HMN: Assessment and Monitoring Tools

HMN Assessment and Monitoring Tools: An Iterative ProcessHMN 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

CountryHealth

InformationSystem

• 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 ProcessesContext, Resources and Processes

Rating Context, Resources and Processes: Thailand 2005Rating 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

0 20 40 60 80 100

Rating Context, Resources and Processes; Thailand & Ghana 2005Rating 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

0 20 40 60 80 100

Thailand Ghana

From Data Demand to Data Collection From Data Demand to Data Collection

Census

Health status

Vital registration

Household survey

Health servicestatistics

Health financial statistics

Diseasesurveillance

Data collectionplatforms

Mortality

Morbidity

Health servicescoverage

Health system

DeterminantsRisk factors

Data demand

Data Collection in Countries Data Collection in Countries

GHS report

Maternal health surveySPA

CWIQ

Data Collection in Ghana 1991-2008 (non-routine only)Data Collection in Ghana 1991-2008 (non-routine only)

CWIQ

DHS 2 DHS 3

Living Standards Survey 3

Living Standards Survey 4

Living Standards Survey 5

DHS 4 DHS 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 PlatformsCriteria 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

0 20 40 60 80 100

Census

Vital registration

HH Surveys

Surveillance (acute)

Surveillance(chronic)

Service statistics

Health system info

Rating Data Collection Platforms: Thailand, 2005 Rating Data Collection Platforms: Thailand, 2005

0 20 40 60 80 100

Census

Vital registration

HH Surveys

Surveillance (acute)

Surveillance(chronic)

Service statistics

Health system info

Thailand Ghana

Rating Data Collection Platforms: Thailand & Ghana, 2005 Rating Data Collection Platforms: Thailand & Ghana, 2005

Criteria for Assessment of HIS Outputs/IndicatorsCriteria for Assessment of HIS Outputs/Indicators

– Data collection method– Timeliness– Periodicity– Consistency– Representativeness– Disaggregration– Estimation method

0% 20% 40% 60% 80% 100%

Canada

Thailand

Mexico

Uzbekistan

South Africa

Vietnam

Haiti

Ghana

Eritrea

Uganda

Myanmar

Senegal

Yemen

Central African Republic

Niger

Rating HIS Outputs/Indicators: Selected Countries, 2005Rating HIS Outputs/Indicators: Selected Countries, 2005

0% 20% 40% 60% 80% 100%

Canada

Thailand

Mexico

Uzbekistan

South Africa

Vietnam

Haiti

Ghana

Eritrea

Uganda

Myanmar

Senegal

Yemen

Central African Republic

Niger

Rating HIS Outputs/Indicators: Selected Countries, 2005Rating HIS Outputs/Indicators: Selected Countries, 2005

0% 20% 40% 60% 80% 100%

Canada

Thailand

Mexico

Uzbekistan

South Africa

Vietnam

Haiti

Ghana

Eritrea

Uganda

Myanmar

Senegal

Yemen

Central African Republic

Niger

Rating HIS Outputs/Indicators: Selected Countries, 2005Rating HIS Outputs/Indicators: Selected Countries, 2005

0% 20% 40% 60% 80% 100%

Canada

Thailand

Mexico

Uzbekistan

South Africa

Vietnam

Haiti

Ghana

Eritrea

Uganda

Myanmar

Senegal

Yemen

Central African Republic

Niger

Rating HIS Outputs/Indicators: Mortality, Selected Countries, 2005Rating HIS Outputs/Indicators: Mortality, Selected Countries, 2005

0% 20% 40% 60% 80% 100%

Canada

Thailand

Mexico

Uzbekistan

South Africa

Vietnam

Haiti

Ghana

Eritrea

Uganda

Myanmar

Senegal

Yemen

Central African Republic

Niger Mortality

Other Health Statistics

Rating HIS Outputs/Indicators: Mortality & Other Health Statistics, Selected Countries, 2005

Rating HIS Outputs/Indicators: Mortality & Other Health Statistics, Selected Countries, 2005

0% 20% 40% 60% 80% 100%

Canada

Thailand

Mexico

Uzbekistan

South Africa

Vietnam

Haiti

Ghana

Eritrea

Uganda

Myanmar

Senegal

Yemen

Central African Republic

Niger

Rating HIS Outputs/Indicators: MDG Indicators, Selected Countries, 2005

Rating HIS Outputs/Indicators: MDG Indicators, Selected Countries, 2005

HMN Operational Framework: An Iterative Process of HIS Assessment, Development, Monitoring

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

CountryHealth

InformationSystemProfiles

HMN Operational Framework: An Iterative Process of HIS Assessment, Development, Monitoring

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

CountryHealth

InformationSystem

Development Plans

Using the HMN Operational Framework in CountriesUsing 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

Thank you for your attentionThank you for your attention

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