7 Steps to Improve HIV/AIDS Programs Guide

Data Demand & Use: Seven Steps to Use Routine Information to Improve HIV/AIDS Programs Webinar Series #6 Tuesday, February 21, 2012 Presenters: Tara Nutley and Nicole Judice

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A recording of the webinar will be made available at www.measureevaluation.org/ddu

Agenda
Welcome - webinar tips
Brief overview of Data Demand and Use
Presentation of Tools
Field Application of Tools
Questions and Answers
Wrap up

Why improve data-informed decision making? Pressing need to develop health policies, strategies, and interventions

“… without information, things are done arbitrarily and one becomes unsure of whether a policy or program will fail or succeed. If we allow our policies to be guided by empirical facts and data, there will be a noticeable change in the impact of what we do.” National-level Policymaker, Nigeria

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

Data-informed Decision Making Cycle

Improving Data-informed Decision Making

Core Data Demand and Use Principle
Data users and data producers can work together to identify key programmatic questions and concerns and to link these questions to the data available in their respective settings.

Why Use the 7 Step Approach
Provides concrete steps to data-informed decision making
Encourages more strategic and effective use of data
Ensures involvement of data users & producers
Guide includes examples, job aids, templates

Stepwise guidance helps to…
Identify and understand trends and needs;
More effectively plan and set priorities;
Support changes in program and service delivery;
Support requests for additional resources;
Justify changes in policies affecting service delivery;
Provide evidence-based clinical decision making;
Facilitate accountability for expended resources;
Communicate importance of HIV/AIDS services to the community.

Seven Steps Approach
1 - Identify questions of interest
2 - Prioritize key questions of interest
3 - Identify data needs and potential sources

Seven Steps Approach
4 - Transform data into information
5 - Interpret information and draw conclusions
6 - Craft solutions and take action
7 - Continue to monitor key indicators

Step 1 – Identify questions
No need to go fishing….instead answer question that respond to true needs and priorities

Defining Program Success - Questions to Consider
What do you want or need to know in order to say your program is working?
How do you know that your program or service is working?
Is your program or service improving client’s health?
How do you know if there are problems or that your program is not achieving its pre-determined objectives?

Step 2 – Prioritize Key Questions of Interest
Programmatic relevance
Answerable
Actionable
Timeliness of the question
Ensure question is specific

Prioritizing Questions PROJECT/ORGANIZATION POTENTIAL SOLUTIONS PROGRAMMATIC RELEVANCE ANSWERABLE ACTIONABLE TIMELINESS OF THE QUESTION TOTAL Please list your proposed solutions, and rank them according to each criterion. Highly relevant=4 Somewhat=3 Little Relevance =2 None=1 Easy to answer=4 Feasible with routine data=3 May require non routine data=2 Significant data collection=1 Highly actionable=4 Potential barriers=3 Low chance of action=2 Little to no chance of action=1 Immediate=4 Next quarter =3 Next month =2 Distant future =1 1. 2. 3.

Step 3 – Identify Data Needs and Potential Sources
Enlist M&E Officer
How frequently or at what intervals do we need this information?
Do the data already exist and are they available?
Are the data of sufficient quality?

Step 4 – Transform Data into Information
Isolate required indicators and/or data elements
Analyze the data and calculate the indicator
Depict data in an image (graph, chart, table)

Step 5 – Interpret Information and Draw Conclusions
Convene group or team
Review graphs, tables, and information
Discuss the meaning of these analyses for organizations, programs and facilities

Interpreting data
Adding meaning to information by making connections and comparisons and exploring causes and consequences

Step 6 – Craft Solutions and Take Action
Engage variety of stakeholders to craft solutions
Discuss conclusions from interpretation
Brainstorm potential solutions
Further specify, craft and prioritize these solutions
Develop an action plan

Program Action Plan

Step 7 – Continue to Monitor Key Indicators
Monitor implementation of action plan
Consider frequency and duration of monitoring
Develop tool for monitoring

Example of Monitoring Spreadsheet Site name: 2008 N/D Indicator J F M A M J J A S O N D Numerator Denominator Indicator % of eligible clients placed on ART Numerator # of new clients on ART 102 102 103 115 125 Denominator Sum of # of new clients on ART and clients on ART waiting list 151 162 169 171 177 Indicator Numerator Denominator

Framework for Linking Data with Action
Documents the overall Seven Steps process
Creates a time-bound plan for information-informed decision making
Encourages greater use of existing information
Monitors the use of information in decision making

Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold-ers (OS) Indicator/Data Data Source Timeline (Analysis) (Decision) Commu-nication Channel

Illustrative Example

Question of Interest
Organization is concerned about retaining clients in their facilities
Management team identified the question:
What percentage of PMTCT clients are counseled and tested?

PMTCT Summary Form Summary Data from General ANC, VCT and Partner Registers Variables Number 1. New ANC clients 6 A. Post-test counseled - Positive 6 B. Post-test counseled – Negative

Variables Facility 1 Facility 2 Facility 3 Facility 4 1. New ANC Clients 744 2708 105 1077 6A. Post-test counseling – positive 54 105 10 43 6B. Post-test counseling – negative 440 2045 93 800 Total post-test counseled 494 1940 83 843

Are facilities reaching coverage targets?

Additional Questions
Which facility is performing better/worse than expected?
What is the trend over time for these facilities?
How would you assess each facility’s performance based on the data?
What other data or information should you consider in providing recommendations or guidance to the facilities?

Applications
Nigeria – training workshops at facility, organizational and state levels
Tanzania – training workshops and coaching at organizational level
Introduced and shared with different organizations and in electronic forums
Catholic Relief Services
TB Care Data and Analysis Forum
Virtual Leadership Development Program

Questions and Answers

MEASURE Evaluation DDU Resources
www.measureevaluation.org/ddu
Data Demand and Use Tool Kit
Data Demand and Use Training Resources
Next webinar will be on February 28, 2012 at 9:00 am Data Demand and Use Training Resources

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Presenter Contact Information
Tara Nutley - tn [email_address]
Nicole Judice – [email_address]

MEASURE Evaluation is funded by the U.S. Agency for
International Development (USAID) and implemented by the
Carolina Population Center at the University of North Carolina
at Chapel Hill in partnership with Futures Group International,
ICF International, John Snow, Inc., Management Sciences for
Health, and Tulane University. Views expressed in this
presentation do not necessarily reflect the views of USAID or the
U.S. government.
MEASURE Evaluation is the USAID Global Health Bureau's
primary vehicle for supporting improvements in monitoring and
evaluation in population, health and nutrition worldwide

7 Steps to Improve HIV/AIDS Programs Guide

by MEASURE Evaluation on Feb 21, 2012

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7 Steps to Improve HIV/AIDS Programs Guide Presentation Transcript