The goal of this module is to provide a general overview of the extent, nature and implications of inequity in the country. It helps users to visualize the health inequities in a given country according to several different variables, including geography, wealth quintile and rural versus urban location. It also helps users to understand the causes of the inequities, in terms of health, nutrition status and diseases; to assess disparities in coverage of evidence based high impact interventions; and to have a sense of the cross-cutting health system bottlenecks that are limiting the effective coverage of the key interventions for deprived populations.
In the situation analysis you will understand :
- who the most disadvantaged or vulnerable women and children are; i.e. how deprivation is affected by various drivers such as wealth, geography, and location;
- which health and nutrition conditions cause excess mortality, morbidity and malnutrition among the most disadvantaged populations in a country ;
- which health and nutrition interventions are linked to this excess mortality, morbidity and malnutrition; and
- which health system issues are contributing to under-coverage of health and nutrition interventions.
This information supports an evidence-based prioritization of vulnerable populations and priority interventions, as well as an initial understanding of the broad health system issues that will need to be addressed in order to reduce health disparities in the country. The situation analysis can be used by itself, or as a precursor to the in-depth bottleneck analysis and scenario development exercise contained in the other module: the scenario analysis.
This module, subdivided in two “sub-modules” – Profile and Frontier- begins with a general analysis of the profile of the country, demography and epidemiology, causes of death and types of malnutrition prevailing in the country, as well as their distribution in various groups (wealth, location, residence). The module then focuses on a more streamlined examination of inequities/ excess mortality.