Date: November 16, 2021

Khulisa supports the Ministry of Health in Eswatini to roll out and expand a national electronic medical record (EMR) system.  Khulisa provides technical assistance to advance Eswatini’s epidemic control objectives, reach its vision of an AIDS-Free Generation by 2022 and improve HIV/TB patient well-being.

One of Eswatini’s greatest socio-economic development challenges is the world’s highest HIV burden with 27% adult prevalence. Reporting and tracking patient information and adherence to treatment are critical to the ultimate control of the HIV epidemic in Eswatini.

Khulisa’s 3-year technical assistance and capacity building project supports the Eswatini Government e-Governance unit to develop, maintain, and use a Client Management Information System (CMIS).  Each HIV patient is recorded on the system, allowing improved follow-up and care.

Khulisa and its partners train personnel at the health facilities and various levels of the MOH on effective use of the Eswatini CMIS to better track and analyze health data for improving public health outcomes with the ultimate goal of reducing the HIV prevalence rate.

The challenge inherent in the project was how to consolidate and build a centrally accessible knowledge base.  The incumbent dashboard system (developed previously under another group) is cumbersome as it is facility-based, meaning that when a change needs to be made to a dashboard, it has to implement at each health facility.  Inputting changes at each facility was costly, time-consuming, and left room for error.

To resolve these issues, Khulisa and its partners came up with an innovative plan to synchronize the CMIS data into the District Health Information System 2 (DHIS2).  DHIS2 is being implemented in over 60 countries and integrating the CMIS data into the DHIS 2 has two advantages: 1) it is cost-effective and 2) it is web-based with a central database, allowing both easy updates and easy aggregation of data. 

After the integration, Khulisa and its partners were able to create dashboards that could represent both MOH indicators and U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) Monitoring, Evaluation, and Reporting (MER) indicators at facility, regional and national levels.  The DHIS2 dashboards are accessible from the CMIS, so the user experience is seamless.