1. Evidence and Information for Policy Christopher J.L. Murray Executive Director Evidence and Information for Policy World Health Organization National Capacity to Monitor the Health- Related MDGs

2. Evidence and Information for Policy National Information Needs Strategic decision-making Informing programme managers to improve implementation Dynamic monitoring critical outcomes -- key to accountability Building the evidence base on determinants and interventions for health

3. Evidence and Information for Policy Minimal National Data Systems Health Service Providers -- intervention delivery, case notifications, ANC surveillance Household Surveys Vital Registation Inputs -- National Health Accounts, human resources

4. Evidence and Information for Policy Balancing Emphasis For programme implementation, there is a premium on information that is local and timely e.g. service delivery registries For monitoring and evidence building and strategic decision-making, there is a premium on validity Major issue for health-related information systems is balancing these needs

5. Evidence and Information for Policy Health Service Providers Both case notifications and intervention delivery registries, in low and middle- income countries highly biased towards public providers complicated by reporting incentives.

6. Evidence and Information for Policy Comparisons of Coverage Estimates from DHS versus Routine Sources

7. Evidence and Information for Policy Household Surveys For nutritional status, immunization coverage, child mortality, bednets use, HIV seroprevalence, ARV use, safe water, sanitation, indoor air pollution household surveys are low-cost, valid and reliable strategy. National capacity to field household surveys limited. Efforts by DHS, MICS, LSMS and WHS to increase capacity.

8. Evidence and Information for Policy The World Health Survey WHS 2002 73 SURVEYS in 73 countries Household - long : 56 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

9. Evidence and Information for Policy National Capacity to Analyze Data In many countries that have undertaken household surveys, national capacity in the health sector to analyze the data is limited. WHO training workshops, national report writing projects, training materials.

10. Evidence and Information for Policy Vital Registration For child and maternal mortality, malaria and tuberculosis death rates, and for a host of other health indicators, vital registration with cause of death reporting according to the ICD is a highly effective data collection tool. In low-income countries, VR coverage largely limited to selected urban areas.

11. Evidence and Information for Policy AVAILABILITY OF NEW OR RECENT VITAL REGISTRATION DATA (complete or partial) WHR2000 & WHR2001

12. Evidence and Information for Policy Strengthening VR Some progress in expanding VR coverage e.g. South Africa Development and dissemination of tools to use incomplete VR data e.g. Zimbabwe Use of sample schemes or population laboratories

13. Evidence and Information for Policy WHO Monitoring Each year in the World Health Report WHO reports on infant and child mortality, adult mortality, life expectancy, healthy life expectancy, and national health accounts For 2003, an expanded set of core indicators will be reported.

14. Evidence and Information for Policy Reporting Criteria Agreed by Member States Each figure to be included must: –established validity of the measurement method –reliability quantified through an assessment of uncertainty –established inter-individual and cross- population comparability –period of consultation not concurrence with Member States –data audit trail