Skip to main content

Table 1 IDSR evaluation attributes and indicators, south and southeast of 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

Attribute/ topic

Indicators

Numerator/ denominator

Simplicity

 Ease of understanding

Presence of Terms of Reference (TOR) in the HS

Number of HS agents possessing a (SIMR) TOR document/ Number of interviewed HS agents

Proportion of HS agents capable of describing the activities linked to the surveillance (according to TOR)

Number of HS agents who could describe the activities linked to the surveillance/ Number of interviewed HS agents

 Ease of execution

Proportion of HS agents who

 • Master selected case definitions (acute respiratory infection (ARI), diarrhoea, malaria, dengue-like syndrome (DLS), and measles)

• Number of HS agents who correctly cited all case definition aspects/ Number of interviewed HS agents

 • Presence of case definitions guidelines in the HS

• Number of HS agents possessing hardcopy case definitions/ Number of interviewed HS agents

Distribution of data collection mode and kind of tools used

Number per mode or tool/ Number of modes or kind of tools used

Time of data collection

Median and range of minutes needed each week

Time of SMS editing

Median and range of minutes needed to write one SMS

Data quality

 Missing data

Number and proportion of SMS with ≥1 missing observation among the ten last SMS sent for frequent diseases (see under definitions below)/ syndrome

Number of SMS with ≥1 missing observation/ 10 last SMS sent

Proportion of SMS with ≥1 missing observation among the ten last SMS sent for rare diseases (see under definitions below)/ syndrome

Number of SMS with ≥1 missing observation/ 10 last SMS sent

 Erroneous data

Comparison of consultation register and sent SMS archived on the HS’s mobile phone, when this was not possible (no SMS archive), data from the consultation register was compared to the databases at district or central level

Proportion of erroneous observations among 10 last SMS sent

Number of erroneous observations/ Number of observations sent

Number of erroneous observations within the 10 last SMS sent

Median and range of erroneous observations

Number of supervision visits in 2014

Median and range of supervision visits in 2014

Completeness & Timeliness

 Routine completeness

Proportion of SMS reports received over last 4 weeks

Number of SMS received/ Number of SMS expected

Distribution of reasons for not sending SMS reports

Number of HS agents invoking each reason/ Number of reasons (for not sending SMS) quoted

 Routine timeliness

Proportion of routine SMS received in time (see under definitions below) for the last 4 weeks

Number of SMS in time per week/ Number of expected SMS

Distribution of reasons for not sending the SMS in time over last 4 weeks

Number of HS agents invoking each reason/ Number of quoted reasons

 Alert notifications

Number of HS that notified alerts

 

Number of alerts notified by HS in 2014

 

Type of notified alerts

 

Proportion of alert notifications received in time (see under definitions below) for the last 4 alerts

Number of alerts received in time / Number of alerts received

Technological evaluation

 Geographical mobile phone network coverage and coverage at/around HS with the three available providers

Verification during HS visits or during telephone interview

 Sources of mobile phones used for data transfer

Number of HS by phone source/ Number all HS mobile phones

 Mobile phone changes/ replacements since arrival on job

Number of mobile phone changes/ replacements

 Mobile phone handling capacity by HS agents (following demonstration by evaluation team)

Number of HS agents by capacity/ Number of all interviewed HS agents

 Energy sources, availability and capacity

Evaluation by the evaluators in the field during HS visits

 Last problem experienced with mobile phone charging

Interview with the HS director

Number of HS by time of last problem/ Number all HS

  1. Definitions
  2. Missing observations = HS failing to report disease, syndrome or event data, which in the frame of a “zero reporting” (i.e. reporting even if zero cases) system should not happen
  3. Erroneous observations = observation transferred by SMS that did not correspond to those in the consultation register
  4. Outliers/ outlying observations = incoherent observations identified through exploration of each variables, extreme observations were verified
  5. Completeness = Number of received weekly SMS/ Number of weekly SMS expected
  6. Timeliness = Number of reports received within 48 h after the week in question/ Number of expected surveillance reports
  7. Frequent disease/syndromes examples = selected diseases/syndromes, notably diarrhoea, Acute respiratory infections (ARI), malaria, Dengue like syndrome (DLS)
  8. Rare diseases/syndromes = selected diseases/syndromes of those for which one case is defined as an epidemic, notably measles, Acute Flaccid Paralysis (AFP), plague