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Table 3 Indicator results by reinforced IDSR evaluation attribute, Madagascar, 2014–15

From: Evaluation of the reinforced integrated disease surveillance and response strategy using short message service data transmission in two southern regions of Madagascar, 2014–15

Indicators per attribute

Denominator

Number

Proportion (%)

Simplicity

TOR presence

80

15

19

 TOR knowledge, description of surveillance activities (Number of correct answers/ 5 questions)

  5/5

 

29

36

  4/5

 

26

33

  3/5

 

12

15

  2/5

 

10

13

  1/5

 

3

4

 Knowledge of selected case definitions

  Malaria

 

66

83

  Diarrhoea

 

62

78

  ARI

 

37

46

  Measles

 

14

18

  DLS

 

13

16

 Case definitions guidelines presence

 

51

64

 Data collection mode

  Weekly

 

60

75

  End of each day

 

16

20

  Other

 

4

5

 Tools routinely used for data compilationa

  Data form

 

39

35

  SMS register notebook

 

13

12

  Dashboard

 

12

11

  Other

 

48

43

Time for data compilation (minutes), median (range)

42

30

(5–180)

Time for SMS writing (minutes), median (range)

 

5

(1–20)

Data quality

Missing data

80

  

 Number of last 10 SMS with ≥1 missing observation

  Frequent diseases

    > 4

 

5

6

   1–3

 

10

12

   0

 

38

47

   No responseb

 

27

34

  Rare diseases

   10

 

12

15

   0

 

68

85

Erroneous data

 Number of 10 last SMS with ≥1 erroneous observations

42

  

  0

 

2

5

  3–5

 

8

19

  6–8

 

16

38

  9–10

 

18

43

Number of erroneous observations, median (range)

 

12

(0–51)

Number of supervisions in 2014, median (range)

80

2

(0–26)

Completeness & timeliness

Completeness of HS routine data transfer over last 4 weeks (SMS number)

80 (320)

58 (232)

73

 Reasons for non-completeness

  Monthly DHO meeting

 

4

17

  Training

 

4

17

  Illness

 

3

13

  Lost telephone or SIM card

 

3

13

  Telephone network problem

 

2

9

  No telephone credit

 

2

9

  No telephone network

 

2

9

  End of the year workload too high

 

2

9

  Newly recruited health agent

 

1

4

 Timeliness of routine SMS over 4 last weeks

  4/4

 

34

44

  3/4

 

11

14

  2/4

 

11

14

  1/4

 

6

8

  0/4

 

15

19

 Reasons for non-timeliness over last 4 weeks

  Workload too high

 

9

24

  Telephone network problem

 

6

16

  Training

 

4

11

  Illness

 

4

11

  No telephone credit

 

4

10

  Family problem, leave, or rest after on-call duty

 

3

8

  No telephone network

 

2

5

  No/ lost telephone

 

2

5

  Battery charging problem

 

2

5

  Monthly DHO meeting

 

1

3

  Newly recruited health agent

 

1

3

Number of HS that notified alerts (79 alerts in total) over last 4 weeks

80

38

48

 Type of notified alerts

53

  

  Increase malaria cases

 

17

32

  AFP

 

8

15

  Dog bite

 

8

15

  Measles suspicion

 

8

15

  Maternal death

 

3

6

  Chikungunya

 

2

4

  Diarrhoea

 

2

4

  Other

 

5

9

 Timeliness of alert notification (4 last alerts)

38

  

  4/4

 

4

10

  3/4

 

2

5

  2/4

 

4

10

  1/4

 

23

61

  0/4

 

5

13

Technological evaluation

Geographical mobile phone network coverage and coverage at/around HS (Fig. 2)

80

  

 Sources of mobile phone used for data transfer

  WHO

 

50

63

  Non-WHO

 

27

34

  Does not know

 

2

3

  No mobile phone

 

1

1

 Mobile phone changes/ replacements since job start

  Not since arrival

 

49

61

  Once

 

25

31

  Twice

 

3

4

  Three times

 

2

3

  Does not use WHO provided mobile phone

 

1

1

 Mobile phone handling capacity by HS agents

40

  

  Easily

 

31

74

  Not checked

 

1

2

  Some difficulties

 

6

14

  Very difficult

 

4

10

 Problems encountered (≥1 possible)

81

  

  No electricity/ lack of charging possibilities

 

34

42

  No/ broken mobile phone charger

 

6

7

  Phone battery faulty

 

11

14

  Other

 

30

37

 Energy sources*

98

  

  Solar energy

 

43

49

  Electricity grid

 

25

29

  Generator

 

17

20

  Car battery

 

2

2

 Last mobile phone charging problem (in months)

80

  

   < 1

 

30

38

  1–3

 

1

1

  3–6

 

3

4

   > 6

 

29

36

  No problem

 

17

21

  1. amore than one answer possible
  2. bcomparison not possible as sent SMS not archived, consultation register or databases at district level not available