ENG 5 Q4 WEEk 1 DAY 1 Restate sentences heard in one’s own words. Use appropr...
Increasing Evidence-Based Decision Making in Côte d'Ivoire Districts
1. Increasing district level
evidence-based decision making
in Côte d’Ivoire
Tara Nutley
MEASURE Evaluation / Futures Group
Mini University, Washington DC
March 7, 2014
3. Data Demand & Use Intervention
8 mutually reinforcing activity areas that are
based on the literature & MEASURE
Evaluation experience
Traditional M&E activities coupled with
linkages to decision makers & decision
making functions
4. Data Use Intervention
1. Assess the data use context
2. Engage data users & producers
3. Identify information needs
4. Improve data quality
5. Improve data availability (access, synthesis, communication)
6. Build capacity in data use core competencies
7. Strengthen organization’s data use infrastructure
8. Evaluate & communicate data use successes
6. 1. Assess data use context
PRISM 2008 - found improved RHIS processes but
weaknesses in data quality and use of information
7. 2. Engage data users & producers
Regional data review meetings every 6 months
Questions identified
Additional analysis
Recommendations for improved programs
Tool application
3. Identify information needs
8. 4. Improve Data Quality
National data management procedures manual
Trained at central & regional levels in data quality
procedures &
use of RDQA
RDQA applied
during
supervision by
MOH
9. 5. Improve data availability
(access, synthesis, communication)
Created and disseminated data use modules for the
OVC database & care and treatment database
10. 6. Build data use core competencies
Data use concepts & tools incorporated into 4 in-
service & pre- service training institutions
Schools of: health professionals, public health,
statistics & economics,
social training
Trained: students,
PEPFAR IPs, MOH
staff
Cascade training
11. 7. Strengthen organization’s data
use infrastructure
M&E staffing
MOH mandated new regional positions - Head
of M&E
Six regions hired regional M&E specialists
1 region hired 6
district M&E officers
Regular regional data
review meetings, data use
use tools, DQA
procedures
12. 8. Evaluate results
PRISM results 2008 & 2012
Data use
44% to 70% district level
38% - no change facility level
Data quality
43% to 60% at district level
40% to 81% at facility level
Data availability - facility level
(information feed back)
7% to 29%
13. 8. Assess data use results (cont.)
Observed results:
Engagement & ID information needs -
Established 2 types of quarterly strategic data
use meetings
Capacity building - data use curriculum in
national universities
Institutionalization - National guidelines &
protocols, regular data use fora, new positions to
oversee data use activities
14. Data Use
Instructions
• Divide into groups
• First group selects a category and $ amount and
receives a question (groups can confer among
themselves for the answer)
• The first group to raise their flag answers. If
answered correctly they get the points. If incorrect
they lose the points and the first group to raise
their flag can answer.
17. 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