TITLE: STATISTICS IN USE

A presentation at the PARIS21 Annual Consortium Meeting: 4 –5 October, 2001

THEME: SUPPORTING POLICY WITH STATISTICS –DEVELOPING A STRATEGIC APPROACH IN UGANDA

By: Prof. F.G. OmaswaDirector General of Health Services Uganda

INTRODUCTION

Health Reforms: New National Health Policy Health Sector Strategic Plan Implementation of HSSP through SWAP

  

                             

OFFICE OFTHE MINISTER

OFFICE OFTHE MINISTER

PERMANENTSECRETARY

PERMANENTSECRETARY

HEALTH SERVICESCOMMISSION

HEALTH SERVICESCOMMISSION

POLICY ANALYSISUNIT

POLICY ANALYSISUNITRESOURCE

CENTRE

RESOURCECENTRE

DIRECTORATE OFCLINICAL AND COMMUNITY

HEALTH SERVICES

DIRECTORATE OFCLINICAL AND COMMUNITY

HEALTH SERVICESDIRECTORATE OF PLANNING

AND DEVELOPMENT

DIRECTORATE OF PLANNINGAND DEVELOPMENT

DEPARTMENTOF NATIONAL

DISEASE CONTROL

DEPARTMENTOF NATIONAL

DISEASE CONTROL

DEPARTMENTOF COMMUNITY

HEALTH

DEPARTMENTOF COMMUNITY

HEALTH

DEPARTMENTOF CLINICAL

SERVICES

DEPARTMENTOF CLINICAL

SERVICES

DEPARTMENTOF

PLANNING

DEPARTMENTOF

PLANNING

DEPARTMENTOF QUALITYASSURANCE

DEPARTMENTOF QUALITYASSURANCE

DEPARTMENTOF FINANCE ANDADMINISTRATION

DEPARTMENTOF FINANCE ANDADMINISTRATION

DIRECTORGENERAL

DIRECTORGENERAL

--- National Drug Authority

--- National Medical Stores

--- Uganda Blood Transfusion Unit

--- Uganda Health Research Organization

--- Uganda AIDS Commission

--- Referral Hospitals

Uganda Virus Research Institute---

Murchison Bay Hospital ---

The National Chemotherapeutic Council ---

Medical & Dental Practitioners Council ---

Nurses & Midwives Council ---

Pharmacists Council ---

Allied Health Professionals Council ---

COMMISSIONER NURSING

COMMISSIONER NURSING

 

PRIORITIES

Uganda National Minimum Health care Package- Burden of Disease Study (1995)

Organization and Management of National Health system- Health Reforms (Restructuring of MOH and Decentralization)

Health Service Infrastructure- Health Sub-Districts

LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE Control of Communicable Diseases Integrated Management of Childhood illness Sexual and Reproductive Health and Rights Immunisation Environmental Health Health Education and Promotion School Health

LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE Cont. Epidemic & Disaster Prevention,

preparedness and Response Improving Nutrition Interventions against disease targeted

for elimination or eradication Strengthening Mental Health Services Essential Clinical Care

HEALTH CARE DELIVERY

DISTRICT STRUCTURE FOR HEALTH CARE DELIVERY

MONITORING OF THE HSSP Consensus on HSSP Indicators (20) Review of HMIS to meet the information needs of

the HSSP Developed Indicator Manual -for 1/4 assessment Health Policy Advisory Committee Collection, Analysis, Interpretation & Use at all

levels Census Annual Records Review

MONITORING OF THE HSSP Cont.

Joint Missions & Mid –Term Review Quality Assurance Support Supervision Visits District Monthly reports Weekly Reporting of Disease of Epidemic

Nature by Districts MoH Quarterly Review meetings Senior Staff meetings Top Management meetings

Community Based Health Care Information System

Revitalisation of Uganda Community Based Health Care Association (UCBHCA)

Community capacity Building – Village Health & Parish Development Committees

Emphasis has been put on Community empowerment to enable them actively use data to contribute to policy and planning

EXAMPLES OF SOME OF THE ANALYSES FOR THE HEALTH POLICY INDICATORS

Including The PEAP Indicators : OPD Utilisation rates, DPT3 Coverage, and Level of staffing norms

TRENDS IN COMPLETENESS OF HEALTH UNITS REPORTING

0.0

20.0

40.0

60.0

80.0

100.0

1997 1998 1999 2000

Year

% c

ompl

eten

ess

HSSP TARGET

OPD ATTENDANCE 1997-2000

0

2000000

4000000

6000000

8000000

10000000

1997 1998 1999 2000

Year

OPD

Atte

ndan

ces

Government and NGO OPD Utilisation per person

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1

1997 rate 1998 rate 1999 rate 2000 rate

YEAR

GO

VER

NM

ENT

AND

NG

O O

PD U

TILI

SATI

ON

PER

PER

SON

HSSP Target = 0.6

HSSP Target

DPT3 COVERAGE 1997-2000

0

10

20

30

40

50

60

70

80

90

100

1997 1998 1999 2000

YEAR

IMM

UN

ISAT

ION

CO

VER

AGE

HSSP TARGET

DAILY TREND OF EBOLA NEW CASES IN UGANDA AS OF 15TH JANUARY 2001

0

2

4

6

8

10

12

14

16

18

HIV infection rates among ANC attendees, Mbarara hospital

0

5

1 0

1 5

2 0

2 5

3 0

3 5

Rate

s (%

)

1 98 9 1 99 0 1 9 91 19 9 2 1 99 3 1 9 94 1 9 95 19 9 6 19 9 7 19 9 8 1 9 99 20 0 0

ye a r s

HIV infection rates among ANC attendees at selected sites

0

5

10

15

20

25

30

35

1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

years

rate

s (%

)

Nsambya Rubaga Mbarara Jinja Tororo Mbale

CHOLERA TREND IN UGANDA 1997-2000

05000

100001500020000

1997 1998 1999 2000

YEAR

CAS

ES

Under 55 and aboveAll ages

ANAEMIA TREND IN UGANDA 1997- 2000

050000

100000150000200000250000

1997 1998 1999 2000

YEAR

CAS

ES

Under 55 and aboveAll ages

MEASLES TREND IN UGANDA 1997- 2000

010000200003000040000500006000070000

1997 1998 1999 2000

YEAR

CAS

ES Under 5

5 andaboveAll ages

Could this be due to mass immunisationcampaign??

CONCLUSION

There is now increased use of data in:–Policy formulation–Planning–Monitoring and Evaluation of the

Health sector