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HMN: Assessment and Monitoring Tools. 2. Data platforms. Context, processes & resource s. Country Health Information System. Outputs/results for selected indicators. Data synthesis, analysis and use. HMN Assessment and Monitoring Tools: An Iterative Process.
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2. Data platforms • Context, processes & resources Country Health Information System • Outputs/results for selected indicators • Data synthesis, analysis and use HMN Assessment and Monitoring Tools: An Iterative Process
Context, Resources and Processes • Legal and regulatory issues: HIS plan and indicators • Consensus national HIS plan: Coordinating mechanism with multiple stakeholder involvement (health, statistics, other sectors) Defined core indicators for local, national, global level reporting • Defined standards for reporting • Alignment with MDGs, key programmes • Resources: Human & Financial • Data management and costs • Clear data flows across levels and between programmes • Information on costs of data collection approaches • Central data depository easily accessible
Rating Context, Resources and Processes: Thailand 2005 % rating • Legal framework and context • Human resources availability and skills • Infrastructure, equipment, information technology • Data flow and management, feedback
Rating Context, Resources and Processes; Thailand & Ghana 2005 % rating • Legal framework and context • Human resources availability and skills • Infrastructure, equipment, information technology • Data flow and management, feedback
From Data Demand to Data Collection Data collectionplatforms Data demand Diseasesurveillance DeterminantsRisk factors Health financial statistics Health system Health servicestatistics Health servicescoverage Household survey Morbidity Health status Vital registration Mortality Census
GHS report Maternal health survey SPA Living Standards Survey 5 Living Standards Survey 4 Living Standards Survey 3 CWIQ CWIQ WHS DHS 4 DHS 5 DHS 3 Census MICS 3 Data Collection in Ghana 1991-2008 (non-routine only) DHS 2 DHS = Demographic and Health Survey; MICS = Multiple Indicator Cluster Survey; CWIQ = Core Welfare Indicators Survey; LSS = Living Standards Survey ; WHS= World Health Survey; SPA = Service Provision Assessment
Criteria for Assessment of Data Collection Platforms • Contents • Appropriate data collection method used • Cost efficiency and effectiveness issues considered • Capacity • Country capacity to collect the data and manage and analyse the results • Practices • Standards applied for data collection • Documentation available and accessible, high quality • Dissemination • Analysis of results of available and disseminated • Micro data available for public access • Meta data available • Integration • Results from different data collection methods compared • Appropriate data collection methods used for demographic, health and socioeconomic data collection (poverty monitoring) and to provide denominators for estimating of need and coverage
Criteria for Assessment of HIS Outputs/Indicators • Data collection method • Timeliness • Periodicity • Consistency • Representativeness • Disaggregration • Estimation method
Rating HIS Outputs/Indicators: Mortality, Selected Countries, 2005
Rating HIS Outputs/Indicators: Mortality & Other Health Statistics, Selected Countries, 2005
Rating HIS Outputs/Indicators: MDG Indicators, Selected Countries, 2005
2. Data platforms • Context, processes & resources Country Health Information System Profiles • Outputs/results for selected indicators • Data synthesis, analysis and use HMN Operational Framework: An Iterative Process of HIS Assessment, Development, Monitoring
2. Data platforms • Context, processes & resources Country Health Information System Development Plans • Outputs/results for selected indicators • Data synthesis, analysis and use HMN Operational Framework: An Iterative Process of HIS Assessment, Development, Monitoring
Using the HMN Operational Framework in Countries • Country driven and led • Stakeholders involved, health and statistics, programmes and donors • HMN provides technical support and covers convening costs • Country profiles indicates gaps and weaknesses in health information system • Provides basis for development of costed national HIS development plan
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