DATA DEMAND 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 Implementing Partner Director Program Site Facility Manager/ Head Doctor Program Manager Staff Department Head Staff
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
Information Flow Feedback Program Clinical histories, Service Statistics Compiled Data Service Delivery Point Reports Managers, Government, Donors Analysts, Evaluators Higher Levels: District, Province, National
Variety of Formats § Narratives § Summaries, bulleted items, graphs, charts § In-person discussion § One-on-one § Staff meetings, district meetings § Speeches to staff § Supervision visits
Quarterly Performance Indicators # Indicator Numerator Denominator Percentage ART 1 % of eligible clients placed on ART # of new clients on ART Sum of # of new clients on ART and clients on ART waiting list 39 2 % of current ART clients 39 # of active clients on ART # of cumulative clients on ART 1620 3 % of ART clients in 6 month cohort undergoing repeat CD 4 testing 100% 1765 # of clients for whom repeat CD 4 testing was done at 6 months Total # of active ART clients in 6 month cohort 147 92% 94% 156 Pediatric ART 1 % of children current on ART # of active children on ART # of cumulative children on ART 45 58 78% ART Care Follow-up 1 2 3 4 % of non active ART patients who have stopped ART. # of patients who stopped ART. 0 145 % of non active ART patients who transferred out. # of non active ART patients. 8 145 % of non active ART patients who died. # of patients who died. % of non active ART patients who have been lost to follow-up. # of patients who have been lost to follow-up. 106 23 # of non active ART patients. 145 0% 6% 73% # of non active ART patients. 145 16%
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
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