humanitarian monitoring - who€¦ · key performanc e indicators hpc (hrp/sr p) strategic internal...

Collective action for better health outcomes

HEALTH CLUSTER COORDINATION TRAINING

May 2019, Brazzaville, Congo

Humanitarian Monitoring


A definition of Monitoring

• Observe and check the progress or quality of something over a

period of time;

• Keep under systematic review


Why Monitoring framework ?

• M&E of (all-hazard related) health response activities, their quality

and effectiveness on the country level.

• Real time assessment and analysis of response activities

• Contributing to Operational Reviews

• Monitoring and reporting against the epidemiological progression

• Helping prioritisation of response activities and inform decision making at HC, HQ, RO and CO level

• Support and accelerate transparency and information sharing

• Supporting planning at sector and inter-cluster level (HRP)


What are we monitoring?


Purpose Activity Product Type of Info Audience Frequency

Need AssessmentFollow up

MIRAHNOHESPER

Strategic and Operational

InternalExternal (Inter-cluster; Donors)

Once per year (plus mid term)

Response MeasuringKey Performance Indicators

HPC(HRP/SRP)

Strategic Internal External (donors)

Yearly MonthlyEvery 6 months

Operations ActivitiesAvailabilityCoverageQuality

OperationalIndicators Monitoring

Operational (but strategic in terms of donor advocacy)

Internal WeeklyMonthlyYearly

Partners Presence

What do partners do and where..

3,4,5 W….

Operational Internal External (OCHA, clusters)

Weekly, Monthly


Monitoring in the HPC


Health cluster action

• Health Management Information System (HMIS)• Vaccination coverage estimation• Health Cluster Bulletin• Ad hoc Infographics

Health System Performance

• Public Health Situation Analysis (PHSA)• Rapid Assessment• Humanitarian Emergency Settings Perceived Needs (HESPER) Scale• Early Warning Alert and Response System (EWARS)• Population Mortality estimation• Monitoring Violence against Health (MVH)

Monitoring in the PHIS

Health Status and Threats for affected

Populations

• Who, What Where (3W) matrix• Partners’ List• Health Resources Availability Monitoring System (HeRAMS)

Health Resources and Availability

OCHA / inter-cluster products

• Operational Indicator Monitoring


A Suggestion for a monitoring framework

methodology


Logical Framework

Type Definition Examples

Input Resources (human, financial, material)

# ETC# RRT# $

Output&

Activities

Actions taken, products

KAP studiesoperational/non operational

Outcome Short-term and medium-term effects

CFR of …..

Impact Long-term effect

Prevalence of vaccine preventable disease (measles)

Outcomes& Impact

(KPIs)

Outputs&

Activities

Inputs


10 |From Input to Impact

How easy is it to attribute outcome or impact indicators to humanitarian

action? Think about it for your crisis response!

Stage Meaning

Input Resources going in

Activities

and

Output

What needs to happen to deliver the

intervention adequately

Services delivered

Outcome Reduction in cases

Successful cure

Impact Lives saved

Improved mental health

Easy to attribute to a

given intervention / to

humanitarian health

action

Difficult to attribute to a

given intervention

VERY difficult to attribute

to a given intervention


Collecting, processing and reporting data


Input Data

Process

Input request to partners (i.e. Log Sit Rep, People deployed…)

Compilation of weekly snapshot with new data

Sharing of Updated Snapshot with commission for feedback

Publication of validated snapshot


Output

Process

Establishment and Validation of Criteria

Creation of questionnaire

Self-Assessment

Launch of questionnaire (manual or online)

Partners fill the questionnaire

Field Visits and chats to verify and validate informationand collect in depth data

Visualization and

Report


Outcome

Process

Partners provide data on KPI on a daily basis during morning meetings

Data are aggregated daily and put together in a input sheet for weekly analysis and visualization

Outcome Table is shared to SAG for final validation

Outcomes/KPIs are published


Reporting

Cycle

Sharing of Input, Output

and Outcomes for internal feedback

Publication

Launch of Output

questionnaire

Request to partners

filling output questionnaire

Aggregation and Visualization of

KPIs (from Epi weeks)

Input, OutputsAnalysis

andVisualizati

on


Let’s talk about indicators


17 | ANATOMY OF a Humanitarian Health Indicator

• TITLE: “The estimated Measles Vaccination coverage is ….%.”

• Definition :

– Which population?

– Which age group? E.g. “children aged 0 to 59mo at time of coverage estimation”

– What constitutes vaccination? E.g. “vaccination card evidence” and/or “painted finger” and/or “caregiver reports oral drops being administered into child’s mouth”

• Components (Compendium):

– Number of people in Need …

– NUMERATOR: Number of children vaccinated as per above definitions

– DENOMINATOR: Number of children in target age group present in the population, as per above definitions

– TARGET: 90 (rural), 95% (urban)

– BASELINE (65%??)


18 | Anatomy of a humanitarian indicator

• Other Essential components of a good compendium

– FREQUENCY

– SOURCE OF INFO/FOCAL POINTS (for data collection and reporting)

– DISAGGREGATION (Admin level…)

– TYPE (Outcome, Output or Input?)

– REPOSITORY (IASC? SPHERE?....)

– AREA OF INTEREST (relation with strategic objective)

– PURPOSE

– STRATEGIC? OPERATIONAL? BOTH?

– LIMITATIONS


Thanks! • Comments and suggestions

Slides created by E. Bruni, [email protected]

humanitarian monitoring - who€¦ · key performanc e indicators hpc (hrp/sr p) strategic internal...

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