GAVI Support and the Health Information System

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Presentation transcript:

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

Thank you