1. Data Quality Assessment
Presenter
DR. Thet Thet Mu
Director
Health Information, DHP

2. Shwegu
Ngapu-taw
Hakha
#
Bham o
#
Ye-u
Deemawsoe
Hlaing Bwe
#
#
Hsipaw
Tilin
Lewe
Nyaungshwe
Pyinm ana
Maungdaw
Yedas he
#
Kengtong
#
#
Myeik
Tharyarw ady
#
#
#
GAVI HSS
First 10
Townships
Kawhmu
Thaton
M udon
GAVI HSS
Second 10
Townships

3. Data Flow
Department of Health Planning (HMIS),
Department of Health
State/Regional Health Department
District/Township Health Department
MCH/UHC/Station HU/RHC
Sub Rural Health Center

4. Ways to conduct DQA
• Checking consistency of data according to data
flow (Health Facilities)
• Checking consistency of data between registers
and clients in the community (home visit)

5. Flow of Sample selection
GAVI HSS 20 townships
Each Township
RHC
RHC
SC
20
RHC
SC
SC
20
20

6. Consistency check between RHC and Township
Monthly Report
First 10 Townships
Township
Monthly
Report
RHC reporting
RHC Monthly
Report
Mean=533.17
Mean=533.40
t-test=0.108
SE=54.71
p value=0.915
SE=55.14

7. Consistency check Between RHC and Subcenter,
Subcenter and respective register
First 10 Townships
RHC Monthly
Report
Mean=111.67
SE=13.09
t=0.685
p=0.499
Subcenter
Monthly Report
Mean=110.63
SE=13.38
Register
t=1.508
Mean=96.33
p=0.142
SE=9.33
Sub-center reporting

8. Consistency check between RHC and
Township Monthly Report
Second 10 Townships

9. Consistency check Between RHC and Subcenter
Monthly Report
Second 10 Townships

10. Consistency check Between Subcenter and
respective register
Second 10 Townships
Subcenter Monthly
Report
Register
t= 3.69
Mean=170
SE = 23.6
p= 0.001*
Mean= 114.28
SE = 11.5

11. Number of clients in DQA
Sample (n=624), (n=771)
Total cases
in
register
No. of
sample
% of
cases
First 10 Townships
2890
624
21.6
Second 10 Townships
4457
771
17.3

12. Percent of Registered cases
interviewed in DQA
% of AN
cases
% of
% of DPT 3
deliveries
% of TT 2
% of <5yr
general
clinic
attendance
% of
Registered
cases
First 10
Tsps
19.1
31.5
21.2
22.2
25.8
21.6
Second
10 Tsps
16.3
26.4
17.0
16.8
17.3
17.3

13. Client found according to address
Temporary
3%
No Client
3%
Found
94%
First 10 Townships
Temporary
3%
No Client
4%
Found
93%
Second 10 Townships

14. Data Quality of register verification with home visit
No service
13%
No client
3%
Client identified
97%
First 10 Townships
Services received
84%
No service
16%
Second 10 Townships
No Client
4%
Client
Identified
96%
Services
received
80%

15. Significance test on discrepancy between
register and home visit
Register
Home
***(<0.05)
Mean
SD
Mean
SD
t-test
P-value
First
20.8
2.3
17.5
3.8
5.32
0.00001
Second
19.8
1.35
15.8
3.26
7.797
0.00001

16. Data quality of different registers
100%
9
80%
19
28
20
15
16
10
18
30
23
29
20
90
82
70
77
71
80
80%
60%
60%
40%
100%
91
81
72
80
85
84
40%
20%
20%
0%
0%
AN
Delivery DPT 3rd TT 2nd Under 5 Total
dose
dose
clinic
Matched Data
Unmatched Data
First 10 Townships
ANC Delivery DPT 3rd TT 2nd Under 5 Total
dose
dose clinic
Matched Data
Unmatched Data
Second 10 Townships

17. Data Quality of Immunization
100
99
97
93
97
97
91
91
90
90
80
80
77
72
70
70
Percent
60
50
40
30
Client found
20
Receive service
10
Correct service dose
0
DPT3
TT2
First Townships
DPT3
TT2
Second Townships

18. Actual Data Quality(84%)
(First 10 Townships)
Health Facility
Field visit
Accuracy (84.1%)
Report
Register
Mean=110.63
SE=13.38
Sample
from
Register
Clients
Mean=20.8
Mean=17.5
Mean=96.33
SE=9.33
t=1.508
p=0.142
Data quality not affected
at α=0.05 level
SE=0.43
SE=0.69
t=5.32
p=<0.05*
Data quality affected
at α=0.05 level

19. Actual Data Quality(53.6%)
(Second 10 Townships)
Health Facility
Field visit
Accuracy (67.2%)
Accuracy (79.8%)
Register
Report
Mean=
114.28
Mean=170
SE = 23.6
SE = 11.5
t= 3.69
p= 0.001*
Data quality affected
at α=0.05 level
Sample
from
Register
Clients
Mean=15.77
SE=0.52
Mean=19.77
SE=0.22
t=7.8
p=<0.05*
Data quality affected
at α=0.05 level

20. Overall quality of data
in 20 Townships
100%
RHC
Township
100%
Subcenter
84%
82%
Register
Clients

21. Service Quality

22. Main services in AN care
First
(n=240)
Main Services in AN
No.
%
Second
(n=252)
No.
%
Abdominal Examination 203
84.6
227
90.1
Weighing body weight
136
56.7
164
65.1
Measuring BP
192
80.0
209
82.9
Urine Testing
116
48.3
83
32.9
Testing for anaemia
106
44.2
77
30.6

23. Percent of women getting three essential
ANC examination
(Abdominal Examination, Body weight, BP)
Not
Received
48%
Received
52%
First 10 Townships
Not
Received
40%
Received
60%
Second 10 Townships

24. Mother’s Knowledge of Danger signs
First
(n=240)
Second
(n=252)
Danger Signs for
immediate seek for care
during pregnancy
No.
%
No.
%
Bleeding
64
26.7
66
26.2
Convulsion
13
5.4
13
5.2
Blurred vision
24
10.0
25
9.9
Fever
19
7.9
15
6.0
Pain in abdomen
27
11.3
26
10.3
Dyspnoea
9
3.8
2
0.8
Odema
41
17.1
32
12.7

25. Plan for Birth Place by pregnant mother
100%
80%
100%
74.2%
83.3%
80%
60%
60%
40%
40%
13.8%
20%
5.0%
7.0%
0%
20%
8.3%
2.0%
6.4%
0%
Home
Hospital Delivery
room
First 10 Townships
Others
Home
Hospital Delivery
Room
Others
Second 10 Townships

26. Birth Place at the time of delivery
Delivery
room
15%
Delivery
room
5%
N=46
Home
85%
First 10 Townships
N=58
Home
95%
Second 10 Townships

27. Knowledge of danger signs during puerperium for
immediate seeking care by PN mother
First
N=46
Second
N=58
Bleeding
65%
60%
Convulsion
2.5%
0%
Dyspnoea
2.5%
2.5%
Fever
17.5%
20%
Abdominal pain
2.5%
20%

28. Percentage of mothers having Immunization card and
remember the date of last Immunization(DPT3 Immunization )
100%
100%
80%
32
80%
37.5
58.8
69.9
60%
60%
No
40%
68
Yes
30.1
20%
No
40%
62.5
Yes
41.2
20%
0%
0%
Immunization
Card
Remember last
immunization
date
First 10 Townships
(n=103)
Immunization
card
Remember last
immunization
date
Second 10 Townships
(n=136)

29. Exclusive Breast Feeding Practice at the time of DPT 3 immunization
Exclusive
Breast
Feeding
47%
Exclusive
Breast
Feeding
27%
Other
feeding
53%
Other
feeding
73%
First 10 Townships
(n=103)
Second 10 Townships
(n=136)

30. Percentage of pregnant mothers who received antenatal care
during the visit of TT2 Immunization
First 10 Townships
(n=92)
Second 10 Townships
(n=130)
The result was the same

31. Percentage of under five children who suffered illness seen
by midwives
Others
32%
ARI
36%
Diarrhoea
32%
Others
31%
ARI
52%
Diarrhoea
17%
Data collection at
summer season
Data collection at winter
season
First 10 Townships
(n=78)
Second 10 Townships
(n=89)

32. Services for Diarrhoea and ARI cases
ORS for
Diarrhoea
Counting RR
for ARI
Antibiotics for
ARI
No.
First 10 townships
Diarrhoea(n=25)
ARI (n=28)
Second 10 townships
Diarrhoea(n=15)
ARI (n=46)
%
No.
%
No.
%
22
88.0
7
25.0
12
50.0
13
86.7
9
19.6
24
66.7

33. Remember of Facts Related to Disease by child caretakers
Response
caretaker
continued feeding
and giving more fluid
during loose motion
fevered children
ARI children become become cold, clammy
more dyspnoic
extremities and more
drowsy.
No.
First 10
townships
Second 10
townships
%
No.
%
No.
%
25
11
44.0
3
12.0
5
20.0
35
4
11.4
5
14.3
1
2.9