From choice, a world of possibilities Overview New Service Statistics Framework 2005 Annual Report Experience

Session Learning Objectives Gain familiarity with the main components of the “new” service statistics framework Identify how key results of the MA Experience Survey will inform the future service statistics process/reporting and training

Background Demands for new approach Expanded set of SRH clinical procedures Information requirements of IPPF strategic plan Increased number of diversified services Need for consensus & consistency with respect to definitions and data collections tools Search for more efficient technology for tabulation and reporting

Considerations IPPF Medical Service Delivery Guidelines Existing service statistic databases Recommendations of prior M&E working groups Association feedback Clinical procedure terminology from 40 international sources Medical Associations National Libraries of Science Internet websites

Family: SRH Contraception SRH non Contraception non SRH Medical/Clinical Non SRH non Medical/Clinical Sub Family: Reflects broad health area (ex: abortion) Type: Groups clinical procedures by specialty (ex: abortion, surgical) Detail: Clinical procedures & services reported by MA (ex: MVA) Basic Framework Elements

SRH Family Planning, Contraceptive Methods Temporary Methods Permanent Methods Fertility based awareness Methods Emergency Contraception

Abortion HIV/AIDS STI/RTI Obstetrics Gynecology Urology Infertility/Sub-fertility Other Specialized SRH Counseling SRH Non Contraceptive Services

Non-SRH Medical Specialty Services System Oriented – Internal Medicine Disease Oriented Community Oriented Family Health Pediatrics Diagnostic Oriented Other Specialties Diversification

Classification of Service Details SRH Contraception Initial Consultation Follow Up/ Re-Supply/Client Training/Treatment Termination – Removal/Reversal of Method Surgery – Contraceptive Surgery, VSC Counseling – General & Method Specific Implications for analysis of costs and allocation of staff resources New

Medical Services, SRH and non SRH Consultation – Case Management Diagnostic Test – Equipment or lab analysis used for diagnosis Therapy – Intervention, either medicine or medical equipment Surgery – surgical intervention, including anesthesia Counseling – General and service specific Classification of Service Details New

Uniform Definition of Service Channels Clinical -> all services Static Mobile Associated Non Clinical -> only require items provided Community Based Distribution Social Marketing Commercial Marketing Private Doctors Government Other Agencies Consistent with Commodity Channels of Distribution

Units of Measure New Users Service Provided Items Provided Referrals (External) Age of Clients 25 Applicable to clinic services Purpose, Definition, Scope, Complementary definitions, and Examples are documented in User’s Guide

New Tools & Guides General Service Statistic Framework Synopsis of new classification in chart form Definitions of all services with links to websites “Master Tab” and Prep Tool Excel Tools for organizing/defining tailoring MA Data Entry Each worksheet collects data for a specific channel of distribution

Service Statistics Experiences Survey Key Challenges: Reporting on detailed level, mapping Unable to capture IEC activities Preference for reporting directly into the eIMS

Workshop Process Step 1: Address data collection issues IEC, Items Provided, Age Step 2: Review data requirements and confusions around requirements and data entry Step 2: Prepare Master Tab Define universe of data you will report Map your service category to IPPFs new ones RO can disable categories irrelevant to your MA Step 3: Prepare Prep Tool for data entry Test if mapping worked Step 4: Generate reports of data entered

Technical Support Rupal Sanghvi – WHR Sr Evaluation Officer Shelly Makleff – WHR Evaluation Coordinator Leslie Varkonyi – WHR MIS Director Xavier Gonzalez – IPPF MIS Consultant & Translator