MCH Dashboard and Indicators
MCWH Quarterly Meeting
31st January 2012
(The dashboard discussed but is still
being finalised)
MCH DHIS Dashboard
Programme
EPI
Nutrition
Diarrhoea
Pneumonia
HIV
School Health
Hospital care
ANC
Intrapartum care
Newborn Care
Women’s Health
Indicator
Fully immunized at one year
Drop-out rate (DaPT-Hib-IPV3 to Measles1)
% of infants exclusively breastfeed at time of Hep B3 immunisation (14 weeks)
Vitamin A coverage 1 - 5 years
Severe Malnutrition Case Fatality Rate
Incidence of diarrhoea with dehydration
Inpatient case fatality rate
Incidence of pneumonia
Inpatient case fatality rate
PCR coverage and positivity rate
No. of infants initiated on ART (not currently available)
% of quintile 1 and 2 schools visited by a school health team to provide ISHP
% of Grade R/1 learners in Q1 and Q2 schools assessed using the ISHP learner assessment
% of Grade 8 learners in Q1 and Q2 schools assessed using the ISHP learner assessment.
Inpatient under-one case fatality rate
Inpatient under-five case fatality rate
Early booking rate ( <20 weeks)
Proportion of eligible women started on HAART
Delivery rate in facility under supervision of trained personnel
Stillbirth rate in facility
Post-natal care within 6 days
Neonatal mortality rate
Low Birth Weight rate
Couple year protection rate
Cervical screening coverage rate
MCH DHIS Dashboard: Q1 and Q2, 2012/13
Programme
EPI
Indicator
Fully immunized at one year
Drop-out rate (DaPT-Hib-IPV3 to Measles1)
Nutrition
Vitamin A coverage 1 - 5 years
Severe Malnutrition Case Fatality Rate
Diarrhoea
Incidence of diarrhoea with dehydration
Inpatient case fatality rate
Pneumonia
Incidence of pneumonia
Inpatient case fatality rate
HIV
PCR coverage and positivity rate
No. of infants initiated on ART (not currently available)
School Health
% of Grade R/1 learners in quintile 1 schools assessed by ISHP
Hospital care
Inpatient under-one case fatality rate
Inpatient under-five case fatality rate
5.6%
4.4%
Early booking rate ( <20 weeks
43.2%
61.2%
94.3%
2.1%
ANC
Delivery rate in facility under supervision of trained personnel
Intrapartum care Stillbirth rate in facility
Newborn Care
Neonatal mortality rate
Low Birth Weight rate
% newborns assessed within 6 days
Women’s Health
Couple year protection rate
Cervical screening coverage rate
National
93.6 %
-8.4 %
42.9%
12.8%
11.2 per 1,000
4.2%
73 per 1,000
3.8%
94.3% and 2.7%
-
11.5 per 1,000 live birth
13.1%
64.6%
35.4%
56.3%
ANC visit before 20 weeks
• Women who have a booking visit (first visit)
before they are 20 weeks (about half way) into
their pregnancy as a proportion of all
antenatal 1st visits
• Enumerator: Antenatal 1st visits before 20
weeks
• Denominator: Antenatal 1st visits before 20
weeks + 20 weeks or later (All ANC bookings)
Post-natal care
• Mothers who receive postnatal care within 6
days of delivery after discharge from place of
delivery as proportion of all deliveries in
facility
• Enumerator: Postnatal care mother within 6
days from delivery
• Denominator: Deliveries in facility
Vitamin A coverage (12-59 months)
• Used as a proxy for access to PHC and
community-based services
• Rates in younger children are higher – but
those in children 12 – 59 months have
remained low.
Drop-out:DaPT-IPV-Hib3 – Measles 1
• The proportion of children who dropped out of the
immunisation schedule between the third DTP-Hib or DTaPIPV/Hib doses (normally at 14 weeks / 3.5 months) and the
first measles doses normally at 9 months). The DTP-Hib or
DTaP-IPV/Hib doses are used for this purpose.
• Enumerator: DTP-Hib/DTaP-IPV/Hib 3rd doses - Measles 1st
doses under 1 year
• Denominator: DTP-Hib/DTaP-IPV/Hib 3rd doses
Negative figures suggest problems with administering and
recording doses of DaPT-IPV-Hib3
MCH DHIS Dashboard
Programme
EPI
Indicator
Fully immunized at one year
Drop-out rate (DaPT-Hib-IPV3 to Measles1)
Nutrition
Vitamin A coverage 1 - 5 years
Severe Malnutrition Case Fatality Rate
Diarrhoea
Incidence of diarrhoea with dehydration
Inpatient case fatality rate
Pneumonia
Incidence of pneumonia
Inpatient case fatality rate
HIV
PCR coverage and positivity rate
No. of infants initiated on ART (not currently available)
School Health
% of Grade R/1 learners in quintile 1 schools assessed by ISHP
Hospital care
Inpatient under-one case fatality rate
Inpatient under-five case fatality rate
ANC
Early booking rate ( <20 weeks)
Intrapartum care
Newborn Care
Women’s Health
Delivery rate in facility under supervision of trained personnel
Stillbirth rate in facility
Postnatal care mothers within 6 days
Neonatal mortality rate
Low Birth Weight rate
% newborns assessed within 6 days
Couple year protection rate
Cervical screening coverage rate
Ten districts with highest NMR
ec Nelson Mandela Bay Municipality
26.7
ec Oliver Tambo District Municipality
24.5
nc Frances Baard District Municipality
22.9
lp Capricorn District Municipality
20.7
nw Dr Kenneth Kaunda District Municipality
18.6
fs Fezile Dabi District Municipality
16.9
ec Buffalo City Metropolitan Municipality
16.5
gp City of Johannesburg Metropolitan Municipality
15.7
gp Sedibeng District Municipality
14.1
kz Sisonke District Municipality
14.0
Immunization coverage: ten districts with lowest coverage
nw Dr Kenneth Kaunda District Municipality
67.3
ec Alfred Nzo District Municipality
70.2
wc Central Karoo District Municipality
71.9
ec Oliver Tambo District Municipality
75.7
nc Pixley ka Seme District Municipality
76.2
kz Zululand District Municipality
76.5
mp Nkangala District Municipality
77.9
kz Amajuba District Municipality
78.6
mp Ehlanzeni District Municipality
79.2
wc Eden District Municipality
79.5
Ten “best” performing districts
gp Sedibeng District Municipality
123.4
gp City of Johannesburg Metropolitan Municipality
119.1
nc Frances Baard District Municipality
109.6
kz Uthungulu District Municipality
109
fs Thabo Mofutsanyane District Municipality
108.5
gp Ekurhuleni Metropolitan Municipality
108.3
gp West Rand District Municipality
107.3
ec Buffalo City Metropolitan Municipality
107.3
kz uMgungundlovu District Municipality
106.2
lp Mopani District Municipality
105.9
Conclusion
• Despite some problems with quality of data,
DHIS data allow MCWH performance at all
levels to be tracked and monitored.
• It is imperative that all health workers and
managers engage with the DHIS data and use
it to monitor and improve MCWH
programmes and outcomes.
A dashboard is necessary for M&E and
reporting
Definition of a dashboard
• In management information systems, a
dashboard is "an easy to read, often single
page, real-time user interface, showing a
graphical presentation of the current status
(snapshot) and historical trends of an
organization’s key performance indicators to
enable instantaneous and informed decisions
to be made at a glance."
Peter McFadden
Targets: National vrs our district
province
NB Realistic
Program
me
EPI
HIV
School
Health
ANC
Indicator
Fully immunized at one year
Drop-out rate (DaPT-Hib-IPV3 to Measles1)
PCR coverage and positivity rate
No. of infants initiated on ART (not currently
available)
% of Grade R/1 learners in quintile 1 schools
assessed by ISHP
Early booking rate ( <20 weeks
Delivery rate in facility under supervision of trained
Intrapart
personnel
um care
Stillbirth rate in facility
Neonatal mortality rate
Newborn Low Birth Weight rate
Care
% newborns assessed within 6 days
National
93.6 %
-8.4 %
94.3% and 2.7%
-
43.2%
61.2%
94.3%
2.1%
11.5 per 1,000 live
birth
13.1%
64.6%
Our
target
Examples
Reports and dashboards
• Reports are a traditional way of summarizing
data. They may include some visual
components—such as graphs or charts but are
text-heavy.
• Dashboards are much more interactive in the
way data is presented. Relying on visual
indicators to display a simple, easily accessible
interface that can be accessed by virtually
anyone anywhere. -
Create dashboard
• chandoo.org/wp/excel-dashboards
• www.exceluser.com/dash/Cached
• www.youtube.com/watch?v=6HDwYd-8ld8