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Framework for Linking Data with Action

The 7 Steps to Improve HIV/AIDS Programs Guide presents concrete steps and illustrative examples that can be used to facilitate the use of information as a part of the decision-making processes guiding program design, management and service provision in the health sector. Download 7 Steps to Improve HIV/AIDS Programs Guide.
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Framework for Linking Data with Action

  1. 1. Data Demand & Use:Framework for Linking Data with Action Webinar Series #5 Tuesday, February 14, 2012Presenters: Tara Nutley, Molly Cannon, Nicole Judice
  2. 2. Troubleshooting If you lose connectivity  Re-enter the meeting room by clicking on the webinar link provided If you have trouble with audio  Refer to the conference call instructions in the upper right hand corner Send an email to
  3. 3. Tips for Participating in theDiscussion To comment, raise your hand by clicking on the icon.  Speak into your microphone (be sure it is enabled by clicking on the icon at the top of the screen).  Type questions in Q&A window located at the top of your screen.  A recording of the webinar will be made available at
  4. 4. Agenda• Welcome - webinar tips• Brief overview of Data Demand and Use• Presentation of Tools• Field Application of Tools• Questions and Answers• Wrap up
  5. 5. Why improve data-informeddecision making? Pressing need to develop health policies, strategies, and interventions
  6. 6. “… without information, things are donearbitrarily and one becomes unsure ofwhether a policy or program will fail orsucceed. If we allow our policies to be guidedby empirical facts and data, there will be anoticeable change in the impact of what wedo.” National-level Policymaker, Nigeria
  7. 7. Definitions Data use – Using data in the decision making process  monitor a program  create or revise a program or strategic plan  develop or revise a policy  advocate for a policy or program  allocate resources Data Demand - decision makers specify what kind of information they want & seek it out
  8. 8. Data-informed Decision Making Cycle
  9. 9. Improving Data-informed Decision Making Data Users & Data ProducersTool Application Capacity Building Organizational Support Monitoring & Evaluation System Improvements
  10. 10. Framework for Linking Data with Action
  11. 11. Framework for Linking Data with Action Creates a time-bound plan for data-informed decision making Encourages greater use of existing information Monitors the use of information in decision making Functions as a management tool
  12. 12. Build Data Use into Your WorkRegular Coordination & CollaborationEngage in dialogue with stakeholders to fullyunderstand the:  decisions they make  information they need  data they have  best way to share/feedback information
  13. 13. Framework for Linking Data with ActionTwo versions: Version 1 - Data Version 2 – Decisions and questions
  14. 14. Version 1: DataResearch Findings Recommend- Decision Communic- TimelineQuestion ation / Maker / ation Decision Other Channel Stakeholders
  15. 15. Version 1: DataResearch Findings Recommenda- Decision Communica- TimelineQuestion tion / Decision Maker / tion Channel Other Stake- holdersWhat is the 26% of females Increase DM – Dr. Monthly July 30,level of exposed dissemination of Smith meetings, 2011exposure to prevention messages CoM, Mrs. personal(girls) messages via through Yent GA communicatioto early media vs. 75% RLs & PEs OS – nmarriage exposed via religiousprevention non-media (RLs leaders,messages? & PEs) PEs Females Recruit 10 SDAs DM – Dr. DM—briefing Sept. 30, reported to train religious Smith, sheet - key 2011 hearing leaders about CoM recommendatio prevention early OS – ns messages most marriage religious OS—radio spot frequently prevention leaders on study key findings, fact
  16. 16. Version 2: Decisions & QuestionsAnswer question that respond to immediate needsand priorities
  17. 17. What Are Decisions & Programmatic Questions? Decisions - choices that lead to action All decisions are informed by questions All questions should be based on dataWhich planning decisions do I need moreinformation about before I can make adecision?
  18. 18. Decisions Allocation of resources across states / districts / facilities Revising OVC program approaches to emphasize fostering and adoption Develop and institute workplace policies on HIV/AIDS in all institutions in state X Hire and allocate staff to facilities
  19. 19. Decision or Question
  20. 20. Programmatic Questions What percentage of HIV+ pregnant women in care actually are delivering in health facilities? What percentage of clients starting ART are lost to follow-up? Are the number of family planning clients decreasing?
  21. 21. Framework for Linking Data with Action (Version 2)Program Data Indicator Timeline Decision Communica- Decision/Question Source for Maker tion Action Analysis Channel
  22. 22. Framework for Linking Data with ActionProgram Data Indicator Timeline Decision Communica- Decision/Question Source for Maker, tion Action Analysis Other Channel Stake- holdersAre high NHP (5) 4-12-12, Regional Quarterly TBDrisk popula- Preven- number of Quarterly BCC regionaltions tion condoms thereafter Coordinator meetingaccessing Indicator distributedcondoms Form to MSMs (BCC & CSWs Report)
  23. 23. Team Action Plan – Part APart B: Answering Programmatic QuestionsQuestion Action Steps Responsible Date Output Person Completed IndicatorQuestion 1: 1. 1. 1. 1. 2. 2 2. 2. 3. 3 3. 3.
  24. 24. Action PlanFramework for Linking Data with Action Version 2 – Action PlanQuestion: Are high risk populations accessing condoms?Action Steps Responsible Date Completed Output Person Indicator1. Collate logs at district level and 1. Mr. Jones 1. 5-15-12 1. Regional collatedsubmit to region 2. Dr. Smith condom distribution 2. 5-20-122. Analyze data from logs and prepare data by risk group,data for presentation and discussion 3. Mrs. White 3. 5-30-12 by district by, quarter3. Discuss data during quarterly 4. Mrs. White 2. Documentation 4. 4-15-12regional meeting 5. Mrs. White (meeting minutes)4. Make recommendations (or not) for 5. TBD that data were 6. Dr. Smithchanges in condom distribution 6. TBD reviewed, discussedprogram & recommendation5. Implement recommendations 7. Quarterly made6. Follow-up on recommendation to 3.Documentation thatdocument if implemented recommendation was 7. Repeat steps 1-6 implemented
  25. 25. Building Data Use into Your WorkUse & institutionalize DDU tools:  Stakeholder Engagement Tool  Assessment of Constraints to Data Use  Information Use Map  PRISM  7 Steps Approach to Data Use  Framework for Linking Data with Action use
  26. 26. Field Applications Nigeria Jamaica
  27. 27. Nigeria Adapted tool Used at different levels  Clinical and service delivery  Program and organization  State  National
  28. 28. Nigeria – NGO Framework Example Stake- Decisions/ Questions When will Indicators Source How will When holders Actions decision and/or data of data data be are data be presented avail- made? ? able?LGA Leveraging What type of IGA May, 2010 # of clients Monthly Narratives, March/Chairman resources for would work? referred for IGA reports Graphs April, income What are the (by types) and Tables 2010 generating characteristics of # of clients who activities clients? How many accessed IGA (IGA) clients are to be (by types) supported?LGA Planning and How many people Monthly # of clients Monthly Narratives MonthlyChairman resource access HCT tested, # that Report and allocation services? What % received result, univariate of clients tested # of reactive analysis were reactive and and referred for referred? Are the treatment, # number of staff trained in adequate? providing HCT
  29. 29. Jamaica – Regional Framework Examples Programmatic Data Source Indicator Timeline Decision Maker Communication Question for Channel AnalysisWhat is the accurate - Self reporting # or % of Monthly - National M&E Monthly reports tolevel of adherence - Pharmacy pick PLHIV with Unit Officer pharmacy, Adherenceamong PLHIV in the ups 95% - Team that counselor, nursesWestern Region? - Pill count adherence includes SW, clinicians, ACWhat is the cost of - Pharmacy - Usage April 2012 - Regional - Budget submissionARV drugs to the Database pattern for the Then Technical Director - HIV Budget Reportregion? - National Health individual every 6 - Budget Presentation Fund drugs months - Dissemination - Treatment and - # of persons meeting via MOH care component who need of the NHP ARVs - HIV Incidence in the region
  30. 30. Questions and Answers
  31. 31. MEASURE Evaluation DDU Resources  Data Demand and Use Tool Kit  Data Demand and Use Training Resources Next webinar will be on February 21, 2012 at 9:00 am Seven Steps to Use Routine Information to Improve HIV/AIDS Programs – A guide for program managers
  32. 32. Join Data Use NetSend an email to Leave thesubject field blank and in the body of the messagetype ‘subscribe DataUseNet.’ For example:To: listserv@unc.eduFrom: youremail@youremail.comSubject:Subscribe Data Use Net
  33. 33. Presenter Contact Information Tara Nutley - Nicole Judice – Molly Cannon -
  34. 34. MEASURE Evaluation is funded by the U.S. Agency forInternational Development (USAID) and implemented by theCarolina Population Center at the University of North Carolinaat Chapel Hill in partnership with Futures Group International,ICF International, John Snow, Inc., Management Sciences forHealth, and Tulane University. Views expressed in thispresentation do not necessarily reflect the views of USAID or theU.S. government.MEASURE Evaluation is the USAID Global Health Bureausprimary vehicle for supporting improvements in monitoring andevaluation in population, health and nutrition worldwide