Improving the Reporting System of the Access to Infant & - - PowerPoint PPT Presentation

Improving the Reporting System of the Access to Infant & Maternal Health(AIMH) Project

Gilbert Muyambi and Allen Amanya Academic Mentor: Joseph Matovu Institutional Mentor: Robert Kanwagi Munyonyo, Kampala 22nd November 2013

"Some VHTs normally bring reports to my health facility when I am doing my work, and I don’t know what to do with these reports” The in charge Health Centre 11, Kasambya Kabale District

Background

• Access to Infant and Maternal Health (AIMH) is a project

intended to contribute to improving maternal and child health in Uganda

• The

project is piloting the timely and targeted counselling(ttC) model

• The project is supporting “community module” six of the

HMIS using VHTs to collect data

• The project is implemented in six sub-counties in Kabale

and Busia through the VHT structure

• The project had challenges with reporting

Problem Analysis

Poor Reporting System Difficulty making informed decisions Difficulty justifying models used Difficulty tracking progress Data flow process not defined No data storage and management Inadequate capacity of staff Incomplete M&E plan Inadequate reporting tools

Cause Effect Problem

Project Objectives

– To improve the reporting system of the AIMH project

• To develop monitoring and data collection

tools aligned to key project indicators

• To develop a data use and management

plan for the AIMH project

• To build the capacity of AIMH project staff

and partners in data management

Project Implementation

Revision and Adoption of tools

• Re(designed) project tools; the ttC register, ttC summary

form into shorter easier formats

• Harmonised

the different existing reporting tools/registers into one from four tools

• Adopted, printed and distributed HMIS tools; 095, 097,

106a forms

• Developed the AIMH Project quarter reporting form

Capacity Building

• Trained

30 district health officials on HMIS reporting

• 887

VHTs trained

• n

the use of HMIS tools by trained officials

• Reporting

roles and responsibilities drawn and agreed upon

Health officials filling out forms during a training workshop

Improving data flow

• Developed

and disseminated data flow map with stakeholders

• Designed a data base for storage and

reporting

Data Flow Map

HMIS 097/ttC summary form AIM quarterly form HMIS106a VHT register/ ttC register HMIS 097, ttC summary form Health Assistant VHT focal person VHT team leader Biostatistician /HMIS focal person Enter data into system, World Vision picks data Data collection from HH Summarizing focal person data & submit to district Summarizing team leader data Data summary for VHTs VHT

Households District Parish Village Sub County

Achievements- Improved reporting

• Proportion of VHTS reporting increased to

93% from 0% at baseline

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Kabale Busia Total 0% 0% 0% 92% 94% 93% Baseline Current

Achievements Cont..

• Increased availability of quantitative data for

periodic reporting

• Available

data informing project decision making e.g. due to data quality gaps, refresher training planned for VHTS.

AIMH Data Base Entry Screen

1564 1745 1566 2096 69% 65% 75% 74% 54% 66% 42% 63% 14% 90% 52% 76%

500 1000 1500 2000

Busitema Lunyo Sikuda Busiime

Female Children Under 5 Health, Busia ADPs, July - Sept. 2013

CU5 Female CU5 VitA Female CU5 Dewormed Female CU5 LLIN Female

Challenges

• VHTS are still getting familiar with filling the

data collection tools.

• Inadequate

supply

• f

HMIS tools at health facilities.

• Some VHTs have difficulty in reading and writing

Lessons

• Utilizing existing government systems is more

sustainable in improving Community HMIS reporting

• Utilizing HMIS is as an ideal entry point

for promoting project models

Next Steps

• Reporting

writing and feedback to different stakeholders

• Partner with the districts to hold data

quality assessments and mentorship

Conclusion

• Most times projects struggle to build systems

capable of providing data

• However, there are systems already in place

that can be improved and supported to meet government and partner data requirements

• The success in improving VHT reporting from

0% to 93% is a clear demonstration of a true health systems strengthening approach

Acknowledgements

• Makerere University School of Public Health
• District health officials and Village Health Teams
• Academic

mentor; Joseph Matovu and Institutional mentor Robert Kanwagi

• Management and staff of World Vision Uganda