Vietnam’s immunization registry system prior to 2009 was a paper-based logbook that was prone to errors, time-consuming, and burdensome for health workers. Starting in 2009, the Vietnam National Expanded Program on Immunization (NEPI) and their partner PATH began visualizing the possibilities and benefits that a national-scale electronic immunization registry (EIR) and vaccine-stock-management system could bring to
Vietnam. In 2017, the National Immunization Information System (NIIS)—a sustainably planned, government-run, nationwide EIR system—was officially launched along with national mandates on system use. Much of the success of the scale-up of the Vietnam EIR can be attributed to three key factors: (a) planning for scale from the beginning, (b) commitment from the government, and (c) technical partnerships. The story of scaling up, however, did not come without challenges and hurdles. This case study reviews Vietnam’s journey from district pilot to national-level EIR.
The BID Learning Network (BLN) was established in 2014 as part of the BID Initiative to bring together digital health experts and immunization program managers from across sub-Saharan Africa to exchange experiences in implementing electronic immunization registries, data management systems, change management approaches, and data use policies and practices. In response to a growing demand from countries to adopt their own digital health solutions, the BLN is expanding its portfolio. Drawing on its experience in designing, introducing, and scaling digital and data tools in Tanzania and Zambia, the BLN will help countries address routine data challenges at a primary health care level.
The BID Learning Network invites you to watch a webinar panel discussion on “Capacity Building for DQU Collaborative Countries.” Global and national stakeholders have acknowledged that routine immunization programs face significant challenges related to the collection, analysis, availability, and use of data for planning, management and improvement of program performance. To address these data challenges, the World Health Organization (WHO) worked with HISP to develop a DHIS2 data quality application suitable for countries.
As technology has become cheaper and more accessible, health programs are adopting digital health interventions (DHI) to improve the provision of and demand for health services. These interventions are complex and require strong coordination and support across different health system levels and government departments, and they need significant capacities in technology and information to be properly implemented. Electronic immunization registries (EIRs) are types of DHI used to capture, store, access, and share individual-level, longitudinal health information in digitized records. The BID Initiative worked in partnership with the governments of Tanzania and Zambia to introduce an EIR at the sub-national level in both countries within 5 years as part of a multi-component complex intervention package focusing on data use capacity-building. We aimed to gather and describe learnings from the BID experience by conducting a framework-based mixed methods study to describe perceptions of factors that influenced scale-up of the EIR. Read the full article in Implementation Science Communications.
The BID Learning Network invites you to watch a webinar panel discussion on “The Design, Development and Deployment of an Electronic Immunization Registry in Vietnam: Reflections, Guidance and Global Comparison.” The Introducing Digital Immunization information systems – Exchange And Learning from Vietnam (IDEAL-Vietnam) is a PATH project funded by the Bill & Melinda Gates Foundation which has been working closely with Vietnam’s Ministry of Health in facilitating a successful transition from paper records to a completely paperless immunization record system.
Pakistan, Zambia, and Kenya are among a growing number of countries implementing electronic immunization registries (EIRs) to improve data quality and health facility performance. But EIRs can be costly to design and introduce. This case study explores the localization and adaptation of OpenSRP’s immunization module, the benefits of iterating on open-source software, and lessons learned during use in Pakistan, Zambia, and Kenya.
Since 2014, the BID Learning Network (BLN) has hosted learning exchanges, webinars, system demonstrations, and rich dialogues about digital and data solutions as a collaborative, country-owned peer learning network. Recently, the BLN expanded its scope to provide a set of holistic services that leverage our deep expertise, and those of partners on the design, implementation, and scale-up of digital and data solutions for routine health data. Our expanded commitment to peer learning will include advisory, capacity building, and knowledge management services for countries hoping to improve their own health information systems.
The BID Initiative team, along with other members of PATH’s Center for Data and Digital Excellence will be joining colleagues and collaborators from around the world for the 2019 Global Digital Health Forum. This year’s Forum – Celebrating Innovation and Supporting Proven Practices at Scale – seeks to balance the need for evidence-based scaling of proven systems with the urgent need to determine how emerging technologies and approaches can dramatically improve health outcomes.
Between 2013 and 2018, BID designed, developed, and introduced an electronic immunization registry in three regions in Tanzania and one province in Zambia. The Initiative’s financial records were used to account for the financial costs of designing and developing the EIRs, BID staff time, expenditures for rolling out the EIR systems and the related suite of interventions to health facilities, and recurrent costs. Total financial costs, cost per facility and cost per child were calculated in 2018 US$. By documenting the costs associated with introducing an EIR, BID hopes to help other countries introduce more affordable platforms for their own health landscapes. Read the full article in BMJ Global Health.
Since 2016, the Government of Tanzania has been implementing TImR, an integrated Electronic Immunization registry-logistics management information system (EIR-LMIS) that includes stock notifications. Working in close partnership with the Government of Tanzania, PATH conducted a study to estimate the impact of this intervention on vaccine availability. The findings of this study were published in Vaccine.