“Feedback from Parallel Session on Monitoring Progress” (English)


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"Feedback from Parallel Session on Monitoring Progress." (English)

Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health, Ottawa.

Session 3D: Global Monitoring of Progress

21-22 November 2011

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“Feedback from Parallel Session on Monitoring Progress” (English)

  1. 1. COMMISSION ON INFORMATION AND ACCOUNTABILITY FOR WOMEN’S AND CHILDREN’S HEALTH Meeting on Implementation of the Common Strategic Work Plan 21-22 November 2011 Ottawa, Canada Feedback from Parallel Session on Monitoring Progress
  2. 2. Our assignment: “Define actions required to improve global monitoring of coverage and health status with equity dimension.”Building on: 1. The CoIA Final Report (September 2011) 2. The common strategic work plan (July 2011)
  3. 3. CoIA global monitoring: The goal“Real-time” (annual), high-quality data on levels and trends for CoIA indicators, disaggregated by equity variables for each of 74 countries available in public-access databasesthat are used to Reinforce and improve country monitoring systems Improve MNCH programs and policies at country and international levels
  4. 4. Household surveys are the primary source of CoIA tracking data for low- and middle income countries at this time. Current Main Indicator Source Preferred Situation Maternal mortality ratio Surveys Vital registration Under-five child mortality, with the proportion of Surveys Vital registration newborn deaths Children under five who are stunted Surveys Surveys Proportion of demand for family planning satisfied Surveys Surveys/facility reports Antenatal care coverage (4x during pregnancy) Surveys Surveys/facility reports Antiretroviral (ARV) prophylaxis among HIV- Facility reports Facility reports positive pregnant women Skilled attendant at birth Surveys Surveys/facility reports Postnatal care for mothers and babies Surveys Surveys/facility reports Exclusive breastfeeding for six months Surveys Surveys Three doses of DTP3 Surveys/ facility Surveys/facility reports reports Antibiotic treatment for suspected pneumonia Surveys Surveys/facility reportsSource: WHO, HMN, UNICEF, WHO. Monitoring maternal, newborn and child health: understanding key progress indicators. Geneva: WHO, 2011.
  5. 5. Our group objectives: Three questionsAchieving the goal requires quality at eachstep 1. Where are we now? 2. What are the gaps? 3. What actions does this group recommend?
  6. 6. General Principles1. Keep our eyes on the future – beyond 20152. Surveys & routine HMIS: Complementarity not competition3. Focus on hard questions: is there progress? Why or why not? Roles of policy, resources, and programmatic inputs
  7. 7. Summary of gaps and action plan Continued support and increased funding needed across these steps!Continue Strengthen & Support and reinforce existing processes; Profiles and data baseswork of reinforce Increase transparency and capacity- updated annuallyexisting survey building links to country programs (including disaggregatedmonitoring programs; data); Enhance analysisgroups; Build country and reporting;Improve capacity; Add Accelerate use of ICTmeasure- facility data if where appropriatement feasible Intensified links to country monitoring based on continuous working relationships.
  8. 8. Global monitoring activitiesH4+ and other major global partners, coordinated by UNICEF(note essential related activities in remainder of workplan) Aligning reporting requirements for global monitoring to focus on the CoIA indicators Expand support for country surveys to ensure at least one survey in each CoIA country between 2011 and 2014 to produce up-to-date estimates of intervention coverage UNICEF Statistics and Monitoring to coordinate expansion of technical capacity at country level in planning, conduct and use of results from nationally-representative household surveys UNICEF (with WHO and others as appropriate) to maintain and strength global public-access databases containing Commission indicators
  9. 9. Global monitoring activitiesExisting technical reference groups(note essential related activities in remainder of workplan) Continue and expand ongoing research into how indicator measurement can be improved, while maintaining ability to monitor trends. (Mechanism for sharing results needed?)
  10. 10. Global monitoring activitiesCountdown(note essential related activities in remainder of workplan) Produce profiles for CoIA countries reporting on coverage, equity and selected indicators on health policy and health system strength Produce complementary data presentation products on the CoIA indicators, with equity analysis, for specific target audiences and events Proactively prepare analyses and synthesis to stimulate and inform deliberations of the CoIA iERG Collaborate with UNICEF and others to maintain global data bases on available coverage and equity information Conduct cross-cutting analysis of factors affecting progress in achieving improved RMNCH outcomes
  11. 11. Other issues discussedProliferation of global reports May be necessary Must be consistent At time when new report planned, need situation analysis to ensure value added