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The result of all this is that essential data analysis becomes inherently challenging, making it very difficult to conduct various trend analyses, like, for instance, on child immunization coverage in a given wereda over the past 10 years. No wonder some analysts have found it necessary to report results only at zonal levels.

Need for "Change Management" National Calendar

 
 

 

Ask officials about the total number of Ethiopia's weredas (districts) and one will fail to get an accurate reply. Are they 630, 750 or 820?
 

Oddly enough, a simple question such as this becomes an abstract due to fundamental procedural problems. Having worked in developing various information management systems, I see many problems which form a serious bottleneck in the effort to enhance the potential of information systems in this country. Removal of such a bottleneck is an issue which deserves serious attention by policymakers.
 

The first hurdle to the achievement of effective and efficient information systems is the marked absence of a readily available government body to maintain and provide information. For instance, for health programs requiring routine wereda-level data collection, the Ministry of Health experiences numerous challenges in maintaining an ever-changing count. This inevitably leads to the formulation of multiple unofficial lists, further compounding the problem. Such data (which is often inaccurate) is collected from unreliable sources, is seldom updated, and is inconsistently used.
 

This is mainly a result of weredas being leisurely split or merged at the regional level, often with little or no procedural processes to communicate changes to all other administrative levels. Such local administrative realignments may be made with good intentions, but the abrupt changes inevitably have a serious impact on national programs and systems. National systems depend on an accurate list of weredas, and heavily rely on information stability.
 

The result of all this is that essential data analysis becomes inherently challenging, making it very difficult to conduct various trend analyses, like, for instance, on child immunization coverage in a given wereda over the past 10 years. No wonder some analysts have found it necessary to report results only at zonal levels.
 

Given the socioeconomic diversity that could potentially extend to the weredas, data analysis becomes even more meaningful if conducted at that level. It is not difficult for one to see how much vital information would consequently be lost if this is not made possible.
 

Furthermore, the central government would benefit and would possibly be interested in developing a cross-ministry national data warehouse for data mining and analysis in planning and resource allocations.

 

 Public health experts may, for example, wish to examine whether there is a specific pattern in use for youth Voluntary Counseling and Testing (VCT) programs - maintained by the Ministry of Health - in relation to number of secondary schools - maintained by the Ministry of Education. Lack of a single official authoritative source creates the possibility that each ministry's list would be incompatible as different coding schemes would deter a computer system from linking and analyzing data.

 

A possible solution to these problems could the establishment of a 'change management' national calendar adopted not only at the federal level, but also by all regions. This calendar would require regions introducing new weredas to notify the federal level of pending changes within a specific time or window. Pending changes would be finalized during another window, thus enabling these windows to align changes made at each region. All new weredas would be introduced to the national system simultaneously.
 

The initial window would give pertinent bodies an opportunity to prepare and update their systems, such as upcoming publications, surveys, and computers systems. Weredas and regions would benefit from information sharing, as they would demand and expect systems and government bodies to fully recognize the changes.

 

Change, an important factor, must be welcomed; however, it is equally critical that we institute mechanisms that ensure that such change is also managed. Ideally, district-level changes could be synchronized with the national census. As health systems rely on population data to compute and generate key indicators - with their significant implications - regional and national planning would affect budgets and human resources.

 

 

 

Ayalkibet Shiferaw is a Health Management Information Officer based in Addis Abeba, working for a United States international public health research and consulting firm.

 

 

 
 
     

 

 
 
 
   
   
   
 
 
 

 

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