Eswatini is currently using a digital resource called Client Management Information System (CMIS) which is a patient level Electronic Medical Record (EMR) system that captures clients information as they navigate and access health services in facilities across the country, within CMIS is a module on cancer that captures clients information on all screen-able cancers. This module as a digital resource aims to give us the burden on precancer for cervical cancer post screening, the number of clients that have been treated for precancerous lesions and the number of clients that have been referred for cervical cancer treatment post lab results. Furthermore, this resource aims to assist the Ministry in intensifying training of Healthcare workers based on the number of facilities that are actually screening versus those that are not in order to increase the coverage of screening.
Implementing partner(s) name: Eswatini National Cancer Control Unit
Implementing organization type: Government owned institution/facility
Funding partner(s) name(s): Bristol Myers Squibb Foundation
Link to the digital health resource (application/app/tool) on cervical cancer: A link cannot be provided as it is a live Government system that needs health-care login credentials. However, a testing platform is available that can be shown via a scheduled meeting to go through it.
Continuum of cervical cancer care addressed by the digital health resource on cervical cancer:
i. Screening
ii. Diagnostics
iii. Treatment
iv. Palliative care
Start date of the project on digital health resource on cervical cancer: 2021
End year of the project on digital health resources on cervical cancer: 2023
Health System Challenges (HSC) addressed by the digital health resource on cervical cancer:
i. Information (Population data, communication barrier, access to information)
ii. Availability (commodities, services, equipment, healthcare providers)
iii. Utilization (demand for services, access to services, loss to follow up)
Beyond the national level, what level(s) does the system operate in?
i. community
ii. facility
An estimate on the uptake by the number of facilities actively using the digital health
resource on cervical cancer: 173
An estimate on the uptake by the number of health workers using the digital health
resource on cervical cancer: 458
An estimate on the uptake by the number of clients using the digital health resource on cervical cancer: 43148
Facility/facilities at which the digital health resource on cervical cancer is used: Clinics, Health centers, Regional Hospitals, National Referral Hospital.
Service delivery area(s) where the digital health resource on cervical cancer is implemented:
Outpatient Department (OPD)
Special Clinic
Hospital-wide
Does the digital health resource on cervical cancer collect any personally identifiable
information? YES
Who maintains/supports use of the system at the facility?
Regional CMIS Support Teams which include CMIS Analysts, Health Information Officers, CMIS Network Engineers.
Current stage of digital health resource project implementation: Complete
Categories of Digital Health Products and Services under which this deployed resource falls:
Electronic Medical/Health Records (EMRs) for Health Information Exchange (HIE)
Visual tools such as data dashboards, data sheets and geo maps
Does the system require internet connectivity to access? YES
Under what license is the digital health resource on cervical cancer governed? Proprietary
How do users access the digital health resource?
Desktop/Laptop
Web
Level or location at which the data from the digital health resource stored: National
Measure of scaling-up goals of the digital health resource:
Growth (client): Increase in the number of users or client beneficiaries
Adoption (institutional): Increase in the number of institutions using the product
Has the government financially invested in the project?
Yes, financial contribution through the ministry’s budget