Ensuring the Sustainability of Health Information System Changes in Ethiopia

Ensuring Sustainability of changes

Authors

  • Keneni Gutema Negeri Hawassa university
  • Bezahegn Zerihun
  • Berhanu Bifato
  • Betelhem Eshetu
  • Melaku Haile Likka
  • Alemu Tamiso Debiso

DOI:

https://doi.org/10.20372/p7j9t808

Keywords:

Sustainability, HIS, CBMP, HSTP, changes

Abstract

Executive Summary

Despite significant advancements in Ethiopia's Health Information System (HIS), particularly through initiatives like the Capacity Building and Mentorship Program (CBMP), sustaining these improvements remains a critical challenge. Growing financial constraints compel both the government and development partners to prioritize sustainable outcomes, demanding that HIS investments deliver lasting, measurable improvements rather than short-term fixes.

While existing policies have enhanced HIS transformation, they lack robust institutional mechanisms to ensure sustainability beyond project lifecycles. Evidence suggests that without a structured approach to monitor and reinforce sustainability, progress is vulnerable to reversal due to gaps in local ownership, capacity retention, and accountability. Our findings reveal moderate overall sustainability of HIS changes, with foundational areas posing significant challenges. Specifically, infrastructure and the stability of partnerships and funding emerged as critical weaknesses hindering long-term sustainability. Furthermore, the sustained effectiveness of HIS is hampered by a lack of consistent leadership engagement and robust support mechanisms.

To secure recent gains in Ethiopia’s HIS, this policy brief recommends a comprehensive, evidence-based strategy. Key recommendations include: integrating sustainability tracking metrics into implementation, prioritizing essential HIS supplies, institutionalizing dedicated financing, and strengthening leadership engagement and partnerships. Emphasis is placed on fostering local ownership through targeted training, motivation, and robust accountability systems to ensure long-term impact."

Downloads

Published

2025-07-15

How to Cite

Ensuring the Sustainability of Health Information System Changes in Ethiopia: Ensuring Sustainability of changes. (2025). Ethiopian Journal of Medical and Health Sciences, 4(Special Issue 1), 47-51. https://doi.org/10.20372/p7j9t808

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)