Lesson Learned Paper is very good at what it does. Focus on the problem not the technology. Identify the information flow problem and incorporate appropriate technology into the overall solution.
What technology is good at? Information Technology can allow for ongoing, real-time, multi-directional flows of information & communication. Allowing dispersed networks of people to exchange actionable information, systematically & in real-time. Question: Where are the information bottlenecks that impair progress / scaling-up in ART programs?
Lessons Learned Don’t just collect data from the field. Extra burden. Use technology to facilitate workflow. Focus on actionable, time-sensitive data. Keep it simple. Polio example. If data results in action, you get better data. Don’t just replicate paper system. Note: Real-time information changes organizations. MoH must act. Supervisory power of integrated system. Real-time accountability & transparency. Need two-way flow of information and feedback. Use technology to reinforce the network.
Avoid Stovepipes Avoid Stovepipes - Programmatic
- Technological / Device
- Levels
Otherwise, the burden falls on end users. Take a holistic approach.
Integrate Programs
Integrate Levels & Stakeholders
Opportunity: Link M&E to Workflow & Action Traditional M&E slow, expensive, difficult. Data collected retroactively. Traditional M&E causes an extra burden on overworked health professionals. No benefit to people in the field. Top-down system – information is gathered solely for the use of policy-makers.
Opportunity: Link M&E to Workflow & Action M&E should be a by-product of workflow information exchange. Not a distinct, extra burden. The data is better if it comes from workflow. End users have incentives to report. Action/result and feedback are the incentives. Health workers will report cases and stock levels if it results in re-supply. Procurement and supply decisions to be based on relevant current information, such as case loads and current stock levels. Workflow-based data collection allows for real-time transparency and accountability. Real-time M&E allows for real-time policy changes and better decisions.
Opportunities for ART Programs Real-time inventory reporting. Real-time distribution tracking. Real-time patient monitoring. Automated reminders for compliance. Real-time financial reporting. Others?
Dostları ilə paylaş: |