Setting Standards for Health Statistics: The HMN Framework High Level Forum on Strategic Planning for Statistics Bangkok 6-9 June

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 HIV/AIDS Tuberculosis Malaria Mortality <5, maternal Risk, smoking Water &sanitation COHERENT HEALTH INFORMATION SYSTEM M&E

Donor Driven Fragmentation: Example of HIV/AIDS Global Health Initiatives Global Fund NGOs Bilateral agencies PEPFAR, DFID … Academia Multilateral agencies UNAIDS, WHO Ministry of Health National AIDS Commission National Statistics Office Private sector Pharma Research One M&E Plan

Data, Data, Everywhere ….

HMN Goal, Objectives, Principles 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 systemsObjectives:  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 informationPrinciples:  Country ownership and stakeholder involvement  Link health and statistical constituencies  Harmonization and alignment; Paris Declaration  Sustainability; catalytic funding  Systems approach to health information

HMN Goal Increase availability, accessibility, quality and use of health information that are critical for decision making at country and global levels. HMN Goal Increase availability, accessibility, quality and use of health information that are critical for decision making at country and global levels. HMN Framework Roadmap for implementation Health information system components & standards Health information system components & standards Data sources HIS resources Indicators Data management Dissemination and use Information products Principles Process Tools

Health administrative records Service records (HMIS) Health & disease records Pop based surveys Civil registration Census Population-basedHealth services based Health 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 1

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 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 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 Global initiatives GFATM, GAVI. President's Initiative, MDGs: results-based decision-making Increased Demand Health sector reform, SWAPs. PRSP, civil society, media, use of IT Increased Coordination Multiple stakeholders – health and statistics Donors efforts agree to align Focus on building systems able to respond to country and donor needs.