Part of the HIV: tracker innovations and adaptations for longitudinal analysis DAC2021 Session: Wednesday 23nd June 14:00
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In addition to USAID/PEPFAR required monitoring, evaluation and essential survey (MER) indicators, orphan and vulnerable children (OVC) programs are being asked to report on additional custom indicators to provide new insights into the HIV risk assessment and clinical care cascades. Many implementing partners (IPs) are choosing DHIS2 as the platform to monitor their data longitudinally and across sub-partners and geographic regions. Given the high complexity of some OVC indicators, the formulation and visualization of these indicators challenges the capacity of the standard DHIS2 functions, often requiring innovative, customized solutions.
We will discuss our experience developing a DHIS2 instance in Zimbabwe for the USAID Mission under the Data.FI project (2019-2024) with the aim of leveraging data to improve the health and well-being of OVC living in PEPFAR priority districts for HIV epidemic control. We engaged with five IPs in country to map their data collection processes, align indicator definitions with the aim of producing a harmonized system to be used for all IPs for case management and real-time reporting to USAID. Two challenges encountered were related to the 1) calculation of the participant status which combines data that is both cumulative and point-in-time and 2) presentation of performance by sub-partners, in addition to geographic organizational units while using the Tracker module.
Creative solutions were developed which may be leveraged by others seeking to seeking to use DHIS2 for monitoring performance, reporting, and possibly developing a longitudinal case management system for performance monitoring and reporting to ensure visualizations accurately inform evidence-based decision making.