Assessment Guanajuato Case Study Methodology
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The document summarizes the methodology used in a PRISM assessment of the routine health information system in Guanajuato, Mexico. It provides background on Guanajuato's demographics and health facilities. A sample size of 157 health facilities was selected using a statistical formula to allow for inter-district comparison. The PRISM tools were adapted to Spanish and Mexican health terms. Field teams underwent training and piloted the tools. Data was entered using DEAT and EpiData software and analyzed in SPSS. Participants were asked to discuss in groups their experiences using the PRISM tools and how useful they were for assessing the RHIS.
Assessment Guanajuato Case Study Methodology
- 1. 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 3.2: Assessment Guanajuato Case Study Methodology
- 2. Objectives By the end of the session, participants will: Have a common understanding about the methodology used in the Guanajuato PRISM assessment Describe their field visit experiences in relation to their expectations, use of PRISM tools, HMIS and health system.
- 3. Guanajuato’s demographics Total population 2009: 5’044,735 47.5 % Male; 52.5% Female Birth rate 19.5% Mortality Rate 4.73 Child mortality rate 15.46 Growth rate 1.48 Fertility rate 2.16 Life expectancy at birth 75.5 Female Male
- 4. The State of Guanajuato
- 5. Health Facilities In Guanajuato
- 6. Sample size N= (z 2 pq)/d 2 =96 Where p=0.5, q=1-p, d=10% z=1.96 (95% significance) To allow for inter district comparison: Intended sample size = 168 20 facilities per district, plus administrative offices Actual sample size 157 (response rate: 93.5%)
- 7. The Sample
- 8. Geographic distribution of the sample
- 9. Field work preparation Adaptation of PRISM tools and user guide Translation into Spanish Incorporating Mexican health related terminology Field team training Two day workshop Pilot with invited health providers Data entry was made in Data Entry and Analysis Tool (DEAT) and EpiData. Analysis in SPSS
- 10. Thanks!
- 11. Small Group Exercise Please find your field team group members and discuss: How easy are the PRISM tools to use? To what extent do PRISM collect relevant information about the existing RHIS? How useful are PRISM tools in identifying strength and weaknesses of the RHIS? Any other unique observations