DATA DEMAND AND USE: SHARING INFORMATION AND

PROVIDING FEEDBACK

Session 5

Session Objectives

Understand the importance of feedback in program improvement and management

List potential barriers to providing feedback

Consider how to improve feedback mechanisms in participants’ own work

2

Session Overview Define feedback Examples of feedback Possible ways of providing feedback Group discussion

3

“We are always giving patient forms and data to our M&E Unit, who then gives data to donors and the government. I am the head doctor and I never have the chance to look through the data before they go up. We just keep giving data up and up, and we never hear back about it…”

Head of ART facility, Nigeria

Importance of Feedback Information needs to be shared:

At timely and regular intervals Within, between, up, and down

Paves path between data collectors and users at all levels of the health system

Importance of Feedback Leads to greater appreciation of data:

Improved data quality Influences collection of appropriate data

Important element of management and supervision: Creates opportunity to monitor & improve

program services Incentive for staff

Donor

Examples of Feedback Sharing information within a facility or organization

Sharing aggregated service provision data from facilities within a district or between provinces

Meetings between facility and supervising agency to review and discuss information

Meetings between donor and NGO to review information and discuss challenges and opportunities

Working Toward a Culture of Information Use

Information becomes an integral part of decision-making processes, including planning, problem solving, choosing alternatives, feedback, etc.

Empowers people to ask questions, seek improvement, learn, and improve quality

Higher Levels: District, Province, National

Analysts, Evaluators

Service Delivery Point

Feedback Managers,

Government, Donors

Program

Compiled Data

Clinical histories, Service

Statistics

Reports

Information Flow

Variety of Formats

Narratives Summaries, bulleted items, graphs, charts

In-person discussion One-on-one Staff meetings, district meetings

Speeches to staff Supervision visits

Community Distribution ProgramMonthly Performance Review

Distributor: _______________ Supervisor: _________________Region: __________________ Month: _______ Year: ________

Number of NEW clients: _____MARK WITH AN X ON THE BAR BELOW

0 5 22

Number of RETURNING clients: _____MARK WITH AN X ON THE BAR BELOW

0 12 73

Community Distribution ProgramMonthly Performance Review

Distributor: _______________ Supervisor: _________________Region: __________________ Month: _______ Year: ________

Number of NEW clients: _____MARK WITH AN X ON THE BAR BELOW

0 5 22

Number of RETURNING clients: _____MARK WITH AN X ON THE BAR BELOW

0 12 73

Quarterly Performance Indicators# Indicator Numerator Denominator Percentage

ART1 % of eligible clients

placed on ART # of new clients on ART Sum of # of new clients on

ART and clients on ART waiting list 100%

39 392 % of current ART

clients # of active clients on ART # of cumulative clients on

ART 92%1620 1765

3 % of ART clients in 6 month cohort undergoing repeat CD4 testing

# of clients for whom repeat CD4 testing was done at 6 months

Total # of active ART clients in 6 month cohort 94%

147 156Pediatric ART

1 % of children current on ART

# of active children on ART # of cumulative children on ART 78%

45 58ART Care Follow-up

1 % of non active ART patients who have stopped ART.

# of patients who stopped ART.

# of non active ART patients.0%

0 1452 % of non active ART

patients who transferred out.

# of patients who transferred out.

# of non active ART patients.6%

8 1453 % of non active ART

patients who died. # of patients who died. # of non active ART patients. 73%106 145

4 % of non active ART patients who have been lost to follow-up.

# of patients who have been lost to follow-up.

# of non active ART patients.16%

23 145

When developing a feedback mechanism, consider…

The information being shared

Who will benefit from feedback

The format of the feedback mechanism

The forum in which the feedback will be shared How often the feedback will be provided

How the feedback will move to the next level

Document the process

Potential barriers to providing feedback

Hierarchy

Role clarification – data clerk & M&E officer

Approval requirements to distribute data

Lack of knowledge of what information stakeholders need

Group Participation Discuss barriers to providing feedback that

you have experienced in your work Discuss the benefits of feedback that you

have experienced in your work Identify:

Two stakeholder groups that would benefit from receiving feedback

The ideal mechanism to provide feedback to them

Key Messages

Sharing information within, between, up, and down the health system/project/organization is essential to data use

Address barriers to feedback Create a formal feedback mechanism Feedback should be: timely, regular,

constructive, descriptive, helpful, and collaborative

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