Ghana Use Case: Improving TB Care and Treatment Data Use at the Lower Level Through the Deployment of eTracker (Tracker Capture) to TB Targeted District Hospitals

Deploying eRegistries with all enhancements tools does not automatically improve data and information use, to achieve full usage and potential benefits of all such systems requires integrated supportive supervision at all levels and regular feedback to facilities. To fully achieve this the GHS is deploying to every facility in Ghana to use the Tracker capture for all preventive services such as TB care , ART/HIV and MCH services.

The Policy Planning Monitoring and Evaluation Division of the Ghana Health Service in collaboration with the National TB Control Programme has developed a client based individual case management record system to collect, manage and analyze transactional case based records for TB screening, TB care & Treatment and TB dots in 113 TB burden district hospitals using the DHIS2 Tracker capture. This system called TB care eTracker has been deployed in Ghana especially in high TB burdened districts. The web version of the TB Care eTracker deployed in 2014 has worked but users have encountered key challenges. This includes:

  • Limited or no Internet connectivity affecting its full usage to collect, manage and analyze transactional case based records for TB Care.
  • Limited number of devices for screening and data capture at the hospitals especially in the TB burdened districts that were running the system.
  • Data use and feedback to facilities from districts on tracking defaulters and generating visit schedules

The key objective of deploying the tablet -based eTracker is to give service providers at the lower level access to client information safely, securely and easily, whenever and wherever it is needed. It is an essential part of the drive by the Ghana Health Service to improve patient care by enabling CHOs and other GHS staff to increase their efficiency and effectiveness. To achieve a full spectrum of the immense benefits of using the eTracker at the lower level its key that we are deploying the eTrcaker to key programmes such as TB care and screening, ART HIV care and MCH services across the country

In August 2018, 226 health care providers, 113 districts health information management system (HIO) and 20 regional HIO and their deputies from 113 priority districts health facilities were trained on data entry, reporting and on data use.

The figure below outlines the number of patients for whom the questionnaire on TB sign and symptoms were completed and entered into system. What is the reason of variation over time? The NTP programme confirmed that the completion of entry increases around supervisory visits clearly confirming that there is that human actor , change management process that needs to be addressed in any deployment such as the TB care Tracker capture.



Hi @Dominic_Kobinah,

This is a really interesting use case of the Tracker for the team to learn from :clap: .
Kindly re-share the images as they did not get attached well.


Thank you Dominic for sharing this story with the DHIS2 Community. It is so inspiring to learn what Ghana is doing with tracker.

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Thanks, Dominic, it’s good for the community to know more about the work that your team is doing. It’s quite a challenge to expand the DHIS2 user base down to the facility level with Tracker. Do you have any recommendations from your team’s experience about any differences in providing user support or conducting trainings for this level of user, compared to aggregate level users?


User support at the facility level is Key, its been core to our deployment.Ensuring its continuity over time is the challenge. The challenge has been the district being able to provide the needed support to these facilities all the time and not only when we are on monitoring and supervision visit . We are not treating our deployment like a time bound project where there is a dedicated fund for hiring officers to provide support during the period of a project. This is mainstreamed or integrated into the district and regional level structures. Key emphasis is being made on district feedback to facilities on utilizing the enemouse benefits of the features of the Tracker capture. roles and responsibilities of districts and facility heads is important on ensuring the full usage of the system. Regular feedback on reporting needs and gaps. If No one is looking at the data and providing feedback to facilities then service providers do not feel recognised for their work do not feel the need to continue with the enthusiasm they had at the beginning.