Indicator mapping across Health 2020, SDGs and NCD frameworks and

the joint monitoring frameworkKhassoum Diallo

Programme Manager, Health Monitoring and Analysis

Information, Evidence, Research and Innovation

Background: the starting point• Member States overburdened with

existing reporting requirements– Number of requests– Length of questionnaires– Lack of coordination between agencies

The Regional Director’s response to Member State concerns

• Establishment of a gatekeeper function for data collection coordinated by the WHO/Europe Statistical Policy Group (SPG)

• Survey among WHO/Europe units to create a data collection inventory

• Exploring solutions to streamline reporting requirements – A mapping of indicators for the 3 main reporting frameworks: Health 2020,

Sustainable Development Goals (SDGs) and noncommunicable diseases (NCDs)– Proposals for a joint monitoring framework based on a joint core set of indicators– Proposed options to better coordinate and reduce the reporting burden

Objectives of the presentation

• To present a brief summary of results of the mapping exercise

• To present the proposed– components of a joint monitoring framework across the 3

main frameworks– options for reducing the reporting burden on

Member States

The 3 frameworks

5 targets + 1

37 indicators

19 core

18 additional

17 Goals

169 targets Over 200 indicators 26 indicators under SDG 3

9 voluntary global targets

25 indicators

Methods for the mapping• Health 2020 used as entry point for mapping• Overlaps analysed using a 2-by-2 approach

– Health 2020 and SDGs– Health 2020 and NCDs– NCDs and SDGs

• Both indicator- and thematic-level alignments considered for this exercise

• The mapping informed the options and process for a potential joint monitoring framework

Key resultsMapping category Health 2020 indicators mapped to SDGs NCD indicators mapped to SDGs Health 2020 indicators mapped to NCDs

Total Health 2020: Total 37 indicators

19 core, 18 additionalNCD: Total 25 indicators15 core, 10 additional

Health 2020: Total 37 indicators19 core, 18 additional

Indicator-level alignment

13 (35%)Health 2020 core: 6 (32%)

Health 2020 additional: 7 (39%)

6 (24%)NCD core: 5 (33%)

NCD additional: 1 (10%)

8 (22%)Health 2020 core: 4 (21%)

Health 2020 additional: 4 (22%)

Thematic alignment15 (41%)

core: 8 (42%)additional: 7 (39%)

8 (32%)core: 5 (33%)

additional: 3 (30%)

4 (11%)core: 2 (11%)

additional: 2 (11%)

No alignment (unique indicators)

9 (24%)core: 5 (26%)

additional: 4 (22%)

11 (44%)core: 5 (33%)

additional: 6 (60%)

25 (67%)core: 13 (68%)

additional: 12 (67%)

Total(indicator-level and thematic alignment

combined)

Overall, 76% of all Health 2020 indicators (28/37) align with SDG indicators 74% of core (14/19) 78% of additional (14/18)

Overall, 56% of all NCD indicators (14/25) align with SDGs 67% of core (10/15) 40% of additional (4/10)

Overall, 33% of all Health 2020 indicators (12/37) align with NCDs 32% of core (6/19) 33% of additional (6/18)

Health 2020 and SDGsIndicator-level: 13Thematic: 15No alignment: 9

10 indicators overlap thematically across 3 frameworks

SDG NCD

Health 2020

Alignment across frameworks by number of indicators

Health 2020 and NCDsIndicator-level: 8 Thematic: 4No alignment: 25

Health 2020 and SDGsIndicator-level: 6Thematic: 8No alignment: 11

Mapping of Health 2020 and SDG indicators

Health2020

SDG

76% of Health 2020 indicators align with SDG indicators: • Alcohol• Educational attainment• Health expenditure • Household consumption• Mortality• Reducing income inequality• Sanitation• Smoking• Social support• Tuberculosis treatment• Unemployment• Vaccination

Joint monitoring framework – process and content

The process and content of the joint monitoring framework is described below

• Conceptualization phase

− WHO proposes joint core set of a minimum of 50 indicators

− The proposed core list will be reviewed and validated by a recognized body, which can be an expert group called for this purpose or the existing internal interdivisional working group on SDGs

• Consultation and adoption

− The validated list will be submitted for consultation, review and adoption by Member States

• Implementation− A circular note is prepared to inform Member States about the joint monitoring framework

based on the minimum joint core set of indicators to replace the reporting on the 3 frameworks

Proposed minimum joint core set of indicators across 3 frameworks

Options Proposed option1. Streamlining indicators Agreement on a reporting framework with only one minimum joint set of core indicators for the 3 main

frameworks (Health 2020, NCDs and SDGs). This set will replace the reporting on the individual frameworks.

2. Timing of reporting Proposal to discuss through the SPG the grouping of data collection requests from all WHO/Europe divisions and send them 2–3 times a year (i.e. March and September).  Avoid peak periods for Member States (i.e. end/beginning of year). An online survey would help WHO/Europe assess the best timing for sending the data requests.

3. Pooling/merging data collection Increased consultation and collaboration within and across divisions through the SPG/ gatekeeper function so that opportunities for pooling/merging questionnaires are explored and implemented.  This would entail 2 or 3 divisions/programmes with similar goals (or similar Member State covered) merging their questionnaires into one with significant reduction of the number of variables, indicators in the final questionnaire. 

4. Combination of the 2 first options above(considered as the most viable option)

I.Development of a minimum joint core set of indicators (this would reduce the duplication of reporting on similar indicators)II. Proposal to discuss through the SPG the grouping of data requests from all WHO/Europe divisions and

sending them to Member States only  2–3 times a year (if accepted, Member States will no longer receive questionnaires throughout the year but only in strategically selected periods).

III.Developing automated systems to increase the number of online questionnaires and data collection platforms

5. Combination of the 3 first options above  

Options for reporting• Reduction of the number of data collection requests from WHO• Development of a joint core set of indicators across the main frameworks to avoid multi-reporting on the same or

similar indicator• Better coordination and timing of data collection requests by WHO

Questions to Member StatesIn the light of the presentation

– Would a core set of indicators and joint monitoring framework be desirable?

– If yes, what consultation should be established to validate the joint monitoring framework and the core set of indicators (e.g. online consultation with Member States, expert group meeting, Regional Committee resolution)?

– What are your views on how to report on not selected health-related SDG indicators?

– What would be the next steps?