Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 12637
Country/Region: Kenya
Year: 2012
Main Partner: Palladium Group (formerly Futures Group)
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $3,200,000

Goals: To seek to strengthen health information systems and data use in health service delivery. This project will deploy an upgraded EMR at 25% of health facilities offering HIV treatment. Futures will install the IQCare and one other nationally recognized EMR at approximately 300 ART sites. They will migrate data from the existing systems to the supported EMRs. The upgraded EMRs will implement SDMX standards to enable data exchange with the DHIS. Futures will work with the MOH to establish a continuing training program for the 600 health workers including doctors & nurses, to enter data into the system, use its decision support function for patient management & generate routine M&E reports. Futures will also work the MOH to establish regional or county based support mechanism for maintaining installed systems. Support will include hardware, software and Internet connectivity. They will establish a national health data warehouse that is aligned to the health enterprise architecture and linked to the DHIS. Futures will work with the MOH departments to develop policies around data privacy & confidentiality. Working with the Min of Gender, MoH, & IMs, Futures will support the design and implementation of a national gender-based violence (GBV) information system. Futures is working closely with other partners including UW-ITECH and USAID funded AfyaInfo to implement standards-based electronic systems to eliminate duplication through interoperable systems.Futures implements and support IQCare an electronic medical records systems that complies with international standards but is maintained by Kenyan staff working closely with the MoH.This activity supports GHI/LLC.

Funding for Strategic Information (HVSI): $3,200,000

This mechanism primarily focuses on strengthening HMIS capacity in Kenya with the main goal of supporting the MOH to address challenges of data collection, transmission, storage, retrieval and exchange through a standards based approach. This will be achieve through development of interoperable health information systems that support patient care, routine M&E/reporting and disease surveillance.

Futures Group International will provide technical assistance to the GOK to support key health information systems activities implemented under NASCOP and the division of HIS within the Ministries of Health. The following priority work will be conducted as ongoing or new activities over the next two years (2012-2014):

Deploying an upgraded EMR at 25% of health facilities offering HIV treatment. Under this activity, Futures Group will install the IQCare and one other nationally recognized EMR at approximately 300 ART sites. They will migrate data from the existing systems to the supported EMRs. The upgraded EMRs will implement SDMX standards to enable data exchange with the District Health Information System (DHIS). Futures will work with the MOH to establish a continuing training program for the 600 health workers, including doctors and nurses, to enter data into the system, use its decision support function for patient management and generate routine M&E reports. The partner will also work the MOH to establish regional or county based support mechanism for maintaining installed systems. Such support will include hardware, software and Internet connectivity.

Establishing the national health data warehouse that is aligned to the health enterprise architecture and linked to the DHIS. This will be a repository of key health data including routine HMIS, vital registration and census data among others. Futures Group will work with other partners to ensure that the conceptual design, data needs and use policies are in place. Depending on the needs of the MOH, the data warehouse may contain individual patient level data or aggregate data or a combination. Futures will mainly focus on the database development and the application as the hardware and Internet connectivity will be supported through other partners. Relevant MOH staff including high level leadership as well as key stakeholders will be trained on accessing data from the national data warehouse.

Working with the MOH departments (HIS and NASCOP) to develop policies around data privacy and confidentiality. There is a large body of data at the MOH but for access and use are either non-existent or outdated.

Working in collaboration with Ministry of Gender, Ministry of Health, and implementing partners, Futures Group will support the design and implementation of a national gender-based violence (GBV) information system. Futures will work with Liverpool VCT to assess gaps in the current M&E system and tools, support harmonization of GBV data collection tools and set up an electronic data base for program and national level reporting.

The EMRs, although originally intended to collect data for HIV, can be used for any chronic or acute illness and will help collect data for the US ambassadors Health Task Force (HTF). The EMRs, DHIS and national data warehouse will greatly strengthen the countrys capacity to perform disease surveillance, reporting, M&E and operational research.

Cross Cutting Budget Categories and Known Amounts Total: $270,000
Human Resources for Health $270,000