Category: Policies & Practices
Tanzania makes history as first facilities retire paper immunization registers
Apr 25, 2019
Aziz Seif Ahmed works as a reproductive and child health nurse in Mikanjuni health center, one of the busiest clinics in Tanga municipal council, vaccinating about 370 children a month. Each month, Aziza used to spend more than 10 hours compiling and completing monthly immunization reports, and more or less the same number of hours compiling and completing child health monthly summary reports in the HMIS Book 7 to report to DHIS2. She often worked evenings and weekends to cross-reference stock ledgers, meticulously count opened vaccine vials, add tallies, and then carefully inscribe the information. It was a pain-staking process and just a few human errors from her miscalculations or the inaccurate recording of data might have serious consequences. This sometimes translated into insufficient vaccine stock and required that Aziza turn patients away for lifesaving vaccines.
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Dr. Tove Ryman: Digital tools usher in a data revolution for health workers on the front lines
Apr 17, 2019
With the tap of her finger, Neema Temu can easily toggle between two estimates of immunization coverage within her catchment area. A health worker at Monduli Hospital in Arusha, Tanzania, she cheerfully demonstrates her new electronic immunization registry to Dr. Tove Ryman—Senior Program Officer at the Bill & Melinda Gates Foundation and technical lead of the BID Initiative.
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Increasing immunization coverage requires better use of better data
Apr 2, 2019
Global funders, country policymakers, and immunization program implementers know that the use of high-quality data is a cornerstone of well-functioning immunization programs. When high-quality data is available, public health decision-makers can understand which populations are underserved and where resources can be allocated most effectively. Immunization coverage rates have improved over the past few decades, but they have plateaued around 80 percent. The challenge with reaching the last 20 percent of children is to know who they are and where they are, which requires easily accessible and accurate data along with the capacity to interpret that data to take action.
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Goodbye paper: How Tanzania is leapfrogging the digital divide
Mar 4, 2019
Tanzania is an early adopter of digital tools and technology. Here’s how that’s strengthened its national health system and established Tanzania as a leader in the global digital health revolution.
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Dr. Francis Dien Mwansa: EPI manager celebrates ‘my system’ – how country partnerships have defined BID’s success
Feb 19, 2019
In July 2017, the Zambia Ministry of Health (MOH) and the BID Initiative hosted a showcase event to demonstrate the data quality and use interventions that had been collaboratively developed in an iterative process since 2014. During this event, a health worker from Monze in Southern Province shared his experience with data use tools, such as the Zambia Electronic Immunization Registry (ZEIR).
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Matt Berg: The catalytic potential of rapid, iterative software development
Jan 31, 2019
Matt Berg, the CEO of Ona, a Nairobi- and Vermont-based technology company, remembers one of the first immunization clinics he witnessed in Livingstone, Zambia. As a long queue of patients waited to be vaccinated, three health workers and one community health volunteer busied themselves with that day’s work. The community health volunteer weighed children, placing infants into a hanging canvas scale. Two nurses sat at a desk, immunization-related papers fanned out before them. As one pored over a paper registry, the other recorded data on a tally sheet and updated the child’s immunization card. A third nurse administered vaccines inside the clinic.
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Uganda’s immunization program officials and civil society representatives share experiences, learn about Tanzania’s electronic immunization system
Dec 26, 2018
Uganda, like many other countries in Sub-Saharan Africa faces a number of health-related challenges. At the same time, the country has dramatically improved health outcomes through several initiatives, particularly for maternal and child health. As a signatory to the Addis Declaration on Immunization, Uganda has taken measures to improve immunization outcomes, including establishing an immunization law, increasing domestic financing, and embracing innovations, such as electronic immunization systems.
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DRC delegates journey to Tanzania to learn about the benefits of digital innovation for closing the immunization gap
Dec 11, 2018
In early September, PATH staff from Kenya, Uganda, and the Democratic Republic of Congo (DRC), joined representatives from National Expanded Programs for Immunization (EPI), civil society representatives, and other government stakeholders for an enriching data learning trip in Tanzania. Facilitated by PATH, the learning trip was hosted by the Government of Tanzania through the Arusha Region, Ministry of Health staff, and PATH’s BID Initiative, with support from the Bill & Melinda Gates Foundation.
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BID by the numbers: New data reveals time-savings, more empowered decision-making among health workers
Nov 29, 2018
Beatrice Owawa is a Reproductive and Child Health nurse at the Usa River Health Center in Tanzania, one of more than 1,500 health facilities implementing data quality and use interventions across Tanzania and Zambia in partnership with the BID Initiative. As she toggles between dashboards on her tablet, you would never know it, but Beatrice used to depend on pen and paper for documenting her facility’s immunization clinics.
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Dr. Eddie Mukooyo: BID Learning Network member recounts camaraderie, opportunity of peer learning
Nov 27, 2018
The whole is greater than the sum of its parts. This is how Dr. Eddie Mukooyo Sefuluya, a BID Learning Network (BLN) member and Chairperson for the Uganda AIDS Commission, describes the peer learning network that for the last five years has tackled some of the most complex challenges facing health information systems—and developed its most promising solutions. The BLN comprises more than 20 countries in sub-Saharan Africa. With conversation topics ranging from the design of patient registers to community-based early warning systems for Ebola outbreaks, the BLN allows participants to connect, learn, and collaborate in ways that advance their own discrete efforts, while also accelerating the pace of progress for all.
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