The Health Services Report captures service delivery on a monthly basis. This module collects information on effective referrals (referrals which have been redeemed or completed).
The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise.
The module collects the following information:
Section 1: Safe Abortion | Data Elements |
| Table 1: Abortion effective out-of-network referrals by source Covers the following methods: Manual vacuum aspiration for PAC MVA for Safe Abortion Medical abortion Misoprostol for PAC [oral, sublingual, vaginal] PAC service unknown | Effective Abortion out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 2: Contraception | Data Elements |
| Table 1: Contraception effective out-of-network referrals by source Covers the following methods: Emergency contraceptive pills Progestin-only pills Combined oral contraceptive pills Injectable 1 month Injectable 2 months Injectable 3 months Injectable [duration unknown] Cyclebeads IUS 3 insertion IUD 5 insertion IUD 10 insertion IUD insertion [duration unknown] Implant 3 insertion Implant 4 insertion Implant 5 insertion Implant insertion [duration unknown] Vasectomy Tubal ligation | Effective Contraceptive out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 3: Delivery | Data Elements |
| Table 1: Pregnant women effectively referred for delivery in an out-of-network facility by source | Pregnant women effectively referred for facility delivery in an out-of-network facility by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 4: HIV | Data Elements |
| Table 1: HIV effective out-of-network referrals by source Covers the following services: HIV testing and counseling services Voluntary medical male circumcision ART/Pre-ART Pre-exposure prophylaxis (PrEP) Opioid treatment | Effective HIV out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 5: ICM | Data Elements |
| Table 1: Integrated case management effective out-of-network referrals by source Covers the following treatments: Treatment for children under 5 with severe malaria Diarrhea treatment for children under 5 Pneumonia treatment for children under 5 Treatment for moderate acute malnutrition Treatment for severe acute malnutrition | Effective Integrated case management out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 6: Malaria | Data Elements |
| Table 1: Malaria effective out-of-network referrals by source Covers the following: Malaria testing Malaria treatment (first line) | Effective Malaria out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 7: NCD | Data Elements |
| Table 1: Non-communicable disease effective out-of-network referrals by source Covers the following NCD services: Cryotherapy (referred from VIA/VILI) Cryotherapy (referred from Pap Screen) Cryotherapy (referred from HPV DNA) Conization or LEEP (referred from VIA/VILI) Conization or LEEP (referred from Pap Screen) Conization or LEEP (referred from HPV DNA) Any cervical cancer treatment (referred from VIA/VILI) Any cervical cancer treatment (referred from Pap Screen) Any cervical cancer treatment (referred from HPV DNA) Advanced treatment for cervical cancer Hypertension management Diabetes management – gestational Diabetes management – non-gestational | Effective Non-communicable disease out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 8: STI | Data Elements |
| Table 1: Sexually transmitted infection effective out-of-network referrals by source Covers the following STD services: Treatment for urethral discharge, men Treatment for urethral discharge, women (Chlamydia, Gonorrhea, Trichomona) Treatment for vaginitis Treatment for cervicitis Treatment for non-herpetic genital ulcer (Syphilis, Chancroid) Treatment for genital herpes Treatment for inguinal bubo (chancroid, lymphogranuloma venerium) Treatment for lower abdominal pain Treatment unknown | Effective Sexually transmitted infection out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Section 9: TB | Data Elements |
| Table 1: Tuberculosis effective out-of-network referrals by source Covers the following TB services: TB treatment (completion unknown) TB treatment (completion confirmed) | Effective TB out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
Each table and data element are described in further detail below.
Section 1: Safe Abortion | Data Elements |
| Table 1: Abortion effective out-of-network referrals by source Covers the following methods: Manual vacuum aspiration for PAC MVA for safe abortion Medical abortion Misoprostol for PAC [oral, sublingual, vaginal] PAC service unknown | Effective Abortion out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Abortion effective out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of effective abortion out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. Manual vacuum aspiration for post abortion care, or MVA for PAC, is a safe, effective method of uterine evacuation which uses a hand-held plastic aspirator. In this table, MVA for PAC describes when MVA is used for post abortion care. Manual vacuum aspiration for post abortion care, or MVA for SA, is a safe, effective method of uterine evacuation which uses a hand-held plastic aspirator. In this table, MVA for SA describes when MVA is used for surgical abortion Misoprostol is a prostaglandin drug in tablet form that affects the stomach linings and the smooth muscle of the uterus and cervix. It has several obstetric and gastro-intestinal medical uses, including treatment of stomach ulcers, labor induction, uterine evacuation as part of post-abortion care (PAC) or for safe abortion (alone or in conjunction with Mifepristone), and to prevent and treat post-partum hemorrhage (PPH). For its obstetric indications, misoprostol is used to soften the cervix and cause uterine contractions, expelling the contents of the uterus. There are both surgical and medical methods for safe abortion. Medical abortion - also called medical abortion, drug-induced abortion, or abortion with pills - is usually prescribed with a combination of two drugs, mifepristone and misoprostol. Where Mifepristone is not available, a medical abortion can be induced with misoprostol alone. This is a safe though less effective method. Post-abortion care (PAC) is an approach for treating incomplete abortion, including miscarriage, and any related complications. An incomplete abortion is a spontaneous or induced pregnancy loss, where products of conception are not completely expelled. Methods for treating incomplete abortion include medical (misoprostol), surgical (vacuum aspiration), and expectant management. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. Source refers to where the referral was issued. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective abortion out-of-network referrals generated |
| Disaggregated by: Service type: MVA for PAC, MVA for SA, medical abortion, Misoprostol for PAC (oral, sublingual, vaginal), PAC service unknown Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 2: Contraception | Data Elements |
| Table 1: Contraception effective out-of-network referrals by source Covers the following methods: Emergency contraceptive pills Progestin-only pills Combined oral contraceptive pills Injectable 1 month Injectable 2 months Injectable 3 months Injectable [duration unknown] Cyclebeads IUS 3 insertion IUD 5 insertion IUD 10 insertion IUD insertion [duration unknown] Implant 3 insertion Implant 4 insertion Implant 5 insertion Implant insertion [duration unknown] Vasectomy Tubal ligation) | Effective Contraceptive out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Effective Contraceptive out-of-network referrals by method and source |
| Purpose: This data element is measuring the total number of effective contraceptive out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. There are two main types of dedicated Emergency Contraception Pills (or ECP): Levonorgestrel-only emergency contraceptive pills (LNG ECPs), and pills containing ulipristal acetate (UPA ECPs). Emergency contraception (EC) can be used to reduce the chance of pregnancy following unprotected intercourse. They can be taken within 120 hours of unprotected intercourse. The LNG regimen is most effective if taken within 72 hours. Oral contraceptives can be one of two types: Combined Oral Contraceptives (COCs) and Progestin-Only Pills (POPs). COCs contain low doses of two hormones, estrogen and progestin. They are distributed in packages containing a one-month supply, and must be taken every day. POPs contain very low doses of progestin and do not contain estrogen. They are distributed in packages containing a one-month supply, and must be taken every day. They are most often used by breast-feeding women within the first 6 months following delivery. Injectable contraceptives are hormones delivered to a woman through an injection in her arm or buttocks. There are two types of injectable contraceptives: combined and progestin-only. Injectable 1 refers to combined injectable contraceptives, which contain both progestin and estrogen and are administered once a month and are reversible (a woman can get pregnant once she stops using them). Injectable 2 is a progestin-only injectable containing NET-EN, and most commonly referred to as "Noristerat." They are administered every two months and are reversible (a woman can get pregnant once she stops using them). Injectable 3 is a progestin-only injectable containing DMPA and includes the brand name Depo-Provera (among others). They are administered every 3 months and are reversible (a woman can get pregnant once she stops using them). CycleBeads are a form of fertility awareness family planning that facilitate the Standard Days Method. The Standard Days Method (SDM) helps women to keep track of their cycle days and to know which days they are more likely to get pregnant. CycleBeads are a color-coded string of beads that representing the menstrual cycle; each bead represents a day of the cycle and the color helps a woman to determine the likelihood of getting pregnant if a she has unprotected intercourse that day. The IUS 3 is a levonorgestrel-releasing intrauterine system (LNG-IUS). It is flexible plastic T-shaped hormone-releasing device which, placed in a woman's uterus, provides highly effective protection against pregnancy for up to 3 years. It is referred to here as IUS, as opposed to IUD, in order to distinguish this hormonal device from the copper IUDs described below. The IUD 5 (MLCu-375, or "Multiload") is a copper bearing Intrauterine Device that provides highly effective protection against pregnancy for up to 5 years and is completely reversible. It is a small, flexible plastic device with a copper wire that is placed in a woman's uterus. The IUD 10 (TCU-380 A, or "copper T") is a copper-bearing Intrauterine Device shaped like a "T" that provides highly effective protection against pregnancy for up to 10 years, and is completely reversible. It is a small, flexible plastic device with copper sleeves and a copper wire that is placed in a woman's uterus. Implants are small, flexible rods that are inserted under the skin of a woman's upper arm. Implant 3 is a single rod contraceptive implant most commonly known as "Implanon." Implanon is completely reversible and provide highly effective protection against pregnancy for up to 3 years. Implant 4 is a generic, two-rod contraceptive implant most commonly known as "Sino-implant, Zarin, or Femplant." Implant 4 are completely reversible and provide highly effective protection against pregnancy for up to 4 years. Implant 5 is a two-rod contraceptive implant most commonly known as "Jadelle.” Jadelle is completely reversible and provides highly effective protection against pregnancy for up to 5 years. Vasectomy is a permanent method of contraception. It is a type of voluntary male sterilization that consists of blocking or severing tube through which sperm pass. Tubal ligation is a permanent method of contraception. It is a type of voluntary female sterilization that consists of a surgery to close a woman's fallopian tubes. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. Source refers to where the referral was issued. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective contraceptive out-of-network referrals generated |
| Disaggregated by: Method: Emergency Contraceptive Pills, Progestin-only pills, Combined oral contraceptive pills, injectable 1 month, injectable 2 month, injectable 3 months, injectable (duration unknown), Cyclebeads, IUS 3 insertion, IUD 5 insertion, IUD 10 insertion, IUD insertion (duration unknown), implant 3 insertion, implant 4 insertion, implant 5 insertion, implant insertion (duration unknown), Vasectomy, Tubal ligation Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 3: Delivery | Data Elements |
| Table 1: Pregnant women effectively referred for delivery in an out-of-network facility by source | Pregnant women effectively referred for facility delivery in an out-of-network facility by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Pregnant women effectively referred for a facility delivery in an out-of-network facility by source |
| Purpose: This data element is measuring the total number of pregnant women effectively referred for a health facility-based delivery in an out-of-network facility, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. The highest incidence of maternal and perinatal mortality occurs around the time of birth with the majority of deaths occurring within the first 24 hours after birth (WHO). Deliveries at health facilities with a skilled birth attendant are important in averting maternal and neonatal morbidity and mortality. Source refers to where the referral was issued. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of pregnant women effectively referred for facility delivery in an out-of-network facility |
| Disaggregated by: Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 4: HIV | Data Elements |
| Table 1: HIV effective out-of-network referrals by source Covers the following services: HIV testing and counseling services Voluntary medical male circumcision ART/Pre-ART Pre-exposure prophylaxis (PrEP) Opioid treatment | Effective HIV out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Effective HIV out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of effective HIV out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. Effective referral to care and treatment must be completed within 3 months of the referral issue date. Effective referrals to VMMC must include evidence of a completed male circumcision (not just attendance at a VMMC counseling session). Source refers to where the referral was issued. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective HIV service out-of-network referrals generated |
| Disaggregated by: Service type: HIV testing and counseling services, voluntary medical male circumcision,ART/Pre-ART, and/or viral load testing) and treatment, Pre-Exposure Prophylaxis (PrEP), Opioid treatment Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 5: ICM | Data Elements |
| Table 1: Integrated case management effective out-of-network referrals by source Covers the following treatments: Treatment for children under 5 with severe malaria Diarrhea treatment for children under 5 Pneumonia treatment for children under 5 Treatment for moderate acute malnutrition Treatment for severe acute malnutrition | Effective Integrated case management out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Effective Integrated case management out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of effective integrated case management out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. It is beyond PSI’s scope to be directly involved in managing cases of severe pneumonia, diarrhea, or malaria. PSI will, however, work with provider to identify and refer children with danger signs of severe infection and refer them to qualified medical care. Source refers to where the referral was issued. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective integrated case management out-of-network referrals generated |
| Disaggregated by: Service type: treatment for children under 5 with severe malaria, diarrhea treatment for children under 5, pneumonia treatment for children under 5, treatment for moderate acute malnutrition, treatment for severe acute malnutrition Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 6: Malaria | Data Elements |
| Table 1: Malaria effective out-of-network referrals by source Covers the following: Malaria testing Malaria treatment (first line) | Effective Malaria out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Effective Malaria out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of effective malaria out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. Malaria testing: A patient with fever or history of fever within the past 48 hours or axillary temperature ≥ 37.5 ° C with no other obvious cause of fever should be suspected of malaria (WHO). All cases that were suspected of malaria and were effectively referred for testing via microscopy or rapid diagnostic test (RDT) should be included. Malaria treatment (first-line): This data element records the number of positive malaria cases detected by microscopy or RDT that were effectively referred for first line treatment for uncomplicated malaria. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective malaria out-of-network referrals generated |
| Disaggregated by: Service type: malaria testing, malaria treatment (first line) Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 7: NCD | Data Elements |
| Table 1: Non-communicable disease effective out-of-network referrals by source Covers the following NCD services: Cryotherapy (referred from VIA/VILI) Cryotherapy (referred from Pap Screen) Cryotherapy (referred from HPV DNA) Conization or LEEP (referred from VIA/VILI) Conization or LEEP (referred from Pap Screen) Conization or LEEP (referred from HPV DNA) Any cervical cancer treatment (referred from VIA/VILI) Any cervical cancer treatment (referred from Pap Screen) Any cervical cancer treatment (referred from HPV DNA) Advanced treatment for cervical cancer Hypertension management Diabetes management – gestational Diabetes management – non-gestational | Effective Non-communicable disease out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Effective Non-communicable disease out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of effective contraceptive out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. For cervical cancer treatment (Cryotherapy, Conization, or treatment type unknown), effective referrals must be disaggregated based whether the referral was issued after a VIA/VILI screening, pap smear screening, or HPV DNA test screening. Cryotherapy, conization, and LEEP are forms of treatment for cervical precancerous lesions. Cryotherapy eliminates precancerous areas on the cervix by freezing them. It involves applying a highly cooled metal disc (cryoprobe) to the cervix, and freezing its surface using carbon dioxide (CO2) or nitrous oxide (N2O) gas. Cervical cancer screening of sexually active or formerly sexually active women can determine whether they are at risk of developing cervical cancer. This determination can be made by examining the cells gently scraped from the cervix using the Pap smear; by examining the surface layer of the cervix through visual inspection (VIA/VILI); or by detecting HPV DNA from cervical swabs. Cervical cancer is caused by human papillomaviruses (HPV). The Pap smear is a type of cervical cancer screening where cells are gently scraped from the cervix and examined for abnormalities. The Pap or cervical smear is used to identify precancerous lesions for treatment or follow-up. VIA and VILI are types of visual inspection tests for cervical cancer screening. Visual inspection with acetic acid (VIA) can be done with the naked eye (also called cervicoscopy or direct visual inspection, [DVI]), or with low magnification (also called gynoscopy, aided VI, or VIAM). If precancerous cells are present, the acetic acid will make the cellular components temporarily appear white to the human eye. Visual inspection with Lugol’s iodine (VILI), also known as Schiller’s test, uses Lugol’s iodine instead of acetic acid. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective non-communicable disease out-of-network referrals generated |
| Disaggregated by: Service type: Crytherapy (referred from VIA/VILI), Cryotherapy (referred from Pap smear), ), Cryotherapy (referred from HPV DNA) Conization or LEEP (referred from VIA/VILI), Conization or LEEP (referred from Pap smear), Conization or LEEP (referred from HPV DNA test), any cervical cancer treatment (referred from VIA/VILI), any cervical cancer treatment (referred from pap smear), any cervical cancer treatment (referred from HPV DNA test), advanced cervical cancer treatment, diabetes management-gestational, diabetes management- non-gestational Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
Section 8: STI | Data Elements |
| Table 1: Sexually transmitted infection effective out-of-network referrals by source Covers the following STD services: STI screening (syndromic) [no DALYs averted] STI diagnosis (lab confirmed) [no DALYs averted] Treatment for urethral discharge, men Treatment for urethral discharge, women (Chlamydia, Gonorrhea, Trichomona) Treatment for vaginitis Treatment for cervicitis Treatment for non-herpetic genital ulcer (Syphilis, Chancroid) Treatment for genital herpes Treatment for inguinal bubo (chancroid, lymphogranuloma venerium) Treatment for lower abdominal pain Treatment unknown | Effective Sexually transmitted infection out-of-network referrals generated by source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Data Element: Effective Sexually transmitted infection out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of effective sexually transmitted infection out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. Treatment: Treatment is defined by the WHO guidelines for each syndrome, including medication and counseling. Treatment following lab-confirmed diagnosis should also be reported under the corresponding syndrome. The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective sexually transmitted out-of-network referrals generated |
| Disaggregated by: Service type: STI treatment for urethral discharge, men, treatment for urethral discharge, women, treatment for vaginitis, treatment for cervicitis, treatment for non-herpetic genital ulcer, treatment for genital herpes, treatment for inguinal bubo, treatment for lower abdominal pain, treatment for unknown STI Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |
| Data Element: Effective TB out-of-network referrals by service type and source |
| Purpose: This data element is measuring the total number of TB out-of-network referrals generated, disaggregated by source. |
| Precise Definitions: Referrals are issued when a particular service isn’t offered in-network and a provider sends a client outside the network to receive case. An effective referral is a documented referral which results in any client going to a provider and accessing a health service that is part of the minimum package of services of the appropriate health area. (Effective referrals may also be referred to as “conversions”, “redemptions” or “completed” referrals versus referrals issued.) A referral can be documented in one of two ways: 1) through voucher or referral cards which have been redeemed, and 2) by estimating exposure to PSI demand generation. An out-of-network referral is a referral made from an in-network provider to an out-of-network provider. Effective referrals should only be captured in cases where the service is not offered in network. TB DOTS (completion unknown): individuals who were effectively referred for treatment but it is unknown if they completed the course of treatment TB DOTS (completion confirmed): individuals who were effectively referred for treatment completed the course of treatment The referrals module records the source of referral (where the referral originated). Network members should identify each referral issued as being issued from IPC/BCC work, social franchise, PSI direct facility, service delivery partner. Each effective referral should only be counted once. Therefore, an effective referral issued by an IPC agent who works out of a social franchise should be recorded as IPC/BCC and NOT as social franchise. For a detailed definition of “source” see the common data elements definition page |
| Unit of Measure: Number of effective TB out-of-network referrals generated |
| Disaggregated by: TB treatment, TB treatment (completion confirmed) Source (BCC or IPC generated, franchise generated, service delivery partner generated, PSI direct service partner generated) |
| Justification/Management Utility: Effective referrals capture health systems integration. Partial DALY credit is also calculated based on evidence of effective referrals. |