Implementing national health observatories:
Operational approach and strategic recommendations
Technical Series on Information for Decision-Making - PWR CHILE/09/HA/02
Cesar Gattini, Advisor on Health Analysis and Statistics, PAHO/WHO Representation in
Prepared and edited by the Office of the PAHO/WHO Representation in
PDF [70p.] available to download online:
http://new.paho.org/chi/images/PDFs/national%20health%20observatories_final.pdf
“...This document outlines the operational approach and strategic recommendations for the implementation of national health observatories.
A national health observatory is operationally assumed to be “a policy-oriented virtual-based national center aimed at performing systematic and ongoing integrated observation on relevant issues about population health and health systems, in support of effective and evidence-based health policy, planning, decision-making and action in public health and health systems.
Based on its capacity and functions, the Observatory can serve simultaneously as a functional center for: public health surveillance; monitoring health systems; specialized analysis of health-policy related matters; health-related warning; policy-oriented advisory; and health information as well as knowledge production and management.
The ultimate goal is to contribute to the preservation and improvement of health of the population, including the reduction of inequalities...”
Contents
Introduction
The Need for Policy-oriented Information and Observation
Expected Contribution from the Observatory
The Empirical basis for the Observatory
Opportunities and Challenges for Implementation
Operational Approach
Operational Concepts
A Health Model as Framework for Observation
Structure and Performance
Observatory Functions
Empirical Basis for the Implementation of the Observatory
Experiences and National Capacity for Observation and Observatories
Specific Observation Performed by Surveillance and Monitoring Systems
Health Observatories
Initiatives and Tools for Information Management and Overview Reporting
Use of Relevant and Responsive Information for Decision- Making
Understanding and Facilitating the Use of Information for Decision Making
Dynamic Use of Information Domains as Sources for Observation
Role of Responsive Information for Decision-Making in Public Health
Role of Responsive Information for Decision-Making in Health Systems
The Implementation Process
Outlining and Proposing an Implementation Plan
Assessment of the Readiness and Alternatives for Implementation
Establishment of the Steering Committee
Refining the Plan of Implementation and the Observatory Design
Establishing the Organization and Structure
Setting up the Observatory Functions and Modules
Consolidation of the Organization, Structure and Performance
* * *
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