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This presentation highlights the NHA Production Tool, a desktop software designed to enhance the estimation process of National Health Accounts (NHA) in developing countries. Despite the importance of NHA data for policy-making, many countries face challenges due to methodology complexity and reliance on foreign assistance. The tool simplifies data collection, analysis, and management, aiming to improve data quality while reducing time and costs. The software's development included feedback from various health organizations and was pilot-tested in Tanzania. A demonstration will showcase its key features and benefits.
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NHA Production ToolStreamlining the NHA estimation process Douglas Glandon, NHA Coordinator Abt Associates Inc. Prince Mahidol Award Conference Bangkok, Thailand WHO Side Meeting - January 24, 2012
Overview • Introduction and Purpose • Development Process • Key Features • Summary and Next Steps • Software Demonstration
Problem Statement • Despite recognized value for policy, few developing countries routinely produce and use NHA estimates • Persistent challenges include: • Complexity of NHA methodology • High reliance on foreign technical assistance • Costly and time-consuming estimation process • Inconsistencies in recording decisions and assumptions
What is the NHA Production Tool? A desktop software application that: • Guides teams through the steps of conducting NHA • Streamlines data collection and analysis • Simplifies data management and visualization Key benefits include: • Reduced time, cost, and TA needed to produce NHA • Improved data quality, consistency over time
Who uses the NHA Production Tool? • Country NHA teams • Team Leads • Full functionality to set parameters, assign and manage tasks • Team Members • Limited functionality to complete specific tasks and submit to Team Lead • Providers of technical assistance • Easy import/export of data sets allows for remote support
Broad-Based Input and Feedback • Developed by USAID’s Health Systems 20/20 Project with software developer PrognozCorporation • Approximately 2 years to develop • Input and feedback from WHO, World Bank, NHA technical experts, country NHA teams • E.g., Afghanistan, Burkina Faso, Kenya, Liberia, Rwanda, Tanzania, others Demo at OECD/World Bank NHA meeting in Paris (Oct. 2011)
Pilot Test in Tanzania • HS 20/20 team and Prognoz developers conducted field-based pilot test alongside Tanzania NHA team • In-country NHA team used the traditional, Excel-based method • NHA Production Tool was tested concurrently • Objectives of Pilot Test • Test application using actual NHA data to assess handling of data sets, assumptions, and methodological approaches • Identify bugs in the software that prevent proper functioning • Identify and define needed fixes to the software to increase functionality, flexibility
Refinement and Completion of Version 1.0 • Platform performed well during pilot test, with a few bugs and needed fixes • Addressed issues and enhanced functionality for Version 1.0, including: • Ability to repeat specified analysis/”mapping” decisions • Ability for multiple users to work collaboratively • Version 1.0 completed in December 2011 – in English and French • Several remaining elements to be implemented before public release of software
Step-by-Step Guidance Guiding the NHA Process Simple, intuitive navigation
Easily Customize and Save NHA Codes Customize NHA codes to country context
Simplified Data Collection and Entry Export and import user-friendly surveys
Structured Mapping of NHA Codes Assign NHA codes Review survey data
Interactive Diagram to Review Data Visualization of NHA expenditure flows
Automatically-Generated NHA Tables NHA matrices can be easily exported in Excel or PDF format
Value-Add of the NHA Production Tool • Improved data quality, greater consistency and comparability over time make results more useful • Time and cost savings make conducting NHA more affordable and feasible • Reduced need for external technical assistance enhances country ownership and facilitates institutionalization of NHA
Next Steps: finalize, release on WHO site • NHA Production Tool 1.0 (based on SHA 1.0 framework) is ready for in-country use and will be available for download on the WHO website in 2012 • Additional features, including a tutorial and PDF User Guide, will be introduced in the final version • HS 20/20 and WHO are working with Prognoz to accommodate the SHA 2011 framework
Thank you www.HealthSystems2020.org