Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 8138
Country/Region: Kenya
Year: 2009
Main Partner: University of Washington
Main Partner Program: I-TECH
Organizational Type: University
Funding Agency: HHS/HRSA
Total Funding: $1,000,000

Funding for Strategic Information (HVSI): $1,000,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ Prime partner I-TECH/University of Washington has been competitively selected to implement the activity

to help develop the implantation framework for a national EMR and lead the implement the phased rollout

SECONDARY CROSS CUTTING BUDGET ATTRIBUTIONS

This the activity supports key cross-cutting attributions in human capacity development by training health

workers and data handling staff on data management, electronic reporting tools, analysis of patient data at

health facility level and monitoring and evaluation in support of HMIS activities. Clinicians will also be

trained on generating key reports such as cohort reports, adherence reports, for better patient management.

COP 2008

1. ACTIVITY DESCRIPTION

In the recent years, several implementing partners have initiated HIV treatment activities using PEPFAR

funds or through other donors. As the volume of patients on treatment continues to grow, the paper systems

that have been traditionally used to monitor patients became ineffective. In response to these, treatment

and care providers have developed disparate electronic systems to store patient data, generate

appointment lists, track regimens, and generate cohort reports among other things. Many of these systems

cannot uniquely track patients within the health facilities and this gets worse when patients transfer in or

out.

The SI team in Kenya proposes to work closely with NASCOP and WHO to identify a team of consultants to

review the major computerized systems used nationally and define some minimum standards that they

ought to implement. The recommendations of the consulting team should include unique identification of

patients, interoperability between systems (providing the possibility of transferring patients together with

their medical records between health facilities), establishing the minimum data set based on the Ministry of

Health's standard national tools and setting up common definition of indicators across the board.

Under this activity, partners will be supported to convert their systems into more widely used and supported

systems such as OpenMRS and CareWare where it is necessary. Partners whose systems specifications

closely match those recommended by the consultants will be supported to improve on their weak areas so

that they continue running the improved versions. If they are interested in changing over to the more

established systems then a transition plan will be worked out and technical assistance provided to facilitate

the migration. The data management and M&E staff from the MOH health facilities will be trained on these

systems and follow-up support provided. The health workers will also be trained to use computerized

systems for patient management as well as for reporting. It is projected that 300 health workers,

pharmacists and data clerks from 114 health facilities will be trained in the first year. Training will be further

scaled up to cover other cadres who see patients at medium to high volume sites.

The recommended systems will be interfaced with the Phones-for-Health infrastructure to facilitated easy

flow of data from local computers at the health facilities to a central database. These activities should

complement each other in the provision of timely data for decision making and resulting in overall quality of

patient care.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREA

The implementation of standards for EMR systems will enable healthcare providers to have timely data for

informed decision making, which results in better patient management. Vital treatment outcomes,

adherence to treatment and other critical information required by clinicians can be obtained fast. Any patient

transferring from one health facility to another can be easily tracked and their records moved along with

them.

The standardization and implementation of harmonized systems will also result in speedy and more

accurate reporting. Once the trainings are completed and backlog of data entered into the health facility

computers the reports to the Ministry of Health's HMIS and PEPFAR will be automatically generated. The

systems that are currently used (including the paper based ones) are not guaranteed to produce reliable

reports.

3. LINKS TO OTHER ACTIVITIES

This activity is linked to NASCOP's M&E activities and KEMRI's HMIS.

4. POPULATIONS BEING TARGETED

This activity target health workers, data/records/M&E officers, pharmacists but will eventually benefit the

general population.

5. EMPHASIS AREAS / KEY LEGISLATIVE ISSUES ADDRESSED

The emphasis is strategic information (M&E, HMIS, survey/surveillance, reporting).

6.TARGETS

As part of this activity, 300 individuals from 74 institutions will be trained and provided with technical

assistance.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17689

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17689 17689.08 HHS/Centers for To Be Determined 8138 8138.08 Electronic

Disease Control & Medical Records

Prevention

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $250,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17:

Cross Cutting Budget Categories and Known Amounts Total: $250,000
Human Resources for Health $250,000