Metrics details. This ambitious project was launched in and currently covers all states in India, but no in-depth assessment of the system has been conducted. Two assessment methods were employed: a Data Quality Assessment DQA to evaluate data quality and an assessment survey to identify implementation challenges. The survey comprised semi-structured questionnaires for health staff in the sampled districts, observation checklists and survey investigator notes.
Purposive sampling was used for selecting two districts in each state and two blocks in each district. For the DQA, 45 mothers who became pregnant and 84 children born within the stipulated timeframes were randomly sampled. Weaknesses in the MCTS' data completeness accounted for much of this performance shortfall. Shared challenges in both states were the absence of clear processes and guidelines governing data processes, and the lack of systematic monitoring and supervision frameworks for MCTS implementation.
As a result, Front Line Health Workers FHWs were overburdened with data documentation work, and there were long delays in data capturing. UP staff reported unreliable internet and electricity availability, lack of dedicated data entry personnel, and a shortage of consumables such as MCTS registers.
There is an urgent need to create data processes and supervision guidelines that complement existing workflows and service delivery priorities. Health staff should be trained to implement these guidelines. MCTS outputs, such as service delivery planning tools, should replace existing tools once data quality improves. Peer Review reports. Among the most vulnerable populations, pregnant women and children in resource-poor settings need health systems that are capable of delivering timely and quality care.
At the forefront of service delivery in many Low and Middle Income Countries LMICs are Frontline Health Workers FHWs , who are responsible for identifying all eligible beneficiaries within their catchment areas and ensuring that each beneficiary receives the full schedule of services.
