WHO The World Health Survey General Introduction 04/06/2018 WHO The World Health Survey General Introduction Classification, Assessment and Surveys

World Health Survey - WHS Basic Messages 04/06/2018 World Health Survey - WHS Basic Messages WHO’s World Health Survey WHS programme announced by DG Complements the data for Health Information Systems Responds to the need for cross-culturally comparable data Surveys are useful, practical and affordable WHS instruments Modular structure for health, responsiveness, financing ... Health module based on selected domains of ICF Based on review of various existing assessment instruments Developed through: Cognitive interviews & cultural applicability tests Reliability - stability of application Cross-population comparability - HOPIT WHO in collaboration with Member States is committed: Capacity building & sharing experience Integration of WHS surveys into routine Health Information Systems

The World Health Survey Objectives 04/06/2018 The World Health Survey Objectives develop a means of providing: valid, relevant, reliable and comparable information at low cost on outcomes, functions and inputs to health systems to supplement the information provided by routine HIS build the evidence base necessary for policy-makers: to routinely monitor if health systems are achieving the desired goals and in some countries, to assess if the increase in health resources is having the desired effect .Develop valid, reliable and comparable instruments to describe individual health states and responsiveness on a core set of domains and to field these in household surveys. .Test the validity of multiple modes of survey implementation including long-form household, short-form household, self- administered and computer-assisted telephone interview. Develop WHO and Member States capacity to field surveys with quality control, appropriate sampling, and data management strategies as well as to build capacity to analyse data from complex surveys.

WHO World Health Surveys Modules 04/06/2018 WHO World Health Surveys Modules Household Questionnaire Roster Long-term care and institutionalization Household Health coverage (malaria) Insurance Indicator of permanent income (assets) Health Expenditure Health Occupations Individual Questionnaire Socio Demographics Health State Description Health State Valuation Risk Factors Mortality Coverage Health System Responsiveness Health System Goals and Social Capital Interviewer Observations

The World Health Survey Instruments 04/06/2018 The World Health Survey Instruments Developed after a rigorous scientific review of existing standard instruments International consultations with experts Review by key informants Pilot tested in 63 countries in multiple languages (43 languages) using cognitive interviews and cultural applicability tests stringent psychometric tests for reliability Novel, culturally sensitive ways of ensuring comparability across populations within and across countries

WHO Multi-Country Survey Study 2000-2001 04/06/2018 WHO Multi-Country Survey Study 2000-2001 71 SURVEYS in 61 countries 185,369 respondents Household: 14 Brief Face to Face: 27 CATI: 2 Postal surveys: 28 Overlaps: HH/Postal: 5 - BFTF/Postal : 4 -CATI/Postal: 1 The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2002. All rights reserved The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2002. All rights reserved

WHO - World Health Surveys WHS 2002 04/06/2018 WHO - World Health Surveys WHS 2002 . The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2002. All rights reserved 71 SURVEYS in 71 countries Household - long : 54 Household - short: 13 CATI : 4 The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. © WHO 2002. All rights reserved

WHO World Health Surveys Countries Participating 2002

Principles of WHS Sampling Multistage Stratified Random Cluster Sample each stage selection with a known probability Full frame coverage Sample size 5000 ( ~ 100 PSU, 50 subjects) Stratification up to 50 strata Sampling without replacement 18+ De Facto Nationally representative Full Roster of households

WHO Survey Programme Basic Principles 04/06/2018 WHO Survey Programme Basic Principles Collaboration with countries Joint work and sharing of data, resources, costs Shared responsibility and execution Efficiency Speed Enhanced scientific techniques Avoid redundancy Scale of economies Coordination Concerted effort and planning Regulated output for priority, quality, timing Impact WHO imprimatur Critical mass Science - policy - funding

Future Work Strengthen of Health Information Systems 04/06/2018 Future Work Strengthen of Health Information Systems Supplement vital registration systems Combining census, surveys and service data Incorporating private sector and public sector data Initiation of WHO World Health Surveys Coverage of all possible Member States Extension of age groups to include children and youth Subnational analysis Geo-coding Comparative techniques for subnational units Collection of additional data

Further Information Visit http://www.who.int/whs