Strengthening Ethiopia’s Health Information System: A Journey to Unified DHIS2

Abstract

Background: Since 2008, the Ethiopian Ministry of Health (MOH) has used a Health Management Information System (HMIS) for  evidence-based decision-making. However, having two different HMIS versions created significant challenges due to a lack of integration  and interoperability, leading to data confusion and analysis complications. To address these challenges, the FMOH transitioned to Digital  Health Information Software 2 (DHIS2) in 2017 to improve data integration and analysis across all regions and programs.

Objective: This case study presents the pathways the MOH and its strategic partners have traveled to implement unified DHIS2 in  Ethiopia’s health sector.

Methods: Implementing a unified national health information system demands a strong commitment and collaboration among all  stakeholders. Key success factors for implementing DHIS 2 in Ethiopia include the selection and customization of tools, stakeholder  engagement, building strong institutional capacity, and establishing effective governance mechanisms at all levels.

Results: Challenges  such as inadequate infrastructure, a shortage of trained personnel, poor data quality, and the integration of various health programs into  DHIS2 persist and need to be addressed for the sustainable implementation of a unified DHIS2 within the health system.