The status of information
systems for health in Africa
Dr Abdisalan M Noor
KEMRI-Wellcome Trust Research Programme
Symposi...
Civil registration and vital statistics
systems

Health management and information
systems
1.

Lack of political commitment

2.

Outdated laws and procedures

3.

Organizational and infrastructural problems

4.

L...
CRVS targets
2/3 of the member States with current birth and
death registration completeness level below 20%
reach over 40...
2/3 of the member States with current marriage and
divorce vital statistics completeness level below 20%
reach over 40% by...
Health information systems
36/45 malaria endemic countries in Africa DO NOT
have sufficient health information data to assess
trends!
Source: World M...
Bottlenecks in routine surveillance

Source: World Malaria Report 2012
Comprehensive assessment of the status and
bottlenecks of health information systems in Africa
Develop cross-cutting possi...
DHIS 2?

Use of mHealth approaches? e.g. SMS for life
Performance related payment? e.g. Rwanda
HMIS condition for private ...
Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact ...
Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact ...
Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact ...
Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact ...
Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact ...
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Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact evaluations

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Presented by Absisalan Noor, KEMRI-University of Oxford-Wellcome Trust Research Programme, as part of a symposium organized by MEASURE Evaluation and MEASURE DHS at the 6th MIM Pan-African Malaria Conference.

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Transcript of "Preparing for the Future: Health systems strengthening for better outcomes and better data to better inform future impact evaluations"

  1. 1. The status of information systems for health in Africa Dr Abdisalan M Noor KEMRI-Wellcome Trust Research Programme Symposium 38, 6th MIM conference, Durban 2013
  2. 2. Civil registration and vital statistics systems Health management and information systems
  3. 3. 1. Lack of political commitment 2. Outdated laws and procedures 3. Organizational and infrastructural problems 4. Lack of understanding the multidisciplinary nature of civil registration systems 5. Lack of comprehensive national action plans 6. Poor administrative structure 7. Poor national standards and guidelines 8. Poor M&E frameworks 9. Huge registration backlog 10. Focus on indirect demographic methods 11. Low human and technological capacity
  4. 4. CRVS targets 2/3 of the member States with current birth and death registration completeness level below 20% reach over 40% by the end of the plan period. 2/3 of the member States with current marriage and divorce registration completeness level below 20% reach over 40% by the end of the plan period. 2/3 of the member States with current birth and death vital statistics completeness level below 20% reach over 40% by the end of the plan period.
  5. 5. 2/3 of the member States with current marriage and divorce vital statistics completeness level below 20% reach over 40% by the end of the plan period. Lag of release of annual vital statistics reports reduced to below six months in those member States currently producing such reports by the end of the plan period. Number of children with birth certificates registered on current basis increased by 50% in 2/3 of the member States by the end of the plan period.
  6. 6. Health information systems
  7. 7. 36/45 malaria endemic countries in Africa DO NOT have sufficient health information data to assess trends! Source: World Malaria Report 2012
  8. 8. Bottlenecks in routine surveillance Source: World Malaria Report 2012
  9. 9. Comprehensive assessment of the status and bottlenecks of health information systems in Africa Develop cross-cutting possible solutions including public and private sector partnership Ensure country ownership and leadership to develop the practice of collecting and utilizing quality information Strengthening human capacity Harness technology
  10. 10. DHIS 2? Use of mHealth approaches? e.g. SMS for life Performance related payment? e.g. Rwanda HMIS condition for private practice licensing? Training and hiring of health information officers?

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