Table 2 Summary findings of the feasibility of collecting the following proposed SRMNCAH indicators in the humanitarian context of Bangladesh
No. | Indicator name | Overall % of agencies reporting | Place of collection | Facilitators to routine collection | Barriers to routine collection | Resources needed for routine collection | Exclude/include | ||
|---|---|---|---|---|---|---|---|---|---|
Contraception | |||||||||
1.1 | Number of clients initiating contraception | 82% | Health facilities and organizations providing reproductive health services | Mandatory reporting to the health sector, MoHFW and the SRHWG; National reporting systems: DHIS2, EWARS | Lack of harmonized reporting system leads to increased strain, duplication of data and unreliable data | # of clients receiving a contraceptive service, by method Clarification on the wording surrounding "initiating" Standardize definition of new user vs. recurrent user | Resources for integration into HIS/existing data collection systems Enable and implement methods to track specific patients at the facility and community level | Include | |
1.2 | Number of clients receiving emergency contraception | 50% | Health facilities and organizations providing reproductive health services | Mandatory reporting to the health sector, MoHFW and the SRHWG; National reporting systems: DHIS2, EWARS | Socio-cultural barriers Low and unreliable availability of commodities: limited provision of EC for cases that require CMR | # of clients receiving CMR services within 120 h | Resources and training regarding security and data privacy Resources for integration into DHIS2 Resources needed to enable coordination efforts for the SRHWG | Include | |
1.3 | Percentage of clients adopting modern contraceptive method after delivery | 0% | Secondary and tertiary facilities only | Mandatory reporting to the health sector, MoHFW and the SRHWG; National reporting systems: DHIS2, EWARS | Unreliable population metrics since reporting systems cannot track individual service users Applicable in secondary and tertiary facilities only | # of clients adopting a modern contraceptive method after delivery Removal of denominator | N/A | Include | |
1.4 | Percentage of clients adopting modern contraceptive method after abortion | 0% | N/A | N/A | Socio-cultural barriers Legal status of abortion in Bangladesh | # of clients adopting a modern contraceptive method after menstrual regulation Change "abortion" to "menstrual regulation" Couple indicator with an indicator tracking the number of outreach activities from the CHWs surrounding menstrual regulation Removal of denominator | Resources and training regarding security and data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training for CHW on security and data privacy measures in place and communicating these to the Rohingya community | Include | |
Comprehensive abortion care | |||||||||
2.1 | Number of clients requesting an abortion | 0% | N/A | N/A | Potential risk for client and primary care provider Legal status of abortion in Bangladesh Socio-cultural barriers Insufficient data security and privacy | N/A | N/A | Exclude | |
2.2 | Number of clients receiving an abortion referral | 0% | N/A | N/A | Gaps in coordination between health service providers and referrals Potential risk for patient and primary care provider Legal status of abortion in Bangladesh Socio-cultural barriers Insufficient data security and privacy | N/A | N/A | Exclude | |
2.3 | Number of clients receiving an induced abortion | 27% | N/A | N/A | Socio-cultural barriers cause limited service-provision, underreporting and hesitancy in the Rohingya community Insufficient data security and privacy measures set in place Potential risk for client and primary care provider | # of clients receiving menstrual regulation services, disaggregated by age (10–13;13–15;15–18; and equal or greater than 18) Change "abortion" to "menstrual regulation" | Training on data security and data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training for CHW on security and data privacy measures in place and communicating these to the Rohingya community | Include | |
2.4 | Number of clients presenting for post-abortion care (PAC) | 55% | Secondary and tertiary facilities only | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Applicable in secondary and tertiary facilities only Socio-cultural barriers Insufficient data security and privacy Potential risk for patient and primary care provider | N/A | N/A | Include | |
2.5 | Number of clients receiving PAC | 64% | Secondary and tertiary facilities only | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Applicable in secondary and tertiary facilities only Socio-cultural barriers Insufficient data security and privacy Potential risk for patient and primary care provider | N/A | N/A | Include | |
Maternal health | |||||||||
3.1 | Number of maternal deaths | 82% | Secondary and tertiary facilities | Organizations with allocated funding for data collection developed comprehensive HIS for accurate maternal data collection National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Lack of centralized system to collect quality and timely maternal death data at the facility and community levels | # of maternal deaths in the facility, by cause of death Disaggregate indicator by cause Couple indicator with indicators that capture maternal death in the community | Increased transparency in auditing practices Resources needed to develop and implement at the community level to capture the indicators for the maternal deaths in the community | Include | |
3.2 | Number of maternal deaths, disaggregated | 73% | Secondary and tertiary facilities | Organizations with allocated funding for data collection developed comprehensive HIS for accurate maternal data collection National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Lack of centralized system to collect quality and timely maternal death data at the facility and community levels | # of maternal deaths in the facility, disaggregated by age (10–13;13–15;15–18; and equal or greater than 18) | Training for data collectors on the different causes of maternal death and how to encode for each Develop detailed manuals for frontline workers and data collection Training and capacity building for community health workers Increased transparency in auditing practices surrounding maternal deaths | Include | |
3.3 | Percentage of maternal death reviews | 73% | Secondary and tertiary facilities | Routinely collected by secondary and tertiary facilities Organizations with allocated funding for data collection developed comprehensive HIS for accurate maternal data collection National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Lack of centralized system to collect quality and timely maternal death data at the facility and community levels | # of maternal deaths in the facility that were audited and reviewed Disaggregate indicator by cause Couple indicator with indicators that capture maternal death in the community Removal of denominator | Training of data collectors on the different causes of maternal death and how to encode for each Develop detailed manuals for frontline workers and data collectors Training and capacity building for community health workers Increased transparency in auditing practices surrounding maternal deaths Enable and implement methods and policies to ensure coordination between agencies and systematic undertaking of maternal death reviews | Include | |
3.4 | Number of clients receiving antenatal care (ANC) | 64% | Secondary and tertiary facilities | Routinely collected by secondary and tertiary facilities | N/A | N/A | Include | ||
3.5 | Number of deliveries | 73% | Secondary and tertiary facilities | Routinely collected by secondary and tertiary facilities Community health workers promote community members to opt for facility-based deliveries | No birth registries at the facility level Gaps in policies and systems: lack of national civil registry policies for refugees | # of clients delivering in a facility, including both live and stillbirths Couple indicator with indicators to capture births occurring in the community | Training for frontline workers on stillbirths Leveraging systems to capture stillbirths for community births (UNICEF) Training and capacity building for community health workers | Include | |
3.6 | Number of deliveries, disaggregated | 55% | Secondary and tertiary facilities | Routinely collected by secondary and tertiary facilities Community health workers promote community members to opt for facility-based deliveries | No birth registries at the facility level Gaps in policies and systems: lack of national civil registry policies for refugees | # of clients delivering in facility, including both live and stillbirths, disaggregated by age (10–13;13–15;15–18; and equal or greater than 18) | Training for frontline workers on stillbirths Leveraging systems to capture stillbirths for community births (UNICEF) Training and capacity building for community health workers | Include | |
3.7 | Number of clients receiving post-natal care (PNC) | 73% | Secondary and tertiary facilities | Routinely collected by secondary and tertiary facilities Community health workers promote community members to opt for facility-based deliveries | # of clients receiving post-natal care, disaggregated between 2 and 7 days | N/A | Include | ||
3.8 | Number of caesarean section deliveries | 64% | Secondary and tertiary facilities | Routinely collected by secondary and tertiary facilities | Lack of training/equipment to provide service in some facilities Applicable in secondary and tertiary facilities only | # of caesarian section deliveries, disaggregated by medically or nonmedically necessary Couple indicator with an indicator on the number of referrals for caesareans | Resources needed to improve monitoring referral systems within the camp | Include | |
3.9 | Availability of PAC | 0% | N/A | N/A | Lack of training/equipment to provide PAC in some facilities Socio-cultural barriers Insufficient data security and privacy Potential risk for client and primary care provider | N/A | Service mapping of PAC providers Provide specific contours on when, how and by whom these should be collected | Include | |
3.10 | Availability of basic emergency obstetric care (BEmOC) | 0% | N/A | N/A | N/A | Service mapping of facilities Provide specific contours on when, how and by whom these should be collected | Include | ||
3.11 | Availability of comprehensive emergency obstetric care (CEmOC) | 0% | N/A | N/A | Lack of training/equipment to provide CEmOC in health centres Applicable in secondary and tertiary facilities only | N/A | Service mapping of facilities Provide specific contours on when, how and by whom these should be collected | Include | |
3.12 | Availability of skilled personnel | 0% | N/A | N/A | N/A | Service mapping of facilities | Include | ||
3.13 | Number of antenatal care clients with tetanus vaccination | 55% | Administered by health sector/state | Administered by the health sector/state | Vaccination is typically administered by the state | N/A | Buy-in among immunization teams and immunization reporting systems Resources needed to integrate the health system into data collection systems | Include | |
3.14 | Number of ANC clients receiving preventive therapy for malaria | 27% | Administered by certain NGOs | Administered by certain NGOs | Service not routinely provided Clients are referred to facilities that offer malaria therapy, but data is not usually collected | N/A | N/A | Include | |
3.15 | Number of ANC clients receiving syphilis screening | 36% | Secondary and tertiary facilities | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO Can be collected under cervical cancer screening | Lack of training/equipment to provide service: Not all facilities are equipped with lab equipment and materials for screening practices | Clarification on the term "screening". There is confusion on whether screening includes a test or not | Develop detailed manuals (with specific definitions) for frontline workers and data collectors | Include | |
3.16 | Number of ANC clients receiving urinary tract infection screening or treatment | 45% | Secondary and tertiary facilities | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Lack of training/equipment to provide service: Not all facilities are equipped with lab equipment and materials for screening practices | Clarification on the term "screening". There is confusion on whether screening includes a test or not | Develop detailed manuals (with specific definitions) for frontline workers and data collectors | Include | |
3.17 | Number of clients with identified maternal morbidities during post-natal care (PNC) | 27% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | # of clients identified maternal morbidities, by type of morbidity, during post-natal care | Develop detailed manuals for frontline workers and data collectors on the different types of agreed upon morbidities (outline definitions for accurate reporting) | Include | |||
Newborn health | |||||||||
4.1 | Number of neonatal deaths | 73% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | No birth registries at the facility level: Facilities do not have access to number of babies registered Gaps in policies and systems: Lack of national civil registry policies for refugees | #of neonatal deaths (0–28) at the facility level Couple indicator with an indicator tracking neonatal death within the community Couple indicator with the age of the mother given the high rates of early marriage | Training for community health workers on recording neonatal deaths within the community | Include | ||
4.2 | Number of stillbirths | 55% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | No birth registries at the facility level: Facilities do not have access to number of babies registered Gaps in policies and systems: Lack of national civil registry policies for refugees | Couple indicator with the age of the mother given the high rates of early marriage | Training for community health workers on recording neonatal deaths within the community | Include | ||
4.3 | Number of babies born low birth weight | 73% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | No birth registries at the facility level: Facilities do not have access to number of babies registered Gaps in policies and systems: Lack of national civil registry policies for refugees | # of babies born low birth weight, disaggregated by age of mother Couple indicator with the age of the mother given the high rates of early marriage Couple indicator tracking malnutrition among pregnant women | Training for community health workers on recording neonatal deaths within the community | Include | ||
4.4 | Number of small and sick newborns receiving care | 55% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | N/A | Couple indicator with the age of the mother given the high rates of early marriage | N/A | Include | ||
4.5 | Number of newborns receiving post-natal care | 55% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | N/A | N/A | N/A | Include | ||
4.6 | Availability of KMC | 18% | KMC is a priority program due to premature and low birth weight deaths | N/A | N/A | Service mapping of facilities | Include | ||
4.7 | Availability of neonatal resuscitation | 55% | Secondary and tertiary facilities only | Captured and administered at the secondary and tertiary facilities | Applicable in secondary and tertiary facilities only | N/A | Service mapping of facilities | Include | |
4.8 | Number of neonatal deaths, disaggregated | 45% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Indicator is collected but not disaggregated | N/A | Training for data collectors on the different causes of neonatal death and how to encode for each Develop detailed manuals for frontline workers and data collectors Training and capacity building for community health workers Increased transparency in auditing practices surrounding maternal deaths Enable and implement methods and policies for coordination and systematic collection of neonatal deaths | Include | ||
4.9 | Percentage of perinatal death reviews | 36% | Cause of death is recorded | No formal audit of collected data | N/A | Training for primary care providers on capturing and recording perinatal death and reviews for cause of death Training for community health workers on the system for reporting deaths occurring within the community | Include | ||
4.1 | Number of newborns receiving Hepatitis B vaccine | 18% | N/A | Service not routinely provided: Hepatitis B doses are not part of all immunization schedules in Bangladesh | N/A | Buy-in among immunization teams and integration of immunization data collection systems at the facility and community level | Include | ||
4.11 | Number of newborns initiating breastfeeding early | 27% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | N/A | # of newborns initiating breastfeeding before discharge | N/A | Include | ||
4.12 | Number of infants weighed at birth | 36% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | N/A | N/A | Resources needed to establish equipment to weigh babies in all facilities and appropriate equipment for community health workers | Include | ||
4.13 | Number of babies registered | 0% | N/A | N/A | Gaps in policies and systems No birth registries at the facility level: Facilities do not have access to the number of babies registered | N/A | N/A | Exclude | |
4.14 | Number of newborns receiving treatment for possible severe bacterial infection (PSBI) | 27% | Secondary and tertiary facilities only | Captured and administered at the secondary and tertiary facilities | Applicable in secondary and tertiary facilities only | N/A | N/A | Include | |
4.15 | Number of newborns admitted | 27% | Service not routinely provided: Only certain facilities have a NICU or KMC unit | Couple indicator with number of referrals | N/A | Include | |||
4.16 | Number of newborns with morbidities identified during PNC | 27% | N/A | Resources for primary care providers on the definitions for morbidity type Extensive training and capacity building will need to be implemented | Include | ||||
Child health | |||||||||
5.1 | Number of deaths of children under 5 | 45% | Health facilities, primary, and secondary health services | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Unreliable population metrics since reporting systems cannot track individual service users and deaths outside of the facility | Removal of denominator | Training of CHW and system for reporting deaths occurring within the community Leveraging systems to capture the child health indicators within the community (UNICEF) | Include | |
5.2 | Under 5 mortality rate | 0% | N/A | N/A | Population-level indicator with impractical denominator Unreliable population metrics since reporting systems cannot track individual service users and deaths outside of the facility | N/A | N/A | Exclude | |
5.3 | Percentage of children under 5 with suspected pneumonia taken to appropriate health facility | 36% | Health facilities, primary, and secondary health services | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | N/A | Standardize definition of acute respiratory infection (ARI) Clarification on the term “survey” | Develop detailed manuals for frontline workers and data collectors on indicator definition Leveraging systems to capture the child health indicators within the community (UNICEF) | Include | |
5.4 | Coverage of diarrhea treatment | 55% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | N/A | N/A | Leveraging systems to capture the child health indicators within the community (UNICEF) | Include | ||
5.5 | Percentage of children under 5 who are wasted | 36% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Population-level indicator with impractical denominator | # of children under 5 who are wasted Removal of denominator | Include | |||
5.6 | Percentage of children under 5 who are registered | 0% | N/A | N/A | Gaps in policies and systems No registration of individuals at the facility level: Registration of individuals occurs through the state; facilities do not have access to this information | Removal of denominator | N/A | Exclude | |
5.7 | Number of children presenting with fever tested for malaria in endemic settings | 45% | Administered by health sector/state | The health sector performs active surveillance of malaria cases in the region | N/A | N/A | N/A | Include | |
5.8 | Number of confirmed cases of malaria in endemic settings | 55% | Administered by health sector/state | The health sector performs active surveillance of malaria cases in the region | N/A | N/A | N/A | Include | |
5.9 | Percentage of confirmed malaria cases treated | 36% | Administered by health sector/state | The health sector performs active surveillance of malaria cases in the region | N/A | # of confirmed malaria cases treated Removal of denominator | Enable and implement methods to track specific patients at facility and community level | Include | |
5.1 | Coverage of DPT3 | 36% | Administered by health sector/state | Captured and administered at the state level | Population-level indicator with impractical denominator | Removal of denominator | Buy-in among immunization teams and systems | Include | |
Adolescent health | |||||||||
6.1 | Adolescent birth rate | 64% | N/A | Data can be extracted from DHIS2 and SRHWG reports | Gaps in policies and systems: No current data collection mechanism in place for adolescent health indicator reporting Stakeholders do not collect the exact age of the patient Socio-cultural barriers | # of adolescents giving birth, disaggregated by age (10–13;13–15;15–18) Removal of denominator | Resources needed to integrate adolescent health indicators into routine service delivery as a specific area of its own, including for data collection to ensure reliability and validity of the data Resources needed to invest in the adolescent task force to enable camp wide coordination of data capturing and analysis | Include | |
6.2 | Sexual violence against children | 0% | N/A | N/A | Information not actionable Gaps in policies and systems: No current mechanisms of data collection for adolescent health indicator reporting Socio-cultural barriers | N/A | N/A | Exclude | |
6.3 | Adolescent mortality rate | 36% | N/A | Data can be extracted from DHIS2 and SRHWG reports | Gaps in policies and systems: No current mechanisms of data collection for adolescent health indicator reporting Indicator collected but not all stakeholders disaggregate data | # of adolescent death, disaggregated by age (10–13; 13–15;15–18) Removal of denominator | Resources needed to integrate adolescent health indicators into routine service delivery as a specific area of its own, including for data collection to ensure reliability and validity of the data Resources needed to invest in the adolescent task force to enable camp wide coordination of data capturing and analysis | Include | |
6.4 | Percentage of adolescents living with HIV who are currently receiving antiretroviral therapy, disaggregated | 0% | N/A | N/A | Specific infectious disease reporting requirements and management protocols for individual cases of HIV Population-level indicator with impractical denominator Unreliable population metrics since reporting systems cannot track individual service users Gaps in policies and systems: No current mechanisms of data collection for adolescent health indicator reporting | N/A | N/A | Exclude | |
6.5 | Immunization coverage rate | 36% | Administered by health sector/state | Data can be extracted from DHIS2 and SRHWG reports Not all facilities collect this information, but it is accessible at the health sector/state level | Gaps in policies and systems: No current mechanisms of data collection for adolescent health indicator reporting Vaccination generally administered at the state level | # of adolescents receiving the nationally mandated immunization Removal of denominator | Resources needed to integrate adolescent health indicators into routine service delivery as a specific area of its own, including for data collection to ensure reliability and validity of the data Resources needed to invest in the adolescent task force to enable camp wide coordination of data capturing and analysis | Include | |
6.6 | Suicide rate, disaggregated | 0% | N/A | N/A | Information not actionable Population-level indicator with impractical denominator Unreliable population metrics since reporting systems cannot track individual patients Gaps in policies and systems: No current mechanisms of data collection for adolescent health indicator reporting Socio-cultural barriers | N/A | N/A | Exclude | |
Sexual and gender-based violence | |||||||||
7.1 | Number of rape survivors | 36% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Socio-cultural barriers cause gaps in reporting | # of clients receiving CMR services, disaggregated by sex and age Remove term "rape survivors" | Training on data security and & data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training of CHW of security and data privacy measures in place and communicating these to the Rohingya community | Include | ||
7.2 | Percentage of health facilities with clinical management of rape services | 0% | N/A | Data could be extracted through data from patient files | Lack of training/equipment to provide service: Insufficient community outreach mechanisms for SGBV service availability leads to under-reporting/underutilization of services Socio-cultural barriers | N/A | Service mapping of facilities | Include | |
7.3 | Percentage of rape survivors receiving HIV post-exposure prophylaxis | 0% | Administered by health sector/state | Collected at the state level | HIV surveillance and treatment is overseen by the state | N/A | N/A | Exclude | |
7.4 | Percentage of rape survivors receiving emergency contraception | 36% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Indicator is collected but data is not disaggregated by method | # of clients receiving CMR services disaggregated by method, sex and age Removal of denominator | Training on data security and & data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training for CHW on security and data privacy measures in place and communicating these to the Rohingya community | Include | ||
7.5 | Number of rape survivors requesting abortion | 0% | N/A | N/A | Potential risk for the client Insufficient security and privacy measures set in place Socio-cultural barriers Legal status of abortion in Bangladesh Service not routinely provided | N/A | N/A | Exclude | |
7.6 | Number of rape survivors receiving induced abortion care or referral | 0% | N/A | N/A | Gaps in coordination between service providers and referrals Potential risk for patient and primary care provider Insufficient data security and privacy Socio-cultural barriers Legal status of abortion in Bangladesh | N/A | N/A | Exclude | |
7.7 | Availability of intimate partner violence front line support (LIVES) | 36% | Health facilities | Part of the community outreach agenda | Lack of infrastructure and absence of private spaces is not conducive to confidentiality and safety for women and girls | N/A | Service mapping of facilities Training on data security and data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training for CHW on security and data privacy measures in place and communicating these to the Rohingya community | Include | |
HIV | |||||||||
8.1 | Antiretroviral therapy coverage among people living with HIV, disaggregated | 0% | Administered by health sector/state | Captured and administered at the state level | Specific infectious reporting requirements and management protocols for individual cases: Strict anonymity and coding of HIV cases Sociocultural barriers | N/A | N/A | Exclude | |
8.2 | Percentage of exposed individuals receiving post-exposure prophylaxis | 0% | Administered by health sector/state | Captured and administered at the state level | Specific infectious reporting requirements and management protocols for individual cases: Strict anonymity and coding of IV cases Sociocultural barriers | N/A | N/A | Exclude | |
8.3 | Percentage of donated blood units screened for HIV in quality assured manner | 0% | Administered by health sector/state | Captured and administered at the state level | Specific infectious reporting requirements and management protocols for individual cases: Strict anonymity and coding of HIV cases Sociocultural barriers Applicable in secondary and tertiary facilities only Lack of training/equipment to provide service: Insufficient screening tools | N/A | N/A | Exclude | |
Prevention of mother-to-child transmission | |||||||||
9.1 | Percentage of antenatal care clients receiving syphilis screening and treatment | 36% | Administered by certain NGOs and health facilities | Syphillis screening can also occur during cervical cancer screening | Lack of training/equipment to provide service (at all facilities): Insufficient lab equipment and materials for screening procedures | Clarification on the term "screening". There is confusion on whether screening includes a test or not Removal of denominator | Training on data security and data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training for CHW on security and data privacy measures in place and communicating these to the Rohingya community | Include | |
9.2 | Percentage of antenatal care clients offered testing for HIV | 0% | Administered by health sector/state | N/A | Specific infectious disease reporting requirements and management protocols for individual cases | N/A | N/A | Exclude | |
9.3 | Percentage of HIV-positive pregnant people receiving antiretroviral therapy | 0% | Administered by health sector/state | N/A | Specific infectious disease reporting requirements and management protocols for individual cases | N/A | N/A | Exclude | |
9.4 | Percentage of all deliveries to HIV-positive mothers receiving antiretrovirals | 0% | Administered by health sector/state | N/A | Specific infectious disease reporting requirements and management protocols for individual cases | N/A | N/A | Exclude | |
Sexually transmitted infections (STIs) and reproductive tract infections (RTIs) | |||||||||
10.1 | Percentage of STI/RTI cases managed | 82% | National and humanitarian reporting systems: DHIS2, EWARS, SRHWG, KOBO | Socio-cultural barriers prevent adequate treatment of STI cases | # of patients with STI/RTI accessing services who are diagnosed symptomatically, and counselled according to protocol Clarification between the number of cases and the number of cases “managed” STI and RTI cases need to be formulated as separate indicators Removal of the denominator | Training on data security and data privacy Encryption and coding of sensitive information is needed Enabling policies to ensure confidentiality Training for CHWs on security and data privacy measures in place and communicating these to the Rohingya community | Include | ||