2022-08-12-世界卫生组织-MoNITOR_meeting_executive_summary_7_-_9_June_2022_11页_594kb

Technical Advisory Meeting of MoNITOR Group Summary

Meeting Details

• Group: Mother and Newborn Information for Tracking Outcomes and Results (MoNITOR)
• Date: Virtual Meeting, June 7–9, 2022

Overview
The tenth MoNITOR meeting focused on reviewing maternal/newborn metrics, providing feedback on ongoing work, discussing strategic planning for 2023-2028, mapping measurement initiatives, reviewing PNC indicators, and developing the next version of the online Toolkit.

Updates & Context (June 7-8)

1. Updates: Covered CHAT & GAMA advisory groups (measurement roadmaps, priorities), WHO guidelines (abortion care, positive PNC), MoNITOR subgroups (QoC, morbidity, HIS, skilled personnel).
2. Meeting Objectives:
   • Review ongoing maternal/newborn metrics.
   • Strategic planning for 2023-2028.

Mapping MNH Measurement Initiatives (June 7-8)

1. Analysis: Documented ~60 UN, university, donor initiatives; themes: coverage/mortality, EmOC, quality, HIS, capacity building, humanitarian settings; regions: focus on East Africa. Found gaps in indicator development, data harmonization, and use.
2. Strategies to Address Gaps:
   • Country-level synergies: searchable online tool (NIH style registry), identify donors.
   • Actionable gaps: understand governance, systematic gap identification studies, ensure MNH included in broader indicator efforts. Also discussed expectations for maternal morbidity measurement priorities.
3. MNH Measurement Needs: WHO developing tools (incl. WOICE for holistic morbidity) and evidence on experiences. New efforts: maternal mental health (MOMENTUM), global birth defect estimates. Suggested priorities: fistula prevention, acute/chronic morbidities, infectious diseases, follow-up, pre-conceptual care, equity links, ANC/PNC screening.
4. Scoping Review PNC Indicators: Summarized 63 studies; identified gaps: mental health, nutrition, home care, stay/length discharge, birth notification. Recommended: standardized indicator definitions, trends in quality measures, linking to SCORE framework for data triangulation. Priorities under new PNC guidelines highlighted.

MoNITOR AG Strategic Priorities (June 9, intro May 2022)

1. Guiding Questions: What new knowledge/methods/measures/processes are needed? How to better use/interpret information? What are the major challenges?
2. Process: Desk review (completed May), upcoming interviews with key informants.
3. Relevance Poll: Current objectives deemed very/mostly relevant (95%) by Advisory Group members.
4. Priority Options: Interactive ranking suggested guidance/indicators, tools, new areas, convening.
5. Desired Strategy: Strategic technical direction across measurement continuum, advise WHO/broader field, define how MoNITOR can coordinate/harmonize efforts more effectively.

Strengthening Pregnancy & MNH Monitoring

1. WHO Collaboration: MCA working with other departments (REG/PVG) on pregnancy/immunization safety data. Concern raised about requiring unique identifiers.
2. ENAP & EPMM: Partnership working on 7 target countries; 2025/2030 progress tracking.

MoNITOR Online Toolkit: Pilot Assessment & Next Steps (June 8)

1. Pilot: Tested on 264 users (78 responded via survey/interviews) from 6 countries.
2. Feedback: Highly valued for harmonizing indicator measurement; useful for policymakers, implementers, researchers, donors. Feedback needed for:
   • Add introduction/user guide.
   • Develop remaining indicator reference sheets (currently 6 of 20 core indicators done).
   • Design edits: search function, language revisions, delete filtering options.
   • Translate to all official WHO languages.
3. Next Meeting: Dates discussed (Nov 29-Dec1 or Dec14-16, 2022); format dependent on COVID. Vote by poll pending.

Meeting Concludes
Announced presentation of MoNITOR Strategy Draft and Toolkit updates pending further technical consultations.