Burundi RMNCAH scorecard tool overview

Background, how it works, impact, key success factors, partners engaged in supporting the scorecard

Republic of Burundi Republic of Burundi

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Background

The Burundi RMNCAH scorecard for accountability and action was developed by the Ministry of Public Health in 2014 in collaboration with ALMA and partners including WHO, UNICEF, USAID, and UNFPA. The scorecard was developed under the direction of the ministry’s senior leadership and programme head for reproductive health and staff from RMNCAH related and crosscutting programmes. Up until quarter 2 in 2017, the scorecard had been updated regularly, after which the programme had not been able to update the scorecard due to changes in personnel. To facilitate population of the scorecard, the administrative team made a specific request to link the management tool to the country’s health management information system (DHIS2). A follow-up visit was conducted in July 2019 to identify opportunities to strengthen use of the scorecard which was also attended by WHO and UNFPA. Following this support, a scorecard steering committee was formed including membership of relevant RMNCAH programmes and partners.

How it works

The scorecard is populated on quarterly basis using DHIS2 by the national level. The scorecard tracks performance of a set of 28 high priority RMNCAH indicators selected to reflect progress towards national RMNCAH strategic plan goals. The scorecard is also decentralised up to the district level.

Impact

Use as an advocacy tool including resource mobilisation

The steering committee has met to review the scorecard, carry out bottleneck analysis on underperforming indicators and assign actions for follow up. For example, to address the poor ANC4 coverage in Bujumbura, the health information system department organised a 2-day consultation meeting to define the modalities for integrating data from private practices into the national health management information system (HMIS). Concerning low vaccination coverage in certain districts, the district health office increased the frequency of health education sessions highlighting the importance of vaccination.

The RMNCAH scorecard has been used to mobilise partners. During the first quarter of 2021, with the technical support of ALMA and the financial support of WHO, the country organised a workshop to review the RMNCAH scorecard indicators and align them with the current country priorities.

In the second quarter of 2021, different partners (including WHO, PSI, UNICEF, UNFPA, ABUSAFE, Pathfinder International) joined the RMNCAH programme and offered technical support as trainers in training the decentralised staff on the use of the scorecard for accountability and action. In addition to that, the UNICEF supported a refresher training in 6 districts, while UNFPA supported the district data review meetings.

Key success factors

  • Publicly shared
  • Integrated into DHIS2 which allows easy population every
  • Decentralised

Partners engaged in supporting the scorecard