The MalariaCare Toolkit. Tools for maintaining high-quality malaria case management services
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1 The MalariaCare Toolkit Tools for maintaining high-quality malaria case management services MalariaCare supervisor training: Electronic data system session I Download all the MalariaCare tools from:
2 MalariaCare supervisor training: Electronic data system (EDS) session I MALARIACARE SUPERVISOR TRAINING Outreach training and supportive supervision (OTSS) The US Agency for International Development (USAID) funded MalariaCare under the terms of Cooperative Agreement No. AID-OAA-A The information provided in this presentation does not necessarily reflect the views or positions of USAID or the US Government.
3 The EDS app concept and basic tablet functions
4 The EDS app and using the tablet OBJECTIVES Develop the ability to explain EDS app concept. Learn basic functions of the tablet: Swipe to lock/unlock screen. Adjust font. Adjust time and date. Monitor battery level and recharging. Tablet safety.
5 What is the MalariaCare OTSS checklist? Structured tool to guide supervision visits and quality improvement.
6 MalariaCare: The OTSS checklist Benefits Guides supervision visit. Structured to provide feedback. Ensures consistent review across facilities. Challenges Many pages. No summary score. Opportunities for entry errors. Takes time to enter, analyze, & summarize.
7 What is the MalariaCare EDS? Tablet-based supervision tool to improve quality of malaria diagnosis and care services delivered at health facilities. Allows automatic upload of OTSS data into a District Health Information Software 2 (DHIS2) database for immediately accessible data.
8 Why EDS? Improves quality assurance of malaria case management through real-time data capture, analysis, and feedback during OTSS. Increases use of data for decision-making. Evaluates performance and status of individual health facilities, including bird s eye view of progress at district and provincial levels. Offline assessment application enables supervisors to observe health care workers, assess facility performance, and provide onsite feedback.
9 National Malaria Control Program County Health Management Team Subcounty Health Management Team Supervisor
10 Health facility assessment modules 1. General OTSS: Human Resources & Training. Pharmacy, Stock, Equipment & Reference Materials. Services & Referral. Health Facility Infrastructure. Malaria Reporting. 2. Adherence (Register Review). 3. Clinical Observations: 3 Observations. 4. RDT Observations: Trained Staff RDT Stocks and Reference Materials. 3 Observations. 5. Microscopy Assessment: Microscopy Stocks, Equipment and Reference Materials. IQA/EQA. Microscopy Observations (Prep, Stain, Read). Slide Rechecking. 6. Feedback.
11 Performance monitoring through dashboards Figure 1. Observation composite scores.
12 Activity: Explaining the EDS app 2 minutes to review the EDS app concept. Find a partner and explain the EDS concept to him or her. 90 seconds to explain concept. Now switch and let the other person explain it to you.
13 Logging in to the tablet before use Press the power button. Enter SIM card PIN Then press OK. 0000
14 Using the tablet Device layout. Locking/unlocking screen. Changing the font size. Adjusting the time and date. Battery usage. General safety.
15 Using the tablet: Device layout
16 Using the tablet: Device layout
17 Using the tablet: Locking/unlocking screen Unlock the device 1. Press Power/Lock key. The Lock screen displays. 2. Swipe in any direction. Lock the device manually Press the Power/Lock key.
18 Using the tablet: Changing the font size Adjust font size 1. Go to Settings. 2. Under Device: Tap Display. 3. Tap Font size. 4. Select desired font.
19 Using the tablet: Screen rotation
20 Using the tablet: Adjusting date and time Adjust date and time 1. Go to Settings. 2. Scroll down left column. 3. Under System: Tap Date and time. 4. Select preferred method.
21 Using the tablet: Adjusting brightness level Adjust brightness level 1. Go to Settings. 2. Tap Display. 3. Under Brightness: - Slide bar to right to increase and left to decrease.
22 Using the tablet: Shortcut menu Control key features Wi-Fi GPS Sound Brightness Screen rotation Bluetooth Mobile data Remember: Turn off data when not in use.
23 Using the tablet: Extended shortcut menu Additional key features Auto-sync Power-saving
24 Using the tablet: Battery usage Important: Uploading videos, photos, and apps will drain the battery faster. Battery Rechargeable battery. Battery lasts 8 hours. Takes 6 hours to recharge battery (from 12% to 100%). Always charge your battery before an assessment. Status bar shows battery icon with power level.
25 Using the tablet: Showing battery percent Show battery percent 1. Go to Settings. 2. Tap Display. 3. Check the Show battery percent box.
26 Using the tablet: Battery usage Charging head and USB plugs into AC outlet. Use only approved charging device. Others may cause damage. Unplug when charging complete. Overcharging will shorten battery life. Cannot charge tablet by connecting USB to laptop.
27 Using the tablet: Reducing battery consumption Press Power button to switch to sleep mode when not using device. Deactivate Bluetooth. Deactivate Wi-Fi. Deactivate Mobile data. Deactivate app auto-syncing. Decrease display brightness.
28 Using the tablet: General safety Store in a cool, dry place. Keep away from heat, liquids, food, and dust. Prevent battery from coming into contact with metal objects. Do not use if device, power cord, or battery is damaged. Do not use while walking or operating a vehicle.
29 Review On/Off button top left. Swipe to lock/unlock screen. Adjust font via Settings/Device/Font/Font size. Battery Usage upper right corner. Always charge your battery before an assessment. Use your tablet safely.
30 Questions?
31 EDS Application: Basic Tablet Functions
32 EDS app technical functions & practical applications: Opening the EDS app Step 1: Press icon in lower right corner.
33 EDS app technical functions & practical applications
34 Logging in to EDS 1. Make sure you are connected to the Internet. - Mobile data or Wi-Fi button should be Green. - Turn on the stronger data source.
35 Logging in to EDS 2. Type in the following: URL: User name: First initial, family name. Example: ievance. Password: ketester Be patient: The application will then refresh the metadata and download questions. Can take up to 3 minutes. Only need to do once per OTSS round.
36 Logging in to EDS: Common errors Error Message Unable to resolve host Authorization failed user or password incorrect/unauthorized Potential Problem URL is incorrect No/poor Internet connection User name or password is incorrect Solution Make sure URL is exactly: Make sure Mobile data or Wi-Fi is on and has a connection. Wait until you have a better Internet connection to try resending the data. Re-enter your user name and password: - User name: first initial, last name. - Password: ketester1234. If you don t remember, contact MalariaCare/County Focal Person Contact. Malformed URL URL is incorrect Make sure URL is exactly:
37 Logging in to EDS Log in before each OTSS round to refresh tool. Must be connected to Internet to log in: Log in while in a central location with good Internet. Can do on Wi-Fi where possible. Need Internet connection to refresh metadata but not to load questions.
38 EDS app technical functions & practical applications: Opening an assessment
39 Adjusting the font within the EDS app Step 1: From the landing page of EDS, tap the Menu icon, which is to the left of the Home key. Then tap Settings.
40 Adjusting the font within the EDS app Step 2: Check the option Customize fonts? by tapping the empty box. A check mark will appear. Step 3. Select desired font size. Step 4. Tap on the back key for the change to take effect.
41 Adjusting the font within the EDS app
42 EDS app technical functions & practical applications: Opening EDS
43 EDS app technical functions & practical applications: Selecting county, zone, district, facility, tab
44 EDS app technical functions & practical applications: Selecting county, zone, district, facility, tab
45 EDS app technical functions & practical applications
46 EDS app technical functions & practical applications 6 types of questions: Yes/No. Drop-down. If yes, then. Numbers. Free text. Date.
47 EDS app technical functions & practical applications Yes/No Question
48 EDS app technical functions & practical applications Yes/No Question
49 EDS app technical functions & practical applications Similar to Yes/No Question Question
50 EDS app technical functions & practical applications Choose from drop-down menu Press here and drop-down menu will appear.
51 EDS app technical functions & practical applications Choose from drop-down menu Press here and drop-down menu will appear.
52 EDS app technical functions & practical applications Choose from drop-down menu
53 EDS app technical functions & practical applications If yes, then... Note: Questions highlighted in blue indicate if yes, then... questions.
54 EDS app technical functions & practical applications If yes, then... Note: When you check Yes, the app shows an additional question that requires text typing.
55 EDS app technical functions & practical applications Number Note: Once you tap inside the gray space, the keyboard opens.
56 EDS app technical functions & practical applications If you check No, no additional questions will appear.
57 EDS app technical functions & practical applications Numbers Note: Use Next button to go to next number field on screen.
58 EDS app technical functions & practical applications Numbers To remove number box, press back button on the lower frame of tablet.
59 EDS app technical functions & practical applications Remove number pad Press back button on the lower frame of tablet or tap any empty space on the touch screen.
60 EDS app technical functions & practical applications Free text Keyboard opens up so you can enter HF head s name.
61 EDS app technical functions & practical applications Remove keyboard Press back button on the lower frame of tablet or tap any empty space on the touch screen.
62 EDS app technical functions & practical applications Set date Note: Once you tap inside the space, the date selector opens. 62
63 EDS app technical functions & practical applications Set date
64 Questions?
65 BREAK: 15 minutes
66 General OTSS: Module Overview & Simulation
67 General OTSS: Overview Collects general information about the facility. Catalogues key infrastructural components in malaria case management. Assesses the proportion of patients who receive a malaria test prior to treatment. Assesses provider adherence to positive and negative test results. 67
68 General OTSS module: Sections Head of Health Facility. Supervisor Information. Human Resources and Training. Health Facility Infrastructure. Stocks and Equipment. Malaria Diagnostics. 68
69 ACTIVITY: Simulated observation Module: General OTSS The Instructor will provide you the answer to each question and you will mark appropriately. 69
70 Pushing data to EDS Online 70
71 Pushing data to EDS Online 1. Look for your survey under Active Assessment(s). 2. Press and hold on your survey. 71
72 Pushing data to EDS Online 3. A prompt appears with Edit, Mark as completed, Delete. 4. Select Mark as completed. 72
73 Pushing data to EDS Online 5. A prompt appears with Are you sure you want to complete? You cannot undo this action. 6. Select OK to complete assessment. 73
74 Pushing data to EDS Online 7. Survey now appears in the Sent Assessments. 8. Assessment will automatically send when the tablet is connected to the Internet 74
75 Steps in pushing data to EDS Online Completed (unsent) versus sent assessments Dash (-) = sent * = completed, but not sent 75
76 Review Results in EDS 76
77 How to review results 1. Click on the survey of choice under Complete Assessment(s). 2. This will take you to the failed questions. 77
78 How to review results 3. To see both failed and passed questions, uncheck the blue tick box. 78
79 How to review results 4. Pass/fail screen then appears. 79
80 Exiting versus Logging Out 80
81 Exiting the app To exit the EDS app: Tap back arrow or left-pointing arrow in top left corner. A pop-up window will appear: 81
82 Exiting 82
83 Logging out: Active versus completed modules Active modules Completed modules Unsent versus Sent 83
84 Power off = Logging out Will automatically log you out. Will erase all active modules. Will erase all unsent completed modules. 84
85 Exiting versus logging off Exit During OTSS round. End of each day. No Internet required to re-enter. Log off At the end of the OTSS round. Need Internet to log back in. 85
86 Refreshing Metadata 86
87 Utilizing end user manual Purpose of manual. Table of contents. How to use manual. 87
88 Section review Opening the app/landing page. Navigating through menus. Entering data in the EDS app. Logging out. Utilizing the end user manual. 88
89 Adherence: Module Overview & Simulation
90 Adherence module Register availability: Slide bar to the right if both laboratory and pharmacy/clinical registers are available. If registers (or informal register books) are not available, then leave it marked as Off-No 90
91 Adherence module Test Prior to Treatment: Review 20 records of patients who received ACTs from OPD register. Review lab registers to see if they have test results recorded. 91
92 Adherence module Adherence to Test Results: Review 5 RDT+, 5 RDT-, 5 Micro+, 5 Micro- in lab register. Review pharmacy or OPD register to find treatment prescribed. 92
93 ACTIVITY: Simulated observation Module: Adherence The Instructor will provide you the answer to each question and you will mark appropriately. 93
94 RDT Assessment: Module Overview & Simulation
95 RDT modules RDT assessment. RDT observations. Tip: Use drop-down list to access tabs. 95
96 RDT module: Assessment Collects supervisor information. Catalogues training overview of OPD staff. Assesses facilities with RDT stock-outs. Assesses external quality assurance. 96
97 RDT module: Observations Collects health worker information. Assesses RDT, patient, preparation. 97
98 RDT module: Observations Assesses blood collection and application to RDT. Collects information on RDT procedure, waste disposal. 98
99 ACTIVITY: Simulated observation Module: RDT The Instructor will provide you the answer to each question and you will mark appropriately. 99
100 LUNCH BREAK
101 Break-Out Sessions: Clinical/Lab Overview & Simulation
102 ACTIVITY: Simulated observation Module(s): Clinical & Lab The Instructor will provide you the answer to each question and you will mark appropriately. 102
103 Reporting Problems with EDS 103
104 Follow-up support MalariaCare and county staff will be available to answer questions and provide additional support following this training: By phone. By WhatsApp. When reporting issues, please have the following information: User. Health facility. Module. Please be as specific as possible when reporting your issue. Take and send screenshots when possible. 104
105 Issues tracker: Documentation MalariaCare/county staff will record the information in the following sheet and report to developers 105
106 Questions? 106
107
Electronic data system application end user manual
The MalariaCare Toolkit Tools for maintaining high-quality malaria case management services Electronic data system application end user manual Download all the MalariaCare tools from: www.malariacare.org/resources/toolkit.
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