Usage MCH data for develop MCH System in the region
description
Transcript of Usage MCH data for develop MCH System in the region
Usage MCH data for develop MCH System in the region
Dr.Chollatit Urairoekkun
Contents:
1. Present Situation2. Data System
1. Purpose of Data Usage2. Source of data3. Process for data acquisition.
1. Survey2. 21/43 Files.
4. Tool
3. How to Do Next ?
Present Situation
1. Data System1. Data Overflow2. Information shortage3. Knowledge not adequate to solve problem.4. Existing Wisdom not work due to demographic
and environmental change.
2. Implementation.1. Work load increase , Budget inadequate2. Wait and see , Bark not bite
Data System.
Data
Information
Knowledge
Wisdom
DataDataDataDataData
Information Information
Knowledge
DataDataDataDataDataData
DataDataDataDataDataData
Processing Processing
Put Meaning
Reuse /Reuse ….. Reuse
Purpose of Data Usage
1. Survey Situation.1. Planning.2. Evaluation.
2. Monitoring1. Directing 2. Controlling
3. Evaluation.(Project /Program/ Measure/Strategy)
4. Surveillance.-->Disease Control
Compare MeaningSurvey Monitoring Evaluation Surveillance
Data Collection
Systematic
Continuity (Trend)
Information Feedback
Risk Group (Distribution)
Cause or Determinants
Response
Wait and See (bark)
Response team (bite)
Lesson Learned
Source of Data
• Primary Data– 21/43 Files (Hospital Base)– Surveillance (506)– Survey.
• Secondary Data.– Report.– Research
Surveydistribution
1. Census2. Sampling.
1. Random Sampling.2. Stratified Sampling (Male/Female,Urban/Rural)3. Cluster Sampling.4. Stratified Cluster Sampling.
3. Sample Size.1. Effective Sample size Random Sampling2. Effective Sample size x Design Effect
Estimate value of Design Effect in Public Health = 2 / Level of Cluster
Sample Size Calculation
Random Sampling
30 Cluster Sampling
Study Distribution &Determinant
1. Type of Study.1. Prospective or Cohort2. Retrospective3. Cross Sectional
2. Sample size Calculation Depend on1. Type of Study.2. Prevalence of Exposure3. Odds ration or Relative risk
Unmatched Case Control
21/43 Files System
Community Base / Hospital Base
Total
DB pop
Person
HospitalBase
Population : DB pop = Person Many Data Community base # Population base
Transform Data to Standard Form (text)
Database
Excel
SPSS
Standard Form(text)
Database (MySQL,SQL,ACCESS)
SPSS ->Open or Save to Excel/database
21/43 Files Management
• Processing Create Report by Query database.• Sent data or report
– Sent Report to Provincial Data Center to compare among hospital.– Sent data to Provincial data center to Create Report and compare
among hospital– Sent Report to Regional Data Center for compare among provinces.– Sent data to Regional Data Center to create report and Compare
among Provinces. • Problem : Who Development Query Code.
– Programmer knew only Machine Code.– Professional Knew only Technical Term
Tools
• Survey Data Processing Tool– SQL Query software– Epi Info– SPSS / Strata /SAS
• 21/43 Files Processing Tool– SQL query software– Use Hosxp , JHCIS to build Reports– Data ware house Software I anlysis
What and How to do next
• Set up Team for Processing existing data.– Hospital Team.– Provincial Team– Regional Team.
• Training Personnel for– Processing data.– Effective read or intepreat data. – Effective Utilized data for planning ,
Directing ,Controlling , CQI • Regional MCH Knowledge Center