"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

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. 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. 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 databases
that are used to
Reinforce and improve country monitoring systems
Improve MNCH programs and policies at country and
international levels

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 reports
Source: WHO, HMN, UNICEF, WHO. Monitoring maternal, newborn and child health: understanding key progress indicators. Geneva: WHO, 2011.

5. Our group objectives:
Three questions
Achieving the goal requires quality at each
step
1. Where are we now?
2. What are the gaps?
3. What actions does this group recommend?

6. General Principles
1. Keep our eyes on the future – beyond 2015
2. Surveys & routine HMIS: Complementarity
not competition
3. Focus on hard questions: is there progress?
Why or why not? Roles of policy, resources,
and programmatic inputs

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 bases
work of reinforce Increase transparency and capacity- updated annually
existing survey building links to country programs (including disaggregated
monitoring programs; data); Enhance analysis
groups; Build country and reporting;
Improve capacity; Add Accelerate use of ICT
measure- facility data if where appropriate
ment feasible
Intensified links to country monitoring based on continuous working relationships.

8. Global monitoring activities
H4+ 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. Global monitoring activities
Existing 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. Global monitoring activities
Countdown
(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. Other issues discussed
Proliferation of global reports
May be necessary
Must be consistent
At time when new report planned, need situation
analysis to ensure value added