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www.healthmetricsnetwork.org04/21/231
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.
www.healthmetricsnetwork.org04/21/232
Outline
1. Rationale for "MoVE-IT" 2. The 3 Work Streams: 3. MoVE-IT Africa Initiative4. Progress5. Next Steps
www.healthmetricsnetwork.org04/21/233
Why MoVE-IT?
1. HMN: Global Network for Country HIS 2. The Health Imperative in CRVS System3. Information Needs: Evidence-based Decision &
Policy, Planning, Tracking, Results and Accountability
4. HMN Commissioned MoVE Series in The Lancet: Who Counts?; "Everybody Counts"
5. Needs for: MDGs, GF Impact Measurements 6. Advances and Availability of IT 7. Commission on Information and Accountability –
Mandate for Recommendation 1
www.healthmetricsnetwork.org04/21/234
"Roadmap"HMN Framework
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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 PracticesEmpower National Govt. to Act and Lead
Evidence-based Decision and ActionsImproved Health Outcomes, ImpactIT use: Evade barriers, Quality/Efficiency
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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.
www.healthmetricsnetwork.org04/21/237
Provide Standards and Tools: Assessment, Quality Control, Mobile Devices for monitoring of vital events
Advocate for functional Civil Registration - Vital Statistics systems in CountriesRegional and Country Policy processes, Resource Mobilization
Generate Evidence on what works: working with countries and Partners by building upon existing work or systems
MoVE-IT: 3 Workstreams
www.healthmetricsnetwork.org04/21/238
Standards & Tools
• Reporting Variables: Pregnancy Tracking, Birth, Death•Cause of Death (ICD, VAT)• Data Quality and Analysis• Data & Information Dissemination and Use•Resource Toolkit
Advocacy, Policy and Resources•Global and Regional Fora•National Stakeholders, Coordination Body, TWGs•Best Practices Lessons Learnt•Partners' Funds, Technical Resources
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
Efficiency Better OutcomesAccountability
Standards(refined/improved)
Tools and Guidance (refined/improved)
Evidence
Policy, Law
MoVE ITStrategy
www.healthmetricsnetwork.org04/21/239
TUNISIA
MOROCCO
SAHARA
ALGERIA
MAURITANIA MAL
I NIGER
LIBYA
CHAD
Sea
EGYPT
SUDAN
ETHIOPIA
DJIBOUTI
ERITREA
SOMALIAKENYA
TANZANIA
DEMOCRATIC
(ZAIRE)
CENTRAL
RWANDA
GABON
EQUATORIAL
ANGOLA
CONGO
NIGERIA
BENIN
DTVOIRE
SIERRA
SENEGAL
GHANA
THE
GUINEA
LIBERIA
CAMEROON
MALAWI
ZAMBIA
MOZAMBIQUE MADAGASCARZIMBABWE
BOTSWANA
SWAZILANDLESOTHO
NAMIBIA
ANGOLA
WESTERN
Rd
UGANDA
OF THE CONGO
REPUBLIC
BURUNDI
GUINEAREP. OF
TOGOCOTE
BURKINA
GUINEA
LEONE
GAMBIA
BISSAU
SOUTH
REPUBLIC
AFRICAN
THE
AFRICA
GeneralAssessment
General assessment
Communityreporting studySystem building
Case studySystem building & IT innovation
General assessment Cause of death reporting
Community reporting & IT
Lessons learnt SAVVYand district SRS
Analysisexisting data
Hospital reporting
PLUS> 10 DSS sites in 10 countriesAnalysis of existing data, withfocus on causes of death, andmaternal mortality & HIV
Africa "MoVE-IT" Initiative.
Global & Regional Partnership/Network, Advocacy – Ministerial Conference, ASSD, Country Partnerships.
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Implementation Updates.
1. Advocacy and Policy2. Standards Promotion and Tools
Development 3. Evidence Generation
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Update 1: Advocacy and Policy 1. National Level: National Stakeholders Forum2. Regional: EGM and Ministerial Confab 2010,
Mini, 6th ASSD, 7th ASSD now.3. Global Level: Commission on Information and
Accountability (Geneva, Tanzania, Canada etc), 4. 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
www.healthmetricsnetwork.org04/21/2312
Variables ready for use.
Automated VAI March 2012
Data Collection
Technical Resources
Data Analysis
Birth, Death, Cause-of-Death
Pregnancy Tracking, VA-automation.
1. Mortality Data Quality Assessment,
2. Mortality Assessment from Census
MoVE-IT Resource Tool Kit,
HIS sub-Account in NHA
ANACOD available for use
In progress; by March 2012
Update 2: Standards and Tools
www.healthmetricsnetwork.org
Update 3: Evidence Generation
i. Surveillance Data Useii. Community Reporting Systemiii. Hospital Mortality Data Use iv. VR Data Use; even when less Perfect
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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 Mortality2. Tanzania: Analysis of HDSS Data and
SAVVY Experience and Lessons
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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 ResponsibilityApplications TWG, Coordination and OversightEnsuring Coordinated and Harmonized
Support for Country Strategies
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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
1. Interagency Coordinating Group: MoH, Home Affairs, NSO and University.
2.Capacity Building: SIS-ROH system upgrade and Staff Training, and Study tour to South Africa Institutions
3. In progress: System roll-out to other major hospitals in provinces and districts
=> Improved Hospital Cause-of-Death Statistics, and Use
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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 etcVR Data Used for Health Impact
Indicators, Differentials in Health Status, 2nd National Burden of Disease.
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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"
www.healthmetricsnetwork.org04/21/2319
Thank you.