Transcript Guidelines

Information & accountability platforms:
Achievements, challenges & priorities
Overview of global activities
Session 3: Fifth IHP+ Country Health Teams Meeting
2–5 December 2014, Sokha Angkor Resort
Siem Reap, Cambodia
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Increased demand for results and accountability
1.
Country health system progress and performance: performance based funding;
2.
Global reporting requirements: MDGs, disease programmes, emerging priorities such as
NCDs and new initiatives
3.
IHP+ seven behaviour including accountability: focus on country led M&E platform &
alignment
4.
Commission on Information and Accountability for Women and children's health: focus on
country accountability framework (results, resources & accountability) based on IHP+
framework
5.
Global Health Agency Leaders: Multi-agency group on rationalization of indicators and
reporting burden
6.
Health measurement post-2015: health goal including universal health coverage; Common
roadmap for measurement & accountability for health post-2015
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Sustainable development goals 17 SDGs (July 2014)
Health is 1/17 but also in other goals
1.
2.
3.
End poverty in all its forms…
End hunger……
Ensure healthy lives and promote
well-being at all ages
4. Inclusive quality education…
5. Achieve gender equality and
empowerment all women & girls
6. Ensure…..water and sanitation..
7. Ensure….sustainable energy
8. Promote sustained ..economic
growth, …decent work
9. Build resilient infrastructure…
10. Reduce inequality …..
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11.
Make cities …. safe… sustainable
12.
Ensure sustainable consumption and
production patterns
13.
Take urgent action ….climate change
14.
Conserve & sustain use of oceans….
15.
Protect, restore ….sustainable ecosystems…
halt biodiversity loss
16.
Promote peaceful & inclusive societies ….
17.
Strengthen means of implementation /
global partnership for sustainable
development
| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Goal 3: Ensure healthy lives and promote wellbeing for
all at all ages (OWG report August 2014)
MDG
NCD
UHC
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1.
By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
2.
By 2030, end preventable deaths of newborns and children under 5 years of age
3.
By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis,
water-borne diseases and other communicable diseases
4.
By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and
treatment and promote mental health and well-being
5.
Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of
alcohol
6.
By 2020, halve the number of global deaths and injuries from road traffic accidents
7.
By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning,
information and education, and the integration of reproductive health into national strategies and programmes
8.
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services
and access to safe, effective, quality and affordable essential medicines and vaccines for all
9.
By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil
pollution and contamination.
| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Timeline – selected events; health measurement
2012
Member
States
2013
2014
OWG report
UNGA Post-2015
UNGA MDG
Review Summit
SDG
Rio+20
2016
2015
UNGA Post-2015
Agenda Final
High Level Panel of Eminent Persons
UN
Secretariat
Sustainable Development Solutions Network
UN Task Team (40+ agencies); UN SG synthesis report
Goals targets
Indicators
Health
SDGs and targets
Indicators
New goals and targets by specific programs/subject areas (maternal mortality, RH,
HIV, TB, child mortality, NCDs, UHC etc.)
Overall health target / indicators
Global Health Agency Leaders reporting
alignment … 100 health indicators
Monitoring and "data revolution"
Health
measurement
Sources: CRVS, surveys, facility, admin, new sources
Contents: surveillance, quality, UHC
Focus: accountability, investments, country systems
Country accountability framework implementation (COIA)
IHP+ M&E working group
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Roadmap:
Measurement
and
accountability
for results in
health post2015
Country progress
Better results and accountability gaining traction in countries
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Country progress: Some highlights
 CRVS: Unprecedented political momentum and investments driven by UN Regional Commissions; 51
countries with assessments; shift to universal registration of births, deaths, cause of deaths
 Evidence of progress in results monitoring: 44 countries using web-based facility reporting (e.g DHIS);
most countries with regular household surveys; data quality mechanisms in 20 countries
 Monitoring resources: Multi-partner support in standard framework for resource tracking (based on
the SHA 2011) – 18 countries tracking health expenditures ; 33 more by 2015
 Innovations: 27 countries have e-health strategies; more and more using ICT to improve availability
and accessibility to data
 Growing number of examples of accountability in country
– health officials using scorecards to hold staff to account on monitoring progress
– increasing involvement of parliaments and CSOs in country accountability and review
mechanisms;
– 44 countries have compacts or similar agreements in place
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Main issues
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
In 2013, Global Health Agency Leaders established a multi-agency working
group to conduct an assessment of the global reporting requirements and
the reporting burden in countries

Survey of 19 agencies and 12 countries

Main issues:
1. Too many indicators for reporting
2. Too many reporting requirements (and more coming)
3. Fragmented & inefficient investments in data generation and M&E
system/capacity strengthening
| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
1.

Too many indicators: what can be done?
Challenges
– More demand for more results (countries > 600 indicators)
– International reporting accounts for an additional 40-50%
– Situation likely to get worse, with demand for more dis-aggregations and
more initiatives and efforts (accelerating MDG 4/5; NCDs, UHC),

Momentum
–

Global partners are willing to harmonize and reduce, more emphasis on
quality of data
Action
– Work towards more harmonization of indicators
– Work with countries to find the best set
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Global Reference List of 100 Core Health Indicators
Outcome of multi-agency working group on
indicators & reporting requirements:
•
•
•
•
•
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Full spectrum of global health priorities – MDG,
NCDs, UHC, health SDGs
Basis for rationalization & alignment by partners
Enhance efficiency and streamline investments
and improve the quality of results
Global standards – definitions, metadata
Countries choose own set of indicators based on
their health priorities and capacity to monitor
| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
2.

Reporting requirements: what can be done?
Challenges
– Diverse reporting requirements
– Demand for "direct" accountability and attribution (specific results
for specified investments)
– Continued fragmentation through strong disease programmes

Momentum
–

Global partners are keen to align better, and country monitoring
platforms are getting stronger
Action
– Partners should rationalize reporting requirements in terms of
content, frequency and progressively align with country review and
reporting cycles (e.g. annual health reviews)
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
3.

Inefficient investments in data systems:
what can be done?
Challenges
– Partners often do not use country systems (data quality …)
– Investments in separate and single-purpose data collection efforts

Momentum
–
–

While full integration is not always the best option, growing awareness of
the need to strengthen country systems and increase efficiencies in
investments
Opportunities with innovative approaches possible
Action
– Better alignment of investments to support country M&E platform in line
with IHP+ M&E framework
– Use innovative approaches (improving transparency, quality etc.)
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Country-led platform for monitoring & review of the national
health strategy
External validation and estimates
Common standards and tools
Monitoring
reports
GAVI
reporting
Programme
reports
Minimization of
reporting requirements
Reviews
PEPFAR
reporting
Country
Countrydata
information
data
generation
generation
&&compilation
compilation
MDG / UN
reporting
Statistical
reports
Global Fund
reporting
Reviews
Analysis
& synthesis
Evaluation
Programme
Reporting
(TB, MCH,
HIV, etc.)
Harmonization of
reporting requirements
Country-led platform for information & accountability:
Key elements of a good system
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
Comprehensive M&E and review plan for national health strategy
– Addresses goals and objectives of the national health strategy
– Programme and disease-specific M&E aligned
– Partner alignment and support

Institutional capacity
– Country led coordination, multi stakeholder; clear roles & responsibilities

M&E framework (indicators, data sources, analysis, quality, use)
– Core indicators with baselines and targets (20-40)
– Data sources specified and integrated (surveys, facility, administrative data)
– Data analysis & synthesis specified (with equity component)
– Data quality assessment & transparency ; effective communication & use

Country mechanisms for review and action
– Regular system of inclusive health sector progress and performance reviews
– Established processes to take corrective measures
| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia
Group work
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Country M&E and accountability platform:
How far have we got? What is required to move forward?
Country group work: assignment: Based on the IHP+ checklist* of key
elements/ good behaviours in M&E and accountability:
•
•
•
What has been the main progress made?
− How far have countries got with good behaviours?
− How far have development partners got with good behaviours?
What are the 2-3 priority actions for strengthening the country M&E
platform ?
How can investments be made in a more coordinated and efficient way to
strengthen the country M&E platform?
*Hand-out
available
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| Information & accountability platforms: Achievements, challenges & priorities
| Session 3: Fifth IHP+ Country Health Teams Meeting, 2-5 December 2014, Cambodia