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Strengthening Health Information Systems through Integrated Interventions

Bringing Order into the Chaos


Bangladesh

Kelvin Hui Page 1 Kelvin.hui@giz.de

BACKGROUND
Pre 2009
(GIZ Intervention started 2009)

HIS Systemic Weaknesses

MIS Urban Health


MIS DGHS

Extreme fragmentation without strong governance, incompatible systems Different systems yielded different data/information

MIS Nutrition

Weak or no routine data


Comm. Clinic

Limited GoB capacity to govern


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APPROACH
Harmonizing systems Standards & Interoperability
Governance

Cost effective & sustainable approach Open Source DHIS2 & OpenMRS
Systems Dev & Implementation HIS Development

Capacity Dev.

Use of Information

Academic Institutions Trainings & Conferences International / National Networks NGO HISP BD

Data analysis workshops H. Informatics conference


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RESULTS
DHIS2 Platform Migrating to DHIS2

Info. Systems & Gov.


System harmonizing effective approach Strong leadership from MIS Department

2013
DG Family Planning DG H. Services Urban Health Project EPI

Capacity
Created a pool of competent staffs in country Strong and dynamic institution (MIS) Short Course running HISP BD established (sustainability)

Nutrition Large NGOs (BRAC)

Use
TB

Commun ity Clinics

Advocacy on use possible Gender disaggregated data Empower all levels of management
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POLITICAL RELEVANCE
Avoid Mistakes

HIS
Neglected but crucial topic

Scaled Up
Nationwide

HIS is not just about computers & software

Serve as a Model
Approach Effective Sustainable Low Cost

UHC
HIS and UHC success is interdependent

Transferrable
Adoption by other projects

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