Tanzania Health Facility Registry Oct 26, 2015 OHIE Conference Call

Tanzania Health Facility Registry

http://hfrportal.ehealth.go.tz

Oct 26, 2015

OHIE Conference Call

M&E SI (2010-2015)

M&E SI (2010-2015): MFL

• Integrated plan with multiple donors and implementers• Each ‘area’ included MOHSW/GoT lead, individual

responsible and lead TA organization/individual– Objective 5: Provide technical support and leadership to the health

sector to move towards and integrated e‐health infrastructure and enterprise architecture MFL activities include

• Arrange stakeholder meeting to plan for a master‐facility list and define requirements..

• Implement master facility list that meets identified requirements

Human Resources

Financial and

Expenditure Systems

Drugs and Supplies

H.I.V. Malaria / Other

Programmes

G.I.S. / MAPPING

Infrastructure / Equipment

SURVEYS / RESEARCH

Disease Surveillance

Regulatory Boards

Morbidity / Mortality /

HMIS

BACKGROUND 2009-2010

VISION

Human Resources

Drugs & Supplies

Financial and

Expenditure Systems

H.I.V. Malaria / Other

Programmes

G.I.S. / MAPPING

Infrastructure / Equipment

SURVEYS / RESEARCH

Disease Surveillance

Regulatory Boards

Morbidity / Mortality /

HMIS

Master Facility

List

20092015

2009 2010 2011 2013 2014 2015

MFL WG MFL online

All regions trained

RMO-DMO Meeting

Sep 10

MFL WG Formed

and Meet

2009 - 2012UCC

develop MFL 2010 - 2012

MESI MFL Plans

Jan 2011 – Jul 2015

MFL Requirements WorkshopFunctional/Data Elements Specs

Sep – Dec 2012

MFL Req Workshop

HFR/MFL TIMELINE

2012

Sep

MFL WG re-started and Business Owners identified

10 regions trained (GPS, data tool)

RM selected; Curation Tool developedRemaining regions trained (GPS,, data tool,

curation tool; 10 regions curation toolOngoing data entry, approval,

retraining,; Develop Public Portal

MFL INITIAL STEPS

Identify HFR core team

MFL Requirements Gathering (iterative)

User Stories

Requirements Specification

Data Elements Specification

MFL initial data collection and harmonization

MFL transformed to HFR

Integrated HFR (2014-2015)

Integrated HFR

HEALTH FACILITY REGISTRY (HFR)

DEFINITION Health Facility Registry

(HFR) is an online tool used to provide public access to a database of approved information about all health facilities in Mainland Tanzania.

HFR contains Master Facility List, which is the official source of health facilities information for the health care sector.

STAKEHOLDERS

BENEFITS OF HFR

HFR BENEFICIARIES

REPORTS PRODUCED

• Detailed report • Summary report

HFR/DHIS INTEGRATION PROCESS

DHIS

HFR Changes

FRED APIHFR

HFR INTEGRATION VISION

Interoperability Layer

Data Warehouse

(Health resources)

eLMIS 

Drug Registry

Health Professional

Registry 

Health Facility Registry

SHRTerminology

Services

Patient Registry

 EMRs/HoMIS

Insurance System i.e.

NHIF, CHF, etc. 

Epicor, PlanRep

Other point of service applications (i.e. HRHIS, etc.)

iHMS 

CURRENT STATUS

• HFR portal launched (10-Sept)

• HFR/DHIS integration is in progress and finalizing HFR/DHIS mapping IDs

• Ongoing data collection tool review

• Continue to improve data quality in HFR i.e. Services offered (can this replace some facility surveys?)

LESSONS LEARNED

• 2 original MFL main activities in M&E SI did not reflect the actual MRL/HFR complexity

• Joint ownership within the MOHSW takes more time to meet multiple owners expectations and leadership buy-in

• Harmonizing lists with deletions/merging of HF difficult to track through API with deleted IDs

• Need to move the DCS approvals into their routine work and allocate funds

PARTNERS

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