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Making Electronic and Logistics Management
Information Systems InteroperableThe Potential to Create a Stronger Digital Health System in Bangladesh
Mohammad Golam Kibria
MEASURE Evaluation
University of North Carolina at Chapel HillHealth Systems Research 2018
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Introduction and background
MEASURE Evaluation is working with the Directorate
General of Family Planning (DGFP) Bangladesh to
• Strengthen the electronic management information system
(eMIS) to improve recording and reporting, through
collection of services and logistics data at the community
level, using hand-held devices
• Assist in the digital transformation: moving paper processes
into the digital realm
• Help monitor progress and performance of the collection of
service statistics and contribute to strengthening the supply
chain in real time
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Problem statement
• Discrete electronic systems handle service statistics (the
eMIS) and logistics data.
• Real-time logistics information from service delivery points
(SDPs) is unavailable.
• A single platform to view data and assess the health
system’s performance is lacking.
• These issues lead to poor data quality and use
……resulting in unnoticed sporadic stockouts of family
planning (FP) commodities at SDP level.
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Reasons to integrate the 2 systems
• To improve data availability, quality/verification, and visibility
in real time
• To establish routinely linking eMIS and LMIS data to support
these functions:
• Data validation
• Projection
• Supply planning
• To enhance communication between service delivery
program managers and supply chain managers
• To monitor the use of information for decision making and to
take prompt action to replenish supply
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Addressing the challenge: The process
• Conceptualized the needs of the DGFP’s comprehensive
information management system
• Identified key stakeholders and constraints
• Conducted a systems review and an options and feasibility
analysis and designed the interoperability between eMIS and
LMIS
• Facilitated an enabling environment
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Conceptual Model-Interoperability
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Progress to date
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Stock monitoring at different levels
Source: DGFP LMIS
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Evidence-based decision making: Stock
monitoring of SDPs, by item and time horizon
Source: DGFP LMIS
120
125
130
135
140
145
2010-11 2011-12 2012-13
In m
illio
n
Condom consumption vs dispensed
LMIS HMIS
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Challenges
• Taking prompt action, based on information
• Retaining trained staff
• Improving the ICT infrastructure (Internet connectivity;
suboptimal performance of tablets)
• Ensuring a feedback mechanism
• Thoroughly discussing the FP program’s performance at
district/sub-district monthly meetings
• Motivating staff
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Lessons learned
• Government ownership and donor commitment and
understanding need to be constantly fostered and
reinforced at all levels.
• The government needs to increase financial resources and
ensure optimal use of existing resources and tools.
• High visibility of data has profound motivating effects, both
through recognition of excellence and accountability for
poor performance.
• To ensure evidence-based decisions, policymakers need to
be proactive in reviewing the dashboard platform and
tracking data.
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This presentation was produced with the support of the United States
Agency for International Development (USAID) under the terms of
MEASURE Evaluation cooperative agreement AID-OAA-L-14-00004.
MEASURE Evaluation is implemented by the Carolina Population
Center, University of North Carolina at Chapel Hill in partnership with
ICF International; John Snow, Inc.; Management Sciences for Health;
Palladium; and Tulane University. Views expressed are not necessarily
those of USAID or the United States government.
www.measureevaluation.org