Presented by Shannon Salentine as part of a USAID brown bag lunch in March 2016.

1. MEASURE Evaluation Presentation
Improving health information systems to meet
the needs of the health sector:
A model and shared experience from Kenya

2. Project overview
Global, five-year, $180M
cooperative agreement
Strategic objective:
To strengthen health information
systems – the capacity to gather,
interpret, and use data – so
countries can make better
decisions and sustain good
health outcomes over time.

3. Improved country capacity to manage health
information systems, resources, and staff
Strengthened collection, analysis, and use of
routine health data
Methods, tools, and approaches improved and
applied to address health information challenges
and gaps
Increased capacity for rigorous evaluation
Phase IV Results Framework

4. Global footprint (more than 25 countries)

5. Outline
1. Define the need for strengthening health
information systems (HIS) and measuring HIS
performance
2. Share MEASURE Evaluation’s approach for HIS
strengthening
3. Describe a working model for HIS strengthening
4. Share an example − Strengthening the health
information system (HIS) in Kenya
5. Q&A

6. The need for HIS strengthening
• HIS as 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

7. Service Delivery
Medical
Products,Vaccines, and
Technologies
Human Resources for Health
Health Finance
Health Information
Six functional areas of the health system
FIGURE 3: INTER-RELATED SIX HEALTH SYSTEMS FUNCTIONS
USAID's Vision for Health System Strengthening 2015-2019
Health Governance

8. 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
USAID's Vision for Health System Strengthening 2015−2019

9. Global health information needs

10. Health sector information needs
Health program management and policy
development
Resource allocation and program targeting
Facility management and patient care
Community health program and planning
Informing health system functions

11. HEALTH INFORMATION
SYSTEM
STRENGTHENING MODEL

12. The foundation for planning,
implementing, and maintaining
the HIS
• Legislation
• Partnership and coalition
building
• Policies and standards
• System champions
• Financing
• Human resources
• Capacity building and training
• Information management
• Infrastructure development

13. Operationalizing the
HIS through data-
• Collection
• Cleaning
• Processing
• Management
• Analysis
• Packaging
• Dissemination

14. Produce high-quality
data used for
decision making
• Data quality
• Systematic and
institutionalized
data use

15. HIS provide data to
inform:
• National health
sector needs
• Global health
initiatives and
agendas

16. HIS strengthening − key project efforts
HIS strengthening model
Profile of countries using key HIS indicators
Guidance for strengthening specific
components of the HIS and measuring HIS
performance
HIS strengthening resource center:
http://www.cpc.unc.edu/measure/his-strengthening-resource-center

18. 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.
www.measureevaluation.org

19. Additional slides

20. Framework and Standards for
Country Health Information
Systems, WHO. June 2008.

21. Health Information Function: Priority Objectives
1.Create a culture of evidence-based decision-making.
2.Improve approaches/increase uptake of major tools –
Demographic Health Surveys, Systems of Health Accounts,
Civil Registration and Vital Statistics, District Health
Information Systems.
3.Support strategic, incremental, expansive improvement in
integrated health information systems, including routine
health information systems and evaluations vital for
achievement of USAID and partner countries’ shared goals.
USAID priorities for HIS
USAID's Vision for Health System Strengthening 2015-2019