1. GAVI Support and the Health Information System
Abdallah Bchir
GAVI Secretariat
Glion-sur-Montreux, 28/09/2006

2. 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

3. 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

4. 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

5. 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

6. 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)

7. How should we monitor the HSS ?
Effect on health systems at country level
Effect at global level
Impact

8. 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?

9. 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 ?

10. GAVI and the HMN The HMN could provide support
Defining health system performance indicators
coordinating global efforts to support HIS
Sharing tools
disseminating results

11. Thank you