TITLE STATISTICS IN USE A presentation at the

TITLE: STATISTICS IN USE A presentation at the PARIS 21 Annual Consortium Meeting: 4 – 5 October, 2001 THEME: SUPPORTING POLICY WITH STATISTICS – DEVELOPING A STRATEGIC APPROACH IN UGANDA By: Prof. F. G. Omaswa Director General of Health Services Uganda

INTRODUCTION Health Reforms: New National Health Policy n Health Sector Strategic Plan n Implementation of HSSP through SWAP n

PRIORITIES n Uganda National Minimum Health care Package - Burden of Disease Study (1995) n Organization and Management of National Health system - Health Reforms (Restructuring of MOH and Decentralization) n Health Service Infrastructure - Health Sub-Districts

LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE n n n n Control of Communicable Diseases Integrated Management of Childhood illness Sexual and Reproductive Health and Rights Immunisation Environmental Health Education and Promotion School Health

LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE Cont. n n n Epidemic & Disaster Prevention, preparedness and Response Improving Nutrition Interventions against disease targeted for elimination or eradication Strengthening Mental Health Services Essential Clinical Care

HEALTH CARE DELIVERY DISTRICT STRUCTURE FOR HEALTH CARE DELIVERY

MONITORING OF THE HSSP n n n n Consensus on HSSP Indicators (20) Review of HMIS to meet the information needs of the HSSP Developed Indicator Manual -for 1/4 assessment Health Policy Advisory Committee Collection, Analysis, Interpretation & Use at all levels Census Annual Records Review

MONITORING OF THE HSSP Cont. n n n n Joint Missions & Mid –Term Review Quality Assurance Support Supervision Visits District Monthly reports Weekly Reporting of Disease of Epidemic Nature by Districts Mo. H Quarterly Review meetings Senior Staff meetings Top Management meetings

Community Based Health Care Information System n n n Revitalisation of Uganda Community Based Health Care Association (UCBHCA) Community capacity Building – Village Health & Parish Development Committees Emphasis has been put on Community empowerment to enable them actively use data to contribute to policy and planning

EXAMPLES OF SOME OF THE ANALYSES FOR THE HEALTH POLICY INDICATORS §Including The PEAP Indicators : OPD Utilisation rates, DPT 3 Coverage, and Level of staffing norms

TRENDS IN COMPLETENESS OF HEALTH UNITS REPORTING HSSP TARGET

OPD ATTENDANCE 1997 -2000

Government and NGO OPD Utilisation person HSSP Target

DPT 3 COVERAGE 1997 -2000 HSSP TARGET

HIV infection rates among ANC attendees, Mbarara hospital

HIV infection rates among ANC attendees at selected sites

Could this be due to mass immunisation campaign? ?

CONCLUSION n There is now increased use of data in: – Policy formulation – Planning – Monitoring and Evaluation of the Health sector