Consensus Technical Framework

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Consensus Technical Framework

• Health Metrics Network

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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
Global Task Forces Country Action Glob
al Advances
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
Country HIS Reform(country plan, coordination,
new/improved data collection, analysis
synthesis, dissemination data use)
Improved global access and use of information
(MDG progress monitoring, global initiatives
etc.)
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Country HIS reform
Consensus Technical Framework - Health Metrics
Network
RHINO CGD/Global init. WG StatCap IHSN
WG CGD
National Health Accounts
District Data
Evalua-tion HIS
Household Surveys
Vital Registration
Proximate Indicators
Assessment Plan Coordination Improved data
collection Analysis Synthesis
Dissemination Data Use
Improved global access and use of information
(MDG progress monitoring, global initiatives
etc.)
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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
Countries involved in Task Force and in
implementation In year 1 and year 2
Countries involved in Task Force and in
implementation in year 1 and year 2
Full HIS reform assistance 5-7 countries per year
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Country HIS reform templateKey strategy

• Assessment of HIS using standardized tool with
  indicators for monitoring and accreditation
• Strengthen country mechanism for coordination and
  collaboration
• Health and statistics constituencies
• Donors and national institutions
• Development of 10 year HIS plan with indicators
  and data collection strategies
• Investment in new and improved data collection
  platforms / tools
• Analysis and synthesis of national health data,
  including burden of disease, risk factors,
  interventions, resource allocation and health
  system
• Dissemination and use for policy making and
  planning and ME, including MDG reporting

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Assessment of Country Health Information
System Framework for a standardized tool

• Resources
• Financial
• Human
• Infrastructure

Process outputs Coordinating mechanisms Plan
and indicators Data platforms
Results Data availability quality by major
health areas MDG reporting Utilization of data
for health action
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Task ForcesA two-pronged agenda

• Work with countries to promote implementation
• Use lessons learned by ensuring country
  participation in Task Force (real time OR)

• Advocacy and resource generation
• Harmonization
• Norms and standard setting
• Spur new developments, including tools and methods

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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
STRATEGY- Build upon demand from countries,
invest in those with ongoing decentralization
(e.g. Iran, Sri Lanka, Indonesia, Uganda)- Use
existing success stories and experiences (TEHIP,
subnational health assessment, SAM)- Link with
World Bank and other decentralization policies in
countryEXPECTED OUTCOME- Leads to better data
on equity within country (focus HMN support)-
Support district specific managerial processes
(secondary)
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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
STRATEGY- Link to major international
initiatives, especially Global Fund, and to
Global Center for Development working group (see
TERG paper)- Support the inclusion of a solid
evaluation component in country HIS- Work with
GFATM high investment countries to conduct
evaluation EXPECTED OUTCOME- Evaluation
conducted as integral part of HIS reform and
strengthening- Sound evaluation of GFATM and
other initiatives in at least 4-5 countries
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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
STRATEGY- Explore different to come up with
proximate indicators for MDGs- Assess how these
can best be used by countries (e.g. health system
metrics) EXPECTED OUTCOME- Small set of
proximate indicators for MDGs that can be
monitored more frequently and predict progress in
coverage and health outcomes- Clear diagnostic
and monitoring tool for the strength of health
systems in the context of the scale-up
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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
STRATEGY- Build upon existing initiatives, e.g.
SRS India, SAVVYand focus country assistance on
those countries- Build international momentum
for 'count the dead' - Ensure strong links with
STATCAPEXPECTED OUTCOME- International
consensus on importance of 'count the dead' and
on the way to develop SRS / VR in the context of
HIS- Strengthening of SRS / VR in selected
countries
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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
District Data
Evaluation HIS
Proximate Indicators
STRATEGY- Build upon International Household
Survey Network collaboration, databases,
country data dissemination toolkit - Develop
broad based global household surveys health
platformEXPECTED OUTCOME- Unprecedented sharing
of survey data- Well coordinated and strategic
planning and coordination at global and regional
levels to meet country needs- comprehensive
health surveys implemented as part of HIS in
selected countries
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Country HIS reform template
Consensus Technical Framework - Health Metrics
Network
National Health Accounts
Household Surveys
Vital Registration
Proximate Indicators
District Data
Evaluation HIS
STRATEGY- Build upon International Working
Group- Incorporate NHA as essential part of
national and subnational HISEXPECTED OUTCOME-
Rapid scale up NHA and incorporation of NHA in
national HIS in substantial number of countries