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Health Systems Metrics: The Country Policy and Institutional Assessment Indicator

Health Systems Metrics: The Country Policy and Institutional Assessment Indicator. Health Systems Metrics Technical Meeting September 28-29, 2006. Ed Bos Health, Nutrition and Population Human Development Network The World Bank. September 24, 2006. Overview.

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Health Systems Metrics: The Country Policy and Institutional Assessment Indicator

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  1. Health Systems Metrics: The Country Policy and Institutional Assessment Indicator Health Systems Metrics Technical Meeting September 28-29, 2006 Ed Bos Health, Nutrition and Population Human Development Network The World Bank September 24, 2006

  2. Overview • What is the Country Policy and Institutional Assessment (CPIA) and what is it used for? • How is it assessed? • How can it the CPIA be used for health systems? • Is a separate health systems CPIA needed?

  3. What is the CPIA? • Measure of the quality of a country’s policy and institutional framework • “Quality”: how conducive to fostering poverty reduction, sustainable growth, and effective use of development assistance • Used by the World Bank since the 1970s for allocating IDA credits and grants to low-income countries

  4. How is the CPIA measured? • Qualitative assessment against 16 criteria by World Bank staff with country and sector knowledge • Criteria described in Assessment Questionnaire • Rating scale from 1 (low) to 6 (high) • Benchmarking countries • Review of ratings and rationales • Ratings available on WB website

  5. CPIA Ratings, 2005 (example)

  6. Using the CPIA for health system metrics • As a measure of the overall quality of a country’s policies and institutions, within which health systems operate – background indicator • As a measure of the absorptive capacity to effectively use development aid, including for scaling up health services

  7. Is a health-specific CPIA needed? Yes: • health is mixed with education in current CPIA criteria • health system governance may be much worse/better than overall CPIA indicates No: • Overall country policy framework important factor in health system governance • Who would do the ratings, maintain consistency, validate criteria? • Could be used against supporting health > Improve health ratings within current CPIA criteria?

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