The BID Initiative took a holistic approach to address immunization data challenges by packaging together information system products, data management policies, and evidence-based practices with people who are empowered to improve decision-making. This document captures the various lessons learned throughout BID, from the design and testing phase through implementation, noting if the lesson was learned in the Tanzania or Zambia implementation (or both).
Over the past decade, the use of information and communication technology (ICT) to
improve health outcomes has multiplied in the global health sector. More recently,
there has been an increasing emphasis on maturing away from a myriad of pilots and
toward proven and scaled solutions. Now, ICTs are widely recognized as an essential and
valuable tool for increasing access to and the quality of information and services.
The BID Learning Network (BLN) invites you to view a webinar entitled “Principles of Digital Development.” The Principles of Digital Development are a set of high level concepts for consideration before embarking on any technology-supported programs. In this webinar, Carolyn Florey, Director of Collective Impact at Digital Impact Alliance (DIAL), discussed how they should be integrated during all phases of project implementation.
The BID Learning Network (BLN) invites you to view a webinar entitled “Data Driven Health Delivery Systems at eHealth Africa.” This webinar provides background and examples of ways in which eHealth Africa (eHA) employs technology and information systems to transform health care delivery. Our speaker described how eHA has improved immunization systems through the use… >
The BID Learning Network (BLN) invites you to view a webinar entitled “The Uganda eIDSR System”. During this webinar, colleagues from Uganda share how they have built an information system with their own resources, utilizing a multi-sector approach. They share how they have engaged with different arms of the government and other local partners to build a system that is now attracting interest from external funders.
In its report Global Health 2035, the Commission on Investing in Health proposed that health investments can reduce mortality in nearly all low- and middle-income countries to very low levels, thereby averting 10 million deaths per year from 2035 onward. Many of these gains could be achieved through scale-up of existing technologies and health services. A key instrument to close this gap is policy and implementation research (PIR) that aims to produce generalizable evidence on what works to implement successful interventions at scale.
The December Discussion Meeting held in Arusha, Tanzania is designed to be hands on and highly participatory events that become a rich learning experience for all attendees. In this report and the presentations, we share some of the discussions around strategies and approaches to improving data, quality, and use among participating countries and include highlights around the progress made in BID demonstration countries (Tanzania and Zambia), the successes and challenges they have had, and the way forward.
A selection of presentations from the meeting are available below.
This infographic illustrates how the digital health solutions program at PATH works to improve data quality and use through people, products, practices, and packaging in order to strengthen health care systems.
A theory of change (TOC) defines the activities, outputs, outcomes, evidence and assumptions on the pathway to achieve a long-term goal. For the BID Initiative, this pathway is based on the principal hypothesis that better information plus better decisions will lead to the long-term goal of better health outcomes. The TOC describes in detail the types of activities the BID Initiative is conducting to bring about the outputs and outcomes depicted in the pathway.
The BID Initiative has four primary outcomes:
Improved overall immunization data quality at scale in two demonstration countries by 2017
Increased use of immunization data for decision making across all levels of the health system at scale in two demonstration countries by 2018.
Achieved implementation of relevant components of the BID solution at scale in two demonstration countries, and commitment toward implementation by 5-8 other country governments within Sub-Saharan Africa by 2018.
Significant additional resources are committed from donors, multilateral agencies, implementation organizations, or other innovative sources for financial and technical support to countries adopting and improving the BID solution by 2018.
There are a broad range of activities supporting the achievement of these outcomes, with the activities for primary outcomes 1 and 2 focused at the country level in Tanzania and Zambia (our two initial demonstration countries) and the activities for primary outcomes 3 and 4 focused mainly at the regional and global levels to expand and scale with additional resources. For this reason, we developed two separate but related TOCs – one for outcomes 1 and 2 and one for outcomes 3 and 4. In addition, there is a supporting document that summarizes a thorough review of the literature supporting the design of the BID Initiative activities and TOC related to outcomes 3 and 4.