Knittel Barbara, Marlow Heather M, Mohammedsanni Afrah, Gebeyehu Abebaw, Belay Hiwot, Denboba Wubshet
JSI Research &Training Institute, Inc., Washington, DC, USA.
JSI Research & Training Institute, Inc., Addis Ababa, Ethiopia.
Glob Health Sci Pract. 2024 Dec 20;12(6). doi: 10.9745/GHSP-D-23-00513.
Health information systems (HISs) are essential to a country's health system as they provide critical support to health policymaking, management, financing, and service delivery. A well-functioning HIS should produce timely and reliable data that are available and easily accessible to decision-makers throughout the health system. Ethiopia has transitioned from a fragmented, paper-based health management information system (HMIS) to a harmonized, digital system used at points of collection and service delivery.In 2016, the Federal Ministry of Health (MOH) launched the Information Revolution (IR), a transformative agenda aimed at enhancing the culture of data use, scaling priority HIS tools and systems, and strengthening HIS governance. Between 2016 and 2022, the MOH, Data Use Partnership, and other partners implemented a series of IR interventions that supported this agenda. These interventions included deploying and harmonizing digital HIS systems; strengthening HIS leadership, coordination, and governance; implementing the IR pathway strategy; enhancing capacity through supportive supervision, mentorship, and training; and improving performance monitoring teams. This article aims to synthesize the key HIS interventions implemented in Ethiopia as part of the IR and document the effects of these interventions on HIS performance.Early studies indicate promising improvements in HIS performance across health facilities in Ethiopia. However, challenges remain. To ensure sustainable progress, it is essential to continue addressing key challenges, such as system interoperability, HIS workforce, and capacity for data use at all levels. By building on the successes of the first Health Sector Transformation Plan and addressing these gaps, Ethiopia can advance its vision of a robust, data-driven health system capable of improving health outcomes and driving evidence-based decision-making.
卫生信息系统（HISs）对一个国家的卫生系统至关重要，因为它们为卫生政策制定、管理、融资和服务提供提供关键支持。一个运作良好的卫生信息系统应能产生及时且可靠的数据，供整个卫生系统的决策者获取和使用。埃塞俄比亚已从一个分散的、基于纸质的卫生管理信息系统（HMIS）过渡到一个在数据收集点和服务提供点使用的统一数字系统。2016年，联邦卫生部（MOH）发起了信息革命（IR），这是一项变革性议程，旨在加强数据使用文化、扩大优先卫生信息系统工具和系统的规模，并加强卫生信息系统治理。在2016年至2022年期间，卫生部、数据使用伙伴关系组织和其他伙伴实施了一系列支持该议程的信息革命干预措施。这些干预措施包括部署和统一数字卫生信息系统；加强卫生信息系统的领导、协调和治理；实施信息革命路径战略；通过支持性监督、指导和培训提高能力；以及改进绩效监测团队。本文旨在综合埃塞俄比亚作为信息革命一部分实施的关键卫生信息系统干预措施，并记录这些干预措施对卫生信息系统绩效的影响。早期研究表明，埃塞俄比亚各卫生设施的卫生信息系统绩效有了令人鼓舞的改善。然而，挑战依然存在。为确保可持续进展，必须继续应对关键挑战，如系统互操作性、卫生信息系统工作人员以及各级数据使用能力。通过借鉴第一个卫生部门转型计划的成功经验并弥补这些差距，埃塞俄比亚可以推进其建立一个强大的、以数据为驱动的卫生系统的愿景，该系统能够改善健康结果并推动基于证据的决策。
