CBMP Program, University of Gondar, Gondar, Ethiopia.
CBMP Program, Addis Ababa University, Addis Ababa, Ethiopia.
Health Res Policy Syst. 2021 Dec 9;19(1):141. doi: 10.1186/s12961-021-00787-x.
BACKGROUND: A strong health information system (HIS) is one of the essential building blocks for a resilient health system. The Ministry of Health (MOH) of Ethiopia is working on different initiatives to strengthen the national HIS. Among these is the Capacity-Building and Mentorship Partnership (CBMP) Programme in collaboration with public universities in Ethiopia since November 2017. This study aims to evaluate the outcomes and share experiences of the country in working with universities to strengthen the national HIS. METHODS: The study employed a mixed-methods approach that included 247 health organizations (health offices and facilities) of CBMP-implementing woredas (districts) and 23 key informant interviews. The programme focused on capacity-building and mentoring facilities and woreda health offices. The status of HIS was measured using a connected woreda checklist before and after the intervention. The checklist consists of items related to HIS infrastructure, data quality and administrative use. The organizations were classified as emerging, candidate or model based on the score. The findings were triangulated with qualitative data collected through key informant interviews. RESULTS: The results showed that the overall score of the HIS implementation was 46.3 before and 74.2 after implementation of the programme. The proportion of model organizations increased from 1.2% before to 31.8% after the programme implementation. The health system-university partnership has provided an opportunity for higher education institutions to understand the health system and tune their curricula to address real-world challenges. The partnership brought opportunities to conduct and produce local- and national-level evidence to improve the HIS. Weak ownership, poor responsiveness and poor perceptions of the programme were mentioned as major challenges in programme implementation. CONCLUSION: The overall HIS has shown substantial progress in CBMP implementation woredas. A number of facilities became models in a short period of time after the implementation of the programme. The health system-university partnership was found to be a promising approach to improve the national HIS and to share the on-the-ground experiences with the university academicians. However, weak ownership and poor responsiveness to feedback were the major challenges identified as needing more attention in future programme implementation.
背景:强大的卫生信息系统(HIS)是有弹性的卫生系统的重要基石之一。埃塞俄比亚卫生部正在开展不同的举措来加强国家 HIS。其中包括自 2017 年 11 月以来与埃塞俄比亚公立大学合作的能力建设和指导伙伴关系(CBMP)计划。本研究旨在评估该国与大学合作以加强国家 HIS 的成果并分享经验。
方法:本研究采用混合方法,包括 247 个 CBMP 实施的沃里达(区)卫生组织(卫生办公室和设施)和 23 次关键知情人访谈。该计划侧重于能力建设和指导设施和沃里达卫生办公室。在干预前后使用连接的沃里达清单来衡量 HIS 的状况。清单包括与 HIS 基础设施、数据质量和行政用途相关的项目。根据得分,将组织分类为新兴、候选或模式。研究结果与通过关键知情人访谈收集的定性数据进行了三角剖分。
结果:结果表明,在实施该计划之前,HIS 实施的总体得分是 46.3,实施之后是 74.2。在计划实施之后,模式组织的比例从 1.2%增加到 31.8%。卫生系统与大学的伙伴关系为高等教育机构提供了一个机会,让他们了解卫生系统,并调整课程以应对现实世界的挑战。该伙伴关系为进行和产生地方和国家一级的证据以改善 HIS 提供了机会。所有权薄弱、响应能力差和对方案的看法不佳被认为是方案实施的主要挑战。
结论:在 CBMP 实施的沃里达,总体 HIS 显示出了实质性的进展。在方案实施后的短时间内,许多设施成为了模式。卫生系统与大学的伙伴关系被认为是改善国家 HIS 和与大学学者分享实地经验的有前途的方法。然而,所有权薄弱和对反馈的响应能力差是确定需要在未来方案实施中给予更多关注的主要挑战。
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