The mandate of the Botswana Information Systems for Health Inter-Operability (BISHOP) cooperative agreement is to support systems integration, data management, analyses, monitoring and evaluation, data quality improvement, and use of data from routine reporting, surveys and surveillance systems at facility, district, and national levels in Botswana.
Bummhi, as a service delivery partner brings comprehensive understanding of user challenges and experience with electronic medical records (EMR) and Health Information Systems (HIS) such as the Ministry of Health (MOH) PIMS, IPMS, OpenMRS and DHIS2.
In the first three years of implementation, the BISHOP grant has made several milestones:
" The National Data Warehouse (NDW) now houses data not limited to HIV from all services provided that are captured in PIMS and IPMS, the TB OpenMRS data, monthly reporting data from DHIS2, the Cancer Registry Data and the births and deaths registry data from BDRS
" The 18 health facilities receiving technical assistance directly from the Government of Botswana national MoH or district health management teams, now submit DATIM reports for the reportable ART indicators using data from the NDW
" Twenty-six sites have been activated for HIV recent infection surveillance testing with data available for the DHIS2Tracker
To build capacity efficiently, Bummhi has completed review of the existing curricula and training tools for various cadres, with MoH support, the M and E trainings and Case-based Surveillance trainings are now available on an electronic edX learning platform. BISHOP continues to build capacity of program and MoH staff in data interpretation through provision of user-friendly data visualization platforms. In addition, with the completion of the second case-based surveillance (CBS) annual report, the BISHOP team is working closely with the ABLE supported mentorship teams to respond at district and health facility level to the CBS findings. The BISHOP team is contributing to the documentation of lessons learned and following an abstract and manuscript writing session held in COP22, seven abstracts and manuscripts are being written with MoH, with the abstracts expected to completed by the end of FY23.
In FY24/COP23 BISHOP will continue to be organized under six (6) overarching strategic objectives:
¿ Support MOH HIV programs to strengthen Monitoring and Evaluation (M&E) activities at the national, district, site, program, and laboratory levels
¿ Strengthen national data warehouse (NDW) analytics to support tracking of patient outcomes
¿ Establish and strengthen case-based surveillance to monitor outcomes along HIV care continuum to deliver targeted interventions
¿ Support the Health Statistics Unit on QI/QA for ICD coding and capturing of morbidity and mortality (TX_ML) data
¿ Strengthen lab surveillance and M&E system including support for capturing of HIV lab-related data at all laboratories
¿ Strengthen Health Information Systems (HIS), including EMR systems and user support
In addition, working closely with MOH and the ABLE team, BISHOP will begin the integration of SI mentorship into the National Mentorship Program (NMP). This will further accelerate the transition of SI mentorship an MoH-led approach, to go farther on the path of sustainable data systems, data use and surveillance systems for HIV epidemic control.