Analyzing Data in a Situational Analysis Dr. Warren I. Luzano University of Science and Technology of Southern Philippines Part 1: “Situational Analysis” A strong situation analysis is not just a collection of facts describing the epidemiology, demography and health status of the population Instead, it should be comprehensive, encompassing the full range of current and potential future health issues and their determinants. Stream 1: analysis of health data What can a good data analysis report include? It includes: - assessment of progress against targets for key indicators; - equity analysis by key stratifiers; - comparative analyses with peer countries; - customer satisfaction surveys/health facility exit surveys; - performance and efficiency analysis comparing inputs/outputs at the sub-national level. - computation of lives saved through interventions; data quality assessment. Data Analysis Tools - Performance analysis ( e.g. paired t-test, ANOVA) This study aims to assess the effects of planned interventions on performance and quality of services in primary health care units (PHCUs). The scores before and after intervention increased, statistical significant paired sample t-test with t = − 7.15, df = 75, P < 0.000.. The One-way Analysis of Variance (ANOVA) showed a borderline significant difference between groups with (F = 2.4, P < 0.09). Data Analysis Tools - Efficiency analysis ( data envelopment analysis DEA) A DEA model has been correlated to evaluate and assess the efficiency of 17 health centers. The researchers selected the health budget and the number of health workers as input variables likewise, the number of people served, number of TB patients served, and TB patients treated (%) as output variables. Based on the result of the study, only five (5) health centers out of seventeen (17) have 100% efficiencies. It is recommended that other health centers should learn from their efficient peers so as to increase the overall performance of the healthcare system. Interconnection between the three streams: a hypothetical example from the area of medical equipment maintenance Stream 1: An assessment of health service readiness revealed that in hospitals, 40% of the medical equipment was not operational and that in dispensaries, 50% of the latrines were out of order. Stream 1 focal points’ discussions with the health technology working group revealed that many of the after-sales equipment needs as well as the preventive maintenance needs had not been addressed. Interconnection between the three streams: a hypothetical example from the area of medical equipment maintenance Stream 2: Of the planned activities, only a limited number were implemented. An insufficient number of new technicians and engineers were trained. Moreover, several of them left for jobs in the private sector. The supply of spare parts remained erratic due to procedural and budgetary insufficiencies. Only few of the planned new public-private partnerships (for outsourced maintenance) were actually established Interconnection between the three streams: a hypothetical example from the area of medical equipment maintenance Stream 3: Policy dialogue with the full range of health stakeholders, including facility-level managers and health workers, showed that, on the plus side, the new database for asset management facilitated the strategic shift to a more centralized system. … clear technical specifications for equipment standardization were all strong limiting factors for more efficient and needs-based procurement, supply and repair management Work Activity 1 : Descriptive Analysis of a Survey Questionnaire Open the file: 1. workshop_1.pdf 2. workshop_1.doc 3.workshop_1.xls Work Activity 1 : Using SPSS Create an SPSS file with the following Variable View entries: Work Activity: Using Descriptive Work Activity: Using Frequencies Work Activity: Using Frequencies Work Activity: Using Frequencies Work Activity: Using Frequencies Work Activity: Using Crosstabulation So far we have discussed distributions of scores on a single variable. We now turn our attention to the topic of bivariate distributions - ones which characterize relationships between two variables (nominal or ordinal) simultaneously Work Activity: Using Crosstabulation Its interesting to ask questions such as whether there is a relationship between Preparedness vs Policy i.e. How much prepared in terms of EHC services are barangays with existing policy on EHC? Using Crosstabulation Its interesting to ask questions such as whether there is a relationship between Leadership vs Policy i.e. How are barangays with existing policy on EHC rate Leadership in terms of implementation of strategic plans? Using Crosstabulation Its interesting to ask questions such as whether there is a relationship between Service vs Policy i.e. How are barangays with existing policy on EHC rate Service Delivery in terms of services of provision of EHC? How much prepared in terms of EHC services are barangays with existing policy on EHC? How are barangays with existing policy on EHC rate Leadership in terms of implementation of strategic plans? How are barangays with existing policy on EHC rate Service Delivery in terms of services of provision of EHC? Workshop 1 Output: Refer to workshop_1.doc Recall: “Situational Analysis” A strong situation analysis is not just a collection of facts describing the epidemiology, demography and health status of the population Instead, it should be comprehensive, encompassing the full range of current and potential future health issues and their determinants. Activity 2: “Situational Analysis” Cite an example from your LIPH report which shows the 3 streams’ issues, findings/recommendations. Then incorporate the determinants of Health in the discussion. Determinants of Health link: https://www.who.int/hia/evidence/doh/en/