LHW Systems Review - Oxford Policy Management

LHWP – Systems ReviewTable 10.1Percentage of LHWs and LHSs who had produced and couldshow a work-plan for the current month, and a monthly report forthe previous month, comparing 2000 with 2008LHWsLHSs2000 2008 2000 2008Could show a work-plan for the current month 67 85 74 91Could show a report for the previous month 84 90 53 80Source: OPM LHWP 4th Independent Evaluation, Quantitative Survey data, 2008.Table 10.2Who prepares the Health Facility MIS monthly report?Person to prepare MIS report Punjab Sindh NWFP Balochistan AJK/FANA OverallManager of facility 4 31 2 61 12 15Other staff at the facility 20 18 13 14 16 18Other LHSs working at7 1 0 4 0 4same FLCFLHS 65 40 78 12 56 55Staff at DPIU 1 2 0 8 2 2Others 4 8 8 2 15 6Total 100 100 100 100 100 100Source: OPM LHWP 4th Independent Evaluation, Quantitative Survey data, 2008.Accuracy of the internal MIS can be verified by the external evaluations and by checks oninternal consistency. In using the data from the PSP database, the researchers came acrossnumerous examples of inconsistency in data. What was apparent was that the MIS officersdo not have the authority to demand accuracy, and need the support of senior managers.When this happens, as was apparent in one province visited by the evaluation team, thequality of the data and the responsiveness of the MIS section improve considerably.One example is the allocation of LHWs positions at the district level. There is a widevariation between the records on the PSP database (June 2008) of the number of allocatedpositions for each district compared with the number reported by the sample districts at thetime of the survey. 85There was no formal reallocation process between June 2008 and the survey timetable ofJuly–November 2008. Only 30 percent of the sample districts reported an allocation of LHWsthat was equivalent to the PSP database. Almost 30 percent of sample districts had over 50percent difference (Figure 10.2). As the overall number of allocated posts for the provinceremains the same, this must indicate a redistribution in the allocation of posts between thedistricts within a province, as well as outdated information in the PSP database.85This is also referred to in the Management Review.70