Information Management Transformation Program by pptfiles

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									Strategies for improving
civil registration and vital
    statistics systems

   Discussant: Dr AJ Lanyon
  Australian Bureau of Statistics

                      29 June 2011
Papers/Presentations

• 2 papers/presentations were very
  complementary
• ECA
  • Very good overview of key components of an
    improvement strategy
• VSC, Canada:
  • Lived example of a commitment to ongoing
    improvement in a way that links the CRS and
    the VSS

                                              2
Reflections on Chapter IV
• Support (in general) endorsement
  of content of existing Chapter IV
• Chap IV is clear
  – not meant to be comprehensive
  – draws attention to importance of
    improvement strategies
  – framed to cover both CRS and VSS
• One size will not fit all (ECA paper)
                                          3
Reflections on Chapter IV
• Emphasis in next P+R?
  – A monitoring and improvement plan
    should be INTEGRAL to system
    design – governance, regular
    operation, commitment to training
  – Risks when seen as an add-on
  – Periodic independent evaluation has a
    role – but should not be the sole focus
    of investment in improvement

                                          4
Reflections on Chapter IV
• WHO / UQ HIS-Hub Assessment
  Framework and tool provides:
  – comprehensive resource for reviewing
    CRS and VS produced
  – results in of improvement/action plans
    to achieve sustainable CRS
• Covers:
  – number of components raised by ECA
  – majority of components of Chapter IV
                                         5
Reflections on Chapter IV
• Ensuring strong links between CRS
  and VSS is important – inter-
  agency co-ordinating mechanisms
  are key (Canadian experience)
• Feedback loops at operational level
  also important
• Not sure current Chapter
  emphasises importance of
  CRS/VSS links sufficiently
                                    6
Reflections on Chapter IV
• Some further comments:
  – Need to be careful about how to frame
    membership of co-ordination
    committees
  – Stakeholder analysis should inform
  – Could be a way of making links with
    Health Agencies and the research
    community (key part of CRS and
    VSS)

                                        7
Reflections on Chapter IV
• Some further comments:
  – ECA paper (para 27) re-affirms value
    of targeted outreach program to
    address problem areas (applicable to
    developing and developed countries)
  – Mobilization of funds is important –
    balance between national and donor
    funding required to be sustainable
  – With UQ HIS-Hub, ABS developed a
    tool to assist in development of
    ‘business cases’ to obtain $         8
Reflections on Chapter IV
• Some final (!) comments:
  – Keeping abreast of ICT developments
    is key but challenging (Canadian
    experience is heartening –
    demonstrates value in collaboration!)
  – Access to technical
    expertise/resources required to
    support improvement
  – Role to play by regional programmes
    to monitor and support strong CRS +
    VSS.                                  9

								
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