Project Description
HISP Rwanda, in collaboration with the Ministry of Health of the Union of the Comoros and the Expanded Programme on Immunization (EPI), supported the digital transformation of vaccination data management by transitioning from the District Vaccine Data Management Tool (DVD-MT) to the national DHIS2 platform. With support from Gavi, the Vaccine Alliance, the project focused on integrating immunization reporting into the country’s centralized health information system while migrating historical vaccination data from 2019–2025.
The intervention aimed to strengthen data quality, improve reporting timeliness, enhance real-time visibility of vaccination performance, and support evidence-based decision-making across all levels of the health system. Through system customization, historical data migration, capacity building, and supportive supervision, the project contributed to improving immunization data governance and sustainability nationwide.
The Issue / Challenge
Before the implementation, vaccination data management in Comoros relied on the Excel-based DVD-MT system, which operated separately from the national DHIS2 platform used for routine health information management. This fragmented approach created several operational and data quality challenges, including:
- Delays in reporting from health facilities to the central level
- Risks of data inconsistencies and duplication due to manual processes
- Limited access to real-time vaccination performance data
- Difficulties in conducting timely analysis and evidence-based decision-making
- Challenges in maintaining high-quality and complete immunization data
- Lack of centralized access to historical vaccination information
As the country continued strengthening its digital health ecosystem, integrating immunization reporting into DHIS2 became essential for improving efficiency, coordination, and data use.
The Solution
HISP Rwanda supported the digitalization and integration of vaccination reporting into DHIS2 through a structured and collaborative implementation process. The solution included:
- Conducting stakeholder consultations and assessments to understand existing workflows and reporting needs
- Developing an implementation roadmap aligned with national priorities
- Customizing DHIS2 to reflect national immunization indicators, reporting forms, and workflows
- Testing and validating the platform before deployment
- Migrating historical vaccination data from 2019–2025 into DHIS2 to ensure continuity and long-term analysis
- Training health workers and program teams to strengthen system ownership and adoption
- Providing continuous technical assistance and supportive supervision during implementation
Dashboards Interface within DVD-MT
Impact
The transition from DVD-MT to DHIS2 significantly strengthened immunization data management in Comoros. Key achievements included:
- Over 90% improvement in data completeness
- Approximately 85% improvement in reporting timeliness
- Successful migration of more than six years of historical vaccination data (2019–2025)
- Centralized, real-time access to immunization data for 79 health facilities nationwide
- Improved monitoring and evidence-based planning through dashboards and automated indicators
- Strengthened national ownership and capacity for sustainable immunization data governance
The project demonstrates how digital health solutions can enhance data quality, streamline reporting processes, and support stronger decision-making for immunization programs. END