introduction to hnts (english)

8/14/2019 Introduction to HNTS (English)

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HEALTH AND NUTRITIONHEALTH AND NUTRITION

TRACKING SERVICETRACKING SERVICE(HNTS)(HNTS)

Global Health Cluster meeting, GenevaGlobal Health Cluster meeting, Geneva0909thth June 2009June 2009

Pierre Salignon, HNTS Interim Project DirectorPierre Salignon, HNTS Interim Project Director


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WHAT IS HNTS ?WHAT IS HNTS ?

An interagency initiative hosted by WHO,An interagency initiative hosted by WHO,

created in late 2007 by the Intercreated in late 2007 by the Inter--AgencyAgencyStanding Committee Health and NutritionStanding Committee Health and Nutrition

Clusters in response to a request made byClusters in response to a request made by

the United Nations Emergency Reliefthe United Nations Emergency Relief

Coordinator as part of the HumanitarianCoordinator as part of the Humanitarian

Reform processReform process


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GOALSGOALS

(1) Contribute to the(1) Contribute to the improvement ofimprovement ofhumanitarian operationshumanitarian operationsand promoteand promote

mutual accountabilitymutual accountabilityof the humanitarianof the humanitariancommunity and beneficiaries;community and beneficiaries;

(2)(2) Detect and preventDetect and prevent, if possible,, if possible, excessexcess

mortality and malnutritionmortality and malnutritionin crises;in crises; (3) Ensure that(3) Ensure that informationinformationrelevant torelevant to

humanitarian policy andhumanitarian policy and evidenceevidence--basedbased

reportsreportson health and nutrition needs inon health and nutrition needs inhumanitarian crises situations arehumanitarian crises situations areavailable at highavailable at high--level decisionlevel decision--makingmaking

forumsforums..


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INTENDED BENEFITSINTENDED BENEFITS Direct support to field relief organizationsDirect support to field relief organizations

Information for actionInformation for action

Timely assessment of needs and reliefTimely assessment of needs and reliefresponse (impactresponse (impact -- effects)effects)

Greater transparency and accountabilityGreater transparency and accountability

Sharing of information (coordination)Sharing of information (coordination) Better readability (trends)Better readability (trends)

Better quality (best practices and quality ofBetter quality (best practices and quality ofdata collection / surveysdata collection / surveys -- training)training)

Field presence and capacity, toolsField presence and capacity, toolsdevelopment / standardisation if possibledevelopment / standardisation if possible


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MAIN FUNCTIONSMAIN FUNCTIONS

OOperationalperationalsupport to humanitarian teamssupport to humanitarian teamsin the field by:in the field by:

ll PeerPeer--reviewing guidelines and otherreviewing guidelines and otherdocuments, participating in assessmentdocuments, participating in assessmentmissions, advising on the design of surveys,missions, advising on the design of surveys,and providing technical advice to variousand providing technical advice to various

agencies, NGOs.agencies, NGOs.

AA normativenormativefunction including:function including:ll Development of standards for data collectionDevelopment of standards for data collection

and measurement, collect, analysis andand measurement, collect, analysis anddissemination of data, provision of independentdissemination of data, provision of independenttechnical advice (i.e. method developmenttechnical advice (i.e. method development--

validation of studies), training.validation of studies), training.


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WHO WE ARE ?WHO WE ARE ? A Geneva based Technical Secretariat with 1A Geneva based Technical Secretariat with 1

Project Director, 2 health and nutritionProject Director, 2 health and nutritionEpidemiologists, 1 administrative assistantEpidemiologists, 1 administrative assistant

[email protected]@who.int

With field technicalWith field technical presence(spresence(s) in countries) in countries

targeted for HNTS implementationtargeted for HNTS implementationll Democratic Republic of Congo / first HNTS fieldDemocratic Republic of Congo / first HNTS field

epidemiologist through a NGO partnershipepidemiologist through a NGO partnership

ll

Others in the future ?Others in the future ? The Steering Committee (SC)The Steering Committee (SC)

The Expert Reference Group (ERG)The Expert Reference Group (ERG)ll

A roster of experts for field deployment in the future ?A roster of experts for field deployment in the future ?


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COUNTRIES TARGETEDCOUNTRIES TARGETED

20082008ll Uganda, Myanmar, DRCUganda, Myanmar, DRC

2009200920112011ll Democratic Republic of CongoDemocratic Republic of Congo

ll Others ? Asia, Africa, Central AsiaOthers ? Asia, Africa, Central Asia ?? CAR/Chad/Sudan (see review of surveys)CAR/Chad/Sudan (see review of surveys)

In the future, reactivity to new crisesIn the future, reactivity to new crisesll Depending requests and mobilization ofDepending requests and mobilization of

partners, ERC and Healthpartners, ERC and Health--Nutrition Clusters,Nutrition Clusters,NGO communityNGO community


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TECHNICAL CONSULTANCIESTECHNICAL CONSULTANCIES Priority indicators in complex emergenciesPriority indicators in complex emergencies

ll HNTS indicators, support to SPHERE revision and otherHNTS indicators, support to SPHERE revision and other

data collection initiativesdata collection initiatives

Mortality estimates in crisis affected populationsMortality estimates in crisis affected populations

inference from multiple sourcesinference from multiple sources

ll Quality scoring of surveysQuality scoring of surveys

Review of surveys for 2006Review of surveys for 20062008 in North Kivu2008 in North Kivu

ll See recommendations about systematic peer review ofSee recommendations about systematic peer review of

surveys, trainingsurveys, training etc.etc.

Peer review of IRC surveys in DRC 1996Peer review of IRC surveys in DRC 199620082008

ll See report and commentsSee report and comments

Review of surveys for 2004Review of surveys for 20042009 in Darfur (July)2009 in Darfur (July)


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MORTALITY AND NUTRITIONMORTALITY AND NUTRITION

PRIORITIESPRIORITIES

Survey methodologies and validation ofSurvey methodologies and validation of

surveyssurveys SurveillanceSurveillance

Determination of needs for nutritionDetermination of needs for nutrition

programmingprogramming RealReal--time monitoring of the food andtime monitoring of the food and

nutrition situation in vulnerablenutrition situation in vulnerable

communitiescommunities Relative interest of different methods forRelative interest of different methods for

assessing nutrition and mortality situationsassessing nutrition and mortality situationsand triangulation of informationand triangulation of information


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WHAT WE NEED ?WHAT WE NEED ? Mobilization of GHC and GNC partnersMobilization of GHC and GNC partners

ll Use of Health and Nutrition TrackingUse of Health and Nutrition Tracking ServiceService at HQ andat HQ andfield levels (see operational and normative functions)field levels (see operational and normative functions)

ll DRC / North KivuDRC / North Kivudevelopment of direct HNTSdevelopment of direct HNTStechnical field support to relief organizations andtechnical field support to relief organizations andnational authoritiesnational authorities

ll Review of surveys in Darfur Sudan 2003Review of surveys in Darfur Sudan 20032009,2009,

access to surveysaccess to surveysll Identification of new countries targeted for HNTSIdentification of new countries targeted for HNTS

implementation ?implementation ?

Mobilization of donors community and UNMobilization of donors community and UN

agenciesagenciesll Ensure financial stability of HNTS project in the 2Ensure financial stability of HNTS project in the 2

coming years (credibilitycoming years (credibilitytrust with all partners)trust with all partners)

ll Ensure stability of competencies and HREnsure stability of competencies and HR

ll Develop reactivity to new emergencies / crises ?Develop reactivity to new emergencies / crises ?


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"Numbers game", risk of "death inflation", inappropriate"Numbers game", risk of "death inflation", inappropriate

extrapolation of data, sharing dataextrapolation of data, sharing data versusversustheir politicaltheir politicalmisuse, wrong focus on "dead"misuse, wrong focus on "dead" insteadinsteadof "saving lives",of "saving lives",etc;etc;

The commitment to humanitarian system reform remainsThe commitment to humanitarian system reform remainsfragile and will influence the extent to which cooperationfragile and will influence the extent to which cooperation

at global and country levels is maintained to put theat global and country levels is maintained to put theHNTS into practice;HNTS into practice;

Financial support to HNTS must be strengthened andFinancial support to HNTS must be strengthened anddonors group enlarged;donors group enlarged;

HNTS team turn over as well as turn over of staff in reliefHNTS team turn over as well as turn over of staff in relieforganizations and partners.organizations and partners.

introduction to hnts (english)

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