Health Information System Strengthening Clause Samples
The Health Information System Strengthening clause establishes requirements and commitments for improving the capacity, reliability, and effectiveness of health information systems within a project or organization. It typically involves measures such as upgrading data collection tools, training staff in data management, and implementing standardized reporting protocols to ensure accurate and timely health data. By formalizing these expectations, the clause helps ensure that health data is robust and actionable, supporting better decision-making and resource allocation while addressing gaps in existing information systems.
Health Information System Strengthening. DHIS2 and Health Digital Systems
Health Information System Strengthening. Under the Health Information System Strengthening component, USAID has defined the main topics to be prioritized and geographical areas of interest as follows: • Support the MOH in developing/improving DHIS2 as the national platform for health information system, in coordination with other partner/stakeholders; • Strengthen the municipal, provincial, and central level capacities in data insertion, data analysis, and data use in DHIS2 for decision making.
Health Information System Strengthening. PMP indicators on Health Systems Strengthening are presented in the table below. They reflect the key efforts of DHIS2 implementation in all 61 municipalities of the six PMI provinces. The foundations for DHIS2 implementation were set up during Q1 of FY18 with the development of the DHIS2 Road Map. In the remainder of Year 2, HFA intends to: • Roll out DHIS2 and develop a capacity building plan for municipal, provincial, and central levels to be implemented in Q2 and Q3; • Make DHIS2 fully functional by Q4 in the six PMI provinces; • Monitor DHIS2 data entry, analysis, and data use for decision making. Number of DHIS2 users trained within MOH with USG assistance * N/A 142 N/A** 8 50 84 8 / 8 (100.0%) 8 / 142 (5.6%) Percent of municipal HMIS reports submitted on time and complete (every quarter) *** N/A 70% N/A** N/A** N/A** 70% N/A N/A Number of municipal authorities meeting quarterly to review HMIS data and incorporate feedback in reports *** N/A 43 ⱡ N/A** N/A** N/A** 43 N/A N/A
Health Information System Strengthening. DHIS2 Roll Out and Interoperability among Different Digital Systems
Health Information System Strengthening targets were presented in the beginning of Q3. In the following table, increased targets are being proposed and submitted to PMI-USAID for consideration, in line with GEPE/GTI suggestions to increase the number of people to be trained in each municipality. Number of DHIS2 users trained within MOH with USG assistance * 278 177 Percent of municipal HMIS reports submitted on time and complete 70% 70% Number of municipal authorities meeting quarterly to review HMIS data and incorporate feedback in reports 43** 43** *Revised: It assumes training 4 people at municipal level (4 x 61=244), 4 at provincial level (4 x 6=24), 2 at central level (GEPE/GTI), 2 at NMCP, and 6 trainers of trainers (TOT). Specific dates for DHIS2 training in remaining provinces and supervision are presented on Annex 5 - DHIS2 Training and Supervision Chronogram for Q4 FY2018.
Health Information System Strengthening. Although the development of the DHIS2 Road Map in Q1 2018 was a corner stone to align partners and MOH in timelines and most activities, subsequent coordination by the MOH has not always been strong, creating the following challenges: ➢ Lack of equipment for DHIS2 roll out: delays in approvals for Global Fund (GF) procurement by the MOH can jeopardize the roll out in several provinces. According to the DHIS2 roll out, GF money could be used to purchase one computer for almost every municipality in the country (161 municipalities out of 164), covering all the 61 municipalities in the six PMI provinces. Nevertheless, the MOH has barely started the procurement process and this can take several months. So far, GTI has offered 21 computers donated by the World Bank to start the roll out, out of the 43 that had originally been promised to cover the initial three provinces: Uige, Malanje, and Lunda Norte. ➢ Synergies among partners not always reached: implementers have their deliverables, indicators, and workplans that they have to meet, making harmonization challenging. This is accentuated by the lack of strong coordination by the MOH. ➢ Level of capacity of people: people from MOH assigned to accompany HFA to provinces and DHIS2 trainings at municipal and provincial level do not always have the necessary skills to do so. ▇▇▇ has assigned some personnel who have not participated previously in any DHIS2 academies, leaving aside those who have actually attended. This requires greater prep work from HFA in order to train the assigned MOH personnel at central level, before going to the provinces.
Health Information System Strengthening. PMP indicators on Health Systems Strengthening are presented in the table below. Over time, yearly or quarterly targets need to be adjusted due to recommendations from GTI/GEPE to increase the number of persons to be trained or to change the order of provinces due to strategic purposes (e.g. start with provinces already trained by GEPE on Monitoring and Evaluation or provided with computers from another donor/partner). These changes are sometimes difficult to foresee in advance, given the decision-making processes of the MOH. Here, we present the targets as they were set up by the beginning of the quarter, before the changes occurred. In section 5.6 (proposed targets for Q4), we suggest new targets based on these changes. As observed in the table 1 below, the number of people trained in DHIS2 in Q3 were almost double the quarterly targets, due to a substantial increase in the number of trainees per municipality, as recommended by GEPE-GTI. Table 1- DHIS2 performance indicators during Q3 PerformanceIndicators Baseline 2015-16 Target 2018 Quarter targets for FY2 Achieved in Quarter 3 / Quarter 3 Target Achieved in Quarter 3 / Year Target Q1 Q2 Q3 Q4 Number of DHIS2 users trained within MOH with USG assistance * N/A 142 N/A** 8 50 84 93^ / 50 (186.0%) 101^ / 142 (71.2%) Percent of municipal HMIS reports submitted on time and complete (every quarter) *** N/A 70% N/A** N/A** N/A** 70% N/A N/A ^ 93 users reported as trained in DHIS2 in Q3 include 70 users trained in Uige in May-June, and 23 users trained in Malange in June-July 4th. An additional 49 users were trained in July 11th -24th, which will be included in the Q4 report. * After DHIS2 road map and implementation plan (Q1-Q2) it was assumed that 2 people would be trained at municipal level (2 x 61=122), 2 at provincial level (2 x 6=12), 2 at central level (GEPE/GTI), and 6 trainers of trainers (TOT), making a total of 142. This assumption will be revised in proposed targets for Q4. ** Not targets for some indicators in Q1, Q2 and/or Q3 due to the roll out phases of DHIS2.
Health Information System Strengthening. During the remainder of Q4, HFA recommends continuing to work together with other partners (EU, WHO, PSM, etc.) to support GTI/GEPE and reinvigorate the Extended Technical Working Group meetings, as well as to continue having bilateral meetings with partners to have a closer look at what they are doing and how to jointly improve DHIS2 implementation. Increase involvement of NMCP, through one of its staff members and through the HFA M&E advisor to improve the culture of data analyses at all levels of the MOH. This means to initiate meetings with municipal and provincial level officials (where DHIS2 training already occurred), in order to analyze data for decision making. At the central level, support GTI-GEPE to have DHIS2 data available for presentation at each of the regular meetings with the MOH, so high level officials also increase their positive perception of DHIS2 and endorse their support of DHIS2 as the national health information platform.
Health Information System Strengthening. During FY2, HFA will continue participating in meetings with the DHIS2 Technical Working Group led by GEPE/GTI to work on the National DHIS2 Roadmap. The roadmap will prevent duplication of efforts with partners working on the same geographic or health areas, and will serve as a joint planning and accountability tool. The roadmap will also enable GEPE-GTI and its TWG to track progress and come up with solutions to any problems encountered during the DHIS2 deployment. With support from PMI, HFA will also lead a workshop on October 2017 with all partners to finalize the National Roadmap for DHIS2, bringing on board PSI/Global experts and local staff. HFA will coordinate and work closely with the PSM project, who leads on the eLMIS system, so that the integrated HMIS system is developed and implemented in Angola from the start. Based on the Roadmap developed and validated at the Roadmap workshop, by the end of FY2 Q1, HFA will have developed a detailed DHIS2 implementation plan that will be executed along the year. After the system is completely set up, an evaluation of the DHIS2 platform will be programmed to adjust for improvement and fix errors.