1.
From Assessment to Action
Sam Wambugu, MPH, PMP
Christina Villella, MPH
Jamiru Mpiima
August 2019
Using a Maturity Model
Approach to Strengthen eHealth
and Health Information Systems

2.
Outline
• Introduction to maturity model concept and
tools- Sam Wambugu
• Uganda experience using maturity model
tools for eHealth and HIS- Jamiru Mpiima
• Lessons learned from the maturity model
approach- Christina Villella
• Q&A

3.
Maturity model concept
• Identify current and desirable
maturity levels and include
respective improvement
measures.
• Diagnose and eliminate
deficient capabilities and
map the way for continuous
improvement.

4.
Maturity model approach
• Assess the readiness of a digital HIS to exchange
data at national and subnational levels
• Understand where countries are on the road to
interoperability of their HIS and identify actions
they can take to move forward
• Aligns well with the aspirations of the United States
Agency for International Development, in its
emphasis on countries’ journey to self reliance
Use case: HIS interoperability

5.
HIS Interoperability Maturity Toolkit
toolkit
https://www.measureevaluation.org/resources/tools/health-
information-systems-interoperability-toolkit

6.
Key domains and subdomains

7.
Toolkit creation process
Ghana Kenya
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Other icons made by Smartline from www.flaticon.com

8.
Other maturity model-based tools
HIS Stages of Continuous
Improvement Toolkit (SOCI)
Health information
systems components
MEASURE Evaluation,
CDC
Global Digital Health
Index (GDHI)
Enabling environment
for digital health at
the national level

9.
In-country implementation
Workedwithahealthministry/informationand
communicationtechnologyadvisoryteam
Conductedone-on-onefact-findingmeetings
Conductedgroupassessmentandconsensus
meetings
eHealthorHIStechnicalworkinggroup(TWG)
thecustodianoffinalcountryresults

10.
Uganda experience
Jamiru Mpiima
Health Informatics Specialist, Ministry of
Health Uganda

11.
Lessons learned
Maturity model approach
Establish a structure to oversee all
aspects of this work
Builds awareness of all aspects of
digital health and interoperability
Technology is not a one-time
activity; it is a journey
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12.
Sample maturity model

13.
The nitty-gritty about maturity models
The path is not
linear
Give credit
where credit is
due
The gray area is
real
Maintaining alignment with other
tools is tough
Subdomain
may have more
than one home

14.
Siloed systems
Digital technology can bring
them together
• Use these lessons in
traditionally siloed
systems and programs.
• Consider the key
domains as you work on
your system.
• Coordination among
similar efforts helps to
amplify strengths.

15.
Parting words
“Harnessing the power
of digital technologies
is essential for
achieving universal
health coverage.
Ultimately, digital
technologies are not
ends in themselves;
they are vital tools to
promote health, keep
the world safe, and
serve the vulnerable.”
—WHO Director-General Dr.
Tedros Adhanom
Ghebreyesus

16.
This presentation was produced with the support of the United States
Agency for International Development (USAID) under the terms of
MEASURE Evaluation cooperative agreement AID-OAA-L-14-00004.
MEASURE Evaluation is implemented by the Carolina Population
Center, University of North Carolina at Chapel Hill in partnership with
ICF International; John Snow, Inc.; Management Sciences for Health;
Palladium; and Tulane University. Views expressed are not necessarily
those of USAID or the United States government.
www.measureevaluation.org