Strengthening of the Malawian Health Management Information System at National and Decentralized Level

Country: 
Malawi
Area of competence: 
Health Policy and Financing
Donor organization: 
GIZ (German Agency for International Cooperation)
Start of Project: 
10/2013
End of Project: 
12/2016
Staff-month: 
40
Value of service: 
€ 1,459,439
Description of Project: 

The project supports the Malawi German Health Programme in the strengthening of evidence-based health information management within the Malawian healthcare system. At national level, the programme aims to assist the Central Monitoring and Evaluation Division (CMED) in the process of integrating existing health information systems and data sources into a central-level ‘data warehouse’, thus creating an integrated health information system with the capacity to differentiate data, taking into account various socioeconomic factors. Health service managers at all levels shall further be enabled to increasingly use improved data of high validity for evidence-based decision-making, the identification of quality deficiencies, and planning purposes. This requires capacity building of M&E staff at national (MoH: CMED) and decentralized level (i.e.: Zonal Health Support Offices (ZHSO) and District Health Management Teams (DHMT) as well as selected district hospitals and primary health care facilities within the four target disctrics Balaka, Dedza, Mchinji, and Ntcheu).

At national level, the programme aims to assist CMED in the process of integrating existing health information systems and data sources into a central-level ‘data warehouse’, thus creating an integrated health information system with the capacity to differentiate data, taking into account various socioeconomic factors. Health service managers at all levels shall further be enabled to increasingly use improved data of high validity for evidence-based decision-making, the identification of quality deficiencies, and planning purposes. This requires capacity building of M&E staff at national (MoH: CMED) and decentralized level (i.e.: Zonal Health Support Offices (ZHSO) and District Health Management Teams (DHMT) as well as selected district hospitals and primary health care facilities within the four target disctrics Balaka, Dedza, Mchinji, and Ntcheu).

1. Quality health data available and used for service management and evidence based decision making in the four target districts: 80% of facilities in the four target districts report complete and valid data timely, according to the DHIS 2.0 requirements and use them for evidence-based decision-making.
2. M&E system at central level improved:  Bi-annual M&E reports of good quality published by CMED.

Description of Services: 

Project management activities:
Instructing the MoH and specifically CMED.
Project planning, steering, and monitoring in coordination with the steering committees at central and local level.
Community and key stakeholder liaison, e.g. HTSS, the health regulatory bodies MCM, NMCM, the National Statistics Office (NSO), the Central Medical Stores (CMS), the College of Medicine (CoM) and CHAM.
Participation in relevant Technical Working Group meetings.
Financial monitoring, procurement of goods and services.
Direct support to selected secondary and primary level facilities in the programme’s four target districts.

Technical activities:
EPOS provides services at national level
- to support the Health Management Information System (HMIS) (Service Package 1) and
- supports the decentralized HMIS structures in Balaka, Dedza, Mchinji, and Ntcheu (Service Package 2).
The services at national level comprise besides capacity building of M&E staff amongst others support to the revision of the national HIS policy, strategy and guidelines, the revision of the indicators included in the HMIS / DHIS 2.0 system as well as data collection tools.
EPOS further assists the CMED and the M&E technical working group on national data standards in the development of a national strategy for data integration.

At decentralised level, EPOS
- assesses the quality of data collected,
- provides capacity building for district level HMIS staff, develops and implements an operational plan for supportive supervision for HMIS and
- assists district level HMIS officers to carry out bi-annual rounds of data quality audits.

Project Volume: 
€ 1,459,439