1. Module 6: Making data- informed decisions

2. Module 6: Learning objectives  Review role of M&E in program improvement  Identify priority decisions and programmatic questions  Link decisions/questions with potential data sources  Create a time-bound plan for using data in decision making

3. Using data assists us to  Determine whether a plan or program is on schedule with planned activities  Identify problems and successes  Inform clinic policy, planning, or program decisions

4. Building data use into your work  PLAN PLAN PLAN !  Regularly review your data – schedule time  Use the Framework for Linking Data with Action  Engage in dialogue with stakeholders to fully understand the  decisions they make, information they need, & best way to present that information

5. Elements of the Framework  Decision makers and stakeholders with potential interest in your data  Decisions / actions the stakeholder makes (possible uses of data)  Questions to which the stakeholder requires answers  When the decision will be made

6. Elements of the Framework (cont’d)  Indicators and/or data of interest (to respond to stakeholder need)  Source of data  How data will be presented (what types of analyses, graphs, formats)?

7. Framework for Linking Data with Action

8. Decision / Action Program/ Policy Question Decision Maker (DM), Other Stakehold- ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Commu- nication Channel

9. Framework for Linking Data with Action Decision/ Action Program /Policy Question Decision Maker (DM), Other Stakehold- ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Commu- nication Channel

10. What Are Decisions?  Choices that lead to action  All decisions are informed by questions  All questions should be based on data

11. Decisions  Allocation of resources across IPs/ states / districts/facilities  Revise OVC program approaches to emphasize fostering and adoption  Develop and institute workplace policies on HIV/AIDS in all institutions in state X  Hire and allocate staff to facilities

12. Decision or Question

13. Programmatic questions  What percentage of HIV+ pregnant women in care are actually delivering in health facilities?  What percentage of clients starting ART are lost to follow-up?  Are the number of family planning clients decreasing?  What percentage of pregnant patients who are HIV+ are actually receiving ART?

14. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehol ders (OS) Indicator/ Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio?

15. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training

16. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training

17. Framework for Linking Data with Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator/ Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training 711 form indicators K41, B73, B 91 Service statistics Logistics manage- ment system

18. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator/ Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training 711 form indicators K41, B73, B 91 Service statistics Logistics manage- ment system

19. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training 711 form indicators K41, B73, B 91 Service statistics Logistics manage- ment system Dec. 2010, March 2011, June 2011, September 2011, December 2011

20. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training 711 form indicators K41, B73, B 91 Service statistics Logistics manage- ment system Dec. 2010, March 2011, June 2011, September 2011, December 2011

21. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker (DM), Other Stakehold ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training 711 form indicators K41, B73, B 91 Service statistics Logistics manage- ment system Dec. 2010, March 2011, June 2011, September 2011, December 2011 Short summary presented to facility manager at weekly clinic meeting

22. Framework for Linking Data with Action Decision/ Action Program/ Policy Question Decision Maker, (DM) Other Stakehold ers (OS) Indicator /Data Data Source Timeline (Analysis) (Decision) Comm- unication Channel DM OS Hire more PMTCT counsel- ors Are we reaching testing targets in PMTCT? Do we have sufficient test kits? What is nurse: client ratio? DM – Head of Regional Health Committee OS – Other providers, Division of Clinical Training 711 form indicators K41, B73, B 91 Service statistics Logistics manage- ment system Dec. 2010, March 2011, June 2011, September 2011, December 2011 Short summary presented to facility manager at weekly clinic meeting

23. Framework for Linking Data with Action  Creates a time-bound plan for information- informed decision making  Encourages greater use of existing information  Monitors the use of information in decision making

24. Key Messages  Building data use into your work takes planning and dedicated time  The Framework for Linking Data with Action can be used to create an actionable plan for using data in decision making

25. Group Work 3 – Instructions  Select a note taker  On flip chart paper, create the Framework table  Brainstorm three decisions or questions in columns 1 & 2  Complete the remaining columns  Time: 1 hour

26. Group Work 3 – Report Back  Each group will have 10 minutes to present its completed Framework  Group discussion – Are there other data sources that might have been used in this decision? Were there other stakeholders that should have been considered? (10 minutes)