SHOPS Plus: DHIS2 Pilot Technical Assistance Consultancy in Kenya

Jul 25, 2016

SHOPS Plus: DHIS2 Pilot Technical Assistance Consultancy

The Sustaining Health Outcomes through the Private Sector (SHOPS) Plus project is USAID’s global flagship initiative in private sector health. 

The overall purpose of the project is to improve public health outcomes and increase the use of priority health services through the expansion of the private sector in health systems. 

The project concentrates on family planning and reproductive health; maternal, newborn, and child health; and HIV and AIDS.
SHOPS Plus currently is currently seeking a consultant to assist with an effort to pilot test the use of DHIS2 as a reporting platform to both 

(1) increase private sector reporting into government health management information systems (HMIS), and 

(2) improve reporting and use of routine data by private sector facilities. 

The pilot will focus on data related to family planning services delivered through private drug shops and pharmacies in Kenya, as these facilities are important sources of FP services.

Drawing on lessons learned from the predecessor SHOPS project, SHOPS Plus will explore opportunities to use mobile platforms that are compatible with DHIS2 to simplify and reduce burdensome reporting processes. 

Mobile platforms also provide an opportunity to provide rapid feedback that can help strengthen providers’ business practices (e.g., data on usage rates and method mix), thereby demonstrating the value of the system and increasing participating providers’ support for the system.

With its flexibility and simplicity, DHIS2 presents an opportunity to implement an easy-to-use, simple reporting system that providers can use to record their service delivery statistics and report routine service delivery data into the national HMIS. 

Many country governments and larger private sector organizations have already started using DHIS2 to this end, yet significant gaps related to the private health sector remain. 

Independent private health care providers, especially at the drug shop and pharmacy level, have largely not adopted any means of reporting routine data into government HMIS. 

National governments, who are increasingly using routine data to monitor their progress, therefore see an incomplete picture. 

However, analysis of DHS data shows that the private sector is an important source of family planning users around the world, especially for youth populations.
  •  {Ugaz, JI, M Chatterjee, JN Gribble, S Mitchell. 2015. Regional trends in the use of short-acting and long-acting contraception accessed through the private and public sectors. International Journal of Gynecology and Obstetrics.}
  • {SHOPS Project. 2015. Reaching Youth with Modern Contraception. Bethesda, MD: Strengthening Health Outcomes through the Private Sector, Abt Associates}
Improving private sector reporting into government HMIS is therefore essential to gaining an accurate understanding of family planning use in a country, monitoring progress toward FP2020 goals, and developing health sector strategic plans.  

In addition, improving reporting will also have a benefit to the private providers themselves- having better and more frequent data can help them better plan, budget, and forecast needs.
The pilot will have four phases:
1. Pilot design: Work with relevant stakeholders (Ministry of Health HMIS officials, relevant professional councils and associations, donors and other implementing partners, etc.) to develop a sampling strategy and sampling frame to identify drug shops and pharmacies to target for participation; agree to reporting requirements; identify current barriers to reporting among pharmacies and drug shops; and adapt DHIS2 platform for pilot.
2. Recruitment of drug shops and pharmacies: Develop and use a business case that outlines the potential benefits for providers from improving their reporting of routine data to recruit participants for pilot that vary in terms of size, type, location, etc.
3. Pilot implementation: During this period, SHOPS Plus will provide technical assistance to the pilot facilities, public sector officials, and other stakeholders to facilitate reporting of FP statistics. Activities will include training participating providers on the reporting requirements and systems, providing supervision and mentorship to pilot participants, review reports for data quality issues, and troubleshoot any problems. The consultant will also facilitate between SHOPS Plus project staff, Ministry of Health officials, and pilot participants to ensure that all participating pharmacies and drug shops have access to the necessary registers, as well as data collection and reporting forms. The implementation will be broken up into two phases: a 1-2 month training period followed by a 6-month pilot period.
4. Pilot learning: Over the course of the pilot period, SHOPS Plus will analyze collected data to determine if there are changes in the amount, quality (e.g., accuracy, precision, completeness, timeliness, consistency, etc.), frequency, and usability of data from participating facilities in the public sector HMIS. 

Key stakeholders involved in the pilot will include participating providers, the Ministry of Health Division of Health Informatics, the County Health Management Teams, and the Pharmacy and Poisons Board. 

The consultant will support the pilot activity through the following activities:
  • With SHOPS Plus staff, participate in meetings with pilot stakeholders to inform the design of the pilot. Includes providing written summaries of inputs and recommendations for pilot design. Consultant will lead efforts to design technical approach for pilot, including guiding the design and integration of the reporting system (7 days)
  • Contribute to design of training programs to familiarize pilot participants with DHIS2 platform and reporting processes (3 days)
  • Attend and help lead trainings for pilot participants on technical requirements of reporting system (3 days)
  • Provide ongoing mentorship to pilot participants throughout entire pilot implementation period. Includes participate in regular meetings with SHOPS Plus staff; visiting provider pharmacies and drug shops to provide mentorships, coaching, and technical support for data management and preparation of summary reports; and interacting with MOH officials to determine problems and identify and implement solutions (30 days)
  • Contribute as requested to development of business cases to be used in recruitment (1 day)
  • Support efforts with local partners to recruit pilot participants as requested (2 days)
  • Participate in planning meetings with SHOPS Plus staff as required
  • Interview notes with stakeholders with recommendations to inform pilot design, especially on the technical design and function of the reporting system
  • Training material to familiarize pilot participants on technical requirements of reporting system
  • Sections and comments on business cases as requested
  • Monthly mentorship reports for implementation period (including both the 1-2 month training period and the 6 month pilot period)

The successful candidate for this position will have:
  • Experience working with private pharmacies and drug shops in Kenya
  • Demonstrated expertise in HMIS and familiarity with the DHIS2 platform
  • An understanding of relevant indicators used to track family planning service statistics
  • Good written and oral communication skills
How to Apply
Send applications to:

Applications due by July 31st, 2016


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