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Dr Mark Amexo , MD. H ealth M etrics N etwork Secretariat,

Monitoring of Vital Events thro ’ Leveraging Innovations including Information Technology (IT) Advances. 7 th Africa Symposium on Statistics Development (ASSD) 18-23 January 2012. Cape Town, South Africa. Dr Mark Amexo , MD. H ealth M etrics N etwork Secretariat,

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Dr Mark Amexo , MD. H ealth M etrics N etwork Secretariat,

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  1. Monitoring of Vital Events thro’ Leveraging Innovations including Information Technology (IT) Advances. 7th Africa Symposium on Statistics Development (ASSD) 18-23 January 2012. Cape Town, South Africa. Dr Mark Amexo, MD. Health Metrics Network Secretariat, W.H.O Headquarters. Geneva, Switzerland.

  2. Outline Rationale for "MoVE-IT" The 3 Work Streams: MoVE-IT Africa Initiative Progress Next Steps 2 8/17/2014

  3. Why MoVE-IT? HMN: Global Network for Country HIS The Health Imperative in CRVS System Information Needs: Evidence-based Decision & Policy, Planning, Tracking, Results and Accountability HMN Commissioned MoVE Series in The Lancet: Who Counts?; "Everybody Counts" Needs for: MDGs, GF Impact Measurements Advances and Availability of IT Commission on Information and Accountability –Mandate for Recommendation 1 3 8/17/2014

  4. "Roadmap" HMN Framework 4 8/17/2014

  5. MoVE-IT ….. Promoting Health Imperative in CRVS syst. • Smarter ways to Capture, Record Vital Events; have these Certified. • Compile and Use Vital Statistics – "Real Time" • Consistent with UNSD Principles and Practices • Empower National Govt. to Act and Lead • Evidence-based Decision and Actions • Improved Health Outcomes, Impact • IT use: Evade barriers, Quality/Efficiency

  6. Collaboration Harmonization, Synergy • Collaboration, Harmonised Action of Partners (UN Agencies, Bilateral & Multilateral Institutions, Academia and Research, Country Systems/Sectors • National Government Departments & Sectors, Development Partners • Local Authorities & Populations, CSOs, NGOs • Promote and Link Health Sector Actions to Other Sectors in CRVS System.

  7. MoVE-IT: 3 Workstreams Advocate for functional Civil Registration - Vital Statistics systems in Countries Regional and Country Policy processes, Resource Mobilization Provide Standards and Tools: Assessment, Quality Control, Mobile Devices for monitoring of vital events Generate Evidence on what works: working with countries and Partners by building upon existing work or systems 7 8/17/2014

  8. MoVE IT Strategy • Standards & Tools • Reporting Variables: Pregnancy Tracking, Birth, Death • Cause of Death (ICD, VAT) • Data Quality and Analysis • Data & Information Dissemination and Use • Resource Toolkit • Efficiency Better Outcomes Accountability • Standards • (refined/improved) • Tools and • Guidance • (refined/improved) • Evidence • Policy, Law • Evidence Generation/ Country Implementation • Community Events Reporting • Health Facility Reporting • Data Management and Quality Assurance • Data & Information Use • Country Case Studies • Knowledge, Skills & Best Practice Transfer • Lessons Learnt • Advocacy, Policy and Resources • Global and Regional Fora • National Stakeholders, Coordination Body, TWGs • Best Practices Lessons Learnt • Partners' Funds, Technical Resources

  9. Africa "MoVE-IT" Initiative. TUNISIA MOROCCO General assessment Cause of death reporting ALGERIA WESTERN LIBYA EGYPT SAHARA Rd General Assessment Sea MAURITANIA Community reporting & IT MALI NIGER ERITREA SENEGAL CHAD SUDAN THE DJIBOUTI GAMBIA BURKINA GUINEA GUINEA BISSAU BENIN NIGERIA TOGO ETHIOPIA COTE CENTRAL SIERRA DTVOIRE GHANA AFRICAN LEONE REPUBLIC Case study System building & IT innovation LIBERIA CAMEROON UGANDA SOMALIA DEMOCRATIC KENYA EQUATORIAL REP. OF REPUBLIC GUINEA THE General assessment OF THE CONGO GABON CONGO (ZAIRE) RWANDA BURUNDI Lessons learnt SAVVY and district SRS TANZANIA Community reporting study System building ANGOLA MALAWI ANGOLA PLUS > 10 DSS sites in 10 countries Analysis of existing data, with focus on causes of death, and maternal mortality & HIV ZAMBIA Global & Regional Partnership/Network, Advocacy – Ministerial Conference, ASSD, Country Partnerships. MOZAMBIQUE MADAGASCAR ZIMBABWE NAMIBIA BOTSWANA SWAZILAND LESOTHO Hospital reporting Analysis existing data SOUTH AFRICA 9 8/17/2014

  10. Implementation Updates. • Advocacy and Policy • Standards Promotion and Tools Development • Evidence Generation

  11. Update 1: Advocacy and Policy National Level: National Stakeholders Forum Regional: EGM and Ministerial Confab 2010, Mini, 6th ASSD, 7th ASSD now. Global Level: Commission on Information and Accountability (Geneva, Tanzania, Canada etc), Others: CDC-WHO Meeting on Maternal Mortality Surveillance in Atlanta, USA. International Expert Group on VA Instrument Standardization (Item Reduction and Automation) WHO-FIC (Cape Town, 2011) Similarly in Asia-Pacific Region

  12. Update 2:Standards and Tools Data Collection Birth, Death, Cause-of-Death Pregnancy Tracking, VA-automation. Variables ready for use. Automated VAI March 2012 Data Analysis 1. Mortality Data Quality Assessment, 2. Mortality Assessment from Census ANACOD available for use Technical Resources MoVE-IT Resource Tool Kit, HIS sub-Account in NHA In progress; by March 2012 12 8/17/2014

  13. Update 3: Evidence Generation • Surveillance Data Use • Community Reporting System • Hospital Mortality Data Use • VR Data Use; even when less Perfect

  14. Update 3i: Surveillance Data Use 1. INDEPTH-ALPHA Networks Collaboration: 20 HDSS sites 14 Countries; (first ever) • Capacity Workshop for HDSS Experts on Analysis and Data to Policy and Action • Data Use Agreement Secured (All HDSS Sites) • Input to VA and IntervA Tools Revision • Policy Paper on HIV and Maternal Mortality 2. Tanzania: Analysis of HDSS Data and SAVVY Experience and Lessons

  15. Update 3ii: Community Reporting System Ghana, Ethiopia, Rwanda and Kenya: • Design (Reporting Infrastructure, IT, Resource Needs) • Training of Workers (Community and Regular) • Events Reporting Pathways and Responsibility • Applications • TWG, Coordination and Oversight • Ensuring Coordinated and Harmonized Support for Country Strategies

  16. Update3iii: Hospital Mortality Data Use. Mozambique: (CDC, PEPFAR and HMN support) Improved Coverage and Quality of Hospital Mortality and Cause-of-Death Statistics (ICD-based) using SIS-ROH data mx system • Interagency Coordinating Group: MoH, Home Affairs, NSO and University. • Capacity Building: SIS-ROH system upgrade and Staff Training, and Study tour to South Africa Institutions • In progress: System roll-out to other major hospitals in provinces and districts => Improved Hospital Cause-of-Death Statistics, and Use

  17. Update 3iv: VR Data Use Even When Less Perfect i. Botswana: Using Existing Country Data to Measure Impact of HIV-TB programme intervention; GF, UNAIDS, WHO, MoH, NSO ii. South Africa: Collaboration Home Affairs, NSO, MRC, MoH, Universities etc VR Data Used for Health Impact Indicators, Differentials in Health Status, 2nd National Burden of Disease.

  18. Next Steps • 1st Interim Report; Review and Update Strategy and Plans, if Indicated • Platform and Opportunities for PIs and Key Actors Knowledge Sharing, Guidance Update • Coordination, Access to Resources and Capacity Building • Hubs for Health Information System • Resource Kit; Act; Innovate; Update Kit • Empower for COIA "Recommendation 1"

  19. Thank you.

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