Status: Recently completed
An electronic MDA reporting platform was developed and rolled out in Nigeria in collaboration with the Nigeria Federal Ministry of Health (FMoH) using the District Health Information Software 2 (DHIS2). With the aim of setting up the platform for future use in more states, roll out and scaling up of the DHIS2 tool and rigorous evaluation were required to ensure maximum scalability, utility, integration with the health system and access and use of data.
The pilot study was carried out in three LGAs (Babura, Sule Tankarkar and Taura) in Jigawa State during MDA using qualitative and quantitative approaches. The DHIS2 tool was then revised and optimised based on findings before scaling up in Enugu, Jigawa and Kwara states. MDA activities and data entries on the DHIS2 were monitored with toll free lines, after which treatment coverage and process evaluation was conducted. This included quantitative analysis of programme data and DHIS2 metadata, and qualitative analysis of focus group discussions, key informant interviews, joint analysis of ownership data and review meetings with relevant stakeholders.
Following this study, the Nigeria FMoH has developed national level scale-up plans, which are currently being rolled out in different states in Nigeria.
Future research could focus on time and resources saved when this system fully replaces the current spreadsheet-based system. Other research could focus on a deeper dive into data quality improvements, focusing on the aspects of availability, timeliness, and completeness.