coverage: – Concept: percentage of the target population which received a given service in an effective way and on time – Usually measured in terms of: percentage of target population that received a given service with good quality.

Additional indicators Sometimes is useful to collect indicators beyond the six determinants of coverage: To better interpret the determinants of coverage (e.g. early booking of ANC, To better understand key aspects of an intervention (e.g. care seeking behaviors)