With one of the world’s lowest per capita incomes, and a risk of HIV transmission among key populations, Burundi faces many challenges to economic growth and tremendous stress on its healthcare system. Life expectancy is less than 49 years, infant mortality is 59 deaths per 1,000 live births, maternal mortality is high at 866 deaths per 100,000 live births, and malnutrition stands at 59 percent. The country’s health management information system (HMIS) is relatively weak and strengthening that critical component is a key priority for the government.
MEASURE Evaluation’s activities in Burundi include helping to strengthen the HMIS, enhancing data quality, training on data use to improve policy and program decision making, and filling in information gaps on key populations at risk of HIV infection.
MEASURE Evaluation also is helping to build the monitoring and evaluation (M&E) system of the Ministry of Health’s HIV/AIDS Control Program, especially to set up a sentinel surveillance system of HIV prevalence and transmission. This surveillance is important because while the adult HIV prevalence rate is 1.3 percent, key populations have a higher risk of infection – 2.4 percent of men who have sex with men and nearly 20 percent of sex workers are already HIV-infected. A lack of important information about these populations has hindered effective treatment and prevention responses. To address this issue, MEASURE Evaluation also focuses on key interventions that help set up a baseline and reference for planned interventions.
MEASURE Evaluation also focuses on:
- A Priorities for Local AIDS Control Efforts (PLACE) rapid assessment tool to monitor and improve HIV/AIDS prevention program coverage where HIV transmission is most likely, such as bars where people meet new sexual partners and places where intravenous drug users share needles.
- A Performance of Routine Information System Management (PRISM) study to develop an action plan for strengthening the quality and use of data at sub-national levels of the health system.
- A geographic information systems (GIS) mapping of health facilities in the country to identify who is doing what where and with whom at what levels of the healthcare system. This information can help align and coordinate HMIS activities, support interventions, and identify gaps and overlaps in coverage.
- Guidelines for supervision and management of health information.
- A rapid assessment of sentinel surveillance and community-based health information systems.