Donor data vacuuming

Gimbel, Sarah; Chilundo, Baltazar; Kenworthy, Nora; Inguane, Celso; Citrin, David; Chapman, Rachel; Sherr, Kenneth; Pfeiffer, James

doi:10.17157/mat.5.2.537

Cited by 21 publications

(5 citation statements)

References 19 publications

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“…Thus the initial work of SAIA often addresses the perennial challenge of data use by frontline service providers for decision-making. (31) Conclusions SAIA represents a promising approach to harness systems-level knowledge of service providers and managers at the frontline of care, both in clinical and community settings. In order to ensure its successful and accurate translation to other clinical areas and geographic regions, the authors have detailed its core components and implementation strategies, through use of established speci cation approaches.…”

Section: Discussionmentioning

confidence: 99%

The Systems Analysis and Improvement Approach (SAIA): Specifying core components of an implementation strategy to optimize care cascades in public health

Gimbel

Ásbjörnsdóttir

Banek

et al. 2022

Preprint

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Background: The Systems Analysis and Improvement Approach (SAIA) is an evidence-based, multi-component implementation strategy that engages service providers in the use of routinely-available service data to optimize service delivery cascades and promote systems-level thinking. SAIA was originally developed to address bottlenecks in HIV care in low-and middle-income countries, but has since been adapted and applied to a variety of care systems including: cervical cancer screening, mental health treatment, hypertension management, family planning, and community-based naloxone distribution. These projects have been implemented across a variety of settings in sub-Saharan Africa and the United States. Given the diversity of implementation experience, our consortium aimed to define the core elements of SAIA, to improve reproducibility, guide future adaptations, and lay the groundwork to evaluate mechanisms of action. Methods: Specification of the SAIA strategy was undertaken over 12 months by an expert panel of SAIA researchers, implementing agents and stakeholders, using a three-round, modified nominal group technique approach to match core SAIA components to the Expert Recommendations for Implementing Change (ERIC) list of distinct implementation strategies. Core implementation strategies were then specified according to Proctor’s recommendation for specifying and reporting, followed by synthesis of data on related implementation outcomes linked to the SAIA strategy across projects.Results: The four components of the SAIA strategy: (1) SAIA strategy meetings; (2) cascade analysis; (3) process mapping; and (4) continuous quality improvement, mapped to 13 distinct ERIC strategies. The SAIA strategy meetings component mapped to external facilitation, organization of provider implementation meetings, and provision of ongoing consultation. Cascade analysis mapped to facilitating relay of clinical data to providers, use of audit and feedback, and modelling and simulation of change. Process mapping tied to local needs assessment, local consensus discussions, and assessment of readiness and identification of barriers and facilitators. Continuous quality improvement encompassed tailoring strategies, developing a formal implementation blueprint, cyclical tests of change and purposefully re-examining the implementation process.Conclusions: Formally specifying the core components of SAIA provides improved conceptual clarity to enhance reproducibility for other researchers and practitioners interested in applying the SAIA across novel settings. Furthermore, this work provides a structured framework to examine potential mechanisms of SAIA and its component implementation strategies.

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Section: Discussionmentioning

confidence: 99%

The Systems Analysis and Improvement Approach (SAIA): Specifying core components of an implementation strategy to optimize care cascades in public health

Gimbel

Ásbjörnsdóttir

Banek

et al. 2022

Preprint

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“…By harnessing the availability and power of mobile phones, frontline health workers were able to immediately, directly, and tangibly use their clinical documentation and routinely reported data to inform improvements to their own practice and workflow in their health facility. It is not uncommon in SSA, where there is a critical health workforce shortage [49], for health workers to dedicate significant time on data collection, entry, and reporting without active engagement in data use [50,51]. In addition, few mHealth technologies currently exist to support health workers’ use of data to inform decision making about HIV services [52].…”

Section: Discussionmentioning

confidence: 99%

Development and Implementation of a Mobile Phone–Based Prevention of Mother-To-Child Transmission of HIV Cascade Analysis Tool: Usability and Feasibility Testing in Kenya and Mozambique

Kawakyu¹,

Nduati²,

Munguambe³

et al. 2019

JMIR Mhealth Uhealth

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Background Prevention of mother-to-child HIV transmission (PMTCT) care cascade failures drive pediatric HIV infections in sub-Saharan Africa. As nurses’ clinical and management role in PMTCT expand, decision-support tools for nurses are needed to facilitate identification of cascade inefficiencies and solutions. The mobile phone–based PMTCT cascade analysis tool (mPCAT) provides health facility staff a quick summary of the number of patients and percentage drop-off at each step of the PMCTC care cascade, as well as how many women-infant pairs would be retained if a step was optimized. Objective The objective of this study was to understand and improve the mPCAT’s core usability factors and assess the health workers’ experience with using the mPCAT. Methods Overall, 2 rounds of usability testing were conducted with health workers from 4 clinics and leading experts in maternal and child health in Kenya and Mozambique using videotaped think aloud assessment techniques. Semistructured group interviews gauged the understanding of mPCAT’s core usability factors, based on the Nielsen Usability Framework, followed by development of cognitive demand tables describing the needed mPCAT updates. Post adaptation, feasibility was assessed in 3 high volume clinics over 12 weeks. Participants completed a 5-point Likert questionnaire designed to measure ease of use, convenience of integration into work, and future intention to use the mPCAT. Focus group discussions with nurse participants at each facility and in-depth interviews with nurse managers were also conducted to assess the acceptability, use, and recommendations for adaptations of the mPCAT. Results Usability testing with software engineers enabled real-time feedback to build a tool following empathic design principles. The revised mPCAT had improved navigation and simplified data entry interface, with only 1 data entry field per page. Improvements to the results page included a data visualization feature and the ability to share results through WhatsApp. Coding was simplified to enable future revisions by nontechnical staff—critical for context-specific adaptations for scale-up. Health care workers and facility managers found the tool easy to use (mean=4.3), used the tool very often (mean=4.1), and definitely intended to continue to use the tool (mean=4.8). Ease of use was the most common theme identified, with emphasis on how the tool readily informed system improvement decision making. Conclusions The mPCAT was well accepted by frontline health workers and facility managers. The collaborative process between software developer and user led to the development of a more user-friendly, context-specific tool that could be easily integrated into routine clinical practice and workflow. The mPCAT gave frontline health workers and facility managers an immediate, dir...

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“…First, we relied on modelled tobacco-attributable mortality and morbidity estimates from the GBD. While not without criticism, [26][27][28] GBD remains the foremost modelling effort seeking to estimate the global burden caused by diseases and risk factors. Still, future national-level analyses would benefit from health surveillance system data tracked, reported and owned by national institutions.…”

Section: Limitationsmentioning

confidence: 99%

Evolving methodology of national tobacco control investment cases

Nugent,

Hutchinson,

Mann

et al. 2024

Tob Control

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BackgroundThis article describes an investment case methodology for tobacco control that was applied in 36 countries between 2017 and 2022.MethodsThe WHO Framework Convention on Tobacco Control (FCTC) investment cases compared two scenarios: a base case that calculated the tobacco-attributable mortality, morbidity and economic costs with status quo tobacco control, and an intervention scenario that described changes in those same outcomes from fully implementing and enforcing a variety of proven, evidence-based tobacco control policies and interventions. Health consequences included the tobacco-attributable share of mortality and morbidity from 38 diseases. The healthcare expenditures and the socioeconomic costs from the prevalence of those conditions were combined to calculate the total losses due to tobacco. The monetised benefits of improvements in health resulting from tobacco control implementation were compared with costs of expanding tobacco control to assess returns on investment in each country. An institutional and context analysis assessed the political and economic dimensions of tobacco control in each context.ResultsWe applied a rigorous yet flexible methodology in 36 countries over 5 years. The replicable model and framework may be used to inform development of tobacco control cases in countries worldwide.ConclusionInvestment cases constitute a tool that development partners and advocates have demanded in even greater numbers. The economic argument for tobacco control provided by this set of country-contextualised analyses can be a strong tool for policy change.

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Donor data vacuuming

Cited by 21 publications

References 19 publications

The Systems Analysis and Improvement Approach (SAIA): Specifying core components of an implementation strategy to optimize care cascades in public health

The Systems Analysis and Improvement Approach (SAIA): Specifying core components of an implementation strategy to optimize care cascades in public health

Development and Implementation of a Mobile Phone–Based Prevention of Mother-To-Child Transmission of HIV Cascade Analysis Tool: Usability and Feasibility Testing in Kenya and Mozambique

Evolving methodology of national tobacco control investment cases

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