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Core Health Indicators for the Assessment of Public Health Programs Carlos Castillo-Salgado, Foro de Salud Pública de las Américas OPS-OMS, Washington, DC. XI World Congress on Public Health – VIII Brazilian Congress on Collective Health
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Core Health Indicators for the Assessment of Public Health ProgramsCarlos Castillo-Salgado, Foro de Salud Pública de las AméricasOPS-OMS, Washington, DC XI World Congress on Public Health – VIII Brazilian Congress on Collective Health “Indicadores de Saude para Monitoramento da Gestao como Ferramenta a Participacao e Control Social” Riocentro Convention Center Rio de Janeiro, Brazil 23 August 2006
RCHDI: Definition • The Regional Core Health Data Initiative was launched in 1995. • Core Health Data is a minimum set of data and indicators required to characterize the health situation in a country, a geographic area or specific health problems. • The set involves 117 core indicators, disaggregated into 401 basic data/country • This minimum common set of data allows the monitoring of specific health goals and public health programs in the Member States and WHO/PAHO Mandates for the Region of the Americas. • Special emphasis given to respond to monitoring of the Millennium Development Goals Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Goals of the Core Health Data/Country Profile Initiative • To orient strategic policy direction. • To facilitate priority setting for action in the health sector. • To improve the evaluation and adjusting technical cooperation in each of the countries and key public health programs. • To assist the countries in devising investment strategies and special programs for health policy or health services development. • To facilitate the mobilization of financial resources. • To orient research priorities. • To periodically produce and distribute validated reports on health trends in each country and the Region as a whole. Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Results of the 2005 survey to evaluate the impact of the RCDI in 37 countries. Use of Core Data in 30 countries with an initiative Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Results of the 2005 survey to evaluate the impact of the RCDI in 37 countries. Core Data Products Which Core Data Products are periodically updated and distributed? Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Specific outputs of the Regional Core Health Data Initiative • Regional brochure “Health Situation in the Americas: Basic Indicators”. • New Health Information Platform • Glossary and Technical Notes for Indicators. • Atlas of Basic Indicators. • Country Health Profiles. • Web-based RCHDI Information System. Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Regional brochures Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Core Health Data Information System Multi-dimensional Table Generator (Tabulator) • Dimensions • Time. Years • Indicator. Dissagregation • Space/Geo. Country/Subregion Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
New paradigm of health information for action Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Specific outputs of the RCHDI in the Countries • National Brochures and National Subregional Information Systems. • Subnational Health Profiles and Methodological Guidelines. Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Specific outputs of the RCHDI in the Countries Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
RIPSA. Inter-agential Network in Health Information. Brazil • Specific objectives • Establish sets of consistent, updated, accessible basic indicators • Articulate institutions for strengthening data and its review for validation and consistency • Implement mechanisms to improve the information production cycle • Promote consensus on concepts and methods for data validation and use • Promote exchange with other information subsystems • Contribute to the study unexplored aspects of known relevance for the health profiles and intervention strategies Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
RIPSA. Inter-agential Network in Health Information. Brazil • Products • Information system available via Internet • Country brochure (published since 1997), with a central topic since 2000 (infant mortality, violence, the elderly) • Support to Health situation rooms (different levels) • Other publications on concepts and applications • Institutions involved • Several agencies of the Ministry of Health, IBGE, FUNASA, IPEA, CONASSEMS, ABRASCO, Public health faculties of USP, FIOCRUZ, PAHO Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Suggested mechanisms and operational instruments for improving RCHDI • Interagency Working Group (technical coordination) • Interdisciplinary technical committees (methodological-operational analysis ) • Indicators management committees (data production and coordination) • Technical Secretariat (process definition, proposals and follow-up) • Indicators Matrix and Technical Sheets • Operational planning of products • Common standards for data and indicators database, interoperable information systems and metadata Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Ten-Year Evaluation of the Regional Core Health Data Initiative (RCHDI) • New directions and Challenges. • National Support to subnational/national initiative • Interagency collaboration. • New health and social metrics. • Assist the reduction of the know-do gap Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org
Gracias por su atenciónComo contactarnos: Foro Regional de Salud Pública en las Américas Organización Panamericana de la Salud 525 23rd. St., NW Washington, DC 20037 Tel (202) 974-3327 forum@paho.org Dr. Carlos Castillo-Salgado. PAHO Forum for Public Health in the Americas. forum@paho.org