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An Integrated Evaluation Design: Capturing Contextual Dynamics of Implementing a Health Information System for Reporting Routine Immunization (RI) Data in Nigeria 

11-22-2019 12:56

Author(s): Sara Jacenko, MPH1, Ester Mungure, MSc1, Oluwasegun Adegoke (Joel), MSc1, Tina Smith, MS2, Charlotte Newman, MDP3,

1 Centers for Disease Control and Prevention

2 Anderson Smith Consulting

3 Avram Corporation

 

 

Abstract 

In 2014, the US Centers for Disease Control and Prevention (CDC), in collaboration with the Nigerian National Primary Health Care Development Agency (NPHCDA) and the African Field Epidemiology Network (AFENET), implemented a District Health Information System Version 2 (DHIS2) Routine Immunization (RI) module and dashboard to provide access to RI data and improve data quality and use. Nigeria, Africa’s most populous country, has many ethnic groups, a history of political instability, infrastructure challenges, poverty, and security issues.  Its public health system has 774 health districts and ~ 37000 health facilities.  Given this complexity, and to inform future program refinements in Nigeria while facilitating translation of insights to other contexts, we integrated developmental evaluation principles with Realist evaluation constructs to test the theories underlying the project.  Evaluation goals include describing implementation processes, progress towards outcomes, lessons learned (using qualitative and quantitative data), and then presenting results that can be translated into meaningful action.  

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In 2014, the US Centers for Disease Control and Prevention (CDC), in collaboration with the Nigerian National Primary Health Care Development Agency (NPHCDA) and the African Field Epidemiology Network (AFENET), implemented a District Health Information System Version 2 (DHIS2) Routine Immunization (RI) module and dashboard to provide access to RI data and improve data quality and use. Nigeria, Africa’s most populous country, has many ethnic groups, a history of political instability, infrastructure challenges, poverty, and security issues. Its public health system has 774 health districts and ~ 37000 health facilities. Given this complexity, and to inform future program refinements in Nigeria while facilitating translation of insights to other contexts, we integrated developmental evaluation principles with Realist evaluation constructs to test the theories underlying the project. Evaluation goals include describing implementation processes, progress towards outcomes, lessons learned (using qualitative and quantitative data), and then presenting results that can be translated into meaningful action.