Health Metrics Network:

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Health Metrics Network

• Why?
• Who?
• What and how?

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an email message from WHO Lao PDR4 Feb 2004
We have been working very hard over the last
couple of years to improve the health management
information system, (with Luxembourg funds), but
still we are far away from satisfactory results.
This is mainly due to the fact that each agency,
NGO, and even each programme, has introduced
different health information system(s). As a
result we have one system for malaria (with 20
forms or so...!! See Kunming indicators) another
system for EPI, another for RPH introduced by
UNFPA, another for children's health by UNICEF
another for PHC, introduced by the WB/ADB and so
on...... The end result is a terrible MESS and
the generation of reports/indicators that are FAR
AWAY from any reality.
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Every programme, project, partner has a separate
ME plan
Every ME plan focuses on indicators but not on
the system for generating them
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The information paradox

• Countries with the highest burden of ill health
  have the weakest health information systems
• Vicious cycle of under-valuing and
  under-investment in information systems, in part
  due to donor actions

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Health Metrics NetworkWho is involved?

• Countries health, statistics, research, civil
  society
• Donors foundations, bilaterals, multilaterals,
  UN, World Bank
• Technical partners WHO, CDC, OECD/DAC

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What will HMN do?

• Build country health information systems
• Consensus technical framework to focus country
  and donor actions
• Technical and financial support to countries
• Incentives to increase access to and use of
  information for decision-making

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The consensus technical framework Balancing
demand and supply
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Country HIS reform
Towards a consensus technical framework
Global public goods
Household Surveys
Vital Registration
Proximate Indicators
National Health Accounts
District Data
Evalu- ation HIS
Assessment Plan Coordination Improved data
collection Analysis Synthesis
Dissemination Data Use
Improved country and global reporting
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Assessment of Country Health Information
System Framework for a standardized tool

• Resources
• Financial
• Human
• Infrastructure

Process outputs Coordinating mechanisms Plan
and indicators Data platforms
Results Data availability quality by major
health areas MDG reporting Utilization of data
for health action
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Country HIS reform template - strategy

• Assessment of HIS using standardized tool with
  indicators for monitoring and accreditation
• Strengthen country mechanism for coordination and
  collaboration
• Health and statistics constituencies
• Donors and national institutions
• Development of 10 year HIS plan with indicators
  and data collection strategies
• Investment in new and improved data collection
  platforms / tools
• Analysis and synthesis of national health data,
  including burden of disease, risk factors,
  interventions, resource allocation and health
  system
• Dissemination and use for policy making and
  planning and ME, including MDG reporting

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From data collection to data use
Information is neither trusted nor used
Decision-making
Information
Decisions
Adapted from Lippeveld et al WHO 2000
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