The harmonised Reproductive Health Registry (hRHR) is a global initiative to improve data quality and data collection techniques for maternal and child health. It aims at improving maternal and child health in the West Bank & Gaza Strip through improving utilization of monitoring and evaluation service data for decision making. The hRHR is led by the World Health Organization and the Norwegian Institute of Public Health and is funded by the Norwegian Agency for Development Cooperation (Norad). The Ministry of Health in Palestine through the PNIPH has offered to be a pilot country for implementing the hRHR. The PNIPH carried out a needs assessment for the hRHR before finalising a detailed project plan with a step-wise rolling out of the hRHR. An application for funding of the infrastructure and the rolling out of the project in primary and secondary health services has been submitted to the Norwegian Representative Office and got approved. The project implementation will be conducted in different phases including the development phase. Development phase included mainly the recruitment of staff, comprehensive needs assessments, engagement of stakeholders, developing guidelines, identification and training of the national team, developing training plans, customization of data collection tools, procurement of infrastructure needs, ensuring internet availability at the clinics.
- A needs assessment tool (NAT) has been developed in the international project and adapted to the Palestinian context. Four assessments using this tool have been completed with MoH and UNRWA in the West Bank and Gaza during 2014. The results showed that there is substantial data collection in antenatal, perinatal and postnatal care.
- Mapping the legal, regulatory, and ethical landscape in Palestine using a global situation analysis tool that has been modified in line with Palestinian context was the first step taken to identify the gaps and needed steps to ensure an ethical and lawful framework for an eRegistry for maternal and child health.
- The national Antenatal and Postnatal care guidelines for Palestine were reviewed, updated, approved by the Ministry of Health and disseminated to health professionals.
- DHIS2; an open source information system has been identified to be the software platform for the eRegistry.
- The hRHR system was tested twice, in two separate workshops, by representatives from the Ministry of Health institutions in Westbank and Gaza.
- Tens of field visits have been conducted to different provinces in West bank and Gaza, mainly to the provinces that will be included in phase 1 implementation including Ramallah, Jenin, Nablus, Salfit, Jericho and Bethlehem. The main aim of the field visits was to advocate for the system, understand more the current system in terms of referral and reporting, follow up the users included in the system testing, conducting data collection needed for the research.
- To ensure sustainability through building the national capacities, the hRHR team from PNIPH and NIPH and a team from Oslo University conducted training for IT professionals from the Ministry of Health in order to establish a national core technical team that will maintain and administer the hRHR system in the future.
- All infrastructure needs have been identified in line with the inventory conducted. The procurement for phase 1 has been completed including 200 desktops, two servers (Data Centers) and connectivity supplies.
For those who are interested and would like to know more about the DHIS2 system and MCH eRegistry, you may check out our demonstration page (with no data) using the following link >>
To access, the username is: User and Password is: Testing123