The household numbering is done at the start of the implementation of CHIS. Community volunteers are mobilized with the help of the woreda administration and kebele council to conduct house to house registration and numbering. The villages within the kebele i.e. the health post’s catchment area is numbered serially like 01, 02, 03 and so on. Within each villages the households are then numbered serially starting from the house of the community health volunteer. The HEWs maintain a household visit “clock” which is put on the wall over the door of the health post. This clock indicates which HEW visiting which village. For the household visits, the HEW use the household numbers to plan for 8-10 households to be visited in a day. Accordingly, they can carry the family folders of those households and also note the follow-up services required by the household by looking at the operational cards in the tickler file. At the house, the HEW can quickly glance through the information within the Family Folder and identify what services the family members require. Thus, a family-oriented approach is promoted and reducing missed opportunities.
CHIS is proving itself as a useful tool for a holistic approach to family-oriented health care. During the household registration, family’s demographic and environmental sanitation data. This helped to the service needs of the community. For example, in Shurmo, the HEWs identified that there were about 117 households that don’t have latrines; almost all households didn’t have bednets. These information are boldly displayed on the walls of the health posts and help the HEWs to plan their interventions.
The tickler file system is helping the HEWs to identify service defaulters and thereby improve continuity of care.
MAPPING COMMUNITIES FORHEALTH IN SNNPR, ETHIOPIA AN ICT SOLUTION & A COMMUNITY-BASED SOLUTION Tariq Azim, Resident Advisor HMIS Scale-up Project, Ethiopia SNNP REGIONAL HEALTH BUREAU
ICT Solution - eHMIS Objective: To strengthen monitoring and management of health programs in the region User Health Mangers at regional and district health offices SNNP REGIONAL HEALTH BUREAU
ICT solution – eMapping Integral part of electronic HMIS (eHMIS) implemented in the Southern Region (SNNPR) of Ethiopia SNNP REGIONAL HEALTH BUREAU
eMapping:(1) Listing of all the Health Institutions SNNP REGIONAL HEALTH BUREAU
(2) Linking HMIS data tocorresponding Health Institutions SNNP REGIONAL HEALTH BUREAU
(3) Color-coded eMaps of specifichealth service’s performance SNNP REGIONAL HEALTH BUREAU
(4) Adding GPS coordinates SNNP REGIONAL HEALTH BUREAU
Local community-based solution Objective To identify household and localities with specific health needs User Health Extension Workers (HEW) SNNP REGIONAL HEALTH BUREAU
Local CB Mapping Hand-drawn map to show main localities/villages and landmarks Registration and listing of all Households within each village Alphabetical listing of the Household head names by village Health Cards of HH members needing follow-up services filed separately in Tickler boxes Preparing HH visit plans based on HH numbers, health service needs and geographical locations SNNP REGIONAL HEALTH BUREAU
CB Mapping - Hand-drawn map toshow main localities/villages andlandmarks SNNP REGIONAL HEALTH BUREAU
Registration & listing of HH by village HEWs use Household Numbers for planning home visits SNNP REGIONAL HEALTH BUREAU
HH data used to study the community in their catchment area SNNP REGIONAL HEALTH BUREAU
Complementing HH listing with Tickler Filesystem helps in reaching out to servicedefaulters SNNP REGIONAL HEALTH BUREAU
Maps by CHW for promoting RH and use of LatrinesEnhancing Interactions between Households, Communities andHealth Workers for Improving Maternal and Newborn Health: TheLast Ten Kilometers ProjectAli Mehryar Karim SNNP REGIONAL HEALTHUSAID, Washington DC. June 22, 2011 BUREAU
ICT solution - Challenges Verification of HI data esp. of HPs and HCs Collecting GPS coordinates of HCs and HPs HMIS report timeliness & accuracy Making managers use the system and sustaining their practice SNNP REGIONAL HEALTH BUREAU
Local CB Mapping - Challenges Mobilizing community and local administration for HH registration & numbering Maintaining an updated list of HHs Updating service data from HH visits Use by other projects SNNP REGIONAL HEALTH BUREAU
THANK YOU!MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by theCarolina Population Center at the University of North Carolina atChapel Hill in partnership with Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. Views expressed in this presentation do notnecessarily reflect the views of USAID or the U.S. Government. MEASURE Evaluation is the USAID Global Health Bureausprimary vehicle for supporting improvements in monitoring and evaluation in population, health, and nutrition worldwide. Visit us online at http://www.cpc.unc.edu/measure SNNP REGIONAL HEALTH BUREAU