M&E, surveys and research
One of the main challenges in maximising the effectiveness of development funding is that governments do not have sufficient data on the needs and requirements of local communities. Nepal is a diverse country with huge variations in terms of geography, gender, ethnicity and social status. Improving data quality and its use by decision makers has the potential to improve the lives of the poorest people.
Evidence-based policy-making means that, wherever possible, public policy decisions should be informed by careful analysis using sound and transparent data. The generation and use of evidence has been a challenge for the Government of Nepal, particularly with regards to data on socially excluded groups. There are fundamental issues with both the quantity and quality of evidence available, as well as capacity and systems constraints to use this information to shape decision-making.
We have extensive experience of strengthening government information systems within the health sector and implementing tailored activities to generate evidence and knowledge for decision making. We are experts at generating, collating and packaging relevant data to be used for effective advocacy to influence and inform decision-making and promote accountability.
We use evidence to drive action in all our work by:
- Supporting development and monitoring of national results frameworks
- Harmonising existing data and designing, strengthening and supporting implementation of national facility and household surveys
- Strengthening national health management information systems
- Evaluating pilot interventions to develop strategies and inform policy development
- Building capacity of government staff to understand and use data for decision-making
- Strategically packaging evidence into infographics, traffic light scorecards, policy briefs etc
- Supporting government planning and resource allocation using evidence
- Driving advocacy messaging through sharing evidence and using it tactically
- Holding decision-makers to account by establishing and strengthening accountability mechanisms which use data to review and track progress
- Improving transparency and public access to the details of government commitments so that success can be celebrated and shortfalls highlighted.
We have strengthened national health management information systems including improving system architecture and linkages, rationalising indicators and tools, roll-out of new software at national, sub-national and facility levels. We supported the development and upgrading of the web-based Health Infrastructure Information System (HIIS) to help plan new facilities and track the condition of existing buildings.
We carried out an innovative study to increase access to and uptake of health care services in remote districts of Nepal and strengthened and supported implementation of national facility and household surveys.
We supported the use of data for strategy and policy development including piloting interventions to improve access to and quality of essential health services and supported analysis and packaging of data for the annual work planning and budget (eAWPB) process.
- Better data means better health sector performance and targeted programmes for underserved populations moving towards universal health coverage.
- Use of data in the Annual Work Plan and Budget has encouraged use of data at all levels
- Data provides evidence to ensure better decision-making and accountability