1. Routine Health Information Systems and Universal Health Coverage Monitoring in Tanzania
Willis Odek, PhD
Chief of Party/Senior Technical Advisor,
MEASURE Evaluation Tanzania
The 7th EAHSC
March 27-29, 2019

2. Definitions
Universal health coverage means that all people have access to the health services they need (prevention, promotion, treatment, rehabilitation and palliative care) without risk of financial hardship when paying for them

3. Tracking UHC
World Health Organization and World Bank UHC global monitoring framework:
health services coverage;
financial protection coverage;
equity in coverage.
Health service coverage tracer indicators:
promotion/prevention
treatment and care

4. Routine health information system
Routine health information system refers to any system of data collection, distribution and use that provides information at regular intervals and that is produced through routine mechanisms to address predictable health information needs
Routine health information is usually drawn from data on provision and use of health services.
clinical service delivery
Medicines
laboratory services
Other diagnostic services
Administrative records,
Financial
Human resource management systems and
Quality improvement systems.

5. Service coverage tracer indicators
ANC initiation before 12 week gestation
ANC 4+ visits
Institutional deliveries
Skilled birth attendance
Need satisfied for family planning
DPT3 immunization coverage
Serious acute child illness coverage
Household ownership of insecticide treat nets (ITNs)
Tuberculosis treatment coverage
PMTCT service coverage
Contraceptive use
Postnatal care within 2 days of birth
Diarrhea treated with oral dehydration salts (ORS)
Coverage of exclusive breastfeeding
Intermittent prevention therapy (IPT) during pregnancy
Fever treated with antimalarials
Household with indoor residual spraying
Tuberculosis case detection rate
Male circumcision rates and
Condom use at higher risk sex

6. Service coverage tracer indicators

7. Service coverage tracer indicators

8. Service coverage tracer indicators

9. Service coverage tracer indicators

10. Challenges to RHIS
Technical - ease of using data collection tools; quality of data
Behavioral - limited knowledge, poor attitudes, lack of value for data
Organizational - information culture, health system structure, roles and responsibilities and resources

11. Future: RHIS and UHC Monitoring
Continue to strengthen routine health information systems’ capacity
promote use of the data collected at all levels from the service delivery to policy makers levels
harness the potential of digital technologies for data collection and management

12. 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 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.