Transforming data into
information and evidence


                    Communication Workshop
HMN cycle of data generation, knowledge
    brokering and use of evidence
Evidence
• Context-free
   – What works in general
   – Overall ‘potential’ of something
   – Clinical efficacy or biomedical research
• Context-sensitive
   – Evidence in an operational setting
   – Theory meets reality
• Colloquial
   – Expert opinion
   – First-hand experience
   – Story-telling
Types of evidence – different users
• Policy makers
   – Outcomes, impact
• Health planners and managers
   – What can be operationalised and monitored
• Scientists
   – What is conceptually sound
• Care providers
   – What works or doesn’t work in hospitals; what will
     improve patient care
• Donors
   – Monitoring and evaluation, value for money
Types of evidence – different purposes
• Advocacy
   – Draw attention to a specific problem
• Levels and trends
   – Show how big the problems are and who they affect
• Determinants
   – Show what causes the problem
• Diagnosis
   – Identify potential solutions
• Progress
   – Plan, carry out and assess actions to reduce these
     problems
How do we translate data into
      information and evidence?
• The challenge is not just to produce health
  information
• Need to act as ‘knowledge brokers’
  facilitating the translation of data to policy
  and programming
• Two key steps
  – Analysis and interpretation
  – Communication and dissemination
What helps turn data into
                information?
Comparisons
• Countries
• Regions
• Internally – location, gender, ethnicity
• How to summarise country position
   –   Ranking
   –   Percentile
   –   Standard deviations from the mean
   –   Position compared with country mean or median
   –   Benchmarking: comparing with good performers
Comparisons with the world
   Under-five mortality
Comparisons with the Pacific
   Under-five mortality
Comparisons within and between countries
            Infant mortality rate




Source: Commonwealth Fund National Scorecard on US Health System
Performance, 2008
Comparisons within internal regions




Source: Commonwealth Fund National Scorecard on US Health
System Performance, 2008
Performance assessment
            ‘Putting it all together’
• Identifying contextual changes
   – Demographic, economic, social and political factors
• Progress assessment
   – Compared to targets
   – Compared to peers
• Equity analysis
   – Trends in equity gaps by key stratifiers
• Efficiency analysis
   – Results by inputs
• Performance = summarising and interpreting the
  results
Why communicate?
• Inform and educate
• Create a culture of data use
• Improve health policy
• Improve health service provision
• Achieve better health outcomes
• Information systems aren’t just about data
  generation!
• Access and use are integral parts of strengthening
• Connect data production with use
What helps communication?
• Personal contact
• Timeliness and relevance
• Summary and recommendations
• Good quality
• Confirmed current policy or endorsed self-
  interest
• Community pressure or demand
    – People need to understand why data is important
      before they will demand it
Knowledge management
Where are we now?
• Types of knowledge being produced
• Outputs created
• Barriers and promoters
Where do we want to be?
• Benefits from knowledge management
• Measuring success
How do we get there?
• Developing an action plan
• People, processes, technology
Group work

Mapping the flow of data and information
               30 minutes
Brainstorm
             5 minutes
               Agencies
               who give
               you data
People who                     Data you
 give you                     have to look
   data                       for yourself

               Your unit or
               department
Brainstorm
             5 minutes
                People you
                   give




                                     People and agencies who receive
              information to


 Your unit




                                               information
                     Agencies you
    or                   give
                    information to
department

             People/agencies
               who request
               information
Complete the table
                       15 minutes

Communic-        Objectives     Audience         Message          Channels
ation products   What do you    Who is the key   What is the      How do you
                 want this to   audience?        message?         promote and
                 achieve?       Are there        Is it the same   disseminate
                                others?          for all          your work?
                                                 audiences?
Annual report
Policy Briefs
Others..
Further reading
   The knowledge Translation Toolkit provides a
   thorough overview of what knowledge
   translation is and how to use it to bridge the
   ‘know-do’ gap between
   research, policy, practice, and people. It
   presents the theories, tools, and strategies
   required to encourage and enable evidence-
   informed decision-making.

   The Toolkit can be viewed online at
   http://www.idrc.ca/EN/Resources/Publicatio
   ns/Pages/IDRCBookDetails.aspx?PublicationI
   D=851

Communication Workshop: Transforming data

  • 1.
    Transforming data into informationand evidence Communication Workshop
  • 2.
    HMN cycle ofdata generation, knowledge brokering and use of evidence
  • 3.
    Evidence • Context-free – What works in general – Overall ‘potential’ of something – Clinical efficacy or biomedical research • Context-sensitive – Evidence in an operational setting – Theory meets reality • Colloquial – Expert opinion – First-hand experience – Story-telling
  • 4.
    Types of evidence– different users • Policy makers – Outcomes, impact • Health planners and managers – What can be operationalised and monitored • Scientists – What is conceptually sound • Care providers – What works or doesn’t work in hospitals; what will improve patient care • Donors – Monitoring and evaluation, value for money
  • 5.
    Types of evidence– different purposes • Advocacy – Draw attention to a specific problem • Levels and trends – Show how big the problems are and who they affect • Determinants – Show what causes the problem • Diagnosis – Identify potential solutions • Progress – Plan, carry out and assess actions to reduce these problems
  • 6.
    How do wetranslate data into information and evidence? • The challenge is not just to produce health information • Need to act as ‘knowledge brokers’ facilitating the translation of data to policy and programming • Two key steps – Analysis and interpretation – Communication and dissemination
  • 7.
    What helps turndata into information? Comparisons • Countries • Regions • Internally – location, gender, ethnicity • How to summarise country position – Ranking – Percentile – Standard deviations from the mean – Position compared with country mean or median – Benchmarking: comparing with good performers
  • 8.
    Comparisons with theworld Under-five mortality
  • 9.
    Comparisons with thePacific Under-five mortality
  • 10.
    Comparisons within andbetween countries Infant mortality rate Source: Commonwealth Fund National Scorecard on US Health System Performance, 2008
  • 11.
    Comparisons within internalregions Source: Commonwealth Fund National Scorecard on US Health System Performance, 2008
  • 12.
    Performance assessment ‘Putting it all together’ • Identifying contextual changes – Demographic, economic, social and political factors • Progress assessment – Compared to targets – Compared to peers • Equity analysis – Trends in equity gaps by key stratifiers • Efficiency analysis – Results by inputs • Performance = summarising and interpreting the results
  • 13.
    Why communicate? • Informand educate • Create a culture of data use • Improve health policy • Improve health service provision • Achieve better health outcomes • Information systems aren’t just about data generation! • Access and use are integral parts of strengthening • Connect data production with use
  • 14.
    What helps communication? •Personal contact • Timeliness and relevance • Summary and recommendations • Good quality • Confirmed current policy or endorsed self- interest • Community pressure or demand – People need to understand why data is important before they will demand it
  • 15.
    Knowledge management Where arewe now? • Types of knowledge being produced • Outputs created • Barriers and promoters Where do we want to be? • Benefits from knowledge management • Measuring success How do we get there? • Developing an action plan • People, processes, technology
  • 16.
    Group work Mapping theflow of data and information 30 minutes
  • 17.
    Brainstorm 5 minutes Agencies who give you data People who Data you give you have to look data for yourself Your unit or department
  • 18.
    Brainstorm 5 minutes People you give People and agencies who receive information to Your unit information Agencies you or give information to department People/agencies who request information
  • 19.
    Complete the table 15 minutes Communic- Objectives Audience Message Channels ation products What do you Who is the key What is the How do you want this to audience? message? promote and achieve? Are there Is it the same disseminate others? for all your work? audiences? Annual report Policy Briefs Others..
  • 20.
    Further reading The knowledge Translation Toolkit provides a thorough overview of what knowledge translation is and how to use it to bridge the ‘know-do’ gap between research, policy, practice, and people. It presents the theories, tools, and strategies required to encourage and enable evidence- informed decision-making. The Toolkit can be viewed online at http://www.idrc.ca/EN/Resources/Publicatio ns/Pages/IDRCBookDetails.aspx?PublicationI D=851

Editor's Notes

  • #3 Very good at collecting data – top of the diagramAll the steps afterwards that need attention tooData – raw elementsInformation – data translated into patternsEvidence – contextKnowledge – applied evidenceData: 100 men aged 15-24 died of traffic accidents in 2011What does it tell us?... Not muchInformation: 1000 deaths of men aged 15-24 in that year10% of all deaths in that age due to accidentsEvidence: women of same age 2%Regional average 4%Know we have a problem – need to make appropriate action
  • #4 The meaning of evidence is defined by the audienceEvidence depends on context to become usefulDifferent types of evidenceGeneral: evidence shows a link between physical inactivity and obesityContext: evidence shows a link between physical inactivity and obesity for women aged 20-30
  • #5 Why is this important?The type of evidence will depend on your audience[more about this later]
  • #7 Knowledge broker‘middle man’ – individual or institutionActs between research and policyNetworking important – communication skills to keep people togetherSynthesise researchCreating partnershipsFacilitating access to evidenceConvening meetings(KT toolkit)
  • #14 CommunicationEasy to access and use dataPrepare simple reportsThose who collect the data should benefit from the informationPackage the information for your audienceSpeak to your users and listen to their needs
  • #15 Personal contact – just as important as timeliness/relevanceHow often do you meet with your Minister or other users of your data?How could this be improved?Research that challenges values/ideas/ethics – much harder time in proving its validity
  • #16 What knowledge do we want to share?Who do we want to share it with?How will our knowledge be shared?Why will this knowledge be shared (what are we trying to achieve)?
  • #18 Name the agencies/people who give them dataWhat type of data is itWhat do they use it forHow is it analysed
  • #19 People/agencies they give information toHow is it presentedWhat do these people use it forDo they think the information gets passed on furtherDo they ask them for feedback on the information given
  • #20 Objectives could be stated (i.e. In public health act) or could be what they want them to be – or what they should be