ASSP’s DHIS2 initiatives continue to receive strong support and engagement from the MOH. In the last quarter of year 5, 1,824 health facilities were submitting routine monthly reports using DHIS2, achieving more than 100% of the cumulative project target and representing an increase of 74% compared to the first quarter of year 3. In 2017, on average, 92% of health facilities submitted reports through DHIS2 each month.
Using DHIS2, ASSP began analyzing and sending feedback reports to Provincial Health Information Officers, which can be used for dialogue for health service delivery improvement. The project also set up dashboards by program area (service utilization, reproductive health, vaccination) to simplify and encourage data analysis by provincial and health zone staff.
More than 500 people that work in ASSP’s 52 health zones and five provinces have been trained in DHIS2. ASSP has also played a significant role in supporting the Ministry of Health in delivering training to health care workers in the rest of the country.
In January 2017, with technical assistance from ASSP, the MOH launched a revised version of the monthly reporting forms used by health facilities. During that quarter, a marked increase in data quality scores was noted for all ASSP health zones with 46 health zones reaching a score of 80% or more, exceeding the quarterly target of 28. In addition to being more concise, these new forms incorporated indicators from vertical programs such as the national vaccination program and malaria programs in efforts to reduce the existence of parallel reporting systems.
IMA instituted a VSAT-linked system that tracks daily internet availability in each of the ASSP zones, helping monitor health facilities’ ability to submit data using DHIS2 and establish baseline internet access for any future projects.
Three VSAT installation and maintenance trainings were conducted to train provincial technicians who now serve more remote parts of ASSP-supported provinces. All health zones were switched to a new internet service provider. The new set-up offers unlimited internet connection to four pre-approved computers and laptops operating in the health zone office.
In addition to supporting the routine health information system, the ASSP team has also provided surveillance and data management support for outbreak response. In May 2018, four members of the ASSP staff were requested by the Ministry of Health to support critical Ebola data visualization work. This work included support to set up the electronic database to capture patient and contact data, and to facilitate the production of line listing and data dashboards to support on-going monitoring of the outbreak.
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London School of Hygiene & Tropical Medicine Health Policy and Planning: How the introduction of a human resources information system helped the Democratic Republic of Congo to mobilise domestic resources for an improved health workforce (link)