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GAVI Support and the Health Information System . Abdallah Bchir GAVI Secretariat Glion-sur-Montreux, 28/09/2006. The HIS and current support. GAVI is using the health system information Data: births, mortality, morbidity
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GAVI Support and the Health Information System Abdallah Bchir GAVI Secretariat Glion-sur-Montreux, 28/09/2006
The HIS and current support • GAVI is using the health system information • Data: births, mortality, morbidity • Purposes: identify needed support, assess eligibility, monitor progress, measure impact • Issues: • Data availability • Data quality
The HIS and current support • GAVI is contributing to asses the health information system • Tools: DQA • Issues: • Not coordinated with other programs • Results not shared with other Global Partnerships • Lessons learnt: a study still to be conducted
The HIS and GAVI support • GAVI is contributing to strengthening national health information system • By investing in strengthening national health systems information (Health System Strengthening) • By requesting a cMYP based on a systematic diagnosis of health system barriers • By linking ISS support with a successful DQA • By requesting a plan of action to improve EPI surveillance and monitoring system
Health Systems Strengthening (HSS) Basis Principles: • Immunization coverage is often constrained by health systems barriers that are not specific to immunization • All applications need to justify how HSS will improve and/or sustain immunization coverage
M/E in HSS support ? • Countries will report on HSS annually in the Annual Progress Report • Years 1 - 3: process indicators (to be defined by each country) • From year 4: outcome indicators indicators (DTP3, under5 mortality)
How should we monitor the HSS ? • Effect on health systems at country level • Effect at global level • Impact
Effect on health system at the country level • Some areas: • Coordination/ harmonization • Long term sustainability • Ownership • One set of indicators for all countries ? • Core indicators plus additional related to the type of support?
M/E the impact • Some areas: • DTP3 coverage • Burden of diseases • Contribution to MDG4 • How to assess what could be attributed to HSS? • Studies to be conducted : when ?
GAVI and the HMN • The HMN could provide support • Defining health system performance indicators • coordinating global efforts to support HIS • Sharing tools • disseminating results