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Session 02: HHFA Overview

HHFA

Data Collection Training

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By the end of this session, you will be able to:

explain the HHFA purpose and methods

list the HHFA modules and their main contents

provide examples of HHFA indicators

list the key steps and tools of an HHFA

access the HHFA resource package

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What is the HHFA?

The HHFA is a survey conducted in health care facilities.

It provides a snapshot of how well the service delivery system is working.

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The HHFA assesses:

services available in health facilities

capacities to provide the services at the required standards of quality

provider adherence to standards in the care processes

What is the HHFA?

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The HHFA:

covers all key health services, programmes and facility management systems

assesses outpatient and inpatient services

focuses on primary health care

What services does the HHFA assess?

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HHFA modules

Service

availability

Service

readiness

Quality

of care

Management

& finance

What kind of data does the HHFA collect?

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Service

availability

Service

readiness

Quality

of care

Management

& finance

  • key staff
  • beds
  • facility infrastructure
  • specific services
  • building structure
  • trained staff
  • guidelines
  • equipment
  • diagnostics
  • medicines & supplies
  • adherence to standards in patient care processes
  • management
  • finance
  • health information systems
  • quality assurance systems

What kind of data does the HHFA collect?

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HHFA questions are categorized into core questions or additional questions.

core questions represent the minimum set

additional questions can be added when further detail is needed

What kind of data does the HHFA collect?

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Countries can:

select modules

(single, or combination)

select type of questions �(core only, core and additional)

adapt questionnaire �(to country needs)

Selecting modules and questions for implementation

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representative sample

facility census

Facilities are selected in one of two ways:

How are facilities selected for the assessment?

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questionnaires

trained data collectors

selected facilities

How are the HHFA data collected?

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HHFA questions

data

analysis

HHFA indicators

HHFA indicators

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For example:

% facilities offering malaria services

% facilities with electricity

% facilities offering malaria services with 1st line antimalarials in stock

% ANC clients that received screening for syphilis during ANC

% facilities with a management committee that met in the last 3 months

Availability

Readiness: General

Readiness:

Service - specific

Quality of care

Management

and finance

HHFA indicators: Examples

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Decide information needs

Adapt questionnaire & CSPro tool

Train data collectors

Collect data

Analyse data

Interpret, communicate & use data

Curate data

1

2

3

4

5

6

7

HHFA 7 key steps

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Plan, prepare and manage (detailed activities)

Decide information needs

1

Adapt questionnaire & CSPro tool

2

Train data collectors

3

Collect data

4

Analyse data

5

Interpret, communicate & use data

6

Curate data

7

HHFA 7 key steps

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WHO has prepared an HHFA resource package to support countries through each step of the HHFA.

Decide information needs

1

Adapt questionnaire & CSPro tool

2

Train data collectors

3

Collect data

4

Analyse data

5

Interpret, communicate & use data

6

Curate data

7

HHFA resource package

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Indicator inventory platform

Questionnaires

CSPro tool

Data analysis platform

Global HHFA archive

Decide information needs

1

Adapt questionnaire & CSPro tool

2

Train data collectors

3

Collect data

4

Analyse data

5

Interpret, communicate & use data

6

Curate data

7

HHFA resource package

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Plan, prepare and manage

HHFA comprehensive guide

HHFA quick guide

Data manager guide

Powerpoint training packages

OpenWHO elearning packages

Indicator inventory platform

Questionnaires

CSPro tool

Data analysis platform

Global HHFA archive

Decide information needs

1

Adapt questionnaire & CSPro tool

2

Train data collectors

3

Collect data

4

Analyse data

5

Curate data

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Interpret, communicate & use data

6

HHFA resource package

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HHFA webpages: https://www.who.int/data/data-collection-tools/harmonized-health-facility-assessment/introduction

hhfa@who.int

HHFA resource package

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You have now completed Session 02.

In the next session, we will look at the completion of the HHFA questionnaire.