JIPIME

Improving health service quality is a prerequisite for moving towards Universal Health Coverage and therewith crucial for achieving the health-related Sustainable Development Goal 3. Effective management systems are at the core of ensuring functioning, efficient, and sustainable primary health care. However, many countries have significant gaps in performance management, particularly at the sub-national level, which has primary responsibility for service delivery, as well as in communication and coordination between the national and sub-national level. 

Tanzania defines Dispensary, health centre and council hospital as primary health care level. The country have over 6000 facilities that fall under this category. Health providers at the primary health care facilities are required to collect and monthly submit data, unfortunately the existing situation position this critical level as mainly data collection point. There is no simplified tool to enable them to assimilate and utilize existing data through multiple data collection systems to measure performance at the point of data collection to make timely decision on areas that require quality service improvements, respond to equity gaps, and target resources where needed.

JIPIME is a web based module to be embedded within Tanzania's health portal. JIPIME Use provides opportunity to Link different routine data collection health information systems and enable them to share information. The JIPIME module provide users to receive triangulated and analysed information from various data sources to inform primary health care performance improvement and proposed solutions towards achieving health targets.Through the JIPIME module primary health facility providers, facility guardians and in charges to managers to receive generated performance trends to stimulate last mile dialogue and replanning. Through JIPIME module, automated quarterly programmatic and financial performance can be generated to opportunity for frontline health workers to participate in performance improvement efforts with their primary responsibility as care providers. 

The solution also provides for actionable and accessible insights for managers and administrators as a basis for council level biannual performance dialogues using reports autogenerated from the system

Our solution will support health providers, facility level managers and health management teams in two initial regions of Ruvuma and Dar Es salaam utilise their data.

Those two regions have a combined 16 councils and 648 public facilities. The focused regions cover population of 4,549,550. The solution will also be used by members of the council and regional health management committees and implementing partners as they plan for targeted supportive supervision and review visits.  Currently the facility providers are mainly collectors of health information and lacks a simplified tool to self- evaluate performance of their respective primary health facilities.  CHAI intends to expand the existing solution developed for performance monitoring of family planning services at the PHC level to incorporate other key performance indicators in service delivery (commodity availability, human resource capacity building and service provision) and PHC financing

Over 20 years, has been partnering with the Tanzania Ministry of Health to implement solutions that brought positive impacts/changes to the way health services were delivered. We have forged a strong working relationship with our MoH counterparts and understand better what is needed for them to achieve their primary health care targets. CHAI staffs come from pool of providers with different backgrounds that with years of work experience within the health system, tech and business field. Within Tanzania, CHAI second some of its team within health care to better understand gaps and provide tailored innovative solutions. Ensuring data driven decision making within various levels of the health system has been core to the work implemented by CHAI in Tanzania. CHAI through its team collaborated with the MoH/NACP to support national visibility of HIV pediatric data into the national dashboard disaggregating pediatric HIV data thus enabling national coordinators to identify gaps and timely organize for follow up. 

Through staff seconded within Reproductive and child health section and immunization program, CHAI was able to collaborate with the university of Dar Es Salaam and develop Family planning focused dashboard, an online system that performs data analytics and visibility for human resources (HR) capacity for family planning Services uptake and contraceptive stocks outs to users at both national and sub-national level to influence decision making process. CHAI team has also been part of the primary health facility planning teams in five regions of Tanzania, a process which enabled first hand understanding of the process, closer knowledge of performance gap at the last mile thus opportunity to combine technology, data analytics and performance management

The existing module which has been in use for the past five years. This time has given us confidence on system stability,  reliable and readily available information for the targeted users. learning from these experience and recently the higher emphasis by MoH on having PHC ( as the center of identification, provision of services  further pushed us to expand the existing platform to include “JIPIME” an accountability module 

Our solution provides opportunity to quickly triangulate existing routine data which are currently recorded and reported as silos, making it harder for providers who are limited in number and analytical skills to better benefit from them. The dashboard and SMS reports from the triangulated data provider at-glance information on the key performance measures enabling providers at the PHC level timely respond to the identified gap and seek needed support to their facility guardians or council level supervisors.

Our solution will also provide visibility on financial burn rate which has been persistent challenge. The analysis will be tailored to each geographical zone and the country’s health areas targeted impacts. We will add   a module to track performance contracts on the portal. This will serve as a public evaluation tool for each stakeholder (including government agencies and implementing partners working to positively improve health outcomes. 

We are anticipating that within the first year,  our solution will be able to generate triangulated information in form of dashboard and monthly PDF reports that will equip  PHC providers, respective local government authorities within the two startup regions to track impact of service delivery offers by their respective facilities inline with their plans and resources allocated and disbursed to them, measure how equitable has the service delivery been; delivery identify bottlenecks and recommend plausible and evidence based solution. 

Through deployment of JIPIME module, we are anticipating Foster data utilization culture at the last mile that will start within two regions and be mainstreams to at least 50% of the Primary health facilities within the country

JIPIME module is intending to address SDG 3; through our solution we are expecting to measure the 

- Increase in facility financing for addressing preventable maternal and child mortality by at least 60% 

- Equitable access to services geared towards non communicable diseases to 50% of focused facilities

- Increase governance and accountability at the targeted faclities 

Through deployment of simplified, easy to use JIPIME model and performance management approached at the primary health facilities within the two focus regions, we are anticipating to equip PHC with triangulated and readily analysed information for developing quality and data driven plans; better allocate and utilise resources; improving their individualised and team's performance, enable optimisation of health care delivery. Through these outputs we are anticipating to observe stronger PHC systems that is able to deliver quality care for  communities most which are faced with a high burden of disease and unequal access to services thus  ensuring equitable access to quality health care within communities. 

JIPIME” is web-based tool that will be Housed within Tanzania health portal. The application is designed to provide synthetized data from different health systems in Tanzania for decision making. The system will be using data elements related to PHC from different data sources such as District Health Information System, eLMIS, Human Resources for Health Information System, reports, and survey data. 

• The routine health service delivery data, Health commodity information  are being manually collected by respective health care providers as part of their monthly health management reporting system this information is being electrionized at the district level into DHIS-2 and ELMIS respectively. 
• Human Resources for Health data including training information is being collected on need-by-need basis by the coordinators through various system such as HRHIS
• Information on financial is being reported through reports

We are an inclusive workplace and promote and integrate fairness, respect, equality, and dignity into CHAI’s culture. We take a firm stance against discrimination and harassment and foster an environment where people with a multiplicity of personal characteristics, including race, color, religion, sex or gender (including gender identity and gender expression), sexual orientation, ethnicity, national origin, age, disability, HIV status, political or interest group affiliation, genetic information, veteran status, marital status, parental or pregnancy status or any other characteristic, are embraced and valued.

JIPIME module will be housed within the Tanzania Health Portal (system). 

Our bussiness module is geared towards: Software deployment and Introduction of Performance management system for the PHC. 

The deployment part  will involve inputs from key stakeholders from the primary health facilities, ministry of health - department of planning and district coordination units; Local government authorities. Through collaboration with technical developers from the university of Dar es Salaam, our team is anticipated to put in place roadmap for gathering all key requirements and business processes from the key user departments and PHC; plan for user testing upon incorporation of JIPIME module, set up for means of system maintenance; user capacity building and mentorship and eventual handover.

Our key beneficiaries are primarily PHC providers while indirect impact will also be observed to the health management teams who will be using the system to efficiently plant for targeted monitoring visits.

The financial investment and deployment of the JIPIME is  anticipating to 

(1) Promote evidence based performance management system at the primary health care level

(2) Foster data utilization culture at the last mile

Our work has primarily been funded through grants linked to various health system strengthening or program work streams. CHAI’s field-tested innovations are developed in collaboration with the government counterparts and upon completion, mainstreamed to the government system for ongoing sustainability.

CHAI’s field-tested innovations are developed in collaboration with the government counterparts and upon completion, mainstreamed to the government system for ongoing sustainability. This model can be seen when developed the vaccine management information system which was piloted in few regions and currently rolled out country wide under the Government of Tanzania management. Similarly, the medical equipment inventory management system which has been tested in few regions under CHAI support is currently being managed by the Ministry of Health in Tanzania and being rolled out by other partners