The following document presents a framework for evaluating the progress of Health Accounts Institutionalization. The framework, based on elements commonly used for assessing general governance and institutional practices, is specifically designed to address the unique challenges of institutionalizing Health Accounts. This framework divides common factors into four domains: (1) demand, (2) governance and financing, (3) institutional technical capacity, and (4) dissemination and use of data. For each domain, a set of questions has been provided to guide the application of the framework and provide insights into the progress and challenges faced by each country.
The first domain focuses on understanding the need and interest in Health Accounts within a country. This domain helps countries gauge their level of demand for Health Accounts information and identify areas where more effort is needed to promote greater interest in this area.
The second domain examines the structures in place to support the institutionalization of Health Accounts, including policies, regulations, and financial resources. This domain provides valuable insights into how well-established institutions are in place to support the implementation and ongoing maintenance of Health Accounts systems.
The third domain assesses the skills and abilities of individuals and organizations involved in Health Accounts, such as data collection and analysis. This domain helps countries identify areas where additional training or resources may be required to improve their institutional technical capacity in this area.
The fourth domain looks at how Health Accounts information is shared and utilized to inform decision-making. This domain provides insights into how effectively health account systems are being used to inform decision-making processes within governments and other organizations responsible for public health initiatives.
By utilizing this framework, countries can gain a comprehensive understanding of their progress in institutionalizing Health Accounts systems. It also provides valuable guidance on identifying areas that require additional attention or improvement efforts. Moreover, this framework fosters cross-country learning between policymakers from different regions with similar experiences or challenges related to institutionalizing Health Accounts systems.
In conclusion, this framework aims to help policymakers understand the process of institutionalizing Health Accounts systems better while providing insights into strategies that could help move forward towards achieving greater accountability in public health sector spending decisions made by governments worldwide
