Deadline: 24 April 2020
The Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)/Agency for Toxic Substances and Disease Registry (ATSDR) is seeking applications to improve Quality of Care and Health Impact through Innovative Systems and Technologies in Malawi under the President’s Emergency Plan for AIDS Relief (PEPFAR).
The purpose of this NOFO is to ensure facility-level, district-level, MOH, PEPFAR, and other stakeholder data and reporting needs are met on time. To achieve this goal, the NOFO will strengthen HIS at the facility, district, and central levels to improve the quality, integration, and effectiveness of service delivery across care points.
This NOFO will build on existing HIS infrastructure by providing reliable data for both district and national reporting, as well as contributing to a reliable National Health Data Repository that will support surveillance and epidemiological activities.
Funding Information
- Average One Year Award Amount: $10,000,000;
- Budget Period Length: 12 month(s).
Priority Areas
- The primary goal of the NOFO is to ensure facility-level, district-level, MOH, PEPFAR, and other stakeholder data and reporting needs are met on time. Timely access to, use of, and reporting of clean, up-to-date, finely age- and sex-disaggregated HIV, TB and other health program data, is a high priority for MOH, PEPFAR, and all stakeholders.
- Improving capacity to accurately collect patient-level demographic, diagnostic, and service delivery information using POC or retrospective entry EMR, and developing innovative approaches to use data to improve the quality of care at health service delivery points.
- Maintaining, modernizing, and extending sustainable, flexible, and low-cost POC and retrospective EMR and other interoperable software solutions capable of supporting the continuum of care in health facilities providing ART services and their catchment areas (e.g., communities).
- Exploring and rapidly implementing hardware options for expanding or improving electronic data collection such as through the use of a variety of electronic data collection devices, for example mobile devices.
- Maintaining, modernizing, and extending management and accessibility of consolidated data through the central data repository and reporting interface (CDR) to ensure timely availability of complete and accurate data and its broad use at all stakeholder levels.
- Integrating electronic systems to ensure data is entered once at the point of service and available electronically to all other systems (e.g., integration of CRVS and EMR, site to site data exchange, and system to system exchange).
- Expanding, maintaining, and modernizing the electronic death and birth registration systems, including leveraging the national ID to de-duplicate beneficiaries across services.
- Maintaining and modernizing the national LIMS and ensuring continual linkage to site and other laboratory systems.
- Maintaining and modernizing low resource systems managing wide area network connectivity to ensure real-time or near real-time data availability and well-functioning centrally managed systems, which supports patient management at POC and provides timely, complete, and reliable data to track the PEPFAR investment and support implementing partner (IP) program management.
- Leveraging and strengthening capacity within government structures to ensure system
Outcomes
- Short-Term Outcomes
- Improved use of electronic patient management systems that ensure timely access to age- and sex-disaggregated HIV, TB and other health program data, by MOH, PEPFAR and other stakeholders
- Increased ability of sites to receive electronic laboratory results from testing laboratory within 24 hours of result availability
- Improved electronic movement and availability of information across the information systems supporting health care and public health
- Increased timely disposition of reported HIS issues
- Reduced system downtime
- Increased access to real- or near real-time data among key stakeholders, including health workers, MOH, PEPFAR, and IPs
- Increased use of death and birth registration systems in MOH sites
- Intermediate Outcomes
- Improved ability to monitor patients across the HIV care cascade
- Reduced turnaround time for laboratory results
- Reduced duplication and improved accuracy and reliability of health care and public health data
- Increased responsibility by GoM e-Health structures for supporting and maintaining HIS portfolio
- Increased access among key stakeholders, including NRB, MOH, PEPFAR and IPs, to all Malawi cause and HIV-related mortality data
- Long-Term Outcomes
- Improved ability to monitor patients across all EMR-supported facilities.
Target Populations
Specific populations who will benefit from activities to strengthen HIS in Malawi include:
- Pregnant women attending ANC receiving services for prevention of mother to child transmission of HIV (PMTCT)
- Adults receiving ART and HTS
- Children receiving ART and HTS
- Infants receiving early infant diagnosis of HIV services
- PLHIV co-infected with TB
- Population groups affected by prevalent public heath priorities
- Health care workers
- Laboratorians
- Data clerks, statisticians, and data managers
Eligibility Criteria
- Government Organizations:
- State governments or their bona fide agents (includes the District of Columbia);
- Local governments or their bona fide agents;
- Territorial governments or their bona fide agents in the Commonwealth of Puerto Rico, the Virgin Islands, the Commonwealth of the Northern Marianna Islands, American Samoa, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.
- State controlled institutions of higher education
- American Indian or Alaska Native tribal governments (federally recognized or state-recognized)
- Non-government Organizations:
- American Indian or Alaska native tribally designated organizations
- Other:
- Ministries of Health
How to Apply
The first step in submitting an application online is registering your organization at Grants.gov.
For more information, visit https://www.grants.gov/web/grants/view-opportunity.html?oppId=320091