Approaches to health Facility Data Collection and Mapping - PowerPoint PPT Presentation

1 / 28
About This Presentation
Title:

Approaches to health Facility Data Collection and Mapping

Description:

for the presentation given the 2005 Mini MAQ University, in collaboration with Bolaji Fapohunda. ... Discuss the role of health facility mapping in ... – PowerPoint PPT presentation

Number of Views:103
Avg rating:3.0/5.0
Slides: 29
Provided by: mounkai
Category:

less

Transcript and Presenter's Notes

Title: Approaches to health Facility Data Collection and Mapping


1
Approaches to health Facility Data Collection and
Mapping
  • Bolaji Fapohunda, PhD.
  • Dai Hozumi, MD, MPH
  • JSI, Inc
  • 29 March 2006

2
Acknowledgement
  • Dai Hozumi
  • for the presentation given the 2005 Mini MAQ
    University, in collaboration with Bolaji
    Fapohunda. That work is the source document for
    many of the Slides in this presentation

3
Objectives of this session
  • Discuss the role of health facility mapping in
    strengthening health service delivery
  • Disseminate key approaches to HF mapping,
    including advantages and disadvantages of
    specific approaches

4
Presentation outline
  • Role of health facility mapping/assessment
  • What is it, what it does and what does not do
  • Differences between health facility mapping and
    population based surveys
  • Key approaches to health facility mapping
  • Service Availability Mapping (SAM)
  • Service Provision Assessment (SPA)
  • Health Facility Census (HFC)
  • VCT and PMTCT mapping
  • Conclusion

5
Definition
  • Facility Any site where clients receive formal
    sector health services
  • May includes temporary sites/outreach service
    sites
  • Includes stand-alone VCT maternity homes
    hospices
  • Includes private doctor offices (limited
    availability of information thus far)
  • Source Fronczak, Nancy. 2006

6
Why collect data on HF
  • Huge investments in the formal health sector
  • Construction and infrastructure development
  • Procurement of equipment and supplies
  • Procurement of medicines
  • Training
  • Pilot projects to strengthen service delivery and
    systems (for specific services)
  • Source Fronczak, Nancy. 2006

7
What are the key questions answered by HF data?
  • Quantity and availability of services
  • Where are the service delivery points?
  • What services available?
  • In what quantity/frequency?
  • How many health workers are working?
  • Quality of services
  • Is there a standard of care guidelines? Are they
    being used?
  • Are health workers adhering to the guidelines?
  • Support mechanism
  • Condition of building
  • Availability and condition of equipment
  • Availability of supplies
  • Management systems and practice

8
Health facility versus population household based
surveys
9
Pathway to Child Survival Pediatric
HIV/AIDS (adapted from Waldman Bartlett, 2000)
Safest feasible infant feeding
Mother provides safest/feasible IYCF, Vit A
Zinc suppl.
Infant is HIV positive
Mother recognizes signs and symptoms
Wellness
INSIDE THE HOME
Mother continues to give safest/feasible IYCF,
Vit A Zinc supplementation
Improved child health
Provider gives appropriate HIV/AIDS care Rx
based on need /or clinical staging
community- based treatment/care
Growth monitoring CTMZ Micronutrients Water/
sanitation ART adherence counseling
Mother seeks care counseling for signs and
symptoms
OUTSIDE THE HOME
Provider gives appr. HIV/AIDS care Rx.
Facility-based treatment/care
Referral Level care
Mother accepts referral
10
Key questions answered by Population-based surveys
  • What proportion of the population is using
    services?
  • What is the characteristics of individuals/
    households who are using services vis-a-vis those
    who are not?
  • What are the key facilitating and constraining
    factors to service utilization?
  • What are the socioeconomic differences in
    morbidity and mortality levels?
  • How are health outcomes impacted by access to
    services?

11
Advantages of HF data
  • Contribute to health system strengthening
  • Important component of the national HIS
  • Increase the domains of data for investigation,
    making triangulation possible
  • HF data can help determine whether population
    based surveys are necessary, saving costs (e.g.
    the IMCI-MCE Survey).

12
Characteristics of system strength affected by
HF mapping
  • Provisions of basic services
  • Well integrated complementary services
    public/private, static/outreach, different
    levels (pry, secondary, referral)
  • Efficient use of facility resources, including
    personnel, infrastructure, equipment, supplies
    and time
  • Existence of coordinating mechanisms among key
    levels and programs outreach departments,
    community workers etc
  • Ownership by, support for, national/community
    counterparts
  • RHIS/monitoring evaluation systems

13
Profiles of key approaches
14
Key approaches
  • Service Availability Mapping(WHO)
  • Service Provision Assessment (ORC Macro/USAID)
  • Health Facility Census (JICA)
  • Facility Audit of Service Quality (UNC/USAID)
  • VCT and PMTCT Mapping

15
Service Availability Mapping
16
Service Provision Assessment
17
Health Facility Census
18
Estimated cost of capital investment requirement
for Malawi 2004 - 2009
19
Facility Audit of Service Quality
20
VCT/PMTCT Mapping
21
Displaying HF data
  • May display data using simple basic maps or
    advanced maps

22
  • Basic versus advanced mapping
  • dot map or shaded polygon map displays simple
    patterns and geographic dispersions.
  • Choropleth, or shaded polygon maps can also be a
    valuable way to display geographic data.
  • Software requirements for basic mapping EpiMap,
    SIGEpi (produced by PAHO), Healthmapper (WHO) as
    well as
  • ArcGIS.
  • Source Spencer, John. 2006

23
(No Transcript)
24
(No Transcript)
25
  • Advanced Mapping key is that data is explored in
    greater depth to produce fuller understanding of
    the geographic patterns. Require more
    sophisticated program such as ArcGIS, and
    additional training.
  • Basic mapping may be transitioned to more
    advanced mapping if relevant information is
    available and there is adequate planning at the
    start of the Project
  • Source Spencer, John. 2006

26
(No Transcript)
27
  • Thank You ?

28
Contact
  • Bolaji Fapohunda bfapohunda_at_jsi.com
  • Dai Hozumi dhozumi_at_jsi.com
Write a Comment
User Comments (0)
About PowerShow.com