Setting Standards for Health Statistics: The HMN Framework

1. Setting Standards for Health Statistics: The HMN Framework High Level Forum on Strategic Planning for Statistics Bangkok 6-9 June 2006 www.healthmetricsnetwork.org

2. Why Are Standards Needed for Health Statistics? • Complex, crowded field; many donors; disease-focused M&E; fragmentation; epidemic of indicators • Lack of comparability, need for certification and application of common standards • Weak analytical capacities; health poorly connected to statistics; • Need to integrate health into broader statistical and development processes; poverty-reduction; results-based frameworks; national strategies for the development of statistics • Translation of health data into information for policy action; evidence-based decision making

3. Disease Driven Fragmentation Mortality <5, maternal Risk, smoking Water &sanitation Tuberculosis Malaria HIV/AIDS M&E M&E M&E M&E COHERENT HEALTH INFORMATION SYSTEM

4. Data, Data, Everywhere ….

5. HMN Goal, Objectives, Principles Goal: • Increase availability and use of timely, reliable health information in countries and globally through shared agreement on goals and coordinated investments in health information systems Objectives: • Develop framework and standards for health information systems • Support countries to develop and implement plans in line with HMN framework • Stimulate dissemination and use of health information Principles: • Country ownership and stakeholder involvement • Link health and statistical constituencies • Harmonization and alignment; Paris Declaration • Sustainability; catalytic funding • Systems approach to health information

6. HMN Framework Health information system components & standards Roadmap for implementation Principles HIS resources Indicators Process Data sources Tools Data management Information products HMN GoalIncrease availability, accessibility, quality and use of health information that are critical for decision making at country and global levels. Dissemination and use

7. Census Civil registration Pop based surveys Health & disease records Health administrative records Service records (HMIS) Health Data Sources Population-based Health services based

8. Implementing the HMN framework Roadmap Process Principles Tools • Country leadership & ownership • Responding to country needs and demand • Building upon existing initiatives and systems • Linking to development processes and plans • Building a broad-based consensus • Strategic approach • Gradual and incremental process 1 Assessment using HMN tool 2 Coordination and leadership: resource mobilization 3 Planning and priority setting 4 Implementation and improved data collection 5 Synthesis, analysis, dissemination, data use 6 Monitoring, evaluation and reprogramming

9. Countries Receiving Catalytic Grants From HMN - Round 1

10. Use of Initial HMN Grants • Assessment of the current status of the health information system as a whole, using HMN tool, standardized framework for quality review • Development of a 2015 plan for health information system development, linked to national health sector and poverty monitoring strategies and planning cycles • Building capacity for data generation, analysis and use • Focus on specific issues: monitoring vital events , private sector data, data dictionaries, data warehousing

11. Major Challenges Identified • Assessment is one thing: moving to a coherent and feasible plan is another • Costing health information system development; costs and benefits • Resource mobilization: financing package • Link to broader statistical and development processes: integrating into NSDS • Involvement of stakeholders: MOH, NSO, finance, planning, non-health sectors • Commitment of development partners around country led plan; overcoming vested interests • Making health statistics comprehensible and relevant to users; addressing barriers to evidence-based decision making

12. HMN Strategies and Mechanisms for Country Support • Strategies • Support groups of countries working together; • Offer technical support as close to country as possible • Document experiences and good practices, build up library of global public goods on health information system development. • Mechanisms • Regional/country centres of excellence provide hubs for collaboration, peer learning and sharing of experiences; • Networks of collaborating institutions; • Regional affiliates of development partners;

13. Creating a Virtuous Cycle GFATM, GAVI. President's Initiative, MDGs: results-based decision-making Health sector reform, SWAPs. PRSP, civil society, media, use of IT Global initiatives Increased Demand Donors agree to align efforts Increased Multiple stakeholders – health and statistics Focus on building systems able to respond to country and donor needs. Coordination

14. www.healthmetricsnetwork.org