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provincial) level of the health system for monitoring and assessment of impact of public health programmes within the framework of national policies and strategies

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(1)

AFR/RC37/R14:

The Regional Committee,

Having revised the Common Framework for Monitoring the Strategies for Health for All by the Year 2000 and the document, AFR/RC37/15 Add.1 concerning monitoring progress at district level;

Nothing that the Common Framework sets out the broad principles embodied in the Strategy for Health for All and pinpoints pertinent questions which facilitate the monitoring process;

Noting further that the 1985 national evaluation reports will be the reference point for assessing progress in the implementation of strategies for the forthcoming report in 1988;

Recalling resolutions AFR/RC35/R1 and WHA39.7 which instituted reporting on monitoring of the strategy every three years, and

Taking note of the need to strengthen district health management mechanisms as an urgent priority for accelerating health development in the Region;

1. URGES Member States:

(i) to pursue vigorously actions aimed at strengthening information support required for monitoring and evaluation of their health systems based on primary health care;

(ii) to obtain the collaboration of all health-related sectors and develop effective mechanisms for coordinated monitoring and evaluation of progress towards HFA/2000, in particular, development and use of socioeconomic and health indicators;

(iii) to establish mechanisms for collection of relevant data at the district level by district and community level personnel, data which they could easily understand and which would be used for assessing their own progress, and which could be used by countries and by WHO for monitoring progress;

(iv) to establish appropriate mechanisms at intermediate (e.g. provincial) level of the health system for monitoring and assessment of impact of public health programmes within the framework of national policies and strategies;

(v) to strengthen national mechanisms for monitoring and evaluation as an integral part of national managerial process, including information support which will enable calculation of the 12 global indicators;

2. REQUESTS the Regional Director:

(i) to promote technical cooperation with Member States in order to strengthen health information support and the development and use of indicators for monitoring of progress and evaluation of impact on national strategies;

(ii) to continue to support countries in further developing and implementing national strategies and plans of action;

(2)

(iii) to promote technical cooperation with Member States in order to strengthen district health management in monitoring and assessment of impact of community health activities using indicators adapted to the African Region;

(iv) to promote technical cooperation with Member States in order to develop and utilize regional indicators for monitoring and evaluation of public health programmes in Member States.

September 1987, 37, 24

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