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Strengthening service delivery =>> Health information and monitoring systems =>>

DQS systematically used by at least 10 countries

Responsible entity: WHO
Completed by: December 2005
Total budget: $806,818

Target description and how it will help reach GAVI milestones

The data quality self assessment (DQS) is a tool designed to assess district monitoring and evaluate the quality of coverage data. It has been designed specifically for use by local staff at implementation and district levels. It is therefore a tool that can contribute significantly to the Reach Every District (RED) Initiative, that aims at ensuring that all districts are covered by immunization districts and that is crucial to achieve the GAVI target of achieving 80% coverage in every district by 2010. Improved data quality will allow for better district-level analysis, and therefore for better targeting resources to those areas where the need is highest. With the DQS as a tool that can be used as part on routine activities, it is intended to become a routine monitoring tool at district level. In addition, the DQS helps countries to prepare for a DQA, which is required to benefit from full GAVI support for immunization services.

ACCESS MILESTONE: Regular use of DQS will improve data collection and analysis leading to improved and better targeted immunization services. Underserved areas are expected to benefit most.

Justification for selection of activities

National capacity building in self-assessing reporting systems is seen as essential to ensure on-going improvements.

Initially the introduction of the DQS tool will be ensured through consultants and training of country staff (including local partners). At a second stage, initiatives to integrate the DQS as a routine monitoring activity will be facilitated by the same partners.


Activities Budget Coordinating partner/ support partners Expected outcomes
Financial and technical support for at least 10 countries to conduct the DQS and for regional-level trainings of consultants and country-level staff in DQS $164,018 WHO
• Consultants and country staff (including from interested NGOs and other agencies) from selected countries have been trained in the DQS methodology.
• DQS will be introduced in at least 10 countries.
• An active effort will be made to involve country-based NGOs and agencies to assist governments with improving reporting systems.
Technical support for DQS follow-up (including regular implementation of the tool) $642,800 WHO
• Consultants and country staff from selected countries have been trained in the DQS follow-up; involvement of country-level NGOs and agencies encouraged.
• The follow-up will entail addressing weaknesses in reporting systems, as highlighted by the DQS.
• The aim is that the DQS methodology will be used as part of the routine monitoring activities in the 10 countries where it has been introduced.

Detailed information on activities

Activity 1:

The DQS is a tool that can serve to prepare for, and follow-up on, a DQA. In addition, its design as a tool for district-level staff makes it highly suitable for use in existing on-going monitoring exercises. Countries will need assistance during the start-up phase of the DQS, and particularly to translate the findings of the DQS in action. Special attention will be paid to involving country-level agencies and NGOs, and to build national capacity. With minimal training, it should be possible for country-level staff and agencies to carry out the DQS regularly and interpret the results. The introduction of the DQS in at least 10 countries will require minimal training of country staff, and of consultants to assist with the start-up phase.

Cost: $ 164,018 including 10 man-months of work, all at country level.

Activity 2:

Support for DQS follow up will entail close follow-up in-country as well as more formal training on common findings and improvements.

Cost: $ 642,800. This includes 14 man-months at regional level and 5 man-months at global level ($ 242,800), plus implementation costs (including NGO involvement) at country level ($ 400,000).

Targets by priority area

Strengthening service delivery

==>> Health information and monitoring systems

Data Quality Self-Assessment (DQS) methodology and other tools finalized
All countries with failed DQAs have received timely and adequate support
DQS systematically used by at least 10 countries
Health system (HMIS) and immunization (EPI) specific reporting coordinated, where possible

==>> Contributing to alleviation of system-wide barriers

==>> Enhanced efforts in large population countries

Ensuring access to vaccines and related products

==>> Procurement/Supply of existing products

==>> Development and introduction of new, near-term products

==>> Managing process for country support from Vaccine Fund

Securing long-term financing

==>> Financial sutainability

==>> Recapitalization of The Vaccine Fund

Strategic planning & monitoring

==>> Setting priorities

==>> Monitoring progress


==>> Alliance coordination

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