Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 9631
Country/Region: Tanzania
Year: 2012
Main Partner: University of Dar es Salaam
Main Partner Program: University Computing Center
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $310,000

Goals for this mechanism are to support, train, and back-stop the use of databases and electronic systems for HIV data management. This also includes enhancing and developing software tools for HIV data management. The goals contribute to PF goal six, which relates to improving the use of timely and relevant evidence based information in HIV-related planning and decision making.

University Computing Centers (UCC) CTC2 database software is used in clinics located in all regions of Tanzania. Other software tools are used in a small number of clinics and districts.

UCC is a local training and software development organization, which works closely with NACP to impart skills on data management. HIV management software tools are developed in partnership with NACP. UCC is now coordinating joint trainings with NACP to ensure software trainings are fully integrated with general M&E trainings. Working with NACP on a day-to-day basis in the management of national level data, which is hosted and managed by NACP, UCC provides the technical assistance and support.

UCC monitors its work using intranet-based software where all support visits and communications are logged and categorized. UCC plans to monitor more closely how many clinics are not only using the software, but also submit timely reports using the software.

UCC uses a project vehicle to transport the mobile training unit closer to the locations of participants, thus reducing travel time and costs as it supports more trained people with the same budgeted amount. The PEPFAR-funded vehicle allows UCC to transport laptops to training events, thereby creating training venues even in regions with no dedicated computer training facilities, which allows UCC to visit clinics despite their location.

Funding for Strategic Information (HVSI): $310,000

UCC will continue to enhance and improve HIV management software tools (CTC2, CTC3, HUWANYDATA) over time in line with user feedback and make any further changes to the NACP M&E systems, including the plan for an extensive overhaul of the CTC3 macro database. The growth in mobile communications will be harnessed and an SMS appointments reminder system for clinics using CTC2 database will be created. UCC will also examine the best available data transfer methods for reporting data between the CTC2 and CTC3 macro databases and will examine how the partnerships that the m-health project has with local mobile companies and other service providers could facilitate this.

Support for the integration of various software systems within the health sector will continue. UCC has enabled the CTC2 database to produce an export file compatible with MOHSW HMIS DHIS software. When details of the proposed MOHSW data warehouse are available, UCC will ensure that data can easily flow between health systems. UCC will continue to work on establishing the MOHSW online health facility registry, as a comprehensive and accurate health facilities list is a necessary foundation for integrating data systems and enhancing reporting and data exchange.

Support from other partners will help to expand the use of the CTC2 database. The database is currently used in 395 clinics. By June 2012, the number of clinics is planned to increase to 450; and by 2013 the number would be 560 or 75% of the existing number of CT clinics. UCC will continue to work with NACP, and partners working on home-based care, to expand the use of the HUWANYDATA system. Meeting these targets and continued expansion will depend not only on software availability and training, but also on hardware and human resources which are under the mandate of the government and other partners.

UCC will work to improve reporting between clinics and district, regional, and national levels by making data transfer and reporting more user-friendly and will ensure inclusion on this during trainings. UCC will facilitate NACP to identify non-reporting clinics so that there can be follow up from NACP.

MOHSW RCH department and PMTCT unit will be part of the development of patient level RCH and PMTCT database system. In view of the fact that there are several other initiatives underway in this area, UCC plans to organize a stakeholder meeting on this issue to discuss a future plan of action.

Software tools developed by UCC under this mechanism are property of NACP. UCC has provided NACP with extensive technical documentation and will continue to do so. UCC will facilitate NACP to fully own the software and use formal software development cycle and management so they can independently choose an appropriate strategy for sustained software development post-project.

One of the goals of this mechanism is to support, train, and back-stop the use of databases and electronic systems for HIV data management, helping to supportURT to collect HIV data from health facilities or districts, manage it, analyze, and use the information for HIV service delivery planning and decision making which contribute to PF goal six.

The mechanism will help NACP to have readily available HIV data and, hence, support monitoring and evaluation activities. There are no other mechanisms that do what this mechanism is doing; which is supporting NACP on data management systems.