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Managing for Results: Rwanda

Managing for Results: Rwanda. Louis Munyakazi General Director National Institute of Statistics Pamela Johnson EVP Voxiva . Outline. Rwanda Commitment to Results Rwanda 2020 EDPRS Performance Contracts Monitoring Results Statistics Investing in ICT NICI Plan Mobile Coverage

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Managing for Results: Rwanda

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  1. Managing for Results: Rwanda Louis Munyakazi General Director National Institute of Statistics Pamela Johnson EVP Voxiva

  2. Outline Rwanda • Commitment to Results • Rwanda 2020 • EDPRS • Performance Contracts • Monitoring Results • Statistics • Investing in ICT • NICI Plan • Mobile Coverage • Innovation in IT: TRACnet • Collecting Data from Health Facilities • Data for Decision-makers

  3. I. Commitment to Results • Rwanda 2020: Strategic Framework for Results • EDPRS • Performance Contracts • Citizen Report Cards

  4. In our case, in Rwanda . . . “, we are determined to engender a statistics culture that must place us on an effective path of evidence-based policy making.” H.E. Paul KAGAME President of the Republic of Rwanda

  5. II. The Importance of Data • Data needed for decisions • Data for accountability • Data for management More timely - - not just after the fact If you don’t count, you don’t count

  6. NATIONAL STATISTICAL SYSTEM NSDS guidelines NSDS guidelines If you don't count, you don't count!

  7. Information Flow Regional Level 5 regions District Level 30 districts Flow of decision Flow of Reliable Data Sector Level 416 sectors Cell Level Source of Basic Stats Basic unit = 10 or more houses

  8. III. Investing in ICT • 2nd National Information & Communications Infrastructure Plan (2006 to 2010) • Investment - - 2.5% GDP per annum • Private Sector, e.g. • Mobile phone network • Technology • ICT Park

  9. IV. IT for Results • TRAC: Oversees national HIV/AIDS, malaria and TB programs • TRACnet: • An innovative data collection and communication tool • Collects program indicators and other data from health facilities • Sends feedback from authorities and specialists. • Developed by Voxiva - - with support from the US Centers for Disease Control

  10. Web View of Application Tele- Phone Pay Phone Cell Phone PDA The Internet Data collection Hosted Software And Telecom Infrastructure

  11. Web View of Application Tele- Phone Pay Phone Cell Phone J2ME The Internet Field communication and data retrieval Dummy Data Hosted Software And Telecom Infrastructure DATA, DASHBOARDS TECHNOLOGY DATA BASE

  12. Web View of Application Tele- Phone Pay Phone Cell Phone J2ME The Internet Field communication and data retrieval Dummy Data Hosted Software And Telecom Infrastructure DATA, DASHBOARDS DATA BASE TECHNOLOGY

  13. How TRACnet Works Before Level 2 Consolidation Level 3 Consolidation Central Level Days, Weeks, Months Submit Data Aggregate and Verify Store and Interpret Analyze and Make Decisions After Capture and Analyze MOH, TRAC, CAMERWA, NATIONAL LABORATORY Seconds Analyze and Make Decisions Share Data and Receive Feedback Communicate and Disseminate

  14. Results

  15. Measure Jan 05 Jan 07 Rwanda’s ARV Treatment Scale-up # patients on ART 3,000 31,000 Participating Healthcare Facilities Facilities offering treatment 16 133 Test Results Time from sample to receipt of results 2 weeks 3 days Reporting of program indicators Completeness.Timeliness Paper-based. Slow Monthly. 95% on time. TRACNet was implemented by the Ministry of Health of Rwanda to support scale-up of HIV/AIDS programs. Here are their results…

  16. Results • Data use: • Monitor facility, district, national performance • Managing scale-up • Ensuring drug supply • Donor reporting • Etc

  17. Next Steps: • New Technology, e.g. Smart Phones • Improve “ease of use” and speed of data entry • Tested in Rwanda with NIS for SCAN-ICT Survey • Extension to other sectors, e.g. • Consumer Price Index

  18. Next steps: focus on districts and health facilities

  19. Reflections • “The ability to maximise use of information is now the single most important factor in deciding the competitiveness of nations…” Nelson Mandela • “It can be no accident that there is today no wealthy developed country that is information poor….and for that matter no information rich country that is poor and underdeveloped…” Mahathir Mohammed, Former Malaysian Prime Minister

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