An Ethiopian story of how the community became both the data producers and users by JSI's Tariq Azim

1. The Hitchhiker’s Guide to
Community Health and
Information
Chapter Two: Big Data Starts at the Household

2. !
An
Ethiopian
Story of How
Community
became the
Data

3. The Health
Extension
Workers play
crucial role in
linking
community with

4. Collect and use
individual
patient data on
Family Folders
To ensure
-a family-centered
approach
- https://vimeo.com/140829594

5. Data aggregated
to generate service
statistics
Reported to Health
Center
Shared and discussed
with the Health

6. Health Development
Army
Women-
centered
Networks
Kebele
Comman
d
Post
The Link -
Health Extension Worker
1
23
4 5
6

7. Information Flow
Health Extension Worker
Woreda
Command
Post
Health Center

8. Information
Collected and
Used at
Community Level• Number of new and repeat FP
acceptors
• Number of first and fourth ANC
visits
• Maternal deaths
• Home delivery free in the week
• Number of HC who didn’t attend
delivery at HC this week
• Activities to create home delivery
free kebele
• Immunization
indicators
• Malaria control,
epidemic control
activities
• Best practices

9. What did JSI HMIS
Project, Ethiopia
contribute to
ensuring data use
at Community

10. Operationalize The Family
Folder

11. Introduce Tickler File
system

12. Electronic system for
converting Community
data into Big data

13. Health mangers can now monitor
what’s happening at community
level
More & more pregnant women receiving ANC 4 by
HEWs, but fewer are delivered by HEWs – most go to
HC for deliverySNNP REGIONAL
HEALTH BUREAU

14. The eHMIS allows charts and tables
for indicators

15. & we can drill
down to
community level,
i.e., Health Post
data

16. Managers can identify unusual
data and drill down to the HP
reporting itLow Birth Weight (LBW) Proportion
Hadero Tunto Zuria WoHO, Hidar 2004 to Tahisas 2005

17. Ethiopia Community
Based Health Information
System in SNNPR
Featured as one of the Top
Ten USIAD HSS Success
Stories in 2014
https://hssglobalcall.hsaccess.org/
top-cases

18. Partners
Coordinatio
n
Logistics
Continuous
Capacity
Challenge
s
Leadership
&
Ownership
Supervision
High staff turn
over

19. bizuayehu_elias@et.jsi.com
zewetir_azeze@et.jsi.com
Tariq Azim
syed_azim@jsi.com