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AMERICAN SAMOA GOVERNMENT DEPT OF HEALTH

1. Project Identifier Information
   
   
   1. Project Title: AMERICAN SAMOA GOVERNMENT DEPT OF HEALTH
   2. Project Number: H18MC00059
   3. Email address: JTUFA@ROCKETMAIL.COM
   
   
2. Budget
   
   

   1. MCHB Grant Award Amount: (Line 1, Form 1)	$100,000
   2. Unobligated Balance: (Line 2, Form 1)	$30,000
   3. Matching Funds: (if applicable) (Line 3, Form 1)	$0
   4. Other Project Funds: (Line 4, Form 1)	$0
   5. Total Project Funds: (Line 5, Form 1)	$130,000
   The MCHB Grant Award Amount may differ from the total budget amount displayed on the Snapshots page due to grant actions that occurred after this report was submitted. These grant actions would include supplemental funding such as carryovers and extensions.

   
   
3. Type(s) of Service Provided
   
   
   • Infrastructure Building Service
   
   
4. Project Description on Experience to Date
   
   
   1. Project Description
      
      
      1. Problem:
         
         The problem in American Samoa is the lack of a uniform, automated data collection system for the collection and synthesis of MCH-related data.
         
         
      2. Goals and Objectives: List up to 5 major goals and time-framed objectives per goal for the project.
         
         

         Goal 1:	• Implementation of the US Standard Birth Certificate
         Objective 1:	By March 30, 2004, Prenatal, Labor and Delivery and Newborn Nursery forms will be reviewed and adapted to include data required for the birth certificate.
         Objective 2:	By September 30, 2004, the new Prenatal, Labor and Delivery, and Newborn Nursery Forms will be implemented.
         Objective 3:	By September 30, 2004, the new Prenatal, Labor and Delivery, and Newborn Nursery Forms will be implemented.
         Goal 2:	By September 2006, the American Samoa Department of Health will assess all data collection tools currently available for capturing Title V data.
         Objective 1:	By March 30, 2004, all areas which collect MCH data will be reviewed and assessed for their effectiveness at collecting data required by Title V. Data collection tools will then be modified to include the appropriate data in order to satisfy Title V requirements.
         Objective 2:	By May, 2004, all appropriate personnel will be trained on the changes to the data collection tools.
         Objective 3:	By October 30, 2004, data from the new data collection forms will be manually compiled and used to produce data tables.
         Goal 3:	• To develop plans and implement the 5-year MCH Needs Assessment
         Objective 1:	By September 30, 2003, Title V program staff will describe the process used by American Samoa to conduct the Title V comprehensive needs assessment for each of the population groups.
         Objective 2:	By October 30, 2004, Title V will examine and describe all methods used to build and enhance partnerships between HRSA Programs and other programs in American Samoa which effect pregnant women, mothers and infants, children and children with special health care needs.
         Objective 3:	By January 30, 2004, the Title V Program will have utilized a combination of quantitative and qualitative methods to describe the health status of each MCH population group.

      3. Activities/Methodology undertaken to meet project goals:
         
         The SSDI Project continues to make steady progress towards improving the quality of data available for Title V. Progress continues to be made by collecting cleaner, more stable and consistent data by focusing data-collection process activities at the village dispensary level. Computers have been made available at the dispensary level and in the hospital maternity and nursery wards so that staff is able to input data consistently, more completely and in a timely manner. In the past year, however, problems have been identified in the are of data input. This prolblem is further exacerbated by the fact that many of the employees filling out forms and inputting data are not employees of the Health Department. In the future, addressing problems of QA in the are of data integrity will require the cooperation of the administration of the hospital. The US Standard birth certificate will be adopted. Final data collection forms will be adopted and the data collection system will be automated. Discussions have taken place with the Vetran's Administration towards the installation of their data collection system.
         
         
      4. The first three Healthy People 2010 objectives which this project addresses are listed below.
         
         
         
         
      5. Coordination: List the State, local health agencies or other organizations involved project and their roles.
         
         LBJ Tropical Medical Center - data is collected at the maternity ward and nursery ward by LBJ staff. Tafuna Family Health Center - data is collected at the health center by health center staff.
         
         
      6. Evaluation : briefly describe the methods which will be used to determine whether process and outcome objectives are met.
         
         Process- the process evaluation will include measuring the accomplishment of goals and objectives according to the timeline in the project narrative. Outcome - the outcome evaluation will be measured by the availability of reliable, clean data regarding the MCH population for appropriate planning of activities.
         
         
   2. Continuing Grants ONLY
      
      
      1. Experience to Date :
         
         Data collection forms have been assessed and have been determined to be adequate. Problems have been identified in uniformly filling out the forms. This QA issue can be easily addressed in the dispensaries where the staff members are employees of the Department of Health. However, in the maternity and nursery wards of LBJ Tropical Medical Center, this problem is more difficult to address as the employees are not Public Health staff members. As a result, this situation will continue to be monitored and will be addressed at the Administrative level. In 2005, changes were made within Public Health at the Administrative level. The newly-installed Director of Public Health Nursing is eager to address this situation at the inter-departmental level as well as within Title V. In the future, retraining is scheduled as well as more QA checks and in-service workshops. Discussions continue to focus on the identification of training needs. LBJ Tropical Medical Center is in the process of negotiating with the VA for installing their software programs. Preliminary discussions have taken place which involve Public Health installing the same system. There are numerous benefits to this as Title V to have more compatibility and more access to LBJ data.
         
         
      2. Website URL and annual number of hits:
         
         URL:
         
         Number of hits:
         
         
5. Key Words
   
   
   • Data Systems
   • State data
   • State MCH programs
     
     
6. Annotation:
   
   The purpose of the SSDI Project in American Samoa is to implement a reliable, computerized data collection system. The needs and problems are staff buy-in to all of the data collection forms as well as staff training and retraining with the data collection forms. The methodology is to conduct consistent QA with staff on data entry, adopt a standard birth certificate and adopt the apporpriate software for the automated phase of this project.
   
   

Are the Data Reported on this Form Provisional or Final?

Provisional

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