Abt Associates Inc.  In collaboration with:I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health

better systems, better health

NHA Production ToolStreamlining the NHA estimation process

Douglas Glandon, NHA CoordinatorAbt Associates Inc.

Prince Mahidol Award Conference Bangkok, ThailandWHO Side Meeting - January 24, 2012

Overview

Introduction and Purpose Development Process Key Features Summary and Next Steps Software Demonstration

Introduction and Purpose

Problem Statement

Despite recognized value for policy, few developing countries routinely produce and use NHA estimates

Persistent challenges include: Complexity of NHA methodology High reliance on foreign technical assistance Costly and time-consuming estimation process Inconsistencies in recording decisions and assumptions

What is the NHA Production Tool?

A desktop software application that:Guides teams through the steps of conducting NHA Streamlines data collection and analysisSimplifies data management and visualization

Key benefits include:Reduced time, cost, and TA needed to produce NHAImproved data quality, consistency over time

Who uses the NHA Production Tool?

Country NHA teams Team Leads

Full functionality to set parameters, assign and manage tasks Team Members

Limited functionality to complete specific tasks and submit to Team Lead

Providers of technical assistance Easy import/export of data sets allows for remote support

Development Process

Broad-Based Input and Feedback

Developed by USAID’s Health Systems 20/20 Project with software developer Prognoz Corporation Approximately 2 years to develop

Input and feedback from WHO, World Bank, NHA technical experts, country NHA teams E.g., Afghanistan, Burkina Faso,

Kenya, Liberia, Rwanda, Tanzania, others

Demo at OECD/World Bank NHA meeting in Paris (Oct. 2011)

Pilot Test in Tanzania

HS 20/20 team and Prognoz developers conducted field-based pilot test alongside Tanzania NHA team In-country NHA team used the traditional, Excel-based method NHA Production Tool was tested concurrently

Objectives of Pilot Test Test application using actual NHA data to assess handling of data

sets, assumptions, and methodological approaches Identify bugs in the software that prevent proper functioning Identify and define needed fixes to the software to increase

functionality, flexibility

Refinement and Completion of Version 1.0

Platform performed well during pilot test, with a few bugs and needed fixes

Addressed issues and enhanced functionality for Version 1.0, including: Ability to repeat specified analysis/”mapping” decisions Ability for multiple users to work collaboratively

Version 1.0 completed in December 2011 – in English and French

Several remaining elements to be implemented before public release of software

Key Features

Simple, intuitive navigation

Guiding the NHA ProcessStep-by-Step Guidance

Easily Customize and Save NHA Codes

Customize NHA codes to country

context

Simplified Data Collection and Entry

Export and import user-friendly surveys

Structured Mapping of NHA Codes

Review survey data Assign NHA codes

Interactive Diagram to Review Data

Visualization of NHA expenditure flows

Automatically-Generated NHA Tables

NHA matrices can be easily exported in Excel or PDF format

Summary and Next Steps

Value-Add of the NHA Production Tool

Improved data quality, greater consistency and comparability over time make results more useful

Time and cost savings make conducting NHA more affordable and feasible

Reduced need for external technical assistance enhances country ownership and facilitates institutionalization of NHA

Next Steps: finalize, release on WHO site

NHA Production Tool 1.0 (based on SHA 1.0 framework) is ready for in-country use and will be available for download on the WHO website in 2012 Additional features, including a tutorial and PDF User

Guide, will be introduced in the final version

HS 20/20 and WHO are working with Prognoz to accommodate the SHA 2011 framework

Abt Associates Inc.  In collaboration with:I Aga Khan Foundation I Bitrán y Asociados I BRAC University I Broad Branch Associates I Deloitte Consulting, LLP I Forum One Communications I RTI International I Training Resources Group I Tulane University’s School of Public Health

better systems, better health

Thank you

www.HealthSystems2020.org

Software Demonstration