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Abt Associates Inc. In collaboration with:I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health
better systems, better health
NHA Production ToolStreamlining the NHA estimation process
Douglas Glandon, NHA CoordinatorAbt Associates Inc.
Prince Mahidol Award Conference Bangkok, ThailandWHO Side Meeting - January 24, 2012
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Overview
Introduction and Purpose Development Process Key Features Summary and Next Steps Software Demonstration
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Introduction and Purpose
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Problem Statement
Despite recognized value for policy, few developing countries routinely produce and use NHA estimates
Persistent challenges include: Complexity of NHA methodology High reliance on foreign technical assistance Costly and time-consuming estimation process Inconsistencies in recording decisions and assumptions
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What is the NHA Production Tool?
A desktop software application that:Guides teams through the steps of conducting NHA Streamlines data collection and analysisSimplifies data management and visualization
Key benefits include:Reduced time, cost, and TA needed to produce NHAImproved data quality, consistency over time
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Who uses the NHA Production Tool?
Country NHA teams Team Leads
Full functionality to set parameters, assign and manage tasks Team Members
Limited functionality to complete specific tasks and submit to Team Lead
Providers of technical assistance Easy import/export of data sets allows for remote support
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Development Process
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Broad-Based Input and Feedback
Developed by USAID’s Health Systems 20/20 Project with software developer Prognoz Corporation Approximately 2 years to develop
Input and feedback from WHO, World Bank, NHA technical experts, country NHA teams E.g., Afghanistan, Burkina Faso,
Kenya, Liberia, Rwanda, Tanzania, others
Demo at OECD/World Bank NHA meeting in Paris (Oct. 2011)
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Pilot Test in Tanzania
HS 20/20 team and Prognoz developers conducted field-based pilot test alongside Tanzania NHA team In-country NHA team used the traditional, Excel-based method NHA Production Tool was tested concurrently
Objectives of Pilot Test Test application using actual NHA data to assess handling of data
sets, assumptions, and methodological approaches Identify bugs in the software that prevent proper functioning Identify and define needed fixes to the software to increase
functionality, flexibility
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Refinement and Completion of Version 1.0
Platform performed well during pilot test, with a few bugs and needed fixes
Addressed issues and enhanced functionality for Version 1.0, including: Ability to repeat specified analysis/”mapping” decisions Ability for multiple users to work collaboratively
Version 1.0 completed in December 2011 – in English and French
Several remaining elements to be implemented before public release of software
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Key Features
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Simple, intuitive navigation
Guiding the NHA ProcessStep-by-Step Guidance
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Easily Customize and Save NHA Codes
Customize NHA codes to country
context
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Simplified Data Collection and Entry
Export and import user-friendly surveys
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Structured Mapping of NHA Codes
Review survey data Assign NHA codes
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Interactive Diagram to Review Data
Visualization of NHA expenditure flows
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Automatically-Generated NHA Tables
NHA matrices can be easily exported in Excel or PDF format
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Summary and Next Steps
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Value-Add of the NHA Production Tool
Improved data quality, greater consistency and comparability over time make results more useful
Time and cost savings make conducting NHA more affordable and feasible
Reduced need for external technical assistance enhances country ownership and facilitates institutionalization of NHA
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Next Steps: finalize, release on WHO site
NHA Production Tool 1.0 (based on SHA 1.0 framework) is ready for in-country use and will be available for download on the WHO website in 2012 Additional features, including a tutorial and PDF User
Guide, will be introduced in the final version
HS 20/20 and WHO are working with Prognoz to accommodate the SHA 2011 framework
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Abt Associates Inc. In collaboration with:I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health
better systems, better health
Thank you
www.HealthSystems2020.org
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Software Demonstration