Rapid Health Assessment - World Health Organization · Collective action for better health outcomes...

Collective action for better health outcomes

HEALTH CLUSTER COORDINATION TRAINING

May 2019, Brazzaville

Rapid Health Assessment


Health cluster action

• Health Management Information System (HMIS)• Vaccination coverage estimation• Health Cluster Bulletin• Ad hoc Infographics

Health System Performance

• Public Health Situation Analysis (PHSA)• Rapid Health Assessment• Humanitarian Emergency Settings Perceived Needs (HESPER) Scale• Early Warning Alert and Response System (EWARS)• Population Mortality estimation•Monitoring Violence against Health (MVH)

Flow chart of Public Health Information Services

Health Status and Threats for affected

Populations

•Who, What Where (3W) matrix• Partners’ List• Health Resources Availability Monitoring System (HeRAMS)

Health Resources and Availability

Operational Indicator Monitoring


Purpose

• Follow, update and complete PHSA (info gaps)

• Monitor of needs based on the comparison of

affected people perceptions and experts’

judgement on health sector issues

• Feed Sectoral and Intersectoral analysis (HNO,

MIRA) products with health sector contribution


Rationale

• PHSA info gaps not addressable through SDR

• Other PHIS primary data tools (EWARS, HeRAMS, HIS) are only facility based and focused, not on)

• A tool to rapidly assess affected people perceptions(alert, availability, satisfaction, sufferance) and on health seeking behaviours (use and awareness does not exists

• Other tools focused on perception (HESPER) are mostly intersectoral and have too small health parts or too specific to the mandate of their implementer (UNHCR, WFP, etc…)


Methodology

Phase 1: Preparation

Phase 2: Data collection

Phase 3: Interpretation and reporting


Phase 1 Preparation

PHSA info gap analysis

Assessment plan

Adaptation of pre

designed tools

Team coordination


METHODOLOGY DECISONS

7

Repo rt

Repo rt

Remote key informantinterviews

Remote sensing avaiable?Other secondary sou rces?

Key informant known and accessible?Respondent safety gua ranteed?

Time , expe rtise , resou rces available?

Access to a ffected a reas?

Yes

No

Yes

No

Yes

Limited Yes

Sampling and

selection criteriaPurposive samplingGeog raphic level

Purposive samplingA ffected g roup level

A ffectedpopul ation

Estim ation methodsSecondary d ata

Estim ation methodsSecondary d ata

D ata collectiontechniques

Di rect observ ationKey informantinterview

Di rect observ ationKey informant interviewC ommunity g roupdiscussion

No


8


Key

questions

Secondary

sources Comparisons

Info or

indicator

Primary

sources

Question in questionnaire


Primary data sources: KEY INFORMANTS

Lay• Affected

• Beneficiaries

• Vulnerable groups

Experts• Health workers

• Humanitarian workers

• National Staff


Phase 2 Data collection

Select Assessment SitesSelect Assessment Sites based on agreed criteria i.e. IDP camps, IDP’s with host families, affected population at place of origin

Mobilize Inter-sectoral assessment teamsConstitute assessment teams from variety of humanitarian actors to conduct assessment.

Conduct community or community/affected group level interviewsBased on structured questionnaire conduct key informant interviews complimented by observation based check list

Identify key informant for interviews

Structured questionnaire

Use direct observation- See - Hear- Smell- Touch


Key informant interviews

Household survey

Focus group discussions

Time and cost

Part

icip

ato

ry fo

cus

Data collection techniques

Direct observation

Individuals survey

Secondary data review

Community group discussions

Time and cost

Phase 1 Phase 2 Phase 3

Sectoral Assessments

Collective action for better health outcomesTime and cost

Pre

cisi

on

an

d a

ccu

racy

Rapid – ‘quick and

dirty’ and exploratory

Initial – targeted and explanatory

In depth – comprehensive

and confirmatory

SAMPLING

Convenience sampling

Purposive sampling(MIRA)

Representative sampling

Phase 1 Phase 2 Phase 3

MIRASectoral Assessments


Data collection Sources and Sampling

according to type of Key Informant

Lay

• Interview

• FGDs

• Community

Interviews

Expert

• FGD

• Delphi

• Monitoring

Framework


Phase 3 Analysis, interpretation and reporting

• Wrap up of response from lay people (KIs)

• Wrap up of responses from experts

• Analysis of responses based on analytical

framework

• Triangulation (some questions will be

asked to ‘lay’ and to ‘expert’ informants

and then compared


Scope/analytical framework

simple and quick

broad but necessarily shallow

Attitudes awareness

practices and use of

biomedical and traditional care

Access availability and perception of the quality of

healthcare

Health status needs and

perception of risk among

affected populations


Quiz!!!!!!!!

What type of information to be

asked?

And to whom???


1. Alert

• Unusual number of deaths (Human)

• Unusual number of deaths (Animal)


2. Access to health

Distance to health facilities (in time)

Obstacles to accessing health

Specific groups facing obstacles to

access health

Presence of female health workers


3. SRMH

• Female healthcare workers presence

• ANC/PNC

• Where do women give birth?

• Cesarean Section


4. Health Seeking Behaviours

• Health seeking behaviours of people

affected

• What do you do when you/your

familiars get sick?

• Do you have a vaccination card?


5. Copying Mechanism

• What do people do when they are faced

with a lack of access to health facilities?

• What are people doing to face lack of

drugs? OR What do people do when they

need medication?


6. MPHSS

• Is a large number of persons in your

community currently so upset to be

unable to conduct usual daily activities

(for example getting out of bed, ability to

work, to take care of family…)?

• Provision of MPHSS available?


7. Market

• Availability of drugs

• Can you pay drugs prescribed?


8. WASH/IPC

• Quality of the water (bacteriological..)

• Quality of the water (taste, access to

source)

• Main water sources

• Water in health facilities


9. AAP

• How are health care workers perceived

(to be adapted to contexts..)….

• Is treatment perceived as approriate?


Thanks! • Comments and suggestions

• [email protected]

mailto:[email protected]

Rapid Health Assessment - World Health Organization · Collective action for better health outcomes...

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