ADPP Mozambique: TB Local Response

ADPP Mozambique is a Mozambican Non-Governmental Association that focuses on Quality Education, Health and Well-being, Sustainable Agriculture, and the Environment.

The project

In September 2019, ADPP was awarded a five-year contract by the United States Agency for International Development (USAID) to implement Tuberculosis (TB) Response in 50 districts in the provinces of Nampula, Sofala, Tete and Zambézia, in partnership with the Mozambican National TB Program. TB Local Response, as the project is called, will mobilize local entities and communities to provide quality tuberculosis services, improve the quality of patient-centered TB care, increase diagnosis of Drug-Sensitive and Drug-Resistant TB cases, and improve treatment success rates. A consortium of five organizations is implementing the project, with ADPP as the lead.

Finding a digital health partner

For the project, ADPP was looking for a digital health partner to lead the digitization efforts. ADPP found this partner in Dimagi, whose role on the consortium is to build and support the launch of TB applications on the District Health Information Software 2 (DHIS2). Although Dimagi may be most well-known for CommCare, the Dimagi Solutions Delivery team has extensive experience deploying a variety of mobile health solutions for TB programs around the world and in Mozambique. With support of Dimagi’s digitization efforts across various components of the project, TB Local Response aims to bring overall TB response activities in Mozambique to a new level, increasing the reporting and success of identified TB and multidrug-resistant TB cases, which will influence the development of a new national TB strategy.

Building DHIS2 tools for frontline workers

Dimagi is leveraging its expertise in designing and developing mobile solutions for the development of the DHIS2 system used by ADPP. Dimagi will develop DHIS2 aggregate data collection tools for entering facility data, a DHIS2 tracker application used by community healthcare workers (called Activistas in Mozambique) for registering patients in their Directly Observed Therapy (DOT) Program, and a DHIS2 tracker application for motorbike riders to track sputum samples through the Sample Transport System.

The data collected through these applications will be used to develop reports and dashboards that provide valuable insights into programmatic areas for ADPP’s management of the TB Local Response program.

Prioritizing impact

By developing the DHIS2 system for ADPP, Dimagi honors its commitment to prioritize impact and seek solutions that best fit the needs of the program. Leveraging DHIS2 for their program enables ADPP to align TB treatments on the ground with the Ministry of Health’s TB program, and to improve early detection and treatment of TB cases across Mozambique.