update on zimbabwe,s innovations

1. Update on
the Impilo EHR
Project

2. Update 2021
• Jan 13 - MoHCC held an
internal departmental
update and planning
meeting on EHR
• Jan 14 – MoHCC held a
wider IEHR Taskforce
Meeting with partners
and other stakeholders –
This Taskforce will be the
central mechanism of
implementation
• Jan 21 – An internal
meeting was held with all
PMDs and some City
Health Directors on EHR. A
similar meeting is planned
with partners
• Jan 21 an internal preCOP
meeting was called by
Director ATP and included
EHR representation

3. Achievements:
GoZ Funding
for EHR 2021
PROJECT NAME PROJECT SCOPE
2021 BUDGET
ALLOCATIONS
ZWL$
Impilo National Electronic Health
Information System
Ambulances and utility vehicles
Procurement of high-grade servers, network
access points, laptops and solar systems
375,000,000
Procurement of 110 ambulances and utility
vehicles
590,000,000
Sub Total 965,000,000
Central Hospitals
Procurement of medical equipment for
Chitungwiza, Sally Mugabe, Mpilo,
Ingutsheni and United Bulawayo Hospitals. 515,000,000
Construction and refurbishment of facilities
at Chitungwiza, Sally Mugabe, Mpilo,
Ingutsheni and United Bulawayo Hospitals 1,317,147,000
Refurbishment and upgrading of
infrastructure at Parirenyatwa Group of
Hospitals
813,010,000
Sub Total 2,645,157,000

4. Impilo Funding - Breakdown of Commitments
Organisation Comments Confirmed and
Unconfirmed
Funding
Commitments
Communicated
to MoHCC/USD
Planned Use of Funding
GoZ The Ministry of Finance has so far allocated support for Impilo hardware/equipment
procurement in the 2020 supplementary budget as well as the 2021 budget. Conversion
from ZWL done at latest auction rates and subject to fluctuation
4 690 108 Will be used to procure Impilo equipment for
384 clinics, 30 secondary level hospitals, 7
provincial hospitals and 5 central hospitals
PEPFAR/CDC Estimated cost of rollout to 63 initial pilot sites 877 043
PEPFAR/CDC Supporting core Impilo software development, training and deployment at up to 969
sites by end 2021. This figure includes the estimated support for COP 21
14 928 888 There is need for clarity on what COP 20 will
cover.
GFATM Approval will be sought to use part of unallocated savings under NF2 to support
procurement of IT equipment. This figure does not include previous or anticipated
investments in site power and internet infrastructure which will be leveraged for Impilo.
4 966 382 1.7 Million under reprogrammed savings was
used procure Impilo equipment for 350 clinics
and 15 secondary level hospitals
GAVI Supporting supplemental Impilo development (Impilo Vaccinations Module) and
deployment at hard-to-reach health facilities.
1 596 030
MINISTRY OF
ICT/POTRAZ
Supporting internet connectivity infrastructure for health facilities in 3 initial districts for
POTRAZ and more for the MoICT in 2021
USAID Implementing partners’ 2020 Country Operational Plans include indicator targets and
budget to support transition to Impilo, and expectations to obtain data directly from
Impilo

5. 2021 -
Focus
Leadership, Ownership and Governance by
MoHCC
Usage, usage and usage
= Change Management
Translating
deployment to high
system availability
and usage
Collaboration,
collaboration and
collaboration!
Special mention to
ZACH, FHI 360, OPHID,
ZIMTTECH and
SolidarMed who have
reached out to have
their teams trained

6. 2021 Plans
• To Activate the Integrated EHR Taskforce
• Improve the accessibility to electronic data from EHR for
reporting, monitoring and management
• National launch of the Impilo in the first Quarter 2021
• Roll out Impilo EHR technology to a cumulative 1000 –
1200 health facilities by end of 2021
• Increase paper reduction at Impilo sites to cover 43 paper
tools from the current 8.
• Capacitate Provincial Medical Directorates and Districts to
be at the forefront of implementations
• Create a platform for better engagement with program
managers and their M&E teams for data use as well as
input into the EHR.
• Activate the Impilo Community of Practice
• Optimisation of the Impilo solution and addition of more
modules

7. IEHR Taskforce: Proposed Structure & Functions

8. IEHR Taskforce : Coopted Members
Co-opted Members Role
Other Government and Parastatal Organisations
Office of the President and Cabinet
(Chief Secretary / Delegated Individual)
Representing the President’s office with keen interest on national strategic systems and data security, protection, hosting and
sharing policies.
Ministry of ICT
(Permanent Secretary / Delegated Individual)
Advocate for alignment of the IEHR with the eGovernment strategy, ICT policy and advocate for deployment of affordable ICT
infrastructure to support the rollout.
Ministry of Finance
(Permanent Secretary / Delegated Individual)
Participate in discussions focusing on funding of the IEHR as a strategic system for the MoHCC.
POTRAZ
(Director General / Delegated Individual)
Participate in discussions to drive telecommunications access for remote areas through the USF and making sure that MNOs
prioritise MoHCC EHR Roadmap.
Implementing partners
MNOs
(CEO / Delegated Individuals)
Provision of affordable, reliable and accessible connectivity across the country.
FBOs
(CEOs / Delegated Individuals)
Participate in discussions and decisions related to IEHR awareness, adoption and efficient rollout at their health facilities across the
country led, funded and managed by their key representatives and supporting health staff.
Technical Assistants
(Program Directors / CEOs / Delegated Individuals)
Coordinate and manage the IEHR system development, deployment, maintenance, training of users and support staff, assessment
of adoption and usage of the systems. Support the transition of the IEHR system to the MOHCC.
Donor Partners
(Program Directors / Delegated Individuals)
Advocate for the rollout of the IEHR to support the scale up of their funded programmes and access system level programme data
for their reporting and impact evaluations while bringing efficiencies in operationalising their programmes.
Academic Institutions
Universities/Polytechnics
(Deans / Head of Department / Delegated Individuals)
Advocate and offer training of experts in computer science, engineering, health informatics, medicine and other health related
professions to support the adoption of the IEHR. Focusing on the setting up of communicate of practice and driving postgraduate
research in health information systems.
Nursing Schools
(Deans / Head of Department / Delegated Individuals)
Advocate for inclusions of IEHR systems training of nurses across the country to increase adoption and usage of the system.

9. Impilo Community of Practice

10. Key Gaps and
Asks for
COP21
• Clear funding for Project management, change management
and support for MoHCC structures like the IEHR Taskforce and
their activities.
• We have hardware and equipment for 800+ sites but no
training budget = Training Support for those facilities
• Data management in a system that is transitioning to
electronic systems needs another set of skills = Funding for 2
Data Managers/Data Scientists Posts to work with the Dep Dir
EHR & Telemedicine
• Change Management and Coordination requires more hands
to help the Director and EHR Coordinator (Post designated to
morph into Dep Director EHR & Telemedicine) = Salary
Support or Level of Effort for the other Posts on the
organogram e.g M&E, Workforce & Training and Strategy &
Investment Coordinators
• Funding for rollout to the remaining 600+ sites in 2022
• Clear Definition of roles for Clinical Partners = MoHCC has
developed a draft Template for Clinical Partners’ Annual
Workplans and will ask each of them to present on the next
Taskforce and PMD Meetings.

11. Plans –
Software
Development
Priorities
• 2021 will see the following approach to the ongoing Impilo
EHR Development:
• Optimisation of existing modules as per users’ evolving needs
• Development and validation of more reporting tools in Impilo
to facilitate further paper reduction
• Development of new modules from the following list:
• HIV Prevention – VMMC and PREP
• Cancer Module
• Health Service Costing and Billing Module
• Picture Archiving and Communication Service (PACS) in
Impilo
• Health Investigations Module
• Comprehensive Inpatient Services Module
• Health Procedures and Operations Module
• Mobile applications development – this is expected to be a
major game changer!!