MOUSSA LY
University of North Carolina at Chapel Hill, USA
Title: Dashboard and Scorecard Mobile Applications: Health Facility Adapted Decision-Making Tools to motivate Health Providers in the Use of their Collected Information to Monitor Health Services
Biography
Biography: MOUSSA LY
Abstract
Despite country support for strengthening health information, quality data remains a challenge—partly because those who collect data do not always have access to appropriate tools to use it. Health facilities often report their data to districts and do not have the capacity nor mechanisms to review and use their own data for decision-making. Enabling access and visualization of key health indicators at the health facility level will allow health providers to improve quality of service delivery. The U.S. President’s Malaria Initiative (PMI) Measure Malaria (PMM) project used the District Health Information Software 2 (DHIS2) malaria module to select key indicators of surveillance and service delivery at the health facility level to design mobile-friendly dashboard and scorecard applications. The dashboard displays trends of the selected indicators while the scorecard helps monitor health facility performance. The DHIS2-based mobile applications are supported on both Android and iOS devices and data are accessible online and offline. PMM is supporting the implementation of the mobile scorecard and dashboard applications in Cote d’Ivoire and Madagascar. In both countries, the National Malaria Control Program is working with the Health Information System department to configure and adapt the applications in DHIS2. The process included meetings with partners to agree on the selected indicators, their definitions, and the performance score targets. PMM piloted the mobile dashboard and scorecard applications in 42 health facilities in Madagascar and in 20 health facilities in Côte d’Ivoire. After two months of use in Côte d’Ivoire, 100% of health facility managers considered the apps helpful in terms of the timely sharing of information, 85% believed that the apps contributed to developing and carrying actions to address malaria service problems, and 67% confirmed the apps’ ability to help in identifying and monitoring service and commodity management performance and problems. In Madagascar, the two quarterly visits revealed an increase, from 48% to 72%, of malaria scorecard app users and from 37% to 51% of malaria dashboard mobile app users who found that graph and table presentations are very easy to interpret and help immediately to identify problems and strengths. The use of mobile applications allowed health facilities to better understand issues related to reporting to the district during coordination meetings and to solve problems and improve health services. The implementation scale-up will take place around June 2022. The development of these mobile applications into global tools will allow supervisors to improve the monitoring of data and health facility service provision.