7.dqa 6 aug

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7.dqa 6 aug

  1. 1. Data Quality Assessment Presenter DR. Thet Thet Mu Director Health Information, DHP
  2. 2. Shwegu Ngapu-taw Hakha # Bham o # Ye-u Deemawsoe Hlaing Bwe # # Hsipaw Tilin Lewe Nyaungshwe Pyinm ana Maungdaw Yedas he # Kengtong # # Myeik Tharyarw ady # # # GAVI HSS First 10 Townships Kawhmu Thaton M udon GAVI HSS Second 10 Townships
  3. 3. Data Flow Department of Health Planning (HMIS), Department of Health State/Regional Health Department District/Township Health Department MCH/UHC/Station HU/RHC Sub Rural Health Center
  4. 4. Ways to conduct DQA • Checking consistency of data according to data flow (Health Facilities) • Checking consistency of data between registers and clients in the community (home visit)
  5. 5. Flow of Sample selection GAVI HSS 20 townships Each Township RHC RHC SC 20 RHC SC SC 20 20
  6. 6. Consistency check between RHC and Township Monthly Report First 10 Townships Township Monthly Report RHC reporting RHC Monthly Report Mean=533.17 Mean=533.40 t-test=0.108 SE=54.71 p value=0.915 SE=55.14
  7. 7. Consistency check Between RHC and Subcenter, Subcenter and respective register First 10 Townships RHC Monthly Report Mean=111.67 SE=13.09 t=0.685 p=0.499 Subcenter Monthly Report Mean=110.63 SE=13.38 Register t=1.508 Mean=96.33 p=0.142 SE=9.33 Sub-center reporting
  8. 8. Consistency check between RHC and Township Monthly Report Second 10 Townships
  9. 9. Consistency check Between RHC and Subcenter Monthly Report Second 10 Townships
  10. 10. Consistency check Between Subcenter and respective register Second 10 Townships Subcenter Monthly Report Register t= 3.69 Mean=170 SE = 23.6 p= 0.001* Mean= 114.28 SE = 11.5
  11. 11. Number of clients in DQA Sample (n=624), (n=771) Total cases in register No. of sample % of cases First 10 Townships 2890 624 21.6 Second 10 Townships 4457 771 17.3
  12. 12. Percent of Registered cases interviewed in DQA % of AN cases % of % of DPT 3 deliveries % of TT 2 % of <5yr general clinic attendance % of Registered cases First 10 Tsps 19.1 31.5 21.2 22.2 25.8 21.6 Second 10 Tsps 16.3 26.4 17.0 16.8 17.3 17.3
  13. 13. Client found according to address Temporary 3% No Client 3% Found 94% First 10 Townships Temporary 3% No Client 4% Found 93% Second 10 Townships
  14. 14. Data Quality of register verification with home visit No service 13% No client 3% Client identified 97% First 10 Townships Services received 84% No service 16% Second 10 Townships No Client 4% Client Identified 96% Services received 80%
  15. 15. Significance test on discrepancy between register and home visit Register Home ***(<0.05) Mean SD Mean SD t-test P-value First 20.8 2.3 17.5 3.8 5.32 0.00001 Second 19.8 1.35 15.8 3.26 7.797 0.00001
  16. 16. Data quality of different registers 100% 9 80% 19 28 20 15 16 10 18 30 23 29 20 90 82 70 77 71 80 80% 60% 60% 40% 100% 91 81 72 80 85 84 40% 20% 20% 0% 0% AN Delivery DPT 3rd TT 2nd Under 5 Total dose dose clinic Matched Data Unmatched Data First 10 Townships ANC Delivery DPT 3rd TT 2nd Under 5 Total dose dose clinic Matched Data Unmatched Data Second 10 Townships
  17. 17. Data Quality of Immunization 100 99 97 93 97 97 91 91 90 90 80 80 77 72 70 70 Percent 60 50 40 30 Client found 20 Receive service 10 Correct service dose 0 DPT3 TT2 First Townships DPT3 TT2 Second Townships
  18. 18. Actual Data Quality(84%) (First 10 Townships) Health Facility Field visit Accuracy (84.1%) Report Register Mean=110.63 SE=13.38 Sample from Register Clients Mean=20.8 Mean=17.5 Mean=96.33 SE=9.33 t=1.508 p=0.142 Data quality not affected at α=0.05 level SE=0.43 SE=0.69 t=5.32 p=<0.05* Data quality affected at α=0.05 level
  19. 19. Actual Data Quality(53.6%) (Second 10 Townships) Health Facility Field visit Accuracy (67.2%) Accuracy (79.8%) Register Report Mean= 114.28 Mean=170 SE = 23.6 SE = 11.5 t= 3.69 p= 0.001* Data quality affected at α=0.05 level Sample from Register Clients Mean=15.77 SE=0.52 Mean=19.77 SE=0.22 t=7.8 p=<0.05* Data quality affected at α=0.05 level
  20. 20. Overall quality of data in 20 Townships 100% RHC Township 100% Subcenter 84% 82% Register Clients
  21. 21. Service Quality
  22. 22. Main services in AN care First (n=240) Main Services in AN No. % Second (n=252) No. % Abdominal Examination 203 84.6 227 90.1 Weighing body weight 136 56.7 164 65.1 Measuring BP 192 80.0 209 82.9 Urine Testing 116 48.3 83 32.9 Testing for anaemia 106 44.2 77 30.6
  23. 23. Percent of women getting three essential ANC examination (Abdominal Examination, Body weight, BP) Not Received 48% Received 52% First 10 Townships Not Received 40% Received 60% Second 10 Townships
  24. 24. Mother’s Knowledge of Danger signs First (n=240) Second (n=252) Danger Signs for immediate seek for care during pregnancy No. % No. % Bleeding 64 26.7 66 26.2 Convulsion 13 5.4 13 5.2 Blurred vision 24 10.0 25 9.9 Fever 19 7.9 15 6.0 Pain in abdomen 27 11.3 26 10.3 Dyspnoea 9 3.8 2 0.8 Odema 41 17.1 32 12.7
  25. 25. Plan for Birth Place by pregnant mother 100% 80% 100% 74.2% 83.3% 80% 60% 60% 40% 40% 13.8% 20% 5.0% 7.0% 0% 20% 8.3% 2.0% 6.4% 0% Home Hospital Delivery room First 10 Townships Others Home Hospital Delivery Room Others Second 10 Townships
  26. 26. Birth Place at the time of delivery Delivery room 15% Delivery room 5% N=46 Home 85% First 10 Townships N=58 Home 95% Second 10 Townships
  27. 27. Knowledge of danger signs during puerperium for immediate seeking care by PN mother First N=46 Second N=58 Bleeding 65% 60% Convulsion 2.5% 0% Dyspnoea 2.5% 2.5% Fever 17.5% 20% Abdominal pain 2.5% 20%
  28. 28. Percentage of mothers having Immunization card and remember the date of last Immunization(DPT3 Immunization ) 100% 100% 80% 32 80% 37.5 58.8 69.9 60% 60% No 40% 68 Yes 30.1 20% No 40% 62.5 Yes 41.2 20% 0% 0% Immunization Card Remember last immunization date First 10 Townships (n=103) Immunization card Remember last immunization date Second 10 Townships (n=136)
  29. 29. Exclusive Breast Feeding Practice at the time of DPT 3 immunization Exclusive Breast Feeding 47% Exclusive Breast Feeding 27% Other feeding 53% Other feeding 73% First 10 Townships (n=103) Second 10 Townships (n=136)
  30. 30. Percentage of pregnant mothers who received antenatal care during the visit of TT2 Immunization First 10 Townships (n=92) Second 10 Townships (n=130) The result was the same
  31. 31. Percentage of under five children who suffered illness seen by midwives Others 32% ARI 36% Diarrhoea 32% Others 31% ARI 52% Diarrhoea 17% Data collection at summer season Data collection at winter season First 10 Townships (n=78) Second 10 Townships (n=89)
  32. 32. Services for Diarrhoea and ARI cases ORS for Diarrhoea Counting RR for ARI Antibiotics for ARI No. First 10 townships Diarrhoea(n=25) ARI (n=28) Second 10 townships Diarrhoea(n=15) ARI (n=46) % No. % No. % 22 88.0 7 25.0 12 50.0 13 86.7 9 19.6 24 66.7
  33. 33. Remember of Facts Related to Disease by child caretakers Response caretaker continued feeding and giving more fluid during loose motion fevered children ARI children become become cold, clammy more dyspnoic extremities and more drowsy. No. First 10 townships Second 10 townships % No. % No. % 25 11 44.0 3 12.0 5 20.0 35 4 11.4 5 14.3 1 2.9

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