1. Update on M&E activities CAP-Malaria Burma 26/2/2016

2. Outline Objectives of RDQA Methodology of RDQA Data Management System between before and after ERDQA M&E activities in PY5 Discussion point

3. Routine Data Quality Assessment General Objective To improve overall quality of data management system Specific Objectives To narrow data discrepancy between primary data sources and reported data To reduce data errors To strengthen data management system

4. Methodology of RDQA DescriptionCentral M&E TeamData Quality Officers (state/region) 1.RDQA levelState/RegionTownship 2.Frequency1 or 2 visits in a quarter16 tsps in a quarter 3.Assessment areaAll states/regionsAll respective townships 4.Indicators assessedMainly F indicators including performance indicators 5.Instruments usedRDQA tools OSDV tools 6.Sites selectionDepends on previewed data quality 7.Period to assessFrom last 6/12 mths up to now

5. Coverage of Q1 PY5 by Data Quality Officers #State/RegionTownshipMonth 1 Tanintharyi Bokpyin21/11/2015 2Kawthoung19/11/2015 3Launglon17/12/2015 4Palaw22/10/2015 5Thayetchaung18/9/2015 6Yebyu17/12/2015 1 Rakhine Ann23/9/2015 2Munaung17/9/2015 3Ramree12/10/2015 4Toungup23/11/2015

6. Data management system of Palaw Township before ERDQA

7. Common weakness of Data Management System and actions taken by CAP-M Burma Problems were found at Data Management Processes Links with national reporting system In data management process, lack of backup procedure of project data were found so that SOP was developed and used starting Feb 2016. Single channel of national reporting system can’t be used. Before, VMWs were requested to report directly to RHC. Later, township VBDC complained they were not reported sometimes due to difficult transportation and RHD requested all organizations to report directly to township level authority in coordination

8. Data management system of Palaw Township after ERDQA

9. M & E activities in PY5 (1) RDQA instruments Some modifications of RDQA and OSDV tools according to country context More disaggregated performance indicators were added by DQOs for everyone who does RDQA for their convenience OSDV tool of clinical audit has been modified aligned with patient registration records

10. M & E activities in PY5 (2) Monthly reporting forms and formats Some reporting formats have been developed and added to monthly report form such as stock out report and clinical audit report and recording forms for those indicators were developed and shared to field teams at the beginning of PY5 as well. Reporting format on training was modified for TraiNET such as adding more precise budget information.

11. M & E activities in PY5 (3) Quarterly, Semiannual & Annual Reports Quarterly PITT will be submitted to regional team Patient record database will be submitted for online database system Township wise performance indicator reports have been developed and submitted monthly to CAP-M Burma central technical team by respective township teams and combined and analyzed at central level database system.

12. M & E activities in PY5 (4) Dissemination of information and capacity building of data management system Findings of RDQA and updates have been presented at quarterly staffs meeting Refresher training towards data management system will be conducted to township team leaders at quarter staffs meetings

13. M & E activities in PY5 (5) SOPs and technical briefs for communication plans SOP needed to improve data management system such as data backup procedure and so on were developed in Q1 PY5. Fact sheets and case studies for communication plan have been developed by central technical team with the guidance of Regional/Country Technical Coordinator.

14. Issue and Discussion points Monitoring on stock out of ACT -Definition of that indicator should be considered again for new project. -Stock out = Expired drugs or RDTs found or any kind of ACTs not found at VMW/PP -If this definition will be used till next project, it might be waste of resources in terms of money, numbers of damage or expired drugs will be found.

15. Monitoring on Stock Out Total # of visited villages (no. of VMW) Total # of villages (number of VMW) with RDT stock out % of sites which experienced RDT stock out Total # of villages (number of VMW) with ACT stock out % of sites which experienced ACT stock out 1,02100%151.47% -RDT and ACT stock out are monitored during monitoring visits to VMW/PP with supervisory check list. -If expired commodities or no RDT and any kind of ACT is found, it is stock out. -Findings up to January 2016 are as follow

16. % of cases treated according to NTG Verify against source documents (patient registration records) by Team Assistants or higher level such as Team Leaders and DQOs. After data entry, printed database are checked comparing with source documents to know whether cases are treated according to NTG and to get better quality of database. All positive cases are reviewed. Results up to January 2016 are as follow: Total Positive cases found Total Positive cases treated Total positive cases treated according to NTG % of positive cases according to NTG Total referred cases 1,4941,4821,47599%13

17. Thanks