Afghanistan Comprehensive Health Information System ...moph.gov.af/Content/Media/Documents/HISStrategyActivityPlan... · Intervention 4 : Develop resources, procedures and responsibilities

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Afghanistan Comprehensive Health Information System

Strategic Plan 2009-2013

Implementation Plan Details of activities under each intervention

1

Activities

Primary Product Time Frame Responsible Types of

Additional

Resources

Start

(M-Y)

Compl (M-Y) Office Officer

Objective 1: Enact legislation that supports improved reporting of essential health data (AS from 0.7 to 2.5)

Intervention 1: Legislation is drafted and enacted to support improved reporting from public and private sector facilities

1.1 Inventory the existing legislation about statistics

related to health from MOPH laws and regulations,

CSO and Ministry of Justice; including the review of

International Health Regulations (IHR)

1.2 Coordinate with relevant ministries (e.g. MOI, CSO,

MOF) to review, improve and enact revised or draft

new legislation and regulations to establish an

enabling legal and regulatory framework for the HIS

(including private sector reporting, & notifiable

diseases)

Inventory of current legislation

related to health reporting and

statistics; along with international

and national needs for new

legislation

Statistics Law or Law of Medicine

(as appropriate) includes

adequate language on HIS and

private sector data and reporting

requirements

Jan 09

Jan 10

Jun

Dec 09

Dec 11

MOPH Laws

and

Regulation

Office

Int’l TA (4 1-mo

visits)

Nat’l consultant

(6-month

assignment)

1.3 Coordinate with relevant ministries to develop

adequate procedures for enforcement of laws and

regulations regarding HIS

- Procedures for enforcement

- Improved registration of private

healthcare providers & reporting

of notifiable diseases by private

sector

Jan 12

Mar 12 MOPH Laws

and

Regulation

Office

Expat and

national experts

as consultants

(2 months each)

Objective 2 : To increase the % of HIS service staff with capacity in managing and performing HIS responsibilities and functions from <20% to 80%

Intervention 2.1: Include training on health information system in “in-service training” (additional program-specific training bolded w/in other interventions)

2.1.1 Clarify responsibility of MOPH central and

provincial staff with regard to HIS functions

2.1.2 Improve the TOR of individual departments with

regard to HIS and M&E

Documented list of required HIS

qualifications/skill sets

Mar 09 Jun 09 GD PP, with

support of

APHI

DG P&P

Dr Ashraf

TA (existing

JHU; Tech-

Serve; ISMPL;

EPOS support )

2.1.3 In-service Training/HR Needs Assessment related

to HIS management and use (referring to past

TRAs)

2.1.4 Update the inventory of HIS-related curriculum and

courses being conducted

2.1.5 Summarize the apparent skills and functions

development required by this HIS SP

Priority HIS in-service training

needs

Apr 09 Jul 09 APHI with

support of

HMIS, M&E;

Dr. Islam

2.1.6 Review in-service training material with all existing

training partners and coordinate the development

Updated standardized HIS

training curricula for all levels

Sept 09 Mar 10 APHI Dr. Islam Expertise (2

p/m)

2

Activities


Additional

Resources

Start

(M-Y)


of standard HIS curricula and materials based on

the defined needs (with an especial emphasis on

“Data Use” and “evidence-based decision making”

skills)

2.1.7 Define a 2-year overall HIS training plan with a

special emphasis on community, facility and

provincial levels (who and what), which confirms

sources of resource support and the responsible

departments, programs and implementers.

- A comprehensive 2-year HIS

In-service training plan

- Service implementers (NGOs

under PPA, PGC, PCH & SM)

Mar 10 May 10 APHI with the

support of

HMIS; M&E;

Dr. Islam;

2.1.8 Provide in-service training to MOPH HMIS and

M&E staff, PPHOs according to the HIS training

plan:

2.1.8.1 basic training on data use and monitoring

(Approx 34 X 9 PPHO staff)

2.1.8.2 comprehensive training including basic

epidemiology & statistics (34X1 PPHO plus one

staff per NGO and up to 30 staff at central level)

2.1.9 Organize continuing in-service learning on data

use at the health facility and provincial levels (

- Approximately 306 PPHO

staff receive basic (in-service)

training in HMIS and M&E

- Approx 104 PPHO, NGO and

Central staff receive

comprehensive HMIS course

- A strategy by which 200

health facility staff learn data

use through team processes

within their provinces every

year

Ongoing

Jan 11

Dec 10

Jan 12

HMIS HMIS;

M&E;

Funds for

training

(TechServe,

JHU, GF)

2.1.10 Sponsor 5 persons to receive short courses in

health database design and development

including TB, malaria, pharmacy, healthcare

financing, HIV programs

5 MoPH database design

specialists receive short-course

training tailored for health

purposes

Jan 10 Mar 10 HMIS DB design

expert- 2 visits

of 1-month

each;

Training costs

2.1.11 Arrange for 5 senior staff to attend CDC Field

Epidemiology short course

5 senior staff from various

programs complete CDC Field

Epid Course

Mar 10 May 10 APHI

DEWS

Costs of course

and Travel

2.1.12 Design and conduct a short field epidemiology

course

- Short Epid Course design

- 3 in-country short courses

conducted for 10 staff each

Jan 10 Jul 10 APHI TA

Training Costs

(GF Rd 8)

2.1.13 Undertake Field Epidemiology Training Program

(FETP) for 3 cohorts of 8 persons each while

- 24 selected MOPH staff

complete the FETP

2009 2011 APHI / DEWS Funds and FETP

program

3

Activities


Additional

Resources

Start

(M-Y)


institutionalizing the capacity for delivering such

training for strengthening the surveillance

system within the APHI

- FETP training is

institutionalized within the

APHS

guidance (FG Rd

8)

Intervention 2.2: Include training on health information system in “pre-service training” of health workers

2.2.1 Strengthen the existing public health

management curriculum for new MD graduates

with regard to HIS

2.2.2 Organize HIS lectures for MD students at 5

medical universities

Revised PH Management

Curriculum with new HIS

functions and material

HIS course material developed for

medical universities

Ongoing

April 10

Apr 10

Jun 10

APHI

Dr. Islam

2.2.3 Work with AK DN and public health department

of 5 universities and training schools develop HIS

courses for nursing, midwifery

HIS credit courses designed and

incorporated into the training

curriculums for nursing and WMs

Jan 11 Mar 11 APHI TA support from

AK DN (existing)

2.2.4 Work with APHI and qualified private higher

education institutions to develop HIS courses for

inclusion in MPH degree

All MPH degrees include HIS

credit courses

Jan 11 Mar 11 APHI

Objective 3 : Improve the completeness and data quality of the HMIS and harmonize indicators (80% of all health facilities and all 34 provinces have implemented the

revised HMIS by Dec 2011)

Intervention 3: Develop and implement a range of improvements to the HMIS, review of indicators and stratification, integration of data from special programs,

enhancement of data quality and scaling-up NMC at provincial level

3.1 Scale-up the nationwide implementation of National

Monitoring Checklist (NMC) and joint monitoring to

enhance HMIS data validation

3.2 Review and improve SOW of PPHO, TB, EPI DEWS and

NGOs officers regarding processes for data quality

improvement and the implementation of NMC along

with joint coordination meetings to reinforce these

responsibilities.

3.3 Ensure action plans are developed and implemented

to improve HMIS & vertical programs’ data quality

after application of NMC and vertical program

supervision; joint coordination meetings

3.4 Improve NMC/data quality database

3.5 Standardize data validation/ data quality assessment

- Strategy, procedures and

schedule for each health facility

to be visited at least once every

quarter for data validation

- consensus is created regarding

roles, responsibilities of PPHO,

TB, DEWS, EPI officers and

processes for data quality

monitoring and improvement

- Schedule and conduct of

periodic coordination meetings

conducted in each province to

reinforce these responsibilities

- Action plans for data quality

Jun 09

Jun 10

Jun 10

Jun 10

Contin’g

Contin’g

GD PP

(M&E/QA)

GD PP, HMIS,

M&E

Funding and

Facilitation

(GAVI)

4

Activities


Additional

Resources

Start

(M-Y)


incorporated in supervision programs of vertical

programs

3.6 Review, update and stratify, by health system levels,

the official set of core health indicators for use to

guide all programs and services monitoring and

reporting efforts

improvement

- Improved data quality database

- Procedures for program data

quality validation

- Revised list of core health

indicators, definitions and data

sources

Jun 10

Jun 09

May 09

July 10

Aug 09

May 09

GD PP

HMIS

GD PP

HMIS

3.7 Ensure timely evaluation of any newly introduced data

collection tool with particular emphasis on data

quality

Procedure to insure any newly

introduced data collection tools

are evaluated when designed and

after 1-year of application

ongoing Jun 09 HMIS with

support of

M&E

3.8 Organization and support of early set-up,

implementation management and monitoring of the

HIS Strategic Plan

Selection of a Mgt & Mon Officer

for HIS SP oversight (GCMU or

HMIS)

HIS Implementation Working

Group – Qtrly Progress Reports

May 09 Dec 13 60 mos Salary

7 Grp Meetings

TA 5 visits (all

GF supported)

3.9 Establish regular and systematic “pooled” analysis of

data from multiple sources to improve accuracy and

consistency of key health indicators

3.10 Incorporate appropriate measures into NGO

contracts to encourage good quality data

3.11 Provide GCMU with results of data quality

assessments as a part of NGO performance

evaluation

3.12 Insure provincial profiles and annual reports include

sections with key health indicator data benefiting

from pooled data analysis

- Add 1 Data analysis staff

- MOPH key reports include

analysis of “pooled data” from

multiple sources for key health

indicators

- Draft wording for inclusion in

NGO contracts

- Procedures for sharing results

of HMIS reporting and data

quality assessment with GCMU

- Guidance for PPHO report

preparation (Obj 17)

Apr 10

Apr 09

Apr 09

Jun 09

Jun 10 (contin’

g)

Jun 09

Jun 09

Dec 09

M&E (HMIS)

GCMU (HMIS

supt)

HMIS

HMIS

Salary for 60 M

TA 2 C make 1

visit of 2 mos

1 server, 2

comp

3.13 Assemble all recommendation for improvement of

the HMIS and its registers and records for adding

indicators, integrating data from special programs

- updated HMIS records,

registers and procedures

Apr 09 Dec 10 HMIS

throughout

Funds by BPHF

& GF round 8

5

Activities


Additional

Resources

Start

(M-Y)


and incorporating gender specificity for selected

indicators,

3.14 Revise/translate/publish new HMIS manual

3.15 Revise HMIS databases as needed

3.15 Train 1,575+ HF on revised formats

- Revised HMIS Manual

- Revised HMIS Databases

- Staff in 1,575 facilities and all

PPHOs trained in the system

Objective 4: Data warehouse functionality developed (AS rises from 1.5 to 2.5) by 2013

Intervention 4 : Develop resources, procedures and responsibilities for data warehouses at central and PPHO levels

4.1 Review existing databases, their data elements and

data dictionaries, file structure and data sources.

4.2 Identify types and sources (surveys, census, VR,

HMIS, special programs) of health-relevant data

felt to be most important for including in the initial

version of a central level health data warehouse.

4.3 Develop a composite list of priority health

indicators and data elements for which data is

needed from a variety of sources for the types of

health data identified in 4.2.

4.4 Develop the metadata dictionary for the data

categories, indicators and data elements which

clarifies data item definitions, field formats and

associated coding, along with data sources.

4.5 Design the health data warehouse architecture,

specify the database design, and record layout.

4.6 Confirm the availability of or purchase the data

management server and software

4.7 Prepare a prototype warehouse for testing with

standard and ad hoc queries, data analysis and

report preparation.

4.8 Work with the managers of the various data

sources to work out procedures for periodic data

transfer from cooperating institutions and

departments.

4.9 Train the central level data warehouse managers

Detailed description of existing

databases

List of priority types and

categories of data to be placed in

the initial data warehouse.

List of priority health indicators

and data elements

Initial health metadata dictionary

Prototype health data warehouse

for testing

Procedure for data flow and entry

into the warehouse

5 central level staff trained in

DW operations

Jan 10 Jan 11

HMIS for all

activities and

products

Dr Ashraf TA for all

activities ( 6

p/m from

TechServe, 3 2-

month

assignments for

two DW

designers )

6

Activities


Additional

Resources

Start

(M-Y)


in operating, maintaining and updating the system

4.10 Initiate the first version of the warehouse at central

level, operate for principle users and assess initial

performance.

4.11 Determine if mirror data storage or extracts are to

be implemented at the Provincial level and develop

the procedures and media for sharing the data with

PPHO.

Report of performance of the

data warehouse after 6 month of

operation

Data file extracts for use at PPHO

level

Objective 5 : Strengthen Health/statistical constituencies and coordination (AS from 1 to 3 )

Intervention 5 : Establishment of inter-ministerial (health and statistical constituencies) coordinating body for HIS, and liaison offices for coordination and sharing of

health, population and social information

5.1 Revise the SoW of the existing Inter-Ministerial

Committee on M&E to include coordination of

information systems development

The inter-ministerial committee

on M&E SoW is revised and

signed by all members and begins

coordination of information

systems, data sharing and use

Apr 09

May09

MOPH

Pol&Plan’g

Directorate

5.2 Appoint a liaison Office and Officer in the MoPH to

coordinate with other ministries and provide update

on HIS development strategies and activities

HIS Liaison Officer officially

identified

May 09 May09 MOPH

Pol&Plan’g

Directorate

5.3 Ensure timely and regular consultation and/or

decision making among the ministries and active

follow-up of decisions on data sharing

5.4 Establish regular information sharing between this I-

M C on M&E/IS and the ANDS inter-ministerial

comm..

Procedure to insure continuous

sharing of data and information,

and joint action-taking

coordinated by the Inter-

Ministerial Committee on M&I

and IS

June 09 Jun 09 Inte-

Ministerial

Committee

on M&E and

IS

Objective 6 : Census conducted in 2010 and 2020 – Enhanced use of population and vital statistics information for planning and monitoring (AS scores for use of census

and VR data raised to 3.0 (from 2 and 0 respectively)

Intervention 6.1: Promote availability and use of CSO pre-census population figures and annual population updates in planning at all levels of health service delivery

6.1.1 Improve regular communication with CSO and

advocacy by MOPH on the need for detailed and

disaggregated population data

A set of agreements with CSO

regarding:

- using a standard list of districts

including spellings and coding

- timing of release of population

Apr 09 Apr 09 HMIS

7

Activities


Additional

Resources

Start

(M-Y)


datasets every year

- regular sharing of population

information with MOPH

- assistance with resolving

discrepancies with previous

datasets

- assistance with district

boundaries and administrative

divisions of the country

6.1.2 Make available user-friendly disaggregated pre-

census population figures for planning by MOPH

departments and partners

6.1.3 Annually update HMIS database population

tables and linkages

- District level population

breakdown by age, gender

incorporated into HMIS and

readily available to central and

provincial planners.

- All programs have access to

most updated population data

with sufficient disaggregation

(age, gender)

Apr 09 Apr 09 HMIS

6.1.4 Support CSO in implementing census in 2010 Recommendation to CSO about

possible health questions in the

Census

Agreement on the involvement of

PPHOs, HFs & CHWs in the

conduct of the census

Jan 10 Mar 10 HMIS

Intervention 6.2: Support the development, availability and use of vital registration data by the MoPH and its partners

6.2.1 Oversee development and piloting of the

Demographic Surveillance System (DSS) by the

MOPH

6.2.2 Expand the number of DSS sites

6.2.3 Develop a plan with CSO, MOI/VR, DSS

contractor and MOPH concerned departments

ensuring the sustainability of DSS including

availability of resources at provincial level to

- DSS is established and running

(with at least one complete

year data on a key set of

indicators in the pilot

provinces)

- DSS rollout/scale-up plan

- DSS sustainability plan and

recommendations for the

Mar 09 Sep11 HMIS Dr. Ashraf Funds

(GAVI-HSS)

8

Activities


Additional

Resources

Start

(M-Y)


maintain DSS MoPH

6.2.4 Coordinate with MOI for sharing (supporting

registration and receiving information)

information on Vital Registration

- An agreement with MOI

regarding vital registration

system and data including: linking

with DSS, sharing of VR data

available with MOI

- Procedure for providing VR data

inputs of birth and death

registration from health facilities

Jan 10 Jun 10 HMIS

Objective 7: Comprehensive, multi-year survey plan is in place and updated biannually

Intervention 7: Prepare and implement a multi-year plan for health surveys that insures timely, efficient availability of priority qualitative and quantitative indicators

(reducing survey overlaps and gaps)

7.1 Designate the M&E Directorate as responsible for

overseeing the MoPH health survey program, activity

and donor support, and for reviewing proposals for

all new surveys to determine their justification

7.2 Every two years, review the list of all key health

indicators used by MOPH departments and partners

(following on the creation of the meta data dictionary

as part of data warehousing.)

- Designation and MoPH-wide

acknowledgement of survey

oversight responsibility.

- A procedure for submitting

and approving proposals for

surveys

- Key indicator list and Meta-

data dictionary reviewed and

updated every two years,

published and widely

disseminated among MOPH

departments and partners

Apr 09

Apr 09

May 09

Apr 09

Apr 09

July 09

P&P Dir

M&E

M&E

7.3 Create and maintain an inventory of ongoing and

planned surveys including timeline of important

survey schedules and report due dates

7.4 Develop a comprehensive multi-year plan for health

related surveys in close coordination with CSO and

the inter-ministerial M&E/IS Coordination Committee

for fulfilling timely measurement of the full list of key

health indicators.

- An updated inventory and

schedule of planned health

surveys and special studies

- multi-year plan for population-

based surveys approved by

Executive Board and Inter-

Ministerial M&E/IS Coordination

Committee

May 09 Sep 09 M&E with

support of

MOPH

Research

Depart

Data

repository

officer at

M&E

Funding and TA

(GF)

7.5 Plan for staff within the MOPH to technically oversee - one focal point in each Mar 09 Dec 10 APHI Funding and TA

9

Activities


Additional

Resources

Start

(M-Y)


the design, management and analysis of population

based surveys and health studies including studies

and research

7.6 Obtain 4 scholarships for biostatistics and

demography

department qualified in survey

and health study design.

- Two masters level graduates

focused on biostatistics and 2 on

demography

for in-service

training (GAVI

and GF)

Four

scholarships

Objective 8: Integrated, multi-level health M&E activities, including an M&E Plan for Community-based health care carried out by all facilities and 40% of communities

Intervention 8.1: Strengthen coordinated monitoring and evaluation of all health activities integrating data from vertical programs, HMIS and DEWS, along with

relevant survey data

8.1.1 Review and coordinate M&E strategies and plans

for programs across MoPH departments

8.1.2 Identify data sources in all MoPH programs and

their links with HMIS for essential data elements

and indicators

8.1.3 Establish quarterly meetings of M&E focal points

from each department at central and provincial

levels to increase coordination and identify M&E

issues.

8.1.4 Add one position at PPHO to support use of data

for service M&E

8.1.5 Train staff in each MoPH Directorate and PPHO

on basic and comprehensive data analysis and

use, and analytical report writing.

8.1.6 Establish procedures for increased number of joint

monitoring visits by PPHCCs and train the

members as a team to used the findings more

effectively for local problem-solving,

Procedure for M&E Dir to sign off

on M&E plans for all major

policies, strategies and programs

Meta-data dictionary includes

updated mapping of sources of

key indicators (within Obj 4)

M&E information sharing through

4 quarterly meetings

AHMIS Officers in 34 PPHOs

68 staff in PPHOs and 20 staff in

General Directorate of health

services are trained

Increased no. and coverage of

JMVs by 50% to 4 per year per

province

Efficient NMC data flow

established for all provinces in

two directions

Oct 09

Apr 09

Mar 09

Apr 09

Apr 09

May 09

Apr 09

Contin’g

Dec 09,

updateannual

Apr 09

Dec 10

Dec 10

May 09

Jun 09

M&E

APHI Res

Dept

M&E

HMIS

M&E

M&E

M&E

Funding for

salaries (GF)

Funding

Tech Advisors

(GF)

Funding (GAVI)

Intervention 8.2 : Develop and pilot a new innovative approach to monitoring of health service by involvement of the community

8.2.1 Advocate for an enhanced approach for monitoring

of health services by community

Support of the M&E/IS IMCC Jul 09 Dec 09 M&E Dept

10

Activities


Additional

Resources

Start

(M-Y)


8.2.2 Assemble lessons learned in monitoring from NGO

experiences in insecure areas (eg. AHDS)

Documented lessons learned Jan 10 Jun 10 M&E Dept

8.2.3 Develop strategies, guidelines and tools for

engaging communities in service monitoring

Official strategy and tool for

community service monitoring

Jul 10 Dec 10 M&E Dept

8.2.4 Pilot test Community monitor and roll out Improved CM and rollout

schedule

Jan 11 Mar 11 M&E Dept

Objective 9: Improved tracking of health sector inputs including health financing (AS 1.0 to 3.0), human resources and commodities (AS from 0 to 3)

Intervention 9.1 : Support improved tracking of health system finances including program budgets and expenditures at the central and provincial levels, and establish a

system of National Health Accounts

9.1.1 Assess the need and define the purposes of the

health financing system and information support

Need Assessment Paper on HCF

and FM data including NHA

Mar 09 Apr 09 HF Dept

Technical

Advisors

9.1.2 Specify the types of financial management data in

AFMIS and the BPHS and EPHS requirements

Short Report of financial data

requirements


Tech Advisors

9.1.3 HCF Department and the M&E Directorate

develop an action plan and design criteria for

tracking of finances by using AFMIS at the central

(ongoing) and provincial level

Action Plan for developing the

financial tracking system


TA

9.1.4 Develop procedures and a Manual for AFMIS AFMIS Procedures and

Operations Manual

Jun 09 May10 HF Dept Technical

advisor (EPOS)

9.1.5 Increase demand for and use of better health

financing information (sources, expenditures) for

planning by program and provincial health

directors; Develop guidelines and manuals and

train staff for linking national planning and

program budgeting

Procedures and Guidelines May10 Dec 10 Policy and

Planning

Directorate

TA

9.1.6 Develop a list of analyses from the NHA literature

that need to be developed for Afghanistan.

9.1.7 Develop guidelines and an implementation

activity plan for establishment of NHA, insuring

links to policy and decision making

9.1.8 Assess data sources and staff capacity available to

contribute to the establishment of National

Health Accounts

Report of national capacity to

develop NHA

NHA Implementation Plan

Jan 11

Apr 11

Jun 11

Mar 11

Jun 11

Jun 11

HF Dept

HF Dept

HF Dept

Short term

experts for all

activities (6 1-

month visits by

2 experts)

(EPOS, USAID)

11

Activities


Additional

Resources

Start

(M-Y)


9.1.9 Undertake the funding, allocation and utilization

studies and accounts design work needed to

establish the NHA

9.1.10 Define data flow mechanisms to support National

Health Accounts

9.1.11 Test the first version of the NHA with data from

the funding, allocation and utilization study

9.1.12 Train 6 staff in the operations, maintenance and

use of the NHAs system

Data flow design

Functional NHA within the HF

system

6 staff trained in the generation

of NHA reports

Jul 11

Jan 12

Mar 12

Mar 12

Dec 11

Mar 12

June12

May12

HF Dept

HF Dept

HF Dept

HF Dept

Intervention 9.2: Establish a drug management information system (DMIS) at central and provincial level as an enhanced tracking system for pharmaceuticals

procurement, importation, storage, distribution and rational use of medicine

9.2.1 Based on the pharmaceutical review, prepare an

action plan for developing the DMIS

9.2.2 Agree upon core indicators for the DMIS

9.2.3 Standardize the list of drugs to be imported

9.2.4 Computerize the current system of drugs

importation

9.2.5 Compile and disseminate information on drugs

importing at the central level for forward planning

9.2.6 Develop procedures for a coordinated drug

procurement system and tracking of drugs

9.2.7 Develop a Drug Management Information System

(DMIS) database for tracking and managing drug

supply systems (including cost) for public sector;

reflecting coordinated procurement procedures

DMIS development plan

List of core Drug management

indicators

Standard list of drugs for

importation

A program for modest tracking of

drugs ordered, cleared, received

and distributed, by funding

source

Standard report on drug

importation process and results

Procedures for procurement and

tracking described

First version of an operating DMIS

Apr 09

Jul 09

Jul 09

Sep 09

Sep 09

Jun 09

Feb 10

Sep 09

Sep 09

Sep 09

Sep 10

Dec 09

Jan 10

Feb 11

GDPA

GDPA

GDPA

GDPA

GDPA

GDPA (Cent

WH)

GDPA (Cent

WH)

TA 3-week visit

(SPS & TS))

(same as above)

TA (TechServe)

TA 2 visits for 3

weeks

TA (3 visits for 3

weeks)

Computers, LAN

9.2.8 Include requirements in NGO contracts to report

details of drugs received and cost

9.2.9 Breakdown BPHS, EPHS and national hospitals

drug requests and utilization within a periodic

report

Definition of drug reporting

requirements for NGO contracts

Report of drug utilization by level

of service (health center,

provincial hospitals, central

hospitals)

Apr 09

Jul 09

Jun 09

Sep 09

GDPA +

GCMU

TA (TS, 1 visit

for 2 weeks of

SPS)

9.2.10 Review and update standardized forms for Formats for drug management in Sep 09 Nov 09 GDPA/API TA (EC, TS, 1

12

Activities


Additional

Resources

Start

(M-Y)


managing drug supply in hospitals and

warehouses

9.2.11 Training of central and provincial level staff in

managing drug supply

hospitals and warehouses.

75 staff trained in the drug

management system at NGO,

PPHO and Central level

Jan 10

Jul 10

visit of 3 weeks

–SPS)

9.2.12 Plan for dissemination of information on drugs to

professionals and the public through the

operation of a Drug Information Center

Drug Information Center Jan 11 Jan 12 GDPA TA (2 visits of 3

weeks – SPS)

Intervention 9.3 : Further develop data management for Human Resources, including training, private providers and CHWs

9.3.1 Based on the HR assessment, review existing

efforts and develop an action plan for better

tracking HR workforce

9.3.2 Improve coordination with civil services for

exchange of requirements

National Action Plan for HR

management

List of items needed by CS DB &

realigned MoH HR Database

Under-

way

Mar 09

Jun 09

Apr 09

HR

HR

TA (2 visits of 3

weeks)

9.3.4 Decentralize HR database to provincial level

9.3.5 Prepare a training plan for and conduct capacity

building of HR staff at the province level

9.3.6 Explore ways to PRR the HR position in the

provinces

Strategy/Plan for procedurizing

Provincial HR DBs

Training Plan for PPHO staff

Approved HR positions at PPHO

Jan 10

Jan 10

Mar 10

Mar 10

HR

Training Costs

(EC, Continued)

9.3.7 APHI/HMIS Develop specifications for Training

database in coordination with HR

Specifications for Training data

base

Mar 09 May 09 APHI w/

HMIS

TA (TS)

9.3.8 Develop procedures for maintaining the HR

training database by programs for regular update

Procedures for maintaining HR

training database

May 09 Aug 09 APHI w/ HMIS TA (TS)

9.3.9 develop a CHW module for the HR database

9.3.10 Pilot the database and prepare guidelines

CHW Module of HR database

Guidelines

Mar10 Jun 10 CBHC TA (TS GAVI)

Forms

Objective 10: 80% of facilities receive maternal death notifications and conduct investigations

Intervention 10: Develop procedures for improving maternal and neonatal death notification from health facilities and for investigation of causes

10.1 Prepare procedural guidelines for instituting

maternal and neonatal death notification from

communities

� Review existing tools (Care International)

� draft or revise new tools

� prepare data flow

Draft Procedure manual for

maternal and neonatal death

notification and investigation

(verbal autopsy)

Jan 10 Sep 10 RH with the

support of

HMIS

TA 2 pers/mo

Funding

13

Activities


Additional

Resources

Start

(M-Y)


� Develop guideline for training on notification and

investigation of death at the community level

� Pilot the system in two provinces, review and revise

guideline and training

Revised Procedures manual

10.2 Expand maternal and neonatal death review

committee (MNDRC) in Provincial Public health

Office and Provincial Hospitals

� Develop TOR for MNDRC committee

� Develop the guideline for MNDRC Committees

� Train the review committee team for each province

Functional MNDRC in all

Provinces and provincial and

Regional Hospitals

ToR

Guideline

34 MNDRCs Trained

Mar 09

Jun 10

Jun 10

Aug 10

RH

Funds for

training

10.3 Scale up BABIES Matrix tool to selected Provincial

Hospitals

� Review and translate existing tools

� Conduct TOT workshop for 34 RH officers

� Conduct training for 30 Hospital

63 hospital staff trained in the

maintenance of BABIES Matrix

6 central and 15 Provincial

hospitals using BABIES Matrix

Tool

Jan 10

Dec 11

RH

TA (US CDC)

Objective 11. 80% of facilities Conduct CAAC (< 20% to 80%)

Intervention 11: Strengthen implementation of Catchment Area Annual Census at the facility level

11.1 Review the existing CAAC forms and revise for easier

implementation

11.2 Build consensus among different stakeholders

involving CBHC, HMIS, M&E & NGOs

Final CAAC tool

Agreement to support

implementation of CAAC

Nov 08 Mar 09 CBHC with

support of

HMIS

11.3 Conduct TOT training on CAAC at central level 40 Master trainer (CBHC Focal

point) for CAAC

Feb 09 Mar 09 CBHC/HMIS Training costs

(TechServe)

11.4 Conduct training on CAAC for CHSs and CHW

trainer at provincial level

900 CHS and 150 CHW trainers

trained on CAAC

Mar 09 Mar 10 HMIS/CBHC NGO contracts

(3 BPHS funders)

11.5 Training of current CHWs on CAAC 20,000 CHW trained on CAAC May 09 Dec 10 HMIS NGO contracts

(3 BPHS funders)

11.6 Include CAAC in CHW training curriculum CAAC included in CHW training

curriculum

Feb 09 Apr 09 HMIS /CBHC

11.7 Include CAAC training for CHW in BPHS

implementation plan (BPHS contract)

Including CAAC implementation

in BPHS contracts

Feb 09 Feb 09 GCMU

11.8 Revision of CAAC Part of HMIS database Revised HMIS database Jun 09 Sep 09 HMIS

14

Activities


Additional

Resources

Start

(M-Y)


11.9 Deliver learning opportunities on better use of CAAC

data at health facility level (as a part of data use

enhancement and calculation of coverage rates)

34 Provincial HMIS officer and 50

NGOs HMIS officers participate in

learning opportunities

Feb 10 Apr 10 CBHC w/

support of

HMIS

Objective12: Further Strengthen DEWS at the provincial and central level

Intervention 12: Further development of DEWS – Assessment scores for Mapping (III.D.1.3), diagnosis, analysis and response (III.D.2), HW knowledge of standard case

definitions (III.D.2.2) and % outbreaks supported with lab results (III.D.2.5) are all raised from 1.0 to 3.0 by 2013.

12.1 Establish effective coordination between DEWS,

special disease programs, HMIS/ M&E, PPHOs and

district officers including the integration of special

disease surveillance functions

12.2 Clarify DEWS info flow to departments and

programs in central level (including the Emergency

Response Program) in order they regularly receive

DEWS data and summaries

12.3 Develop procedure for linking geographic outbreak

mapping with action planning for preventive

activities at the central and provincial levels (as part

of annual and PI planning in Objective 18)

Procedures for integration of

surveillance functions and joint

disease data analysis

Official mechanism for sharing

DEWS information with all health

programs

Procedure for linking geographic

outbreak analysis and planning

prevention activities

Jun 09

Aug 09

Aug 09

Aug 09

Dec 09

Dec 09

DEWS w/

support of

HMIS

Funds and TA (4

TA visits of 3

weeks each) for

all activities

(from GF)

12.4 Develop DEWS database to be consistent with and

linked to other MOPH databases (through MoPH

data warehouse – Objective 4)

DEWS database linked to MoPH

data warehouse

Ma 09 Aug 09 HMIS TA (GF)

Objective 13 : All reports and surveys provide gender-specific data as appropriate by end 2010

Intervention 13 : Enhance the generation of gender-specific data and indicators (within routine registers, records reports and surveys)

13.1 Review and define which key indicators require

gender breakdown in data recording and report

preparation (as a part of Objective 3)

13.2 Engage ERB in the enforcement of compliance with

gender data standards for all surveys and

assessment

13.3 Revise HMIS procedures and formats to provide

gender-specific data where necessary and provide

on-site mentoring (as a part of Objective 3)

List of indicators that require

gender specificity

Procedure for ERB oversight of

gender-specific monitoring of

diseases and services

All surveys and data collection

registers and records support

gender disaggregation of data for

the indicators specified in 13.1

Ongoing Jun 09 HMIS with

support of

Gender Dept

15

Activities


Additional

Resources

Start

(M-Y)


13.4 Strengthen coordination and links between the

MOPH and other sectors for expanding the

generation and use of gender-specific health data

(as part of activities supporting Objective 5)

Coordinated activities for

strengthening gender-specific

monitoring and reporting on the

agenda of IMC – M&E/IS

May 09 May 09 M&E w/

Gender Dept

13.5 Ensure presentation of key health indicators with

appropriate gender breakdown

Main MOPH information products

such as Health Factsheet, report

on MDGs, ANDS progress reports

& MOPH/PPHO annual reports

include gender breakdown of key

indicators

Ongoing May 09 M&E w/

Gender Dept

13.6 Orient Gender Dep. staff on existing indicators and

available sources of gender information (BSC, HHS,

HMIS, census)

Inclusion of gender-specific data

analysis and reporting

(Related to activities under

objectives 3 and 18)

May 09 HMIS with

support of

Gender Dept,

M&E

Objective 14 : At least 90% of private facilities and practitioners are registered and at least 50% are regularly reporting through HMIS by end 2013

Intervention 14 : Establish, supported by legislation, private health provider registration and reporting procedures (including qualified practitioners, pharmacies,

private clinics & hospitals, diagnostic centers and laboratories)

14.1 Review and update existing regulations on

registering and reporting by private for-profit

facilities

Report of strengths and gaps in

current legislation and

regulations

Oct 09 Dec 09 GD SP, w/

Laws/Regs

14.2 Conduct a national survey to inventory active

private health facilities

Inventory of private health

facilities

Sep 10 Dec 10 GD SP w/ L&R funding (34

survey teams)

14.3 Develop a strategy and guidelines for registering

private providers, and for their reporting through

the HMIS

14.5 Review SOW of involved MOPH departments

(including PPHOs) to clarify who will be responsible

for managing and monitoring the registration of

private providers

14.6 Build the capacity of the designated MOPH officers

responsible for managing and monitoring the

registration and reporting of private practitioners

A procedure for registration and

reporting of private providers

with unique ID codes, and for

their HMIS reporting

Designation of responsible

officers for managing registration

of PP and reflection in their SoWs

40 central and PPHO staff trained

in the registration and monitoring

of private practitioners

Jan 10

Mar 10

Jun 10

Dec 10

Jun 10

Oct 10

GD SP w/ L&R

and HMIS

GD of SP- L&R

GD SP w/

HMIS

HMIS

Funds for

training (2 2-day

workshops)

16

Activities


Additional

Resources

Start

(M-Y)


14.7 Provide database support for proper registration of

private practitioners and facilities

Data base of private practitioners

and facilities

Mar 10 Jun 10 TA 1 p/m

TechServe)

14.8 Establish formats and procedures for monitoring

and reporting selected indicators of performance

of private providers

(Development of quality standards and monitoring for

private practitioners appears under Obj 15)

Private Provider performance

monitoring procedures and

report formats, presented at

national level at least annually

Jan 12 Mar 12 HMIS w/ GD

SP

TA (1 visit of 4

weeks)

Objective 15 : 40 % of facilities are monitoring quality of care by 2013

Intervention 15.1: Establish a quality measurement and assurance system for all levels health care, public and private (indicators, tools and procedures)

15.1.1 Review past and current quality assurance and

monitoring approaches and tools including FFSDP,

Balanced Scorecard, the JHPIEGO Quality

Assurance Tool, and the NMC Checklist to assess

current QA efforts and products.

15.1.2 Determine the office and staff to be responsible

for developing and managing the health care

quality assurance program and the offices to be

closely collaborating

15.1.3 Develop the capability of the staff assigned to QA

functions at central level

15.1.4 Define the set of procedures and tools to be used

in the Health Care QA program

15.1.5 Design the data repository for holding the results

of quality monitoring for reference and trend

analysis by facility, NGO, provincial and central

level

15.1.6 Design the analysis and report formats for

reflecting trends and current deficiencies in

quality of care at various service levels

Summary of current QA efforts

and results including the current

coverage with these practices

Office and staff designated to

develop and manage the QA

program, and the collaborating

offices

6 central staff to be oriented in

the process of designing and

implementing the QA scheme

Guideline and compendium of QA

tools to be used in health clinic

and hospital settings

Data repository for QA

monitoring results

Procedures and formats for

analyzing and reporting trends in

quality of care

May 09 Dec 09

All products

M&E/QA

(eventually

the unit

assigned for

QA

responsibility)

with support

of HMIS Unit

for all

activities

ST Technical

Advisor (1 3-

week visit)

STTA (2 visits of

3-weeks each)

Intervention 15.2 : Standardize hospital patient records and develop hospital service(quality) monitoring procedures

15.2.1 Develop national policy for hospital medical Medical records policy On-going Aug 09 HC GD

17

Activities


Additional

Resources

Start

(M-Y)


records

15.2.2 Review and update the existing hospital data

recording system including the redesign of a

standard patient record, along with the review

and selection of a minimum set of hospital

(EPHS) performance indicators

Updated hospital data recording

system focused on monitoring

patient care according to

minimum performance indicators

Sep 10 Jun 11 Dir of

Curative

Services

STTA (two visits

of 4 weeks

each)

15.2.3 Establish essential elements/standards of

medical record keeping at hospitals to help

improve the quality of recording and data

(initially for provincial hospitals then for national

hospitals at a later stages)

- Essential standards of medical

record keeping at hospitals

defined

- 34 provincial & 6 national

hospitals have implemented the

revised recording system

May 10

Dec 13

Dir of

Curative

Services

15.2.4 Develop Hospital Medical Record data base HMR Database On-going Aug 09 Health CGD

Intervention 15.3: Design and implement procedures for monitoring quality of hospital services

15.3.1 Develop hospital monitoring checklist (HMC) Hospital Monitoring Checklist Aug 09 Jul 10 M&E Dept STTA (two visits

of 4 weeks

each) 15.3.2 Review and finalize standards and tools for

quality assessment for hospitals both public and

private

Hospital quality standards and

measurement tools

Jan 10 Jul 10 M&E Dept

Objective 16 : Timely estimates of priority indicators are provided for stewardship – one MMR estimate during the period plus AS for Maternal Mortality (V.A.3.7), Child

Mortality (V.A.1.7) and Child malnutrition (V.A.5.5) rise from 0 to 3.0 by 2013

Intervention 16.1: Develop a methodology and plan for measuring MMR

16.1.1 Strongly support the ongoing MOPH senior

leadership efforts to select the most cost

effective methodology for estimating MMR and

advocate the development of a multi-year plan

for MMR assessments in Afghanistan

Decision regarding who will

conduct MMR survey with what

methodology

Under-

way

Jun 09 APHI w/

support of

M&E & RH

Depts

TA (2 visits of 3

weeks each)

(USAID, UNICEF)

16.1.2 Coordinate with CSO and other ministries with

regard to getting approvals for the conduct of

the MMR survey

CSO’s active support for the

survey is confirmed

Under-

way

Jul 09 M&E supp’d

by RH Dept

16.1.3 Oversee the selection of the survey

implementers and conduct of the MMR survey

One nationally representative

measurement of MMR

Jan 10 Jun 10 M&E/ RH

Dept

Funding for

survey costs

Intervention 16 .2: Design coordinated interventions for assessing child mortality including Demographic Surveillance System (DSS) and MICS

18

Activities


Additional

Resources

Start

(M-Y)


16.2.1 Oversee the design and further implementation

of Demographic Surveillance System

Expanded implementation of the

DSS See activity 8.2.1

Under-

way

Jun 10 M&E Funds (GAVI,

JHU)

16.2.2 Coordinate with UN partners and CSO on

including child mortality assessments in

upcoming MICS or MMR survey

Choice of survey and technically

sound measurement of child

mortality

Under-

way

Jun 09 M&E

16.2.3 Support refinement and scale-up of Catchment

Area Annual Census (CAAC) specially in insecure

areas and assure that CAAC data is used for

generating better estimates of child mortality at

provincial and national levels

CAAC implemented nationwide

(see objective 11)

Apr 09 Dec 10 HMIS

Intervention 16.3: Devise an approach for assembling and integrating morbidity data from various sources (DEWS, HMIS, prevalence and household surveys) for 12 key

communicable diseases

16.3.1 Convene the disease control group to confirm

the list of key communicable diseases for which

morbidity data from various sources will be

drawn on for periodically updating morbidity

rates

16.3.2 Determine for each disease the primary routine

sources of morbidity (case data)

16.3.3 Confirm case definitions for each disease

16.3.4 Determine the level of the services at which

multiple sources of case data are to be

integrated into a total case and morbidity rate

(probably the PPHO)

16.3.5 Devise a case identification number and method

for detecting duplicate reports for use at the

program and facility levels

16.3.6 Devise the format of the periodic report of CD

morbidity, the frequency of reporting and the

data files for maintaining the consolidated

reports.

Confirmed list of communicable

diseases whose morbidity rates to

be continuously monitored

List of CD case data sources

Confirmed case definitions and

site of case confirmations

Defined level of data integration

and report preparation

Procedure for case identification

and avoidance of duplication

reporting

CD Morbidity report format and

frequency of dissemination

Data base for morbidity data

Apr 09

Apr 09

May 09

Apr 09

Jun 09

Jul 09

May 09

May 09

Jun 09

May 09

Jul 09

Sep 09

DEWS w/

support of

HMIS

DEWS

DEWS

DEWS w/

support of

HMIS

DEWS w/

support of

HMIS

DEWS w/

support of

HMIS

Intervention 16.4: Devise cost-effective method for estimating prevalence of NCDs, including diabetes, hypertension, disability and mental health problems

19

Activities


Additional

Resources

Start

(M-Y)


16.4.1 Ensure that information on disability is collected

and analyzed as part of MICS in 2009

16.4.2 Design and implement special surveys to assess

prevalence of mental health problems, diabetes

and hypertension

Disability questions and

indicators included in the 2009

MICS

Surveys designed and conducted;

prevalence estimates available

Feb 09

Mar 11

Apr 09

Sep 11

Disability

Dept

GD Health

Care

TA (UNICEF)

TA (3 STTA

visits for 4

weeks each)

Intervention 16.5: Devise cost-effective methodology for measuring and monitoring <5 severe malnutrition at the provincial level, including tools development

16.5.1 Assist the Nutrition Department in analysis and

dissemination of existing information on severe

and chronic malnutrition

16.5.2 Establish coordination, data sharing and joint

work with CSO and NRVA for assessment of

malnutrition on a regular basis

16.5.3 Review and standardize existing tools for

malnutrition monitoring at the facility and

community levels

Malnutrition indicators and data

from existing sources

Agreed assessment approach and

data sources

Community Growth Monitoring

System

Dec 08

Mar 09

Mar 10

Feb 09

Sep 10

Sep 10

Nutrition

Dept

Nutrition

Dept

Nutrition

Dept

TA (2 visits of 3

weeks each)

UNICEF

Objective 17: All central Directorates & PPHOs produce annual reports including core health indicators by 2013 (AS VI.B.1 rises from 2 to 3)

Intervention 17: Streamline and enhance the quality of and broaden targeted distribution of health and service at central and provincial level, including results

conferences and PR events.

17.1 Assist provinces to focus on a manageable number

indicators supporting MOPH national strategies for

provincial planning and ongoing performance

improvement (These activities are undertaken as

part of Objectives 3 and 18)

As a part of the HMIS

improvement effort and data use

for provincial planning and

monitoring, core sets of

indicators exist for the central

and provincial levels

Apr 09 Dec 09 M&E w/

support of

HMIS

17.2 Design analytical reports of key indicators /results

with each directorate at the central level and for

PPHO at the province level

Standard recommended reports

of indicator levels and trends for

use at the central and provincial

levels

Jun 09 Dec 09 M&E w/

support of

HMIS

TA (1 visit for 3

weeks –

TechServe)

17.3 Coordinate among APHI, Tech-Serve, EC and decide

on a standard report writing course to be provided to

designated MOPH M&E staff

Joint decision by MOPH and

partners on the selected report

writing course

Dec 09 Jan 10 APHI (M&E)

20

Activities


Additional

Resources

Start

(M-Y)


17.4 Sponsor report writing courses for at least one

person per department/province with an emphasis

on analytical skills

60 staff complete the course, 2

staff of each department, 3

courses of 20 participants

Mar 10 Dec 10 APHI (M&E) TA (2 visits of 3

weeks)

Funding

17.5 Define a health information dissemination strategy

and key information products of MOPH around the

revised MOPH objectives and programs and establish

dissemination system for updates on core national

health indicators (addressing progress of main MOPH

strategies)

Health Information Dissemination

Strategy

List and definition of information

products (including reports)

linked with main MOPH strategies

Info dissemination strategy

(including bi-direction flow of

information products, frequency.

Jan 10 Jun 10 GD PP; M&E TA (2 STTA visits

of 2 weeks each

- Techserve)

17.6 Establish coordination between planning

department, program budgeting, ANDS & GDPP for

developing standardized national reports

Lead department for developing

HNSS report is identified

Jan 10 Mar 10 Planning

Directorate

(M&E)

17.7 Further develop annual Results Conferences at

MOPH to share and analyze progress/challenges

for making strategic policy decisions Review timing

of Results Conference/ Strategy Retreat to better

align it with planning/budgeting cycle of MOPH (by

CGHN and TAG). Link with provincial coordination

meetings

Content further organized around

implementation of national

strategies; agendas and style of

conferences further improved

Link with and provides inputs to

annual provincial coordination

meetings

Under-

way

Dec 2013 M&E w/

support of

HMIS and

DEWS

17.8 Standardize and maintain provincial health profiles

and link with integrated (provincial) planning (see

also activity 6.3)

Standard format developed for

provincial health profiles in

support of provincial plans

Aug 09 Dec 09 P&P Dir

Objective 18: Thirty-four PPHOs give evidence of data use for provincial planning, resource allocation and performance improvement; 75% of HF have periodic data use

sessions

Intervention 18: Develop guidance for and implement team approaches in using routine and survey data at central, PPHO, NGO and facility levels, including the weekly

“watch” of health events, performance monitoring, annual provincial planning and resource allocation and Performance Improvement planning

18.1. Improve availability of Balanced Score Card (BSC),

HMIS and DEWS data in a user friendly format at

various levels, but especially the provincial level

Electronic and hard copy of data

with appropriate level of

breakdown and reporting

features available at central,

provincial and health facility level

Jun 09 Dec 09 M&E w/

support of

HMIS and

DEWS

21

Activities


Additional

Resources

Start

(M-Y)


18.2. Strengthen evidence-based decision making skills in

MOPH Director Generals and Deputy Minister with

the expanded provision of quantified evidence and

the use of tools such as Executive Dashboards

Procedures and guidance for

preparing quantitative monitoring

and evidence for key policy-level

decision making forums including

CGHN and TAG

Jan 10 May 10 M&E w/

support of

HMIS; DEWS

and APHI

TA (1 visit for 1

month)

18.3. Develop and test training/learning materials and

guidelines for use of data for monitoring,

assessment and performance improvement at all

levels, which include the use of the HMIS, Balanced

Scorecard, and NMC, DEWS and quality

measurement and assurance.

• Annual-biannual planning and resource allocation

• “Weekly Watch” health and service monitoring

• Team service performance assessment and

improvement processes

• Facility data use sessions

18.4 Develop a roll-out plan and initiate implementation

of data use activities cited in 18.3

Procedures, tools and formats

within user-friendly guidelines for

use of data at provincial and

facility levels

Initial application of data use

activities has taken place in all 34

provinces

Jun 09

Jun 10

Jun 10

Jun 12

HMIS Technical

support (6 TA

visits of 3 weeks

each –Tech

Serve, EC, JHU)

TA support (6 3-

week visits

Funding

Objective 19 : A robust performance measurement system is in place to support Results-Based Financing (RBF) by January 2010

Intervention 19: Review existing, design improved, and assess pilot applications of service measurement methods in support of the RBF initiative

19.1 Review existing practices in community and

facility level service performance measurement

(LQAS by TechServe, Balanced Score Card, NMC,

etc.)

19.2 Provide input to the RBF design committee on

appropriate mechanism for monitoring service

performance at facility and community level

19.3 Map all donor interventions that may influence

service performance for use in choosing areas for

performance monitoring

19.4 Ensure adequate resources for the measurement

aspects of RBF including staff, training, equipment

and management capacity

Choice of practical RBF service

performance monitoring and

assessment approach

Procedures performance

monitoring at facility and

community levels

Map of all donor support to

services enhancement

Resources mobilized for service

monitoring in RBF areas

May 09

Jul 09

Jul 09

Jul 09

Sep 09

Jul 09

Nov 09

Aug 09

Jul 09

Sep 10

GCMU with

support from

M&E

TA (WB, Tech

Serve, EC)

22

Activities


Additional

Resources

Start

(M-Y)


19.5 Oversee the conduct of the 3rd

party monitoring of

service performance

19.6 Evaluate the pilot phase and provide the ministry

with lessons learned in RBF performance

monitoring.

Performance monitoring

conducted in initial RBF provinces

Decision on monitoring approach

for roll-out.

Oct 10

Dec 10

Funds (WB,

Norway)

Objective 20 : Data support developed for specific new strategies and services

Intervention 20.1: Develop procedures for collecting data on gender-based violence through appropriate mechanisms

20.1.1 Assist Gender Dept to coordinate with MoWA and

other ministries on how to be notified about and

monitor gender-based violence

20.1.2 Design a procedure for GV notification and

investigation between PPHOs and MoWA

provincial directors, including a procedure for

health service to report evidence of gender-based

violence

20.1.3 Obtain information and coordinate with planned

gender household surveys by MoWA

A system of regular exchange of

routine and survey data on

gender-based violence between

MoPH and MoWA is established

Procedure for GV notification and

investigation established

Results of Gender household

surveys available w/ each

province

Apr 10

Jun 10

Apr 09

Jun 10

Sep 10

May 09

Gender Dept

MoPH

Intervention 20.2: Facilitate development and maintenance of recording and reporting of services related to HIV/AIDS including drug users (as a part of overall HMIS

improvement and integration of data from special programs

20.2.1 Develop a standardized data collection system to

record and collect essential information on

health services on HIV/AIDS including drug users

20.2.2 Integrate the HIV/AIDS data system into the

HMIS

20.2.3 Scale up newly developed HIV/AIDS routine data

collection system

HIV/AIDS data recording and

reporting system

Elements of the HIV data within

HMIS reporting system and DB

Data system extended to all

central and provincial hospitals

May 09 May 10 NACP w/

support of

HMIS

TA and funds

(WB AHAPP)

Intervention 20.3: Develop recording and reporting of blood screening services (as a part of overall HMIS improvement and integration with the hospital data system

development)

20.3.1 Develop a standardized data collection system to

record and collect essential information on blood

screening services

Blood screening data system

Selected data elements and

Jun 09 Jun 11 Blood Bank ,

HMIS

TA and funds

(WB AHAPP)

23

Activities


Additional

Resources

Start

(M-Y)


20.3.2 Integrate the blood screening data into the HMIS

20.3.3 Expand the blood screening service data to all

central and provincial hospitals

indicators added to the HMIS

System implemented in all central

and provincial hospitals

Intervention 20.4: Develop and maintain recording and reporting system for emergency preparedness and for monitoring the effects of disasters, and the services

delivered for the affected populations.

20.4.1 Coordinate with DEWS and Emergency

Preparedness and Response Dept to develop a

an emergency response data system

20.4.2 Review and confirm a list of notifiable diseases,

and other conditions prevalent as result disasters

and emergencies

20.4.3 Revise notifiable disease format as

needed for use in emergencies

20.4.4 Set up procedures for enabling notification of

health problems and monitoring response

actions during disasters and emergencies

20.4.5 Identify the department at the central level and

focal points at provincial level for managing

outbreak data collection and data transfer during

emergencies and disasters

Emergency and Disaster

Information System which

monitors persons whose health is

affected and the response and

services provided

• List of diseases and

conditions to be notified

• Procedures for notification

and monitoring of response

• Designation of responsible

offices for data

management at central and

provincial level

Sep

2009

Mar 2010 ERP TA (4 visits of 3

weeks)

Funding needed

for

communications