1. Accelerating Community Health Through Technology
CHMS
part of the
suite of tools

2. System Gaps Information Availability
Low levels of community data in eHMIS available for planning by MoH and DLG.
No client satisfaction data available, providing little insight into the decision making by the public for initial and continuous utilization of services.
Few information resources / reference materials readily available for either VHTs or community members.

3. System Gaps (continued)
Coverage
Current systems do not provide the ability to ensure EVERY household and EVERY mother and child receives the complete package of recommended health services.
Performance Management
With minimal to no data from VHTs, it is not possible to measure and evaluate individual or aggregate performance.

4. System Gaps (continued)
Vertical Programming
VHT activities tend to be donor driven and not always follow the MoH’s recommended standardized package.
Supply Chain Management
While UNICEF has moved to integrated the iCCM Supply Chain for VHTs within NMS, other NGO’s are still creating new and parallel supply chains for VHTs

5. Community Health System Strengthening
Accelerating Community Health Through Technology (ACTT)
Prototyping CHMS Application in Moyo and Ntungamo, and FamilyConnect in Kabale and Kamuli Districts.
Version stabilization for CHMS in 2 districts and 21 Districts for FamilyConnect rollout during 2017

6. Community Health System Strengthening
VHT Revitalization Strategy
Draft strategy completed
1MCHW’s and Pathfinder contracted to operationalize
Community Health Management Information System
Introduction of CHMS & FamilyConnect
Expand MoH’s electronic Health Care Provider Registry (iHRIS) to include VHTs and CHEWs
Linkage of Community Data with DHIS2, and the RMNCAH Scorecards / BNA tools
Integration with CVRS / MobileVRS for birth notifications

7. Guinea, Liberia, Mali, Senegal, Sierra Leone, and Tanzania

8. Community Health Management System

9. The Community Health Management System (CHMS)
Add Individual
Submit your
report
Update household
health Indicators
Create & View
past pregnancies
Create & View
Your Households
View statistics about
your household and
individuals
Track Pregnant
Women

10. Maternity: Add a Pregnancy

11. Capture Survey
scroll

12. The Community Health Management System (CHMS)
The Pilot was conducted in 2 districts – Moyo & Ntungamo
However there were challenges with version 1
Poor data synchronization
Limited household registration capacity
Limited version to Android 2.2

13. Way forward Stabilizing the pilot Address the challenges
UNICEF, MoH is in discussions to work with Medic Mobile
CHMS to change strategy and be a business intelligence app for CHEWs

15. Systems Approach - OpenHIE

17. Currently 5,000 VHTs registered; target 180,000 VHTs and 1
Currently 5,000 VHTs registered; target 180,000 VHTs and 1.5m mothers / heads of households by 2018.

24. Outcome / Performance Based Monitoring
VHT and CHEWs will be reporting on the outcomes of key interventions, which will in turn provide improved micro-targeting of reminders and messaging for follow-up, as well as offer ability for performance management.

27. Next Steps
FamilyConnect is being rolled out in 11 districts with expectation of national scale by end of 2019
FamilyConnect API was on VUMI now being transferred to RapidPRO
FamilyConnect is being used by VHTs whereas CHMS by CHEWs
Operationalize Modules – current module is on RMNCH, future modules on PMTCT and Malaria.

28. Partners