Presentation by Tara Nutley at the March 2014 Global Health Mini University.

1. Increasing district level
evidence-based decision making
in Côte d’Ivoire
Tara Nutley
MEASURE Evaluation / Futures Group
Mini University, Washington DC
March 7, 2014

2. Improving Information Systems
 Global commitment to M&E and information
systems have generated more & improved data

3. Data Demand & Use Intervention
 8 mutually reinforcing activity areas that are
based on the literature & MEASURE
Evaluation experience
 Traditional M&E activities coupled with
linkages to decision makers & decision
making functions

4. Data Use Intervention
1. Assess the data use context
2. Engage data users & producers
3. Identify information needs
4. Improve data quality
5. Improve data availability (access, synthesis, communication)
6. Build capacity in data use core competencies
7. Strengthen organization’s data use infrastructure
8. Evaluate & communicate data use successes

5. Data-informed decision making in Côte
d’Ivoire

6. 1. Assess data use context
 PRISM 2008 - found improved RHIS processes but
weaknesses in data quality and use of information

7. 2. Engage data users & producers
 Regional data review meetings every 6 months
 Questions identified
 Additional analysis
 Recommendations for improved programs
 Tool application
3. Identify information needs

8. 4. Improve Data Quality
 National data management procedures manual
 Trained at central & regional levels in data quality
procedures &
use of RDQA
 RDQA applied
during
supervision by
MOH

9. 5. Improve data availability
(access, synthesis, communication)
 Created and disseminated data use modules for the
OVC database & care and treatment database

10. 6. Build data use core competencies
 Data use concepts & tools incorporated into 4 in-
service & pre- service training institutions
 Schools of: health professionals, public health,
statistics & economics,
social training
 Trained: students,
PEPFAR IPs, MOH
staff
 Cascade training

11. 7. Strengthen organization’s data
use infrastructure
 M&E staffing
 MOH mandated new regional positions - Head
of M&E
 Six regions hired regional M&E specialists
 1 region hired 6
district M&E officers
 Regular regional data
review meetings, data use
use tools, DQA
procedures

12. 8. Evaluate results
PRISM results 2008 & 2012
 Data use
 44% to 70% district level
 38% - no change facility level
 Data quality
 43% to 60% at district level
 40% to 81% at facility level
 Data availability - facility level
(information feed back)
 7% to 29%

13. 8. Assess data use results (cont.)
Observed results:
 Engagement & ID information needs -
Established 2 types of quarterly strategic data
use meetings
 Capacity building - data use curriculum in
national universities
 Institutionalization - National guidelines &
protocols, regular data use fora, new positions to
oversee data use activities

14. Data Use
Instructions
• Divide into groups
• First group selects a category and $ amount and
receives a question (groups can confer among
themselves for the answer)
• The first group to raise their flag answers. If
answered correctly they get the points. If incorrect
they lose the points and the first group to raise
their flag can answer.

15. Data Use
Building Blocks Theory Similar
Experiences
200 200 200
400 400 400
600 600 600

16. Daily Double

17. MEASURE Evaluation is funded by the U.S. Agency for
International Development (USAID) and implemented by the
Carolina Population Center at the University of North Carolina
at Chapel Hill in partnership with Futures Group International,
ICF International, 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