Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 12893
Country/Region: Zimbabwe
Year: 2011
Main Partner: RTI International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,500,000

Goals and strategies: The RTI team will help the Ministry of Health and Child Welfare (MOHCW) and its partners to:

1) Develop the capacity to coordinate and conduct effective strategic information (SI), policy, and systems-strengthening activities supported through PEPFAR;

2) Strengthen the MOHCW to provide strong and effective leadership in the formation and implementation of SI policy, provide SI technical assistance and training for provincial, district, and clinic-level health care workers in the use of data for decision making, and develop/refine national SI guidelines and policy documents in accordance with the Zimbabwe National HIV and AIDS Strategic Plan (2006-2012); 3) Prioritize data quality, and the improvement of reporting rates from health institutions, in collaboration with the National Monitoring and Evaluation Group;

4) Analyze, design, specify, develop, pilot test, implement and evaluate the Health Management Information System (HMIS);

5) Ensure that survey and surveillance systems data are effectively utilized for program planning, policy development advocacy, and impact evaluation;

6) Revitalize MOHCW's capacity to implement the Integrated Disease Surveillance System (IDSS) at the district level.

Support to the GOZ HIV/AIDS National Strategy and Plan and country ownership of PEPFAR programming: The focus of this project is on building capacity at local levels by empowering and providing resources to existing MOHCW structures and staff to carry out data use, analysis, and dissemination activities. The RTI team will support existing structures (regular district or provincial health information meetings) and use these as a venue to build capacity in data analysis and dissemination. The focus will be on ensuring that data are useful and used at each level of the health system. Training and capacity building will be focused on the use of existing health data within the respective district, province, or facility. Program staff will work closely with the existing and future MOHCW personnel in the planning and implementation of all activities. Where feasible we will provide funds to Provincial and District level health teams to carry out activities in support of project objectives. A functioning health information system that includes HIV/AIDS data will inform program planning and support the implementation of national strategies and plans.

Geographic coverage and target populations: This project will have national coverage and target mainly health information officers and district health executive teams from all districts to improve data management and use.

Health systems strengthening and Human Resources for Health: The program will build MOHCW's capacity to lead strategic information activities through on the job mentoring and will increase capacity of health information officers and Provincial and District health executive teams in analysis, use and dissemination of health information through training and on-going supportive supervision mechanisms. This will inform decision making, allow better programming, resource allocation and implementation of priority activities and programs.

Impact of the program: RTI ensures the impact of the program through close coordination with the MOHCW, utilizing existing mechanisms for delivery of the activities and leveraging contributions from other MOHCW donors to the HMIS.

A woman and girl centered approach is ensured through disaggregation of data by gender. Maternal mortality data is one of the data sets that will be included in the project.

Cross cutting programs and key issues: The activities of this program have their base in the cross-cutting program of Human Resources for Health through training of health care professionals for data use and dissemination for policy making. Key issues include child survival activities, family planning, safe motherhood, TB and malaria as data on all these programs will be flowing through the health information system and will help decision making for resource allocation and prioritization of activities.

Cost-efficiency strategies: These include bulk production of training materials, implementation of trainings at district level for reduced costs and utilization of resources and staff that are already in place for cost-saving and sustainability.

Monitoring and Evaluation: The project will be monitored by supervisory visits, monthly meetings, training reports and other program progress reports which will be consolidated into quarterly reports.

Funding for Strategic Information (HVSI): $1,500,000

COP11 funds will be used to continue supporting the technical subcommittees meetings to improve the performance of the HMIS. The e-health policy and ICT policy will be finalized and disseminated at national level. Computer programs to assist data analysis and cleaning will be developed to support review of data from surveys, surveillance and routine health information and training will be provided to health information officers to encourage the use of data for decision making by district and provincial health executives. Briefs and reports from surveys and surveillance data will be produced and disseminated at country level.

Data analysis workshops at district level will continue to support capacity development of data use for strategic planning. Reports from national and sub-national database systems will continue to be done on annual basis. Harmonization of HIV/TB indicators for the National AIDS Council (NAC), HMIS and the AIDS and TB unit will be completed and will be part of the data warehouse set for the MOHCW and partners.

Revitalization of the MOCHW's capacity to implement the IDSS at the district level will be ensured by training and strengthening of the system for report transmission from site to central level.

Subpartners Total: $0
Biomedical Research and Training Institute: NA
Health Information Systems Programme: NA
Cross Cutting Budget Categories and Known Amounts Total: $700,000
Human Resources for Health $700,000
Key Issues Identified in Mechanism
End-of-Program Evaluation
Child Survival Activities
Safe Motherhood
Family Planning