Setting Standards for Health Statistics:The HMN Framework

High Level Forum on Strategic Planning for Statistics

Bangkok 6-9 June 2006

www.healthmetricsnetwork.org

Why Are Standards Needed for Health Statistics?Why Are Standards Needed for Health Statistics?

• Complex, crowded field; many donors; disease-focused M&E; fragmentation; epidemic of indicators

• Lack of comparability, need for certification and application of common standards

• Weak analytical capacities; health poorly connected to statistics;

• Need to integrate health into broader statistical and development processes; poverty-reduction; results-based frameworks; national strategies for the development of statistics

• Translation of health data into information for policy action; evidence-based decision making

Disease Driven Fragmentation Disease Driven Fragmentation

HIV/AIDSTuberculosis

MalariaMortality <5, maternal

Risk, smokingWater &sanitation

COHERENT HEALTH INFORMATION SYSTEM

M&E M&E M&E M&E

Data, Data, Everywhere ….Data, Data, Everywhere ….

HMN Goal, Objectives, Principles HMN Goal, Objectives, Principles

Goal:Goal: Increase availability and use of timely, reliable health

information in countries and globally through shared agreement on goals and coordinated investments in health information systems

Objectives: Objectives: Develop framework and standards for health

information systems Support countries to develop and implement plans in

line with HMN framework Stimulate dissemination and use of health information

Principles: Principles: Country ownership and stakeholder involvement Link health and statistical constituencies Harmonization and alignment; Paris Declaration Sustainability; catalytic funding Systems approach to health information

HMN GoalIncrease availability, accessibility, quality and use of health information that are critical for decision making at country and global levels.

HMN GoalIncrease availability, accessibility, quality and use of health information that are critical for decision making at country and global levels.

HMN FrameworkHMN Framework

Roadmap for implementation

Roadmap for implementation

Health information system components & standards

Health information system components & standards

Data sourcesData sources

HIS resourcesHIS resources

Indicators Indicators

Data managementData management

Dissemination and useDissemination and use

Information productsInformation products

Principles Principles

ProcessProcess

ToolsTools

Health administrative records

Service records (HMIS)

Health &disease records

Pop based surveys

Civil registration

Census

Population-based Health services based

Health Data SourcesHealth Data Sources

Implementing the HMN framework

Roadmap Implementing the HMN framework

Roadmap

Process Principles

•Country leadership & ownership•Responding to country needs and demand•Building upon existing initiatives and systems•Linking to development processes and plans•Building a broad-based consensus•Strategic approach•Gradual and incremental process

1 Assessment using HMN tool

2 Coordination and leadership: resource mobilization

3 Planning and priority setting

4 Implementation and improved data collection

5 Synthesis, analysis, dissemination, data use

6 Monitoring, evaluation and reprogramming

Tools

Countries Receiving Catalytic Grants From HMN - Round 1Countries Receiving Catalytic Grants From HMN - Round 1

Use of Initial HMN Grants Use of Initial HMN Grants

• Assessment of the current status of the health information system as a whole, using HMN tool, standardized framework for quality review

• Development of a 2015 plan for health information system development, linked to national health sector and poverty monitoring strategies and planning cycles

• Building capacity for data generation, analysis and use

• Focus on specific issues: monitoring vital events , private sector data, data dictionaries, data warehousing

Major Challenges IdentifiedMajor Challenges Identified

• Assessment is one thing: moving to a coherent and feasible plan is another

• Costing health information system development; costs and benefits

• Resource mobilization: financing package

• Link to broader statistical and development processes: integrating into NSDS

• Involvement of stakeholders: MOH, NSO, finance, planning, non-health sectors

• Commitment of development partners around country led plan; overcoming vested interests

• Making health statistics comprehensible and relevant to users; addressing barriers to evidence-based decision making

HMN Strategies and Mechanisms for Country SupportHMN Strategies and Mechanisms for Country Support

• Strategies– Support groups of countries working together;

– Offer technical support as close to country as possible

– Document experiences and good practices, build up library of global public goods on health information system development.

• Mechanisms – Regional/country centres of excellence provide

hubs for collaboration, peer learning and sharing of experiences;

– Networks of collaborating institutions;– Regional affiliates of development partners;

Creating a Virtuous Cycle Creating a Virtuous Cycle

Globalinitiatives

GFATM, GAVI.President's Initiative,MDGs: results-based decision-making

IncreasedDemand

Health sector reform,

SWAPs. PRSP, civil society, media, use

of IT

IncreasedCoordination

Multiple stakeholders –

health and statistics

Donors

efforts

agreeto align

Focus on building systems able to respond to country

and donor needs.

www.healthmetricsnetwork.org