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Child health programmes: What do we need to measure?

Child health programmes: What do we need to measure?. CAH-SEARO. Uses of Data. Determine public health priorities Data informed planning Effective implementation: Scale Quality Equity Monitoring progress of implementation Evaluation. Programmatic pathway for improving child health.

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Child health programmes: What do we need to measure?

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  1. Child health programmes:What do we need to measure? CAH-SEARO Regional CH PM Meeting, KTM

  2. Uses of Data • Determine public health priorities • Data informed planning • Effective implementation: • Scale • Quality • Equity • Monitoring progress of implementation • Evaluation Regional CH PM Meeting, KTM

  3. Programmatic pathway for improving child health IMPLEMENTATION OF ACTIVITIES Advocacy for Child health Human, material and financial resource mobilization Human resource capacity development Communication with adolescents, families & communities Health system supports strengthened Progress tracked IMPROVED Availability and access to health care Qualityof care Demand for care Knowledgeof adolescents, families and communities INCREASED POPULATION-BASED COVERAGE of key effective interventions IMPROVED SURVIVAL AND HEALTH Social determinants Regional CH PM Meeting, KTM

  4. Frameworkfor measurement Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Health system InputsOutputsOutcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Quality of services Source: Health Metrics Network Regional CH PM Meeting, KTM

  5. Health Status Indicators(Source: Vital Registration, DHS surveys) • Mortality • U5MR • IMR • NMR • Cause specific mortality • Nutrition status • LBW • Wasting • Stunting Regional CH PM Meeting, KTM

  6. Mortality in SEAR Infant Mortality Rates (IGME 2011) Under-five Mortality Rates (IGME 2011) Regional CH PM Meeting, KTM

  7. Neonatal Mortality Rate(UN IGME 2011) Regional CH PM Meeting, KTM

  8. Disparities Source: Bangladesh DHS 2007; Bhutan National Nutrition and Young Child Feeding Survey 2009; DPRK National Nutrition Survey 2004; India NFHS-2005-06; Indonesia DHS 2007; Maldives DHS 2009; Myanmar FRHS 2007; Nepal DHS 2006; Sri Lanka DHS 2006-07; Thailand MICS 2005-06; Timor Leste DHS 2003 (for ARI data) and 2009-10 Regional CH PM Meeting, KTM

  9. Major causes of death in children under-five neonates in the South-east Asia Region 2008 (revised ) Deaths among children under-five Neonatal deaths Source: WHO. The World Health Statistics 2011 Regional CH PM Meeting, KTM

  10. Child Nutrition Underweight children Stunting in children Source: Bangladesh DHS 2007; Bhutan National Nutrition and Young Child Feeding Survey 2009; DPRK National Nutrition Survey 2004; India NFHS-2005-06; Indonesia DHS 2007; Maldives DHS 2009; Myanmar FRHS 2007; Nepal DHS 2006; Sri Lanka DHS 2006-07; Thailand MICS 2005-06; Timor Leste DHS 2003 (for ARI data) and 2009-10 Regional CH PM Meeting, KTM

  11. Low birth weight in SEA Region Source: State of the World’s Children 2008, UNICEF Regional CH PM Meeting, KTM

  12. Frameworkfor measurement of health information Scope Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Health system InputsOutputsOutcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Quality of services Source: Health Metrics Network Regional CH PM Meeting, KTM

  13. Outcome indicators(Source: Coverage surveys including DHS/MICS surveys) Regional CH PM Meeting, KTM

  14. Newborn Interventions Proportion of deliveries assisted by SBAs Neonates protected against tetanus at birth Regional CH PM Meeting, KTM

  15. Management of sick children Children 0-59 months with diarrhoea past two weeks given ORS Children 0-59 months with suspected pneumonia taken to health care provider and received antibiotics(red bars) Source: Bangladesh DHS 2007; Bhutan National Nutrition and Young Child Feeding Survey 2009; DPRK National Nutrition Survey 2004; India NFHS-2005-06; Indonesia DHS 2007; Maldives DHS 2009; Myanmar FRHS 2007; Nepal DHS 2006; Sri Lanka DHS 2006-07; Thailand MICS 2005-06; Timor Leste DHS 2003 (for ARI data) and 2009-10 Regional CH PM Meeting, KTM

  16. Frameworkfor measurement Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Health system InputsOutputsOutcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Quality of Service Source: Health Metrics Network Regional CH PM Meeting, KTM

  17. Output indicators(Source: HFS, Hospital Assessment, MNCAH surveys) Regional CH PM Meeting, KTM

  18. Frameworkfor measurement Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Health system InputsOutputsOutcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Source: Health Metrics Network Regional CH PM Meeting, KTM

  19. Input indicators(Source: Programme Reviews, Administrative records) Regional CH PM Meeting, KTM

  20. Way forward Collaborate for developing a Regional framework in alignment with Global framework including UN Information and Accountability Framework Regional CH PM Meeting, KTM

  21. Thank You Regional CH PM Meeting, KTM

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