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From Fragile to Resilient Health Systems: A Journey to Self-Reliance

From Fragile to Resilient Health Systems: A Journey to Self-ReliancePreventable disease, emerging infectious disease, extreme weather-related disasters due to urbanization and environmental degradation, and complications of pregnancy and childbirth still claim far too many lives and challenge the ability of health systems to cope. Meanwhile, shrinking investments, flat country health budgets, population pressures, and complex emergencies challenge the global ability to achieve the United Nations’ Sustainable Development Goals.

Some of the world’s experts were convened by the United States Agency for International Development (USAID), which funds MEASURE Evaluation, to take on the topic at its conference in Washington, DC, in March 2019 at a meeting, From Fragile to Resilient Health Systems: A Journey to Self-Reliance. The group addressed multiple factors affecting how health systems are able to respond to routine health challenges and emergencies. For example, what percentage of the health burden are caused by natural and man-made disasters? Or is resilience equally or differentially important at household, community, and institutional or governmental levels? Other topics included consideration of what sectors should contribute to health system resilience and how to measure progress.

The meeting gathered experts from USAID, the World Health Organization, the U.S. Department of State, the USAID mission in the Democratic Republic of the Congo, the Bill & Melinda Gates Foundation, the World Bank, UNICEF, Save the Children, World Vision, International Rescue Committee, Johnson & Johnson, GlaxoSmithKline, Johns Hopkins University, Finland’s International Affairs Ministry, Harvard University, Carnegie Mellon University, and MEASURE Evaluation—with all of those perspectives shared in this report.

Videos of the presentations given at the meeting are online on MEASURE Evaluation’s YouTube channel.

MEASURE Evaluation Phase IV HIV TA Extender Achievements

MEASURE Evaluation Phase IV HIV TA Extender AchievementsIn response to USAID’s request to support USAID missions and the USAID’s Office of HIV/AIDS, MEASURE Evaluation implemented a service package focused on monitoring and evaluation, health information systems strengthening, orphans and vulnerable children, adolescent girls and young women, and prevention of mother-to-child transmission of HIV. The goal was to deliver urgent short-term, strategic technical assistance to implement PEPFAR’s Country Operational Plan 2018.

Learn more.

Integrating Data Systems in Côte d’Ivoire Will Improve Health System Performance

Integrating Data Systems in Côte d’Ivoire Will Improve Health System PerformanceIn Côte d’Ivoire in 2004, the national health strategic plan was not aligned to a monitoring and evaluation framework; health providers could not reliably track clients from one service to another; health districts could not measure disease trends; and national policy makers could not know health service quality or coverage.

In part, this situation was caused by non-standardized data collection tools and the lack of checks on data quality and completeness. It was also a result of fragmented data management systems that served one aspect of healthcare but not the full spectrum of health services.

This brief outlines the work of MEASURE Evaluation, funded by the United States Agency for International Development and the U.S. President’s Emergency Plan for AIDS Relief, to help Côte d’Ivoire address these health data needs. Côte d’Ivoire now has a national health data management system—DHIS 2—deployed and used nationwide and an electronic logistics management and supply chain system used by clients of the new public health pharmacy.

Also available in French: L’intégration des systèmes d’information en Côte d’Ivoire améliorera la performance du système sanitaire

Improving GEND_GBV Data Quality: Improvement Action Strategy

Improving GEND_GBV Data Quality: Improvement Action StrategyTo better understand the data quality challenges, gaps, and successes of implementing partners (IPs) in capturing and reporting the PEPFAR MER indicator GEND_GBV, the United States Agency for International Development (USAID) and MEASURE Evaluation collaborated to conduct a rapid assessment of the collection and reporting of GEND_GBV in three countries. This document highlights common misconceptions and errors experienced in reporting GEND_GBV and provides actionable suggestions for improving GEND_GBV reporting.

Two Things Are Not Always Better, but Two Things that Can Relate Are an Improvement

Two Things Are Not Always Better, but Two Things that Can Relate Are an ImprovementIn Côte d’Ivoire, two databases exist for HIV-related programs. One of the programs benefits orphans and vulnerable children (OVC). The other program, DREAMS, (“Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe”) is for adolescent girls and young women at risk for HIV. These two programs originated years apart, and their databases are separate. The problem now—as both programs are operating in proximity to each other across Côte d’Ivoire—is that their separate information platforms can’t talk to each other.

MEASURE Evaluation, funded by the United States Agency for International Development and the U.S. President’s Emergency Plan for AIDS Relief, is supporting development of a link between the OVC and DREAMS databases. This brief outlines the process for developing this link and expected results of these efforts.

Also available in French: L’alignement d’éléments de données pour des programmes VIH cohérents : Réussite en Côte d’Ivoire

Improving GEND_GBV Data Quality: Methods for Assessment

Improving GEND_GBV Data Quality: Methods for AssessmentTo better understand the data quality challenges, gaps, and successes of implementing partners (IPs) in capturing and reporting the PEPFAR MER indicator GEND_GBV, the United States Agency for International Development (USAID) and MEASURE Evaluation collaborated to conduct a rapid assessment of the collection and reporting of GEND_GBV in three countries. This brief describes the process that was taken to collect and analyze data. It can be used by IPs, USAID missions, and USAID/Washington to guide future rounds of data collection and GEND_GBV data improvements.

L’évolution de la stratégie de surveillance « Une seule santé » au Burkina Faso

L’évolution de la stratégie de surveillance « Une seule santé » au Burkina FasoLe Burkina Faso s’est résolu à renforcer les capacités de ses systèmes de surveillance pour la santé humaine, animale (domestique et sauvage) et environnementale. Cet engagement s’est matérialisé par une démonstration du pays à se préparer pour faire face aux menaces sanitaires d’ordre humain, animal (domestique et sauvage) et environnemental, à les prévenir, à les détecter et à riposter. Il s’est agi également d’être en mesure d’anticiper et de réduire les impacts de ces potentielles menaces sur le développement social, culturel et économique du pays. Ce rapport décrit l’évolution de la stratégie de surveillance « Une seule santé » au Burkina Faso.