IAWG GESC February 12, 2014 NYC, NY Retrospective Analysis of Reproductive Health and HIV/AIDS Indicators in United Nations High Commissioner for Refugees Post-emergency Camps Center for Global Health International Emergency and Refugee Health Branch Dr. Basia Tomczyk
Retrospective Analysis of Reproductive Health and HIV/AIDS Indicators in United Nations High Commissioner for Refugees Post-emergency Camps . Dr. Basia Tomczyk. IAWG GESC February 12, 2014 NYC, NY. Center for Global Health. International Emergency and Refugee Health Branch. Outline. - PowerPoint PPT Presentation
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IAWG GESC February 12, 2014
NYC, NY
Retrospective Analysis of Reproductive Health and HIV/AIDS Indicators in
United Nations High Commissioner for Refugees Post-emergency Camps
Center for Global HealthInternational Emergency and Refugee Health Branch
Dr. Basia Tomczyk
Outline
Background Objectives Methods Next Steps Advocacy
HIS Overview The HIS was developed in 2006 to systematically track health outcomes in refugee settings
HIS is a user-friendly, web-accessible database of pre-tabulated health indicators (n=110)
At the start of 2010, HIS was operational in :21 countries 85 refugee camps 24 different partners 1.5 million camp-based refugees
Global Evaluation of RH in Crises
Unique opportunity to assess reproductive health care at the facility level
Access to surveillance data improves understanding of a WRA health status
Global Evaluation of RH in Crises
The purpose of this study is to conduct a retrospective review of RH indicators, assess MDG-based RH and HIV/AIDS benchmarks and propose additional and/or substitute indicators using the UNHCR HIS database and indicators
ObjectivesAnalyze trends in antenatal care, delivery, postnatal care, family planning, SGBV and HIV/AIDS indicators
Benchmark RH indicators against existing minimum standards in comprehensive reproductive health
Provide examples of good practice and gaps in RH service delivery, using HIS to explain differences
Make recommendations for advocacy, program management and resource allocation
Methods Design
Retrospective analysis of trends of RH indicators
Study PopulationBangladesh, Burundi, Cameroon, Central African Republic, Chad, Congo (DR), Congo (Rep), Djibouti, Ethiopia, Ghana, Guinea, Kenya, Liberia, Namibia, Nepal, Rwanda, South Sudan, Sudan, Tanzania, Thailand, Uganda, Yemen and Zambia.
Methods Inclusion criteria
Countries with all camp HIS data that have records that are plausible. (For example, no indicators are more than 100%)
All camps within the country must have had at least one HIS evaluation
Countries with camps that have at least 6 months of data (Doocy et al. used 6 months)
Methods Inclusion criteria
Countries with camps that have no more than one month of missing data
Data from 2007 to obtain sufficient trends
Methods Data analysis
RH indicators will include all components of ANC, delivery, PNC and SGBV and HIV/AIDS care
Primarily descriptive data analysis
Data will be analyzed using SAS version 9.3
Ethical Issues
Submitted to CDC for project determination and was determined not to be human subjects research
No personal or facility identifying information
Limitations The quality and completeness of data is known to
be somewhat variable during the first months of using the system
Sensitive subjects, such as SGBV and post abortion care, may not be reported accurately
The UNHCR HIS is limited to camp settings
HIS data is predominantly collected in health facilities
Next Steps
Review updated data and spreadsheets via Twine
Data cleaning, triaging indicators (cannot be more than 100%)
Populate table shells, rates, etc
Write peer review publication
Submit to clearance
Key Advocacy Messages
A retrospective analysis of trends in RH gathered from facilities and aggregated on a country level provide valuable information not previously analyzed
Identifying longer-term trends in RH issues among refugees will provide information on a country and global level
Key Advocacy Messages
Compare the indicators to the Millennium Development Goals and refugee health standards helps to acknowledge RH in crises
Provide data for public health action, interventions, policies, and further research
Project Partners
Co-PIs Ms. Nadine Cornier Dr. Christopher Haskew Mr. Curtis Blanton
Student Intern Jennifer Whitehall
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.govThe findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.