Sustainability & Scale
Between 2014 and 2018, the BID Initiative successfully worked with the governments of Tanzania and Zambia to design, implement, and scale data quality and use interventions to four regions in Tanzania and one province in Zambia. By mid-2019, nearly a million children had been entered into the EIRs. Though the initial phase of the BID Initiative ended in 2018, we are continuing to work with Tanzania and Zambia to ensure the sustainability of the data quality and use interventions.
In Tanzania, the government expects to scale the Tanzania Immunization Registry (TImR) nationally by the end of 2019. Health facilities in the country’s Tanga Region have also begun retiring paper immunization registers in favor of TImR and transitioning to fully electronic facilities. BID continues to provide technical support to the government as it builds capacity for long-term sustainability.
In Zambia, BID is working with the Ministry of Health and other implementing partners to define scale-up plans and identify funding to scale to additional provinces.
Globally, BID continues to share its learnings, generate demand, and build momentum for data quality and use interventions. BID is also working in close collaboration with the Pan-American Health Organization (PAHO) and the World Health Organization Regional Office of Africa (AFRO) to promote cross-regional sharing. A global analytics team is pairing EIR data from Tanzania and Zambia with other data sources, such as mobile network operators, to conduct predictive analyses. The individual-level data made possible by both countries’ EIRs will help to improve immunization service delivery and answer questions about immunization coverage, the risk of epidemic outbreaks, and vaccine forecasting.