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Working Group II RSA and Botswana

Working Group II RSA and Botswana. Priority Areas (1-2 of 5). Diplomacy: PEPFAR must follow the lead of the government Be a passionate leader through examples of data use Be careful about how PEPFAR funding influences the local environment

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Working Group II RSA and Botswana

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  1. Working Group IIRSA and Botswana

  2. Priority Areas (1-2 of 5) • Diplomacy: • PEPFAR must follow the lead of the government • Be a passionate leader through examples of data use • Be careful about how PEPFAR funding influences the local environment • TB programme in Botswana lost steam after GAP came in • Build governance • Support HMIS policy development (strategic planning) to harmonize data systems and emphasize data use • This can be strengthened by OGAC HMIS policy

  3. Priority Areas (3-4 of 5) • Emphasize long-term capacity building • Ensure this is invested in local talent • Consensus building around strategic vision • Find a champion in government • Not necessarily high ranking official • Caucus to build consensus, then pull others in. • Zambia had 12 systems and harmonized the data that was already being captured instead of coming in with a sledge hammer—a process that took 2 years. • Develop smaller components to gain acceptance and improves motivation (RSA). These can be PEFAR partners.

  4. Priority Areas (5 of 5) • Create a culture (and skills for) of data use and make data relevant • Help people see their personal value-add. What is in it for me??? • Basic interpretation of data (ie, understanding graphical representation of trend data)

  5. Determine time period for implementing priority areas- RSA

  6. Determine time period for implementing priority areas- Botswana

  7. Barriers- Botswana • Under-resourced • No CIO • Lack of integration between systems (up to district level only) • Lack of communication between Botswana agencies • Mis-conceptions as to what it will take to improve quality. People think the DHIS (new routine system) will automatically improve data quality

  8. Barriers- RSA • Need to strengthen unified planning, strategy, and leadership for HMIS • Provinces very independent, thus National level not prescriptive • Many facility have developed their own ART system (don’t know how many have) and there can be a number at each facility (pharmacy, lab, etc) • Paper systems not scalable • Communication between key players continues to be a challenge

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