Working Group II RSA and Botswana

1
Working Group IIRSA and Botswana
2
Priority Areas (1-2 of 5)

• Diplomacy
• PEPFAR must follow the lead of the government
• Be a passionate leader through examples of data
  use
  
• Be careful about how PEPFAR funding influences
  the local environment
  
• TB programme in Botswana lost steam after GAP
  came in
  
• Build governance
• Support HMIS policy development (strategic
  planning) to harmonize data systems and emphasize
  data use
  
• This can be strengthened by OGAC HMIS policy

3
Priority Areas (3-4 of 5)

• Emphasize long-term capacity building
• Ensure this is invested in local talent
• Consensus building around strategic vision
• Find a champion in government
• Not necessarily high ranking official
• Caucus to build consensus, then pull others in.
• Zambia had 12 systems and harmonized the data
  that was already being captured instead of coming
  in with a sledge hammera process that took 2
  years.
• Develop smaller components to gain acceptance and
  improves motivation (RSA). These can be PEFAR
  partners.

4
Priority Areas (5 of 5)

• Create a culture (and skills for) of data use and
  make data relevant
  
• Help people see their personal value-add. What is
  in it for me???
  
• Basic interpretation of data (ie, understanding
  graphical representation of trend data)
  

5
Determine time period for implementing priority
areas- RSA
6
Determine time period for implementing priority
areas- Botswana
7
Barriers- Botswana

• Under-resourced
• No CIO
• Lack of integration between systems (up to
  district level only)
  
• Lack of communication between Botswana agencies
• Mis-conceptions as to what it will take to
  improve quality. People think the DHIS (new
  routine system) will automatically improve data
  quality

8
Barriers- RSA

• Need to strengthen unified planning, strategy,
  and leadership for HMIS
  
• Provinces very independent, thus National level
  not prescriptive
  
• Many facility have developed their own ART system
  (dont know how many have) and there can be a
  number at each facility (pharmacy, lab, etc)
  
• Paper systems not scalable
• Communication between key players continues to be
  a challenge