1. MCH Dashboard and Indicators MCWH Quarterly Meeting 31 st January 2012 (The dashboard discussed but is still being finalised)

2. MCH DHIS Dashboard ProgrammeIndicator EPI Fully immunized at one year Drop-out rate (DaPT-Hib-IPV3 to Measles1) Nutrition % of infants exclusively breastfeed at time of Hep B3 immunisation (14 weeks) Vitamin A coverage 1 - 5 years Severe Malnutrition Case Fatality Rate Diarrhoea Incidence of diarrhoea with dehydration Inpatient case fatality rate Pneumonia Incidence of pneumonia Inpatient case fatality rate HIV PCR coverage and positivity rate No. of infants initiated on ART (not currently available) School Health % of quintile 1 and 2 schools visited by a school health team to provide ISHP % of Grade R/1 learners in Q1 and Q2 schools assessed using the ISHP learner assessment % of Grade 8 learners in Q1 and Q2 schools assessed using the ISHP learner assessment. Hospital care Inpatient under-one case fatality rate Inpatient under-five case fatality rate ANC Early booking rate ( <20 weeks) Proportion of eligible women started on HAART Intrapartum care Delivery rate in facility under supervision of trained personnel Stillbirth rate in facility Post-natal care within 6 days Newborn Care Neonatal mortality rate Low Birth Weight rate Women’s Health Couple year protection rate Cervical screening coverage rate

3. MCH DHIS Dashboard: Q1 and Q2, 2012/13 ProgrammeIndicatorNational EPI Fully immunized at one year Drop-out rate (DaPT-Hib-IPV3 to Measles1) 93.6 % -8.4 % Nutrition Vitamin A coverage 1 - 5 years Severe Malnutrition Case Fatality Rate 42.9% 12.8% Diarrhoea Incidence of diarrhoea with dehydration Inpatient case fatality rate 11.2 per 1,000 4.2% Pneumonia Incidence of pneumonia Inpatient case fatality rate 73 per 1,000 3.8% HIV PCR coverage and positivity rate No. of infants initiated on ART (not currently available) 94.3% and 2.7% - School Health % of Grade R/1 learners in quintile 1 schools assessed by ISHP Hospital care Inpatient under-one case fatality rate Inpatient under-five case fatality rate 5.6% 4.4% ANC Early booking rate ( <20 weeks 43.2% 61.2% Intrapartum care Delivery rate in facility under supervision of trained personnel Stillbirth rate in facility 94.3% 2.1% Newborn Care Neonatal mortality rate Low Birth Weight rate % newborns assessed within 6 days 11.5 per 1,000 live birth 13.1% 64.6% Women’s Health Couple year protection rate Cervical screening coverage rate 35.4% 56.3%

4. ANC visit before 20 weeks Women who have a booking visit (first visit) before they are 20 weeks (about half way) into their pregnancy as a proportion of all antenatal 1st visits Enumerator: Antenatal 1st visits before 20 weeks Denominator: Antenatal 1st visits before 20 weeks + 20 weeks or later (All ANC bookings)

5. Post-natal care Mothers who receive postnatal care within 6 days of delivery after discharge from place of delivery as proportion of all deliveries in facility Enumerator: Postnatal care mother within 6 days from delivery Denominator: Deliveries in facility

6. Vitamin A coverage (12-59 months) Used as a proxy for access to PHC and community-based services Rates in younger children are higher – but those in children 12 – 59 months have remained low.

7. Drop-out:DaPT-IPV-Hib3 – Measles 1 The proportion of children who dropped out of the immunisation schedule between the third DTP-Hib or DTaP- IPV/Hib doses (normally at 14 weeks / 3.5 months) and the first measles doses normally at 9 months). The DTP-Hib or DTaP-IPV/Hib doses are used for this purpose. Enumerator: DTP-Hib/DTaP-IPV/Hib 3rd doses - Measles 1st doses under 1 year Denominator: DTP-Hib/DTaP-IPV/Hib 3rd doses Negative figures suggest problems with administering and recording doses of DaPT-IPV-Hib3

8. MCH DHIS Dashboard ProgrammeIndicator EPI Fully immunized at one year Drop-out rate (DaPT-Hib-IPV3 to Measles1) Nutrition Vitamin A coverage 1 - 5 years Severe Malnutrition Case Fatality Rate Diarrhoea Incidence of diarrhoea with dehydration Inpatient case fatality rate Pneumonia Incidence of pneumonia Inpatient case fatality rate HIV PCR coverage and positivity rate No. of infants initiated on ART (not currently available) School Health % of Grade R/1 learners in quintile 1 schools assessed by ISHP Hospital care Inpatient under-one case fatality rate Inpatient under-five case fatality rate ANC Early booking rate ( <20 weeks) Intrapartum care Delivery rate in facility under supervision of trained personnel Stillbirth rate in facility Postnatal care mothers within 6 days Newborn Care Neonatal mortality rate Low Birth Weight rate % newborns assessed within 6 days Women’s Health Couple year protection rate Cervical screening coverage rate

9. ec Nelson Mandela Bay Municipality26.7 ec Oliver Tambo District Municipality24.5 nc Frances Baard District Municipality22.9 lp Capricorn District Municipality20.7 nw Dr Kenneth Kaunda District Municipality18.6 fs Fezile Dabi District Municipality16.9 ec Buffalo City Metropolitan Municipality16.5 gp City of Johannesburg Metropolitan Municipality15.7 gp Sedibeng District Municipality14.1 kz Sisonke District Municipality14.0 Ten districts with highest NMR

10. nw Dr Kenneth Kaunda District Municipality67.3 ec Alfred Nzo District Municipality70.2 wc Central Karoo District Municipality71.9 ec Oliver Tambo District Municipality75.7 nc Pixley ka Seme District Municipality76.2 kz Zululand District Municipality76.5 mp Nkangala District Municipality77.9 kz Amajuba District Municipality78.6 mp Ehlanzeni District Municipality79.2 wc Eden District Municipality79.5 Immunization coverage: ten districts with lowest coverage

11. gp Sedibeng District Municipality123.4 gp City of Johannesburg Metropolitan Municipality119.1 nc Frances Baard District Municipality109.6 kz Uthungulu District Municipality109 fs Thabo Mofutsanyane District Municipality108.5 gp Ekurhuleni Metropolitan Municipality108.3 gp West Rand District Municipality107.3 ec Buffalo City Metropolitan Municipality107.3 kz uMgungundlovu District Municipality106.2 lp Mopani District Municipality105.9 Ten “best” performing districts

12. Conclusion Despite some problems with quality of data, DHIS data allow MCWH performance at all levels to be tracked and monitored. It is imperative that all health workers and managers engage with the DHIS data and use it to monitor and improve MCWH programmes and outcomes.

13. A dashboard is necessary for M&E and reporting

14. Definition of a dashboard In management information systems, a dashboard is "an easy to read, often single page, real-time user interface, showing a graphical presentation of the current status (snapshot) and historical trends of an organization’s key performance indicators to enable instantaneous and informed decisions to be made at a glance."management information systems graphical presentationkey performance indicators Peter McFadden

15. Targets: National vrs our district province NB Realistic Program me IndicatorNational Our target EPI Fully immunized at one year Drop-out rate (DaPT-Hib-IPV3 to Measles1) 93.6 % -8.4 % HIV PCR coverage and positivity rate No. of infants initiated on ART (not currently available) 94.3% and 2.7% - School Health % of Grade R/1 learners in quintile 1 schools assessed by ISHP ANC Early booking rate ( <20 weeks 43.2% 61.2% Intrapart um care Delivery rate in facility under supervision of trained personnel Stillbirth rate in facility 94.3% 2.1% Newborn Care Neonatal mortality rate Low Birth Weight rate % newborns assessed within 6 days 11.5 per 1,000 live birth 13.1% 64.6%

16. Examples

17. Reports and dashboards Reports are a traditional way of summarizing data. They may include some visual components—such as graphs or charts but are text-heavy. Dashboards are much more interactive in the way data is presented. Relying on visual indicators to display a simple, easily accessible interface that can be accessed by virtually anyone anywhere. -

18. Create dashboard chandoo.org/wp/excel-dashboards www.exceluser.com/dash/‎CachedCached www.youtube.com/watch?v=6HDwYd-8ld8