effective development partner collaboration for regional ... · partners to strengthen the country...

Effective Development Partner Collaboration for Regional Approach to

Country Impacts inMeasurement and Accountability

1 | Inter-Country Conference on MA4Health | 26-28 April 2016, Dhaka, Bangladesh

Mark LandryRegional Advisor

Health Situation and Trend [email protected]

World Health OrganizationSouth-East Asia Regional Office

Two QuestionsTwo Questions

How can development partners work more effectively to support countries with strengthening their monitoring, learning and accountability (MLA) platforms (M&E, HIS, CRVS, etc.) and sustain their digital health investments?

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How can development partners align their resources, communicate better, and collaborate more effectively to support countries?

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Measurement and Accountability for Results in Health Summit

Measurement and Accountability for Results in Health Summit

Convened by World Bank, WHO, USAID in June 2015

Renewing commitments, increasing attention, and creating pathways for


creating pathways for coordinated strengthening of M&E, HIS, CRVS, eHealth in post-MDG era

Increasing investments, greater attention to UHC, better quality, analysis, use

MA4Health: 5-Point Call to ActionMA4Health: 5-Point Call to Action

1) Increase the level and efficiency of investment by governments and development partners to strengthen the country HIS in line with international standards and commitments

2) Strengthen country institutional capacity to collect, compile, share, disaggregate, analyze, disseminate and use data at all levels of the health system

3) Ensure that countries have well-functioning sources for generating population health data, including civil registration and vital statistics systems, censuses, and health


data, including civil registration and vital statistics systems, censuses, and health surveys tailored to country needs, in line with international standards

4) Maximize effective use of the data revolution, based on open standards, to improve health facility and community information systems including disease and risk surveillance and financial and health workforce accounts, empowering decisions makers at all levels with real-time access to information

5) Promote country and global governance with citizens’ and community’s participation for accountability through monitoring and regular, inclusive transparent reviews of progress and performance at the facility, subnational, national, regional, and global levels, linked to the health-related SDGs

MA4Health: 5-Point Call to ActionMA4Health: 5-Point Call to Action

1) Increase the level and efficiency of investment by governments and development

partners to strengthen the country HIS in line with international standards and commitments

2) Strengthen country institutional capacity to collect, compile, share, disaggregate,

analyze, disseminate and use data at all levels of the health system

3) Ensure that countries have well-functioning sources for generating

population health data, including civil registration and vital statistics systems, censuses,


population health data, including civil registration and vital statistics systems, censuses, and health surveys tailored to country needs, in line with international standards

4) Maximize effective use of the data revolution, based on open standards, to

improve health facility and community information systems including disease and risk surveillance and financial and health workforce accounts, empowering decisions makers at all levels with real-time access to information

5) Promote country and global governance with citizens’ and community’s

participation for accountability through monitoring and regular, inclusive transparent reviews of progress and performance at the facility, subnational, national, regional, and global levels, linked to the health-related SDGs

Conference on Measurement and Accountability for UHC/AeHIN 4th Meeting

Conference on Measurement and Accountability for UHC/AeHIN 4th Meeting

26-30 October 2015

Bali, Indonesia

Objectives:– Review evidence on costs, benefits, and impacts of ICT-


– Review evidence on costs, benefits, and impacts of ICT-enabled solutions from person-based applications for service delivery to RHIS and M&E systems for faster progress towards UHC and health SDGs

– Initiate development of M&E systems investment plan (MA4Health Roadmap) in accordance with 5-point call to action and iCTen! Recommendations

– Share, learn, exchange knowledge and experience in HIS strengthening and use of ICT

How Can Development Partners Work More Effectively to Support Countries?


More Effectively to Support Countries?

Regional Example

Member States

Regional Approach to Country ImpactsRegional Approach to Country Impacts


Global and regional approach to country impacts:

•Provide better technical support•Operationalize global norms and standards •Enhance leadership, strategies, plans, and M&E•Increase knowledge exchange and sharing

Technical

ITU, UNICEF, UN ESCAP,

universities, other

Programs•Health Data Collaborative (HDC)•Global Financing Facility (GFF)•Commission on Information & Accountability•Regional Action Framework for Civil registration & vital statistics (CRVS)



Member States


iCTen


Development

ADB, GIZ, GF, Norad, JICA,

PEPFAR, USAID, World

Bank

Principles•Country ownership & leadership•Strategic reuse•Openness•Open architecture and standards•Monitoring and evaluation

Informatics

HL7, IHE, ISO, IHTSDO,

COBIT5, PMP, TOGAF, other

Processes and Practices•Accessible eHealth standards in low/middle income countries•Implementation support•Standards stacks, HIEs Member States



Member States



People• Network of networks• Tech transfer & peer learning• Resource portal & repository

(aehin.hingx.org)• Architectural approaches

Communities

aIWG, APAMI,

ANDH, JLN, PHIN, HingX,

OpenHIE

Technical

ITU, UNICEF, UN ESCAP,

universities, other

Informatics

HL7, IHE, ISO TC215,

IHTSDO, IMIA, other Member States



Development

ADB, GIZ, GF, Norad, JICA,

PEPFAR, USAID, World

Bank

Communities

aIWG, APAMI,

ANDH, JLN, PHIN, HingX,

OpenHIE

How can development partners better communicate and coordinate efforts?


communicate and coordinate efforts?

Joint Development PartnerConvergence Missions and Follow Up:

Myanmar Example

HIS Strengthening in Myanmar Workshop19-20 August 2015

HIS Strengthening in Myanmar Workshop19-20 August 2015

Organized by MOH, AeHIN, WHO, ADB, UNICEF, and U.Oslo

Reviewed current and planned investments in HIS and E-Health

Discussed good practices to scale and sustain effective M&E, HMIS—including support for DHIS2 software


DHIS2 software

Preparing for technical support in strategy development, capacity building, E-Health architecture, standards, scale-up of solutions

Addressed each of the 7 components of E-Health strengthening and outlined next steps

One additional day for HIV-TB-Malaria eHealth on 21 August

Outcomes and RecommendationsOutcomes and RecommendationsOutcomes and RecommendationsOutcomes and Recommendations

Leadership & Governance Leadership through HIS Taskforce and revitalizing the HIS Development Committee. Partner coordination essential.

Strategy & Investment Conduct HIS assessment,, develop strategy and action plan for increased investments in HIS. aligning with national health plan

Infrastructure, Interoperability, Solutions, Leverage all


Infrastructure, Interoperability, Solutions, Leverage all HIS investments and eHealth applications

Policy & Compliance Regulations, policies, and plans within health sector and other sectors should influence HIS strengthening—such as data sharing, security, and privacy

Workforce identified human resources gaps and challenges across ICT (eHealth), HMIS, data quality/analysis, GIS, and other areas will all require HR for HIS capacity building plan

HIS / eHealth Technical Assistance and Funding Opportunities for Myanmar

HIS / eHealth Technical Assistance and Funding Opportunities for Myanmar

• World Bank

• Health Systems Support / Essential Care and Service Delivery Packages

• Health Data Collaborative: Through special Japan fund may provide US$ 1-2M for M&E/HIS/eHealth

• Global Financing Facility (GFF) in Support of Every Women Every Child

• AeHIN/WHO/ADB/UNICEF/U.Oslo/USAID/Esri/Tableau Foundation


• *Potential* ADB request for TA grant in HIS and eHealth (link with JICA)

• AeHIN REACH/COIL (architecture, standards, interoperability, solutions)

• RHIS / DHIS2 (capacity building and scale-up with programmatic expansion—HIV, TB, malaria, MCH, etc.); Tableau (visualization and health theme dashboards)

• AeHIN GIS Lab (free Esri GIS software/AGOL, targeting interventions, mapping, etc.)

• Potentially hosting the Digital Health for Achieving the SDGs Conference / AeHIN 5th Meeting in November 2016

Update on HIS/eHealth Action PlanUpdate on HIS/eHealth Action Plan

Next Steps

– HIS/eHealth assessment (May)

– M&E / HIS Strategy and Action Plan development (May - Sept)

– Resource mobilization through World Bank Japan Fund (July-Aug)

– Health Information Policy development (May to Sept)

Other Key Actions


Other Key Actions

– Implementing a master patient index (MPI) and client registry

– Enterprise architecture and interoperability

– Implementing health data standards

– Capacity development

• Training in data quality, analysis, and use

• DHIS2 advanced training

Four Key MessagesFour Key Messages

Countries lead, partners support. Country-led coordination, priorities, processes set the pace.

Partners should avoid working in isolation. Open, transparent donor communications and genuine collaboration adds greater value.

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genuine collaboration adds greater value.

Learn from the Success and Failures of Others. Strategically reusing what works and avoid making the same mistakes as others is really good.

Regional networks converge on best practices. No one institution or organization succeeds alone.

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