| System Standards and Governance |
Standard set of paper tools used but wide variation in how paper- and electronic systems implemented Three different platforms for electronic systems in HIV No harmonization among systems implemented Systems currently implemented were developed and managed by partners, not by MOH
|
Formalize national standards on data collection and management within patient-level system platforms to ensure system functionality, harmonization, and system sustainability Formalize national standards for HIV data elements, to allow for interoperability of data across systems Ensure national governance structure to ensure systems are aligned with standards and standards evolve as appropriate
|
| System Implementation and Functionality |
No written SOPs or procedures in place related to system implementation Data management: Variability in how/when data entered Data management: Limited/inconsistent method/standard for monthly report generation Data Transmission: Limited/no electronic data transmission of aggregate data Data Reporting/Use: Limited capacity for ad hoc report generation/data query Data reporting/Use: Limited use of data for decision making/program improvement
|
Develop written SOPs for data management specifying frequency of data entry and procedures for report generation and data transmission Develop written SOPs for data use and decision-making Develop community of practice to review existing and develop new “best practices” and other standards of practice to optimize system implementation and functionality
|
| Resources |
Human Resources
Reported need for more data entry staff, including standardized cadre of this type of staff to ensure adequate training, supervision Reported need for more training on data entry, reporting, use of data Variability/inadequate Infrastructure
Lack of adequate, secure space to store patient health information Unreliable power/communication lines Limited data security measures in place at the facility level related to data access and storage Lack of standardized maintenance of systems available for all systems/sites
|
Capacitate Human Resources
Identify needed HR at each level for adequate staff for workload Standardized cadre for data entry, hiring, training, supervision, MOH ownership Develop/standardize capacity building program (formal, mentoring) Ensure Adequate Infrastructure
|
