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May 27, 2021

Electronic immunization registries in low- and middle-income countries

Digital Square, USAID

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The “Electronic immunization registries in low- and middle-income countries” report builds on lessons from previous experience with electronic immunization registries (EIRs) and other primary health care registries in low- and middle-income country (LMIC) contexts to provide recommendations on system design. In addition, the report summarizes how registries can affect service delivery and outcomes.

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Feb 12, 2021

Compasses when there are no maps: The growing importance of adaptive management to the development sector and the role of real-time data


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In a world with dynamic population movements, outbreaks with cross-border implications, and increasingly politicized health issues, linear and inflexible approaches to global health programs are ineffective. Adaptive management has emerged as one possible approach that embodies iteration and adaptability in program design and implementation to help with navigating complex and dynamic environments. Real-time data systems can strengthen adaptive management by generating data that can more rapidly inform tactical adaptations, changes, and future planning. This white paper challenges traditional project management in the global development sector. It encourages donors, policymakers, implementers, and ministries of health to set a new precedent of adaptive programming.

Download File: pdf (424 KB)

Feb 25, 2020

The catalytic potential of rapid, iterative software development


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Zambia, Kenya, Pakistan

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.

Download File: pdf (3.5 MB)

Nov 26, 2019

The costs of developing, deploying and maintaining electronic immunisation registries in Tanzania and Zambia

BMJ Global Health

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Tanzania, Zambia

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.

Download File: pdf (286 KB)

Nov 11, 2019

The impact of an integrated electronic immunization registry and logistics management information system (EIR-eLMIS) on vaccine availability in three regions in Tanzania: A pre-post and time-series analysis


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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.

Download File: pdf (911 KB)

Jun 10, 2019

BID Regional Global Factsheet

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Led by PATH, in partnership with the governments of Tanzania and Zambia, the BID Initiative is grounded in the belief that better data, plus better decisions, will lead to better health outcomes. BID was designed to create an environment in which reliable, easily accessed, and actionable data can be used to improve health outcomes. This factsheet summarizes the BID Regional portfolio of work.

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Jun 7, 2019

BLN Webinar | Immunization Data: Evidence for Action (IDEA) Review

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The BID Learning Network invites you to view a webinar presentation on The Immunization Data: Evidence for Action (IDEA) Review. IDEA is a global synthesis of existing evidence aimed at increasing the use of high-quality data to improve immunization coverage. While advances in information technology have led to continuous increases in the amount of health data available, data remains an under-utilized resource in the design and implementation of immunization programs throughout the world. The IDEA Review identifies five proven strategies to improve data use and outlines how funders, policymakers, and program implementers can incorporate these best practices to improve the efficacy of regional and national immunization programs.

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Feb 20, 2019

BLN Webinar: Introducing the BID Learning Network Data Quality and Use Collaborative

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The BID Learning Network (BLN) invites you to view a webinar presentation on “Introducing the BID Learning Network Data Quality and Use Collaborative.” Since 2014, the BLN has been bringing African countries together through peer learning, to identify and share tested solutions related to data collection, quality, and use.

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Feb 20, 2019

A health worker’s journey: Oliver’s life after the BID Initiative

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Oliver is a nurse in a busy, urban facility. She’d spend hours sifting through dense registry books to find which children were due for vaccination and ensuring she had enough stock. Once kids were immunized, Oliver and her team worked nights and weekends to report to the district. Unfortunately, the data went up, but rarely came back to help Oliver improve services. Through the BID Initiative, Oliver is a connected health worker motivated to use data to make her job easier.

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Feb 20, 2019

BID Initiative briefs: Recommendations and lessons learned


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The BID Initiative is committed to sharing its learnings with others interested in improving immunization data quality and use. The following series of briefs summarizes our work alongside the governments of Tanzania and Zambia and our lessons and recommendations spanning seven key subject areas.

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