Terms of reference consultancy services to conduct an evaluation of the Impilo Electronic Health Records (EHR) system in Zimbabwe.

Duties and Responsibilities

The process evaluation key objectives are as follows:
-To understand stakeholder perceptions of Impilo EHR
-To describe the processes used to develop, deploy, implement, and support Impilo EHR
-To describe key factors impacting Impilo EHR system development, deployment, and implementation/use and achievement of project goals

The questions guiding the evaluation are as follows:
-To what extent has the Impilo EHR software been developed, deployed, and supported as intended?
-To what degree are the resources (material and human) used to support Impilo implementation adequate?
-What are the levels of Impilo system use, acceptance, adoption, and satisfaction among system users?
-What is the level of Impilo EHR availability, accessibility, and coverage?
-What internal and external factors are impacting EHR system strategic planning, development, deployment, implementation/use, and achievement of project goals?

Methodology for the evaluation:
-The process evaluation will involve quantitative and qualitative methods to assess the implementation of the Impilo EHR project and to make actionable recommendations.
-The Impilo EHR process evaluation will be carried out through participation of relevant stakeholders including MoHCC, implementing partners, and health facility staff.
-Field visits for data collection are envisioned.
-Data collected should be disaggregated (by sex, age, and location), where possible.
-Data will be mainly collected from various information sources through: a comprehensive desk review and analysis of relevant documents, reports, information, data/statistics, etc.; stakeholders’ key informant interviews; survey.

Scope of Work:
The consultant will provide evaluation services in assessing the implementation of Impilo EHR to understand the potential impact on use for service delivery. The consultant will be tasked with the following activities:

Conduct a comprehensive desk review of documents describing the Impilo EHR implementation processes and components. These will include documents that describe the software development and deployment processes; resources supporting project implementation; stakeholders’ perceptions about data accessibility and availability as well as levels of acceptance, adoption, satisfaction, and sustained use among users.
Engage with key stakeholders, including healthcare providers to gather feedback on the above highlighted issues above through a survey and key informant interviews (anticipated sample: KIIs – 20, survey – 400)
Analyse data from the survey and interviews. Consultant is expected to have appropriate quantitative and qualitative data analysis software.
Present the findings and actionable recommendations to MoHCC and relevant stakeholders and incorporate feedback into the final report.
Prepare and submit the final narrative report and presentation.