Skip to content

Podcast: The Government Leads The Dance In Routine Health Information

This podcast features MEASURE Evaluation’s Theo Lippeveld.

A Smarter Way to Build Health Information Systems?

© 2010 Sally Zweimueller, Courtesy of Photoshare

© 2010 Sally Zweimueller, Courtesy of Photoshare

The 25 health indicators in the United Nations’ Sustainable Development Goals (SDGs) were created with the hope that the global health advances of the last few decades will continue. For example, the mortality rate of children under five years of age in developing countries fell from 22 percent in 1960 to less than 5 percent in 2013. Ensuring that we mark and retain those gains, and monitor new ones along with all of the SDG indicators, depends on a system that traffics in data rather than vaccines and medicines—it depends on a country’s health information system (HIS).

An HIS consists of data on deaths, illnesses, patient visits, services delivered, facilities, personnel, and medical supplies in stock. That’s a tall order for many low- and middle-income countries. And, there is no road map to get there—countries have only pictures of fully formed health information systems to guide them, not staged development steps toward a strong HIS. A lot is riding on how they move forward, who helps them do what, and the resources available to do it at all. In our article, published in the November 2016 issue of Health Policy and Planning— “What systems are essential to achieving the sustainable development goals and what will it take to marshal them?”—we encourage countries to stay the course with their ongoing HIS strengthening efforts. But some countries may need help in knowing where to start with HIS strengthening, or what to do next.

Read the full post by Jim Thomas, director of MEASURE Evaluation.

MEASURE Evaluation at Evaluation 2016


Join MEASURE Evaluation experts at the American Evaluation Association’s annual conference. Access a list of our presentations.

Can’t attend the conference? Follow meeting activity on Twitter using the #eval16 hashtag.

Reading: Innovation Africa

Innovation Africa: Emerging hubs of excellenceia
Adesida, Olugbenga, Geci Karuri-Sebina, and João Resende-Santos. Bingley, United Kingdom: Emerald Group Publishing. 2016.

This book contains a number of analytical case studies that examine the nature and origins of emerging, yet understudied, high-end innovation hubs in Africa. These studies highlight successful innovation cases and explore the key factors driving their emergence, growth and future prospects. This work provides useful policy advice for scholars, policymakers, and business leaders that can inform strategies and concrete measures to speed up the pace of innovation in Africa today.

Rapport d’évaluation de la performance du Système d’Information Sanitaire de Routine (SISR) et de la Surveillance Intégrée de la Maladie et la Riposte (SIMR)

sr-16-129Le Plan Stratégique de renforcement du Système National d’Information Sanitaire (SNIS) de Madagascar (2013-2017), élaboré avec l’implication de toutes les parties prenantes, vise à renforcer et améliorer le système de collecte, de rapportage, de gestion, et d’utilisation de l’information sanitaire à tous les niveaux de la pyramide sanitaire. L’implication de tous les acteurs de la santé vise à améliorer la coordination et la standardisation des interventions pour une bonne qualité de l’information sanitaire. Afin de mieux assurer l’alerte précoce des maladies à déclaration obligatoire comme le paludisme, la peste, la poliomyélite, et la fièvre virale hémorragique, la Direction de la Veille Sanitaire et de la Surveillance Epidémiologique (DVSSE) de Madagascar, avec l’appui des partenaires, a mis en oeuvre la Surveillance Intégrée de la Maladie et la Riposte (SIMR) et la surveillance sentinelle du paludisme.

Malgré les efforts de renforcement du Système d’Information Sanitaire de Routine (SISR) et de la SIMR, l’intégration de certains indicateurs dans le système d’information de gestion (SIG)/rapport mensuel d’activités (RMA) des centres de santé de base (CSB), l’inaccessibilité à temps réel des données sanitaires et le parallélisme des systèmes de surveillance des programmes verticaux constituent un problème pour la satisfaction des besoins en information de tous les utilisateurs du système. Ainsi ces problèmes ont entraîné des difficultés dans la standardisation des activités de suivi et évaluation, mais également dans la planification stratégique et programmatique, car certaines informations spécifiques à certains programmes ne sont pas toujours disponibles aux planificateurs.

Afin de mieux répondre aux besoins des services et des programmes de santé mis en oeuvre dans le pays, la DVSSE et la Direction des Etudes et de la Planification (DEP), avec l’appui technique du projet MEASURE Evaluation de l’Agence des Etats-Unis pour le développement international (USAID) et à travers le financement de la President’s Malaria Initiative (PMI), ont mené une évaluation du SISR et de la SIMR en utilisant la méthodologie PRISM (Performance de la Gestion des Systèmes d’Information de Routine) et l’approche de l’Organisation Mondiale de la Santé (OMS) pour l’évaluation des systèmes de surveillance intégrée.

Rapport d’évaluation de la performance du Système d’Information Sanitaire de Routine (SISR) et de la Surveillance Intégrée de la Maladie et la Riposte (SIMR)

Measurement and Accountability for Health in Bangladesh: A Status Report

tr-16-130The United States Agency for International Development (USAID), the World Bank, and the World Health Organization (WHO) convened a global summit—Measurement and Accountability for Results in Health (MA4Health)—at the World Bank’s headquarters, in Washington, DC, in June 2015. There, more than 600 participants from 60 countries, representing development partners, country governments, and civil society organizations, endorsed the Health Measurement and Accountability Roadmap and 5-Point Call to Action. The Call to Action identified a set of priority actions and targets to strengthen data and accountability systems. Two countries had been invited to be co-sponsors of the summit: Bangladesh, because of its readiness to measure progress in health during the post-2015 period, and South Africa, for the high quality of its cause-of-death data, which aid understanding of the national and subnational health situation.

At the summit, Bangladesh agreed to host a follow-on regional conference, and this was held in Dhaka in April 2016. This conference had the following objectives:

  • Facilitate the regional and country response to data needs
  • Engage with development partners to improve health data systems
  • Share and strengthen country-led monitoring and evaluation (M&E) plans

This paper outlines the progress that Bangladesh’s Ministry of Health and Family Welfare (MOHFW) has made toward the country’s measurement and accountability objectives. We review the health, nutrition, and population (HNP) data system (routine and ad hoc) and identify the financial requirements for strengthening health information system (HIS) and M&E functions for the next five years.

Access the paper.

Trafficking and Health: A Systematic Review of Research Methods

tvaTrafficking in persons (TIP) is a human rights violation with serious public health consequences. Unfortunately, assessing TIP and its health sequelae rigorously and reliably is challenging due to TIP’s clandestine nature, variation in definitions of TIP, and the need to use research methods that ensure studies are ethical and feasible.

To help guide practice, policy, and research to assess TIP and health, we undertook a systematic literature review of 70 peer-reviewed, published articles to (a) identify TIP and health research methods being used, (b) determine what we can learn about TIP and health from these varied methodologies, and (c) determine the gaps that exist in health-focused TIP research.

Results revealed that there are various quantitative and qualitative data collection and analysis methods being used to investigate TIP and health. Furthermore, findings show that the limitations of current methodologies affect what is known about TIP and health. In particular, varying definitions, participant recruitment strategies, ethical standards, and outcome measures all affect what is known about TIP and health. Moreover, findings demonstrate an urgent need for representative and nonpurposive recruitment strategies in future investigations of TIP and health as well as research on risk and protective factors related to TIP and health, intervention effectiveness, long-term health outcomes, and research on trafficked people beyond women trafficked for sex. We offer recommendations for research, policy, and practice based on review results.

Access the journal article.