University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Population and Health Research Institute, Kinshasa, Democratic Republic of Congo.
Reprod Health. 2022 Jun 2;19(1):129. doi: 10.1186/s12978-022-01415-9.
Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent health (SRMNCAH) data in humanitarian settings are often sparse and variable in quality across different humanitarian settings, and there is a lack of consensus about a core set of indicators that humanitarian actors including national health systems should report on. 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 four countries, including the Democratic Republic of Congo (DRC) with the goal of aggregating information from global consultations and field-level assessments to reach consensus on a set of core SRMNCAH indicators among WHO partners.
The feasibility assessment in the DRC focused on the following constructs: relevance/usefulness, feasibility of measurement, systems and resources, and ethical issues. The multi-methods assessment included five components; a desk review, key informant interviews, focus group discussions, facility assessments, and observational sessions.
The findings suggest that there is widespread support among stakeholders for developing a standardized core list of SRMNCAH indicators to be collected among all humanitarian actors in the DRC. 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, and coordination/cluster systems must be better harmonized, standardized, and less burdensome.
Despite stakeholder support in developing a core set of indicators, this would only be useful if it has the buy-in from the international community. Greater harmonization and coordination, alongside increased resource allocation, would improve data collection efforts and allow stakeholders to meet indicators' reporting requirements.
在人道主义环境中，可靠且经过严格收集的性、生殖、孕产妇、新生儿、儿童和青少年健康（SRMNCAH）数据通常在不同的人道主义环境中稀缺且质量参差不齐，而且对于人道主义行为者（包括国家卫生系统）应报告的核心指标集也缺乏共识。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，并在包括刚果民主共和国（DRC）在内的四个国家评估其可行性，目的是从全球磋商和现场评估中汇总信息，就 WHO 合作伙伴之间的一套核心 SRMNCAH 指标达成共识。
在 DRC 进行的可行性评估侧重于以下方面：相关性/有用性、测量的可行性、系统和资源以及道德问题。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、设施评估和观察会议。
调查结果表明，利益攸关方普遍支持为在 DRC 的所有人道主义行为者中制定标准化的核心 SRMNCAH 指标清单。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、国际和联合国机构以及协调/集群系统请求的数据收集负担必须更好地协调、标准化和减轻。
尽管利益攸关方支持制定核心指标集，但如果得到国际社会的认可，这将是有用的。更大的协调和协调，以及增加资源分配，将改善数据收集工作，使利益攸关方能够满足指标报告要求。
