In a bid to improve the quality, consistency and reliability of data in respect of key health outcomes agreed to by the Minister of Health in terms of the Negotiated Service Delivery Agreement (NSDA), a Health Data Advisory and Co-Ordination Committee (HDACC) was established towards the end of 2010. The aims of the committee were to improve the quality and integrity of data on health outcomes, establish consensus on indicator values, identify reliable data sources to be used by the health sector in the future, and to advise on the indicators for the NSDA, the baseline values and the targets.
This report documents the work of the HDACC during the first year of its existence. It also documents the HDACC’s recommendations as to key indicators to monitor the NSDA. It identifies and reviews available data for these indicators, and it identifies appropriate estimates for baseline measures, documenting recommendations as to realistic targets.
At present an overarching M and E framework is being developed for the NSDA, and the committee will meet regularly to report on progress towards achieving the set targets for the NSDA’s four outputs: increasing life expectancy; decreasing maternal and child mortality rates; combating HIV and AIDS and TB; and strengthening health systems effectiveness.
The committee recommended the inclusion of a number of additional high level indicators necessary to accurately measure progress towards these outputs. For example, in respect of outputs 1 and 2 – extending life expectancy and reducing maternal and child mortality – the committee recommended: adding the measurement of the probability of a 15-year-old dying before the age of 60 years; the addition of the Neonatal Mortality Rate to reflect the survival of newborns; and the underweight and stunting levels among children under the age of 5 years.
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