Improving Immunization Through Informatics: Perspectives from the BID Initiative Partnership with Tanzania and Zambia

Ekhaguere, Osayame A.; Kareiva, Celina; Werner, Laurie; Dixon, Brian E.

doi:10.1007/978-3-030-41215-9_26

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Lack of internet access being the main infrastructural barrier in our study is plausible for a software relying heavily on web-based data transfer. It is also discussed in most of the literature on DHI implementations in LMICs [11,18,23,50,53,56,[62][63][64]. Our findings further highlight the need for reliable internet infrastructure as a key facilitator of successful DHI scale-up.…”

Section: Findings In Contextsupporting

confidence: 71%

Factors Affecting the Successful Implementation of a Digital Intervention for Health Financing in a Low-Resource Setting at Scale: Semistructured Interview Study With Health Care Workers and Management Staff

Schuetze¹,

Srivastava²,

Missenye³

et al. 2023

J Med Internet Res

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Background Digital interventions for health financing, if implemented at scale, have the potential to improve health system performance by reducing transaction costs and improving data-driven decision-making. However, many interventions never reach sustainability, and evidence on success factors for scale is scarce. The Insurance Management Information System (IMIS) is a digital intervention for health financing, designed to manage an insurance scheme and already implemented on a national scale in Tanzania. A previous study found that the IMIS claim function was poorly adopted by health care workers (HCWs), questioning its potential to enable strategic purchasing and succeed at scale. Objective This study aimed to understand why the adoption of the IMIS claim function by HCWs remained low in Tanzania and to assess implications for use at scale. Methods We conducted 21 semistructured interviews with HCWs and management staff in 4 districts where IMIS was first implemented. We sampled respondents by using a maximum variation strategy. We used the framework method for data analysis, applying a combination of inductive and deductive coding to organize codes in a socioecological model. Finally, we related emerging themes to a framework for digital health interventions for scale. Results Respondents appreciated IMIS’s intrinsic software characteristics and technical factors and acknowledged IMIS as a valuable tool to simplify claim management. Human factors, extrinsic ecosystem, and health care ecosystem were considered as barriers to widespread adoption. Conclusions Digital interventions for health financing, such as IMIS, may have the potential for scale if careful consideration is given to the environment in which they are placed. Without a sustainable health financing environment, sufficient infrastructure, and human capacity, they cannot unfold their full potential to improve health financing functions and ultimately contribute to universal health coverage.

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Section: Findings In Contextsupporting

confidence: 71%

Factors Affecting the Successful Implementation of a Digital Intervention for Health Financing in a Low-Resource Setting at Scale: Semistructured Interview Study With Health Care Workers and Management Staff

Schuetze¹,

Srivastava²,

Missenye³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…An immunization information system (IIS), also referred to as an electronic immunization registry (EIR), is an information system that facilitates the monitoring of individual immunization schedules and the storage of individual vaccination histories, and, consequently, helps enhance the performance of immunization programs, in terms of both coverage and efficiency. 23,24 These systems are also sometimes referred to as vaccine registries. The systems capture details on individuals, and then collectively these records are analysed at the population level.…”

Section: Immunization Information Systems (Iis)mentioning

confidence: 99%

“…Even developing nations, such as Tanzania and Zambia, have implemented IIS infrastructures that enable analysis of vaccination coverage as well as inventory management of immunizations. 24 A project in Indiana, USA leveraged the state public health agency's IIS to facilitate a clinical decision support project aimed at improving vaccination rates among adolescents against the human papillomavirus. [26][27][28][29] Population Health Dashboards Visual analytics is a branch of informatics and data science that illustrates data in a meaningful way which connects with the user.…”

Section: Immunization Information Systems (Iis)mentioning

confidence: 99%

Applied Public Health Informatics: An eHealth Discipline Focused on Populations

Dixon¹

2020

J Int Soc Telemed eHealth

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The discipline of public health informatics, part of the broader eHealth field, brings methods, knowledge, and theories from computer science and information science to support population health and well-being. This branch of informatics is most often found in governmental public health agencies that focus on population-level activities, including surveillance of disease as well as disease prevention. There are several specialised public health information systems used to prevent or mitigate disease, including syndromic surveillance, electronic laboratory reporting, and population health dashboards. This article defines and describes public health informatics and its role in eHealth. The article further discusses the role of public health information systems and challenges they face for the future. Strengthening public health will require greater investment in interoperability as well as analytics and the workforce. Disease outbreaks like COVID-19, Ebola, and H1N1 demonstrate the need for robust public health informatics applications and methods. Yet there is much work to be done to evolve existing tools and methods to strengthen the public health infrastructure for the next pandemic.

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Public Health: Interoperability Applications to Support Population Health

Dixon

2022

Health Informatics

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Improving Immunization Through Informatics: Perspectives from the BID Initiative Partnership with Tanzania and Zambia

Cited by 4 publications

References 10 publications

Factors Affecting the Successful Implementation of a Digital Intervention for Health Financing in a Low-Resource Setting at Scale: Semistructured Interview Study With Health Care Workers and Management Staff

Factors Affecting the Successful Implementation of a Digital Intervention for Health Financing in a Low-Resource Setting at Scale: Semistructured Interview Study With Health Care Workers and Management Staff

Applied Public Health Informatics: An eHealth Discipline Focused on Populations

Public Health: Interoperability Applications to Support Population Health

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