Ministry of Health Family Welfare Monitoring Evaluation ME under National Rural Health Mission

1. Ministry of Health & Family WelfareMonitoring & Evaluation (M&E)under National Rural Health Mission 1

2. National Rural Health Mission Integration of Health Care delivery systems … necessitating An integration of Monitoring of Information and Evaluation Systems (MIES) 2

3. Ministry’s Requirement of Data Performance Monitoring Physical Monitoring Financial Monitoring Emphasis on Outcomes, Impact, Convergence Reach sub-district, community, household Equity gender, vulnerable groups Performance based funding in programs … ever growing 3

4. Limitations in Health Information Similar data sets for Various Central Agencies Parallelism, Respondent Burden on Data Provider Affects consistency and reliability of information Lack of involvement, ownership, belongingness Delays, integrity, quality aspects etc Information Flow is upward biased Data viewed as a by-product Increased participation of Private Sector Challenge for collecting information Weak Evaluation systems Low IT Penetration 4

5. HMIS Challenges Optimum automation to reduce manual processes Integrating/consolidating information needs of various agencies Rationalising formats for data capture Reducing frequency of data capture Needs to be evolving and dynamic, not static Adequate flexibility to States 5

6. HMIS Challenges - cont’d Poor Infrastructural support at the Centre, State and District Facilitate / motivate data flow A need to appreciate the data load on the system – Manpower x Time matrix IT readiness of the data reporting machinery in States and Districts 6

7. Multi-pronged strategy Identifying Nodal (M&E) Information Officer at all levels Structuring the Information flows Infrastructural strengthening- IT, Networking, Manpower Improving the quality of information Earmarking 2-3% of the State’s Budget in M&E (including IT) Strengthening evaluation work and improving validation of data. Approved by EPC – January, 2008 7

8. Developments in M&E ..(1) MIS Formats earlier sent to States- 2006 Delays: Paper form – some through e-mail Formats changed by states Only 25 States reported data on new form with varying regularity Enhancing orientation on M&E A Budget Line for M&E Workshops and Training – National/Regional Multi-Dimensional Workshop on M&E – June, 2008 HMIS, QA, AHS, Concurrent Evaluation, Triangulation 8

9. Developments in M&E ..(2) Rationalisation of Formats - 2008 Final Formats sent to States in September, 2008 Soft copy on MoHFW’s Website HMIS portal launched on 21st October, 2008 Web-based Software Application Developed Dedicated Web-site for HMIS http://nrhm-mis.nic.in All State Prl Secy (HFW) and MD (NRHM) given dedicated e-mails 9

10. Developments in M&E ..(3) Surveys and Evaluation DLHS-III Provisional Data available Results to be released on 08th December, 2008 Concurrent Evaluation through independent agencies to begin in December Field, Zonal and National Agencies identified All Districts to be covered in 2 years 10

11. Key Features of HMIS project Web-based Data capturing system Entry of Physical performance at District level / facility level Entry of Financial reports (FMRs) at District Level Automatic aggregation and report generation Emphasis on Facility based performance Key indicators to be generated for local level use Intelligent analysis for use at all levels Standard and Custom Reports National, State and District Fact Sheets Integration of health related information across programmes

12. MIES Reporting Formats – key features Periodicity Monthly Quarterly Annual Rationalised according to Usage/Need for information Vs Collectability Frequency of change (major chunk shifted to Annual) Facility Based

13. Will to...

14. Summarising Web-based Data Capturing application Launched on 21st October, 2008 Hands-on-Training to State MIS & Accounts officers on 21-22 October, 2008 Draft Instructions –at-a-Glance for formats available on the portal. Application User Manual also available on web. HMIS Portal to have information on all M&E related activities Data Reports Notifications etc

15. Key issues to be seen by CRM... 1 1. States need to Notify Nodal Information Officers HMIS 2. HMIS Data to be sent in revised forms only Printing and distribution of forms Information for Sept. 08 onwards in consolidated formats Facility based information to flow from Dec. 08 onwards 3. Training for State/ District level users

16. Key issues to be seen by CRM... 2 3. Concurrent Evaluation: Issue instructions to District Authorities for cooperating with Agencies. 4. PIP Preparation for 2009-10 Budget for M&E Activities MIS, Printing of forms, Training Quality Assurance 5. M&E Related queries be sent on hmis-nrhm@nic.in

17. In a nutshell … Monitoring & Evaluation activities needs to lead to … … Information and Data for Action! 17

18. Thanks Pravin Srivastava Director (Statistics) Ministry of Health & Family Welfare Government of India dirstat-mohfw@nic.in pravin.srivastava@nic.in