Our session will focus on how to bring a mHealth project to scale and create ownership within the Ministry of Health (MoH), using the Integrated e-Diagnostic Approach (IeDA) project as an example. To our knowledge IeDA is one of the largest mHealth projects in sub-Saharan Africa, in terms of coverage and number of patients treated. In 2014 Terre des hommes (Tdh) launched IeDA in Burkina Faso. IeDA aims to improve quality of care via the use of digital job aids, strengthened data management and quality improvement processes. IeDA focused first on improving the implementation of the World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) in Primary Health Care (PHC) facilities. Today the intervention is deployed 720+ clinics , covering over 40% of facilities in the country. At the end of 2019, IeDA will be in 1,132 facilities (62% coverage). As of June 2019, over 2.4 million children (12% of the total population) have been seen in 5 million consultations performed by over 5,900+ Health Care Workers (HCWs) since December 2014. Studies from the London School of Hygiene and Tropical Medicine (LSHTM) have shown: • Impact: IeDA improves protocol adherence by 20%, increase diagnosis accuracy by up to 50% and reduce antibiotics over prescription up to 15% • Adoption: All stakeholders (mothers; local communities; HCWs; District Health Management Teams or DHMTs; MoH decision-makers) expressed strong support for the project and want IeDA to be deployed nationally • Cost-efficiency: Brought to scale, IeDA will provide net financial gains to the MoH between $65 and $32 per month per facility The MoH has worked with Tdh to: • Design a transfer strategy to build capacity within the MoH to maintain and expand IeDA (to be completed by 2020) • A scale-up plan to reach 100% coverage • Use IeDA for nutrition, ANC and PNC, etc.

Ethiopia has made significant investments in digitizing the public health supply chain which has resulted in an increased availability of data. However, data availability alone is not enough to transform the supply chain performance. One also needs to institute a “data use culture” to drive impactful, tangible and transformative change. JSI Ethiopia in collaboration with the Ethiopian Pharmaceutical Supply Agency (EPSA) has designed the Supply Chain System Strengthening & Quality Teams (SCSS & QTs) network, which is a data-driven and people-centered approach to achieve the common goal of improved product availability, and heightened performance of the supply chain. The approach was designed through a consultative workshop with stakeholders. Teams are composed of different expertise of 8-10 people who meet monthly and follow an innovate-review-do approach to use data and create data culture at EPSA, identify and prioritize supply chain problems, conduct root cause analysis and implement solutions. The teams monitor selected supply chain Key Performance Indicators (KPIs), develop a data use map and track the performance of each KPI’s through an online dashboard that makes EPSA’s supply chain data accessible in real-time through visual presentation. The data syncs with Vitas, mBrana, and Dagu data whenever connected to the internet to provide on the ground inventory levels. Vitas is an enterprise-wide software which directs supply operations at the warehouse level, capturing real-time commodity movements across the warehouse network, as well as expiries, losses, and adjustments. mBrana is an inventory management system designed to manage daily transactions for vaccines and long lasting insecticide nets (LLINs). And Dagu is an inventory management system designed to manage daily transactions at health facilities.