Heath System Governance and Services Delivery ' 4th PAHO / GAVI –HSS Meeting | 29th July 20091 |

The 2008 WHO Toolkit for

Monitoring Health System Strengthening (HSS)

Dr Patrick KADAMA

4th PAHO / GAVI HSS Meeting

29 - 30th July 2009 Santa Cruz de la Sierra, Bolivia

Heath System Governance and Services Delivery ' 4th PAHO / GAVI –HSS Meeting | 29th July 20092 |

The objectives of this toolkit is to describe (a) a set of indicators, (b) measurement approaches and strategies that shall:

The objectives of this toolkit is to describe (a) a set of indicators, (b) measurement approaches and strategies that shall:

1. Permit establishment of country health system statistical profiles.

2. Permit monitoring of health systems and guide country and partner investments.

3. Highlight gaps in terms of data availability and quality and point to needed investments in measurement strategies.

4. Contribute to a global consensus around how to monitor and benchmark health systems strengthening.

Heath System Governance and Services Delivery ' 4th PAHO / GAVI –HSS Meeting | 29th July 20093 |

The toolkit uses a multipronged approach consisting of :The toolkit uses a multipronged approach consisting of :1. clear description of measurement strategies including data collection,

estimation and synthesis from different sources.

2. collection of a parsimonious set of core indicators that resonate with different target audiences.

3. integration of health systems monitoring and performance assessments into national health information systems.

4. indicators selected on basis of need to be able to detect change and show progress in health system strengthening.

5. selected indicators relate to both the level and distribution of inputs and outputs.

6. focus is on low and middle income countries, but experiences from high income countries used to guide development of the measurement systems set out in the toolkit.

Heath System Governance and Services Delivery ' 4th PAHO / GAVI –HSS Meeting | 29th July 20094 |

The draft toolkit is based on the WHO health system framework

The draft toolkit is based on the WHO health system framework

Heath System Governance and Services Delivery ' 4th PAHO / GAVI –HSS Meeting | 29th July 20095 |

Global Consultation with usersspecific issues requiring feedback

Global Consultation with usersspecific issues requiring feedback

1. Is the toolkit easy to follow and user-friendly?

2. Are the recommended indicators and related measurement strategies feasible and sustainable?

3. Does the toolkit provide assistance in coordinating the various health systems strengthening work currently promoted by global health initiatives such as GFATM and GAVI?

4. Does the toolkit help to stimulate country ownership and demand for health systems monitoring?

5. Does the toolkit assist in coordinating the different measurement approaches and tools (for example service delivery assessments) used by various partners and support consistent and comparable processes and information?

Other feedback and recommendations