hmis monitoring and evaluation

monitoring

it is the systematic collection, analysis, and use of information from programs for three basic purposes (1) learning fro, the experience acquired ( learning function), (2) accounting internally and externally for the resources used; and (3) the results obtained (monitoring function) and taking decisions (steering functions)

evaluation

is assessing an ongoing or completed program or policy as systematically and as objective as possible The object is to be able to make statements about their relevance , effectiveness, efficiency, impact and sustainability. Based on this information, it can

learning function

the lessons learned needed to be incorporated into future proposals and policy and adjusting it

monitoring function

partners and memvers review the implementation of policy based on objectives and resources mobilized. and they are held accountable

indicator

is a variable whose value changes and measures change in meaningful, standardized units compared to past baseline data or future targets. Indicators focus on specific program dimensions (inputs, outputs, or outcomes) to highlight strengths and operational weaknesses.

maternal survival strategies

Maternal health indicators track services across the Continuum of Care—from pregnancy through the inter-pregnancy period:

Reproductive Health

1. Family Planning Acceptance Rate

2. Antenatal Care (ANC) Coverage

3. Deliveries by Skilled Health Personnel

4. Deliveries attended by HEWs

Immunization

5. DPT-3 / Pentavalent-3 Coverage (>1 year)

6. Measles Immunization Coverage (>1 year)

interpartum care

family planning acceptors and method mix

Disease Prevention & Control

7. Malaria Case Fatality Rate (<5 years)

8. New Malaria Cases per 1,000 population

9. New Pneumonia Cases in <5 years per 1,000

10. TB Case Detection Rate

11. TB Cure Rate

12. Clients receiving VCT services

13. PMTCT Completion Rate

14. PLWHA currently on ART

Resource Utilization

15. Tracer Drug Availability (In-stock rate)

16. OPD Attendance per Capita

17. Inpatient Admission Rate

18. Average Length of Stay (IPD)

Child Mortality and Child Survival Interventions

Understanding why children die helps health systems target their limited resources:

stop TB program

the global STOP TB Strategy aims to achieve universal access to diagnosis and treatment using the DOTS (directly observed treatment, short-course)

Input

are the foundational resources (funding, plan, harmonization) put into a health system or program. Without ____, no program can function. (M and E framework)

Processes

(often grouped with inputs or listed as "Activities") (national plan implementation, capacity building, accountability) are the actions and tasks performed using those inputs to convert investments into actual health services. (M and E framework)

outputs

are the direct, tangible products or services (health system strengthened) resulting directly from the implemented processes. (M and E framework)

Outcomes

represent the medium-term changes (reduced inequality) (increased service utilization) ( responsiveness) in target population behavior, knowledge, coverage, or health service utilization that result from receiving the outputs. (M and E framework)

Impact

is the long-term, broader change (improved survival, improved nutrition) in overall health status, mortality, morbidity, or financial protection of a population. (M and E framework)

Antenatal Care

1st ANC coverage and 4th ANC completion rates. (Maternal Survival Strategies)

Obstetric Complications

OPD/IPD tracking of Antepartum Hemorrhage (APH), Postpartum Hemorrhage (PPH), Pregnancy-Induced Hypertension, Edema, Obstructed Labor, and Puerperal Sepsis. (Maternal Survival Strategies)

Intra-partum & Delivery

Proportion of deliveries attended by skilled birth attendants (SBA) in facilities, deliveries conducted by Health Extension Workers (HEWs), and institutional Cesarean section rates. (Maternal Survival Strategies)

Post-partum & Inter-partum

1st Postnatal Care (PNC) coverage, family planning new and repeat acceptors, and distribution of contraceptive methods by type. (Maternal Survival Strategies)

33

Neonatal conditions account for __% of all under-five deaths (preterm delivery 12%, birth asphyxia 9%, sepsis 6%, congenital conditions 2%). The remaining post-neonatal deaths are primarily driven by:

18

• Pneumonia: __

• Diarrhea: 13%

• Meningitis: 6%

• Injuries: 6%

• Measles: 4%

• Malaria: 2%

• HIV/AIDS: 2%