Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017 2018 2019

Details for Mechanism ID: 12681
Country/Region: Mozambique
Year: 2013
Main Partner: Jembi Health Systems
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $2,130,015

Jembi Health Systems, a South African non-governmental organization, provides technical and financial support to the Mozambique Open Architecture Standards and Information Systems (MOASIS) Project at the University of Eduardo Mondlane (UEM). The MOASIS team has a memorandum of understanding with the Department of Information Systems (DIS) at the Ministry of Health (MOH) and in collaboration with MOH develops and implements innovative technologies to enhance the quality and utility of programmatic and planning data collected in HIV care and treatment programs and other programs within the health sector. The objective of this mechanism is to strengthen local capacity and country ownership. The primary activities include support for mortality surveillance, standardized tracking systems for monitoring patients in HIV care and treatment, development of e-Health architecture, training of Mozambican staff in informatics, application of data quality standards and best practices, and expansion of central Information Systems (HIS) into provincial and regional facilities. Most activities are implemented at the Central level but in COP12, activities will expand to provide provincial level informatics support at all Provincial Health Directorates (DPS). No specific costing or expenditure analysis is done with SI partners. However over time, these activities should increase local ownership and capacity (and reduce overall costs and dependence). This mechanism will increase country ownership and build local capacity enabling sustainable progress and continued maintenance of HIS, thus reducing reliance on USG TA over the long term. Progress would be measured by the status and completion of tasks in the workplan as agreed upon between USG, MOH, and the partner.

Funding for Strategic Information (HVSI): $2,066,015

Jembi has been allotted $1,300,000 for their strategic information related activities. The activities can be broken out into six key pieces as follows:

1) The development and implementation of software for collection, analysis, and presentation of aggregate statistical data (SIS-MA); the successor to Mozambiques Modulo Basico (MB). (continuing activity, $300,000)

MB is the current aggregate reporting tool used throughout the country to collect health data. There are many serious shortcomings to this tool which limit its effectiveness and ability to be maintained. This activity will facilitate the complete replacement of MB by SIS-MA, including its historical data. Part of this project is to determine if it is most beneficial to use available existing systems and adapt it to Mozambique or if it is best to develop a system from scratch through the use of and outside developer.

2) Providing Technical Assistance (TA) to the MOH in information technology. (new activity, $100,000)

TA will be given to MOH to facilitate and develop the Information Technology (IT) infrastructure within MOH. This will consist of providing technical assistance to improve the coordination and management of MOHs IT Unit to improve system security, internet access and management of software and hardware. This activity includes providing technical assistance to MOH counterparts in the development of a maintenance plan, management of software and licenses, computer server and network infrastructure, policies/processes and back-ups of data.

3) Supplementary support activities provided to the MOHs Department of Information Systems (DIS) (continuing activity, $300,000)

The ambitious work plan that has been agreed upon between USG, MOH, and the partner includes continued support for the development and implementation of vital registration, roll out and TA for Mortality Surveillance System (SIS-ROH), standards for Patient Information Systems (SESP), e-Health architecture, continuing MB support, TA to Human Resource Information Systems activities.

4) Partial salary support for the technical adviser from Jembi. (continuing activity, $100,000)

An international technical advisor has been seconded to JEMBI to provide technical and institutional support to M-OASIS and supported projects. The remainder of his salary and other contractual costs are covered by non USG funds.

5) Providing support to the Central Medical Stores (CMAM) for managing & maintaining the Pharmaceutical Distribution Management System (SIMAM). (new activity, $200,000)

SIMAM is a Logistics Management Information System (LMIS) that was developed in Mozambique to facilitate the distribution of pharmaceuticals. MOASIS will provide the support to CMAM for the management and further development of SIMAM.

6) Posting an informatics officer in each Provincial Health Directorate (DPS) to provide IT support to all MOH systems. One for each of the 11 provinces and 1 coordinator located at the central office. (new activity, $300,000)

This activity will focus on IT support related to the use, repair and maintenance of computer equipment including the implementation, distributions and training of select software programs. MOASIS will facilitate fielding and managing the informatics support positions at each of Mozambiques 11 provincial health directorates including a coordinator/support position to facilitate and provide oversight to the activity.

Funding for Health Systems Strengthening (OHSS): $64,000

"Jembi has been allotted $1,300,000 for their strategic information related activities. The activities can be broken out into six key pieces as follows:

1) The development and implementation of software for collection, analysis, and presentation of aggregate statistical data (SIS-MA); the successor to Mozambiques Modulo Basico (MB). (continuing activity, $300,000)

MB is the current aggregate reporting tool used throughout the country to collect health data. There are many serious shortcomings to this tool which limit its effectiveness and ability to be maintained. This activity will facilitate the complete replacement of MB by SIS-MA, including its historical data. Part of this project is to determine if it is most beneficial to use available existing systems and adapt it to Mozambique or if it is best to develop a system from scratch through the use of and outside developer.

2) Providing Technical Assistance (TA) to the MOH in information technology. (new activity, $100,000)

TA will be given to MOH to facilitate and develop the Information Technology (IT) infrastructure within MOH. This will consist of providing technical assistance to improve the coordination and management of MOHs IT Unit to improve system security, internet access and management of software and hardware. This activity includes providing technical assistance to MOH counterparts in the development of a maintenance plan, management of software and licenses, computer server and network infrastructure, policies/processes and back-ups of data.

3) Supplementary support activities provided to the MOHs Department of Information Systems (DIS) (continuing activity, $300,000)

The ambitious work plan that has been agreed upon between USG, MOH, and the partner includes continued support for the development and implementation of vital registration, roll out and TA for Mortality Surveillance System (SIS-ROH), standards for Patient Information Systems (SESP), e-Health architecture, continuing MB support, TA to Human Resource Information Systems activities.

4) Partial salary support for the technical adviser from Jembi. (continuing activity, $100,000)

An international technical advisor has been seconded to JEMBI to provide technical and institutional support to M-OASIS and supported projects. The remainder of his salary and other contractual costs are covered by non USG funds.

5) Providing support to the Central Medical Stores (CMAM) for managing & maintaining the Pharmaceutical Distribution Management System (SIMAM). (new activity, $200,000)

SIMAM is a Logistics Management Information System (LMIS) that was developed in Mozambique to facilitate the distribution of pharmaceuticals. MOASIS will provide the support to CMAM for the management and further development of SIMAM.

6) Posting an informatics officer in each Provincial Health Directorate (DPS) to provide IT support to all MOH systems. One for each of the 11 provinces and 1 coordinator located at the central office. (new activity, $300,000)

This activity will focus on IT support related to the use, repair and maintenance of computer equipment including the implementation, distributions and training of select software programs. MOASIS will facilitate fielding and managing the informatics support positions at each of Mozambiques 11 provincial health directorates including a coordinator/support position to facilitate and provide oversight to the activity."