Strengthening Data Availability for Community Health Programming - A Review of Current Practices
Abstract:
There is always a fair amount of data
collected, analyzed, stored and disseminated in various formats in the national
health systems. In most cases, district and national health management teams are
tasked by law to generate quality data for planning, budgeting, programmatic decision
making and to respond to requests and needs from stakeholders such as donors. Valuable
community health data should be ready-to-use at the point of service delivery and
ideally at the household and community levels for real time decision making to improve
performance and outcomes. Donors need evidence to measure progress towards the achievement
of their objectives, and also to advocate for additional resources. The need for
community data fluctuates temporally due to environmental, behavioral, economic,
social and political factors. Data collection, management and analysis should be
timely, constantly updated and tailored to reflect these fluctuations. Findings
from multiple demographic and health surveys (DHS) that collated and analyzed large
datasets from households, have shown the importance of collecting quality data,
improving their availability and dissemination to build awareness of communities
about emerging health issues, and to stimulate and increase data utilization for
health programming especially in areas or contexts where there is no or little relevant
information. We reviewed current community data collection and management practices,
analyzed various sources of data, data usage, formats and performance indicators.
We noted that community data ownership is key. Communities who generate health information,
should be able to use their own data their data for self monitoring, program planning
and implementation in collaboration with local health facilities.
Keywords: community data – community health -home visits – data
capture - data dissemination -community health worker.
References:
[1].
Adalgisa Viola, Luc Van der Veken, Claire Cole &
Julio Pacca It takes a village
and data: Using routine health information to ensure safe, institutionalized births
in Mozambique. March 27, 2017 Pathfinder International.
[2].
Admasu,
K. The implementation of the Health Development Army: Challenges, perspectives and
lessons learned with a focus on Tigray’s experience. Federal Democratic Republic
of Ethiopia Ministry of Health Quaterly Health Bulletin, 5(1) 2013.
[3].
Ballard M,
Bonds M, Burey JA, Foth J, Flori K, Holeman T, Schwarz R, Furth R, Sarah F, Zambruni
P, Jacobs T, Kureshy N Community Health Worker Assessment and Improvement Matrix
(CHW AIM) Updated Program Functionality Matrix for Optimizing Community Health Program
December 2018.
[4].
Ballard M,
Montgomery P. 2017. Systematic review of interventions for improving the performance
of community health workers in low-income and middle-income countries. BMJ Open
7:e014216. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665298/pdf/bmjopen-2016-014216.pdf.
[5].
Chewicha,
K., Azim, T. (2013). Community health information system for family-centered health
care: Scale-up in Southern Nations, Nationalities and People's Region. Ethiopia
Ministry of Health Quarterly Health Bulletin, 5(1):49-53.
[6].
CORE Group
Polio Project - Realities: Coordinated Impact at the Country and Global Level –
Summary Report - Plenary Session, Global Health Practitioner Conference Lord Baltimore
Hotel, Baltimore, Maryland - CORE Group Fall 2017.
https://coregroup.org/wp-content/uploads/2017/08/CORE-Fall-Plenary-Session-9-27-Baltimore.pdf.
[7].
Dickinson
FM, Pyone T, Van Den Broek N. Experiences from the field: maternal, reproductive
and child health data collection in humanitarian and emergency situations Int Health
2016; 8 83-88.
[8].
Djouarka
R, Kabore A. Is lymphatic filariasis transmitted in Cotonou and Porto Novo – ASTMH
Conference Oral presentation Baltimore 2017.
[9].
http://www.mhenmw.org/index.php/2016/12/13/malawi-health-equity-network-mhen-2/.
[10]. https://ctb.ku.edu/en/table-of-contents/evaluate/evaluate-community-initiatives/examples-of-community-level-indicators/main.
[11]. https://ichc2017.mcsprogram.org/.
[12]. https://tciurbanhealth.org/lessons/integration-des-services-avec-lapproche-identification-systematique-des-besoins-de-la-cliente-isbcpf/.
[13]. https://www.intrahealth.org/news/uganda-takes-major-steps-professionalize-community-health-workforce.
[14]. https://www.who.int/tb/publications/tb_compendium_of_indicators/en/.
[15]. Ibe O, Morrow M, Landscape analysis of natiional community health worker programs
-In 22 of 25 USAID Priority Maternal and Child Health Countries Maternal and Child
Survival Program (MCSP) February 2019.
[16]. Jeremie, N., Kaseie, D., Olayo, R., Akinyi, C. (2014). Utilization of community-based
health information systems in decision making and health action in Nyalenda, Kisumu
County, Kenya. Universal Journal of Medical Science, 2(4): 37-42.
[17]. Kabore T District Partnerships
Enhance Community Participation for RMNCH in Rwanda MCSP 2017.
[18]. Källander K, Tibenderana JK, Akpogheneta OJ, Strachan DL, Hill Z, ten Asbroek
AH et al. Mobile health (mHealth) approaches and lessons for increased performance
and retention of community health workers in low- and middle-income countries: a
review. Journal of Medical Internet Research. 2013;15(1):e17. Kigali, Rwanda May
2013.
[19]. Kilangalanga J, Ndjemba JM, Pitchouna NA. Uvonb F, Kibangalab M, Safari JL.
Trachoma in the Democratic Republic of the Congo: Results of 46 Baseline Prevalence
Surveys Conducted with the Global Trachoma Mapping Project OPHTHALMIC EPIDEMIOLOGY
2018, VOL. 25, NO. S1, 192–200 https://doi.org/10.1080/09286586.2017.1306869.
[20]. Kittur N, Binder S, Campbell CH, King CH, Kinung’hi S, Olsen A, Magnussen
P, Colley DG Defining Persistent Hotspots: Areas That Fail to Decrease Meaningfully
in Prevalence after Multiple Years of Mass Drug Administration with Praziquantel
for Control of Schistosomiasis Am J Trop Med Hyg. 2017 Dec 6; 97(6): 1810–1817.
Published online 2017 Sep 25. doi: 10.4269/ajtmh.17-0368 PMCID: PMC5805060.
[21]. Love DE1, Paita LM, Custer WS. Health Serv Res. Data sharing and dissemination
strategies for fostering competition in health care.2001 Apr;36(1 Pt 2):277-90.
[22]. Mason C, WeberJ, Atasoy S, Sabariego C, Cieza A (2017) Development of indicators
for monitoring Community-Based Rehabilitation. PLoS ONE 12(6):e0178418.https://doi.org/10.1371/
journal.pone.0178418.
[23]. MEASURE Evaluation A Brief Guide to Identify Information Needs and Use Data
for PEPFAR Country and Regional Planning 2016.
[24].
MEASURE
Evaluation Community-Based Health Information Systems in the Global Context A Review
of the Literature June 2016. WP-16-161.
[25].
MEASURE
Evaluation Stakeholder Data Use and Dissemination Planning Tool: An Example from
a Research Study in Haiti: Final Report 2019.
[26]. MEASURE Evaluation Use of Community health data for shared accountability
– Guidance – February 2018 WP 16 -161.
[27]. MEASURE Evaluation. Guinea's Readiness Response to Ebola: Strengthening Data
Availability and Use June 2018.
[28]. MEASURE Evaluation. Model of a community-based information system. Essential
components and functions April 2018.
[29]. MEASURE Evaluation. PIMA Best Practices in Strengthening Community Health
Information Systems. 2016.
[30]. Ministry of Health - National Community Health Strategic Plan. July 2013 -
June 2018.
[31]. Mutale, W., Chintu, N., Amoroso, C., Awoonor-Williams, K., Phillips, J. Baynes,
C., Michel, C., Taylor, A., Sherr, K. (2013). Improving health information systems
for decision making across five sub-Saharan African countries: Implementation strategies
from the African Health Initiative. BMC Public Health Services Research, 13(2):S9.
[32]. PMCID: PMC4924267
[33]. Sayinzoga F, Bijlmakers L, van Dillen J, et al. Maternal death audit in Rwanda
2009–2013: a nationwide facility-based retrospective cohort study. BMJ Open 2016;6:e009734.
doi:10.1136/bmjopen-201500973.
[34]. Scott K, Beckham S, Gross M, Pariyo G, Rao K, Perry H. 2017a. Systematic Review
of Existing Reviews of Community-based Practitioners (Including Community Health
Workers and Close-to-Community Practitioners) and Their Integration with Health
Systems: Complete Report. Baltimore.
[35].
Sudhof, L.,
Amoroso, C., Barebwanuwe, P., Munyaneza, F., Kaamaga, A., Zambotti, G., Drobac,
P., Hirschhorn, L. Local use of gepgraphic information systems to improve data utilisation
and health services: mapping caesarean section coverage in rural Rwanda. Tropical
Medicine and International Health (2013).; 18(1):18-26.
[36]. Tekle AH, Zouré HM, Noma M,, Boussinesq M, Coffeng L, Stolk W, Remme HF Progress
towards onchocerciasis elimination in the participating countries of the African
Programme for Onchocerciasis Control: epidemiological evaluation results. Infect
Dis Poverty. 2016; 5: 66. Published online 2016 Jun 27. doi: 10.1186/s40249-016-0160-7.
[37]. Tsega A, Favin M, - My Village My Home: A Tool That Helps Communities Track
Vaccinations of Individual Infants USAID’s Maternal and Child Survival Program /
John Snow, Inc. May 2018.
[38].
World Health
Organization. WHO guideline on health policy and system support to optimize community
health worker programmes 2018 - ISBN 978-92-4-155036-9.