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Opening Presentation Tara Why Now Final

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Opening Presentation Tara Why Now Final

  1. 1. Meeting Objectives: <ul><li>To share experiences, tools and approaches in using data to inform decision-making. </li></ul><ul><li>To identify common challenges to using data to inform decisions. </li></ul><ul><li>To identify priorities for advancing data use. </li></ul><ul><li>To develop a community of practice. </li></ul>
  2. 2. Why Now? The Importance of Evidence-based Decision-making Tara Nutley & Scott Moreland MEASURE Evaluation From Data to Impact: Using Data for Results Symposium Arusha, Tanzania January 28, 2009
  3. 3. Setting the Stage <ul><li>Context </li></ul><ul><li>Response </li></ul><ul><li>Challenge </li></ul><ul><li>Changing the paradigm </li></ul>
  4. 4. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  5. 5. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  6. 6. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  7. 7. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  8. 8. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  9. 9. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  10. 10. Context <ul><li>HIV epidemic </li></ul><ul><li>Resurgence of TB </li></ul><ul><li>Continued prevalence of malaria </li></ul><ul><li>Pockets of stalled fertility decline </li></ul><ul><li>Population burden </li></ul><ul><li>Shortage of health care workers </li></ul>
  11. 11. Context Pressing need to develop health policies, strategies and interventions
  12. 12. Context <ul><li>Increased financial investments for service delivery </li></ul><ul><li>Increased accountability requirements </li></ul><ul><li>Improved national HMIS </li></ul><ul><li>Increased demand for evaluation and other research </li></ul><ul><li>New technologies </li></ul>
  13. 13. Evidence-based Decision Making Process
  14. 14. Level of Dissatisfaction that Policy is Based on Scientific Evidence
  15. 15. Challenges <ul><li>Integrated HMIS still not fully functioning </li></ul><ul><li>Little or no communication between data producers and data users </li></ul><ul><li>Low capacity to collect, analyze & interpret data </li></ul><ul><li>Limited or no culture of data use </li></ul><ul><ul><li>Data collection and use not a priority </li></ul></ul>
  16. 16. Response <ul><li>Development of international frameworks that put data use at the center </li></ul><ul><li>National commitment </li></ul><ul><li>Project and organizational commitment </li></ul>
  17. 17. Changing the Paradigm of Data Demand and Information Use Business Unusual
  18. 18. The “traditional way” <ul><li>Top-down approach </li></ul><ul><li>Data collected with little or no regard to its use </li></ul><ul><li>Limited stakeholder involvement </li></ul>
  19. 19. The ‘traditional steps” <ul><li>Gather data </li></ul><ul><li>Analyze data </li></ul><ul><li>Prepare report </li></ul><ul><li>Disseminate the report [Stakeholders] </li></ul>
  20. 20. A New Paradigm <ul><li>Decisions identified first, then what data are needed </li></ul><ul><li>Transparency </li></ul><ul><li>Stakeholder involvement </li></ul>
  21. 21. The new paradigm steps <ul><li>Identify decision [Stakeholders] </li></ul><ul><li>identify relevant data [Stakeholders] </li></ul><ul><li>gather data </li></ul><ul><li>analyze & discuss results [Stakeholders] </li></ul><ul><li>make decisions [Stakeholders] </li></ul>
  22. 22. There is no single “right way” to use data to support decisions <ul><li>Multiple stakeholders </li></ul><ul><li>Multiple and/or conflicting goals </li></ul><ul><li>Different ways to measure success </li></ul><ul><li>Ambiguous interpretation of what the data mean </li></ul>
  23. 23. Decisions are influenced by factors other than information and data. <ul><li>Power and influence of sectional interests; </li></ul><ul><li>Corruption; </li></ul><ul><li>Political, cultural or religious ideology; </li></ul><ul><li>Arbitrariness; </li></ul><ul><li>Anecdote </li></ul>
  24. 24. What can we do? <ul><li>Help to insure that data collected are relevant to decisions </li></ul><ul><li>Facilitate the involvement of stakeholders in the identification of data needs </li></ul><ul><li>Insure that decision-makers and stakeholders have access to that information </li></ul>
  25. 25. Decisions, decisions…. <ul><li>Problem identification and advocacy </li></ul><ul><li>Policy making </li></ul><ul><li>Strategizing and planning </li></ul><ul><li>Program management </li></ul>
  26. 26. Remember…. The ultimate goal is not to gain information, but to improve action.

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