WHO - HMN HIS Tools To Support GFR10 - Template For Costing The HIS Gap

Health Metrics Network
template for Global Fund grant application fo

Information System Strengthening
(for use with the Global Fund application template)
Version 1.1 (without macros)
Distribution Version for Round 1 Countries
intended to be used along side the document Guidance on Recommended Ind

Activities for Strengthening Country Health Information Systems under Glob
Applications.
Requires Microsoft Excel, Microsoft Office or Open Office

See Manual for Instructions and Help
Communicate problems and suggestions by email to:
Copyright 2008 Health Metrics Network

www.healthmetricsnetwork.org
click here to
START
ics Network
grant application for Health

em Strengthening
und application template)
thout macros)
sion for Round 1 Countries
t Guidance on Recommended Indicators and Illustrative

th Information Systems under Global Fund Round 9
pplications.
el, Microsoft Office or Open Office
or Instructions and Help
estions by email to:
healthmetrics@who.int
08 Health Metrics Network
thmetricsnetwork.org
START
Excel template for Global Fund grant application for the Health Information System Strengthening
Introduction
This Excel template is intended to be used along side the document Guidance on Recommended Indicators and Illustrativ
Strengthening Country Health Information Systems under Global Fund Round 9 Applications. The user is urged to read thi
before starting with the template.
This accompanying manual should be seen as a technical manual only. It only describes how to use the excel template for
interventions to close the gap in a countries health information system (HIS). This manual does not include technical inform
indicators.
Structure
The purpose of the template is to assist the user calculate the budget needed to close the gap in the HIS. The possible inte
to strengthen the HIS system of a country can be framed as indicators nine of which HMN has identified (a separate PDF th
these indicators can be found on this webpage). Each indicator is typically broken down into key illustrative activities, and it
country to modify them as applicable. These key activities are often also further divided into sub-activities. Sub-activities ar
inputs required for implementation. These inputs are linked to costs which then result in costs for all the separate compone
activities, illustrative key activities, indicators). Countries are also free to develop additional indicators with activities, sub-ac
inputs as appropriate.
Navigation: the is a navigation sheet availabe to move through the template. Click here to go there.
Visually:
NOTICE TO USERS
Thank you for using this first version of this template. We ask you to use this template in conjunction with the manual. If in the
of the template you discover any errors, please contact Health Metrics Network by send an email to healthmetrics@who.int. W
to hear from you! Thank you!
NOTICE TO USERS
Thank you for using this first version of this template. We ask you to use this template in conjunction with the manual. If in the
of the template you discover any errors, please contact Health Metrics Network by send an email to healthmetrics@who.int. W
to hear from you! Thank you!
System Strengthening
d Indicators and Illustrative Activities for

e user is urged to read this document
se the excel template for costing the

ot include technical information on the
the HIS. The possible intervention areas

entified (a separate PDF that describes
llustrative activities, and it is up to the
activities. Sub-activities are then linked to
all the separate components (subtors with activities, sub-activities and
e.
with the manual. If in the course of your use

healthmetrics@who.int. We really would love
with the manual. If in the course of your use

healthmetrics@who.int. We really would love
The user
is
expected
to first fill
in general
data
which is
necessary
to run the
template.
To go
there click
the box
Recommended Indicator #1: Appropriate operational policies and procedures for strengthened and functional
Health Information Systems are prepared and widely endorsed
This indicator is intended to assist countries to have better and well-developed institutional, and policy arrangements, to support health information
systems
strengthening interventions. It includes having a medium to long term plan, theidentification of a core set of indicators, updating tools for data collection
and updating legislation on health statistics.
Recommended Indicator # 2: Percent of health managers and health workers with appropriate skills in data
management and data use
This indicator is intended to assist countries to develop, through in-service and pre-service training, the skills of staff in data management and use. The
curriculum for such training must be based upon work carried out under recommended indicator number 1 to develop national standards and
procedures for monitoring and evaluation, data use and management.
Recommended Indicator # 3: Percent of health facilities that report data on key indicators to the national level
with 30 days after the end of each quarter.
This indicator seeks to promote investments in better supervision at the facility, district and provincial levels to support the timely submission of quality
data. In addition, it also focuses attention on the development of an integrated data warehouse which also includes software and the complimentary
hardware, and connectivity. It also emphasizes the use of data, and underscores the development of a system for routine data validation. Each country
will need to determine its area of emphasis based on its need.
INDICATORS
Recommended Indicator # 4: Percent of registered private-for-profit facilities reporting according to national

guidelines in the past twelve months.
This indicator is intended to systematically increase the percent of registered private-for profit facilities that report to the public sector. Many countries
recognize the increasing role of this sector in providing services, and that the inclusion of such service statistics will improve the completeness of data
for decision making at the national and other levels. Partnerships with professional and related trade organizations can greatly facilitate this effort.
Ultimately, it is projected that regulations are necessary to reaffirm routine data reporting by the private sector.
Recommended Indicator # 5: Percent of facilities that completed and submitted quarterly reports on stock levels
of tracer drugs
This indicator draws attention to one of the frequently cited constraints in the
performance of a health system including the performance of grants supported by the Global Fund. This indicator draws attention to resource records,
one of the six sources of data in the HMN Framework. In particular, it calls for investments to improve the drugs and commodity logistics information
sub-system especially at service delivery points and district offices. It is expected that data from this sub-system will be included in the integrated data
warehouse mentioned under Indicator # 3 above.
Recommended Indicator #6: A multi-year plan for coordination of household surveys developed and
disseminated
This indicator draws attention to the need for countries to define data needs expected to be derived from population-based surveys over an extended
period of time. Such a plan will promote better coordination around what is being measured and when, and to minimize unnecessary duplication.
Importantly, it will also define the associated costs of these surveys and help countries in the upfront resource mobilization from donors and partners.
Recommended Indicator #7: Percent of population covered by mortality civil registration system
Recommended Indicator #8: Percent of registered deaths with cause of death certified by a doctor or any
medico legal-authority
The basic underpinning of a system of health statistics is data on births, deaths and causes of death. Yet such information is lacking in the majority of
many developing countries, where events go unregistered and the causes of death remain poorly understood. This prevents policy-makers at national
and global levels from getting the evidence of progress in attaining key health goals such as the reduction of mortality in general and by specific
causes. Civil registration is the best source of vital statistics, in that it ensures universal and continuous registration of vital events and enables the
routine production of statistics including the provision of small area data. It is the only means of establishing and protecting identities, citizenship, and
property rights, and therefore all countries should aim for a complete, nationwide civil registration system.
Recommended Indicator 9: Improved dissemination and use of health information at national and sub-national
levels
This indicator draws attention to activities and interventions that promote the
institutionalization of routine use of data for decision making, briefings, performance
review, health promotion and informing the public. Its intent is to increase and sustain an intrinsic demand for data and information produced by the
health information system.
GENERAL INFORMATION
Country
Start year
Meetings
Cost of room rental for this meeting (per day)
Room for 0 - 10 persons
Room for 11 - 30 persons
Room for more than 30 persons
Cost of consumables (refreshments) (per person & per day)
Cost of lunch per day per person
Cost of stationary etc per person
Other costs per day
10 to be used for changing the bounderies

30
Per Diems
National
Per Diem
Day per diem (incl local transport)
Overnight per diem (including hotel)
Air fare
- Flight (continental)
- Flight (intercontinental)
Most often used

Most often used
Consultancy Fees
National
Daily fee A (including per diem)
Daily fee B (including per diem)
Daily fee C (including per diem)
Per diem
Most often used

Most often used
Most often used
Add to daily fee?
International
Daily fee A (including per diem)
Daily fee B (including per diem)
Daily fee C (including per diem)
Per diem
Most often used

Most often used
Most often used
Add to daily fee?
0
0
0 most used
#VALUE!
0
The0 user can use the check
boxes
0 to specify which option is
the0most often used. This value
will then be the default value in
the calculations.
#VALUE!
This default value should then be
0
overwritten
when another value is
0
necessary.
0
0
Printing & distribution

Printing of 50 page B&W document
Printing of 50 page color document
Distribution of 50 page document
Distribution of 100 document
Distribution of 100 page book
Distribution of 200 page book
Training
Per diem (average per person & per day)
Cost of transportation (per participant)
Per diem or fee (per facilitator & per day)
Cost of transportation (per facilitator)
Cost of hotel (per person & per day)
Cost of refresher and lunch (per person & per day)
Cost of room rental (per day)
Cost of stationary (per participant)
Cost of guidelines/training material (per copy)
Transport
one-way national to district
one-way province to district
one-way district to facility
Rental of 8 person van (per day) (includes driver / fuel )
Rental of 6 person 4 x 4 (per day) (includes driver / fuel )
Cost components
Human Resources
Technical & Management Assistance
Training
Health Products and Health Equipment
Pharmaceutical Products (Medicines)
Procurement and Supply Management Costs (PSM)
Infrastructure and Other Equipment
Communication Materials
Monitoring and Evaluation (M&E)
Living Support to Clients/Target Population
Planning and Administration
Overheads
Other
Here are the cost components

from the Global Fund template.
The user can specify others or
more.
Recommended indicator No. 1: Appropriate policies and procedures for the HIS are prepared and widely endorsed
11
Key Illustrative Activities
1. Develop a strategic plan for

strengthening the HIS
Sub-activities
A. Prepare for strategic planning workshop

and write up this final strategic plan
Start
year
sub
activit
ies
Inputs
(follow hyperlink when available)
COSTING QUESTIONS
National large, workshop for planning (5060 persons) x 3-5 days.
C. HIS Strategic Plan published and widely

disseminated
Approved documents widely disseminated.
13
14
21
22
23
24
Cost
componen
t
Q1
B. National consensus meetings.
12
COST
(to be answered)
A working group of 5 - 7 persons meets

once / week for 3 months
A national or expatriate consultant
contracted. Fees for 1-3 months (1)
2. Define and adopt a minimum set of

A. Using a multi-stakeholder approach, a
national indicators, disaggregated by level working group select, discuss and finalize
of service delivery, by programmes and by the minimum set
the main health sector functions (building
blocks)
Start
year
inputs
Q2
Q3
Q4
Q1
Q2
Q3
Q4
1
10
days
#VALUE!
National consultant
(standard
fee)
6
10 days Daily -fee A (including per diem)
International consultant
1
numberdocument
Printing of 50 page
B&W
A working group established (5-7 persons). One meeting x week x 3-6 months
Follow hyperlink in inputs to the left
1-2- Consultative meetings by each region/province: 25 persons for 1 day
days
days
Consultative meeting with program managers, aid partners and Ngos (25 persons for 1 day)
B. National consensus meetings.
Consensus meeting(s). Participants 30-60 according the country population and sector administrative size.
-
C. The minimum set of indicators publish

-ed and widely disseminated
3. Conduct an in depth review of data
A. Experts meeting to review the most
sources (routine, surveys, civil registration) recent data and tools.
This should include a review of the
redundancy and inconsistency of tools
used for data collection, data collection,
B. Statistical analysis and appraisal of the
data management and dissemination.
completeness, validity and consistency of
Choose one or more of the approaches
data from the last 5 to 10 years
described under sub activities A, B or C.
Printing cost & distribution
3
numberdocument
Printing of 50 page
color
2-3 meetings of 10-15 expert national officers of Ministry of Health (MOH), National Statistics Office (NSO/CSO) and Civil Registration of vital events (CR)
A working group of 4 - 5 qualified professionals, including statisticians meets for 1 - 2 weeks
2
days (standard fee)
C. Survey using a questionnaire

administered to a sample of data
collectors, data managers and data users
to assess the validity, timeliness and
completeness of routine health data.
Team of 1 - 2 national or international

consultants and 4 - 5 national officers
prepares for 10 days and devotes 10 days
at national level and 3 days per province
per region to visiting a sample of sites
(health facilities and health offices)
D. Discussion and dissemination of

findings
2 days meetings for 30 senior and mid-level health and health-related managers
Per Diem
days
officers
days
3 Choose transport
Printing cost & distribution of the different

final documents
A working group of 5 - 7 persons meets once per week for 3 months
1
numberdocument
Printing of 50 page
B&W
4. Develop/update guidelines and tools for A. Draft guidelines including any new or
data collection and data management
revised tools.
N-STTA (20 days)
days
days
A consultative meeting in each region / province: up to 25 persons for 1 day

N-STTA (20 days) (1)
B. National consensus meeting.
3
days
National consultant
(standard
fee)
6
days Daily fee A (including per diem)
A consultative meeting with government program managers, aid partners and NGOs (25 persons for 1 day)
30 - 60 participants in 1 day
C. Pilot guidelines in 1 - 2 districts
A national or expatriate consultant for 1 - 2

months including overnight per diem and
vehicle rental for 30 days
1
days
National consultant
(standard
fee)
6
2 local
officers
Day per diem (incl
transport)
days
1 Choose
transport
Rental of 8 person
van
(per day)
(includes driver / fuel )
Training for:- 40 health facility staff (2 days including daytime per diem);
Refresher course
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
Training for:- 20 staff from district / provincial / national / national levels (10 days including day time per diem)
D. Finalize the guidelines and tools
2 days meeting for 30 senior and mid-level health and health related managers
Printing & distribution cost
5. Strengthen central, regional/ provincial

and district HI capacity and M&E units
A. Define the functions and staffing levels

of full time dedicated HIS staff at national,
provincial / regional and district levels.
3
numberdocument
Printing of 50 page
color
A working group of 5 - 7 persons ( including representatives from civil service commission + min. of finance) meets once per week for 3 months
1
days
National consultant
(standard
fee)
6
A consultative meeting in each region / province: 25 persons for 1 day

B. National consensus meeting
30 - 60 participants for 1 day
C. Create a full-time post for district HI

officer
New annual contracts established for

type, training and administrative level:
Central level:
- additional epidemiologist(s) with a
masters degree or PhD
- additional statistician(s) with a masters
degree or PhD
- additional economist(s) with a masters
degree or PhD
- additional health information officer(s)
with a 2 year diploma (1)
Regional/provincial level:
- additional epidemiologist(s) with a
masters degree
- additional health information officer(s)
with a 2 year diploma
Per district level
- Additional full-time, dedicated health
information officer with a 2 year diploma (2)
6. Update national legislation on statistics

of public health interest
Number
Cost per year
A. Compile and review existing legislation

Multi-sector or health sector task force of 3 - 5 persons (including at least 1 legal expert) meets for 15 - 30 days
and administrative decrees pertaining to
the collection, processing, analysis and
dissemination
statistical
data. These
are
B. Consult andofcompare
national
legislation
Multi-sector or health sector task force of 3 - 5 persons (including at least 1 legal expert) meets for 10 days to review regional and international examples of health related laws and regulations on national statistics, public health issues and action
the data
obtained through
population
with
the International
Statistics
Rules and
censuses, household susveys, civil
Regulations. United Nations Statistics
registration or data collected at the time
Division website:
that services are provided by private sector
http://unstats.un.org/unsd/default.htm
as well as public service providers
http://unstats.un.org/unsd/dnss/gp/fundprinciples.aspx.
Consult and compare other national
legislations. E.g.
http://unstats.un.org/unsd/dnss/gp/globrevi
ew.aspx.
C. Review of additional legislation
documents and texts
Submission for consensus building among
politicians, policy makers and senior
managers
D. Relevant Ministers approve the new
text. Official documents submitted to the
National Legislative Body (Committee,
Parliament) for analysis, review and
endorsement.
5 - 7 persons meet once per week for 3 - 6 weeks
Printing and dissemination

3
numberdocument
Printing of 50 page
color
12 - 20 people meet once or twice
-
Recommended Indicator # 2: Percent of health managers and health workers with appro
Illustrative Sub-activities
1. Define standards and

procedures for M&E, data
management
data
2. Assess and and
define
theuse
in-
See related activities under

Recommended Indicator No. 1
A. Design methods and materials for

service training needs of existing assessing training needs
health workers, data managers
and health service managers
B. Survey of outpatient health

service providers (record keeping
and data use)
C. Survey of district and hospital HIS

officers (computer skills, data
management and data use) [Note:
also consider training for data entry
personnel]
combined with
Survey of district medical officers/
district health administrators ( data
management; M&E of public health
programmes; logistics management;
+/- financial management)
D. Survey of provincial HIS officers
(computer skills, data management
and data use)
combined with
Survey of provincial health directors
(as for district medical officers)
Start year
sub
activities
E. Survey of national program

managers (data management; M&E
of public health programmes)
3. Develop in-service training
plan, modules and materials -for each training course
developed this should include
i) drafting of the plan &
materials; and
ii) consultations to revise the

plan & materials
A. Overall facilitation and

management of the process to
develop training plans and materials
B. Prepare module and materials for

outpatient health service providers
C. Prepare module and materials for
District HIS officers [Note: also
consider training for data entry
personnel]
And
Provincial HIS officers
D. Prepare module and materials for
District medical officers/ district
health administrators
and
Provincial health directors
E. Prepare module and materials for
national program managers
F. Hold national consensus workshop

for planning of in-service training in
data management and data use
4. Conduct in-service training -for each training course
developed consider planning and
budgeting for i) pilot of the
course; ii) revision of the course;
and iii) taking the course to
scale
A. Initiate course for outpatient

health service providers
B. Initiate course for District HIS
officers [Note: also consider training
for data entry personnel]
C. Initiate course for District medical
officers/ district health
administrators
budgeting for i) pilot of the

course; ii) revision of the course;
and iii) taking the course to
scale
D. Initiate course for Provincial HIS

officers
E. Initiate course for Provincial
health directors
F. Initiate course for National
program managers
5. Develop and implement 2 year A. Assess present and future need
pre-service training for
for full-time, dedicated health
district/provincial health
information officers at district and
information officers
provincial
levels
B. Develop
curriculum and training
materials
C. Contract with an existing national

institution that is currently
conducting public administration /
data management training courses
of six weeks or longer (planners may
chose to develop a new training
institute but cost projections can be
based upon unsubsidized contracts
with existing institutions). 15 to 30
students can be enrolled each year
for the 2 year course.
D. Employ instructors in data
management and informatics
Back to
navigation
More then once 2

See related inputs under Recommended In
International -STTA (20 days + 1 round-trip
Task force (2 persons for 20 days)
Print questionnaires and survey guides (1
Rental of transport (vehicle, driver, fuel)
National STTA (18 days) (1)
Rental of transport for 15 days plus 30 day
National -STTA (18 days) (2)
Rental of transport for 10 days plus 30 day
National-STTA (10 days) (2)
International-STTA (45 days + 1 round trip)
Task force (4 persons for 10 days) (1)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

National STTA (10 days)
National workshop (30 persons for two day
Suggested 2 day course with a refresher cou
Suggested 10 day course with a refresher co
Suggested 10 day course with a refresher co
See Recommended Indicator 1-7A and
Recommended Indicator 2-2-C&D
Task force of 5 persons for 30 days each
One national consultant for 45 days
Contact an existing institution that now co
Contract for two masters level professionals
Total number of inputs that appear mor
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
health workers with appropriate skills in data management and data use
Inputs
(follow hyperlink when
available)
COSTING QUESTIONS
(to be answered)
Start
year
input
s
See related inputs under

Recommended Indicator No. 1
International -STTA (20 days + 1
round-trip)
National consultant (standard fee)
20
days
International consultant Daily fee A (including

diem)
6
3 perdays

Print questionnaires and survey
guides (1000 pages)
Rental of transport (vehicle, driver,
fuel) for 18 days plus 30 days of per
diem
Per Diem
number
officers
days
3 Choose transport
days
days
officers
days
Rental of transport for 15 days plus

30 days of per diem
3 Choose transport
Rental of transport for 10 days plus

30 days of per diem
Per Diem
days
days
officers
days
1 Choose transport

9
days
days
National-STTA (10 days) (2)

9
days
days
days
days
days
days
days
days
days
days
days
days
International-STTA (45 days + 1

round trip)


National workshop (30 persons for two days)
Suggested 2 day course with a refresher course after the first year of 1 day / year
Suggested 10 day course with a refresher course after the first year of 3 days per year (1)
See Recommended Indicator 1-7A

and
Recommended Indicator 2-2-C&D
Task force of 5 persons for 30 days each
One national consultant for 45 days
Contact an existing institution that
now conducts public administration
courses of 6 weeks or longer.
days
days
Number of students
Cost per student per course
Contract for two masters level

professionals in health informatics.
Yearly salary (all costs included)

Number of staff
TOTALS
Human Resources

11
12
13
14
21
22
23
24
COST
Q1
#VALUE!
0
-
Q2
Q3
Q4
Q1
Q2
Q3
Q4
0
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
TOTAL
#VALUE!
Q1
###
Q2
###
Q3
###
Q4
###
Q1
###
Q2
###
Q3
###
Q4
###
Recommended Indicator # 2: Percent of health managers and health workers with appropriate skills in data
Human Resources
Management Assistance
Training
s and Health Equipment
al Products (Medicines)
nagement Costs (PSM)
Q1
Q2
-
Q3
-
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
e and Other Equipment

ommunication Materials
g and Evaluation (M&E)
ients/Target Population
ning and Administration
Overheads
Cost
compo
nent
#VALUE! #VALUE! #VALUE!
###
###
###
with appropriate skills in data management and data use
FUNDING :(1) Government (2) GF 1 (3) GF 2 (4) GF 3 (5) GF 4 (6) World Bank (7) DfID (8) UNAIDS (9) (10) (11) (12)
(13) (14) (15)
COST COMPONENTS :(1) Human Resources (2) Technical & Management Assistance (3) Training (4) Health Products
and Health Equipment (5) Pharmaceutical Products (Medicines) (6) Procurement and Supply Management Costs (PSM)
(7) Infrastructure and Other Equipment (8) Communication Materials (9) Monitoring and Evaluation (M&E) (10) Living
Support to Clients/Target Population (11) Planning and Administration (12) Overheads (13) Other (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
ment and data use
Recommended Indicator # 3: Percent of health facilities that report data on key in

each quarter
Key Illustrative
Activities
Sub-activities
1. Provide supervision at A. Supervise district and hospital

facility, district and
HIS officers
provincial levels to
support the collection
and timely transmission
of quality data
B. Supervise facility staf
2. Develop an
A. Build technical capacity within
integrated electronic
MoH
data management
system (integrated data
warehouse)
B. Draft and reach consensus on

an initial design: which
datasets; what capabilities at
each level (facility, district,
provincial, national); timetable
for scaling up
C. Complete an inventory of
existing ICT
Start
year sub
activities
C. Complete an inventory of
existing ICT
D. Select and procure ICT

infrastructure (workstations,
servers, power, connectivity) -Establish e-connectivity between
districts/hospitals and central
offices using commercial
internet, phone, radio or physical
transport of files
E. Select software
F. Revise data collection forms:

(i) harmonization of data
elements;
(ii) "streamlining" -- eliminating
some data elements and some
forms to reduce reporting
burden; and
(iii) supplementation -- adding
data elements or even forms to
fill important gaps)
G. Select indicators and design

dashboards and reports including
feedback reports
H. Customize software (both

initial customization and
subsequent revision based upon
further revision of data collection
forms)
I. Deploy software and

equipment (including on-the-job
instruction of data managers at
national, provincial, district and
hospital levels)
J. Orientation of facility incharges to the data warehouse
K. Analysis and use of data
3. Establish mechanisms
for routine data
validation (timeliness,
completeness, accuracy
and consistency) at
facility and all other
levels
4. Conduct annual
internal review of data
quality at each health
facility and each health
office (e.g. through selfadministered checklist or
during supervisory visit)
5. Undertake annual
exercise of comparing
data from routine
sources with data from
population-based
surveys
A. Task force to meet once each

year to compare all statistics
including the estimates from the
annual WHO/ UNICEF joint
assessment of immunization
coverage
B. Present findings at annual
review meeting
6. Conduct biannual
health facility survey to
verify data quality at a
sample of facilities and
health offices
Survey all provincial and all

district health offices and at least
25% of all health facilities
6. Conduct biannual
health facility survey to
verify data quality at a
sample of facilities and
health offices
Back to
navigation
Survey all provincial and all

district health offices and at least
25% of all health facilities
More than once 3

see Outcome No. 1 for activities
Transport for 4 one-way "p to d" t
Transport for 4 "n to p" roundtri
Transport for 4 one-way "d to f" tr
see Outcome No. 1 for related re
Resident IT adviser (2 years + 1
Establish and fill a long-term IT
Establish and fill a long-term d
I-STTA (40 days + 1 round-trip)
Task force (5 persons for 10 day
Workshop to reach consensus on
Transport for a one-way trip/distr
I-STTA (10 days)
I-STTA (20 days + 1 round-trip) (
Task force (5 persons for 10 days
Procurement of equipment (see I
Contracting for installation (US
Task force (5 persons for 5 days
Acquire software -- consider op
Task force for reporting on outpa
Task force for reporting on inpat
I-STTA (20 days + 1 round trip) (
User group (10 persons for 20 d
I-STTA (120 days + 4 round trips
Task force (5 persons for 30 day
I-STTA (2 days/site + 1 round-tri
Deployment and maintenance supp
see Outcome No. 2 for related tra
Meetings at district level -- 2 day
see Outcome No. 2 for related in-se
see Outcome No. 1 for related re
see Outcome No. 2 for related insee Outcome No. 9 for other acti
see Outcome No. 1 for activitie
see Outcome No. 2 for related inSee Outcome No. 3-1 for supervis
See Outcome No. 3-1 for supervisi
Annual task force meeting (5 per
See Recommended Indicator No.
One day of rental of a vehicle a
Total number of inputs that a
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
facilities that report data on key indicators to the national level with 30 days after the end
each quarter
Inputs
(follow hyperlink when available)
Start year
inputs
see Outcome No. 1 for activities to develop policies and

procedures for data management at district and
hospital
Transportlevels
for 4 one-way "p to d" trips/ district/ year + 4
days of per diem/district
Transport for 4 "n to p" roundtrips/ province / year + 8

days of per diem/ province

procedures for reporting and data management at
facility level
Transport for 4 one-way "d to f" trips/ facility/ year + 4
days of per diem/ facility
see Outcome No. 1 for related recruitment and preservice training to build capacity for data management
Resident IT adviser (2 years + 1 round-trip)
Establish and fill a long-term IT specialist position in the
MoH
Establish and fill a long-term database manager
position in the MoH

Workshop to reach consensus on initial design (15 persons for 1 day)
Transport for a one-way trip/district + 2 days of per
diem/district
Transport for a one-way trip/district + 2 days of per

diem/district
I-STTA (10 days)
I-STTA (20 days + 1 round-trip) (1)

Procurement of equipment (see ICT hardware costing module for details)
Contracting for installation (US$ 20,000 centrally plus
US$ 500 per district) and maintenance (US$ 5,000 per
year centrally plus US$ 150 per district per year)
Acquire software -- consider open source
12
12
Task force for reporting on outpatient care (10 persons for 20 days)
Task force for reporting on inpatient care (10 persons for 20 days)
I-STTA (20 days + 1 round trip) (2)

International consultant (standard fee)
User group (10 persons for 20 days)

I-STTA (120 days + 4 round trips during year one; plus

20 days & 1 round trip each year)
I-STTA (2 days/site + 1 round-trip) to install software,

supervise deployment and provide on-the-job
instruction
Deployment and maintenance supported by contractor

(see "contracting for installation and maintenance"
above)
see Outcome No. 2 for related training activities for
hospital, district, provincial and national data managers
Meetings at district level -- 2 days of per diem per health facility + transport for a one-way trip/district + 2 days of pe
see Outcome No. 2 for related in-service training

activities for facility staf
see Outcome No. 1 for related recruitment and preservice training to build capacity for analysis and
dissemination of health data
activities to support use of health data
see Outcome No. 9 for other activities to support
analysis, dissemination and use
procedures for reporting and data management
activities to support routine data validation
See Outcome No. 3-1 for supervision to support routine
data validation
procedures for annual internal review of data quality at
each health facility and each health office
See Outcome No. 3-1 for supervision to support annual
internal review of data quality at each health facility
and each health office
Annual task force meeting (5 persons for 5 days)
See Recommended Indicator No. 9 -- annual review

meeting
One day of rental of a vehicle and two days of per diem
per site surveyed
One day of rental of a vehicle and two days of per diem

per site surveyed
onal level with 30 days after the end of

11
COSTING QUESTIONS
(to be answered)
COST
Q1
1
Number of persons
trips (one way)
days pp ($)
trips (one way)
Number of persons
days pp ($)
trips (one way)
Number of persons
days pp ($)
1 Cost
Yes
Yearly salary (all costs)
Yearly salary (all costs)
International consultant Daily fee A (including per6diem)
days
#VALUE!
days
#VALUE!
Include int. flight?
1
0
0
1
Number of persons
12
trips (one way)
Q2
days pp ()

days
#VALUE!
days
#VALUE!
days
#VALUE!
days
#VALUE!
2
-
1
0
Start up cost
Yearly maintenance
0
0
Start up cost
Yearly maintenance
0
0
0

2
2
days
days
-
#VALUE!
#VALUE!
1
0

#VALUE!
days
#VALUE!

days
2
-
days
#VALUE!
days
#VALUE!
1
0
days
#VALUE!
National consultant Daily fee A (including per diem)

3
days
#VALUE!
Yearly maintenance (start cost see above)
officers
days
Rental of 6 person 4 x 4 (per day) (includes driver2/ fuel

)
Choose
transport
TOTAL
TOTALS
#VALUE!
Q1
0
Q2
0
Recommended Indicator # 3: Percent of health fa
Q1
Human Resources
Training
Overheads
Other
Q2
-
13
14
21
22
23
24
Cost
compo
nent
Q3
Q4
Q1
Q2
Q3
Q4
Q3
0
Q4
0
Q1
0
Q2
0
Q3
0
Q4
0
cator # 3: Percent of health facilities that report data on key indicators to the national level with 30 days after the end of each quar
Q3
Q4
Q1
Q2
-
Q3
Q4
-
(13) (14) (15)
COST COMPONENTS :(1) Human Resources (2) Technical & Management Assistance (3) Training (4) Health Products and
Health Equipment (5) Pharmaceutical Products (Medicines) (6) Procurement and Supply Management Costs (PSM) (7)
Infrastructure and Other Equipment (8) Communication Materials (9) Monitoring and Evaluation (M&E) (10) Living Support
to Clients/Target Population (11) Planning and Administration (12) Overheads (13) Other (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
(13) (14) (15)
ter the end of each quarter
Recommended Indicator # 4: Percent of registered private-for-profit facilities

guidelines in the past twelve months
Key Illustrative
Activities
Sub-activities
1. Build consensus
among professional
associations and
public health officers
on regulations and
data collection forms
for private sector
reporting
A. Draft regulations including

data collection forms and
procedures
Start
year
inputs
Inputs
(follow hyperlink
when available)
Start
year
inputs
A working group of 5-7 persons meets once per w
A national or
international
consultant for 2
months
A consultative meeting in each region/province: 2
Consultative meeting with representatives of profe
B. National consensus meeting
30 60 participants for one day
2. Conduct a
biannual census of
private sector
facilities
A. Implement Service
Availability Mapping exercise,
and introduction of unique
identifiers for facilities
3. Conduct annual
joint review of data
quality at a sample of
private health
facilities
A. Joint team, constituted by

private facility staf and
province/district public health
officers supervise randomly
selected facilities for control of
data quality
US$ 200,000 per

round to map all
facilities and key
services (public as
well as private)
Teams of 2-3 persons
visit for one day per
selected health
facility
B. Annual meetings with

private providers in each
district, province and at
national level
Half day meetings (including one coffee break an
4. Support application A. Regular supervisory visits to

of the national
private sector facilities
regulations regarding
private sector
reporting
B. Annual meetings with
private providers in each
district, province and at
national level
Half-day of transport costs and half-day of daytim
Half day meetings (including one coffee break an
Back to
navigation
More than once 4

A working group of 5-7 pers
A national or international c
A consultative meeting in ea
Consultative meeting with re
30 60 participants for one
US$ 200,000 per round to map
Teams of 2-3 persons visit fo
Half day meetings (including
Half-day of transport costs a
Half day meetings (including
Total number of inputs tha
1
1
1
1
1
1
1
1
1
1
0
or-profit facilities reporting according to national

welve months
11
COSTING QUESTIONS
(to be answered)
COST
Q1
0
International consultant Daily fee A (including per 6diem)
days
days
0
0
Cost
0
Number
of officers
Per Diem
12
0
Rental of 8 person van (per day) (includes driver / 1fuel
)
Choose
No. of days
transport
Q2
Q1
TOTALS
TOTAL
-
Q2
-
Recommended Indicator # 4: Percent of registered
Q1
Human Resources
Training
Overheads
Other
Q2
-
13
Q3
14
Q4
21
Q1
22
Q2
23
Q3
24
Q4
Q3
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
cator # 4: Percent of registered private-for-profit facilities reporting according to national guidelines in the past twelve months
Q3
Q4
Q1
Q2
-
Q3
Q4
-
Cost
compon
ent
FUNDING :(1) Government (2) GF 1 (3) GF 2 (4) GF 3 (5) GF 4 (6) World Bank (7) DfID (8)
UNAIDS (9) (10) (11) (12) (13) (14) (15)
COST COMPONENTS :(1) Human Resources (2) Technical & Management Assistance (3)
Training (4) Health Products and Health Equipment (5) Pharmaceutical Products (Medicines) (6)
Procurement and Supply Management Costs (PSM) (7) Infrastructure and Other Equipment (8)
Communication Materials (9) Monitoring and Evaluation (M&E) (10) Living Support to
Clients/Target Population (11) Planning and Administration (12) Overheads (13) Other (14) (15)
UNAIDS (9) (10) (11) (12) (13) (14) (15)
UNAIDS (9) (10) (11) (12) (13) (14) (15)
ines in the past twelve months
Recommended Indicator # 5: Percent of facilities that completed and submitted qu

of tracer drugs
Key Illustrative
Activities
Sub-activities
1. In close collaboration A. Draft procedures

with the Pharmacy Dept
and National Medical
Stores, develop
procedures and
reporting formats for
integrated management
of the supply of
medicines,
contraceptives, vaccines
and other consumables.
B. National consensus
meeting(s)
2. Develop a plan with
materials for in-service
training of staf at
various levels in supply
management.
A. Draft the plan and

design/develop materials
B. National consensus workshop

for planning of in-service
training in integrated logistics
management
3. Conduct in-service
A. Training of facility-level staf
training on logistics and (one person at each facility)
supply management
with emphasis on data
B. Training of district-level staf
management and use
(two persons in each district)
for decision making
C. Training of provincial-level
staf (three persons in each
province)
D. Training of national level
staf (5 persons)
Start
year
sub
activi
ties
Back to
navigation
More than once 5

A working group of 5-7 persons
A national or expatriate consult
2 consultative meetings with p
1-2 meetings: 30 60 participa
Task force (4 persons for 15 da
National STTA (at least15 days)
National workshop (30 persons
Suggested 2 day course with a h
Suggested 5 day course with one
1
1
1
1
1
1
1
1
1
Suggested 5 day course with one

Suggested 10 day course with tw
Total number of inputs that
1
1
0
lities that completed and submitted quarterly reports on stock levels

of tracer drugs
Inputs
available)
Start
year
input
s
COSTING QUESTIONS
(to be answered)
A working group of 5-7 persons (including representatives of Pharmacy Dept. and National Medical Stores) meets o
A national or expatriate
consultant for 1-3 months
days
days
0
2 consultative meetings with program managers and aid partners (25 persons for one day)
1-2 meetings: 30 60 participants for one day

National STTA (at least15
days)
days
days
0
National workshop (30 persons for two days)
Suggested 2 day course with a half day of refresher training each year
Suggested 5 day course with one day of refresher training each year (1)
Suggested 5 day course with one day of refresher training each year (2)
Suggested 10 day course with two days of refresher training each year
TOTALS
Human Resources
Overheads
11
12
13
14
21
22
23
24
COST
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
0
0
#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
TOTAL
#VALUE!
Q1
###
Q2
###
Q3
###
Q4
###
Q1
###
Q2
###
Q3
###
Q4
###
###
Recommended Indicator # 5: Percent of facilities that completed and submitted quarterly reports on stock levels of tra
Human Resources
nagement Assistance
Training
and Health Equipment
Products (Medicines)
agement Costs (PSM)
and Other Equipment
mmunication Materials
and Evaluation (M&E)
nts/Target Population
ng and Administration
Overheads
Other
Q1
Q2
-
Q3
Q4
Q1
Q2
-
Q3
Q4
-
Cost
compo
nent
#VALUE! #VALUE!
###
###
rts on stock levels of tracer drugs
FUNDING :(1) Government (2) GF 1 (3) GF 2 (4) GF 3 (5) GF 4 (6) World Bank (7) DfID (8) UNAIDS (9) (10)
(11) (12) (13) (14) (15)
COST COMPONENTS :(1) Human Resources (2) Technical & Management Assistance (3) Training (4)
Health Products and Health Equipment (5) Pharmaceutical Products (Medicines) (6) Procurement and Supply
Management Costs (PSM) (7) Infrastructure and Other Equipment (8) Communication Materials (9)
Monitoring and Evaluation (M&E) (10) Living Support to Clients/Target Population (11) Planning and
Administration (12) Overheads (13) Other (14) (15)
(11) (12) (13) (14) (15)
(11) (12) (13) (14) (15)
Recommended Indicator #6: A multi-year plan for coordination of household survey

Key Illustrative Activities Sub-activities
1. Draft and reach

consensus on a multi-year
plan to coordinate the
timing, key variables
measured and funding of
nationally representative
population-based surveys
which measure health
indicators
Start
year
sub
activit
ies
A. Compare the proposed timing

and questionnaires for all major
surveys planned for the next five
years to identify overlaps,
inconsistencies and gaps; draft
recommendations
B. Draft a multi-year plan
including recommendations for
harmonizing the timing and
content of major surveys
C. Build consensus for the multiyear plan and accompanying
recommendations
2. Financing specific
household surveys
A. Conduct DHS with testing for

HIV +/- malaria
B. Conduct malaria survey with
or without testing for malaria
C. Conduct tuberculosis
prevalence survey
Back
to
navigat
ion
More than once 6

National workshop -- 30 persons for
See costing modules for DHS -- cons
See costing modules for DHS, MICS o
Refer to Stop TB Program for detail
Total number of inputs that appe
1
1
1
1
1
1
0
for coordination of household surveys developed and disseminated

Inputs
available)
COSTING QUESTIONS
(to be answered)
Start
year
input
s
I-STTA (20 days + 1 roundtrip)
9
0
National workshop -- 30 persons for one day
See costing modules for

DHS -- consider co-financing
See costing modules for
DHS, MICS or smaller
surveys -- consider cofinancing
Refer to Stop TB
Program for details
Number of households (check table)

Number of households (check table)
Back
to
navigat
ion
11
12
13
14
21
22
23
24
COST
Q1
Q2
Q3
Q4
Q1
Q2
Q3
Q4
days
days
0
0
0
TOTALS
TOTAL
-
Q1
Q2
-
Q3
-
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
Recommended Indicator #6: A multi-year plan for coordination of household surveys developed and dissem
Human Resources
hnical & Management Assistance
Training
Products and Health Equipment
maceutical Products (Medicines)
Supply Management Costs (PSM)
astructure and Other Equipment
Q1
Q2
-
Q3
Q4
Q1
Q2
-
Q3
Q4
port to Clients/Target Population
Overheads
Other
Cost
compo
nent
FUNDING :(1) Government (2) GF 1 (3) GF 2 (4) GF 3 (5) GF 4
(6) World Bank (7) DfID (8) UNAIDS (9) (10) (11) (12) (13) (14)
(15)
COST COMPONENTS :(1) Human Resources (2) Technical &
Management Assistance (3) Training (4) Health Products and
Health Equipment (5) Pharmaceutical Products (Medicines) (6)
Procurement and Supply Management Costs (PSM) (7)
Infrastructure and Other Equipment (8) Communication Materials
(9) Monitoring and Evaluation (M&E) (10) Living Support to
Clients/Target Population (11) Planning and Administration (12)
Overheads (13) Other (14) (15)
s developed and disseminated
Recommended Indicator #7: Percent of population covered by mortality civil regis

system
Sub-activities
2. Review existing legislation,

procedures and practices
a. Review legal framework for

death reporting
b. Review procedures and practices
of reporting and recording death
events and causes of death from
household and facilities up to
national level
c. Review death registration forms
d. Analyse existing data and review

the use of mortality statistics
PATH A. TO AIM FOR NATION-WIDE COMPLETE CIVIL REGISTRATION
3. Develop plan to improve civil SYSTEM
a. Consultative meeting to develop
registration system
plan
b. Revise legislation as necessary
c. Develop plans for increasing

completeness in urban and rural
areas
Sta
rt
yea
r
sub
acti
viti
es
c. Develop plans for increasing

completeness in urban and rural
areas
d. Revise forms
4. Enact legislation
5. Advocacy
e. Present and obtain consensus on

plan and revised legislation and
forms
a. Develop advocacy plan
b. Run campaign
c. Review campaign
6. Implementation of improvement a. Develop software program as
plan
necessary for death registration
a. At registrar level
b. At district level
c. At provincial level
d. At national level
7. Operational research on the

a. Develop protocol
efectiveness of incentives and on b. Data collection
overcoming barriers to registration c. Data analysis
d. Production of reports
8. Assessment of status
(completeness and coverage) of
death registration
9. Annual Review of Mortality

Statistics
10. Dissemination of information to
media, civil society
PATH B. TO AIM FOR ESTABLISHING SAMPLE REGISTRATION SYSTEM
(AS INTERIM MEASURE WHILE BUILDING CAPACITY FOR NATION-WIDE
CIVIL REGISTRATION SYSTEM)
3. Develop plan for Sample

Registration System with Verbal
Autopsy
a. Consultative meeting
b. Select and define representative
sample areas
4. Establish Sample Registration

System with Verbal Autopsy
5. Operational research on the

a. Develop protocol
efectiveness of incentives and on b. Data collection
overcoming barriers to registration c. Data analysis
d. Production of reports
6. Assessment of completeness and

coverage of death registration
7. Annual Review of Mortality
Statistics
8. Dissemination of information to
media, civil society
More than once 7

Task Force (3 persons for 1 month) (1)
Short Term TA (1 person for 2 weeks) (1)
Production of reports, 10 pages, 100 copies (1)
Task Force (3 persons for 3 months)
STTA (1 person for 1 month) (2)
5 travel to provinces and districts, 2 week each
Production of reports, 30 pages, 100 copies
2 national workshops, @ 30 persons, 5 days (1)
Preparatory work, Task Force (3 persons, 1 month
STTA (1 person, 2 weeks) (1)
Produce draft revised legislation, 10 pages, 100 copies
Task Force (3 persons, 2 months)
1
1
1
1
1
1
1
1
1
1
1
1
STTA (1 person, 1 month)

Produce draft plan, 30 pages, 100 copies
Task Force (3 persons, 1 month) (3)
Produce draft forms, 30 pages, 100 copies
See recommended indicator 1-6
STTA (1 person, 2 weeks)
Media campaign, radio, TV, posters
?????
Recruit new registrars, persons
Training of registrars on registration and reporting, pe
Provision of death registration forms
Provision of forms to report to district
Recruit new persons-in-charge, persons (1)
Training of district officials on data compilation and anal
Provision of computers, units
Production of monthly reports,
Recruit new persons-in-charge, persons (2)
Training of provincial officials on data compilation and a
Provision of computers, units (1)
Production of quarterly report
Training of provincial officials on data compilation and a
Production of annual reports
Estimate USD 50,000 (1)
Short Term TA (1 person for 2 weeks) (2)
Production of reports, 10 pages, 100 copies (2)
National workshop, @ 30 persons, 2 days
??????
2 national workshops, @ 30 persons, 1 day
STTA (1 person for 2 weeks) (4)
Apply SAVVY budgeting tool
(Estimate USD 1.3 m per year for 5 years, USD 1m there
Task Force (3 persons for 1 week)
Production of reports
National meeting, .. persons.. day
???????
Total number of inputs that appear more t
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
ered by mortality civil registration

Inputs
available)
COSTING QUESTIONS
(to be answered)
Star
t
year
inpu
ts

Short Term TA (1 person for 2
weeks) (1)
Production of reports, 10 pages,

100 copies (1)
National consultant Daily fee A (including per diem)

3
National consultant Daily fee B (including per diem)

4

STTA (1 person for 1 month) (2)
5 travel to provinces and districts, 2

week each
Per Diem
0
3 Choose transport

100 copies

9
9
Produce draft revised legislation, 10

pages, 100 copies
4
9
9
Produce draft plan, 30 pages, 100

copies

Produce draft forms, 30 pages, 100

copies
4
9
9

See recommended indicator 1-6
STTA (1 person, 2 weeks)
9
9
Media campaign, radio, TV, posters

?????
9
International consultant Daily fee C (including per8diem)
Recruit new registrars, persons
Number of registars
Yearly cost / salary
Training of registrars on registration and reporting, persons .. days

Provision of death registration
forms
Provision of forms to report to
district
Recruit new persons-in-charge,
persons (1)
Number of persons in charge

Training of district officials on data compilation and analysis, persons

Provision of computers, units
Production of monthly reports,
Recruit new persons-in-charge,
persons (2)
Number of computer needed (incl software)

Aqcuisition cost (maintenance??)
Number of persons in charge

Training of provincial officials on data compilation and analysis, persons (1)

Production of quarterly report

Training of provincial officials on data compilation and analysis, persons (2)

Production of annual reports


Short Term TA (1 person for 2
weeks) (2)

100 copies (2)
9
9
National workshop, @ 30 persons, 2 days

??????
2 national workshops, @ 30 persons, 1 day

STTA (1 person for 2 weeks) (4)
9
9
Apply SAVVY budgeting tool
THIS ONE IS DIFFERENT, FILL IN AMOUNTS PER YEAR IN

YELLOW CELLS !!!!!!!!!!!!!!!!!!!!!!11
(Estimate USD 1.3 m per year

for 5 years, USD 1m thereafter)
50,000

???????
Back to
navigation
Technical & Management Assista
Health Products and Health Equipm

Pharmaceutical Products (Medicin
Procurement and Supply Management Costs (P
Infrastructure and Other Equipm
Communication Mater
Monitoring and Evaluation (M
Living Support to Clients/Target Popula
Planning and Administra
11
NS
12
13
14
21
22
23
24
COST
Q1
0
days
days
number
days
#VALUE!
days
#VALUE!
0
officers
days
Choose transport
number
0
0
days
days
0
number
days
days
0
Q2
Q3
Q4
Q1
Q2
Q3
Q4
number
days
days
0
number
0
0
days
days
0
days
days
0
0
number
number
0
number
0
number
0
number
0
days
days
0
number
0
0
days
days
0
NTS PER YEAR IN

0
50,000
0
number
TOTAL
TOTALS
Q1
#VALUE!
Q2
-
Q3
-
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
Human Resources
hnical & Management Assistance
Training
Products and Health Equipment
maceutical Products (Medicines)
Supply Management Costs (PSM)
astructure and Other Equipment
port to Clients/Target Population
Overheads
Other
Q1
Q2
-
Q3
Q4
Q1
Q2
-
Q3
Q4
Cost
compo
nent
ation system
FUNDING :(1) Government (2) GF 1 (3) GF 2 (4) GF 3 (5) GF 4 (6) World Bank (7) DfID (8) UNAIDS (9) (10) (11) (12) (13)
(15)
Infrastructure and Other Equipment (8) Communication Materials (9) Monitoring and Evaluation (M&E) (10) Living Support to
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
(15)
Recommended Indicator #8: Percent of registered deaths with cause of death certified
legal-authority
Key Illustrative
Activities
Sub-activities
Start
year
sub
activitie
s
Inputs
available)
Task Force (3 persons for 1 month)
1. Assessment of current
completeness of cause
of death registration

100 copies
2. Review existing
legislation, procedures
and practices
3. Develop plan to
improve cause of death
certification and
registration
a. Review legal
framework for cause
of death reporting
b. Review
procedures and
practices of
reporting and
recording death
events and causes of
death from
household and
facilities up to
national level
c. Review death
certificate
STTA (1 person for 1 month)
d. Analyze existing
data and review the
use of cause of
death statistics
Printing of reports, 30 pages, 100

copies
a. Consultative
meeting to develop
plan
b. Revise legislation
as necessary
5 travel to provinces and districts,

2 weeks each
as necessary
Produce draft revised legislation,

10 pages, 100 copies
c. Develop plans for
hospital deaths,
domiciliary deaths in
urban areas,
domiciliary deaths in
rural areas

d. Revise forms
Task Force (3 persons, 1 month)

Produce draft plan, 30 pages, 100

copies
Produce draft forms, 30 pages,

100 copies
4. Introduce death
certificate conforming
with international
standard
5. Implementation of
plan for hospital deaths
6. Implementation of
plan for domiciliary
deaths
e. Present and obtain

consensus on plan
and revised
legislation and forms
a. Design revised
death registration
forms to incorporate
standard cause of
death certification
b. Produce
certificates
a. Development of
training modules for
doctors on cause of
death attribution and
ICD-10
b. Training for
doctors
a. Production of
Verbal Autopsy Form
b. Development of
training modules for
VA interviewers and
coders
c. Recruit VA
interviewers
d. Recruit coders
e. Training of VA
interviewers

STTA (2 weeks) (5)
Training for persons days
f. Training of coders
7. Tabulation, analysis
and use of data
a. Recruit data
analysts
a. Training on data
analysis
b. Produce reports
6. Assessment of
completeness and
coverage of cause of
death
registration
7. Annual
Review of

Mortality Statistics
8. Dissemination of
information to media,
civil society
Notes: For countries that opt for Sample Registration System with
Verbal Autopsy, the activities for this recommended indicator are
More than once 8

Task Force (3 persons for 1 month)
Production of reports, 10 pages, 100 co
STTA (1 person for 1 month)
5 travel to provinces and districts, 2 w
Printing of reports, 30 pages, 100 copie
2 national workshops, @ 30 persons, 5
Preparatory work, Task Force (3 person
Produce draft revised legislation, 10 pa
Produce draft plan, 30 pages, 100 copi
Task Force (3 persons, 1 month)
Produce draft forms, 30 pages, 100 cop
2 national workshops, @ 30 persons, 5
0
STTA (2 weeks) (5)
Training for persons days
0
0
0
0
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
Total number of inputs that a
0
0
0
0
0
1
1
1
0
0
of death certified by a doctor or any medico

11
Star
t
year
inpu
ts
COSTING QUESTIONS
(to be answered)
COST
Q1
0
9
days
days
0
number
days
days
0
officers
days
3 Choose transport
number
0
0
12
days
days
-
Q2
number
days
days
0
number
days
days
0
number
0
0
9
days
days
0
COST
0
0
9
days
days
0
COST
COST
0
COST
COST
COST
0
0
0
COST
0
#VALUE!
COST
COST
COST
0
0
number
COST
0
TOTAL
TOTALS
Q1
#VALUE!
Q2
-
Recommended Indicator #8: Percent of register
Q1
Human Resources
Training
Overheads
Other
Q2
-
13
Q3
14
Q4
21
Q1
22
Q2
23
Q3
24
Q4
#VALUE!
Q3
Q4
-
Q1
-
Q2
#VALUE!
Q3
-
#VALUE!
#VALUE!
#VALUE!
#VALUE!
Q4
-
or #8: Percent of registered deaths with cause of death certified by a doctor or any medico legal-authority
Q3
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
Cost
compo
nent
#VALUE!
#VALUE!
FUNDING :(1) Government (2) GF 1 (3) GF 2 (4) GF 3 (5) GF 4 (6) World Bank (7) DfID (8) UNAIDS (9) (10) (11)
(12) (13) (14) (15)
COST COMPONENTS :(1) Human Resources (2) Technical & Management Assistance (3) Training (4) Health
Products and Health Equipment (5) Pharmaceutical Products (Medicines) (6) Procurement and Supply
Management Costs (PSM) (7) Infrastructure and Other Equipment (8) Communication Materials (9) Monitoring and
Evaluation (M&E) (10) Living Support to Clients/Target Population (11) Planning and Administration (12) Overheads
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
(12) (13) (14) (15)
(13) Other (14) (15)
Recommended Indicator 9: Improved dissemination and use of health information at nat

Key Illustrative
Activities
1. Institutionalize
monthly meetings and
updating of cumulative
coverage charts (for
immunization, ANC,
supervised deliveries,
VCT, ART) by each
2.
Institutionalize
health
facility
monthly or more
frequent mortality
reviews (e.g. maternal
death audits) at all
hospitals
3. Institutionalize
quarterly and annual
meetings at district
level at which analysed
data on services and
resources are
presented, compared
and discussed
Sub-activities
Start
year
sub
activitie
s
Inputs
available)
See Recommended
Indicator 1 for procedures
See Recommended
Indicator 2 for in-service
training
See Recommended
Indicator 3 for supervision
Develop policies and
procedures for mortality
reviews at facility level
See Recommended
Indicator 1 activity 6
Introduce incentives for

mortality reviews
Snacks (once each month

for all hospitals)
Costs associated with
financing incentives (not
necessarily monetary)
A. Conduct monthly district

meetings
Monthly district meetings District transport a
B. Conduct annual district

meetings Annual meetings
should include an exercise to
allocate catchments
population among facilities,
compare coverage estimates
and set targets;
Yearly district meetings District transport all
C. At bi-annual meetings,
facility staf present analysis
of data to local government
officials and community
leaders in their catchment
areas
One-two day meetings with health facility st
4. Institutionalize
quarterly and annual
meetings at provincial
level at which district
teams present,
compare and discuss
analysed data on
services and resources
5. Institutionalize
annual national health
sector reviews at which
statistics are presented
and compared on all
districts, all provinces,
all major public health
programs and various
building blocks of the
health system
(financing, health
workforce, drug supply,
infrastructure,
transport, etc)
A. Conduct annual provincial

meetings with minutes of
meetings produced and
disseminated.
Provincial meetings District to provincial tra
B. Produce summary reports

and disseminate to HQ and
all districts
Printing (50 pages x 2

copies per district)
A. Support and provide

incentives for presentation of
health statistics at the
annual national health sector
review
See Recommended
Indicator No. 1 for policies
and procedures
supporting and providing
incentives for presentation
of health statistics at an
annual health sector
review
I-STTA (80 days + 4 roundtrips)
Task force for analysis, dissemination and u
B. Conduct annual national

review
National workshop (50 persons for 3 days)
C. Produce summary report

and disseminate to all
provinces and all districts
N-STTA (20 days)
Task force (40 days)

Printing (50 pages x
(districts + provinces +
25) + US$ 1,000 postage
6. Undertake annual
exercise of comparing
data from routine
sources with data from
population-based
surveys
A. Task force to meet once

each year to compare all
statistics including the
estimates from the annual
WHO/ UNICEF joint
assessment of immunization
coverage
B. Present findings at annual
review meeting
See Recommended
Indicator No. 3-5
See Recommended
Indicator No. 9-1
7. Produce and
disseminate an annual,
country statistical
report summarizing key
statistics including best
estimates for each of
8. Produce and
disseminate a weekly
epidemiological bulletin
A. Prepare annual, country

statistical report
B. Disseminate report to the

public and all health facilities
and all health offices
Printing (50 pages x

(districts + provinces +
25) + US$ 1,000 postage
A. Prepare weekly
epidemiological bulletin
B. Disseminate report to the

public and all districts and
provinces
Printing (5 pages x 52
issues/year x (districts +
provinces + 25) + US$
1,000 postage
9. Develop and
implement a strategy
for dissemination of
information via the web
site of the Ministry of
Health
A. Develop the web

communication strategy in
line with an overall health
and advocacy
communication strategy
B. Design the web site
C. Compile useful
information and post it on
theMaintain
website and proactively
D.
update website
Back to
navigation
Presentation at national
annual review -see above
I-STTA + 1 round-trip
Contract to maintain
website
Task force (4 persons meet for a day every
??
information at national and sub-national levels

Start
year
input
s
COSTING QUESTIONS
(to be answered)
11
12
COST
Q1
Costs for these snacks
Costs for these financing incentives
Q2
number
days
days
0
0
days
#VALUE!
International consultant Daily fee B (including per7diem)1
days
1
0
number
number
number
days
days
0
0
Cost for maintenance per year
TOTAL
TOTALS
#VALUE!
Q1
-
Q2
-
Recommended Indicator 9: Improved dissemin
Q1
Human Resources
Training
Q2
-

Overheads
Other
13
14
21
22
23
24
Cost
compo
nent
Q3
Q4
Q1
Q2
Q3
Q4
Q3
-
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
cator 9: Improved dissemination and use of health information at national and sub-national levels
Q3
Q4
-
Q1
-
Q2
-
Q3
-
Q4
-
(14) (15)
(14) (15)
(14) (15)
(14) (15)
(14) (15)
(14) (15)
(14) (15)
Infrastructure
Other Equipment
Materials
(9)World
Monitoring
andDfID
Evaluation
(M&E)
Living
to
FUNDING :(1)and
Government
(2) GF 1(8)
(3)Communication
GF 2 (4) GF 3 (5)
GF 4 (6)
Bank (7)
(8) UNAIDS
(9)(10)
(10)
(11)Support
(12) (13)
Clients/Target
Population (11) Planning and Administration (12) Overheads (13) Other (14) (15)
(14) (15)
(14) (15)
(14) (15)
(14) (15)
FUNDING
:(1) Population
Government
(2)Planning
GF 1 (3)and
GF Administration
2 (4) GF 3 (5) GF
(6) World Bank
(7) DfID
(8) (15)
UNAIDS (9) (10) (11) (12) (13)
Clients/Target
(11)
(12)4Overheads
(13) Other
(14)
(14) (15)
TOTALS
COST COMPONENT
Q1
Human Resources
Training
Overheads
Other
Q2
#REF!
-
Q3
-
Q4
-
Separate outcomes per indicator

COST COMPONENT
Human Resources
Training
Overheads
Other
Q1
Q2
-
Q3
-
Q4
-
Recommended Indicator # 2: Percent of health managers and health workers with appropriate skills in data managem
COST COMPONENT
Q1
Human Resources
Training
Overheads
#REF!
Q2
#REF!
Q3
Q4
Recommended Indicator # 3: Percent of health facilities that report data on key indicators to the national level with 30
COST COMPONENT
Q1
Human Resources
Training
Overheads
Other
Q2
-
Q3
-
Q4
-
Recommended Indicator # 4: Percent of registered private-for-profit facilities reporting according to national guideline
COST COMPONENT
Human Resources
Training
Q1
Q2
-
Q3
-
Q4
-

Overheads
Other
COST COMPONENT
Q1
Human Resources
Training
Overheads
Other
Q2
-
Q3
-
Q4
-
Recommended Indicator #6: A multi-year plan for coordination of household surveys developed and disseminated
COST COMPONENT
Human Resources
Training
Q1
Q2
-
Q3
-
Q4
-
Overheads
Other
COST COMPONENT
Q1
Human Resources
Training
Overheads
Other
Q2
-
Q3
-
Q4
-
Recommended Indicator #8: Percent of registered deaths with cause of death certified by a doctor or any medico lega
COST COMPONENT
Human Resources
Training
Overheads
Other
Q1
Q2
-
Q3
-
Q4
-
Recommended Indicator 9: Improved dissemination and use of health information at national and sub-national levels
COST COMPONENT
Human Resources
Training
Overheads
Other
Q1
Q2
-
Q3
-
Q4
-
Q1
Q2
-
Q3
-
Q4
-
epared and widely endorsed
Q1
Q2
-
Q3
-
Q4
-
propriate skills in data management and data use
Q1
Q2
Q3
Q4
tors to the national level with 30 days after the end of each quarter
Q1
Q2
-
Q3
-
Q4
-
g according to national guidelines in the past twelve months
Q1
Q2
-
Q3
-
Q4
-
erly reports on stock levels of tracer drugs
Q1
Q2
-
Q3
-
Q4
-
developed and disseminated
Q1
Q2
-
Q3
-
Q4
-
Q1
Q2
-
Q3
-
Q4
-
d by a doctor or any medico legal-authority
Q1
Q2
-
Q3
-
national and sub-national levels
Q4
-
Q1
Q2
-
Q3
-
Q4
-
Chose year
6
INPUT
COST
Q1
10
Q2
Recommended Indicator # 2: Percent of health managers and health workers with appropriate skills in data managem
INPUT
COST
Q1
Q2
Recommended Indicator # 3: Percent of health facilities that report data on key indicators to the national level with 30
INPUT
Contracting for installation (US$ 20,000 centrally plus US$ 500 per district
COST
Q1
Q2
Recommended Indicator # 4: Percent of registered private-for-profit facilities reporting according to national guideline
INPUT
COST
Q1
Q2
INPUT
COST
Q1
Q2
Recommended Indicator #6: A multi-year plan for coordination of household surveys developed and disseminated
INPUT
COST
Q1
Q2
INPUT
COST
Q1
Q2
Recommended Indicator #8: Percent of registered deaths with cause of death certified by a doctor or any medico lega
INPUT
COST
Q1
Q2
Recommended Indicator 9: Improved dissemination and use of health information at national and sub-national levels
INPUT
COST
Q1
Q2
ed and widely endorsed

11
Q3
12
Q4
13
Q1
14
Q2
15
Q3
16
Q4
17
18
19
iate skills in data management and data use
Q3
Q4
Q1
Q2
Q3
Q4
to the national level with 30 days after the end of each quarter
Q3
Q4
Q1
Q2
Q3
Q4
cording to national guidelines in the past twelve months
Q3
Q4
Q1
Q2
Q3
Q4
Q2
Q3
Q4
eports on stock levels of tracer drugs
Q3
Q4
Q1
loped and disseminated
Q3
Q4
Q1
Q2
Q3
Q4
Q3
Q4
Q1
Q2
Q3
Q4
a doctor or any medico legal-authority
Q3
Q4
Q1
Q2
Q3
Q4
onal and sub-national levels
Q3
Q4
Q1
Q2
Q3
Q4
Meetings for : Recommended indicator No. 1: Appropriate policies and procedures for the HIS are prepared and widely endorsed
1
2
3
4
5
(current inputs can be over written)
A working
group of 5
- 7 persons
meets
once /
week for 3
months
Number of consultative meetings

Length of consultative meetings (average number of days)
Number of local experts in meeting with Per Diem
Local experts Per Diem
Number of local experts in meeting with Day per diem (incl local transport)
Number of local experts in meeting with Overnight per diem (including hotel)
Number of international experts in attendance (per meeting)
Fee per international expert (per day)
Per diems for international experts (per person and per day)
Travel costs for international experts (per person) (flight)
Cost of room rental for this meeting (per day) (related to no. of participants)
Cost of a coffee, tea, cookies (per person & per day)
Cost of lunch per day per person
Cost of stationary (typical cost per meeting)
Other costs (typical cost per person)
Total cost of meetings
National
large,
workshop
for
planning
(50-60
persons) x
3-5 days.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
BACK TO OUTCOME 1
Consultati
ve meeting
with
program
managers,
aid
partners
and Ngos
(25
persons
for 1 day)
1-2Consultati
ve
meetings
by each
region/pro
vince: 25
persons
for 1 day
2-3
meetings
of 10-15
expert
national
officers of
Ministry of
Health
(MOH),
National
Statistics
Office
(NSO/CSO)
and Civil
Registratio
n of vital
0 events
0
(CR)
0
0
18
2
20
0
3
0
A working
group
establishe
d (5-7
persons).
One
meeting x
week x 3-6
months
Consensu
s
meeting(s).
Participant
s 30-60
according
the
country
population
and sector
administra
tive size.
10
11
A working
group of 4
-5
qualified
profession
als,
including
statistician
s meets for
1 - 2 weeks
2 days
meetings
for 30
senior and
mid-level
health and
healthrelated
managers
A working
group of 5
- 7 persons
meets
once per
week for 3
months
A
consultativ
e meeting
in each
region /
province:
up to 25
persons
for 1 day
11b
11c
A
30 - 60
consultativ participant
e meeting s in 1 day
with
governmen
t program
managers,
aid
partners
and NGOs
(25
persons
for 1 day)
11d
11e
2 days
meeting
for 30
senior and
mid-level
health and
health
related
managers
A working
group of 5
- 7 persons
( including
representa
tives from
civil
service
commissio
n + min. of
finance)
meets
once per
week for 3
months
11f
12
A
30 - 60
consultativ participant
e meeting s for 1 day
in each
region /
province:
25 persons
for 1 day
13
14
Multisector or
health
sector task
force of 3 5 persons
(including
at least 1
legal
expert)
meets for
15 - 30
days
Multisector or
health
sector task
force of 3 5 persons
(including
at least 1
legal
expert)
meets for
10 days to
review
regional
and
internation
0
al
examples
of health 0
related
laws and 0
regulation
s on
0
national
0
statistics,
0
public
0
health
issues and0
action
0
0
0
-
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
BACK TO OUTCOME 1
BACK TO OUTCOME 1
BACK TO OUTCOME 1
BACK TO OUTCOME 1
BACK TO OUTCOME 1
BACK TO OUTCOME 1
BACK TO
Training
for: Recommended
Indicator # 2: Percent of health managers and health workers with appropriate skills in data management and data use
OUTCOME
1
1
10
11
12
13
Suggested
2 day
course
with a
refresher
course
after the
first year
of 1 day /
year
Suggested
10 day
course
with a
refresher
course
after the
first year
of 3 days
per year (1)
Suggested
5 day
course
with a
refresher
course
after the
first year
of 2 days
per year (1)
Suggested
10 day
course
with a
refresher
course
after the
first year
of 3 days
per year (2)
Suggested
5 day
course
with a
refresher
course
after the
first year
of 2 days
per year (2)
Suggested
5 day
course
with a
refresher
course
after the
first year
of 2 days
per year (3)
10
11
12
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Yes0
Not used
Number of courses (per year)

Length of course (average number of days per course)
Number of participants (per course)
Number of participants requiring per diems (per course)
Cost of transportation (per participant)
Number of facilitators (average per course)
Per diem (per facilitator & per day)
Cost of transportation (per facilitator)
Number of participants requiring hotel (typical per course)
Cost of hotel (per person & per day)
Cost of refresher and lunch (per person & per day)
Cost of room rental (per day)
Cost of stationary (per participant)
Number of copies of training material (per session)
Cost of guidelines/training material (per copy)
Other costs <specify> (typical per course)
Cost of training
Refresher course
Number of courses (per year)
Length of course (average number of days per course)
Number of participants (per course)
Number of participants requiring per diems (per course)
District Household Survey (DHS)

For a
5,000
National
project
manager
Cost per month in $
Level of effort (person-months)
Personmonths
60
SAVVY
The following section estimates the costs associated with introducing and maintaining a sample vital registration system (SRS)
In which year will the SRS be launched?
The SRS will be phased in over how many years?
Mortality rates are to be estimated for how many different parts of the country?
What is the crude death rate nationwide (deaths per year per 1,000 population)?
On average, how many people live in each household (often approximately 5)
How many provinces/regions/states are there in the country?
Cost of a car per month

Purchase price (incl taxes)
Remaining value / scrap value
Depreciation per year
Maintenance (per year)
Insurance + license (per year)
Price of petrol / gazoline per L
Number of km driving per year
Cost of petrol per year
Cost per month
45,000
0
6,750
800
100
4.32
5,000
2,698
862
household sample
Field
Field
interview superviso
er
r
Personmonths
200
Personmonths
40
Dataentry
clerk
Field
trainer
Transportation
Personmonths
40
Personmonths
70
Carmonths
40
Other
Cost
Total cost
550,000
Cost per
household
110
Households
5,000
stration system (SRS)

#VALUE!
3
3
20
5
14
This year input is linked to the start in the recommended indicator sheet
15% of price
of price
of price
It is expected that this car will be used for 4 years

this was said to be 100 per year. Not comprehensive, this would be 1.300 $
This is 18 kilometers perkilometers per day if there are

here the car is assumed to drive
275 days in a year

8 kilometers on 1 litre of petrol / gazoline
NOTE
DHS, MICs and Smaller household surveys
are developed in the same way.
Total cost
for this
DHS
550,000
The salaries from the general information are

used for the different categories of workers.
The number of months that these categories
have to work are obtained from the literature
(but these can be changed). These months of
work are found for 5000, 5000 and a 1000
households respectively. If the user wants to
use larger surveys he or she has to fill in the
light yellow cells in the K column (rows 385,
403 and 468). The average cost per
household as calculated with the default
values is then multiplied by this number.
check numbers of kilometers
First year
Later years
Meetings for : Recommended indicator No. 1: Appropriate policies and procedures for the HIS are prepared and widely endors
A working group of 5 - 7 persons meets once / week for 3 months

National large, workshop for planning (50-60 persons) x 3-5 days.
A working group established (5-7 persons). One meeting x week x 3-6 months
1-2- Consultative meetings by each region/province: 25 persons for 1 day
Consultative meeting with program managers, aid partners and Ngos (25 persons for 1 day)
Consensus meeting(s). Participants 30-60 according the country population and sector administrative size.
2-3 meetings of 10-15 expert national officers of Ministry of Health (MOH), National Statistics Office (NSO/CSO) and Civil Reg
A working group of 4 - 5 qualified professionals, including statisticians meets for 1 - 2 weeks
2 days meetings for 30 senior and mid-level health and health-related managers
A working group of 5 - 7 persons meets once per week for 3 months
A consultative meeting in each region / province: up to 25 persons for 1 day
Multi-sector or health sector task force of 3 - 5 persons (including at least 1 legal expert) meets for 15 - 30 days
Multi-sector or health sector task force of 3 - 5 persons (including at least 1 legal expert) meets for 10 days to review regional a
5 - 7 persons meet once per week for 3 - 6 weeks
Meetings for : Recommended Indicator # 2: Percent of health managers and health workers with appropriate skills in data man
National consult #VALUE!

International con #VALUE!
National consulta
0
National consulta
0
National consulta
0
International con
0
International con
0
International con
0
Government
Donor
Both
Unknown
1
2
3
4
5
are prepared and widely endorsed
Training for: Recommended Indicator # 2: Percent of heal
Not used
Suggested 2 day course with a refresher course after the
strative size.
ffice (NSO/CSO) and Civil Registration of vital events (CR)
7
8
9
10
for 15 - 30 days
11
for 10 days to review regional and international examples of health related laws
12
13
h appropriate skills in data management and data use
cator # 2: Percent of health managers and health workers with appropriate skills in data management and data use
efresher course after the first year of 1 day / year

refresher course after the first year of 3 days per year (1)
efresher course after the first year of 2 days per year (1)
refresher course after the first year of 3 days per year (2)
Step 1 Assumptions
ASSUMPTIONS:
IMPLICATIONS:
Adjust the shaded figures to the situation in 0
Review these to make sure that they seem reasonable
Disaggregated, sufficiently precise age and sex-specific mortality rates are to be estimated for how many sub-national regions?
Preliminaries
SAVVY system characteristics
Name of country
0
Total population under surveillance
Name or code for currency (eg. USD, TZS, Goats)
$
Number of Provinces
Exchange rate (1 USD is how many $?)
1
Name of the level below the central level that will manage/operate the field
activites, e.g. District, cluster, province, site.
Uppercase version of name of operational level
The SAVVY will be introduced gradually over how many years?

SAVVY system characteristics
Number of people in each Province who will be under surveillance
Number of segments per Province
Year that surveillance activities will start
Province
PROVINCE
Estimated number of deaths per Province per year

Estimated number of deaths in areas under surveillance per year (see note)
Number of households per Province
Number of households in areas under surveillance per year
3
150,000
14
214
3,000
2,143
30,000
3
10,714
4
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
Estimated crude mortality rate (per 1,000)

Average household size
Central level personnel

Number of VA coders
Number of data entry clerks
Personnel per Province

Average number of VA interviewers per Province
Average number of enumerators/Key informants per Province
Average number of census supervisors
Average number of verbal autopsy supervisors
5
5
4
0
0
0
20.00
5.0
Census interviews (per Province)

Avg. duration of censuses/enumeration rounds (days)
Litres of fuel needed by one census supervisor during the census
Census data entry and management (central level)

Number of census forms to be entered (All Provinces)
Number of census forms to be entered (One Province)
Avg. Number of kilometres each day a supervisor will travel doing VA supervision
Litres of fuel per supervisor per day: VA supervision
Avg. Number of kilometres each day an interviewer will travel doing VAs
Litres of fuel per supervisor per day: VA interviews
33,000
2,357
Total duration of census data entry (days) (All Provinces)

Total duration of census data entry (days) (One Province)
165
12
VA interviews (per Province) per year

Deaths per Key Informant
Days doing VA interviewsper interviewer
Litres of fuel needed by one VA interviewer
11
20
80
VA supervision reinterviews per supervisor

Days VA supervisor spends doing VA re-interviews
21
11
1
1
7
19
1.0
1
VA coding (central level) per year

VAs codes
VAs per coder
Number of days coding (per coder)
Other parameters
How many VA Interviews can be done by one person in one day?
Number of times that, on average, each VA will need to be coded
Number of VAs that each coder can code per day
Proportion of VAs that will be reinterviewed
Number of households that can be enumerated per day
Percent of new/dissolved households
Number of census forms that can be entered per clerk per day
Number of kilometers a motorbike can travel per litre of fuel
Avg. Number of kilometres each day a supervisor will travel during the census
Litres of fuel per supervisor per day during census
11
44
2.0
2.5
40
10.00%
10
10%
200
15
60
4
15
1
60
4
Page 199
VA interviews (per Province) per month

Total VA interviewsper month
VA interviews per interviewerper month
VA interviews per interviewerper week
Days per month doing VA interviewsper interviewer
Deaths per Key Informant per month
VA supervision reinterviews per supervisor per month
7,500
7,500
188
18
3
1
1
1
2
Days per month VA supervisor spends doing VA re-interviews
0.9
VA coding (central level) per month

VAs codes per month
VAs per coder per month
625
625
Step 2 Budget values
INDIVIDUAL LINE ITEMS NOT INCLUDED IN THIS SUMMARY DOCUMENT

THIS PAGE
INTENTIONALLY LEFT BLANK
Page 4
Step 3 Direct SAVVY system cost

#VALUE!
5
53,571
1,071
#VALUE!
5
53,571
1,071
#VALUE!
5
53,571
1,071
#VALUE!
5
53,571
1,071
#VALUE!
5
53,571
1,071
0
#VALUE!
5
53,571
1,071
$1,690,172
$1,300,738
$1,279,791
$1,196,005
$1,196,005
$1,196,005
Country:
Year
Total number of Provinces/field offices
Total population participating in surveillance
Estimated number of deaths per year
TOTAL DIRECT COSTS

0
11
12
13
14
21
22
Govt. 0
Other partner
Other partner-2
Other partner-3
USG
USG-2
Not specified
$0
$0
$0
$0
$970,705
$0
$719,467
$0
$0
$0
$0
$663,001
$0
$637,737
$0
$0
$0
$0
$642,054
$0
$637,737
$0
$0
$0
$0
$558,268
$0
$637,737
$0
$0
$0
$0
$558,268
$0
$637,737
$0
$0
$0
$0
$558,268
$0
$637,737
$899,490
$510,055
$498,314
$451,350
$451,350
$451,350
$397,410
$7,400
$247,925
$0
$19,175
$3,333
$59,993
$0
$21,327
$96,655
$27,938
$18,333
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$318,879
$0
$2,646
$25,402
$19,175
$3,333
$2,560
$0
$0
$96,655
$23,071
$18,333
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$312,563
$0
$2,646
$25,402
$19,175
$3,333
$2,560
$0
$0
$91,230
$23,071
$18,333
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$287,297
$0
$2,646
$25,402
$19,175
$3,333
$2,560
$0
$0
$69,532
$23,071
$18,333
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$287,297
$0
$2,646
$25,402
$19,175
$3,333
$2,560
$0
$0
$69,532
$23,071
$18,333
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$287,297
$0
$2,646
$25,402
$19,175
$3,333
$2,560
$0
$0
$69,532
$23,071
$18,333
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$790,682
$790,682
$781,477
$744,655
$744,655
$744,655
ID#
NATIONAL/CENTRAL LEVEL
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.13.1
1.13.2
1.13.3
1.13.3.1
1.13.3.2
1.13.3.3
1.13.3.4
1.13.3.5
1.13.3.6
1.13.3.7
0
PERSONNEL
SENSITIZATION
CENTRAL OFFICE EQUIPMENT (INCL. TRANSPORT)
CENTRAL LEVEL OFFICE SPACE
CENTRAL LEVEL OFFICE UTILITIES
VEHICLE MAINTENANCE AND RUNNING COSTS
SAVVY COMMITTEE MEETING
CARTOGRAPHY
SAVVY INSTRUMENT PREPARATION
FIELD MATERIALS (PER PROVINCE)
DATA PROCESSING (total is equivalent of $2,483)
DISSEMINATION (total is equivalent to $3,456)
OTHER CENTRAL LEVEL COST
Subheading 1
Subheading 2
Subheading 3
PROVINCE LEVEL (All PROVINCES)
0
0
0
0
0
0
0
0
Exchange rate Le to $1 USD
Page 201
Direct costs in local currency

0
5
53,571
1,071
1
5
53,571
1,071
2
5
53,571
1,071
3
5
53,571
1,071
4
5
53,571
1,071
0
5
5
53,571
1,071
1,690,172
1,300,738
1,279,791
1,196,005
1,196,005
1,196,005
970,705
663,001
642,054
558,268
558,268
558,268
Country:
Year
Total number of Provinces/field offices
Total population participating in surveillance
Estimated number of deaths per year
TOTAL DIRECT COSTS ($)

Govt. 0
Other partner
Other partner-2
Other partner-3
USG
USG-2
Not specified
719,467
637,737
637,737
637,737
637,737
637,737
899,490
510,055
498,314
451,350
451,350
451,350
397,410
7,400
247,925
0
19,175
3,333
59,993
0
21,327
96,655
27,938
18,333
0
318,879
0
2,646
25,402
19,175
3,333
2,560
0
0
96,655
23,071
18,333
0
312,563
0
2,646
25,402
19,175
3,333
2,560
0
0
91,230
23,071
18,333
0
287,297
0
2,646
25,402
19,175
3,333
2,560
0
0
69,532
23,071
18,333
0
287,297
0
2,646
25,402
19,175
3,333
2,560
0
0
69,532
23,071
18,333
0
287,297
0
2,646
25,402
19,175
3,333
2,560
0
0
69,532
23,071
18,333
0
790,682
790,682
781,477
744,655
744,655
744,655
29,667
534,044
55,430
0
11,000
146,189
14,352
0
29,667
534,044
55,430
0
11,000
146,189
14,352
0
23,733
530,472
44,344
0
13,540
146,189
23,198
0
0
516,186
0
0
23,701
146,189
58,578
0
0
516,186
0
0
23,701
146,189
58,578
0
0
516,186
0
0
23,701
146,189
58,578
0
ID#
NATIONAL/CENTRAL LEVEL
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
PERSONNEL
SENSITIZATION
CENTRAL OFFICE EQUIPMENT (INCL. TRANSPORT)
CENTRAL LEVEL OFFICE SPACE
CENTRAL LEVEL OFFICE UTILITIES
VEHICLE MAINTENANCE AND RUNNING COSTS
SAVVY COMMITTEE MEETING
CARTOGRAPHY
SAVVY INSTRUMENT PREPARATION
FIELD MATERIALS (PER PROVINCE)
DATA PROCESSING (total is equivalent of $2,483)
DISSEMINATION (total is equivalent to $3,456)
OTHER CENTRAL LEVEL COST
PROVINCE LEVEL (All PROVINCES)
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
SENSITIZATION (total is equivalent to $1,118)

FIELD ENUMERATION STAFF
PROVINCE OFFICE EQUIPMENT (PER PROVINCE)
PROVINCE OFFICE SPACE
PROVINCE OFFICE UTILITIES
TRAINING (FIELD OPERATIONS)
VEHICLE MAINTENANCE AND RUNNING COSTS (total is equivalent of
OTHER PROVINCE LEVEL COST
Exchange rate 1 $ to $1 USD
Page 202

WHO - HMN HIS Tools To Support GFR10 - Template For Costing The HIS Gap

Încărcat de

Informații document

Titlu original

Drepturi de autor

Formate disponibile

Partajați acest document

Partajați sau inserați document

Opțiuni de partajare

Vi se pare util acest document?

Este necorespunzător acest conținut?

Drepturi de autor:

Formate disponibile

WHO - HMN HIS Tools To Support GFR10 - Template For Costing The HIS Gap

Încărcat de

Drepturi de autor:

Formate disponibile

Health Metrics Network

template for Global Fund grant application fo

intended to be used along side the document Guidance on Recommended Ind

Requires Microsoft Excel, Microsoft Office or Open Office

Copyright 2008 Health Metrics Network

grant application for Health

und application template)

sion for Round 1 Countries

t Guidance on Recommended Indicators and Illustrative

el, Microsoft Office or Open Office

or Instructions and Help

estions by email to:

08 Health Metrics Network

d Indicators and Illustrative Activities for

se the excel template for costing the

the HIS. The possible intervention areas

with the manual. If in the course of your use

with the manual. If in the course of your use

Recommended Indicator # 4: Percent of registered private-for-profit facilities reporting according to national

10 to be used for changing the bounderies

Most often used

Most often used

Most often used

Printing & distribution

Here are the cost components

Key Illustrative Activities

1. Develop a strategic plan for

A. Prepare for strategic planning workshop

National large, workshop for planning (5060 persons) x 3-5 days.

C. HIS Strategic Plan published and widely

Approved documents widely disseminated.

B. National consensus meetings.

A working group of 5 - 7 persons meets

2. Define and adopt a minimum set of

C. The minimum set of indicators publish

Printing cost & distribution

C. Survey using a questionnaire

Team of 1 - 2 national or international

D. Discussion and dissemination of

Printing cost & distribution of the different

N-STTA (20 days)

A consultative meeting in each region / province: up to 25 persons for 1 day

B. National consensus meeting.

C. Pilot guidelines in 1 - 2 districts

A national or expatriate consultant for 1 - 2

Follow hyperlink in inputs to the left

D. Finalize the guidelines and tools

5. Strengthen central, regional/ provincial

A. Define the functions and staffing levels

A consultative meeting in each region / province: 25 persons for 1 day

30 - 60 participants for 1 day

Follow hyperlink in inputs to the left

C. Create a full-time post for district HI

New annual contracts established for

6. Update national legislation on statistics

Cost per year

A. Compile and review existing legislation

5 - 7 persons meet once per week for 3 - 6 weeks

Follow hyperlink in inputs to the left

Printing and dissemination

1. Define standards and

See related activities under

A. Design methods and materials for