Dataset Information

National health information systems for achieving the Sustainable Development Goals.

ABSTRACT:

Objectives

Achieving the Sustainable Development Goals will require data-driven public health action. There are limited publications on national health information systems that continuously generate health data. Given the need to develop these systems, we summarised their current status in low-income and middle-income countries.

Setting

The survey team jointly developed a questionnaire covering policy, planning, legislation and organisation of case reporting, patient monitoring and civil registration and vital statistics (CRVS) systems. From January until May 2017, we administered the questionnaire to key informants in 51 Centers for Disease Control country offices. Countries were aggregated for descriptive analyses in Microsoft Excel.

Results

Key informants in 15 countries responded to the questionnaire. Several key informants did not answer all questions, leading to different denominators across questions. The Ministry of Health coordinated case reporting, patient monitoring and CRVS systems in 93% (14/15), 93% (13/14) and 53% (8/15) of responding countries, respectively. Domestic financing supported case reporting, patient monitoring and CRVS systems in 86% (12/14), 75% (9/12) and 92% (11/12) of responding countries, respectively. The most common uses for system-generated data were to guide programme response in 100% (15/15) of countries for case reporting, to calculate service coverage in 92% (12/13) of countries for patient monitoring and to estimate the national burden of disease in 83% (10/12) of countries for CRVS. Systems with an electronic component were being used for case reporting, patient monitoring, birth registration and death registration in 87% (13/15), 92% (11/12), 77% (10/13) and 64% (7/11) of responding countries, respectively.

Conclusions

Most responding countries have a solid foundation for policy, planning, legislation and organisation of health information systems. Further evaluation is needed to assess the quality of data generated from systems. Periodic evaluations may be useful in monitoring progress in strengthening and harmonising these systems over time.

SUBMITTER: Suthar AB

PROVIDER: S-EPMC6530305 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Publications

National health information systems for achieving the Sustainable Development Goals.

Suthar Amitabh Bipin AB Khalifa Aleya A Joos Olga O Manders Eric-Jan EJ Abdul-Quader Abu A Amoyaw Frank F Aoua Camara C Aynalem Getahun G Barradas Danielle D Bello George G Bonilla Luis L Cheyip Mireille M Dalhatu Ibrahim Tijjani IT De Klerk Michael M Dee Jacob J Hedje Judith J Jahun Ibrahim I Jantaramanee Supiya S Kamocha Stanley S Lerebours Leonel L Lobognon Legre Roger LR Lote Namarola N Lubala Léopold L Magazani Alain A Mdodo Rennatus R Mgomella George S GS Monique Lattah Asseka LA Mudenda Mphatso M Mushi Jeremiah J Mutenda Nicholus N Nicoue Aime A Ngalamulume Rogers Galaxy RG Ndjakani Yassa Y Nguyen Tuan Anh TA Nzelu Charles Echezona CE Ofosu Anthony Adofo AA Pinini Zukiswa Z Ramírez Edwin E Sebastian Victor V Simanovong Bouathong B Son Ha Thai HT Son Vo Hai VH Swaminathan Mahesh M Sivile Suilanji S Teeraratkul Achara A Temu Poruan P West Christine C Xaymounvong Douangchanh D Yamba Abel A Yoka Denis D Zhu Hao H Ransom Ray L RL Nichols Erin E Murrill Christopher S CS Rosen Daniel D Hladik Wolfgang W

BMJ open 20190516 5

<h4>Objectives</h4>Achieving the Sustainable Development Goals will require data-driven public health action. There are limited publications on national health information systems that continuously generate health data. Given the need to develop these systems, we summarised their current status in low-income and middle-income countries.<h4>Setting</h4>The survey team jointly developed a questionnaire covering policy, planning, legislation and organisation of case reporting, patient monitoring an ...[more]

PMID: 31101699

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Project description:BackgroundThere is an established body of evidence linking systems of social protection to health systems and health outcomes. The Sustainable Development Goals (SDGs) provide further emphasis on this linkage as necessary to achieving health and non-health goals. Existing literature on social protection and health has focused primarily on cash transfers. We sought to identify potential research priorities concerning social protection and health in low and middle-income countries, from multiple perspectives.MethodsPriority research questions were identified through two sources: 1) research reviews on social protection interventions and health, 2) interviews with 54 policy makers from Ministries of Health, multi-lateral or bilateral organizations, and NGOs. Data was collated and summarized using a framework analysis approach. The final refining and ranking of the questions was completed by researchers from around the globe through an online platform.ResultsThe overview of reviews identified 5 main categories of social protection interventions: cash transfers; financial incentives and other demand side financing interventions; food aid and nutritional interventions; parental leave; and livelihood/social welfare interventions. Policy-makers focused on the implementation and practice of social protection and health, how social protection programs could be integrated with other sectors, and how they should be monitored/evaluated. A collated list resulted in 31 priority research questions. Scale and sustainability of social protection programs ranked highest. The top 10 research questions focused heavily on design, implementation, and context, with a range of interventions that included cash transfers, social insurance, and labor market interventions.ConclusionsThere is potentially a rich field of enquiry into the linkages between health systems and social protection programs, but research within this field has focused on a few relatively narrowly defined areas. The SDGs provide an impetus to the expansion of research of this nature, with priority setting exercises such as this helping to align funder investment with researcher effort and policy-maker evidence needs.

Project description:This themed issue on global health research has come at an opportune time in the middle of the ongoing global public health crisis arising from the coronavirus disease (COVID-19) pandemic which has claimed nearly 756,000 lives in 210 countries and territories around the world as of August 15, 2020. The public health crisis underscores the importance of global health research partnerships and collaborations to develop and evaluate the requisite health technologies to assist in containing COVID-19, other diseases, and health-related concerns that defy national borders. The 17 Sustainable Development Goals (SDGs), adopted by the member countries of the United Nations in September 2015, provide a framework for global development efforts including global health research. SDG3, which promotes health and well-being for the world populations across the age spectrum, highlights disease areas for special focus which can be adapted in specific global health research programs to serve local health needs. SDG17 promotes partnerships between high income (HIC) and low and middle-income countries (LMIC) for sustainable and equitable global development. However, given the wide disparities in fiscal and overall capacity for research between researchers in HIC and their counterparts in LMIC as well as the greater vulnerabilities of the LMIC communities when serving as research locations, a spotlight on the nature of such global health research partnerships in the context of the SDGs is desirable. This is to ensure that they are meaningful and mutually-beneficial partnerships which address local health concerns and promote long-term value for the communities involved. The objective of this commentary is, therefore, to provide a brief overview of the SDGs by way of context; explore the power differences at play when researchers from HIC are seeking research opportunities in LMIC; examine the social determinants of health and the disproportionate burden of global diseases carried by populations in LMIC to establish their vulnerability; discuss global research partnerships; and attempt to make a case for why community-based participatory research may be the preferred type of global health research partnership in the context of the SDGs.

Dataset Information

National health information systems for achieving the Sustainable Development Goals.

Objectives

Setting

Results

Conclusions

Publications

National health information systems for achieving the Sustainable Development Goals.

Similar Datasets

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