GAVI Support and the Health Information System

Abdallah Bchir

GAVI Secretariat

Glion-sur-Montreux, 28/09/2006

The HIS and current support

GAVI is using the health system information Data: births, mortality, morbidity Purposes: identify needed support, assess

eligibility, monitor progress, measure impact

Issues: Data availability Data quality

The HIS and current support

GAVI is contributing to asses the health information system Tools: DQA Issues:

Not coordinated with other programs Results not shared with other Global

Partnerships Lessons learnt: a study still to be conducted

The HIS and GAVI support

GAVI is contributing to strengthening national health information system By investing in strengthening national health

systems information (Health System Strengthening)

By requesting a cMYP based on a systematic diagnosis of health system barriers

By linking ISS support with a successful DQA By requesting a plan of action to improve EPI

surveillance and monitoring system

Health Systems Strengthening (HSS)

Basis Principles: Immunization coverage is often

constrained by health systems barriers that are not specific to immunization

All applications need to justify how HSS will improve and/or sustain immunization coverage

M/E in HSS support ?

Countries will report on HSS annually in the Annual Progress Report

Years 1 - 3: process indicators (to be defined by each country)

From year 4: outcome indicators indicators (DTP3, under5 mortality)

How should we monitor the HSS ?

Effect on health systems at country level

Effect at global level

Impact

Effect on health system at the country level

Some areas: Coordination/ harmonization Long term sustainability Ownership

One set of indicators for all countries ? Core indicators plus additional related to

the type of support?

M/E the impact

Some areas: DTP3 coverage Burden of diseases Contribution to MDG4

How to assess what could be attributed to HSS?

Studies to be conducted : when ?

GAVI and the HMN

The HMN could provide support Defining health system performance

indicators coordinating global efforts to support HIS Sharing tools disseminating results

Thank you