The Zambia Electronic Immunization Registry (ZEIR), powered by the Open Smart Register Platform (OpenSRP), is an open source Android application geared towards frontline health workers with offline functionality and is interoperable with other open source global goods such as District Health Information Software (DHIS2). ZEIR is standard based and has been built to ensure timely, complete and accurate immunization data that enables the tracking of children and their vaccination records. This user manual provides instructions on how to use the ZEIR app during daily work at the health facility.
The BID Initiative Story highlights the value of collaborative, country-driven planning; local leadership and ownership; user-centered design; and continuous learning and adaptation when developing and deploying innovations. It also shows why we are optimistic about our progress and future efforts to improve health services and outcomes across sub-Saharan Africa by transforming data collection, quality, and use.
This report presents the evaluation findings from data collected at baseline and midline of BID implementation in sampled health facilities from the first six implementation districts in Southern Province—Choma, Kazungula, Kalomo, Livingstone, Mazabuka, and Zimba. Data collection took place between November 2016 and March 2018. Read the full report.
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).
The BID Learning Network (BLN) invites you to watch a webinar entitled “Lessons Learned in Change Management and Data Use.” In this webinar, the presenters share the lessons learnt in Tanzania and Zambia during the implementation of data quality and data use interventions at district and sub-district levels. The audience learns about the use of change management tools to overcome resistance to change. The presenters discuss the different approaches used to address resistance.
Between September 19 and September 22, BID Learning Network (BLN) participants gathered in Lusaka, Zambia for a final BLN Discussion Meeting. The meeting provided an opportunity for country representatives and various partner organizations to discuss the challenges and best practices around developing and implementing digital health strategies and improving data collection, quality, and use across health systems. The week-long meeting included site visits to health facilities implementing interventions, as well as sessions on Zambia and Tanzania’s progress to-date, and panel discussions on change management.
Stay tuned for the full report from the meeting.
Health information systems are central to strong health systems. They assist with patient and program management, quality improvement, disease surveillance, and strategic use of information. Many donors have worked to improve health information systems, particularly by supporting the introduction of electronic health information systems (EHIS), which are considered more responsive and more efficient than older, paper-based systems. As many donor-driven programs are increasing their focus on country ownership, sustainability of these investments is a key concern. This analysis explores the potential sustainability of EHIS investments in Malawi, Zambia and Zimbabwe, originally supported by the United States President’s Emergency Plan for AIDS Relief (PEPFAR).
An effective health service comprises many components, including a well-functioning supply chain; the availability of commodities at the health facility is one key part of the logistics system that ensures the end user can receive the health service they need. Delivering health commodities to the last mile, the point of service delivery, involves many processes and several modes of transportation. Commodities must come from manufacturers— often in foreign countries—to national warehouses, then to local storage units, and finally to the local health facility. In the countries where the USAID | DELIVER PROJECT implements supply chain programs, logisticians employ several models for the delivery of health supplies to service delivery points.
The Better Immunization Data Initiative Learning Network (BLN) recently held a webinar entitled “The Cold Chain Management in Zambia”. This webinar focuses on the practical aspects of managing the cold chain for a vaccination program in an environment that is less than ideal.