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eCHIS Implementation Manual

This handbook has been created through a partnership between the Ethiopian Ministry of Health’s Policy, Plan, Monitoring & Evaluation Directorate, the Health Information Technology Directorate, and various implementing partners. It is primarily intended for the health extension supervisors and workers, as well as experts at the Monitoring & Evaluation unit of the Ministry of Health and Regional Health Bureaus.

Digital Health Blueprint

The Digital Health Blueprint is a key document that sets the direction for digital health initiatives in Ethiopia. It is designed to guide and assist the Ministry of Health, regional authorities, organizations, partners, donors, and private sectors as they work towards implementing digital health solutions over the next decade.

Health Sector Transformation Plan

Ethiopia’s healthcare system has achieved a significant milestone with the completion of the 20-year National Health Sector Development Programme (HSDP). This comprehensive program was implemented in four phases, known as HSDP I to IV, starting in 1997. The final phase, HSDP IV, was a crucial component of the first Growth and Transformation Plan (GTP) and came to a successful conclusion in June 2015.

Health Sector Transformation Plan II

This is the second Health Sector Transformation Plan (HSTP-II) covering the period between Ethiopian fiscal years 2013 and 2017 (July 2020–June 2025). HSTP-II was developed as the first part of a 10-year health sector plan. It was prepared based on an in-depth situational analysis and performance evaluation of HSTP-I; it takes into consideration the country’s global commitments and aligns with its overall macro-economic development framework.

Standard for Electronic Health Record System (EHR) in Ethiopia

The Ministry of Health has highlighted the importance of creating a thorough and easily accessible electronic health record system for individuals/patients in all healthcare institutions. This Electronic Health Record (EHR) system is essential for providing consistent and long-term health data management. This standardized document aims to establish guidelines for data security, exchange protocols, necessary system features, required data sets, and other crucial implementation factors for the successful deployment of EHR systems across the country.

Pathways to Improve Health Information Systems in Ethiopia

This evaluation aimed to gather reliable data on the level of development of the Health Information System (HIS) and digital health initiatives of the Ministry of Health (MoH) and its key collaborators. This was achieved through a comprehensive analysis of the current landscape, assessing the existing capabilities, operational procedures, and infrastructure and determining the necessary levels of advancement.

Ethiopian HMIS Data Recording and Reporting Manual

This manual provides a comprehensive guide to the revised recording and reporting tools and procedures, excluding the tools used at health posts, which are addressed separately. It is intended for health workers at health centers, hospitals, private health facilities, and administrative health units such as WoHOs, ZHDs, RHBs, and the Ministry of Health (MOH). All these users will apply this manual when implementing the revised HMIS indicators and tools.

ESV-ICD11 Implementation Guide


This implementation guide is an essential resource for healthcare professionals involved in adopting ESV-ICD11 in health facilities. It offers clear guidance across eight chapters, covering topics such as an overview of ESV-ICD11, defining terms, workflow, roles, implementation steps, data analysis, and monitoring. With concise explanations and practical advice, it ensures smooth implementation and effective use of ESV-ICD11 for disease recording and reporting.

Agrarian Community HMIS Implementation Manual

This Amharic version of the Implementation manual, developed by the Ministry of Health’s Policy, Planning, Monitoring, and Evaluation Directorate, is designed for Health Extension workers, health extension supervisors, monitoring and evaluation professionals, and individuals working within the Ministry of Health and Regional Health Offices. It offers essential guidance and support to external partners, program participants, and mentors. Additionally, this guide is highly relevant for technical experts and supervisors working at the health information system’s federal, regional, and local levels. It provides comprehensive insights and reference materials to facilitate the efficient and effective management of health information systems.

HMIS Indicators Reference Guide

The Health Management Information System (HMIS) indicators reference guide is an essential resource that offers a concise summary of key health and health systems data collected across various levels of the health system in Ethiopia. This includes health posts, public health centers, public hospitals, private health facilities, and administrative levels such as WoHOs, ZHDs, RHBs, and MOH. The guide is primarily based on data from routine health and administrative services and can be supplemented with information from surveys, surveillance, research studies, and other sources for comprehensive data triangulation.

The guide contains a set of 177 core HMIS indicators organized into 14 programmatic areas. Each indicator is presented with details such as short names, codes, definitions, formulas, interpretations with limitations, disaggregation, source, reporting level, and frequency. This structured organization allows for easy navigation and understanding, making the guide invaluable for health workers, program managers, policy-makers, and other stakeholders involved in health data management and analysis.

Information Use Training Module

This module provides a comprehensive training program designed to build the skills and knowledge of health professionals, data generators, HMIS focal persons, and health system managers in data demand and information use. The module emphasizes the importance of effective information utilization for monitoring health system performance and making informed decisions to improve service delivery. It encourages participants to identify key priorities and track progress, fostering a culture of data-driven decision-making at all health system levels. The training module promotes the integration of various data sources alongside the Health Management Information System (HMIS) data to gain a more in-depth understanding of health-related issues. By exploring different types of data and their applications, the module equips participants with the tools necessary to assess and address healthcare challenges more effectively. Through interactive learning and practical exercises, this module aims to enhance the ability of healthcare providers and managers to use information for strategic planning, performance improvement, and the delivery of equitable, high-quality healthcare services.

Information Revolution Implementation Guideline

This guideline offers a comprehensive roadmap for implementing the Information Revolution agenda throughout all levels of Ethiopia’s health system. It aims to ensure that the entire Health Information System (HIS) community speaks a unified language and follows consistent practices when executing the HIS strategic plan. By providing clear guidance, the document facilitates the alignment of efforts among all stakeholders and implementers involved in operationalizing the HIS strategic plan. The scope of this document centers on strengthening routine health information systems across Ethiopia’s three-tiered health system and administrative levels. Special attention is given to the vital role of the woreda administration as the fundamental unit of the country’s governance structure in implementing the Information Revolution agenda. This focus ensures the woreda health system’s active participation in achieving the agenda’s objectives.