Innovative Health Information Systems Technologies – Zimbabwe
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UNDP worked with the Ministry of Health and Child Care (MOHCC) to implement a District Health Information System (DHIS) to replace the mainly paper-based, multiple reporting systems previously in use at health facilities. The DHIS-2 package, implemented in partnership with PEPFAR and RTI, provided a dramatic improvement in data management and analysis for health programme monitoring and evaluation, leading to more informed decision making.
Its utility is diverse – ranging from processing facility registers and service availability mapping to logistics management and mobile tracking of pregnant mothers in rural communities. Efforts are underway, with technical support from the University of Oslo, to provide the platform for the integration of electronic Patient Management Systems (ePMS) and other programme electronic systems into the DHIS-2.
In addition, a Weekly Disease Surveillance System (WDSS), incorporating innovative inbuilt Frontline SMS messaging into mobile phone-based reporting of weekly data, has been supported ensuring timely transmission of surveillance data.
- Significant and on-going investments in the DHIS-2 and the WDSS have strengthened the national Health Information System (HIS).
- The result is more timely and reliable health information enabling improved analysis, more informed decision-making and quality national forecasting and planning.
- Improved responsiveness of the services for patients.
- The completeness of the monthly reports has increased from around 50% to over 98% and the weekly reports from about 45% to 90%.
- The reporting burden for health workers has been significantly lessened through the integration of different reporting systems into the DHIS-2, enabling them to spend more time with patients.