hitchhiker's guide to community health and information

The Hitchhiker’s Guide to Community Health

and Information Chapter Two: Big Data Starts at the

Household

!

An Ethiopian Story of How Community became the Data Producers and Users

The Health Extension Workers play crucial role in linking community with the health system

Collect and use individual patient data on Family FoldersTo ensure -a family-centered approach-Continuity of carehttps://vimeo.com/140829594

Data aggregated to generate service statistics

Reported to Health Center

Shared and discussed with the Health Development Army

Health Development Army

Women-centered Networks

Kebele Command Post

The Link -Health Extension

Worker

123

4 5

6

Information Flow

Health Extension Worker

Woreda Command

PostHealth Center

Information Collected and Used at Community Level

• Number of new and repeat FP acceptors

• Number of first and fourth ANC visits

• Maternal deaths• Home delivery free in

the week• Number of HC who

didn’t attend delivery at HC this week

• Activities to create home delivery free kebele

• Immunization indicators

• Malaria control, epidemic control activities

• Best practices

What did JSI HMIS Project, Ethiopia contribute to ensuring data use at Community

Operationalize The Family Folder

Introduce Tickler File system

Electronic system for converting Community

data into Big data

Health mangers can now monitor what’s happening at community level

More & more pregnant women receiving ANC 4 by HEWs, but fewer are delivered by HEWs – most go to HC for delivery

SNNP REGIONAL HEALTH BUREAU

The eHMIS allows charts and tables for indicators

& we can drill down to community level, i.e., Health Post data

Managers can identify unusual data and drill down to the HP reporting it Low Birth Weight (LBW) Proportion

Hadero Tunto Zuria WoHO, Hidar 2004 to Tahisas 2005

Ethiopia Community Based Health Information System in SNNPR Featured as one of the Top Ten USIAD HSS Success Stories in 2014

https://hssglobalcall.hsaccess.org/top-cases

Partners Coordination

Logistics

Continuous Capacity Building

Challenges

Leadership & Ownership

Supervision

High staff turn over

bizuayehu_elias@et.jsi.com

zewetir_azeze@et.jsi.com

Tariq Azimsyed_azim@jsi.com