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NHA Production Tool Streamlining the NHA estimation process. Douglas Glandon, NHA Coordinator Abt Associates Inc. Prince Mahidol Award Conference Bangkok, Thailand WHO Side Meeting - January 24, 2012. Overview. Introduction and Purpose Development Process Key Features
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NHA Production ToolStreamlining the NHA estimation process Douglas Glandon, NHA Coordinator Abt Associates Inc. Prince Mahidol Award Conference Bangkok, Thailand WHO Side Meeting - January 24, 2012
Overview • Introduction and Purpose • Development Process • Key Features • Summary and Next Steps • Software Demonstration
Problem Statement • Despite recognized value for policy, few developing countries routinely produce and use NHA estimates • Persistent challenges include: • Complexity of NHA methodology • High reliance on foreign technical assistance • Costly and time-consuming estimation process • Inconsistencies in recording decisions and assumptions
What is the NHA Production Tool? A desktop software application that: • Guides teams through the steps of conducting NHA • Streamlines data collection and analysis • Simplifies data management and visualization Key benefits include: • Reduced time, cost, and TA needed to produce NHA • Improved data quality, consistency over time
Who uses the NHA Production Tool? • Country NHA teams • Team Leads • Full functionality to set parameters, assign and manage tasks • Team Members • Limited functionality to complete specific tasks and submit to Team Lead • Providers of technical assistance • Easy import/export of data sets allows for remote support
Broad-Based Input and Feedback • Developed by USAID’s Health Systems 20/20 Project with software developer Prognoz Corporation • Approximately 2 years to develop • Input and feedback from WHO, World Bank, NHA technical experts, country NHA teams • E.g., Afghanistan, Burkina Faso, Kenya, Liberia, Rwanda, Tanzania, others Demo at OECD/World Bank NHA meeting in Paris (Oct. 2011)
Pilot Test in Tanzania • HS 20/20 team and Prognoz developers conducted field-based pilot test alongside Tanzania NHA team • In-country NHA team used the traditional, Excel-based method • NHA Production Tool was tested concurrently • Objectives of Pilot Test • Test application using actual NHA data to assess handling of data sets, assumptions, and methodological approaches • Identify bugs in the software that prevent proper functioning • Identify and define needed fixes to the software to increase functionality, flexibility
Refinement and Completion of Version 1.0 • Platform performed well during pilot test, with a few bugs and needed fixes • Addressed issues and enhanced functionality for Version 1.0, including: • Ability to repeat specified analysis/”mapping” decisions • Ability for multiple users to work collaboratively • Version 1.0 completed in December 2011 – in English and French • Several remaining elements to be implemented before public release of software
Step-by-Step Guidance Guiding the NHA Process Simple, intuitive navigation
Easily Customize and Save NHA Codes Customize NHA codes to country context
Simplified Data Collection and Entry Export and import user-friendly surveys
Structured Mapping of NHA Codes Assign NHA codes Review survey data
Interactive Diagram to Review Data Visualization of NHA expenditure flows
Automatically-Generated NHA Tables NHA matrices can be easily exported in Excel or PDF format
Value-Add of the NHA Production Tool • Improved data quality, greater consistency and comparability over time make results more useful • Time and cost savings make conducting NHA more affordable and feasible • Reduced need for external technical assistance enhances country ownership and facilitates institutionalization of NHA
Next Steps: finalize, release on WHO site • NHA Production Tool 1.0 (based on SHA 1.0 framework) is ready for in-country use and will be available for download on the WHO website in 2012 • Additional features, including a tutorial and PDF User Guide, will be introduced in the final version • HS 20/20 and WHO are working with Prognoz to accommodate the SHA 2011 framework
Thank you www.HealthSystems2020.org