This community innovation has been accepted at the 2026 DHIS2 Annual Conference as a digital poster.
Ethiopia DHIS2 Maturity Assessment and Key Finding
DHIS2 maturity assessment was conducted in Ethiopia to identify domains requiring interventions and to develop a prioritized list of DHIS2 related interventions. Maturity Assessment Tool developed by the HISP Centre in collaboration with the HISP network and Ministries of Health is used to evaluate the foundational DHIS2 domains and the maturity of aggregate and tracker-based program implementations. A mixed methods approach was used, combining focus group discussions, Google Docs–based self assessments, and systematic reviews of relevant policy and strategic documents. Data collection and analysis were conducted through two national workshops held from June 30–July 2025 and Nov. 21–22, 2026, with participation from Ministry of Health departments, program managers, technical experts, and partner organizations. Results indicate that foundational domains; governance, security, and the DHIS2 core team; are at an early progress stage, while strategy and investment, metadata development, facility profiling, and end user training are rated as adequate. For aggregate DHIS2, HMIS are relatively mature within public health facilities; however, the overall HMIS remains at an early stage due to limited inclusion of private health facilities. Program level aggregate performance mirrors routine HMIS trends. HIV, TB, and Malaria programs demonstrating stronger maturity due to dedicated information officers and partner resources. In contrast, the EPI program shows substantial gaps in microplanning, surveillance, and stock management. DHIS2 Tracker implementation in the government health sector is limited to EPI and COVID-19 programs, implemented in separate instances, resulting in fragmentation. Although national-level data use has improved, significant gaps persist at district and facility levels. Priority interventions are governance and leadership, building DHIS2 workforce capacity, automating feedback mechanisms, harmonizing tracker instances, interoperability, and securing budget for DHIS2 hosting.
Primary Author: Birkinesh Lagebo
Keywords:
DHIS2, Assessment, Maturity, Ethiopia, Aggregate, Tracker, Health, Health Information System, Health Management Information System