Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative
Background: Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent (SRMNCAH) data from humanitarian settings are often sparse and variable in quality across different settings due to the lack of a standardised set of indicators across the different agencies...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Dialogues in Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772653322000752 |
| _version_ | 1811178586924646400 |
|---|---|
| author | Loulou Kobeissi Thidar Pyone Allisyn C. Moran Kathleen L. Strong Lale Say |
| author_facet | Loulou Kobeissi Thidar Pyone Allisyn C. Moran Kathleen L. Strong Lale Say |
| author_sort | Loulou Kobeissi |
| collection | DOAJ |
| description | Background: Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent (SRMNCAH) data from humanitarian settings are often sparse and variable in quality across different settings due to the lack of a standardised set of indicators across the different agencies working in humanitarian settings. This paper aims to summarise a WHO-led global initiative to develop and scale up an SRMNCAH monitoring and evaluation framework for humanitarian settings. Methods: This research revolved around three phases. The first and the last phase involved global consultations with lead international agencies active in SRMNCAH in humanitarian settings. The second phase tested the feasibility of the proposed indicators in Afghanistan, Bangladesh, the Democratic Republic of the Congo, and Jordan, using different qualitative research methods (interviews with 92 key informants, 26 focus group discussions with 142 key stakeholders, facility assessments and observations at 25 health facilities or sites). Results: Among the 73 proposed indicators, 47 were selected as core indicators and 26 as additional indicators. Generally, there were no major issues in collecting the proposed indicators, except for those indicators that relied on death reviews or population-level data. Service availability and morbidity indicators were encouraged. Abortion and SGBV indicators were challenging to collect due to political and sociocultural reasons. The HIV and PMTCT indicators were considered as core indicators, despite potential sensitivity in some settings. Existing data collection and reporting systems across the four assessed humanitarian settings were generally fragmented and inconsistent, mainly attributed to the lack of coordination among different agencies. Interpretation: Implementing agencies need to collaborate effectively to scale up this agreed-upon set of SRMNCAH framework to enhance accountability and transparency in humanitarian settings. |
| first_indexed | 2024-04-11T06:20:55Z |
| format | Article |
| id | doaj.art-9d2683a206ad4cb2963aa86ba4d08b1b |
| institution | Directory Open Access Journal |
| issn | 2772-6533 |
| language | English |
| last_indexed | 2024-04-11T06:20:55Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Dialogues in Health |
| spelling | doaj.art-9d2683a206ad4cb2963aa86ba4d08b1b2022-12-22T04:40:34ZengElsevierDialogues in Health2772-65332022-12-011100075Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiativeLoulou Kobeissi0Thidar Pyone1Allisyn C. Moran2Kathleen L. Strong3Lale Say4UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandScience Division, World Health Organization, Geneva, Switzerland; Corresponding author at: Office of Chief Scientist, Science Division, World Health Organization, 20 Avenue Appia, World Health Organisation, 1211 Geneva 27, Switzerland.Department of Maternal, Newborn, Child, and Adolescent Health and Ageing, World Health Organization, Geneva, SwitzerlandDepartment of Maternal, Newborn, Child, and Adolescent Health and Ageing, World Health Organization, Geneva, SwitzerlandUNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, SwitzerlandBackground: Reliable and rigorously collected sexual, reproductive, maternal, newborn, child, and adolescent (SRMNCAH) data from humanitarian settings are often sparse and variable in quality across different settings due to the lack of a standardised set of indicators across the different agencies working in humanitarian settings. This paper aims to summarise a WHO-led global initiative to develop and scale up an SRMNCAH monitoring and evaluation framework for humanitarian settings. Methods: This research revolved around three phases. The first and the last phase involved global consultations with lead international agencies active in SRMNCAH in humanitarian settings. The second phase tested the feasibility of the proposed indicators in Afghanistan, Bangladesh, the Democratic Republic of the Congo, and Jordan, using different qualitative research methods (interviews with 92 key informants, 26 focus group discussions with 142 key stakeholders, facility assessments and observations at 25 health facilities or sites). Results: Among the 73 proposed indicators, 47 were selected as core indicators and 26 as additional indicators. Generally, there were no major issues in collecting the proposed indicators, except for those indicators that relied on death reviews or population-level data. Service availability and morbidity indicators were encouraged. Abortion and SGBV indicators were challenging to collect due to political and sociocultural reasons. The HIV and PMTCT indicators were considered as core indicators, despite potential sensitivity in some settings. Existing data collection and reporting systems across the four assessed humanitarian settings were generally fragmented and inconsistent, mainly attributed to the lack of coordination among different agencies. Interpretation: Implementing agencies need to collaborate effectively to scale up this agreed-upon set of SRMNCAH framework to enhance accountability and transparency in humanitarian settings.http://www.sciencedirect.com/science/article/pii/S2772653322000752Humanitarian settingsInternally displaced personsMaternal and child healthMonitoring and evaluationRefugeesSexual and reproductive health |
| spellingShingle | Loulou Kobeissi Thidar Pyone Allisyn C. Moran Kathleen L. Strong Lale Say Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative Dialogues in Health Humanitarian settings Internally displaced persons Maternal and child health Monitoring and evaluation Refugees Sexual and reproductive health |
| title | Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative |
| title_full | Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative |
| title_fullStr | Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative |
| title_full_unstemmed | Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative |
| title_short | Scaling up a monitoring and evaluation framework for sexual, reproductive, maternal, newborn, child, and adolescent health services and outcomes in humanitarian settings: A global initiative |
| title_sort | scaling up a monitoring and evaluation framework for sexual reproductive maternal newborn child and adolescent health services and outcomes in humanitarian settings a global initiative |
| topic | Humanitarian settings Internally displaced persons Maternal and child health Monitoring and evaluation Refugees Sexual and reproductive health |
| url | http://www.sciencedirect.com/science/article/pii/S2772653322000752 |
| work_keys_str_mv | AT louloukobeissi scalingupamonitoringandevaluationframeworkforsexualreproductivematernalnewbornchildandadolescenthealthservicesandoutcomesinhumanitariansettingsaglobalinitiative AT thidarpyone scalingupamonitoringandevaluationframeworkforsexualreproductivematernalnewbornchildandadolescenthealthservicesandoutcomesinhumanitariansettingsaglobalinitiative AT allisyncmoran scalingupamonitoringandevaluationframeworkforsexualreproductivematernalnewbornchildandadolescenthealthservicesandoutcomesinhumanitariansettingsaglobalinitiative AT kathleenlstrong scalingupamonitoringandevaluationframeworkforsexualreproductivematernalnewbornchildandadolescenthealthservicesandoutcomesinhumanitariansettingsaglobalinitiative AT lalesay scalingupamonitoringandevaluationframeworkforsexualreproductivematernalnewbornchildandadolescenthealthservicesandoutcomesinhumanitariansettingsaglobalinitiative |