BRAC James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
NOR Impact AS, Rogaland, Norway.
Reprod Health. 2022 May 21;19(1):121. doi: 10.1186/s12978-022-01424-8.
Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent health (SRMNCAH) data in humanitarian settings is often sparse and varies in quality across different humanitarian settings. To address this gap in quality data, the World Health Organization (WHO) developed a core set of indicators for monitoring and evaluating SRMNCAH services and outcomes, and assessed their feasibility in Bangladesh, Afghanistan, Jordan, and the Democratic Republic of Congo.
The feasibility assessments aggregated information from global consultations and field-level assessments to reach a consensus on a set of core SRMNCAH indicators among WHO partners. The feasibility assessment in Bangladesh focused on the following constructs: relevance/usefulness of the core set of indicators, the feasibility of measurement, availability of systems and resources, and ethical issues during data collection and management. The field-level multi-methods assessment included five components; a desk review, key informant interviews, focus group discussions, and facility assessments including observations of facility-level data management.
The findings suggest that there is widespread support among stakeholders for developing a standardized core set of SRMNCAH indicators to be collected among all humanitarian actors in Bangladesh. There are numerous resources and data collection systems that could be leveraged, built upon, and improved to ensure the feasibility of collecting this proposed set of indicators. However, the data collection load requested from donors, the national government, international and UN agencies, coordination/cluster systems must be better harmonized, standardized, and less burdensome.
This core set of indicators would only be useful if it has the buy-in from the international community that results in harmonizing and coordinating data collection efforts and relevant indicators' reporting requirements.
在人道主义环境中，可靠且严格收集的性、生殖、孕产妇、新生儿、儿童和青少年健康（SRMNCAH）数据通常稀缺，并且在不同的人道主义环境中质量也各不相同。为了解决这一质量数据差距，世界卫生组织（WHO）制定了一套核心指标，用于监测和评估 SRMNCAH 服务和结果，并在孟加拉国、阿富汗、约旦和刚果民主共和国评估了其可行性。
可行性评估汇总了来自全球磋商和现场评估的信息，以在 WHO 合作伙伴之间就一套核心 SRMNCAH 指标达成共识。孟加拉国的可行性评估侧重于以下几个方面：核心指标集的相关性/有用性、衡量的可行性、系统和资源的可用性，以及数据收集和管理过程中的伦理问题。现场多方法评估包括五个部分：桌面审查、关键知情人访谈、焦点小组讨论，以及包括观察设施级数据管理在内的设施评估。
研究结果表明，利益相关者普遍支持为所有人道主义行为体在孟加拉国制定一套标准化的核心 SRMNCAH 指标。有许多资源和数据收集系统可以利用、建立和改进，以确保收集这组拟议指标的可行性。然而，从捐助者、国家政府、国际和联合国机构、协调/集群系统中请求的数据收集量必须更好地协调、标准化，并且负担更轻。
只有在国际社会的认可下，这套核心指标才会有用，这将导致协调和统一数据收集工作以及相关指标的报告要求。
