1. 6 MONTHS IN REVIEW

2. 2 Health Data Collaborative: Context Key milestones and developments January 2015June 2015September 2015 January 2016 March 2016 Draft roadmap for measuring health SDGs MA4Health Summit: Five-Point Call to Action Global Health Agency Leaders meeting Calls for agencies to develop joint plan to support countries HDC operational work-plan scope and key deliverables agreed HDC launch at UN Statistical Commission with over 32 partner commitments

3. 3  Unique organizational structure: joint ownership, collective action, shared responsibility  Core team coordinates across agencies and with country and working group activities  …through weekly virtual meetings, monthly newsletters, website updates HDC Core Team operationalized With dedicated focal points from 13 agencies MAR APR MAY JUN JUL AUG

4. 4 Operational Workplan 2016-2017 finalized Putting principles of alignment into practice RHIS curriculum Data quality toolkit Facility data standards Quality of care metrics & methods DHIS health app Collective action in 5+ countries Institutional analytical capacity use Open health observatories Common investment framework GLOBAL LEVEL PUBLIC GOODS COUNTRY RESULTS Country M&E priorities identified Aligned donor support Global HIS report MAR APR MAY JUN JUL AUG

5. 5  Inter-Country Conference on Measurement and Accountability for Health held in Bangladesh, backed by USAID and AeHIN  Other sub-regional platforms being established (e.g. in West and Central Africa for routine health information systems analysis and use)  Regional civil society network (CHESTRAD) engaged for advocacy in data analysis, use and accountability Regional Networks Engaged To promote peer learning & review MAR APR MAY JUN JUL AUG

6. 6  Health SDGs monitoring agenda aligned with 100 core health indicators; UHC 2030; Global Strategy for Women, Adolescents & Children; NCD monitoring  Significant uptake of 100 core indicators by countries for monitoring national health sector performance  2016 update due by year- end SDG reporting aligned with the 100 Core Health Indicators Reducing indicator and reporting burden MAR APR MAY JUN JUL AUG

7. 7 Progress: MoH spearheads formation of M&E Taskforce further to HDC mission M&E plan in development with priority actions and common investment framework Some convergence on investments in centralized DHIS 2, selection of core health indicators But: −Progress is slow −Challenges, lessons learned need to be documented Malawi aligning partners around its health plan Political commitment but slow implementation MAR APR MAY JUN JUL AUG

8. 8 …requests the Director-General: “to support Member States in strengthening national statistical capacity at all levels, in particular in developing countries, in order to ensure high quality, accessible, timely, reliable, and disaggregated health data including through, where appropriate, the Health Data Collaborative.” World Health Assembly Resolution “Health in the 2030 Agenda for Sustainable Development” MAR APR MAY JUN JUL AUG

9. 9 “UHC2030 will draw on…the products of the Health Data Collaborative Initiative.” “Implementation of the Global Strategy monitoring framework will occur in the context of the Health Data Collaborative.” Kenya MoH presents on Kenya Health Data Collaborative at multi- sectoral SDG data workshop in August Engaging with other global health initiatives/networks Linking/leveraging data efforts …..But more high level strategic coordination is required to engage global initiatives such as global health security agenda, Global Financing Facility, etc. MAR APR MAY JUN JUL AUG

10. 10 Country & regional platforms Existing collaborative platforms HDC Working Groups Technical Working Groups Launched Harmonized tools & collective country actions Progress: 9 technical working groups + 7 sub-groups established 4-5 operational Nearly 300 technical experts from 60 organizations involved Task lists developed - some activities funded (e.g WHO, GF, USAID ME) But... −Coordination and communication to be improved −Levels of membership to be defined/streamlined −Some unmet funding needs (e.g global observatory, Civil society) MAR APR MAY JUN JUL AUG

11. 11 … D ATA Q UALITY A SSESSMENT (DQA)...... I MMUNIZATION D ATA Q UALITY A SSESSMENT (IDQA)... ……… O N - SITE D ATA VERIFICATION (OSDV) ………... D ATA Q UALITY R EPORT C ARD (DQRC).. Malaria TB HIV From multiple disease-specific data quality tools … to a harmonized approach MAR APR MAY JUN JUL AUG

12. 12 Progress: More and more programmes and countries moving towards single country platform (e.g. DHIS 2) Partners working on joint investment and core functional requirements But.. much more required: −to establish sound governance at country level −to integrate public health surveillance into routine systems −to build adequate capacity in analysis and use From vertical reporting systems … towards a common data platform MAR APR MAY JUN JUL AUG

13. 13 … SARA … … SDI…. … AMDD... Progress: Consensus on common core indicators to use across tools (e.g. readiness, quality of care) But: −More work needed to avoid multiple donor-driven surveys in one country and to maximise efficiencies in data collection (e.g SARA, AAMDD, PMA2020 in Ethiopia this year)... PMA2020..... SPA.. … EMONC.. Harmonization of facility survey tools To reduce fragmentation and improve efficiencies MAR APR MAY JUN JUL AUG.. SDP..

14. 14 “Monitoring the Global Strategy requires substantial investments in data collection, compilation, analysis, communication and use in countries. The Health Data Collaborative and others must play a critical role to: Advocate for and invest in strengthening CRVS systems through the CRVS window of the Global Financing Facility; Ensure every country has a regular programme of health surveys; Focus on disaggregated data to address equity and human rights considerations so that no one is left behind: Improve monitoring of health system resources such as financing, workforce and access to medicines” Progress: Joint curriculum developed with other tools including data quality review, analyses, best practices for governance Combining efforts to build regional networks in data analysis and use (GF initiative supported by WHO, UNICEF, USAID/ME, University of Oslo, HISP) Future work to include identifying barriers to data use, developing curricula on data analysis and use But: −Much more needed to avoid development of separate tools/guidance −Country capacity within national institutions need to be strengthened Joint curriculum on data analysis and use Working together to build institutional capacity MAR APR MAY JUN JUL AUG

15. 15 Communications strategy Communications working group Civil Society regional networks Promoting a culture of data use in countries Progress: Engagement across all TWGs CS engagement platform established with 85 organizations CS Action plan with 5 work streams African Regional Health and Accountability Dialogue (Lagos2016) planned Linkages established with other CS networks BIG (Better use, Improved action, Good data) campaign underway But more work needed to: −Clarify role of CS within each TWG and country engagement process −Engage HDC partners −Mobilize resources −Align CS plans with partners and programmes MAR APR MAY JUN JUL AUG

16. 16 Launch of Kenya Health Data Collaborative Exemplifying country stewardship/ownership Kenya’s M&E priorities:Progress:  Data analytics capacity (national and subnational Capacity building workshop (~60 national/county stakeholders) Analytical report for mid- term review in progress – supported by WHO, CDC, Measure Evaluation  Quality of Care survey planned Joint support from WHO, GF  Kenya Health Observatory Initiated joint support: WHO, UNICEF, UNAIDs, USAID  M&E frameworkWorld Bank aligns its new Transforming Health Systems for Universal Care (THS-UC) project with MoH’s M&E Framework “We now expect all Health Data Collaborative Partners to pull in the same direction and in line with our own vision and goals” Dr Nicholas Muraguri, Principal Secretary, Kenya MoH MAR APR MAY JUN JUL AUG

17. 17 “Monitoring the Global Strategy requires substantial investments in data collection, compilation, analysis, communication and use in countries. The Health Data Collaborative and others must play a critical role to: Advocate for and invest in strengthening CRVS systems through the CRVS window of the Global Financing Facility; Ensure every country has a regular programme of health surveys; Focus on disaggregated data to address equity and human rights considerations so that no one is left behind: Improve monitoring of health system resources such as financing, workforce and access to medicines” Progress: USAID led first working group meeting held in Washington, DC June 28-29 Multi-stakeholder workshop held in Sierra Leone resulted in Ministry of Health committing to leading/coordinating interoperability efforts – articulated in “Bintumani Declaration” Sierra Leone provides case study for working group’s engagement with countries But: −Significant challenge in mapping existing digital health systems currently in use Digital health and interoperability Working towards better integrated country systems MAR APR MAY JUN JUL AUG

18. 18 MAR APR MAY JUN JUL AUG Civil Registration and Vital Statistics HDC links with Global CRVS Group Progress: Link established with existing global working group on CRVS (hosted by UNSD), which will contribute its work to HDC’s technical package Key products for 2017 include CRVS e- learning course and operational guidelines for evaluation of geographic coverage of civil registration/ completeness of vital events registration Previously, meetings were irregular but new terms of reference stipulate quarterly meetings But: −Limited funding for activities through contributions from individual agencies

19. 19 DRC Global Fund, World Bank, GAVI, DFID agree to integrate disease-specific programmes into DHIS 2 Global Fund, GAVI, WHO agree to use harmonized tool for data quality assessments New M&E plan to be approved by end of Q3 Sierra Leone CDC, eHealth Africa to integrate disease surveillance into DHIS 2 MoH leading unified national architecture for its HIS (in-country partners, TWG on interoperability) Myanmar Request to support national health sector planning, including M&E plan – opportunity for collective support Tanzania Final evaluation of national health sector plan (HSSPIII) – multi-stakeholder M&E week (Oct. 2016) Nigeria New FMoH leadership – request to support assessment and planning for country M&E Country engagement Opportunities for collective action in other countries MAR APR MAY JUN JUL AUG

20. 20 Bringing it all together: Global repository of HIS tools website Bringing it all together Technical package of HIS tools MAR APR MAY JUN JUL AUG

21. 21 Financials Funding the operational workplan 2016-2017 DonorFunds Received (USD) Activity Realignment of WHO funds to HDC workplan Bloomberg 2,000,000 (grant to WHO) Global technical package & repository of tools and standards IHP+600,000 Country action: National M&E plans, common investment frameworks New funds for HDC-specific activities GAVI613,000 Country action: Support for 2-3 countries on common investment framework for M&E priorities USAID500,000 Interoperability and core functioning BMZ/GIZ100,000 Tools and standards for facility systems Global Fund 250,000 Facility surveys, facility and community systems TOTAL 4,063, 000  Estimated annual budget = approx. 8 million  To date – only half of funding secured for 2016  Unfunded priorities : −Increased country coverage −Global health observatory for SDG monitoring −Global report on country health information systems −Civil society and other regional networks −Core operations (Communications officer, project manager, technical working groups)  Future funding direction/ commitments unclear MAR APR MAY JUN JUL AUG

22. 22 Monitoring Progress and Performance Logframe developed Outcome 2: Improved efficiency and alignment of investments in health data systems through collective action Outcome 1: Enhanced country capacity to monitor and review progress towards health-related SDGs Outcome 3: Increased impact of global public goods on country health data systems through increased sharing, learning, country engagement Outcome Indicator 1.2: Number of countries able to demonstrate strategic use of data in sector monitoring, review, action Outcome Indicator 1.1: Number of countries with improved data on health SDGs Outcome Indicator 2.1: Number of partners using country-led common investment plans to align technical/financial resources Outcome Indicator 2.2: Number of countries that have reduced use of disease- specific/parallel information systems Outcome Indicator 3.1: Number of countries using joint technical package of harmonized tools/standards for strengthening health performance measurement GOAL: Data informs and leads to achievement of health-related SDGs MAR APR MAY JUN JUL AUG

23. 23 In sum Progress Technical working groups advancing work on deliverables Kenya providing best practice case for country stewardship, joint learning opportunity for country engagement Opportunities for engagement in other countries being explored Some examples of partners following through on commitments to align support with country priorities, harmonize tools Challenges Varying levels of engagement by partners How to more efficiently engage with countries? Ensure country leadership? More work needed on alignment/harmonization Decision-making processes/protocols not clear Communication across working groups Establishing strategic coordination with other initiatives (UHC2030, GFF, global health security agenda, GPSDD, etc.) MAR APR MAY JUN JUL AUG