Developing What Works Best
BID Learning Network
LearningSharingDeveloping What Works Best BID Learning Network

The Approach

The BID Initiative is designed to shine a light on the challenges surrounding data collection, quality, and use. While our initial focus is on immunization data to first test and prove our approach, the BID Initiative is designed to spread across several health verticals such as nutrition or maternal, newborn and child health.

We didn’t predefine solutions and instead partnered with countries to develop interventions addressing the most critical routine immunization service delivery problems. We believe that a collection of multiple interventions is key to helping address data quality and use challenges. We need a holistic investment in data management policies and practices, information system products, and the people who will use them. These components will be packaged into a replicable solution that can be easily and cost-effectively adapted by additional countries interested in using better data for better decision-making.

If we are successful, a true tipping point will occur—one in which countries can access, analyze, and act upon accurate data anytime, anywhere—resulting in improved health outcomes and healthier families and communities.

Next: The Principles

Packaging a Suite of Interventions

With our country partners, we have designed, tested, and fine-tuned a suite of interventions that are flexible enough to “fold in” to countries’ overall directions and existing strategies:

  • Electronic immunization registry with supply chain information.
  • Automated, simplified report generation.
  • Data use campaigns.
  • Micro-training videos.
  • Peer support networks.
  • Barcodes on child health cards and vaccine supplies (Tanzania only).
  • Targeted supportive supervision for health workers.
  • Dashboards to monitor facility and neighboring facility performance.

A Health Worker's Journey: Oliver's Life After the BID Initiative

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. Now, she simply scans or enters a child’s ID through a health card’s barcode sticker and enters the vaccines given into an electronic immunization registry. During weekly team meetings, Oliver uses data to project how many kids they’ll see, how much vaccine they’ll need, and which kids they missed from the previous week. Through the system’s automated reporting, Oliver spends more time providing care and less time reporting to the district. Oliver also uses simple tools to connect with peers in nearby facilities for support and advice. The BID Initiative is designed to enable Oliver to do her job better. Using the power of data, Oliver now makes better decisions around how to deliver services and reach more children.

BID Initiative Infographic

BID Initiative Briefs

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.