Professional Documents
Culture Documents
Name of Site
Subcounty
District
Indicator 1 Indicator 2 Indicator 3 Indicator 4
Cross-Check 1: Primary data source (onsite HMIS reports for the quarter) vs secondary data source (Site DHIS2 report for the quarter)
Primary contact:
HTS
Indicator Reviewed:
Date of Review:
HTS
A - Documentation Review:
Number of Number of
individuals who individuals who
received HIV Test tested HIV positive
Review availability and completeness of all indicator results (HTC_TST) (HTC _ Pos)
data sources for the selected reporting period.
Variable 1
Indicator 1 Page 2
Data Verification Assessment Sheet - Service Delivery S
Indicator 1 Page 3
Data Verification Assessment Sheet - Service Delivery S
HTS
B - Recounting reported Results:
Number of Number of
individuals who individuals who
Recount results from data source, compare the verified received HIV Test tested HIV positive
numbers to the service delivery site reported numbers results (HTC_TST) (HTC _ Pos)
and explain discrepancies (if any).
Variable 1
Indicator 1 Page 5
Calculate % difference for cross check 1:
What are the reasons for the discrepancy (if any)
observed (i.e., data entry errors, arithmetic errors,
1.3 missing data source, other)? (A-B/B)% #DIV/0! Data#DIV/0!
Verification Assessment Sheet - Service Delivery S
Variable 2
Indicator 1 Page 6
ent Sheet - Service Delivery Site
COMMENTS
Indicator 1 Page 7
ent Sheet - Service Delivery Site
Indicator 1 Page 8
ent Sheet - Service Delivery Site
COMMENTS
Indicator 1 Page 9
ent Sheet - Service Delivery Site
numbers corroborate the reported results. Other cross-checks could include, for example, randomly selecting 20 patient
d be performed in both directions (for example, from Patient Treatment Cards to the Register and from Register to Patient
ment Cards).
COMMENTS
Indicator 1 Page 10
ent Sheet - Service Delivery Site
Indicator 1 Page 11
Data Verification Assessment Sheet - Service
Date of Review:
Variable 1
indicator 2 Page 12
Data Verification Assessment Sheet - Service
3 Variable 3
indicator 2 Page 13
Data Verification Assessment Sheet - Service
Variable 1
CROSS-CHECK 1: Cross-check primary data source site PMTCT STAT and PMTCT ART
summary report (onsite HMIS report) with secondary
data source (reports from DHIS2). (If cross-checks are Number of pregnant Number of pregnant Number of HIV-positive
different from the planned cross-check, i.e. the cross-checks women newly tested for women tested HIV+ for pregnant women intiated
entered on the Information page, specify the cross-checks HIV this pregnancy & 1st time this on ART for EMTCT&
performed in the comment cells to the right.) known HIV status before pregnancy( TRR) at any those already on ART
1st ANC visit including & those before 1st ANC (ART-K)
(PMTCT_STAT) who knew status before (PMTCT_ART)
1st ANC( TRRK)
(PMTCT_Pos)
indicator 2 Page 15
Data Verification Assessment Sheet - Service
Calculate % difference for cross check 1: Variable 1
What are the reasons for the discrepancy (if any)
observed (i.e., data entry errors, arithmetic errors, Variable 2
1.3 missing data source, other)? (A-B/B)% #DIV/0! #DIV/0! #DIV/0!
Variable 3
indicator 2 Page 16
ent Sheet - Service Delivery Site
COMMENTS
indicator 2 Page 17
ent Sheet - Service Delivery Site
indicator 2 Page 18
ent Sheet - Service Delivery Site
COMMENTS
indicator 2 Page 19
ent Sheet - Service Delivery Site
orroborate the reported results. Other cross-checks could include, for example, randomly selecting 20 patient cards and verifying if
oth directions (for example, from Patient Treatment Cards to the Register and from Register to Patient Treatment Cards).
COMMENTS
indicator 2 Page 20
ent Sheet - Service Delivery Site
indicator 2 Page 21
Data Verification Assessment Sheet - Service Delivery S
Date of Review:
A - Documentation Review:
TX New and TX Curr
Number of new clients Number of clients on
started on ART at this ART (TX_CURR)
facility (TX_NEW)
Review availability and completeness of all indicator
data sources for the selected reporting period.
Variable 1
Indicator3 Page 22
Data Verification Assessment Sheet - Service Delivery S
Indicator3 Page 23
Data Verification Assessment Sheet - Service Delivery S
Variable 1
Indicator3 Page 25
Calculate % difference for cross check 1:
What are the reasons for the discrepancy (if any)
observed (i.e., data entry errors, arithmetic errors,
1.3 missing data source, other)? (A-B/B)% #DIV/0! Data #DIV/0!
Verification Assessment Sheet - Service Delivery S
Variable 2
Indicator3 Page 26
ent Sheet - Service Delivery Site
COMMENTS
Indicator3 Page 27
ent Sheet - Service Delivery Site
Indicator3 Page 28
ent Sheet - Service Delivery Site
COMMENTS
Indicator3 Page 29
ent Sheet - Service Delivery Site
numbers corroborate the reported results. Other cross-checks could include, for example, randomly selecting 20 patient
d be performed in both directions (for example, from Patient Treatment Cards to the Register and from Register to Patient
ment Cards).
COMMENTS
Indicator3 Page 30
ent Sheet - Service Delivery Site
Indicator3 Page 31
Data Verification and System Assessment Sheet - Service Deliver
Date of Review:
Are there designated staff responsible for reviewing periodic reports prior Yes - completely
to submission to the next level?
(Note that the reviewer can be from any level - Health Facility, sub-district, Partly
3 district or national levels)
No - not at all
N/A
Does the Health facility receive regular feedback on the quality of their
Yes - completely
submitted reports?
(Specify persons, frequency and form of providing the feedback) Partly
4
No - not at all
N/A
Does the health facility receives regular TB supportive supervisory visits
Yes - completely
from district and/or national level staff and/or other Organisation
according to the guidelines? Partly
5 (…If yes, specify the team that provided the support supervision and date
for the last visit (month and year (mm/yyyy))) No - not at all
N/A
…If yes, are the standard forms/tools consistently used at the Health
Yes - completely
facility?
(probe and list reasons incase standard forms/tools are not used consistently) Partly
17
No - not at all
N/A
Are there sufficient stocks of blank primary data collection tools/ /registers
Yes - completely
and summary HMIS forms at the facility.
(Enquire and comment on when the existing stock of TB registers & HMIS Partly
19 summary forms are expected to run out -estimate based on list of tools
provided in #16 above) No - not at all
N/A
Does the site have a regular refill program of the TB Tools when they are
used up? Yes - completely
(Enquire where and how the site gets these refills)
Partly
20
No - not at all
N/A
Do the Primary data collection tools / registers have all the relevant
questions/variables needed to compile the HMIS 106a reports? Yes - completely
(Enquire about how the staff obtain the various answers needed in the
compilation of the said reports) Partly
21
No - not at all
N/A
Have the TB services staff been trained in data analysis and Yes - completely
interpretation?
(Probe for trainings done and duration) Partly
32
No - not at all
N/A
Is there a staff at the site who takes lead in analysis and interpretation of Yes - completely
TB data?
Partly
33
No - not at all
N/A
Health Sub_District
COMMENTS
(Please provide detail for each response
Detailed responses will help guide strengthening measures. )
Date of Review:
Variable 1
Indicator4 Page 52
Data Verification and System Assessment Sheet - Service Deli
Indicator4 Page 53
Data Verification and System Assessment Sheet - Service Deli
Variable 1
Indicator4 Page 55
Calculate % difference for cross check 1: Variable 1
What are the reasons for the discrepancy (if any)
observed (i.e., data entry errors, arithmetic errors, Data Verification and System Assessment Sheet - Service Deli
1.3 missing data source, other)? (A-B/B)% #DIV/0! #DIV/0!
Variable 2
Indicator4 Page 56
sessment Sheet - Service Delivery Site
COMMENTS
Indicator4 Page 57
sessment Sheet - Service Delivery Site
Indicator4 Page 58
sessment Sheet - Service Delivery Site
COMMENTS
Indicator4 Page 59
sessment Sheet - Service Delivery Site
numbers corroborate the reported results. Other cross-checks could include, for example, randomly selecting 20 patient
d be performed in both directions (for example, from Patient Treatment Cards to the Register and from Register to Patient
ment Cards).
COMMENTS
Indicator4 Page 60
sessment Sheet - Service Delivery Site
Indicator4 Page 61
Indicator Jul-17 Aug-17 Sep-17 Total
HTS
Based on the findings of the systems’ review and data verification at the service site, please describe four key challenges to the data quality identified and recom
strengthening measures, with an estimate of the length of time the improvement measure could take. These should be discussed with the site staff.
3
4
entified and recommended
staff.
Resources
(What is required in order to
achieve carry out agreed upon,
activities)
Data Verification and System Assessment Sheet - Service Delivery Site
Service Delivery Site:
Health District: Health Sub-District:
Part 3: General Observations & Notable Good M&E Practices at Site
i) General Observations about Site
1
2
3
4
ii) Notable Good M&E Practices at Site:
1
2
3
4
ce Delivery Site
-District:
TB Services DQA Dara Validation Tool
Percentage Deviation
Secondary Data of DHIS2 Report from
Primary Data Source Source Reported Joint Count
(Registers) & (HMIS Summary Onsite DQA Joint Quarterly Outputs (DHIS2-Joint Count)/Site Comments - Deviation of HMIS
Indicator Data variables Data for Aggregation Reports) Period Count in the DHIS2 Joint Count Report at site from Joint Count
New and relapsed TB HMIS 096a: Health HMIS 106a: Health Jul-Sept 2015
cases Total New & relapsed Unit TB register Unit Quarterly
detected/Notified PTB cases Column 10 P-BC & Report
during the Jul-Sept -Bacteriologically Column 11(N & R)
2015 qtr Confirmed (BC)
Percentage
Deviation of HMIS
Report at site from
HMIS 106a Joint Count
Quarterly (HMIS-Joint
Summary Report at Count)/site Joint Comments - Deviation of HMIS
Indicator Site Count Report at site from site Joint Count
New and relapsed TB
cases
detected/Notified
during the Jul-Sept
2015 qtr