Publication: Data Utilization and Evidence-Based Decision Making in the Health Sector : Survey of Three Indian States
Loading...
Date
2009-04-01
ISSN
Published
2009-04-01
Author(s)
Editor(s)
Abstract
Recently, there has been increased attention to data use in the international public health community. At the global level there have been major investments in data collection for public health programs. However, there is concern that such data are not being used. Data and information lack value unless they are used to inform decisions. Interventions that increase local demand for information and facilitate its use enhance evidence-based decision making. Data use therefore, is critical to improving the effectiveness and sustainability of the health system. Data quality is poor and use of available data is low in India's health sector. The current study focuses on issues of data use. It aims to shed light on how data are used for decision-making at different levels of the health sector in India and to highlight impediments to improved data utilization. This report is organized in five sections. The survey design, instruments and the data collection process will be described in the next section. Findings including measurement of data use, perceived data use issues, skills assessment of respondents and ranges of actual decision making are presented in section three. Section four presents a number of hypotheses and discusses their implications. The last section provides conclusions and recommendations.
Link to Data Set
Citation
“Belay, Tekabe; Mbuya, Nkosinathi; Rajan, Vikram. 2009. Data Utilization and Evidence-Based Decision Making in the Health Sector : Survey of Three Indian States. South Asia human development sector series ;
no. 27. © World Bank. http://hdl.handle.net/10986/3161 License: CC BY 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Underlying Dimensions of Knowledge Assessment : Factor Analysis of the Knowledge Assessment Methodology Data(World Bank, Washington, DC, 2007-04)The Knowledge Assessment Methodology (KAM) database measures variables that may be used to assess the readiness of countries for the knowledge economy and has many policy uses. Formal analysis using KAM data is faced with the problem of which variables to choose and why. Rather than make these decisions in an ad hoc manner, the authors recommend factor-analytic methods to distill the information contained in the many KAM variables into a smaller set of "factors." Their main objective is to quantify the factors for each country, and to do so in a way that allows comparisons of the factor scores over time. The authors investigate both principal components as well as true factor analytic methods, and emphasize simple structures that help provide a clear political-economic meaning of the factors, but also allow comparisons over time.Publication Assessment of the Philippine Statistical Development Program 2005-2010 : Annexes(World Bank, 2010-06-01)The objective of this assessment of the Philippine Statistical Development Plan (PSDP) is to provide recommendations on how to improve the preparation, implementation, coordination, monitoring, and evaluation of the next PSDP during 2011-16. The report also gives two approaches to getting better treatment for the Philippine Statistical System (PSS) from the Department of Budget and Management (DBM), which supervises personnel levels under Executive Order (EO) 366. One is to petition for the earliest possible approval of the rationalization plans submitted by the Major Statistical Agencies (MSAs), inasmuch as the effects of EO 366 are much more benign after than before the approval of a rationalization plan. The other is to lobby with the National Economic and Development Authority (NEDA) for a declaration that statistics are a priority need, so that statistical development begins to be seen as a tool for improved governance and not as a regrettable burden on the budget. In addition, the report examines to what extent and how donor agencies could help with the financing of the next PSDP. Finally, with regard to the design of the next PSDP, the report recommends a much briefer document of about 100 pages than the most recent one with 700 pages. This can be achieved in part by relying more explicitly on the multi-year plans of the MSAs, so that the PSDP can focus on strategic issues, key priorities and budget requirements, cross-sectoral issues, and the development of statistical activities outside the MSAs.Publication Assessment of the Philippine Statistical Development Program 2005-2010 : Main report(World Bank, 2010-06-01)The objective of this assessment of the Philippine Statistical Development Plan (PSDP) is to provide recommendations on how to improve the preparation, implementation, coordination, monitoring, and evaluation of the next PSDP during 2011-16. The report also gives two approaches to getting better treatment for the Philippine Statistical System (PSS) from the Department of Budget and Management (DBM), which supervises personnel levels under Executive Order (EO) 366. One is to petition for the earliest possible approval of the rationalization plans submitted by the Major Statistical Agencies (MSAs), inasmuch as the effects of EO 366 are much more benign after than before the approval of a rationalization plan. The other is to lobby with the National Economic and Development Authority (NEDA) for a declaration that statistics are a priority need, so that statistical development begins to be seen as a tool for improved governance and not as a regrettable burden on the budget. In addition, the report examines to what extent and how donor agencies could help with the financing of the next PSDP. Finally, with regard to the design of the next PSDP, the report recommends a much briefer document of about 100 pages than the most recent one with 700 pages. This can be achieved in part by relying more explicitly on the multi-year plans of the MSAs, so that the PSDP can focus on strategic issues, key priorities and budget requirements, cross-sectoral issues, and the development of statistical activities outside the MSAs.Publication Strengthening the Indonesia National Water and Sanitation Information Services Center for Improved Planning(Washington, DC, 2015-03)This report summarizes the main achievements of technical assistance provided under the Water Supply and Sanitation Policy Formulation and Action Planning Facility to the Indonesian National Water and Sanitation Information Services (NAWASIS) Centre from October 2012 to December 2014 to further consolidate the water supply and sanitation (WSS) data and information management instrument (NAWASIS Info) as a modular part of the overall services provided by the Centre. It highlights some of the continued challenges of effective WSS monitoring, and proposes strategies for further WSS data and information management development. This reports is divided into nine sections. The first three sections provide background information, including the report purpose, general context and description of the assistance. Sections four to seven describe the progress made in achieving the expected outcomes, while the final two sections describe the future of NAWASIS and some recommendations on moving forward.Publication Growth Empirics and Reality(Washington, DC: World Bank, 2001-05)This article questions current empirical practice in the study of growth. It argues that much of the modern empirical growth literature is based on assumptions about regressors, residuals, and parameters that are implausible from the perspective of both economic theory and the historical experiences of the countries under study. Many of these problems, it argues, are forms of violations of an exchangeability assumption that implicitly underlies standard growth exercises. The article shows that these implausible assumptions can be relaxed by allowing for uncertainty in model specification. Model uncertainty consists of two types: theory uncertainty, which relates to which growth determinants should be included in a model; and heterogeneity uncertainty, which relates to which observations in a data set constitute draw from the same statistical model. The article proposes ways to account for both theory and heterogeneity uncertainty. Finally, using an explicit decision-theoretic framework, the authors describe how one can engage in policy-relevant empirical analysis.
Users also downloaded
Showing related downloaded files
Publication Argentina Country Climate and Development Report(World Bank, Washington, DC, 2022-11)The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.Publication The Journey Ahead(Washington, DC: World Bank, 2024-10-31)The Journey Ahead: Supporting Successful Migration in Europe and Central Asia provides an in-depth analysis of international migration in Europe and Central Asia (ECA) and the implications for policy making. By identifying challenges and opportunities associated with migration in the region, it aims to inform a more nuanced, evidencebased debate on the costs and benefits of cross-border mobility. Using data-driven insights and new analysis, the report shows that migration has been an engine of prosperity and has helped address some of ECA’s demographic and socioeconomic disparities. Yet, migration’s full economic potential remains untapped. The report identifies multiple barriers keeping migration from achieving its full potential. Crucially, it argues that policies in both origin and destination countries can help maximize the development impacts of migration and effectively manage the economic, social, and political costs. Drawing from a wide range of literature, country experiences, and novel analysis, The Journey Ahead presents actionable policy options to enhance the benefits of migration for destination and origin countries and migrants themselves. Some measures can be taken unilaterally by countries, whereas others require close bilateral or regional coordination. The recommendations are tailored to different types of migration— forced displacement as well as high-skilled and low-skilled economic migration—and from the perspectives of both sending and receiving countries. This report serves as a comprehensive resource for governments, development partners, and other stakeholders throughout Europe and Central Asia, where the richness and diversity of migration experiences provide valuable insights for policy makers in other regions of the world.Publication Classroom Assessment to Support Foundational Literacy(Washington, DC: World Bank, 2025-03-21)This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.Publication Lebanon Economic Monitor, Fall 2022(Washington, DC, 2022-11)The economy continues to contract, albeit at a somewhat slower pace. Public finances improved in 2021, but only because spending collapsed faster than revenue generation. Testament to the continued atrophy of Lebanon’s economy, the Lebanese Pound continues to depreciate sharply. The sharp deterioration in the currency continues to drive surging inflation, in triple digits since July 2020, impacting the poor and vulnerable the most. An unprecedented institutional vacuum will likely further delay any agreement on crisis resolution and much needed reforms; this includes prior actions as part of the April 2022 International Monetary Fund (IMF) staff-level agreement (SLA). Divergent views among key stakeholders on how to distribute the financial losses remains the main bottleneck for reaching an agreement on a comprehensive reform agenda. Lebanon needs to urgently adopt a domestic, equitable, and comprehensive solution that is predicated on: (i) addressing upfront the balance sheet impairments, (ii) restoring liquidity, and (iii) adhering to sound global practices of bail-in solutions based on a hierarchy of creditors (starting with banks’ shareholders) that protects small depositors.Publication World Development Report 2006(Washington, DC, 2005)This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.