Feedback IDSP training module for state and district

Feedback IDSP training module for state and district surveillance officers Module 10

Learning objectives • Describe feedback in the context of IDSP • Describe the need and importance of regular feedback in disease surveillance • List the information and frequency and types of feedback submitted at selected levels • List the actions expected based on the feedback with regards to quality of data and programme performance

Difficulties with surveillance system with no feedback • • Lack of motivation Unreliability Sluggishness Data falsification

The surveillance cycle Feedback Data collection Analysis and action

Uses of feedback • Keeps channels of communication open § Strengthen working relationship between levels • Keeps staff informed of the larger picture § Allows comparison with other units • Gives staff an idea of their performance § Allows identification of strength and weaknesses • Motivates staff § Review of products stimulates interest • Educate the participants of the system § Data allows reference to background information

Data flow and feedback Centre State Data District Primary / Community health centre Community Feedback

Content of feedback • Information on diseases under surveillance § Summary tables § Analyzed epidemiological data • Time (trends) • Place (Maps) • Persons (Tables) • Information on quality of data collected

Element to cover in feedback on data quality • • • Regularity of reporting Timeliness of reporting Completeness of reporting Responses initiated by the unit Validity of data

Feedback methods • • • Newsletters Monthly review meetings Reports Informal feedback Electronic communication

Newsletter • Regular epidemiological bulletin • Educational tool • Contains § Summary tables and graphs § Commentary on diseases or topic

Monthly review meetings • • District / block monthly meeting Presentation of data during meetings Generates comments from peers Need to stress positive aspects § Public negative comments may de-motivate

Outbreak investigation reports • Excellent for feedback and learning • Allow sharing of experiences that may be encountered in other places

Informal feedback • Oral feedback • Useful for pointing out mistakes

Electronic methods • • Through email, websites Fast and efficient May be updated rapidly Allows § Dynamic data presentation § Queries

Completeness and timeliness • Report on time § Reaches the designated level in the prescribed time period • Report complete § All reporting units have reported