15-18 Nov 2011Regional CH PM Meeting, KTM1 Child health programmes: What do we need to measure? CAH-SEARO

15-18 Nov 2011Regional CH PM Meeting, KTM2 Uses of Data Determine public health priorities Data informed planning Effective implementation: – Scale – Quality – Equity Monitoring progress of implementation Evaluation

15-18 Nov 2011Regional CH PM Meeting, KTM3 Programmatic pathway for improving child health IMPLEMENTATION OF ACTIVITIES Advocacy for Child health Human, material and financial resource mobilization Human resource capacity development Communication with adolescents, families & communities Health system supports strengthened Progress tracked IMPROVED Availability and access to health care Quality of care Demand for care Knowledge of adolescents, families and communities INCREASED POPULATION- BASED COVERAGE of key effective interventions IMPROVED SURVIVAL AND HEALTH Social determinants

15-18 Nov 2011Regional CH PM Meeting, KTM4 Health system Inputs Outputs Outcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Quality of services Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Source: Health Metrics Network Framework for measurement

15-18 Nov 2011Regional CH PM Meeting, KTM5 Health Status Indicators (Source: Vital Registration, DHS surveys) Mortality – U5MR – IMR – NMR – Cause specific mortality Nutrition status – LBW – Wasting – Stunting

15-18 Nov 2011Regional CH PM Meeting, KTM6 Mortality in SEAR Infant Mortality Rates (IGME 2011) Under-five Mortality Rates (IGME 2011)

15-18 Nov 2011Regional CH PM Meeting, KTM7 Neonatal Mortality Rate (UN IGME 2011)

15-18 Nov 2011Regional CH PM Meeting, KTM8 Disparities Source: Bangladesh DHS 2007; Bhutan National Nutrition and Young Child Feeding Survey 2009; DPRK National Nutrition Survey 2004; India NFHS ; Indonesia DHS 2007; Maldives DHS 2009; Myanmar FRHS 2007; Nepal DHS 2006; Sri Lanka DHS ; Thailand MICS ; Timor Leste DHS 2003 (for ARI data) and

15-18 Nov 2011Regional CH PM Meeting, KTM9 Deaths among children under-five Neonatal deaths Major causes of death in children under-five neonates in the South-east Asia Region 2008 (revised ) Source: WHO. The World Health Statistics 2011

15-18 Nov 2011Regional CH PM Meeting, KTM10 Child Nutrition Underweight childrenStunting in children Source: Bangladesh DHS 2007; Bhutan National Nutrition and Young Child Feeding Survey 2009; DPRK National Nutrition Survey 2004; India NFHS ; Indonesia DHS 2007; Maldives DHS 2009; Myanmar FRHS 2007; Nepal DHS 2006; Sri Lanka DHS ; Thailand MICS ; Timor Leste DHS 2003 (for ARI data) and

15-18 Nov 2011Regional CH PM Meeting, KTM11 Low birth weight in SEA Region Source: State of the World’s Children 2008, UNICEF

15-18 Nov 2011Regional CH PM Meeting, KTM12 Health system Inputs Outputs Outcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Quality of services Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Scope Source: Health Metrics Network Framework for measurement of health information

15-18 Nov 2011Regional CH PM Meeting, KTM13 Outcome indicators (Source: Coverage surveys including DHS/MICS surveys)

15-18 Nov 2011Regional CH PM Meeting, KTM14 Newborn Interventions Proportion of deliveries assisted by SBAs Neonates protected against tetanus at birth

15-18 Nov 2011Regional CH PM Meeting, KTM15 Management of sick children Children 0-59 months with diarrhoea past two weeks given ORS Children 0-59 months with suspected pneumonia taken to health care provider and received antibiotics (red bars) Source: Bangladesh DHS 2007; Bhutan National Nutrition and Young Child Feeding Survey 2009; DPRK National Nutrition Survey 2004; India NFHS ; Indonesia DHS 2007; Maldives DHS 2009; Myanmar FRHS 2007; Nepal DHS 2006; Sri Lanka DHS ; Thailand MICS ; Timor Leste DHS 2003 (for ARI data) and

15-18 Nov 2011Regional CH PM Meeting, KTM16 Health system Inputs Outputs Outcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Source: Health Metrics Network Quality of Service Framework for measurement

15-18 Nov 2011Regional CH PM Meeting, KTM17 Output indicators (Source: HFS, Hospital Assessment, MNCAH surveys)

15-18 Nov 2011Regional CH PM Meeting, KTM18 Health system Inputs Outputs Outcomes (programme efforts) (coverage/ behaviours) Policies Information to families Proportion of target Human resources Availability of services population who Financing Access to services received interventions; Logistics/supplies Determinants of Health Socioeconomic and demographic factors Environmental and behavioural risk factors Health status ("impact") Mortality Morbidity - disability Growth Development Well-being Source: Health Metrics Network Framework for measurement

15-18 Nov 2011Regional CH PM Meeting, KTM19 Input indicators (Source: Programme Reviews, Administrative records)

15-18 Nov 2011Regional CH PM Meeting, KTM20 Way forward Collaborate for developing a Regional framework in alignment with Global framework including UN Information and Accountability Framework

15-18 Nov 2011Regional CH PM Meeting, KTM21