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The Role of Routine Health Information Systems in the Post-2015 Development Agenda
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Strengthening Routine Health Information Systems through Regional Networks

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Strengthening Routine Health Information Systems through Regional Networks

  1. 1. Routine Health Information Network Strengthening Routine Health Information Systems through regional networks Date 11/14/2016 IVth Health System Research Symposium Vancouver, Canada
  2. 2. RHIS in the spotlight: M&A for Health Summit in June 2015 ​ Call for Action (Action Point 4) ​ Maximize effective use of the data revolution, based on open standards, to rapidly improve health facility and community health information systems, including well- functioning disease and risk surveillance systems, and financial and health workforce accounts 2
  3. 3. The role and importance of decentralized Routine Health Information System (RHIS) ​ Facility-based and ideally also community-based ​ Main source of information for (daily) planning and management of quality health services at district level and below  Coverage and quality of health interventions  Disease surveillance  Commodity security  Financial management ​ Also feeding information into national and global levels (for example monitoring of SDGs) ​ Ideal tool for integrated management of health interventions 3
  4. 4. But we all know ... RHIS in most LMICs are woefully inadequate to provide the needed information support ... 4
  5. 5. What is wrong with existing routine health information systems?  Plethora, irrelevance and poor quality of the data collected  Centralization of information management without feedback to district and service delivery levels  Fragmentation into “program- oriented” information systems: duplication and waste  Poor and inadequately used HIS resources and infrastructure (including ICT) AS A RESULT  Poor use of information by users at all levels 5
  6. 6. We have evidence based interventions to improve RHIS performance  Technical interventions  Establish a set of essential indicators  Redesign RHIS architecture  Ensure interoperability between RHIS subsystems  Organizational interventions  Create an information culture with incentives for use of information  Behavioral interventions  Capacity building at all levels 6
  7. 7. But, to further the cause of RHIS strengthening … … we need advocacy • System strengthening interventions take time: usually a minimum of 3-5 years • Lack of visibility as compared to vertical disease interventions – Fight against the common mindset: “RHIS do not work” – Advocacy network: RHINO 7
  8. 8. RHINO Routine Health Information NetwOrk ​ Network of organizations and professionals concerned with improving the quality and sustainability of RHIS in LMICs ​ Created in 2001 with funding mainly through USAID (MEASURE Evaluation) ​ Independent NGO with 501-C-3 status since 2007 ​ Currently 1,000 + members from 60+ countries ​ Ministries of Health ​ Bilateral and multilateral donor agencies ​ Consulting agencies and NGOs ​ Website: www.rhinonet.org 8
  9. 9. RHINO: summary of activities ​ Networking: ​ International Workshops ​ Potomac, USA, 2001 – Mpekweni, South Africa, 2003 – Chiang Rai, Thailand, 2006 – Guanajuato, Mexico, 2010 – Vancouver, Canada, 2016 ​ Website with moderated listserv ​ Collaboration with HDC/USAID/WHO/World Bank ​ Capacity building ​ RHINO forums on SOTA topics ​ Listserv exchanges on RHIS best practices and lessons learned ​ Newly designed standardized RHIS course ​ Knowledge management ​ Annotated bibliography on RHIS ​ Publications ​ Consultants database 9
  10. 10. RHINO: Results  Global Attention for RHIS strengthening  Health Data Collaborative  Tools for RHIS performance are available (PRISM, DQR, RHIS Curriculum)  Many countries have started RHIS strengthening assessments, plans and implementation (PRISM inventory, 2013)  Need for networking closer to lower and middle income countries  Better south –south learning: sharing best practices and lessons learned  Recent drive for regional networks: RELACSIS -- WAHO --AeHIN 10
  11. 11. RHINO RHIS Regionalization Session OBJECTIVES  Promote the establishment of regional networks for advocacy and knowledge sharing to strengthen country investments in RHIS  Discuss best practices and lessons learned from existing regional networks  Share the WHO and MEASURE Evaluation frameworks and tools for RHIS assessment and strengthening
  12. 12. RHINO RHIS Regionalization Session: AGENDA Keynote Address: Eduardo Celades (WHO/Geneva): Global RHIS Situation Regional Network Panel Juan Eugenio Hernandez (INSP): Latin America Sanjay Zodpey (PHFI): Asia Issiaka Zombie (WAHO): West Africa Vincent Shaw (HISP): Southern Africa Break Out Groups Discussion Idea Café: RHIS frameworks, tools, innovation
  13. 13. Routine Health Information Network THANK YOU

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