AH Sit in SEAR

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Child health programmesWhat do we need to
measure?
CAH-SEARO
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Uses of Data

• Determine public health priorities
• Data informed planning
• Effective implementation
• Scale
• Quality
• Equity
• Monitoring progress of implementation
• Evaluation

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Programmatic pathway for improving child health
IMPLEMENTATION OF ACTIVITIES Advocacy for Child
health Human, material and financial resource
mobilization Human resource capacity
development Communication with adolescents,
families communities Health system supports
strengthened Progress tracked
IMPROVED Availability and access to health
care Quality of care Demand for care Knowledge
of adolescents, families and communities
INCREASED POPULATION-BASED COVERAGE of key
effective interventions
IMPROVED SURVIVAL AND HEALTH
Social determinants
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Framework for measurement
Determinants of Health Socioeconomic and
demographic factors Environmental and behavioural
risk factors
Health status ("impact") Mortality Morbidity
- disability Growth Development Well-being
Health system Inputs
Outputs Outcomes
(programme efforts) (coverage/
behaviours) Policies
Information to families Proportion of
target Human resources Availability of
services population who Financing
Access to services received
interventions Logistics/supplies Quality of
services
Source Health Metrics Network
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Health Status Indicators(Source Vital
Registration, DHS surveys)

• Mortality
• U5MR
• IMR
• NMR
• Cause specific mortality
• Nutrition status
• LBW
• Wasting
• Stunting

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Mortality in SEAR

• Infant Mortality Rates
• (IGME 2011)

• Under-five Mortality Rates (IGME 2011)

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Neonatal Mortality Rate (UN IGME 2011)
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Disparities
Source Bangladesh DHS 2007 Bhutan National
Nutrition and Young Child Feeding Survey 2009
DPRK National Nutrition Survey 2004 India
NFHS-2005-06 Indonesia DHS 2007 Maldives DHS
2009 Myanmar FRHS 2007 Nepal DHS 2006 Sri
Lanka DHS 2006-07 Thailand MICS 2005-06 Timor
Leste DHS 2003 (for ARI data) and 2009-10
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Major causes of death in children under-five
neonates in the South-east Asia Region 2008
(revised )
Deaths among children under-five
Neonatal deaths
Source WHO. The World Health Statistics 2011
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Child Nutrition

• Underweight children

• Stunting in children

Source Bangladesh DHS 2007 Bhutan National
Nutrition and Young Child Feeding Survey 2009
DPRK National Nutrition Survey 2004 India
NFHS-2005-06 Indonesia DHS 2007 Maldives DHS
2009 Myanmar FRHS 2007 Nepal DHS 2006 Sri
Lanka DHS 2006-07 Thailand MICS 2005-06 Timor
Leste DHS 2003 (for ARI data) and 2009-10
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Low birth weight in SEA Region
Source State of the Worlds Children 2008,
UNICEF
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Framework for measurement of health information
Scope
Determinants of Health Socioeconomic and
demographic factors Environmental and behavioural
risk factors
Health status ("impact") Mortality Morbidity
- disability Growth Development Well-being
Health system Inputs
Outputs Outcomes
(programme efforts) (coverage/
behaviours) Policies
Information to families Proportion of
target Human resources Availability of
services population who Financing
Access to services received
interventions Logistics/supplies Quality of
services
Source Health Metrics Network
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Outcome indicators(Source Coverage surveys
including DHS/MICS surveys)
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Newborn Interventions

• Proportion of deliveries assisted by SBAs

• Neonates protected against tetanus at birth

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Management of sick children

• Children 0-59 months with diarrhoea past two
  weeks given ORS

• Children 0-59 months with suspected pneumonia
  taken to health care provider and received
  antibiotics (red bars)

Source Bangladesh DHS 2007 Bhutan National
Nutrition and Young Child Feeding Survey 2009
DPRK National Nutrition Survey 2004 India
NFHS-2005-06 Indonesia DHS 2007 Maldives DHS
2009 Myanmar FRHS 2007 Nepal DHS 2006 Sri
Lanka DHS 2006-07 Thailand MICS 2005-06 Timor
Leste DHS 2003 (for ARI data) and 2009-10
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Framework for measurement
Determinants of Health Socioeconomic and
demographic factors Environmental and behavioural
risk factors
Health status ("impact") Mortality Morbidity
- disability Growth Development Well-being
Health system Inputs
Outputs Outcomes
(programme efforts) (coverage/
behaviours) Policies
Information to families Proportion of
target Human resources Availability of
services population who Financing
Access to services received
interventions Logistics/supplies
Quality of Service
Source Health Metrics Network
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Output indicators(Source HFS, Hospital
Assessment, MNCAH surveys)
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Framework for measurement
Determinants of Health Socioeconomic and
demographic factors Environmental and behavioural
risk factors
Health status ("impact") Mortality Morbidity
- disability Growth Development Well-being
Health system Inputs
Outputs Outcomes
(programme efforts) (coverage/
behaviours) Policies
Information to families Proportion of
target Human resources Availability of
services population who Financing
Access to services received
interventions Logistics/supplies
Source Health Metrics Network
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Input indicators(Source Programme Reviews,
Administrative records)
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Way forward

• Collaborate for developing a Regional framework
  in alignment with Global framework including UN
  Information and Accountability Framework

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Thank You