Upload
jsi
View
615
Download
1
Embed Size (px)
Citation preview
DATA QUALITY AND USE (IMMUNIZATION AND ICT CONTEXT)
Lora Shimp, Senior Immunization Technical
Officer
(contributions: Muhammad Tariq, Alpha
Nsaghurwe, Ousmane Dia)
Using Information and Communication
Technology to Improve Immunization
Programs
Istanbul, 11-13 November 2014
2 |
JSI perspective on data
• Improve routine (as possible)
data analysis, use, and feed-
in/feedback at all levels for
decision making
• Data as a “culture”,
particularly at operational
level
• Triangulation – routine tools,
surveys, mapping, locally-
generated, trend analysis, etc
3 |
JSI perspective on data
• Visualization and user-
friendly/adapted (e-system
technologies; paper-based
sometimes also needed)
• Experience in over 30
countries for over 35 years –
technical support in
immunization, RMNCH,
logistics, technology and
software development, M&E
4 |
Immunization
register
Tickler file
Child
health card
Tally
sheet by antigen
Stock ledger
Relevance of existing data tools
Existing EPI data are usable & needed, but have
different purposes; some redundancy
Important to build on what is working but
incorporate technology that is also:
• user-appropriate
• bottom-up
• incorporating feed-in mechanisms for local
data use, decision-making, and quality
reporting
• built with room-to-grow, as technology
advances
5 |
However: How to adapt to & keep-up with technology?
Use and adaptation of data in the field
Immunization data are
already being
consolidated, summarized,
and trends analyzed at
facility and community
levels.
6 |
Hospitals HC DSP
√ √ √
√ √ √
√ √ √
√ √
√
√ √
√ √ √
Service Delivery Point
R&R
ARVs
R&R
ILS
NTLP
TB
IVD
R&R
labs
R&R
HIV tests
MSD ERP
EPICOR
Shipments
Medical Store Department
Orders Requisitions and Reports (R&R)
District
R&R
R&R
R&R
eLMIS
R&R
ILS-G
Region
LMU
The “data on the wall” can be useful and are now able to be more easily summarized & generated electronically (not just by hand)
Integrating people, processes and tools - eLMIS
7 |
5000+ HF
covered
Vaccine
Module
March 2015
Adapted
platforms for
data collection
(e.g. web, mobile
phone)
Tanzania eLMIS : Where are we?
8 |
Vaccin
es
lmis.gov.pk
VSSM
CCEM 2
Paper based
SDMS LMIS
Inventory Management
Routine Immunization
Campaigns
Cold Chain Equipment Management
vLMIS
IHR
Inventory Management
Consumption Reporting Paper
based
Paper based
Inventory Management
Consumption Reporting
Paper based
Paper based
Con
tracepti
ves
Tu
berc
ulo
sis
Online
lmis.gov.pk
- Includes policy, operations and system implementation guidance
PAKISTAN: One
web based IS for
three supply chains
9 |
vLMIS – Better insight through data
with inclusive desk and field monitoring –
assessment, planning and implementation
(includes Change Management Board, Helpdesk,
GoP & donors)
12 |
• Training – in-service data use and
influence pre-service: standardized
immunization curriculum for all
medical & training institutes; agreed
data competencies (e.g.exit exams)
• Quality data & technology savvy –
• follow up through review
meetings and supportive
supervision;
• “professionalize” data managers
(e.g. statisticians, build analytical
and managerial capacity,
technology skills)
• appreciation of good and
consistent data performance
(certificates, exchange visits,
asset-based review/learning)
What progress is needed in other areas to bring about progress in data quality and use?
13 |
• Supply chain – link stock management
data; eLMIS
• Community – build capacity for HWs
and mobilizers to compare and use
data
What progress is needed in other areas to bring about progress in data quality and use?
Thank you