Slide 1

THE UNITED REPUBLIC OF TANZANIA

HEALTH DATA COLLABORATIVE (THDC) LAUNCH MEETING

Update of M&E Strengthening Initiatives (M&E SI)

A Tanzanian Platform for Health Information and

Accountability

11- 12 September 2017

By: Claud John Kumalija

M&E Policy and Planning Ministry of Health - CDCEC

Slide 2 Background: Situation of Health Data between 2004 -2008

Slide 3

Monitoring and Evaluation Strengthening

Initiatives (M&E SI)

• In year 2009, the Health Strategic Plan III (2009 –

2015) recognized the importance and established

Monitoring and Evaluation Strengthening Initiatives

(M&E SI)

• Strengthening of Monitoring and Evaluation is

regarded as the pillar for improving the quality of

health care and health service delivery.

Slide 4

Responsibilities of Monitoring and Evaluation

• Monitoring and Evaluation Section of the Ministry of Health –

CDGEC is the custodian of Health Statistics

• It is Mandated and work under the umbrella of the National Bureau

of Statistics (NBS)

• It is responsible to ensure smooth implementation of data collection,

analysis, dissemination and use among health partners

• It is responsible to collect routine data, conduct demographic health

surveys, health facility assessment and surveillances

• It is responsible to generate key health indicators and publication of

core health reports

Slide 5

Key Health indicators generated

to measure the Health Sector and interventions

• Sustainable Development Goals (SDGs)

• Health Sector Strategic plan (HSSP IV)

• Comprehensive Council Health Plan (CCHP)

• Government Health Budget implementation

• Health Basket Fund (HBF)

• Results Based Financing (RBF)

• Vertical Programs (HIV, TB and Malaria)

• Human resource for Health (HRH)

• Reproductive Maternal and New Born Child Health (RMNCH)

• Tracer Medicine

• Integrated Disease Surveillance and Respond (IDSR)

• Health facility Star Rating

• Ruling Party Manifesto

• Other Government, Funding and Implementing Partner’s indicator needs

• etc

Slide 6

Annual Health Statistical Publications

Slide 7

Periodic Health Demographic and Facility

Heath Surveys

Slide 8

Evaluation

of the

Health

Sector and

programs

Slide 9

Mwanza 16

Geita 16b Simiyu 21b

Shinynga 21

Tabora 20 Singida 12

Dodom 11

Iringa 2

Morgoro 7

Manyara 13

Pwani 5

Lindi 3

Mtwara 15 Ruvuma 4

Njombe 2b

Mbeya 10

Rukwa 19

Katavi 19b

Kigoma 18

Kilimanjaro

1

Arusha 14

Mara 9

Kagera 17

Tanga 6

DSM 8

Topregions

Uppermiddle

Lowermiddle

Lower

RegionalRankingonHealthSystemStrengthening

Example: Analysis of the Regional Ranking of the Health

Strategic Plan (HSSP III) indicators 2015

Slide 10

Childhood Mortalities(per 1,000 live births

Example: Analysis to track Millennium Development

Goals (MDGs) year 2000 - 2015

Slide 11

• Since year 2013 Tanzania has been

Producing and submit ICD -10 data to the

World Health Organization (WHO)

International Classification of Diseases (ICD -10)

Slide 12

Example: Trend Analysis of Hospital Mortality and

Cause of Death in Mainland Tanzania

Year (2006 – 2015)

Slide 13

Tanzania HMIS(MTUHA) and DHIS2

• Currently, data in the Health Sector is neither purely

electronic nor purely manually rather it is a mix one that is

manual and electronic.

• Data system is paper based at facility levels (Dispensary -

6259, Health Centre - 768 and Hospitals -257) where

HMIS/MTUHA is in use

• Data system is computerized at District/Councils levels with

(DHIS2 application) to all 184 Councils, 26 Regions and

through web based up to Central level with full access day and

night

Slide 14

HMIS/MTUHA Facility Data Tools (Register, Tally Sheets, Monthly Summary) Forms)

14

Slide 15

Data warehouse

DHIS 2

LMIS

HR EMR

Data from Mobile devices

-Analytics -Meta data -Visualising tools

Dashboard

Graphs

Maps

Web Portal

Mobile

DHIS2 Applications at District and above

Slide 16

Currently 46 countries, 25,000 users monthly

access DHIS2

National coverage Partial/Small scale

Under pilot

Not implemented

Slide 17

OVERVIEW OF TANZANIA ROUTINE HEALTH DATA

Google: Tanzania HMIS

Slide 18 18

Tanzania DHIS2 Dash Board/Web Portal

Slide 19

Slide 20

No Organization Software (Database)

1 Health Management Information System (HMIS) DHIS

2 Comprehensive Council Health Plan (CCHP) DHIS

3 National Tuberculosis and Leprosy program (TBLP) DHIS

4 Health System Strengthening ( HSS) DHIS

5 IVD DHIS-VIMS

6 National Malaria Control Program (NMCP) DHIS

7 National AIDS Control Program (NACP) DHIS - CTC2 Database

8 Global Fund Coordination Unit DHIS

9 Reproductive Maternal New Borne Child Health (RMNCH DHIS

10 Human Resource for Health Information System (HRHIS) DHIS, TIIS

11 Integrated Disease Surveillances and Response (IDSR) DHIS- IDSR

12 Health Facility Star Rating DHIS

13 Health Basket Fund (HBF)

DHIS

14 Results Based Financing (RBF) DHIS

Health Programs Currently using DHIS2

Slide 21

Areas where you can find heath data, Indicators

and Reports and other health information

• Health data, information and reports are currently available

at:-

• www.opendata.go.tz

• www.moh.go.tz

• https://hmisportal.moh.go.tz

• www.hfrportal.ehealth.go.tz

• These websites link to national websites including the

National Bureau Statistics (NBS), eGA, Heath Universities

etc.

Slide 22

Existing Key Challenges to the Tanzania

data Systems

• Management of Data at facility levels (Dispensary - 6259, Health Centre - 768 and Hospitals -257) is paper based and tedious (Call ICT for paperless innovations)

• Quality of routine data collected from the health facilities is a challenge (Develop and operationalize data quality assurance plan)

• Low capacity of health staff at data collection point on data analysis, interpretation, dissemination and use (Mentoring and on job, Introduce training to health training institutions, propagate the culture of data friendly)

• Infrastructure and limited budget at data collection points for enabling data system strengthening (The Government and Funding Partners to allocate recommended funds to M&E)

Slide 23

Key challenges facing M&E

• Fragmentation and multiple data initiatives across

the Health Sector i. Parallel funding to program data, existing of

Parallel routine reporting systems such as IVD, HIV PEPFAR - DATIM is a challenge

ii. Un coordinated National surveys such SPA (USAD), SARA (Global Fund), SDI (World Bank) collecting almost same indicators

iii. Existing of databases which operate in parallel to DHIS2 National database such as Laboratory Information System (LIS)

Slide 24

Acknowledgement

• Members of the M&E Technical working group across the

Health Sector under TC-SWAp

• M&E Funding partners lead by the Global Fund, The Royal

Embassy of Netherlands and PEPFAR (CDC) - Tanzania

• Implementing partners lead by the PEPFAR(USAID) - Tanzania ,

• International Technical Assistant lead by WHO and PEPAR(CDC)

Tanzania

• University of Dar es Salaam working with the Oslo University

of Norway on DHIS2, MUHAS, NIMR, IHI, Mzumbe , OUT and

Muhimbili National Hospital

• National Bureau Statistics (NBS) working with International

Technical Assistances such as MEASURE , MACRO, ICAP etc

• FBO, Parastatal, NGOs and CSCOs

• Health Facility Staff, Councils, Regions and the General Public

Slide 25

Thank You