The document discusses the need for streamlining reporting requirements for member states regarding health indicators across the Health 2020, Sustainable Development Goals (SDGs), and noncommunicable diseases (NCDs) frameworks due to the existing burden of lengthy questionnaires and lack of coordination. It presents a mapping exercise revealing significant alignment among these frameworks and proposes a joint monitoring framework with a core set of indicators to reduce reporting duplication. Key recommendations include establishing a minimum joint core set of indicators, improving reporting timing and reducing the number of data collection requests from WHO.

1. Indicator mapping across Health 2020,
SDGs and NCD frameworks and
the joint monitoring framework
Khassoum Diallo
Programme Manager, Health Monitoring and Analysis
Information, Evidence, Research and Innovation

2. Background: the starting point
• Member States overburdened with
existing reporting requirements
– Number of requests
– Length of questionnaires
– Lack of coordination between agencies

3. The Regional Director’s response
to Member State concerns
• Establishment of a gatekeeper function for data collection coordinated by
the WHO/Europe Statistical Policy Group (SPG)
• Survey among WHO/Europe units to create a data collection inventory
• Exploring solutions to streamline reporting requirements
– A mapping of indicators for the 3 main reporting frameworks: Health 2020, Sustainable
Development Goals (SDGs) and noncommunicable diseases (NCDs)
– Proposals for a joint monitoring framework based on a joint core set of indicators
– Proposed options to better coordinate and reduce the reporting burden

4. Objectives of the presentation
• To present a brief summary of results of the
mapping exercise
• To present the proposed
– components of a joint monitoring framework across
the 3 main frameworks
– options for reducing the reporting burden on
Member States

5. The 3 frameworks
5 targets + 1
37 indicators
19 core
18 additional
17 Goals
169 targets
Over 200 indicators
26 indicators under SDG 3
9 voluntary global
targets
25 indicators

6. Methods for the mapping
• Health 2020 used as entry point for mapping
• Overlaps analysed using a 2-by-2 approach
– Health 2020 and SDGs
– Health 2020 and NCDs
– NCDs and SDGs
• Both indicator- and thematic-level alignments considered for
this exercise
• The mapping informed the options and process for a potential
joint monitoring framework

7. Key results
Mapping category Health 2020 indicators mapped to SDGs NCD indicators mapped to SDGs Health 2020 indicators mapped to NCDs
Total
Health 2020: Total 37 indicators
19 core, 18 additional
NCD: Total 25 indicators
15 core, 10 additional
Health 2020: Total 37 indicators
19 core, 18 additional
Indicator-level
alignment
13 (35%)
Health 2020 core: 6 (32%)
Health 2020 additional: 7 (39%)
6 (24%)
NCD core: 5 (33%)
NCD additional: 1 (10%)
8 (22%)
Health 2020 core: 4 (21%)
Health 2020 additional: 4 (22%)
Thematic alignment
15 (41%)
core: 8 (42%)
additional: 7 (39%)
8 (32%)
core: 5 (33%)
additional: 3 (30%)
4 (11%)
core: 2 (11%)
additional: 2 (11%)
No alignment
(unique indicators)
9 (24%)
core: 5 (26%)
additional: 4 (22%)
11 (44%)
core: 5 (33%)
additional: 6 (60%)
25 (67%)
core: 13 (68%)
additional: 12 (67%)
Total
(indicator-level and
thematic alignment
combined)
Overall, 76% of all Health 2020 indicators (28/37)
align with SDG indicators
 74% of core (14/19)
 78% of additional (14/18)
Overall, 56% of all NCD indicators (14/25) align
with SDGs
 67% of core (10/15)
 40% of additional (4/10)
Overall, 33% of all Health 2020
indicators (12/37) align with NCDs
 32% of core (6/19)
 33% of additional (6/18)

8. Health 2020 and SDGs
Indicator-level: 13
Thematic: 15
No alignment: 9
10 indicators
overlap thematically
across 3 frameworks
SDG NCD
Health
2020
Alignment across frameworks by number of indicators
Health 2020 and NCDs
Indicator-level: 8
Thematic: 4
No alignment: 25
Health 2020 and SDGs
Indicator-level: 6
Thematic: 8
No alignment: 11

9. Mapping of Health 2020 and SDG indicators
Health
2020
SDG
76% of Health 2020 indicators
align with SDG indicators:
• Alcohol
• Educational attainment
• Health expenditure
• Household consumption
• Mortality
• Reducing income inequality
• Sanitation
• Smoking
• Social support
• Tuberculosis treatment
• Unemployment
• Vaccination

10. Joint monitoring framework – process and content
The process and content of the joint monitoring framework is described below
• Conceptualization phase
− WHO proposes joint core set of a minimum of 50 indicators
− The proposed core list will be reviewed and validated by a recognized body,
which can be an expert group called for this purpose or the existing internal
interdivisional working group on SDGs
• Consultation and adoption
− The validated list will be submitted for consultation, review and adoption by Member States
• Implementation
− A circular note is prepared to inform Member States about the joint monitoring framework
based on the minimum joint core set of indicators to replace the reporting on the
3 frameworks

11. Proposed minimum joint core set of
indicators across 3 frameworks

12. Options Proposed option
1. Streamlining indicators Agreement on a reporting framework with only one minimum joint set of core indicators for the 3 main frameworks (Health 2020, NCDs
and SDGs). This set will replace the reporting on the individual frameworks.
2. Timing of reporting Proposal to discuss through the SPG the grouping of data collection requests from all WHO/Europe divisions and send them 2–3 times
a year (i.e. March and September).
Avoid peak periods for Member States (i.e. end/beginning of year). An online survey would help WHO/Europe assess the best timing for
sending the data requests.
3. Pooling/merging data collection Increased consultation and collaboration within and across divisions through the SPG/ gatekeeper function so that opportunities for
pooling/merging questionnaires are explored and implemented.
This would entail 2 or 3 divisions/programmes with similar goals (or similar Member State covered) merging their questionnaires into
one with significant reduction of the number of variables, indicators in the final questionnaire.
4. Combination of the 2 first options above
(considered as the most viable option)
I. Development of a minimum joint core set of indicators (this would reduce the duplication of reporting on similar indicators)
II. Proposal to discuss through the SPG the grouping of data requests from all WHO/Europe divisions and sending them to Member
States only 2–3 times a year (if accepted, Member States will no longer receive questionnaires throughout the year but only in
strategically selected periods).
III. Developing automated systems to increase the number of online questionnaires and data collection platforms
5. Combination of the 3 first options above
Options for reporting
• Reduction of the number of data collection requests from WHO
• Development of a joint core set of indicators across the main frameworks to avoid multi-reporting on the same or
similar indicator
• Better coordination and timing of data collection requests by WHO

13. Questions to Member States
In the light of the presentation
– Would a core set of indicators and joint monitoring framework be desirable?
– If yes, what consultation should be established to validate the joint monitoring
framework and the core set of indicators (e.g. online consultation with Member
States, expert group meeting, Regional Committee resolution)?
– What are your views on how to report on not selected health-related SDG
indicators?
– What would be the next steps?