institute MOH 1 Analytical training relevant staff. SIC WHO MOH 1 Systematical review, field assessment. SIC OMCHS, OMCHAR, WHO

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1 Approach/s unmet CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS) Conduct full CRVS assessment and develop information database for birth and death within 5 years. Establish/strengthen interagency coordinating committee involving 8 key stakeholders. Ensuring legislation. 1 SIC WHO/UNICEF 2 Develop and enforce committee meeting schedule and work plan. Improve coverage of hospital reporting. 2 Invest in strengthening HMIS, regulation. SIC Training of healthcare professionals and other relevant persons in ICD 10; improve coding practices. Strengthen community reporting of births and deaths in all communities, improve the quality of reporting. Finish community reporting through using of VA by community workers before Integrate the DSP sites and VR sites to one and expand the surveillance sites. The provincial-base data may be obtained. 1 Train national facilitators, apply electronic tools. SIC OMCHS,WHO,UNICEF 1 Health promotion unit to develop innovative approaches to increase awareness of community reporting. These activities can be combined with the community reporting regarding MDSR activities. SIC WHO/UNICEF 2 Test verbal autopsy tool. SIC,UNICEF 1 Analytical training relevant staff. SIC WHO Make the analysis on the information profile about maternal and child death from different sources. Compare to underreport data of death from different sources to assess the gap on reporting. 1 Data collection and assess. SIC OMCHS, WHO, UNICEF 1 Systematical review, field assessment. SIC OMCHS, OMCHAR, WHO $40,000 * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 1/8

2 Approach/s unmet MONITORING OF RESULTS Strengthen the standard M&E component. Strengthen of country M&E practices to inform regular reviews and other accountability processes. 1 Review M&E component, revise according to WHO guidance. Establish/strengthen M&E coordinating body. 1 Link with National Statistical Plan, mapping WHO all health surveys. Strengthen the analytical capacity, annual compilation, including data quality assessment. 1 Use WHO analytical approach including data quality score card analysis. OMCHS, OMCHAR,WHO, UNICEF,UNICEF Strengthen analytical capacity, involve key institutions; review contents, analyses and presentation. 1 Current national and regional observatory approaches, WHO analysis and data quality tools. Strengthen the eqiut analysis. 1 Develop policy/procedure in order to integrate disaggregated data into reviews. OMCHS, OMCHAR SIC, OMCHS, OMCHAR $20,000 Develop/strengthen national databank with all relevant data and reports and data sharing mechanism. Strengthen the provincial-base MCH information to improve the quality. 2 Invest in strengthening HMIS database systems. 1 Assess the status, provide the strategy and act planning, training. SIC, OMCHS, OMCHAR, WHO,UNICEF,OMCHS $60,000 * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 2/8

3 Approach/s unmet MATERNAL DEATH SURVEILLANCE AND RESPONSE Improve the maternal death notification. 1 improve the maternal death notification; SIC OMCHS, OMCHAR incorporate plan into overall death notification plan. Strengthen national-level response capacity 1 Train relevant staff in MDSR. OMCHS, WHO, through training in MDSR. Strengthen district-level response capacity through training in MDSR. 1 Train relevant staff in MDSR. OMCHS, OMCHAR,UNICEF Improve reporting by hospitals; Training in ICD certification and coding (links with CRVS). Strengthen hospital capacity and practices, including private sector. Support a regular system of QoC assessments, with good dissemination of results for policy and planning. 1 Develop and enforce guidelines for the use of ICD-10 reporting. Train relevant staff in the use of ICD Develop guidelines for reviewing maternal deaths. 1 Develop framework for additional supervisory tours and feedback to health centre's. SIC,OMCHS, OMCHAR $30,000 SIC OMCHS SIC,OMCHS, OMCHAR Strengthen community reporting. 1 Using of electronic devices. SIC WHO Strengthen a system of maternal death reporting and response initiation by electronic devices, and use of innovative methods to report. 1 Community reporting, use of electronic devices and verbal autopsies are all initiated within the community. These activities can be combined. SIC OMCHS, WHO Strengthen VA for maternal deaths in communities. 1 Community reporting, use of electronic devices and verbal autopsies are all initiated within the community. These activities can be combined. SIC OMCHS, WHO,UNICEF Increase the involving communities in review and response, develop the feedback systems. Support and strengthen dissemination and use of the report, reflect the for policy change. 2 Develop guidelines for follow-up after a community death is reported. 1 Review MDSR system; revise review methods based on feedback from initial review of the system. SIC OMCHS, OMCHAR,WHO, OMCHS, OMCHAR,WHO, UNICEF, OMCHS, WHO,WHO,CMB Maternal near miss surveillance. 1 Development of national report on maternal near miss. Training of doctors in ICD 10; regular quality 1 Train, response, practice. SIC WHO, UNICEF,UNICEF control of certification; improve coding practices. * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 3/8

4 Approach/s unmet INNOVATION AND E-HEALTH Further perfect the overall policy and strategy. Invest in IT infrastructure strengthening; distribute dongles in areas where cell phone signals are present. 1 Funding for these activities comes from other sources. 2 Funding for these activities. SIC Develop plan to strengthen the use of ehealth services to improve information sharing in grassroot health facility. Enhancing interoperability through ehealth services, supported by one policy. Strengthen a system of coordination of standards to ensure interoperability. Develop and support a strong effective coordination mechanism. Introduce of ehealth solutions to improve accountability. 1 Review and map the current database structure and invest in reporting tools for use in ehealth. 1 Develop guidelines for sharing of data. Funding for these activities. 2 Build a framework to coordinate ehealth interoperability. Funding for these activities. 2 Liaise with appropriate stakeholders to increase the awareness of the importance of ehealth applications. Funding for these activities SIC UNICEF,WHO SIC UNICEF,WHO SIC Develop/strengthen data protection, legislation and regulatory framework for sharing health information. Develop/strengthen the special network and regulations for health. Enforce compliance to data protection policies. 1 Funding for these activities. Liaise with the IT regulatory body and HIS committee to determine the key points required for legislation. 1 Develop system of reporting to track whenever health information is used or shared. Funding for these activities. SIC SIC * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 4/8

5 Approach/s unmet MONITORING OF RESOURCES Perfect NHA framework. 1 Workshop and discussion. Establishing the health accounts according service. 1 Liaise with relevant stakeholders and develop method of accountability for expenditures on health. Ensure inclusion of all key stakeholders in resource tracking /NHA. Train staff to increase human capacity; strengthen the coordinating mechanism. Map government codes to NHA codes and develop IT conversion tool for NHA. 2 Develop agreement outlining key stakeholder involvement in the production of the NHA. 2 Performing training of trainers regarding health accounts. Roll these trainers at the provincial and district levels. 2 Invest in IT approaches for NHA. Develop /strengthen database for production of NHA. 1 Invest in IT approaches for NHA. Strengthen analytical capacity in government and other institutions. 1 Provide analytical training to relevant staff. Produce and disseminate result reports. 4 Develop report format and outline. Meet with policy makers, identify their needs, and work with them to systematically integrate NHA data into the policy process. Conduct the assessment on MCH information system. 1 Integrate NHA data into annual budget reviews. 1 Design and investigate the questionnaire, field survey.,pihd,fu OMCHS, OMCHAR $30,000 * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 5/8

6 Approach/s unmet REVIEW PROCESSES Encourage more key stakeholders to involve. 1 Review processes are supported by members of the SWAp. Ensure greater involvement of all 2 Liaise with appropriate stakeholders; stakeholders, including CSOs and women's develop and confirm a schedule to gather groups perform a stakeholder analysis; information for analysis; outline deadline calendar of events for preparation of review. dates for key areas of review to be completed. Ensure that the RMNCH reviews are held and that findings feed into the health sector reviews. Strengthen the capacity to prepare analytical reports prior to the reviews, including at national level and subnational level. 1 Review processes are supported by members of the and. 1 Provide analytical training to relevant staff. Review processes are supported by members of the. OMCHS, OMCHAR OMCHS, OMCHAR,WHO,UN ICEF,UNICEF Develop/strengthen mechanism to compile all policy/qualitative information to inform annual reviews. 1 Provide guidelines to relevant staff on synthesizing qualitative data. Strengthen the use of review results for planning purposes. 1 Develop outline to record s which integrate meeting outputs into policy/decision making. Review processes are supported by. OMCHS, OMCHAR Develop/strengthen "Compacts" or similar mechanisms that allow management of partners, increase partner buy-in. 3 Review processes are supported by members of the SWAp. These include DPCG, JAPR and NHC meetings as an example. * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 6/8

7 Approach/s unmet ADVOCACY & OUTREACH Parliamentarians are mobilized to engage in RMNCH accountability, especially on financing. Strengthening the component of accountability. 1 Further discussion with parliament regarding RMNCH. Establish/support /strengthen Civil society coalition. Support capacity of civil society to synthesize evidence and disseminate messages. 2 Provide a framework outlining the benefits of a coalition. 2 Providing train to civil society members. Train the media to strengthen their capacity to report on RMNCH related issues. 2 Liaise with media outlets to promote the awareness of RMNCH issues. Improve information flows to media. 2 Appoint a focal point to work in conjunction with the media and engage parliament to more freely release information. Countdown Coordinating Committee, UN agencies (H5), and other partners encourage/support national stakeholders to plan national Countdown. Strengthening the link between review and planning, involvement. 2 Review, assessment, disscussion. Appoint a focal point to plan a countdown event. Implement the Countdown event study. Prepare Countdown report/profile using all evidence. 1 Review, assessment, discussion. Assist focal point in capturing and synthesizing the necessary message of the countdown event. Develop the national accountability 1 Design the framework acording to WHO, OMCHS $70,000 Framework of M&E guideline and tool. standard and implementation tool.using data for decision making. relevant activities of M&E. TOTALS 250,000 * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 7/8

8 Approach/s unmet request CRVS $40,000 Monitoring of results $80,000 MDSR $30,000 ehealth & Innovation $0 Monitoring of resources $30,000 Reviews $0 Advocacy $70,000 TOTAL $250,000 : national working committee on children and woman under the state counsel OMCHS: office for maternal and child health surveillance SIC: Statistice information centre of : ministry of health : Department of maternal& child health and community health, OMCHAR: Office for maternal and child annual reporting PIHD: Pudong Institute for Health Development FU: FUDAN University * This final version has been reviewed and validated through a national accountability workshop involving a broader stakeholder group. Page 8/8