142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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E-Mobile data collection to improve data quality and speed of results: Lessons from Angola

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 3:18 PM - 3:30 PM

Beth Brennan, MPH , International Health Division, Abt Associates, Inc., Bethesda, MD
Jeanne Goodman, B.S. , Client Technology Center, Abt Associates, Inc., Bethesda, MD
Brendan Small, B.S. , Client Technology Center, Abt Associates, Inc., Bethesda, MD
Joe Contini, B.S., M.B.A. , Client Technology Center, Abt Associates, Inc., Bethesda, MD
Nancy Brown, B.S. , Client Technology Center, Abt Associates, Inc., Bethesda, MD
Many global health monitoring and evaluation (M&E) systems rely on paper-based data collection and verification in the field. Supervisory staff inadvertently overlooks data errors during quality control, and data clerks often commit data entry errors when transferring data from paper forms to electronic databases. Project staff spends significant time transporting data from remote villages to data centers and entering data from paper forms. These challenges affect data quality and accessibility and impede decision-making to improve project operations.

In October 2013, the President’s Malaria Initiative-supported Africa Indoor Residual Spray Project (AIRS) piloted e-mobile data collection and verification in Huambo, Angola. The project initially tasked 48 field staff to record data on smartphones from 12,000 households and electronically submit data to a cloud-based system accessible to M&E staff at the home office. Eight supervisors were provided Android tablets to simultaneously review data quality and monitor staff performance. Phones were programmed with validation checks to prevent skipping mandatory fields and avoid data errors common on paper forms.

Due to low literacy, we reassigned 23 staff exhibiting poor e-mobile understanding to paper-based data collection during the first week of the pilot.  Overall, thirty-three staff successfully mastered e-mobile data collection and verification while the M&E team cleaned and analyzed data concurrently.  We recommend extending the length of training from 3- to 7-days and using the pre-spray, community mobilization campaign as hands-on, practical exercise. We also propose an enhanced data integration and visualization platform to improve data cleaning and management and project reporting.

Learning Areas:

Other professions or practice related to public health

Learning Objectives:
Describe the results of an e-mobile M&E system where field staff collect household data on smartphones and conduct quality control on Android tablets in a low-literate setting. Compare the strengths and weaknesses of a paper-based and e-mobile M&E systems, and describe how the two M&E methods are not mutually exclusive and can work together for maximum benefit. Demonstrate an improved data integration system that aggregates and analyzes e-mobile data and visually presents project results via charts and graphs for enhanced data monitoring and reporting.

Keyword(s): Data Collection and Surveillance, Literacy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the M&E Specialist for Angola on specific malaria prevention program for two years and led the development of the e-mobile smartphone pilot in Angola. Among my M&E interests is applying improved mHealth and technological advances to our paper-based and outdated data collection and verification processes.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.