1. TITLE:MEASURING HEALTH POLICY INDICATORS IN UGANDA A presentation at the PARIS21 Workshop for East Africa and the Horn: 23-26 July 2001 THEME:SUPPORTING POLICY WITH STATISTICS -DEVELOPING A STRATEGIC APPROACH By: Prof. F.G. Omaswa Director General of Health Services Uganda

2. INTRODUCTION Health Reforms: n New National Health Policy n Health Sector Strategic Plan n Implementation of HSSP through SWAP

4. PRIORITIES n Uganda National Minimum Health care Package - Burden of Disease Study (1995) n Organization and Management of National Health system - Health Reforms (Restructuring of MOH and Decentralization) n Health Service Infrastructure - Health Sub-Districts

5. LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE n Control of Communicable Diseases n Integrated Management of Childhood illness n Sexual and Reproductive Health and Rights n Immunisation n Environmental Health n Health Education and Promotion n School Health

6. LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE Cont. n Epidemic & Disaster Prevention, preparedness and Response n Improving Nutrition n Interventions against disease targeted for elimination or eradication n Strengthening Mental Health Services n Essential Clinical Care

7. HEALTH CARE DELIVERY DISTRICT STRUCTURE FOR HEALTH CARE DELIVERY

8. MONITORING OF THE HSSP n Consensus on HSSP Indicators (20) n Review of HMIS to meet the information needs of the HSSP n Developed Indicator Manual n Collection, Analysis, Interpretation & Use at all levels

9. MONITORING OF THE HSSP Cont. n Joint Missions n Quality Assurance Support Supervision Visits n District Monthly reports n Weekly Reporting of Disease of Epidemic Nature by Districts n MoH Quarterly Review meetings n Senior Staff meetings n Top Management meetings

10. Community Based Health Care Information System n Revitalisation of Uganda Community Based Health Care Association (UCBHCA) n Community capacity Building (Parish Development Committees) n Emphasis has been put on Community empowerment to enable them actively use data to contribute to policy and planning

11. EXAMPLES OF SOME OF THE ANALYSES FOR THE HEALTH POLICY INDICATORS  Including The PEAP Indicators : OPD Utilisation rates, DPT3 Coverage, and Level of staffing norms

12. TRENDS IN COMPLETENESS OF HEALTH UNITS REPORTING HSSP TARGET

13. OPD ATTENDANCE 1997-2000

14. Government and NGO OPD Utilisation per person HSSP Target

15. DPT3 COVERAGE 1997-2000 HSSP TARGET

17. HIV infection rates among ANC attendees, Mbarara hospital

18. HIV infection rates among ANC attendees at selected sites

21. Could this be due to mass immunisation campaign??

22. CONCLUSION n There is now increased use of data in policy formulation n There is now increased use of data in planning n There is now increased use of data in Monitoring and Evaluation of the Health sector