UNDERSTANDING DATA AND INFORMATION FLOW

Session 4

Session Objectives

Identify opportunities for improving data

production and use

Identify opportunities for feedback mechanisms

Identify points where analysis & data could

support programmatic decision making

2

Session Overview

Information Flow

Information Use Map

Guide to Expanding Use of Information

Small Group Activity 4: Mapping Information Flow

3

Data Demand & Use

Purpose of Understanding Data Flow

Helps us better understand our role in the

health information system and the

importance of collecting data

Identify opportunities for improving data

collection and analysis, increasing

availability, and ensuring data use

Service Delivery Point

Feedback Managers,

Government, Donors

Program

Compiled Data

Clinical Histories, Service

Statistics

Reports

Information Flow

Reasons to Assess Information Flow

Local data not used locally

Higher-level information does not return back to local level

Local data not assessed in broad context

Little incentive to produce high-quality data

7

Investigating Information Flow in Dominica

Situation: local health centers and hospitals report

up through the RHIS system.

Problem: local facilities never receive full reports

after they are completed.

Information Use Map Suggestions: identified

opportunities for feedback to facilities and

specified how the information could be used for

mid-course corrections.

Group Participation

How does information flow through your organization?

9

INFORMATION USE MAP

Information Use Mapping Purpose

Describe existing flow of health information to identify opportunities for improving its use

Description

Identifies gaps and opportunities for using information

Identifies opportunities for additional feedback mechanisms

Identifies points at which analysis & data could support programmatic decision making

Information Use Map: National HIV/AIDS ProgramInformation Use Map: National HIV/AIDS Program May 2005

Data Collection Compilation Storage Analysis Reporting Use

Private Clinic

N60

Government Facility

District

Regional

National

Data collected in electronic medical records

Data collected both electronically and paper-based

Data collected by paper-based system

Data compiled in monthly reports

Data compiled in quarterly reports

Data compiled in quarterly reports

Data stored in national HIV database

Data analyzed

Reporting to WHO 6FAM

Annual state of the program report prepared

Development of 5-year strategic plan

Reporting to N60 headquarters

Information Use Map: National HIV/AIDS Program May 2005

Data Collection Compilation Storage Analysis Reporting Use

Private Clinic

Results reported

to clinic management

NGO

Government Facility

Results reported

to facility management

District

Results reported

to district management

Regional

Results reported

to regional

management

National

Client data collected in EMRS

Data collected both in EMRS and paper-based

Client data collected by paper-based

system

Clinic staff compile data in

monthly summary reports

District level staff compile data in

quarterly summary reports

Regional level staff compile data in

quarterly summary reports

Data stored in national

HIV database

Data analyzed

Reporting to WHO 6FAM

Annual state of the program

report prepared

Development of 5-year strategic

plan

Results reported to NGO head-

quarters & donor

Clinic data stored in EMRS

NGO data stored in EMRS or in paper records

Facility level data stored in filing

cabinets

Conduct client and clinic level

analysis

Conduct client and site level

analysis

Conduct client and facility level

analysis

Conduct district level analysis

Conduct regional level analysis

More sophisticated

analysis conducted

Use for clinic service planning

and improvement

Use for program planning and improvement

Use in district program planning and improvement

Use in regional program planning and improvement

Use for program planning and improvement

Use in national program and policy

planning and resource allocation

Key Messages

Actual flow of data and information can

reveal barriers to improving data quality

and use Information Use Map can highlight

intervention points

14

Small Group Activity 4: Part 1 Instructions

Convene in a small group by organization

Complete the Information Use Map for your organization as data flow now

Activity time: 30 minutes

15

Small Group Activity 4: Part 2 Instructions

Review the map and discuss among your group how the flow of information could be improved: How else could data be analyzed? Are there opportunities for feedback mechanisms? Are data being used by all stakeholders?

Note potential interventions based on your discussion.

Make a 2nd version of the map to illustrate an improved flow of information.

Activity time: 30 minutes

If you finish early…

Summarize the best practices or corrections you are suggesting

Discuss and share why these changes or best practices would facilitate use of the data

Small Group Activity: Report Back

1. One group member remains at the table to present the map to visitors.

2. Each table group moves to the right to visit the table next to them.

3. The table presenter spends 5 minutes explaining how his or her group improved information flow in its map and how this would facilitate use of data.

4. Repeat steps 2–3

5. Everyone returns to original tables.

6. Consider improving your map based on what you learned from your neighbors.

7. Time 1 hour

THANK YOU!MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by the

Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, ICF Macro, 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.

Visit us online at http://www.cpc.unc.edu/measure