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Improve health metrics network for evidence-based policy making, resource allocation, and program monitoring. Strengthen health data collection systems to drive equitable health improvements globally and locally.
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Health Metrics Network Strengthening Country-Level and Global Tracking of Health Outcomes Evidence and Information for Policy
Health Information:A Public Good • Under-financed and under-supplied • Responsibility falls to the public sector • Requires new investment and new incentives to overcome the barriers to production • Deaths and economic losses due to SARS remind us that, “What you don’t know can hurt you” Evidence and Information for Policy
Health Information:Engine for Change • Accountability spurs better resource allocation • Transparency improves governance and policies • Enables leadership and training • Data instrumental in research • Focuses attention on equity • Necessary for behavior change • Prerequisite for service quality improvement Evidence and Information for Policy
Health Information:An Emerging Opportunity • Gathering momentum with the MDGs • Growing needs with the initiatives providing performance-based funding (GAVI, GFATM) • SARS and emerging antimicrobial resistance reveal the shared benefits of surveillance • Need and opportunity to achieve new synergy among global and country-level efforts Evidence and Information for Policy
Health Metrics Network • Proposed partnership of key multilateral institutions, bilaterals and foundations working in the health sector with an interested in strengthening national capacity to monitor the health-related MDGs and other core health indicators • Detailed plans under development • Seeking formative input • July 8, 2003 principals meeting Evidence and Information for Policy
Health Metrics Network:Guiding Principles • Will add value, not duplicate existing systems • Strengthen global, national, and local systems to drive improvements in equity, quality, and accountability Evidence and Information for Policy
Health Metrics Network: Objectives • Enable performance-based monitoring of interventions; • Build demand for transparency, accountability, and evidence as a basis for decisions; and, • Advance the state-of-the-art (research, policy, services, advocacy, and governance) and equitable improvements in health. Evidence and Information for Policy
Health Metrics Network: Core Indicators • Focus on indicators linked to funding opportunities and the MDGs • Draft list includes 24 (33 total sub-indicators), addressing the needs for tracking progress for: • Health MDGs • GFATM • GAVI Evidence and Information for Policy
Health Metrics Network: Key National Data Collection Platforms • Vital events monitoring • Periodic household surveys • Health service delivery registries • Disease surveillance Evidence and Information for Policy
Health Metrics Network:Program Components • 1) Development and/or harmonization of norms and standards to monitor core indicators through national data collection systems (service delivery registries, disease surveillance, vital registration and household surveys). • 2) R&D for new tools to measure core indicators Evidence and Information for Policy
Health Metrics Network:Program Components • 3) Country support to develop plans to achieve minimum information systems required and to raise funds from multilateral and bilateral sources for the required investments in national capacity building. • 4) Global acreditation of minimum information system for core indicators, collation and validation of indicator values dissemination Evidence and Information for Policy
Health Metrics Network: Potential Structures • HMN members alliance • Coordinating board of principal partners and developing country representatives • Component 1 and 2 organized through indicator specific and data collection platform task forces. Task forces would bring together all relevant actors on a subject. • Secretariat to support HMN and orchestrate components 3 and 4 Evidence and Information for Policy
Health Metrics Network: Issues • Governance that can transcend pressures to change data but ensure appropriate UN leadership in establishing norms. • Balance between need for rapid progress to harmonize different agencies health monitoring requirements and the longer-term agenda of norms development/harmonization including incorporating new tools Evidence and Information for Policy
Health Metrics Network: Issues • Effective linkage of information for programme management and information for monitoring/evidence building • Maintaining focus on a short-list of core indicators, avoiding indicator creep Evidence and Information for Policy
Health Metrics Network: Next Steps • July 8, 2003 meeting of principals -- multilaterals, bilaterals, foundations and developing country leaders • Meeting intended to create consensus on the objectives, work components and governance issues. Evidence and Information for Policy