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Health Team Maternal & Newborn Health. Review of Data Challenges and Opportunities. Background. Millennium Development Goal (MDG) 5— reduce maternal mortality by 75%. Lagging progress attracted attention and donors multilateral and bilateral partnership campaigns

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Health team maternal newborn health

Health Team

Maternal & Newborn Health

Review of Data Challenges and Opportunities


Background
Background

  • Millennium Development Goal (MDG) 5—

    reducematernal mortality by 75%

  • Lagging progress attracted attention and donors

    • multilateral and bilateral partnership campaigns

    • Top donors: USAID, World Bank, UNICEF, UNFPA, DFID, CIDA

  • Lacking data, especially at subnational level


Major donors
Major Donors

The United States, through USAID, is by far the largest donor, with ~630 projects in 2010



Existing data
Existing Data

Sources

  • Demographic Health Surveys

    Measure DHS, USAID

  • Multiple Indicator Cluster Survey (MICS)

    Unicef

  • Census data

    nationally managed

  • Maternal Mortality Surveillance Systems

    growing efforts, national and donor partners

    Typical Relevant Indicators

  • Maternal mortality rates (national)

  • Child mortality rates (admin 2)

  • Reproductive health (admin 2)

  • Contributing factors (admin 2)

    - Indicators

    2. Maternal mortality Surveillance Systems

    - Millenium Development Goal 5

    - Monitoring systems:

    a. Maternal Mortality Estimates

    b. Campaign on Accelerated Reduction of Maternal, Newborn and Child Mortality in Africa (CARMMA)

    c. Latin American Center for Women and Reproductive Perinatal Health (CLAP)—Pan American Health Organization (PAHO)

    d. Countdown to 2015: Maternal, Newborn, and Child Survival

    e. Center for Disease Control and Prevention (CDC) —Division of Reproductive Health (DRH)

    - Data sources: WHO, UNICEF, WB, UNFPA, DHS,

    - Partner Organisations: WHO, UNICEF, WB, UNFPA, Planned Parenthood Federation, Partners in Poulation Development Africa


Mnh data problems limits of population based surveys
MNH Data Problems Limits of population-based surveys


Mnh data problems limits of health facility reporting
MNH Data Problems Limits of health facility reporting


Potential for mapping
Potential for Mapping

  • Mapping health facilities, health facility levels, and access to care

  • Mapping maternal/newborn mortality

  • Identifying gaps in care that will allow us to better focus aid projects

  • Informing local policy makers

    • allows better integration of health ministries and community work

  • Allows for the potential of mapping other health topics


Mobile health mhealth
Mobile Health (mHealth)

...Significant potential for improving data collection &surveillance, including for maternal and newborn health


Mnh mhealth data collection
MNH mHealth Data Collection

____________Data Collectors_____________

TBAs MidwivesCHWsHealth facility workers

_______________Devices________________

Basic mobile phones Java enabled phones

Smart phones PDAs

________________Data__________________

Vital information Births Death


Specific benefits of mobile data collection for mnh
Specific Benefits of Mobile Data Collection for MNH

- More consistent data

- Fill some data gaps

- Support targeted interventions

- Facilitate surveillance of high risk cases

- Birth registry

- Improve CHW communication & info

- Integrate Traditional health workers



Potential for real time mapping
Potential for Real Time Mapping

  • GPS location

  • Access to/use of care vs. health outcomes


Mobile data collection process
Mobile Data Collection Process

  • Using mobile phones, PDAs, smart phones, etc.

  • Mobile device to central database, where compiled and analyzed in real time

or adult


Challenges of mnh mhealth

Technological problems

Cost and sustainability

Challenges of MNH mHealth

  • Data gaps and accuracy

  • Incentives to report


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