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From Reporting to Use: Evidence from China Anwer Aqil,  MD, MCPS, MPH, DrPH Theo Lippeveld,  MD, MPH Lu Yao,  MS From Data to Impact: Using Heath Data for Results S  Arusha, Tanzania  29 January, 2008
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goal and Stakeholders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Working Assumptions ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RHIS Determinants PRISM Framework  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Improved Health System  Performance Improved health status ,[object Object],[object Object],[object Object],PROCESSES OUTPUT OUTCOMES INPUTS  IMPACT Diagnostic Tool OBAT MAT Facility/Office Checklist
Summary of Activities with Timeline ,[object Object],Baseline May-June07   Control  (14counties) Laibin ( xingbin 、 Xincheng ) Yulin ( Beiliu 、 Luchuan ) Guigang ( Guiping 、 Pingnan ) Guilin ( Longsheng 、 Lingui ) Hezhou ( Babu 、 Shaoping ) Qinzhou ( Lingshan 、 Pubei ) Beihai ( Haicheng 、 Hepu ) Random selection of  6 control counties Laibin ( xingbin 、 Xincheng ) Yulin ( Beiliu 、 Luchuan ) Guigang ( Guiping 、 Pingnan ) Baseline August 07   Intervention ( 6 counties ) Nanning ( Xingning 、 Hengxian) Chongzuo ( Pingxiang 、 Ningming ) Hechi ( Jinchengjiang 、 Donglan ) Training Master trainers November 07 County officials & facility staff March/April 08 Monitoring June- July 08 End line October- November 08
Interventions ,[object Object],[object Object],[object Object],[object Object]
Survey Methodology - ,[object Object],[object Object],[object Object],[object Object]
Training Results  Types of Staff Trained - Guangxi Guangxi Counties 6 Health facilities 98 Master trainers (provincial, prefecture, counties) 28 CDC and Health Bureau staff 63 Health facilities staff 124 Total provincial, county and facility staff 215
Monitoring ,[object Object],[object Object],[object Object]
[object Object]
 
Monitoring Data July 08 Counties Knowledge of: Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Checking Data Accuracy 30.9 80 <55 <55 70 <55 Interpret information 34.4 80 60 60 90 <55 Cycle of use of information 0 80 <55 <55 60 55 Benefits of Cause-Effect Diagram 0 60 <55 <55 85 60 Benefits of Prioritizing Causes 0 80 <55 <55 80 55 Benefits of Advocacy 0 70 <55 <55 80 60 Story Board 0 85 60 55 60 55
 
Monitoring Data July 08 Use of performance tools Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Cause-Effect Diagram 0 70 80 80 55 <55 Prioritizing Causes chart 0 55 80 70 <55 <55 Advocacy chart 0 60 55 70 55 <55 Story Board 0 60 60 60 60 <55
 
Monitoring Data July 08 Monitoring Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi catchment population chart 50 60 <55 60 85 80 Control chart for data accuracy  0 55 <55 <55 85 <55 Control chart for any performance indicator 0 95 <55 <55 90 70
 
Monitoring Data July 08 Use of information Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Monthly report available 98 95 80 80 95 60 Discussion on the monthly data 60 95 55 60 95 <55 Indicators below targets noted 0 95 55 55 55 55 Decisions taken  46 95 70 80 90 85 Follow-up actions reviewed 50 95 60 70 95 85 Problem referred for solutions 32.9 95 80 80 95 80 Data used for community education  0 90 55 70 85 95
 
Monitoring Data July 08 Feedback and promote Use Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Feedback report available 52.1 100 55 70 100 70 Sharing success stories on use 40.7 90 60 70 90 80
 
 
 
 
 
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object]
Future Action Plan ,[object Object],[object Object],[object Object],[object Object]
[object Object]

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China Experience – Arusha Wksp

  • 1. From Reporting to Use: Evidence from China Anwer Aqil, MD, MCPS, MPH, DrPH Theo Lippeveld, MD, MPH Lu Yao, MS From Data to Impact: Using Heath Data for Results S Arusha, Tanzania 29 January, 2008
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  • 9. Training Results Types of Staff Trained - Guangxi Guangxi Counties 6 Health facilities 98 Master trainers (provincial, prefecture, counties) 28 CDC and Health Bureau staff 63 Health facilities staff 124 Total provincial, county and facility staff 215
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  • 13. Monitoring Data July 08 Counties Knowledge of: Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Checking Data Accuracy 30.9 80 <55 <55 70 <55 Interpret information 34.4 80 60 60 90 <55 Cycle of use of information 0 80 <55 <55 60 55 Benefits of Cause-Effect Diagram 0 60 <55 <55 85 60 Benefits of Prioritizing Causes 0 80 <55 <55 80 55 Benefits of Advocacy 0 70 <55 <55 80 60 Story Board 0 85 60 55 60 55
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  • 15. Monitoring Data July 08 Use of performance tools Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Cause-Effect Diagram 0 70 80 80 55 <55 Prioritizing Causes chart 0 55 80 70 <55 <55 Advocacy chart 0 60 55 70 55 <55 Story Board 0 60 60 60 60 <55
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  • 17. Monitoring Data July 08 Monitoring Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi catchment population chart 50 60 <55 60 85 80 Control chart for data accuracy 0 55 <55 <55 85 <55 Control chart for any performance indicator 0 95 <55 <55 90 70
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  • 19. Monitoring Data July 08 Use of information Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Monthly report available 98 95 80 80 95 60 Discussion on the monthly data 60 95 55 60 95 <55 Indicators below targets noted 0 95 55 55 55 55 Decisions taken 46 95 70 80 90 85 Follow-up actions reviewed 50 95 60 70 95 85 Problem referred for solutions 32.9 95 80 80 95 80 Data used for community education 0 90 55 70 85 95
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  • 21. Monitoring Data July 08 Feedback and promote Use Baseline Guangxi Xinging PingXiang NingMing HengXian HeChi Feedback report available 52.1 100 55 70 100 70 Sharing success stories on use 40.7 90 60 70 90 80
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