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  1. One hundred thirty (144) final maps have been produced as of December 31, 2007, including the 2 Surigaos and the two (2) Leytes, from the PHM above, representing 4% of total target. Printed maps were produced for Surigao del Norte and Surigao del Sur, numbering 14 or 155% of target for 2007 but 4% of ultimate target.

    • WHO TOOLKIT FOR ANALYSIS AND USE OF ROUTINE HEALTH FACILITY DATA
    • Acknowledgements
    • Abbreviations
    • Guidance overview and references
    • Group 1 indicators - Health status and epidemiological profile:
    • Group 2 indicators - Health service performance:
    • Group 3 indicators - Health service resources:
    • Chapter 1 - District data concepts and how to use this guidance:
    • Chapters 3 to 5 - Indicator groups:
    • Annexes - Dashboards:
    • Learning objectives
    • Audience
    • 1.1 THE DISTRICT HEALTH SYSTEM
    • 1.3 DATA SOURCES AT SUBNATIONAL LEVEL
    • 1.3.1 Routine Health Information System (RHIS)5
    • 1.3.3 Health service resource data
    • 1.3.4 Population data
    • 1.3.5 Other information sources
    • 1.4 PRINCIPLES OF THIS GUIDANCE
    • Box 1 - Principles of this guidance
    • 1.4.1 Integration - across programmes and services
    • Group 1 indicators- Health status and epidemiological profile:
    • Disaggregation of data
    • 1.4.4 Data quality assessment – along with analysis
    • Box 2: Immunization monitoring charts – assessing performance at facility-level using a manual table and chart (when a reliable facility catchment population is available)
    • 1.5.2 Interpretation and communication of RHIS data findings - regular review meetings and dashboard dissemination
    • ▪ Participants:
    • ▪ Meeting objectives/agenda: − To review, discuss and interpret the charts and tables of the dashboards:
    • − To guide the next round of supervision visits:
    • − To integrate results into the planning cycle:
    • 1.5.2.2 Dissemination of printed dashboards and feedback
    • ◼ The Lupara District Database
    • MORTALITY (institutional)
    • MORBIDITY (outpatient and inpatient)
    • UTILIZATION and ACCESS
    • 3.1.1 Mortality indicators
    • 3.1.2 About the data
    • 3.2.1 Morbidity indicators
    • 3.2.2 About the data
    • 3.2.3 Core analysis
    • 4.2.1 Service output and coverage indicators
    • 4.2.2 About the data

    This document is part of the WHO Toolkit for analysis and use of routine health facility data – a set of capacity-building resources to optimize the analysis and use of data collected from health facilities through routine health information systems (RHIS). The Toolkit is a collaborative effort by multiple WHO technical programmes and partners. It ...

    This document - Integrated health services analysis: district and facility level - from the Toolkit for Analysis and use of routine health facility data has been developed by the World Health Organization (WHO), with the support of a grant from Gavi, the Vaccine Alliance. The content of the guidance was developed by Xavier Modol, Robert Pond and We...

    ACT ALOS ANC ART BCG BOR C-section CFR CRVS DHIS2 DTP DTPcv-3 DQR FTE GIS HHFA HIS HIV HMIS ICD IPTp LMIS MCV NCD NGO OPD Penta PHC PLHIV RDT RHIS SARA SDG TB UHC WHO artemisinin-based combination therapy average length of stay antenatal care antiretroviral therapy Bacille Calmette-Guerin (vaccine) bed occupancy rate caesarean section case ...

    This document provides guidance on the integrated analysis and use, at district and facility levels, of data collected from health facilities through routine health information systems (RHIS). The integrated approach provides a “cross-cutting” view of health services, based on a limited set of tracer indicators that represent multiple programmes ...

    ◼ Mortality (institutional) ◼ Morbidity (inpatient and outpatient)

    ◼ Utilization and access ◼ Service outputs, coverage and quality

    ◼ Availability, distribution and efficiency of resources required by health facilities: infrastructure, health workforce, medicines and medical products, and financial resources. The guidance consists of five chapters and ten annexes:

    This introductory chapter describes information needs of district and facility health managers; various data sources and their characteristics; principles and processes for analysis of RHIS data; and the practical use of these concepts in district meetings and during supervision.

    Each of these chapters addresses an indicator group, providing indicator tables with metadata, recommended visualizations (charts and tables) and guidance on interpretation of the indicators.

    Dashboards based on the indicator groups are available in Annexes 1 to 9 and serve as examples of integrated dashboards for district and facility levels. Hyperlinks are provided in the text for quick reference to the dashboards. Questions referring to the dashboards (using hyperlinks) are included throughout the guidance. The questions aim to d...

    This guidance illustrates integrated analysis of RHIS data at district and facility levels. It aims to build understanding and skills in a recommended analytic approach that: focuses on a minimum indicator set of organized into three cross-cutting groups; uses standard visualizations to facilitate data interpretation: charts and tables organiz...

    The guidance targets managers and analysts at the level of the district health system. It may also be useful to staff making operational decisions at any subnational level. Managers are defined as staff that make decisions - mostly about obtaining, distributing and re-distributing resources to deliver health services and achieve targets. Analysts a...

    Districts are administrative units. They come in all shapes and sizes, from a few thousand people to multi-million populations. In many countries, districts are the main subnational administrative unit and the level that manages the public health service delivery system. According to the WHO,2 the District Health System is “a network of primary car...

    This guidance focuses on aggregate data reported through the RHIS. However, at district and facility levels, health information may be available from various sources as part of the broader country Health Information System (HIS). The HIS brings together data from multiple sources, including the RHIS, health facility assessments, client experience s...

    Health facilities routinely collect data on the diseases and other health conditions for which people seek care. They also collect routine data on facility activities (outputs such as number of outpatient department visits, number of vaccine doses given) and the outcomes of those activities (e.g. number of tuberculosis (TB) patients cured, number o...

    Resource data may be part of the overall HIS in different ways. Some data sets may be recorded in electronic databases while others may remain in paper format. Resource data systems may include: A master facility list (MFL) 8 should contain a list of all health facilities in the country, with their location and level. The MFL should include public,...

    Population data serve as denominators for many RHIS indicators, e.g. utilization rates, coverage. It is important that all managers and analysts have an estimate of the population that the district system is expected to cover. However, there are often challenges in obtaining reliable population data. Population estimates based on projections of cen...

    Other sources include community information systems, civil registration systems, population-based surveys and health facility assessments (if available for district level), supervision reports, programme evaluations, qualitative assessments, data from other sectors (e.g. food insecurity, civil unrest, economic disruptions) and informal sources. Inf...

    This guidance is based on concepts and indicators presented in the Toolkit documents “General principles” and “Integrated health services analysis: national level”. These documents include detailed discussions on data analysis concepts and individual indicators. The focus of the district and facility level guidance is on practical data analysis nee...

    Integration - across programmes and services Focused analysis – using a limited set of key indicators Standardization – of indicators, analyses and visualizations Data quality assessment – along with analysis Purpose-oriented analysis – for management and planning

    To make informed decisions, district managers need data that reflect performance across a wide range of domains and programmes: from coverage of immunization to utilization of financial resources. In this guidance, integrated analysis refers to the presentation of indicators from these multiple domains and programmes in ways that they can be review...

    ◼ Mortality (institutional) ◼ Morbidity (inpatient and outpatient)

    This document also provides guidance on minimum disaggregation of each indicator, which serves several purposes. To determine if there is any reporting bias, it is important to assess the completeness of data disaggregated by type of facility and by ownership of the facility. Incomplete reporting by large hospitals or private-for-profit facilitie...

    For meaningful data interpretation and use, the data used to produce the indicators should be complete, consistent and correct. Staff at facility and district levels are ideally placed to continually check the quality of data as they are entered into the system each month. Tools have also been developed to automate and speed up the process of iden...

    Where the catchment population for a health facility can be reliably estimated or counted (e.g. through a registration system), annual facility target populations can be calculated, e.g. children under 1 year of age to be immunized. (Often these target populations are provided by the district level). From such an annual target population, a month...

    It may be possible for a small number of dedicated workers in the district health office and in each facility to complete all the tasks described in this guidance: data quality assurance; configuration of the charts and tables; review and interpretation of the dashboards; further investigations; and decision-making. However, involvement of a wider...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

    This section discusses data on the coverage for essential health services or, where reliable denominators are not available, the outputs of these services. Coverage refers to the percentage of a target population that received a specific health intervention or service. In this manual, service output refers to the absolute number of people that rece...

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  4. A Hazard Map is a visual representation of the workplace where there are hazards that could cause injuries or illness. The Hazard Mapping method draws on what workers know from on the job experience. The Hazard Mapping approach works best when conducted with a small group of workers with some similarity in their work.

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  5. The site navigation utilizes arrow, enter, escape, and space bar key commands. Left and right arrows move across top level links and expand / close menus in sub levels. Up and Down arrows will open main level menus and toggle through sub tier links. Enter and space open menus and escape closes them as well.

  6. DRM. Basic information such as hazard maps is either incomplete or unavailable. Among the 39 priority2 cities/municipalities identified in the harmonization process3 conducted by the relevant mapping agencies4, only 14 have 1:10,000 scale maps available—the minimum5 scale required to do community based hazard assessment.

  7. Tasks for Element 1: Maintain up-to-date data on climate hazards and community climate and health vulnerabilities, and use hazard vulnerability analyses to inform health services and infrastructure planning today and for the future (out to 20–50 years). Develop a comprehensive understanding of the role of the hospital, long-term care, and ...