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TITLE:STATISTICS IN USE A presentation at the PARIS21 Annual Consortium Meeting: 4 –5 October, 2001 THEME:SUPPORTING POLICY WITH STATISTICS – DEVELOPING A STRATEGIC APPROACH IN UGANDA By: Prof. F.G. Omaswa Director General of Health Services Uganda
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INTRODUCTION Health Reforms: n New National Health Policy n Health Sector Strategic Plan n Implementation of HSSP through SWAP
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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
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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
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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
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HEALTH CARE DELIVERY DISTRICT STRUCTURE FOR HEALTH CARE DELIVERY
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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 -for 1/4 assessment n Health Policy Advisory Committee n Collection, Analysis, Interpretation & Use at all levels n Census n Annual Records Review
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MONITORING OF THE HSSP Cont. n Joint Missions & Mid –Term Review 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
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Community Based Health Care Information System n Revitalisation of Uganda Community Based Health Care Association (UCBHCA) n Community capacity Building – Village Health & Parish Development Committees n Emphasis has been put on Community empowerment to enable them actively use data to contribute to policy and planning
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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
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TRENDS IN COMPLETENESS OF HEALTH UNITS REPORTING HSSP TARGET
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OPD ATTENDANCE 1997-2000
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Government and NGO OPD Utilisation per person HSSP Target
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DPT3 COVERAGE 1997-2000 HSSP TARGET
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HIV infection rates among ANC attendees, Mbarara hospital
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HIV infection rates among ANC attendees at selected sites
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Could this be due to mass immunisation campaign??
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CONCLUSION n There is now increased use of data in: –Policy formulation –Planning –Monitoring and Evaluation of the Health sector
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