onehealth tool: supporting integrated strategic health
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OneHealth Tool:Supporting integrated strategic health planning,
costing and health impact analysis
December 2013
Health Systems Financing and Governance Department
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OneHealth Tool: Launched May 2012 and publicly available for download
• WHAT IS IT ?
A software tool for strategic health planning at national level
Provides projected cost scenarios for health plans
• FOR WHOM ?Governments and health sector planners
• BY WHOM ?
Development overseen by the UN Inter-Agency Working Group on
Costing (IAWG-COSTING) established in 2008 (WHO, UNICEF, WB,
UNAIDS, UNFPA, UNDP) in collaboration with the Futures Institute.
Technical inputs from expert advisory groups and country planners.
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What does it do? Addresses key challenges!
Ensures comparability
A standardized costing approach across programmes/systems
How many lives could be saved?
Improving population health
How many doctors and nurses will I need to implement my plan?
Links programme plans to a health systems platform
How much will my health plan cost?
Costing as part of the planning process
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National
Hospital
Health Centre
Outreach
Community
Strengthening Health Systems
Lives saved; healthier
populations
Supply chain
Infrastructure HumanResources
Community mobilization, demand generation, programme management
Increasing coverage
of effective
interventions
Model cost and impact with a health systems approach
Health FinancingHealth Information Governance
Financial affordability
Malaria
TB
HIV
Reproductive H
ealth
Water &
Sanitatio
n
Immunizatio
n
Child Health
Nutritio
n
Others
Non communicab
le
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Type of outputs (results) produced
1. Health impact: what will be my child mortality and total fertility rate in year 2020?
2. Health Systems investments and service outputs:
– Required investments in infrastructure and equipment
– Total & additional bed days and outpatient visits; requirements for hospitals, facilities and community services
3. Costs: Costs and budget by year, by programme, by inputs, etc.
4. Financial projections, fiscal space and expected shortfall
5. Scenarios: how is cost and impact different for alternative scenarios of packages, targets and activities?
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Scenario A (US$) 2013 2014 2015
Incremental cost (millions) 39 60 88
Incremental cost per capita 1.22 1.81 2.57
Scenario B (US$) 2013 2014 2015
Incremental cost (millions) 79 136 198
Incremental cost per capita 2.44 4.09 5.79
Scenario A
Scenario B
Example outputs for health impact
Example for illustrative purposes only
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What will be the demands on the supply chain?
Volume of commodities transported in Logistics system,
% share by programme
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Non Communicable disease
Nutrition
Vaccination
HIV/AIDS
Malaria
TB
Child health
Maternal/newborn and
reproductive health
Example for illustrative purposes only
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Estimating health worker needs
Comparing anticipated supply of health workers with the expected demand
Example for illustrative purposes only
Estimated time needed for service delivery
Available health workers
GAP
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Summary at 2020
Scenario Cost of Plan Capacity utilization of nurses (end year)
Under five mortality rate (end year)
Burkina 50 % coverage 712 million 56% 90
Burkina 70 % coverage 777 million 110% 79
Burkina 90 % coverage 848 million 131% 71
Comparing scenariosComparing scenarios
0
2,000
4,000
6,000
8,000
10,000
12,000
201
1
201
2
201
3
201
4
201
5
201
6
201
7
201
8
201
9
202
0
Nurs
es, FTE's
Nurses available
FTE's needed
Burkina 50
FTE's needed
Burkina 70
FTE's needed
Burkina 90
Example for illustrative purposes only
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Who should use the OneHealth Tool?
• A multi-disciplinary team
• Health Sector planners ( MoH Department of planning)
• Disease-specific programme planners (e.g. EPI, Malaria) , Health System component (e.g., Human Resource Department in MoH)
• NGOs and other agencies in countries
• Donors, academics and UN agencies
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OneHealth Tool - launched May 2012
Life saver function –response within 2 working days
http://www.internationalhealthpartnership.net/en/tools/one-health-tool/
Help screens
DocumentsOneHealth Tool available in• English• French• Spanish • With more language versions in pipeline
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For more information send an email to the OneHealth Tool Secretariat: [email protected]
or contact Karin Stenberg, Technical Officer, WHO /HGF: [email protected]