DATA DEMAND AND USE: S HARING I NFORMATION AND P ROVIDING F EEDBACK Session 5.
-
Upload
elisa-muddiman -
Category
Documents
-
view
218 -
download
0
Transcript of DATA DEMAND AND USE: S HARING I NFORMATION AND P ROVIDING F EEDBACK Session 5.
DATA DEMAND AND USE: SHARING INFORMATION AND
PROVIDING FEEDBACK
Session 5
Session Objectives
Understand the importance of feedback in
program improvement and management
List potential barriers to providing feedback
Consider how to improve feedback mechanisms
in participants’ own work
2
Session Overview
Define feedback
Examples of feedback
Possible ways of providing feedback
Group discussion
3
“We are always giving patient forms and data to our M&E Unit, who then gives data to donors and the government. I am the head doctor and I never have the chance to look through the data before they go up. We just keep giving data up and up, and we never hear back about it…”
Head of ART facility, Nigeria
Importance of Feedback
Information needs to be shared:
At timely and regular intervals
Within, between, up, and down
Paves path between data collectors and users at all levels of the health system
Importance of Feedback
Leads to greater appreciation of data:
Improved data quality
Influences collection of appropriate data
Important element of management and supervision:
Creates opportunity to monitor & improve program services
Incentive for staff
Donor
Examples of Feedback
Sharing information within a facility or organization
Sharing aggregated service provision data from facilities within a district or between provinces
Meetings between facility and supervising agency to review and discuss information
Meetings between donor and NGO to review information and discuss challenges and opportunities
Working Toward a Culture of Information Use
Information becomes an integral part of decision-making processes, including planning, problem solving, choosing alternatives, feedback, etc.
Empowers people to ask questions, seek improvement, learn, and improve quality
Higher Levels: District, Province, National
Analysts, Evaluators
Service Delivery Point
Feedback Managers,
Government, Donors
Program
Compiled Data
Clinical histories, Service
Statistics
Reports
Information Flow
Variety of Formats
Narratives Summaries, bulleted items, graphs, charts
In-person discussion One-on-one
Staff meetings, district meetings
Speeches to staff
Supervision visits
Community Distribution ProgramMonthly Performance Review
Distributor: _______________ Supervisor: _________________Region: __________________ Month: _______ Year: ________
Number of NEW clients: _____MARK WITH AN X ON THE BAR BELOW
0 5 22
Number of RETURNING clients: _____MARK WITH AN X ON THE BAR BELOW
0 12 73
Community Distribution ProgramMonthly Performance Review
Distributor: _______________ Supervisor: _________________Region: __________________ Month: _______ Year: ________
Number of NEW clients: _____MARK WITH AN X ON THE BAR BELOW
0 5 22
Number of RETURNING clients: _____MARK WITH AN X ON THE BAR BELOW
0 12 73
Quarterly Performance Indicators
# Indicator Numerator Denominator Percentage
ART
1 % of eligible clients placed on ART
# of new clients on ART Sum of # of new clients on ART and clients on ART waiting list 100%
39 39
2 % of current ART clients
# of active clients on ART # of cumulative clients on ART 92%
1620 1765
3 % of ART clients in 6 month cohort undergoing repeat CD4 testing
# of clients for whom repeat CD4 testing was done at 6 months
Total # of active ART clients in 6 month cohort
94%147 156
Pediatric ART
1 % of children current on ART
# of active children on ART # of cumulative children on ART 78%
45 58
ART Care Follow-up
1 % of non active ART patients who have stopped ART.
# of patients who stopped ART.
# of non active ART patients.
0%0 145
2 % of non active ART patients who transferred out.
# of patients who transferred out.
# of non active ART patients.
6%8 145
3 % of non active ART patients who died.
# of patients who died. # of non active ART patients.73%
106 145
4 % of non active ART patients who have been lost to follow-up.
# of patients who have been lost to follow-up.
# of non active ART patients.
16%23 145
When developing a feedback mechanism, consider…
The information being shared
Who will benefit from feedback
The format of the feedback mechanism
The forum in which the feedback will be shared
How often the feedback will be provided
How the feedback will move to the next level
Document the process
Potential barriers to providing feedback
Hierarchy
Role clarification – data clerk & M&E officer
Approval requirements to distribute data
Lack of knowledge of what information stakeholders need
Group Participation
Discuss barriers to providing feedback that you have experienced in your work
Discuss the benefits of feedback that you have experienced in your work
Identify: Two stakeholder groups that would benefit from
receiving feedback
The ideal mechanism to provide feedback to them
Key Messages
Sharing information within, between, up, and down the health system/project/organization is essential to data use
Address barriers to feedback
Create a formal feedback mechanism
Feedback should be: timely, regular, constructive, descriptive, helpful, and collaborative
THANK YOU!MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by the
Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. Views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. Government.
MEASURE Evaluation is the USAID Global Health Bureau's primary vehicle for supporting improvements in monitoring and
evaluation in population, health, and nutrition worldwide.
Visit us online at http://www.cpc.unc.edu/measure