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. 2016 Apr 18;1(1):e000003.
doi: 10.1136/bmjgh-2015-000003. eCollection 2016.

Data for development in health: a case study and monitoring framework from Kazakhstan

Konrad Obermann  1 , Tata Chanturidze  2 , Erica Richardson  3 , Serik Tanirbergenov  4 , Marat Shoranov  5 , Ali Nurgozhaev  6
Affiliations

Data for development in health: a case study and monitoring framework from Kazakhstan

Konrad Obermann et al. BMJ Glob Health. .

Abstract

Healthcare reforms are often not coupled with a relevant and appropriate monitoring framework, leaving policymakers and the public without evidence about the implications of such reforms. Kazakhstan has embarked on a large-scale reform of its healthcare system in order to achieve Universal Health Coverage. The health-related 2020 Strategic Development Goals reflect this political ambition. In a case-study approach and on the basis of published and unpublished evidence as well as personal involvement and experience (A) the indicators in the 2020 Strategic Development Goals were assessed and (B) a 'data-mapping' exercise was conducted, where the WHO health system framework was used to describe the data available at present in Kazakhstan and comment on the different indicators regarding their usefulness for monitoring the current health-related 2020 Strategic Development Goals in Kazakhstan. It was concluded that the country's current monitoring framework needs further development to track the progress and outcomes of policy implementation. The application of a modified WHO/World Bank/Global Fund health system monitoring framework was suggested to examine the implications of recent health sector reforms. Lessons drawn from the Kazakhstan experience on tailoring the suggested framework, collecting the data, and using the generated intelligence in policy development and decision-making can serve as a useful example for other middle-income countries, potentially enabling them to fast-track developments in the health sector.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Ideas, interests and institutions in healthcare. Source: Modified after.
Figure 2
Figure 2
The WHO Health System Framework with building blocks and goals outcomes. Source: Adopted from.
Figure 3
Figure 3
The results framework for health system strengthening monitoring and evaluation. Source: Modified from.
Figure 4
Figure 4
The modified WHO health system monitoring tool: Assessing inputs and processes, outputs, outcomes and impact. Source: Authors.
See this image and copyright information in PMC

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