Presenter NameDate

Who We AreWho We Are

•Global partnership founded on the premise that better health information means better decisions and better health

•Partners reflect wide range of country and global health and information constituencies

The Power of Shared InformationThe Power of Shared Information

•Foundation of public health

•Helps identify the most pressing problems, effective interventions – we can’t fix problems if we don’t know their size and scope

•In developing countries, health information is vital, but often unavailable

Information InequityInformation Inequity

Those with the most severe health problems are often those with weakest health information systems (HIS)

Every programme,project, partnerhas a separate M&E plan

Every programme,project, partnerhas a separate M&E plan

Every M&E planfocuses on indicatorsbut not on the systemfor generating them

Every M&E planfocuses on indicatorsbut not on the systemfor generating them

Donors Contribute to Market FailureDonors Contribute to Market Failure

Data Collected But Not UsedData Collected But Not Used

A New PerspectiveA New Perspective

It’s not because countriesare poor that they cannot afford

good health information.

It’s because they are poor that they

cannot afford to be without it.

It’s not because countriesare poor that they cannot afford

good health information.

It’s because they are poor that they

cannot afford to be without it.

Why Now? Why Now?

• High interest and investment in global health

• Results-driven initiatives, including MDGs, the Global Fund, GAVI, and the President’s Initiative have increased the need for sound health data

• Improving evidence-based decision making: OECD/DAC, World Bank Managing for Development Results; Marrakech Action Plans for Statistics (MAPS);

• Local and global decision makers want and need harmonized set of development agendas, such as health sector reform, SWAPs, PRSPs; guidelines and systems for information collection, analysis and use which reduce overlap and duplication in data collection efforts

Health Metrics Network (HMN): What We Want to AchieveHealth Metrics Network (HMN): What We Want to Achieve

• To increase the availability and use of timely and reliable health information in countries and globally through shared agreement on goals and coordinated investments in core health information systems

• HMN will serve as the catalyst to achieve these goals

What We BelieveWhat We Believe

• Enhancing availability, quality, consistency and use of health data requires greater harmonization among stakeholders around agreed technical standards

• Our partners recognize the critical need to avoid duplication and reduce overlapping demands on fragile information systems

• Our partners are united by a shared ambition to align around country-led plans to strengthen the systems needed to generate sound health information

Our MilestonesOur Milestones

• HMN is currently collaborating with donor agencies and countries to finalize the consensus guidelines

• HMN will immediately implement vital registration and other data collection mechanisms (Household Survey Program, Health Systems and Services Information System, National Health Accounts)

• HMN will work intensively in an initial set of countries while implementing elements of the agreed standards in many other developing countries

• By 2011, at least 80% of developing countries will be able to report on agreed, standardized global health goals, and indicators (including MDGs) in a reliable and efficient manner as a result of data from HIS frameworks

It Works:Models of Success It Works:Models of Success

• Tanzania: Health and intervention cost effectiveness information improved allocation of resources, achieving a more than 40% reduction in infant and child mortality over 3 yrs with just an 18% increase in investment

• Mali: Enrolling children in immunization information system increased effectiveness and reduced cost of immunizing each child by nearly 50%

It Works:Models of Success (con’t)It Works:Models of Success (con’t)

• Bolivia: A health care quality improvement program used information system data to triple appropriate utilization of hospital services

• South Africa: Sub-national information system for improving pharmaceutical management increased access to essential drugs

• Papua New Guinea: Sound information about effectiveness of health programs empowered citizens to evaluate effectiveness of polices supported by their elected leaders

It Works:HMN is Making a DifferenceIt Works:HMN is Making a Difference

• Child mortality: Collaboration by global agencies and technical experts reconciled child mortality estimates producing a single set of figures used by all agencies

• HIV/AIDS estimates: Sound surveillance and standard data collection methods resulted in improved local estimates and global monitoring of the AIDS epidemic

• ARV therapy: Partners have come together to agree on ways of monitoring progress in the rapid scale-up of efforts to expand coverage of ARV

• International Household Survey Network: Partners have come together to coordinate survey programmes, share and disseminate results; www.surveynetwork.org

Our PlanOur Plan

To meet our target, HMN will pursue three key objectives:

1.Consensus Guidelines2.Country Implementation3.Universal Access and Use

Objective 1: Consensus Guidelines:Why?

Objective 1: Consensus Guidelines:Why?

•Align partner support around agreed standards and methods

•Serves several purposes:– a diagnostic tool for evaluating HIS;– a roadmap for HIS development of

plans; – an accreditation tool to track progress

and to compare performance with others;and

– a focus for investment and technical assistance for HIS development in a standardized way.

Objective 1: Consensus Guidelines:What?

Objective 1: Consensus Guidelines:What?

•A Tool and a process

•Tool: sets HIS standards, resource requirements, processes and outputs and anticipated results; describes core information platform designs and standards

•HIS assessment: assessment tool and basis for accreditation of country health information systems

•Process: principles and processes required for country HIS reform

Objective 2: Country ImplementationObjective 2: Country Implementation

• Work with developing countries to assess their health information systems (using the standardized HIS assessment and monitoring tool)

• Support the formulation of country plans for HIS reform

• Foster consensus-building around the country plan among country and donor partners

• Catalyze the joint funding of these efforts

• Provide technical assistance, broker discussions, monitor progress

Objective 3: Universal Access and UseObjective 3: Universal Access and Use

• Enable widespread use of health information through policies, systems and incentives

• Track donor success in aligning with the HMN guidelines

Financial Feasibility Financial Feasibility

• If donor agencies and developing countries pool resources in joint effort, funds are within reach

• HMN will be a catalyst that encourages this process by helping donors and recipient countries collaborate in financing and creating better HIS

• An expanding group of donors has committed nearly $70 million toward 7-year start-up effort for HMN

• New donors and partners are invited to participate in achieving HMN goals

HMN GovernanceHMN Governance

•Partner-driven leadership and oversight

– 17-member governing board representing countries, donors and technical constituencies

•Lean organizational structure – Mission-oriented taskforces– Small secretariat hosted by WHO

HMN BoardHMN Board

• African Population and Health Research Center• Bill & Melinda Gates Foundation• Centers for Disease Control and Prevention (U.S.)• Danish International Development Agency• Department for International Development (U.K.)• European Commission • Global Fund to Fight AIDS, Tuberculosis and Malaria• Ministry of Health, Mexico • Ministry of Public Health, Thailand• Organization for Economic Co-operation and Development• Statistics South Africa • UNICEF• United Nations Statistics Division• U.S. Agency for International Development• World Bank• World Health Organization

Becoming Part of HMNBecoming Part of HMN

HMN partners can contribute to achieving goals in three ways:

1. Direct financial contributions to HMN for “catalyst” work at global level

2. Working with countries to reform HIS

3. Supporting technical or operational research activities