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Tanzania TB electronic case-based surveillance system a model to other African countries

Tanzania has been mentioned to be one of the very few African countries to roll up a case-based system using a tracker mode of the DHIS2 system. This has been presented during a WHO international stakeholder workshop conducted from 14-18 Jan 2018 at the New Africa Hotel DSM. The workshop brought together regional stakeholders aimed at introducing the countries to the WHO toolkit for analysis and use of health facility data.

Tanzania has been mentioned to be one of the very few African countries to roll up a case-based system using a tracker mode of the DHIS2 system. This has been presented during a WHO international stakeholder workshop conducted from 14-18 Jan 2018 at the New Africa Hotel DSM. The workshop brought together regional stakeholders aimed at introducing the countries to the WHO toolkit for analysis and use of health facility data.

Photo: Mr Emmanuel Nkiligi: NTLP Data Manager show casing the ETL during the WHO Workshop-DSM

Strong health information systems are the foundation of informed decision-making for health. Countries require reliable data for planning and management of health services and for monitoring progress toward the Sustainable Development Goals, including universal health coverage.

Earlier in 2018 WHO had conducted a workshop to six countries (Malawi, Myanmar, Pakistan, Tanzania, Uganda, and Zimbabwe) to introduce the WHO toolkit for facility data analysis and use, as well as the related DHIS2 health apps. It is at this workshop that was identified that Tanzania is ahead of other countries in the successful rolling up of the use of a case based surveillance system for Tuberculosis.

The Tanzania TB case-based surveillance system has been rolled out country wise in 2018 after training of the officers in late 2017.The system was assessed during the WHO Standard and Benchmark assessment of TB surveillance systems in July 2018 and received a higher ranking ahead of other 16 countries. The five days WHO workshop was also as a platform for other countries to learn from this system.

                                                                   Photo: The WHO Standards and Assessment Review of ETL

The DHIS2-ETL system which is one of its kind in the region of east and central Africa is based on the DHIS2 platform using a tracker to make a case history over time. It has 3 main TB integrated registers: TB susceptible, DRTB, a culture and drug and sensitivity part. The system offers a real time recording of case data and hence real time visibility at all appropriate levels for effective monitoring, reviews and decision making. In addition, it supports the sample referral system between the facilities and the Zonal Laboratory network by providing a means of tracking the sample and prompt feedback of the results.

The development of the DHIS2-ETL has been made possible by the University of Dar Es Salaam DHIS2 Developers (HISP-Tanzania) who has been contracted by the Ministry through a support by the Global fund grant to fight Aids, Tuberculosis and Malaria. 

Photo:Tanzania team sharing experience to Uganda team together with a WHO Consultant

   Photo: HISP teams: Uganda and Tanzania with a WHO Consultant during the workshop    

Photo: Groups in Session: Hands on experience of how to work with ETL (Tanzania, Rwanda and Uganda teams)