TITLE:MEASURING HEALTH POLICY INDICATORS IN UGANDA
description
Transcript of TITLE:MEASURING HEALTH POLICY INDICATORS IN UGANDA
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TITLE: MEASURING HEALTH POLICY INDICATORS IN UGANDA
A presentation at the PARIS21 Workshop for East Africa and the Horn: 23-26 July 2001
THEME: SUPPORTING POLICY WITH STATISTICS -DEVELOPING A STRATEGIC APPROACH
By: Prof. F.G. OmaswaDirector General of Health Services Uganda
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INTRODUCTION
Health Reforms: New National Health Policy Health Sector Strategic Plan Implementation of HSSP through SWAP
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OFFICE OFTHE MINISTER
OFFICE OFTHE MINISTER
PERMANENTSECRETARY
PERMANENTSECRETARY
HEALTH SERVICESCOMMISSION
HEALTH SERVICESCOMMISSION
POLICY ANALYSISUNIT
POLICY ANALYSISUNITRESOURCE
CENTRE
RESOURCECENTRE
DIRECTORATE OFCLINICAL AND COMMUNITY
HEALTH SERVICES
DIRECTORATE OFCLINICAL AND COMMUNITY
HEALTH SERVICESDIRECTORATE OF PLANNING
AND DEVELOPMENT
DIRECTORATE OF PLANNINGAND DEVELOPMENT
DEPARTMENTOF NATIONAL
DISEASE CONTROL
DEPARTMENTOF NATIONAL
DISEASE CONTROL
DEPARTMENTOF COMMUNITY
HEALTH
DEPARTMENTOF COMMUNITY
HEALTH
DEPARTMENTOF CLINICAL
SERVICES
DEPARTMENTOF CLINICAL
SERVICES
DEPARTMENTOF
PLANNING
DEPARTMENTOF
PLANNING
DEPARTMENTOF QUALITYASSURANCE
DEPARTMENTOF QUALITYASSURANCE
DEPARTMENTOF FINANCE ANDADMINISTRATION
DEPARTMENTOF FINANCE ANDADMINISTRATION
DIRECTORGENERAL
DIRECTORGENERAL
--- National Drug Authority
--- National Medical Stores
--- Uganda Blood Transfusion Unit
--- Uganda Health Research Organization
--- Uganda AIDS Commission
--- Referral Hospitals
Uganda Virus Research Institute---
Murchison Bay Hospital ---
The National Chemotherapeutic Council ---
Medical & Dental Practitioners Council ---
Nurses & Midwives Council ---
Pharmacists Council ---
Allied Health Professionals Council ---
COMMISSIONER NURSING
COMMISSIONER NURSING
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PRIORITIES
Uganda National Minimum Health care Package- Burden of Disease Study (1995)
Organization and Management of National Health system- Health Reforms (Restructuring of MOH and Decentralization)
Health Service Infrastructure- Health Sub-Districts
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LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE Control of Communicable Diseases Integrated Management of Childhood illness Sexual and Reproductive Health and Rights Immunisation Environmental Health Health Education and Promotion School Health
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LIST OF UGANDA MINIMUM HEALTH CARE PACKAGE Cont. Epidemic & Disaster Prevention,
preparedness and Response Improving Nutrition Interventions against disease targeted
for elimination or eradication Strengthening Mental Health Services Essential Clinical Care
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HEALTH CARE DELIVERY
DISTRICT STRUCTURE FOR HEALTH CARE DELIVERY
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MONITORING OF THE HSSP Consensus on HSSP Indicators (20) Review of HMIS to meet the information
needs of the HSSP Developed Indicator Manual Collection, Analysis, Interpretation & Use
at all levels
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MONITORING OF THE HSSP Cont. Joint Missions Quality Assurance Support Supervision Visits District Monthly reports Weekly Reporting of Disease of Epidemic Nature
by Districts MoH Quarterly Review meetings Senior Staff meetings Top Management meetings
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Community Based Health Care Information System
Revitalisation of Uganda Community Based Health Care Association (UCBHCA)
Community capacity Building
(Parish Development Committees) Emphasis has been put on Community
empowerment to enable them actively use data to contribute to policy and planning
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EXAMPLES OF SOME OF THE ANALYSES FOR THE HEALTH POLICY INDICATORSIncluding The PEAP Indicators : OPD Utilisation rates, DPT3 Coverage, and Level of staffing norms
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TRENDS IN COMPLETENESS OF HEALTH UNITS REPORTING
0.0
20.0
40.0
60.0
80.0
100.0
1997 1998 1999 2000
Year
% c
om
ple
ten
es
s
HSSP TARGET
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OPD ATTENDANCE 1997-2000
0
2000000
4000000
6000000
8000000
10000000
1997 1998 1999 2000
Year
OP
D A
tte
nd
ance
s
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Government and NGO OPD Utilisation per person
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
1997 rate 1998 rate 1999 rate 2000 rate
YEAR
GO
VE
RN
ME
NT
AN
D N
GO
OP
D U
TIL
ISA
TIO
N P
ER
PE
RS
ON
HSSP Target = 0.6
HSSP Target
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DPT3 COVERAGE 1997-2000
0
10
20
30
40
50
60
70
80
90
100
1997 1998 1999 2000
YEAR
IMM
UN
ISA
TIO
N C
OV
ER
AG
E
HSSP TARGET
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DAILY TREND OF EBOLA NEW CASES IN UGANDA AS OF 15TH JANUARY 2001
0
2
4
6
8
10
12
14
16
18
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HIV infection rates among ANC attendees, Mbarara hospital
0
5
1 0
1 5
2 0
2 5
3 0
3 5
Rat
es
(%
)
1 9 8 9 1 9 9 0 1 9 9 1 1 9 9 2 1 9 9 3 1 9 9 4 1 9 9 5 1 9 9 6 1 9 9 7 1 9 9 8 1 9 9 9 2 0 0 0
ye a r s
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HIV infection rates among ANC
attendees at selected sites
0
5
10
15
20
25
30
35
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
years
rate
s (
%)
Nsambya Rubaga Mbarara Jinja Tororo Mbale
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CHOLERA TREND IN UGANDA 1997-2000
05000
100001500020000
1997 1998 1999 2000
YEAR
CAS
ES
Under 5
5 and above
All ages
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ANAEMIA TREND IN UGANDA 1997- 2000
050000
100000150000200000250000
1997 1998 1999 2000
YEAR
CAS
ES
Under 5
5 and above
All ages
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MEASLES TREND IN UGANDA 1997- 2000
0
10000
20000
30000
40000
50000
60000
70000
1997 1998 1999 2000
YEAR
CA
SE
S Under 5
5 andaboveAll ages
Could this be due to mass immunisationcampaign??
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CONCLUSION
There is now increased use of data in policy formulation
There is now increased use of data in planning
There is now increased use of data in Monitoring and Evaluation of the Health sector