Data Quality Assessment

PresenterDR. Thet Thet Mu

DirectorHealth Information, DHP

# Yed as he

#Th arya rw ady

# Bh am o#

Shweg u

#Pyin m ana

# M ud on

# Tha ton

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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

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

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)

Flow of Sample selection GAVI HSS 20 townships

Each Township

RHC

SC

RHC RHC

SC SC

20 20 20

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

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

Consistency check between RHC and Township Monthly Report

Second 10 Townships

Consistency check Between RHC and Subcenter Monthly Report

Second 10 Townships

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

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

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

Found93%

Temporary2%

No Client4%

First 10 Townships Second 10 Townships

Client found according to address

Found94%

Temporary3%

No Client3%

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

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

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

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

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

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

Overall quality of data in 20 Townships

Township RHC Subcenter

RegisterClients

82%

84%

100% 100%

69 %

Service Quality

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)

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%

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)

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%

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

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

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

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)

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)

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

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

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

Thank you