1 / 14

Monitoring and measuring UHC

Monitoring and measuring UHC. Monitoring and Measuring UHC Key Messages. Equity is fundamental to UHC – all people get services they need at an affordable price

lou
Télécharger la présentation

Monitoring and measuring UHC

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Monitoring and measuring UHC

  2. Monitoring and Measuring UHCKey Messages Equity is fundamental to UHC – all people get services they need at an affordable price To monitor progress towards UHC – need to analyse social determinants of health and data disaggregated by: gender, wealth quintile, rural/urban, minorities, migrant populations etc. Countries choose indicators according to their own priorities, capacity to monitor, and criteria Many areas related to MDG and chronic conditions have agreed indicators

  3. Global Agenda Vision:Universal Health Coverage: i.e. all people can obtain the quality health services they need without financial hardship Targets: • Coverage with needed health services should be at least 80% for the poorest 40% of the population • No one should be pushed into poverty because they need health services and have to pay out-of-pocket for them.

  4. Monitoring and evaluation framework:where is the place of UHC monitoring? Processes Governance Laws Policies Institutions Organizations Mechanisms Inputs Health financing Health workforce Medicines & other health technologies Infrastructure Health information Research Outputs Service access Service quality & safety Service integration Service utilization Pooled funding Emergency readiness Outcomes Coverage of interventions Coverage of financial risk protection mechanisms Mitigation of risk factors Impact Improved health status Improved household financial wellbeing Increased responsiveness Better health security Governance, leadership and management UHC requirements Health system building blocks Equity, efficiency and sustainability. UHC components Social determinants of health

  5. Intervention & service coverage • Many possible interventions for countries to monitor – countries choose according to their own priorities and capacity to monitor • For many areas related to MDGs and chronic conditions there are agreed indicators; for many others there is none • Use standard criteria for selecting indicators, to ensure technical soundness usefulness for policy makers and the general public

  6. Criteria: choosing coverage indicators • A healthpriority based on burden of disease and addressed by a cost-effective intervention • Includes a measure of quality (effective coverage) • Credible methods exist to identify the (1) population receiving the intervention i.e. the numerator (2) population needing the intervention i.e. the denominator • Can be measured on regular basis: facility data / periodic household survey • Equity disaggregation is possible by income, gender, residence and other key stratifiers • Measureable in acomparable way across soum and aimags

  7. Tracer indicators: MCH coverage • Immunization: pentavalent (or other) vaccination coverage • Maternal health: • Antenatal care: 4+ visits, TT, IPT2, PMTCT • Delivery care / skilled birth attendant; • Postnatal care • Treatment of pneumonia in children – more difficult • Children with suspected pneumonia (cough & difficult breathing) taken to health facility; receiving antibiotics

  8. Tracer indicators: NCD coverage • Promotion: non-smoking, non-obese, physical exercise, salt intake, alcohol intake • Prevention: successful hypertension treatment coverage, cancer screening, HPV or hepatitis B vaccination • Treatment: people with angina receiving ambulant treatment etc., diabetes treatment and vision correction • Treatment: e.g. coronary angioplasty / bypass surgery Rates per 100,000 population

  9. Financial risk protection indicators

  10. Example Poorest National

  11. GGHE as a percent of GDP: 3.0 Health systems performance indicators: Mongolia OUTPUTS OUTCOMES IMPACT INPUTS and PROCESSES Health financing Service access & readiness Health status Antenatal care (1+): 99% THE / capita:$160.7 Life expectancy at birth: 69 SBA: 99% Average availability of 30selected drugs (public): 80% DPT3 immunization:99% Child mortality: 31 Contraceptive use: 54% Physicians per 10,000 pop: 30 Median price ratio for tracer medicines (public): 2.6 Children with ARI to health facility: 87% MMR: 51 Health graduates per 100,000 pop TB prevalence /100,000 :60 Children with diarrhoea receiving ORT: 56% Outpatient visits per person per year Information ARV therapy: 26% HIV prevalence among adults:<0.1 Vitamin supplementation among children: 61% Service, quality, efficiency & safety Percent of registered deaths Adolescent fertility rate: 20 TB case detection rate:68% Governance TB treatment success rate: 83% Use of safe water: 85% IHP+ attributes in national health plan 3-4 Mortality by major cause of death by sex and age 30 day hospital case fatality rate AMI and stroke Improved sanitation:53% Low birth weight: 4% Notifiable diseases Infrastructure &IT Breastfeeding 6 mths: 59% Waiting time to cataract surgery Hospital beds /10,000 population: 69 Financial risk protection Stunting < 5yrs: 27.5% Surgical wound infection rate children <5 sleeping ITN: Tobacco use (M, F): 48%, 6% LEGEND OOP as % THE: 41.4% Obesity (M, F): 41%, 46% Cervical cancer screening: Good Fair BP (M, F): 45%, 33% ARV prophylaxis User satisfaction: Poor No data Alcohol consumption: 3.36 Condom use

  12. Monitoring and Measuring UHCKey Messages Equity is fundamental to UHC – all people get services they need at an affordable price To monitor progress towards UHC – need to analyse social determinants of health and data disaggregated by: gender, wealth quintile, rural/urban, minorities, migrant populations etc. Countries choose indicators according to their own priorities, capacity to monitor, and criteria Many areas related to MDG and chronic conditions have agreed indicators

  13. A measure of our civilization and progress is not those who have the most, but how much we do for those who have the least. Prevention is the heart of public health but equity is the soul. Margaret Chan, DG WHO

  14. Thank you

More Related