 Okay, I will try to like break the record for the shortest presentation of the week, but we, I think it was, we think that it's important to also give you an idea of other type of information that you can add on top of your on top of your health facility and community and stock and population, and there are also other other data that are very much linked with that with the facilities and and we have started working together with the Global Fund and the WHO on these quite a while ago, but it's something that it's, it's a very extensive type of work and, and it has a lot of information so it has been a long process of try to reduce to the to the minimum that the core type of indications that you want to to to collect for evaluating your facilities. So, what, and instead of like calling it, it's based very much on the harmonize health facility. So, the A stands for assessment. Thank you. It's because we were calling it now how facility attributes and what are these attributes. If you are acquainted with the way that DHIS works attributes are normally type of informations that are not very variable for the person. So for example, the name of the person is an attribute, the date of birth of a person is an attribute. So we are calling it a facility attributes because per se, these kind of these kind of of in the end they are data elements but they are variables nonetheless are not changing for the facility itself what you are trying to evaluate for that facility remains for that facility. And also why they are semi permanent and not exactly not the normal way that we do attributes because you can decide a little bit also the frequency of collection. This is supposed to be a self administered way of evaluating the readiness and accessibility of the of the services and the equipment and all that comes with it. You can have it for example, every six months, you can have it once a year, every quarter is very much dependent on the type of of ruling and the type of other implementations that you have locally. What can you achieve out of that you can have, for example, an overview of the availability and whether you're providing different type of of healthcare services. The equipment that you have available for those have services. So for example, you have malaria as a health service, and you can start entering data on whether you have like a readily available laboratory services for malaria or for example, a quick test for malaria if you're available, for example, maternal care for malaria or if you only have a quick outpatient and there is no ability to take in patients for for malaria for example, you have a little bit of an overview of the stuff that you have a facility level. So for example, the number of doctors that you might have the number of specialists that you might have, the number of nurses, etc. You can have an overview of the infrastructure. So comes from either if you have connectivity if you have electricity, as well as wash information. So therefore, if you have like access to clean water if you have access to toilets or latrines or whatever comes with it. And of course, the preparedness of your health, your health system in case of emergency. As I said, it is very much based on the HHFA. And that gives you really like the full picture of all the assessment that is needed for evaluating the health facilities. This is a subset. So what it means is what it can be linked in case the HHFA is already up taken routinely. It can be linked to it. So at least the core information that you are using to evaluate your accessibility and your readiness of the facilities. You can still link it and still maintain that type of information linked to the facility. So do you remember yesterday that we were also having an overview of what you can do a facility level that you can map it out. You can see the catchment areas. You can see the population distribution. You can see like sex desegregation and things like that. You could also start having this kind of information at facility level in order to see have a clear overview of what you can offer. And what is the status of that facility per se. I'm too tall for this. So, as we said it, the, the main modules that are part of these are based on the on the hearings and HHFA, of course, so you have service availability, service readiness and the government and management, which are like the three main core way of evaluating facilities. Then within those three main modules, let's call it, you talk about staff, you talk about service provision. And then what I was saying earlier, infrastructure, power, IPC that is a kind of prevention controller and hygiene in general. So like all your wash activities. And then you have also government and management. So a little bit on the idea of whether you have like a government body within your, your facility if there is any kind of management structure in your facility going also like for example if you have a bank account for your facility. And this is all very flexible in the sense like we digitize the questioner that it can be for self reporting. So you can add and remove this kind of information, depending on what kind of, I mean, resources you might have but also what kind of information you can extrapolate at a facility level at the end of the day. So how to adopt it? It's a, it's, I mean, in the end is not that different from other, other modules to be fair. So you need to of course review what you have a facility level. What kind of services because of course what is being put out from our side, it's a general thing. So you might not have malaria services, you might not have family planning, you might not have HIV services. It's very much dependent on what you have locally. So you need to start reviewing the questionnaire and an adopted, which means reducing or expanding depending on the con. You might determine the frequency when that you want to use for this kind of evaluation. It can be, as I said, quarterly six months, once a year, once every five years is very much dependent on you and what the management team wants to do with it. So you need to check the level of data collection. And, and of course that is also very dependent on whether the health, the health facility as internet or not. You need to start using a little bit and start deciding what is your baseline of source of information. So maybe is the W. H. O standardized way of collecting data, or you're just going directly with the DHS side of things. And, or you can use the W. H. O way of doing, and then importing some of those answers in the DHS models. And then you start collecting the data. And you need to make sure that this data is available across the all the different programs because of course it's a self administer questionnaire. So you need to make sure that all the relevant sources will have access to this type of questionnaire. And of course, the big part of these is actually training, because, especially when you don't have an integrated system where you can retrieve all this information easily, getting information on wash on on services on on on staff on budget and things like that. It can be very time consuming you can imagine. So also, having a good system behind it and train the people who will have to do this type of selection is super important. And we said it is very is very flexible is very adaptable to the different to the different context, of course, there is a dashboard that it's available like all the the toolkits that we put out. And there are plenty of implementation guides that either comes with the HFA on the hearings. And of course, also with the module itself. How do they all relate together. I mean, in the end, the whole point of all this type of of evaluations it to capture a little bit the key information to have a little bit more frequently because chances are most of the times that these type of of facility assessments are done. It's either because you have received a bigger investments from donors, or they are really done on routine, but we have seen examples that is not necessarily true. We have we were talking with our colleagues from Tunisia and they have been doing great at really maintaining a routine assessment up to date based on goals, and where they really go back and check that everything has been done so well done to you. And this is just another resource that can be add on top of it. And what is the added value of having all of these because of course, it's very easy to say okay this is just an extra level of data and it's incredibly painful to do. It is true, but so you can better plan for resource allocation why because on top of your facility information for services, you have your logistics you have everything and then on top of these. You start adding the key information on readiness and the availability of your services. You can start identifying the bottlenecks where these resource allocation and where these services are funding a gap, and therefore you can start acting upon it. And then you can start preparing responding to emergencies why because you have identified where probably your bottlenecks are intervening and where they are playing a role into the access to those services. And because you have like learned how these facilities are profiling, and you can check afterwards what you can improve out of their facility be it on resources be it on staff be it on on service provision, and you can start therefore evaluate already in case of emergency, what would be the best approach, and what for example what are the key facilities that can respond to certain emergencies. And then here you have like quite a few examples, some are taken from from this module some are taken also from the, for example, the rehab module and another one that will come out soon about sensory functions or vision hearing and such, which can be of interest as it all falls into the NCT side of things. And you see either are mappings that you can like have like the profile of the of the health of the workforce in health. You can start having it either in graphs or in maps to see the density per per population. For example, you can also see like the number of specialists, how many beds you have, how many IPD like actual bed you have against what how many you are supposed to have, because we all know that sometimes the actual beds are normally more than the ones you have to have. So it can also be the fact that you might want to start plotting how this is going. And of course you can also start checking for example case load per staff, because you start triangulating also the kind of information from the service, together how many how many stuff you have out of that so you might have I don't know this in this case was I care because we are taking the, the graph from another, another toolkit, but it could be also I don't know your you have like two surgeons but you are having 200 surgeries. So you can start evaluating whether the case load per surgeon is actually maybe a bit too much, or is not enough and therefore we need to start taking maybe like more people in and we can become like I don't know, a more referential way of accepting patients. So, overall, like the whole point here is the fact that, yes, there are like extra information that can be added on top of things in in the profile of the of the facilities, but this can be an added value and not just a more painful way of collecting extra information, because once you start triangulating all this information together with your facility data and your house data, you can start checking really where the gaps are in your facility and when you need to start investing, and also start checking whether the investments that have already been made are actually having an effect in the availability and accessibility and and and the readiness of the of the services that you are providing. So, that was really like very short, also because it's something that we are still developing and working on and ready to pilot pretty soon. And, and yeah, so we just wanted to share with you because it's incredibly important in an integrated system. And I don't know if you have like any additional comments towards that. Yes, you that on yeah. So, additional some of the background for this work. I think it came from two key areas. Number one was some of the initiative from the form countries and it's a lot linked to the, maybe some of the country here have done it which is called the result based financing where they actually have to report the progress where to the donors and then from there, they will be able to get funding for the services. And with that, it's also including the funding for a loss of it is the readiness of the service to making sure that we have enough equipments and essential medicines and commodities. So this has been implemented in several countries through the DHS to network as part of number one readiness. And for the for the country number two is also to showcase of the HMIS the health management information for the planning. Number three, it is also help to improve the quality of the services. And then with COVID and WHO so in presenting or introducing these two kids called the poll survey, where every quarter we send a questionnaire to countries to try to see you know what are the the missing elements to maintain essential health services of primary health care level and other health facilities. So this put together and we, and we're trying to see how we can best to bring this as part of the health management information system. And as part of the integrated cross cutting health service, where we combine the volume of patients where they are from what service they want versus what the facility as opposed to provide. We are ready to provide the service in terms of infrastructure in terms of commodity and logistics in terms of human resource in terms of, you know, the time and also just across triangulation of the data. We're also trying to bring it in as a either quarterly or by annual and combine that with the supportive supervision and the key important thing is that the, this should be done as a part of the coordinated efforts across all different programs are different components of the health of the health services. So, for example, if you have a family planning and maternal and child health supportive supervision, you should go and look at that, but, and then you know malaria or TV or HIV have a similar. They can go and look at that so they have a one standard templates that everybody can look at and then make sure that the health facility managers are aware of what they have, and then maintain the services. And this is also developed based on the, I think here many will be familiar to the Harim, but then also the here I'm sorry and then also we have what we call the health facility. We have the harmonized health facility assessment where it's evolved and it's extended from the former Sarah survey, which we also trying to encourage country to do it once in a while for the assessment of the readiness and availability of service in the community. And that should form as a baseline for the monitoring of this health facility attributes. So if you have a further questions you know, Victoria and I were happy to to respond thanks.