Consultant - Guyana - Assessment of The

Vor 3 Tagen

Gy GE, Schweiz PATH Vollzeit

PATH is a global nonprofit dedicated to achieving health equity. With more than 40 years of experience forging multisector partnerships, and with expertise in science, economics, technology, advocacy, and dozens of other specialties, PATH develops and scales up innovative solutions to the world’s most pressing health challenges.

The Center of Digital and Data Excellence (CoDE) at PATH works with government ministries of health, the private sector, and donors to strengthen the use of digital technologies and data for improved health services. Digital Square is one of CoDE’s flagship global initiatives. It is PATH-led and funded by multiple donors, including USAID and the Bill & Melinda Gates Foundation, to advance digitally enabled health services to help close the health equity gap. Conceived from the lessons of the inefficiencies and redundancies of prior investments in digital technologies for international development, Digital Square works with ministries of health to align adaptable, interoperable digital technologies with local health needs and brings partners together to improve how the global community designs, uses, and pays for digital health tools and approaches.

Digital Square is currently recruiting for a **Technical Consultant to assess the Immunization Information System and facilitate deployment of an Electronic Immunization Registry (EIR) in Guyana. The consultant will bridge work between UNICEF and the Ministry of Health via the **Digital Center for Excellence (DICE) mechanism, which delivers agile and coordinated technical assistance to National Governments on sustainable and scalable deployment of carefully chosen mature digital health solutions that address health priorities in the context of the COVID-19 pandemic and post-pandemic health systems needs.

**Background & Justification**

The United Nations General Assembly mandates UNICEF to advocate for the protection of children’s rights, help meet their basic needs, and expand their opportunities to reach their full potential. UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. Across 190 countries and territories, UNICEF works for every child, everywhere, every day, to build a better world for everyone.

With a fundamental mission to promote every child's rights, UNICEF is and has always been committed to saving the lives of children and their mothers and generating evidence to promote this work.

Electronic Immunization Registries (EIRs) are designed to capture individualized data, the vaccine record for each individual, on doses administered by multiple health care providers. Providers can use the information captured in an EIR at the point of service to determine an individual’s vaccine schedule and eligibility to ensure each individual receives the right vaccine dose at the right time. An EIR can also be used to establish reminders (by e.g. SMS) to families on when their children are due for their next vaccination; a function that has shown to increase vaccination rates in other countries. Furthermore, an EIR can also provide the backbone to a more comprehensive child health registry whereby other health milestones are also registered and followed-up longitudinally (e.g. growth monitoring, early childhood development indicators, chronic and acute illness etc.).

A Master Patient Index (MPI)—also referred to as a patient master index, patient registry, or a client registry— is an electronic database that holds demographic information on every patient who receives healthcare services. The MPI aims to match and link records by uniquely identifying individuals accurately. An accurate MPI may be considered the most important resource in a healthcare setting because it is the link that tracks an individual’s activity within an organization and across the continuum of care, including different across different health facilities, Electronic Medical Records (EMRs), and different Electronic Immunization Registries (EIRs).

MPIs/EIRs must have the ability to assign a distinct, unique identity for an individual (a patient), as expressed by a Unique Identifier (UID) that is unique within the scope of the exchange network, given characteristics about that individual, such as their name, date of birth, gender. Efficient patient identity management leads to high patient identity integrity across different digital health systems.

Official proof of identity is fundamental to an individual’s ability to enforce their rights and secure access to vital services such as healthcare, education, mobile connectivity and social protection. For this reason, the United Nations Sustainable Development Goals (SDGs) have set a specific target to ‘provide every person with a legal identity, including birth registration, by 2030’ (SDG 16.9).

Unique identifiers (UID) enable the identification of unique persons in an EIR and can foster linkages between different digital health systems (depe

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