This community innovation has been accepted at the 2025 DHIS2 Annual Conference
DHIS2: Mapping & Removing Barriers to HIV/TB Care
The Center for Health Collaboration (CCS) in Mozambique leverages technology to address barriers and human rights violations that hinder access to healthcare for people living with HIV and TB. Initially, data collection relied on manual record-keeping, limiting systematic analysis, delaying responses, and compromising evidence-based decision-making. To overcome these challenges, CCS implemented the DHIS2 Tracker, a digital tool that enables real-time data collection, analysis, and intervention planning. Through this system, paralegals now register detailed, individualized information on patients’ barriers and rights violations during their community work. The data is systematically analyzed to inform targeted interventions, particularly in behavior change communication strategies. Additionally, automating data management has enhanced operational efficiency by reducing reliance on monitoring and evaluation teams, enabling public health managers to access real-time insights and coordinate timely responses. The impact of this intervention has been substantial. The number of recorded and monitored cases increased from 880 in 2021 to over 10,000 in 2024, encompassing 10,797 human rights violations and 9,089 health access barriers. Furthermore, real-time data collection has reduced the time required for validated monthly reports from 20 days to just 5, allowing for more responsive, evidence-driven action. This experience demonstrates the potential of digital health solutions to enhance health system efficiency, improve patient adherence to care, and strengthen human rights protections. Other countries and organizations can adapt this model to improve healthcare access in vulnerable populations, leveraging technology to drive data-informed decision-making and foster equitable health outcomes.
Primary Author: Nelson Magul
Keywords:
DHIS2 Tracker, access barriers, human rights, HIV, TB, targeted interventions, CCS, health system strengthening, health system strengthening,digital transformation, community-based interventions.