EngenderHealth: Fistula Care Plus DHIS2 Development - NPOKI

Online database with dashboard. • Quarterly and annual data ... Improved organizational/country level data quality and monitoring .... Sample Data Entry Page ...
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EngenderHealth: Fistula Care Plus DHIS2 Development

EngenderHealth

  Family Planning 16 countries, 9 projects

  Maternal Health

Mali  

Bangladesh  

USA 

Guinea     Sierra Leone  

 HIV and AIDS

Cote d'Ivoire  

 Gender 6 countries, 5 projects

Nigeria  

Burkina Faso 

13 countries, 6 projects

7 countries, 6 projects

Niger  

India   Ethiopia     Kenya   Tanzania   

Ghana  Togo 

Rwanda  

Angola  South Africa  

Burundi  DRC 

Where we plan to be as an organization… Goals: – Online database with dashboard • Quarterly and annual data (depending on indicator) – At the global, country, and project level

• Easily accessible by senior leadership as well as project/M&E staff at HQ and at country level

– Easier/faster reporting for projects – Improved data access and visualization – Improved organizational/country level data quality and monitoring – Integrated with project databases

Fistula Care Plus Goal: To strengthen health system capacity for fistula prevention, detection, treatment, and reintegration in priority countries Bangladesh, Democratic Republic of Congo, Niger, Nigeria, and Uganda

2013 - 2018

What data are we collecting? •

Number of countries/sites supported



Number of community volunteers/educators trained in tools and approaches to raise awareness regarding fistula prevention and repair



Number of community awareness-raising activities/events conducted by program partners



Number of participants reached through community awareness-raising events/activities conducted by program partners



Number of women requiring fistula repair



Number and outcomes of fistula repairs



Complications of fistula repair



Number of Pelvic Organ Prolapse (POP) treatment services provided



Number of health systems personnel trained, by topic, for fistula and/or POP prevention and treatment (disaggregated by training topic, sex and cadre of provider)



Couple-years of protection in sites supported by FC+



Number of FP counseling sessions provided to clients

Where we were…

A new direction… Ideal Solution: Web-based, Low-cost, Flexible, Robust visualization, Built-in validations Informational interviews Initial scope of work Conversations with consultants Formal scope of work, Contract with consultant

What we did… • Training: August 2014 – Our office – 1 week – 3 core staff (2 M&E, 1 IT)

• In-house development: September – December 2014 – 1 person, with support – 3 months, with testing

Where we are… • Ready for action! • All forms operationalized in DHIS2 • Validations designed • GIS coordinates and files complete • User roles defined • Dashboard creation • Roll out: Virtual training / In-person training • “Live” project-wide in March 2015

What were some of the challenges?

• NS/NA/n/a • Training Data – events, individuals and tracking • On-line manual • Time

Before and After FORM 1A: Fistula Treatment Dates of Reporting Quarter:

Fistula Care

Country Name:

Site Name:

FORM 1A: Monitoring Tool for Fistula Treatment Clinical Indicators Name of Country:

I. Seeking and diagnosis

Reporting Year Name of Facility Oct-Dec Jan-Mar Apr-Jun Jul-Sep

Revised February 2010

FISTULA TREATMENT INDICATORS 1. Number of women arriving and seeking fistula repair surgery 2. Number of women requiring fistula repair surgery 3. Number of women receiving fistula repair surgery 4. Type of fistula repair surgery: 4.1 Number of 'Urinary only' repairs 4.2 Number of 'Urinary and RVF' repairs 4.3 Number of 'RVF only' 5. For 'Urinary only' or 'Urinary and RVF' repairs (should total number in this row) (DO NOT include RVF only surgeries): 5.1 First repair 5.2 Second repair 5.3 >2 repairs For women discharged during the quarter: 6. Number of 'Urinary only' repairs 7. Number of 'Urinary and RVF' repairs 8. Number of 'RVF only' repairs 9. Total number of women discharged this quarter (sum of indicators 6+7+8) 10. Number of women not discharged this quarter 11. Outcome of 'Urinary only' or 'Urinary and RVF' repairs discharged this quarter (should total number in this row): 11.1 Closed and dry 11.2 Closed with remaining urinary incontinence

0 0 0 0 0 0 0

0

0

0

13.1 Major surgical complication 13.2 Anesthesia-related complication 13.3 Post-operative complication related to perceived success of surgery

0 0 0 0 0 0 0

0

0

0

0

0 0

0

0

0

0

0 0 0 0

11.3 Not closed 12. Outcome of 'RVF only' repairs discharged this quarter (should total number in this row): 12.1 Closed and dry 12.2 Not closed; incontinent with water stool and/or flatus (gas) 12.3 Not closed; incontinent with firm stool 13. Total number of women discharged this quarter who experienced complications:

Total

0

0

0

0

0

0

0

0

1. 2. 3. 4. 5. 6.

Number of women arriving and seeking care and treatment for incontinence Number of women diagnosed with fistula (total) Number of women whose fistula is deemed iatrogenic Number of women requiring any type of fistula treatment Number of women requiring fistula repair surgery Number of women requiring conservative treatment (catheterization for an existing fistula)

II. Fistula repair surgery 7. 8. 9. 10.

Number of women receiving fistula repair surgery Number of "urinary only" repairs Number of "RVF only" repairs Number of "urinary and RVF" repairs

III. For urinary-only repairs (first, second or >2 repairs) 11. 12. 13.

Number of women receiving "urinary only" repair undergoing their first surgical repair Number of women receiving "urinary only" repair undergoing their second repair Number of women receiving "urinary only" repair who have undergone >2 repairs

IV. For RVF-only repairs (first, second or >2 repairs) 14. Number of women receiving "RVF only" repair undergoing their first surgical repair 15. Number of women receiving "RVF only" repair undergoing their second repair 16. Number of women receiving "RVF only" repair who have undergone >2 repairs

V. For urinary/RVF repairs (first, second, >2 repairs) 17. Number of women receiving "urinary and RVF" repair undergoing their first surgical repair 18. Number of women receiving "urinary and RVF" repair undergoing their second repair 19. Number of women receiving "urinary and RVF" repair who have undergone >2 repairs

0 0 0 0

VI. For surgical repairs discharged during the quarter

0 0 0 0

20. 21. 22. 23. 24.

Number of "urinary only" repairs discharged Number of "RVF only" repairs discharged Number of "urinary and RVF" repairs discharged Number of women discharged this quarter after surgical repair (total) Number of women receiving surgical repair not discharged this quarter

VALUE

Sample Data Entry Page

Sample Dashboard

Thank You