The overall objective of GIZ’s technical cooperation project in the health sector in Bangladesh was to strengthen the institutional capacities of the Ministry of Health and Family Welfare (MoHFW) to steer and implement the “Health, Nutrition, and Population Sector Proramme (HNPSP)”. The specific objective of this component was to establish a data management and information system for the health sector wide approach in Bangladesh. The DMIS shall support the MoHFW and the development partners (DPs) in the implementation of the HNPSP and the improvement of the monitoring and evaluation of the programme and its achievements.
Before the project a variety of management information systems existed within the MoHFW and with the DPs. However, these systems were weak with regard to data quality and availability and therefore not suitable for the purpose of continuous monitoring of programme implementation, providing data and information for evidence based decision making.
EPOS assisted the Monitoring and Evaluation (M&E) unit at the MoHFW in the establishment of a “Data Management and Information System (DMIS)” to strengthen planning and monitoring of health sector projects and programmes and to fulfil the role of the M&E unit as a resource centre for capacity building and continuous improvement of data management.
The main achievements were:
Development of a functioning data warehouse utilizing the open software DHIS2, containing all main data sources.
Integration and compatibility of data from different Management Information Systems (MISs).
Central availability and accessibility of these data.
Improved quality and reliability of routine health data.
The component aimed at strengthening the capacity of the health system at all levels by developing tools and instruments for effective utilisation of data and information for evidence based decision making and programme planning and monitoring. Capacity building was a core strategy and outcome across the different tasks to facilitate project implementation. EPOS approach was to focus on linkages between the various organisations and their information systems in order to assure efficient utilisation of available data from different sources through data transfer to the M&E unit of the MoHFW without affecting the existing information systems. The project started a pilot of MIS/DMIS related improvements at decentralized levels and institutionalization of the central DMIS under the MoHFW.