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MEASURE Evaluation’s Health Information System Strengthening Model


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This PowerPoint presentation provides an updated overview of MEASURE Evaluation’s Health Information System Strengthening Model, or the HISS Model. The slides describe the purpose of the model and each of the model’s areas and sub-areas.

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MEASURE Evaluation’s Health Information System Strengthening Model

  1. 1. MEASURE Evaluation’s Health Information System Strengthening Model
  2. 2. HIS Strengthening Model Overview • Articulates the project’s current understanding of health information system (HIS) strengthening • Guides ongoing learning on how HIS in low- and middle- income countries (LMICs) are designed, developed, and implemented to support health systems and to improve health outcomes • Focus is on HIS strengthening at the country level • The model can guide countries in assessment, planning, and improving HIS
  3. 3. Key Uses of HIS Strengthening Model (HISSM) 1. Conceptualizing causal frameworks in terms of expected outcomes for HIS interventions 2. Communicating project and activity-specific results 3. Identifying additional questions 4. Organizing the findings of multiple activities 5. Framing project and non-project research, evidence, and resources to share on the project’s website
  4. 4. HISGovernanceandLeadership • Partnerships and technical working groups • Health sector plans • Health sector M&E plans • HIS policy and strategy • Identification of information needs and indicators • Digital health standards • Information and communication technology standards • Data stewardship • HIS champions at all levels HISManagement • Financial resources management • Infrastructure development, supply, and maintenance • In-service and continuous education • Human resources training development, training, and incentives • Information and communication technology • Roads; vehicles
  5. 5. DataSources • Population: census, population/facility surveys; registration and vital statistics (CRVS) • Institution: patient records • Human resource: infrastructure including technology, human resources, and and laboratory supplies and logistics DataManagement • Standard operating procedures • Guidance for data managers • Data quality assurance practices • Development and production of data collection tools • Supportive supervision procedures • Data quality assessments, data ethics procedures Information Productsand Dissemination • Routine reports • Bulletins, data briefs • Stakeholder dissemination meetings • Feedback mechanisms (dashboards and scorecards) • Websites, social media • Non-routine reports and other publications
  6. 6. DataQuality An area of HIS performance measured by the quality of the data collected to support the HIS. DataUse An area of HIS performance measured by the use of HIS data to generate health indicators, statistics, trends, and coverage—and for data- informed decision making based on the health sector’s decision-making needs.
  7. 7. HIS provide data to inform: • National health sector needs • Global health initiatives and agendas
  8. 8. Contextual Factors and the Human Element Contextual Factors: o Health Equity (including gender) o Donors o Global Initiative o Availability of Public Utilities o Civil/Political Unrest o Devolution o Privatization o Disease Outbreaks o Socioeconomic Status o Natural Disasters The Human Element: • Data producers • Data users • His managers • Healthcare providers • Clients • Decision makers
  9. 9. HISSM— Illustrative Interventions Enabling Environment Information Generation Governance & leadership HIS management Data sources Information products & dissemination Data management Create HIS technical working group Develop financial management plan Design electronic system for RHIS Create and disseminate quarterly health bulletins Establish a schedule and budget for data quality assessment Convene policymakers to review data for planning and decision making Create central data warehouse Revise and redesign specified data source systems Implement feedback mechanisms (data visualization dashboards and scorecards) Create and distribute supportive supervision tools and procedures Creation of SOPs to address privacy and security standards Develop and distribute standardized data collection tools to all districts
  10. 10. More Resources on the HISSM
  11. 11.
  12. 12. Conclusions • MEASURE Evaluation’s Health Information System Strengthening Model can be used to guide ongoing learning on how HIS are designed, developed, and implemented over time to support health systems and improve health outcomes. • MEASURE Evaluation engages in HIS strengthening primarily at the country level; this is central to the design of the model. • The model in meant to be useful for countries at both national and subnational levels as a guide in HIS assessment, planning, and improvement. • MEASURE Evaluation’s HIS Strengthening Resource Center provides a hub for the HISSM and other resources useful for HIS strengthening.
  13. 13. MEASURE Evaluation is funded by the U.S. Agency for International Development (USAID) under terms of Cooperative Agreement AID-OAA-L-14-00004 and implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with ICF International, John Snow, Inc., Management Sciences for Health, Palladium Group, and Tulane University. The views expressed in this presentation do not necessarily reflect the views of USAID or the United States government.
  14. 14. Appendix Slides
  15. 15. HISSM Development Timeline March 2015 Learning Agenda launched TAG Group convened July 2015 HISS Framework first shared with USAID/SMT Nov 2015 Repackaged as a model for framing HISS learning Jan 2016 New graphic and 3- pager shared March 2016 Presentation to USAID Bureau of Global Health, BBL January 2017 Graphic updated to include Human Element March 2017 Nine countries participate in mapping HISS Interventions to HISSM May 2017 HISSM Narrative shared
  16. 16. The Need for HIS Strengthening • HIS is a part of the health system that contributes to improved health services and outcomes • Global demands for health information to understand progress towards country-specific targets, allocate resources, and inform policy • Country demands to meet the information needs of the health sector at each level of the system
  17. 17. HIS as One Part of the Health System Service Delivery Medical Products,Vaccines, and Technologies Human Resources for Health Health Finance Health Information Health Governance Source: U.S. Agency for International Development. (2015). USAID’s Vision for Health System Strengthening 2015-2019; Inter-Related Six Health System Functions. Washington, DC: USAID
  18. 18. FIGURE 2: VISION’S HSS CORE FUNCTIONS Cross-Cutting Themes Private Sector Engagement Community Level Prevention/ Promotion HSS Core Functions Human Resources for Health Health Finance Health Governance Health Information Medical Products, Vaccines, and Technologies Service Delivery HSS Outcomes UHC Financial Protection Essential Services Population Coverage Responsiveness HSS Impact Sustained Improvements in Health for EPCMD, AIDS Free Generation, and PCID Sustained Improvements in Health Systems Performance Health System Performance and Health Outcomes Source: U.S. Agency for International Development. (2015). USAID’s Vision for Health System Strengthening 2015-2019. Washington, DC: USAID
  19. 19. Global Health Information Needs
  20. 20. Health Sector Information Needs • Health program management and policy development • Resource allocation and program targeting • Facility management and client care • Community health programs and planning • Health system planning and monitoring
  21. 21. Source: World Health Organization. (2008). Framework and Standards for Country Health Information Systems. Geneva: WHO. June 2008.
  22. 22. Health Information Function: Priority Objectives 1. Create a culture of evidence-based decision making. 2. Improve approaches and increase the uptake of major Demographic and Health Surveys, the global System of Accounts, CRVS, district health information systems. 3. Support strategic, incremental, expansive improvement in integrated HIS, including routine health information systems and evaluations vital for achievement of USAID and partner countries’ shared goals. USAID Priorities for HIS Source: U.S. Agency for International Development. (2015). USAID’s Vision for Health System Strengthening 2015-2019. Washington, DC: USAID