Reaching the UNAIDS 90-90-90 targets will only be achieved with access to reliable programmatic and human resources for health (HRH) data. In the past 20 years, Ethiopia has seen improvements in health outcomes as a result of strengthened health systems and, with PEPFAR support, great advances have been made scaling up comprehensive HIV services. In 2015, the national HIV prevalence in Ethiopia fell to 1.1%, a decrease of over 78% from the 1999 prevalence of 4.9%. In recognition of the importance of strong strategic information (SI), the Federal Ministry of Health (FMOH) released the Information Revolution Roadmap (IRR), which identifies needed areas of focus and interventions, and identifies the data use transformation pillars of 1) cultural changes on HIS and 2) digitalization and scale-up of HIS. The purpose of this project is to strengthen the capacity of individuals, institutions, and the overall health system in Ethiopia to develop and maintain a national, evidence-based HIV response using comprehensive, integrated, and accessible HIS to support the long-term goals of increased technical expertise of FMOH and RHB staff to manage HIS with little or no external technical assistance (TA) and a sustainable, computerized HRIS system that is interoperable with other HIS platforms. ICAP will draw on its expertise and capacity building experience in the areas of HIS, monitoring and evaluation (M&E), and HRH to support the FMOH and other national stakeholders to accomplish the following objectives: 1) Provide TA to maintain, transition, and implement HIS; 2) Enhance and scale up the Human Resource Information System (HRIS) to support sustainable, data-driven workforce planning, deployment, and decision-making; and 3) Build capacity of current and future HRH at the national, regional, zonal, woreda, and health facility level to support ownership of sustainable SI activities. The project strategy includes: A) a technical phased approach to suppor
ting Ethiopia HIS with maintenance (including improvements and expansion), transition to a new platform and tools, and implementation of the new system; B) a capacity building framework that progressively strengthens HIS and SI capacity at the individual, institutional, and systems levels; and C) a focus on government ownership and strategic partnerships with key stakeholders. Short-term project outcomes include increased competency of program managers and HCW in data capturing, analysis, utilization, reporting; improved functionality of HIS; improved capacity in training health information technician (HIT) and data clerks; increased FMOH competencies in administering the national HIS Advisory Committee (NHAC); improved availability of HITs to support M&E; improved reliance on e-generation of HRH data; increased competency of HR/licensure personnel to manage HRIS; accurate, timely, and reliable HRIS data flow across the health system; and accurate, timely, and reliable HRH and licensure reports generated. Intermediate project outcomes include increased data and report availability, completeness, quality, and use for decision making; increased IRR implementation; increased adherence to data standards, HIS procedures, and manuals; increased capacity of Health Science Colleges to administer HIT training; improved quality of HRH data for evidence-based work planning and deployment; and improved utilization of electronic HRIS data. ICAP has a proven track record in Ethiopia and globally of providing targeted, effective TA to ministries of health and other local partners and will leverage its deep familiarity with Ethiopia’s health system, its strong relationships with key stakeholders, and its global experience supporting HIS to accomplish the project’s proposed objectives.