Strengthening Information Systems for Social Development Indicators and Targets for a Post-Millennium Development Goal Fatima Marinho [email_address] Coordinator of Information and Health Analysis Pan America Health Organization – PAHO/WHO Global Health Metrics & Evaluation Seattle, Mar 14-16 2011
Information is one of the main MDG weaknesses. For two and a half days we have discussed methods, metrics, discrepancies, models, strategies, accountability etc In all of those discussions the problem of the information has been pointed. If we look at the situation of the information in the world we could say: Although efforts have been made to strengthening the Health Information Systems (HIS). Introduction
WHY HAS IT BEEN SO HARD STRENGTHENING THE HEALTH INFORMATION SYSTEM? Problems 1- Replace routine systems by surveys and estimates. The easy option for surveys and estimations as a primary way of understanding and measuring progress occurred in detriment of the strengthening of the HIS in most countries. 2- Accountability issues: both governments and international organizations need to be responsible for improving health information. 3- Parallel information . In the Americas there are many international agencies with projects to prevent children and maternal mortality or disease prevention and control (like Global Fund), but those projects collect parallel information without strengthening national HIS. 4. The use of the statistical models for estimates instead of strengthening the local capacity for analysis. 5- Non-ownership or non-usage of results . Production of external knowledge that is given to national governments causes non-ownership or non-usage of results by many countries.
The most important tangible and sustainable impact will be reached when the project promotes strategies at the local level, as well as promoting activities that address the problems where they are produced/originated.
Behavioral changes related to the production and usage of the information in the countries by the health services managers, civil society, and governments.
Empowerment of the Civil Society and local governments as a key actors in this process.
Intergovernmental agreements to improve the information.
Indicators for improving quality and coverage of vital statistics.