BLN Webinar on “Cultivating a Data Use Culture: Lessons Learned from the BID Initiative”

1. BLN Webinar on “Cultivating a Data Use Culture: Lessons Learned from the BID Initiative” Speakers: Masaina Bwakya, Change Management Lead, PATH Daines Mgidange, Change Management Officer, PATH

2. The bid learning network 1

3. The BID Learning Network Platform for information exchange, technical resource sharing, peer-to-peer interaction & exchange of promising practices e & technical Conduit of Learning and Experience Exchange Connects innovations coming out of implementation activities to country managers and professionals Brings like minds together to brainstorm matters of mutual interest that contribute to better health outcomes

4. CULTIVATING A DATA USE CULTURE: LESSONS LEARNED FROM THE BID INITIATIVE 2

5. What you will learn • How the BID Initiative developed a suite of interventions for data collection and availability at different levels of health system in Tanzania and Zambia • Which specific Interventions were used by the Initiative to complement the Electronic lmmunization Registries to strengthen data use practices • Experiences and key lessons learned by the BID Initiative during implementation of data use interventions

6. Audience This webinar should be of interest (but not limited) to:

7. introducing the SPEAKERS 3

8. Introducing our Speakers: Daines Mgidange • Has more than 8 years experience working with local and international NGOs–Health, Natural Resources and Education sectors • Has been with PATH Tanzania since 2014 serving as Change Management Officer for the BID Initiative • Has been coordinating change management interventions under BID Initiative • She holds a MA in Environmental Science and Policy from Clark University, USA. 

9. Introducing our Speakers: Masaina Bwakya • Has worked with PATH since 2014 • Change Management Lead for the BID Initiative in Zambia • Spearheads all Change Management and Quality Improvement efforts of the Initiative in Southern Province of Zambia • Areas of interest in immunization: Data Visualization which helps top show trends and tell stories about data generated for health workers to make better decisions for better health outcomes • Academic credential: HND in Information Systems; BA in Development Studies and MSc. In Project Management.

10. Please note • All mics to be on mute until end of presentation • Speakers will respond to questions at the end of the presentation • While presentation is on-going, audience may type questions in the chat box • Webinar is being recorded

11. Cultivating a Data Use Culture: Lessons Learned from the BID Initiative Daines Mgidange and Masaina Bwakya PATH

12. The BID Initiative

13. The fifth child Without reliable health data, coupled with trained and empowered data users, health workers are not able to identify, treat, and take action to provide targeted care. 22 August 2019

14. It used to be hard for Lucy to plan for immunization clinics.  Incomplete, inaccurate, and untimely immunization data meant children missed life-saving vaccines. In order to promote and empower health workers such as Lucy to use quality data and help address such challenges, the BID Initiative partnered with the Ministry of Health. 14

15. The BID Initiative is working in Tanzania and Zambia to enhance immunization and health service delivery through improved data collection, quality, and use. 22 August 2019

16. Data Use Experience • Experience shows that data has been easily captured and submitted to higher levels but using that data to improve immunization services is still a challenge to most of the health workers. • We have learned that health workers need support on how to use their own data at their level and they can be supported through a mentorship process. • Change management strategies were used to help health workers appreciate the benefits of using the data that they had collected. Change management helps individuals make successful personal transitions resulting in the adoption and realization of change. 22 August 2019

17. Kotter’s Change Management steps in influencing positive change and data use

18. Interventions for Data Use • Data Use Discussions at Health Facility and District levels • Peer Networking (WhatsApp Groups) • Peer Learning • Data Use Mentorship • Targeted Supportive Supervision • Data-Use Guide • Electronic Immunization Registries (TiMR and ZEIR) • Change Readiness Assessments

19. To help encourage data use, it is important to note: • Who the “Change Agents” are; • Who can manage and perform tasks to bring about change; • Set up an environment to encourage change to happen; • Influence others to create the positive change; • We can all be “Change Agents” in different environments e.g. District staff can be agents of data use culture to health care workers. Encouraging Data Use by Addressing Potential Change Management Issues 22 August 2019

20. Benefits of Data Use

21. Decision Making: helps review trends in service-delivery in real-time • Data Quality: prompts ensure all appropriate data is collected and validated • Data Visualization: EIRs provide visual graphs allowing nurses to analyze larger amounts of data to identify gaps and design solutions • Complimentary supportive supervision: more targeted action by a glance in the key immunisation indicators • Peer Learning: HCWs can tell stories and share best practices with others • Data use champions

22. Lessons Learned • Involvement of User Advisory Group helped the design and adoption of data use interventions • Selecting the right solution requires time and a deeper understanding of the technology involved

23. Lessons Learned • Flexible On-site training strategies help train maximum number of staff • Data use discussions encouraged staff to identify ways to improve their service delivery processes • Acknowledgment, prior appointments and feedback on health facility performance helped motivate staff • Patience is key to encourage health workers who may not use data initially • Constant support and demand of data from the district supervisors can be a motivator to use the data consistently

24. Importance of feedback from Data Users • Feedback from data users and policy-makers is important to improve data use. • Sharing information is also essential for decision-making and contributes to creating an “information culture” However • Systems that generate accurate, timely, and complete data is not the solution by itself. • Data use is an on-going process • HCWs need to continuously review the data they are collecting to make better decisions

25. Thank you! 22 August 2019

26. To learn more, visit bidinitiative.org. 26 22 August 2019

27. Thank you & connect with us!