7.dqa 6 aug
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Transcript of 7.dqa 6 aug
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Data Quality Assessment
PresenterDR. Thet Thet Mu
DirectorHealth Information, DHP
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# Yed as he
#Th arya rw ady
# Bh am o#
Shweg u
#Pyin m ana
# M ud on
# Tha ton
#
Ye-u# Hsip aw
# Nya un gshwe
GAVI HSS First 10
Townships
Ngapu-taw
Hakha
Deemawsoe
Hlaing Bwe
Tilin
Lewe
Maungdaw
Kengtong
Myeik
Kawhmu
Ngapu-taw
Hakha
Deemawsoe
Hlaing Bwe
Tilin
Lewe
Maungdaw
Kengtong
Myeik
Kawhmu
GAVI HSS Second 10 Townships
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Department of Health Planning (HMIS),Department of Health
MCH/UHC/Station HU/RHC
District/Township Health Department
State/Regional Health Department
Sub Rural Health Center
Data Flow
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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)
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Flow of Sample selection GAVI HSS 20 townships
Each Township
RHC
SC
RHC RHC
SC SC
20 20 20
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Consistency check between RHC and Township Monthly Report
Township Monthly Report
Mean=533.40
SE=54.71
Township Monthly Report
Mean=533.40
SE=54.71
RHC Monthly Report
Mean=533.17
SE=55.14
RHC Monthly Report
Mean=533.17
SE=55.14
RHC reporting
t-test=0.108
p value=0.915
First 10 Townships
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Consistency check Between RHC and Subcenter, Subcenter and respective register
RHC Monthly Report
Mean=111.67SE=13.09
RHC Monthly Report
Mean=111.67SE=13.09
Subcenter Monthly ReportMean=110.63
SE=13.38
Subcenter Monthly ReportMean=110.63
SE=13.38
Sub-center reporting
t=0.685 p=0.499
Register
Mean=96.33
SE=9.33
Register
Mean=96.33
SE=9.33 t=1.508
p=0.142
First 10 Townships
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Consistency check between RHC and Township Monthly Report
Second 10 Townships
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Consistency check Between RHC and Subcenter Monthly Report
Second 10 Townships
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Consistency check Between Subcenter and respective register
Subcenter Monthly Report
Mean=170SE = 23.6
Subcenter Monthly Report
Mean=170SE = 23.6
Register
Mean= 114.28
SE = 11.5
Register
Mean= 114.28
SE = 11.5
t= 3.69
p= 0.001*
Second 10 Townships
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Number of clients in DQASample (n=624), (n=771)
Total cases in
registerNo. of sample
% of cases
First 10 Townships 2890 624 21.6
Second 10 Townships 4457 771 17.3
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Percent of Registered cases interviewed in DQA
% of AN cases
% of deliveries % of DPT 3 % 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
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Found93%
Temporary2%
No Client4%
First 10 Townships Second 10 Townships
Client found according to address
Found94%
Temporary3%
No Client3%
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No client3%
No service13%
Services received84%
No Client4%
No service16%
Services received
80%
Second 10 Townships
First 10 Townships
Data Quality of register verification with home visit
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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
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First 10 Townships Second 10 Townships
AN Delivery DPT 3rd dose
TT 2nd dose
Under 5 clinic
Total0%
10%20%30%40%50%60%70%80%90%
100%
91 81 72 80 85 84
9 19 28 20 15 16
Matched Data Unmatched Data
Data quality of different registers
ANC Delivery DPT 3rd dose
TT 2nd dose
Under 5 clinic
Total0%
20%
40%
60%
80%
100%
90 82 70 77 71 80
10 18 30 23 29 20
Matched Data Unmatched Data
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Data Quality of Immunization
DPT3 TT2 DPT3 TT2First Townships Second Townships
0
10
20
30
40
50
60
70
80
90
10099
97 97 9793
91 9190
72
80
70
77
Client found
Receive service
Correct service dose
Perc
ent
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ReportReport
Register
Register Sample
from Register
Mean=20.8
SE=0.43
Sample from
Register
Mean=20.8
SE=0.43
Actual Data Quality(84%)
Data quality affected at α=0.05 level
(First 10 Townships)
Clients
Mean=17.5SE=0.69
Mean=110.63SE=13.38
Mean=96.33
SE=9.33
t=1.508
p=0.142
t=5.32 p=<0.05*
Data quality not affected at α=0.05 level
Accuracy (84.1%)
Health Facility Field visit
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Actual Data Quality(53.6%)
Accuracy (79.8%)
t=7.8 p=<0.05*
(Second 10 Townships)
Report
Mean=170SE = 23.6
Register
Mean= 114.28
SE = 11.5
Sample from
Register
Mean=19.77SE=0.22
Clients
Mean=15.77
SE=0.52
t= 3.69
p= 0.001*
Accuracy (67.2%)
Data quality affected at α=0.05 level
Data quality affected at α=0.05 level
Health Facility Field visit
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Overall quality of data in 20 Townships
Township RHC Subcenter
RegisterClients
82%
84%
100% 100%
69 %
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Service Quality
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Main services in AN care
Main Services in AN No. % 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
First(n=240)
Second(n=252)
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Received60%
Not Received 40%
First 10 Townships Second 10 Townships
Percent of women getting three essential ANC examination
(Abdominal Examination, Body weight, BP)
Received52%
Not Received48%
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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
Mother’s Knowledge of Danger signsFirst
(n=240)Second(n=252)
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Home Hospital Delivery Room
Others0%
20%
40%
60%
80%
100%83.3%
8.3% 6.4% 2.0%
First 10 Townships Second 10 Townships
Plan for Birth Place by pregnant mother
Home Hospital Delivery room
Others0%
20%
40%
60%
80%
100%
74.2%
13.8%
5.0% 7.0%
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Home95%
Delivery room5%
N=58
First 10 Townships Second 10 Townships
Birth Place at the time of delivery
Home85%
De-liv-ery room
15%
N=46
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Knowledge of danger signs during puerperium for immediate seeking care by PN mother
Bleeding 65% 60%
Convulsion 2.5% 0%
Dyspnoea 2.5% 2.5%
Fever 17.5% 20%
Abdominal pain 2.5% 20%
FirstN=46
SecondN=58
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Immunization card
Remember last immunization
date
0%
20%
40%
60%
80%
100%
62.5
41.2
37.558.8
NoYes
First 10 Townships (n=103)
Second 10 Townships (n=136)
Percentage of mothers having Immunization card and remember the date of last Immunization(DPT3 Immunization )
Immunization Card
Remember last immunization
date
0%
20%
40%
60%
80%
100%
68
30.1
32
69.9
NoYes
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Exclusive Breast Feeding Practice at the time of DPT 3 immunization
Other feed-ing 73%
Exclusive Breast
Feeding27%
Other feed-ing 53%
Exclusive Breast
Feeding47%
First 10 Townships (n=103)
Second 10 Townships (n=136)
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Percentage of pregnant mothers who received antenatal care during the visit of TT2 Immunization
The result was the same
First 10 Townships (n=92)
Second 10 Townships (n=130)
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Percentage of under five children who suffered illness seen by midwives
Second 10 Townships (n=89)
First 10 Townships (n=78)
Data collection at winter season
ARI36%
Diarrhoea32%
Others32%
ARI52%
Diarrhoea17%
Others32%
Data collection at summer season
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ORS for Diarrhoea
Counting RR for ARI
Antibiotics for ARI
No. % No. % No. %
First 10 townshipsDiarrhoea(n=25)ARI (n=28)
22 88.0 7 25.0 12 50.0
Second 10 townshipsDiarrhoea(n=15)ARI (n=46) 13 86.7 9 19.6 24 66.7
Services for Diarrhoea and ARI cases
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Response caretaker
continued feeding and giving more fluid during loose motion
ARI children become more dyspnoic
fevered children become cold, clammy extremities and more
drowsy.
No. % No. % No. %
First 10 townships 25 11 44.0 3 12.0 5 20.0Second 10 townships 35 4 11.4 5 14.3 1 2.9
Remember of Facts Related to Disease by child caretakers
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Thank you