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Dear Alankar Malviya,

I would like to state some of the challenges faced in extracting, reporting and analyzing the data at the DAPCU level, as required in your last sub-query. We all know that data comes from the NGO and CBO as well as from the service providers. The various headings under which data are presently to be extracted or collected are:
·         Coverage, namely the number of people reached out. Here Outreach education indicator is a good contributor.
·         Drop-in visits, which indicates the percentage of people using the Drop-in-Center and its services
·         Clinic visits gives us trends on utilization of the health services as well as the reasons thereof
·         Condom distribution data provides insight into the protected sexual encounters among the target group
·         Data on clinical examination and treatment, gives the morbidity pattern
·         Counseling, especially the Pre-test and Post-test counselling data provides the psycho-social support needs, as well as, the mental health indicators

As far as data collections regarding referrals are concerned, they are:
·         HIV testing referrals, which can be compared with the sero-surveillance rates in the area
·         STI referrals, as these broadly denote the capacity of STI services at the collection level
·         Referrals for ART, enrolled and registered, adherence and follow-up, which are vital indicators of the percentage of PLHIV on treatment and ART adequateness
·         Partner referral and treatment data is a good indicator of the follow-up services. However, this is a tricky area and could be difficult, especially in case of referral of a spouse for treatment

Challenges in collecting data:
Projects under International NGO additionally collect and maintain data on ART, STI and general medicine stock, professional personnel employed, as well as the type and services the professionals provide. These may not be collected by NGOs and CBOs who are working under the Government funding. Hence, uniformity in collecting data across all NGOs and CBOs will set the foundation for implementing the Three Ones principle.

The challenges faced in reporting data can to a certain extent be solved by good training in MIS.

With best regards,

Dr. Brojen Gogoi,
Tata Tea Ltd.,
Kolkata.
brojen.gogoi@tatatea.co.in