Ahsan Karar Zunaid, Tahsina Tazeen, Iqbal Afrin, Ali Nazia Binte, Chowdhury Suman Kanti, Huda Tanvir M, Arifeen Shams El
a Department of Maternal and Child Health, Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
b Maternal and Child Health Division (MCHD) , icddr,b , Dhaka , Bangladesh.
Glob Health Action. 2017 Jan-Dec;10(sup1):1298890. doi: 10.1080/16549716.2017.1298890.
In order to support the progress towards the post-2015 development agenda for the health sector, the importance of high-quality and timely estimates has become evident both globally and at the country level.
Based on desk review, key informant interviews and expert panel discussions, the paper critically reviews health estimates from both the local (i.e. nationally generated information by the government and other agencies) and the global sources (which are mostly modeled or interpolated estimates developed by international organizations based on different sources of information), and assesses the country capacity and monitoring strategies to meet the increasing data demand in the coming years. Primarily, this paper provides a situation analysis of Bangladesh in terms of production and use of health estimates for monitoring progress towards the post-2015 development goals for the health sector.
The analysis reveals that Bangladesh is data rich, particularly from household surveys and health facility assessments. Practices of data utilization also exist, with wide acceptability of survey results for informing policy, programme review and course corrections. Despite high data availability from multiple sources, the country capacity for providing regular updates of major global health estimates/indicators remains low. Major challenges also include limited human resources, capacity to generate quality data and multiplicity of data sources, where discrepancy and lack of linkages among different data sources (local sources and between local and global estimates) present emerging challenges for interpretation of the resulting estimates.
To fulfill the increased data requirement for the post-2015 era, Bangladesh needs to invest more in electronic data capture and routine health information systems. Streamlining of data sources, integration of parallel information systems into a common platform, and capacity building for data generation and analysis are recommended as priority actions for Bangladesh in the coming years. In addition to automation of routine health information systems, establishing an Indicator Reference Group for Bangladesh to analyze data; building country capacity in data quality assessment and triangulation; and feeding into global, inter-agency estimates for better reporting would address a number of mentioned challenges in the short- and long-run.
为推动2015年后卫生部门发展议程的进展，高质量且及时的评估在全球和国家层面的重要性已日益凸显。
基于案头审查、关键信息人访谈及专家小组讨论，本文对本地（即政府和其他机构在国内生成的信息）和全球来源（大多是国际组织根据不同信息来源制定的模型或内插估计）的卫生评估进行了批判性审查，并评估了该国在未来几年满足日益增长的数据需求的能力及监测策略。本文主要就孟加拉国在生成和使用卫生评估以监测2015年后卫生部门发展目标进展方面进行了形势分析。
分析表明，孟加拉国数据丰富，尤其是来自家庭调查和卫生设施评估的数据。数据利用的做法也存在，调查结果在为政策制定、项目审查和纠正措施提供信息方面具有广泛的可接受性。尽管有多个来源提供大量数据，但该国定期更新主要全球卫生评估/指标的能力仍然较低。主要挑战还包括人力资源有限、生成高质量数据的能力以及数据源的多样性，不同数据源（本地数据源以及本地与全球估计之间）之间的差异和缺乏联系给由此产生的估计的解释带来了新的挑战。
为满足2015年后时代增加的数据需求，孟加拉国需要在电子数据采集和常规卫生信息系统方面加大投资。建议将简化数据源、将并行信息系统整合到一个共同平台以及数据生成和分析能力建设作为孟加拉国未来几年的优先行动。除了常规卫生信息系统的自动化外，成立孟加拉国指标参考小组以分析数据；建设该国在数据质量评估和三角测量方面的能力；以及为更好的报告提供全球机构间估计数据，将在短期和长期内应对一些上述挑战。
