HMN Assessment and Monitoring Tools HMN Assessment and

HMN: Assessment and Monitoring Tools

HMN Assessment and Monitoring Tools: An Iterative Process 1. Context, processes & resources 2. Data platforms Country Health Information System 4. Data synthesis, analysis and use 3. Outputs/results for selected indicators

Context, Resources and Processes • Legal and regulatory issues: HIS plan and indicators – Consensus national HIS plan: Coordinating mechanism with multiple stakeholder involvement (health, statistics, other sectors) Defined core indicators for local, national, global level reporting – Defined standards for reporting – Alignment with MDGs, key programmes • Resources: Human & Financial • Data management and costs – Clear data flows across levels and between programmes – Information on costs of data collection approaches – Central data depository easily accessible

Rating Context, Resources and Processes: Thailand 2005 % rating • Legal framework and context • Human resources availability and skills • Infrastructure, equipment, information technology • Data flow and management, feedback

Rating Context, Resources and Processes; Thailand & Ghana 2005 % rating • Legal framework and context • Human resources availability and skills • Infrastructure, equipment, information technology • Data flow and management, feedback

From Data Demand to Data Collection Data collection platforms Data demand Disease surveillance Determinants Risk factors Health financial statistics Health system Health service statistics Health services coverage Household survey Health status Morbidity Mortality Vital registration Census

Data Collection in Countries

Data Collection in Ghana 1991 -2008 (non-routine only) GHS report Maternal health survey SPA Living Standards Survey 4 Living Standards Survey 3 WHS CWIQ DHS 2 DHS 4 DHS 3 MICS 3 Living Standards Survey 5 DHS 5 Census DHS = Demographic and Health Survey; MICS = Multiple Indicator Cluster Survey; CWIQ = Core Welfare Indicators Survey; LSS = Living Standards Survey ; WHS= World Health Survey; SPA = Service Provision Assessment

Criteria for Assessment of Data Collection Platforms • Contents – Appropriate data collection method used – Cost efficiency and effectiveness issues considered • Capacity – Country capacity to collect the data and manage and analyse the results • Practices – Standards applied for data collection – Documentation available and accessible, high quality • Dissemination – Analysis of results of available and disseminated – Micro data available for public access – Meta data available • Integration – Results from different data collection methods compared – Appropriate data collection methods used for demographic, health and socioeconomic data collection (poverty monitoring) and to provide denominators for estimating of need and coverage

Rating Data Collection Platforms: Thailand, 2005

Rating Data Collection Platforms: Thailand & Ghana, 2005

Criteria for Assessment of HIS Outputs/Indicators – – – – Data collection method Timeliness Periodicity Consistency Representativeness Disaggregration Estimation method

Rating HIS Outputs/Indicators: Selected Countries, 2005

Rating HIS Outputs/Indicators: Selected Countries, 2005

Rating HIS Outputs/Indicators: Selected Countries, 2005

Rating HIS Outputs/Indicators: Mortality, Selected Countries, 2005

Rating HIS Outputs/Indicators: Mortality & Other Health Statistics, Selected Countries, 2005

Rating HIS Outputs/Indicators: MDG Indicators, Selected Countries, 2005

HMN Operational Framework: An Iterative Process of HIS Assessment, Development, Monitoring 1. Context, processes & resources 2. Data platforms Country Health Information System Profiles 4. Data synthesis, analysis and use 3. Outputs/results for selected indicators

HMN Operational Framework: An Iterative Process of HIS Assessment, Development, Monitoring 1. Context, processes & resources 2. Data platforms Country Health Information System Development Plans 4. Data synthesis, analysis and use 3. Outputs/results for selected indicators

Using the HMN Operational Framework in Countries • Country driven and led • Stakeholders involved, health and statistics, programmes and donors • HMN provides technical support and covers convening costs • Country profiles indicates gaps and weaknesses in health information system • Provides basis for development of costed national HIS development plan

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