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.
This year, the immunization program in Tanzania continued to ensure every child is reached with lifesaving vaccines through adequate availability and distribution of vaccines and cold chain equipment. It also helped promote and expand outreach services, as well as generate demand within communities. In this issue of Tanzania's Immunization Vaccine Development (IVD) Program newsletter, IVD shares progress from the past year.
A strong health system must be able to monitor quality of care and work to improve it to achieve better health outcomes. It can be further strengthened if the culture is such that health care workers, patients, and community members are empowered to take action towards improving their health services. However, the complexity of health care systems makes it difficult to identify whether health facilities are meeting targets, where they fall short, and how they can improve service delivery. Continuous quality improvement (CQI) refers to an iterative, data-driven process of empowering health care workers to improve health service delivery by identifying problems, implementing solutions and monitoring efforts to improve care, then measuring the effectiveness of these efforts. This brief details PATH's approach to CQI.
The BID Learning Network (BLN) invites you to watch a virtual panel discussion called “Experiences of Health Workers in the Use of Electronic Immunization Registries: Lessons from Tanzania and Zambia.” This webinar will be of interest to data management specialists, Expanded Programme on Immunization (EPI) managers, health management information system (HMIS) specialists, and other health care specialists committed to improving data collection, quality, and use across health systems.
PATH, World Health Organization, United Nations Children's Fund, United Nations Population Fund, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction
The Digital Implementation Investment Guide (DIIG) aims to help governments and technical partners plan a digital health implementation that focuses on one or more health programs to support national health system goals. The Guide is designed to walk users of the document step-by-step through planning, costing and implementing digital health interventions within a digital health enterprise. This consists of selecting digital health interventions that are aligned with identified health needs, appropriate to a specific country context and integrated with existing technologies and the broader digital architecture. Users of the Guide will learn from diverse experiences deploying digital health technologies over the past decade and will be guided through a systematic approach to designing, costing and implementing meaningful digital health interventions that are part of a digital health enterprise. The DIIG was developed by PATH, the World Health Organization, the United Nations Children's Fund, and the United Nations Population Fund, among other partners.
Digital health innovations can improve health system performance, yet previous experience has shown that many innovations do not advance beyond the pilot stage to achieve scale. Vietnam’s National Immunization Information System (NIIS) began as a series of digital health pilots, first initiated in 2010, and was officially launched nationwide in 2017. The NIIS is one of the few examples of an electronic immunization registry (EIR) at national scale in low- and middle-income countries. This qualitative study explored the facilitators and barriers to national scale-up of the EIR in Vietnam. Qualitative data were collected in 2019 through in-depth key informant interviews and desk review. The results highlight the importance of the measured, iterative approach that was taken to gradually expand a series of small pilots to nationwide scale. The findings from this study can be used to inform other countries considering, introducing, or in the process of scaling an EIR or other digital health innovations.
The BID Learning Network (BLN) invites you to watch a webinar titled “Lessons from the Landscape Analysis of Electronic Immunization Registries,” with Jennifer Pancholi, senior manager for Digital Solutions at VillageReach. In 2019, VillageReach launched a landscape analysis about the implementation of electronic immunization registries (EIRs) in low- and middle-income countries (LMICs). During this webinar… >
The Data Use Partnership (DUP) is a Tanzania government–led initiative that is improving the national health care system through better use of health information. Under the DUP initiative, the government is working with PATH to strengthen digital health and build local capacity so that everyone—from government officials to health workers to patients—can have better access to health information and make more informed decisions, leading to a healthier Tanzania. This overview provides a summary of the different ways DUP is working to strengthen Tanzania's health system.
The BID Learning Network (BLN) invites you to watch a webinar presentation on “Electronic Immunization Registries in Tanzania and Zambia: From Design to Deployment.” The BID Initiative, a PATH project with funding from the Bill & Melinda Gates Foundation worked closely with the ministries of health in Tanzania and Zambia to address data-related challenges faced by their immunization programs. The BID Initiative developed interventions comprising electronic immunization registries (EIRs), supply chain management, and data use tools. Join us in this webinar where the speakers provide an overview of the process to develop the digital health solutions, from the design stage through to deployment of the system.
Poor data quality and use negatively impact immunization programs in low- and middle-income countries (LMICs). In addition, many LMICs have a shortage of health personnel, and staff available have demanding workloads across several health programs. In order to address these challenges, the BID Initiative introduced a comprehensive suite of interventions, including an electronic immunization registry aimed at improving the quality, reliability, and use of immunization data in Tanzania and Zambia. BID conducted a micro-costing study to estimate the economic costs of service delivery and logistics for the immunization programs with and without the BID interventions in a sample of health facilities and district program offices in each country. The full article can be found in the Pan African Medical Journal.