Quantitative Verification 5 of Health Facilities supported by USAID through Project Santé in Haiti

The verification process was conducted by VRS II, a contract supported by the U.S. Agency for International Development (USAID) to verify health service delivery outputs at sites supported by Project Santé. The verification process aimed to certify that facility-based performance data submitted by health facilities are reliable. The quantitative verification was conducted at 61 Project Santé-supported health facilities under Results-Based Financing (RBF) in seven departments in Haiti, including Centre, Grand'Anse, Nippes, Nord, Nord-Est, Nord-Ouest, and Sud. The verification process was conducted for the quarter April-June 2020. The auditors compared data reported by health facilities with the content of the registers or other source documents for the quarter April-June 2020. The results of the quantitative verification showed data quality issues, with a large difference (more than 25%) between verified and reported figures for several indicators. These issues were mainly due to factors such as insufficient precision of data from source documents, lack of awareness among health facility staff about indicator definitions, and missing source documents, particularly for community-based services. The quantitative verification process also revealed that in more than one-third of the facilities, there was a large difference between verified and reported figures for the following indicators: * "Number of children from 6 to 59 months old screened for severe acute malnutrition at the health facility" (55 percent of the facilities) * "Number of pregnant women who made at least a fourth prenatal visit during their last trimester of pregnancy" (43 percent of the facilities) * "Number of infants born to HIV-positive mother placed on ARV prophylaxis within 72 hours" (41 percent of the facilities) The data quality issues were found to be mainly due to the following factors: * The data from source documents may not have sufficient precision to measure the indicator. * Health facility staff may not be aware of the indicator definitions. * Missing source documents, particularly for community-based services, are a factor. A health facility may have many registers, but some of them are kept by community health workers, who may not store them properly at the health facility. To address these issues, it is recommended that health facility staff be trained on indicator definitions to collect all data and aggregate the data according to the standard MSPP guidelines. The standard MSPP guidelines should be used at all health facilities to ensure consistency and accuracy in data collection and reporting. The quantitative verification process also revealed that the data quality issues are mainly due to the following factors: * Missing source documents, particularly for community-based services, are a factor. The results of the quantitative verification showed that the data quality issues are mainly due to the following factors: The quantitative verification process aimed to certify that facility-based performance data submitted by health facilities are reliable. The results of the quantitative verification showed that the data quality issues are mainly due to the following factors: