Strengthening the national health information system through a capacity-building and mentorship partnership (CBMP) programme: a health system and university partnership initiative in Ethiopia

Health Research Policy and Systems

Wondimu Ayele¹  Admas Abera²  Keneni Gutema³  Mulumebet Abera⁴  Teklit Gebretsadik⁵  Adane Mamuye⁶  Binyam Tilahun⁶  Berhanu F. Endehabtu⁶  Zeleke A. Mekonnen⁶  Kassahun D. Gashu⁶  Amare Minyihun⁶  Moges Asressie⁶  Asmamaw Atnafu⁶  Netsanet Animut⁷  Hibret Alemu⁷  Abebaw Gebeyehu⁷  Hiwot Belay⁷  Wubishet Denboba⁷  Lia Tadesse⁸  Mesoud Mohammed⁹  Biruk Abate⁹  Naod Wondirad⁹ 

[1] CBMP Program, Addis Ababa University, Addis Ababa, Ethiopia;CBMP Program, Haromaya University, Harar, Ethiopia;CBMP Program, Hawassa University, Hawasa, Ethiopia;CBMP Program, Jimma University, Jimma, Ethiopia;CBMP Program, Mekele University, Mekele, Ethiopia;CBMP Program, University of Gondar, Gondar, Ethiopia;Data Use Partnership (DUP), JSI, Addis Ababa, Ethiopia;Minister, Ministry of Health, Addis Ababa, Ethiopia;Policy and Planning Directorate, Ministry of Health, Addis Ababa, Ethiopia;

关键词: HIS infrastructure;    Data quality;    Data use;    Health information system;   

DOI  :  10.1186/s12961-021-00787-x

来源: Springer

【 摘 要 】

BackgroundA strong health information system (HIS) is one of the essential building blocks for a resilient health system. The Ministry of Health (MOH) of Ethiopia is working on different initiatives to strengthen the national HIS. Among these is the Capacity-Building and Mentorship Partnership (CBMP) Programme in collaboration with public universities in Ethiopia since November 2017. This study aims to evaluate the outcomes and share experiences of the country in working with universities to strengthen the national HIS.MethodsThe study employed a mixed-methods approach that included 247 health organizations (health offices and facilities) of CBMP-implementing woredas (districts) and 23 key informant interviews. The programme focused on capacity-building and mentoring facilities and woreda health offices. The status of HIS was measured using a connected woreda checklist before and after the intervention. The checklist consists of items related to HIS infrastructure, data quality and administrative use. The organizations were classified as emerging, candidate or model based on the score. The findings were triangulated with qualitative data collected through key informant interviews.ResultsThe results showed that the overall score of the HIS implementation was 46.3 before and 74.2 after implementation of the programme. The proportion of model organizations increased from 1.2% before to 31.8% after the programme implementation. The health system–university partnership has provided an opportunity for higher education institutions to understand the health system and tune their curricula to address real-world challenges. The partnership brought opportunities to conduct and produce local- and national-level evidence to improve the HIS. Weak ownership, poor responsiveness and poor perceptions of the programme were mentioned as major challenges in programme implementation.ConclusionThe overall HIS has shown substantial progress in CBMP implementationworedas. A number of facilities became models in a short period of time after the implementation of the programme. The health system–university partnership was found to be a promising approach to improve the national HIS and to share the on-the-ground experiences with the university academicians. However, weak ownership and poor responsiveness to feedback were the major challenges identified as needing more attention in future programme implementation.

【 授权许可】

CC BY