HMN: Assessment and Monitoring Tools

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

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 Context, Resources and Processes

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

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

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

Data Collection in Countries

GHS report Maternal health survey SPA CWIQ Data Collection in Ghana (non-routine only) CWIQ DHS 2 DHS 3 Living Standards Survey 3 Living Standards Survey 4 Living Standards Survey 5 DHS 4DHS 5 MICS 3 Census WHS 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: 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 4.Data synthesis, analysis and use 3.Outputs/results for selected indicators Country Health Information System Profiles

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

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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