4 th  International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information Sys...
Objectives <ul><li>By the end of the session, participants will: </li></ul><ul><li>Have a common understanding about the m...
Guanajuato’s demographics <ul><li>Total population 2009: 5’044,735 </li></ul><ul><ul><li>47.5 % Male; 52.5% Female  </li><...
The State of Guanajuato
Health Facilities In Guanajuato
Sample size <ul><li>N= (z 2 pq)/d 2 =96 </li></ul><ul><li>Where p=0.5, q=1-p, d=10% </li></ul><ul><li>z=1.96 (95% signific...
The Sample
Geographic distribution of the sample
Field work preparation  <ul><li>Adaptation of PRISM tools and user guide </li></ul><ul><ul><li>Translation into Spanish </...
<ul><li>Thanks! </li></ul>
Small Group Exercise <ul><li>Please find your field team group members and discuss: </li></ul><ul><ul><li>How easy are the...
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Assessment Guanajuato Case Study Methodology

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Assessment Guanajuato Case Study Methodology

  1. 1. 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 3.2: Assessment Guanajuato Case Study Methodology
  2. 2. Objectives <ul><li>By the end of the session, participants will: </li></ul><ul><li>Have a common understanding about the methodology used in the Guanajuato PRISM assessment </li></ul><ul><li>Describe their field visit experiences in relation to their expectations, use of PRISM tools, HMIS and health system. </li></ul>
  3. 3. Guanajuato’s demographics <ul><li>Total population 2009: 5’044,735 </li></ul><ul><ul><li>47.5 % Male; 52.5% Female </li></ul></ul><ul><li>Birth rate 19.5% </li></ul><ul><li>Mortality Rate 4.73 </li></ul><ul><li>Child mortality rate 15.46 </li></ul><ul><li>Growth rate 1.48 </li></ul><ul><li>Fertility rate 2.16 </li></ul><ul><li>Life expectancy at birth 75.5 </li></ul>Female Male
  4. 4. The State of Guanajuato
  5. 5. Health Facilities In Guanajuato
  6. 6. Sample size <ul><li>N= (z 2 pq)/d 2 =96 </li></ul><ul><li>Where p=0.5, q=1-p, d=10% </li></ul><ul><li>z=1.96 (95% significance) </li></ul><ul><li>To allow for inter district comparison: </li></ul><ul><ul><li>Intended sample size = 168 </li></ul></ul><ul><ul><li>20 facilities per district, plus administrative offices </li></ul></ul><ul><ul><li>Actual sample size 157 (response rate: 93.5%) </li></ul></ul>
  7. 7. The Sample
  8. 8. Geographic distribution of the sample
  9. 9. Field work preparation <ul><li>Adaptation of PRISM tools and user guide </li></ul><ul><ul><li>Translation into Spanish </li></ul></ul><ul><ul><li>Incorporating Mexican health related terminology </li></ul></ul><ul><li>Field team training </li></ul><ul><ul><li>Two day workshop </li></ul></ul><ul><ul><li>Pilot with invited health providers </li></ul></ul><ul><li>Data entry was made in Data Entry and Analysis Tool (DEAT) and EpiData. Analysis in SPSS </li></ul>
  10. 10. <ul><li>Thanks! </li></ul>
  11. 11. Small Group Exercise <ul><li>Please find your field team group members and discuss: </li></ul><ul><ul><li>How easy are the PRISM tools to use? </li></ul></ul><ul><ul><li>To what extent do PRISM collect relevant information about the existing RHIS? </li></ul></ul><ul><ul><li>How useful are PRISM tools in identifying strength and weaknesses of the RHIS? </li></ul></ul><ul><ul><li>Any other unique observations </li></ul></ul>

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