DEVELOPMENT AND USE OF A CENTRALIZED

HEALTH FACILITY REGISTRY: EXPERIENCE AND

LESSONS FROM TANZANIA

Hermes Rulagirwa – Head ICT Unit, Esther Msechu, Senior ICT Officer, (MOHCDGEC/Tanzania)

Edwin Nyella, HIS Advisor, (John Snow Inc.)

2nd EAC eHealth and Telemedicine Ministerial Conference

Kigali Rwanda 15 -18 May, 2018

Background

Vision: Centralized Health Facility Registry

Issues in consideration: • Multiple and fragmented facility lists,

• Lack of standards on the facility details

• Multiplicity of facility identifiers for the same facility

• Duplication of efforts and resources

• Lack of online registration and payment for licensing

• Fragmented and uncoordinated business processes

• Need for a holistic and centralized approach

Single Health Facility(e.g: Tandale Dispensary)

Professional Councils/board

eLogisticsHRHIS HIVTB NHIFImmunizations MSD

DHIS2(HMIS)

Multiple Identifications

Single Facility with Multiple IDs

Health Facility Registry (HFR)

HFR is an online tool used to provide public access to approved informationabout all health facilities in the country.

HFR contains Master Facility List, an official source of health facilitiesinformation for the health care sector.

HFR has a Module for managing the whole process of registration of HealthFacilities in Tanzania including online payment for licensing

Public and other stakeholders can view health facilities information throughHFR public portal http://www.hfrportal.ehealth.go.tz

Shared Single Health Facility ID

Centralized Health Facility Registry

(e.g: Tandale Dispensary)

Professional Councils/board

eLogistics

HRHIS

HIV

TB

NHIFImmunizations

MSD

DHIS2(HMIS)

NBS

LGAs

Application/Renew License

Private Facilities Registration

GEPG

District Region

Public Facilities Registration

PHAB

PHLB

TNMC

……

MOHCDGEC

For Verification approval to higher

levels

Payments during the

application processes

Information Captured

• Facility registered name

• Geographic locationName and location

• Zone-Region-District-Council-Ward-Village/StreetAdministrative division

• Unique generated per facility

• Does not changeFacility Identifier Number

• Common facility name- Registration number- CTC ID-MSD ID-MTUHA Code

Identification

• Postal address-Phone-Fax-Email-Website-Facility In charge detailsContact information

Information Captured…

• Location description-Service area-Catchment area-Population

Physical Location

• Facility type-Ownership-Registration status-Operation statusClassification

• Number of rooms and beds- Transport-Water-Mobile networks-Toilet facility-Waste management -Sterilization and Infection control

Infrastructure

• Clinical service-Therapeutics-Prosthetics and Medical devices-Diagnostics services-RCH-Growth monitoring /Nutrition Surveillance-Oral Health Services (Dental)-ENT Services-Emergency preparedness-Support services

Service Offered

Benefits Of HFR

Availability of updated list facility information

Foundation for integrated HIS at all levels –used as

basis of all system and surveys

Resource saving – No need for stakeholders to

maintain their own facility list

Promote efficiency & Consistence – Single

source of truth

Benefits Of HFR …

Tanzania HIE Conceptual Model

ASANTENI SANA!