Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 13138
Country/Region: Uganda
Year: 2011
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0

1. Overall goals and objectives

In FY2011, this new program will support PEPFAR's informatics activities in developing and supporting health information systems in the Republic of Uganda. This program is to build the capacity of organizations to operate optimally and to promote health systems strengthening by developing and implementing systems and strategies that are in alignment with the Ministry of Health and can help reduce and/or eliminate the burden of parallel systems. The health system strengthening activities shall fall in two categories, namely Category A and Category B. Activities in category A shall be Database Development activities aimed at strengthening national surveillance programs. Activities in category B shall be Technical Assistance activities aimed at strengthening organizational capacity to use and manage surveillance data especially the Ministry of Health and CDC implementing partners in Uganda.

REDACTED. There is growing realization on the part of Ministries of Health that parallel systems pose one of the greatest challenges in health information systems in a country. An efficient national information system of necessity must be based on development of national databases with the appropriate technical assistance to guide both development and implementation across all stakeholders. This process requires complying with International Informatics Regulations, guidelines and policies to accurately report on progress of programs and surveillance activities in a country in a timely fashion.

CDC has supported the Ministry of Health and CDC Implementing Partners during the emergency- response phase of PEPFAR through development of several databases, provision of technical assistance in automated reporting systems in order to support the role of the Ministry of Health to support District Health Information Systems (DHIS) of weekly surveillance reports and routine monthly reports from health facilities, through the district to the central government as well as supporting documentation and recording of individual patient data at health facilities particularly through CDC implementing partners.

There are several databases that have been developed to support the DHIS and program specific data including Anti-retroviral therapy (ART) patients, HIV Testing and Counseling (HTC), the Blood Transfusion Management System, among others. These systems have been developed through disjointed efforts with individual implementing partners leading to multiple systems in the same program area. The systems largely fall short of meeting the needs of national information systems, among other deficiencies.

This new program will be financed with PEPFAR funds from FY2011 that will be programmed for this purpose as a contribution to PEPFAR goals to build capacity and sustainability over the next funding

period. The Prime Partner (s) and/or sub-partner(s) will carry out the activities in line with national guidelines and priorities with technical supervision from CDC. The government has shown commitment and resolve toward building of a national health information system to support both reporting and service delivery functions of the country.

2. Target populations and geographic coverage National Develops databases and provides technical assistance on national health information systems for the whole country.

3. Enhancing cost effectiveness and sustainability

In Uganda, Health Management Information systems have been developed through disjointed efforts with individual implementing partners leading to multiple systems in the same program area. The systems largely fall short of meeting the needs of national health information systems, among other deficiencies. Through this mechanism, suggested activities will enhance cost effectiveness and sustainability by reducing on duplication

4. Health Systems Strengthening

Promote health systems strengthening by developing and implementing systems and strategies that are in alignment with the Ministry of Health and can help reduce and/or eliminate the burden of parallel systems. The health system strengthening activities shall fall in two categories, namely Database Development activities aimed at strengthening national surveillance programs and technical assistance/ support and reporting activities aimed at strengthening organizational capacity to use and manage surveillance data especially the Ministry of Health and CDC implementing partners in Uganda Provides training in Health Informatics to CDC implementing partners and the MOH

5. Cross-Cutting Budget Attributions

There are several databases that have been developed to support the District Health Information Systems (DHIS) and program specific data including Anti-retroviral therapy (ART) patients, HIV Testing and Counseling (HTC), the Blood Transfusion Management System, among others. These systems have been developed through disjointed efforts with individual implementing partners leading to multiple systems in the same program area. The systems tend to have crosscutting budget attributions associated with the mechanism.

Funding for Strategic Information (HVSI): $0

1. Target populations and coverage of target population or geographic area

National, Health Management information systems in the Republic of Uganda

2. Description of service delivery or other activity carried out

To support PEPFAR's informatics activities in developing and supporting health information systems.

To build the capacity of organizations to operate optimally and to promote health systems strengthening by developing and implementing systems and strategies that are in alignment with the Ministry of Health and can help reduce and/or eliminate the burden of parallel systems.

The health system strengthening will include database development activities aimed at strengthening national surveillance programs and technical assistance activities aimed at strengthening organizational capacity to use and manage surveillance data especially the Ministry of Health and CDC implementing partners in Uganda.

3. Integration with other health activities

There are several databases that have been developed to support the District Health Information Systems (DHIS) and program specific data including Anti-retroviral therapy (ART) patients, HIV Testing and Counseling (HTC), the Blood Transfusion Management System, among others. These systems have been developed through disjointed efforts with individual implementing partners leading to multiple systems in the same program area. The systems largely fall short of meeting the needs of national health information systems, among other deficiencies.

4. Relation to the national program

The Prime Partner (s) and/or sub-partner(s) will carry out the activities in line with national guidelines and priorities with technical supervision from CDC. The government has shown commitment and resolve toward building of a national health information system to support both reporting and service delivery functions of the country

There is growing realization on the part of Ministries of Health that parallel systems pose one of the greatest challenges in health information systems in a country. An efficient national information system of necessity must be based on development of national databases with the appropriate technical assistance to guide both development and implementation across all stakeholders. This process requires complying with International Informatics Regulations, guidelines and policies to accurately report on progress of programs and surveillance activities in a country in a timely fashion.

CDC has supported the Ministry of Health and CDC Implementing Partners during the emergency- response phase of PEPFAR through development of several databases, provision of technical assistance in automated reporting systems in order to support the role of the Ministry of Health to support District Health Information Systems (DHIS) of weekly surveillance reports and routine monthly reports from health facilities, through the district to the central government as well as supporting documentation and recording of individual patient data at health facilities particularly through CDC implementing partners.

5. Health Systems Strengthening and Human Resources for Health

Promote health systems strengthening by developing and implementing systems and strategies that are in alignment with the Ministry of Health and can help reduce and/or eliminate the burden of parallel

systems. The health system strengthening activities shall fall in two categories, namely Database Development activities aimed at strengthening national surveillance programs and technical assistance activities aimed at strengthening organizational capacity to use and manage surveillance data especially the Ministry of Health and CDC implementing partners in Uganda