Monitoring and evaluation: Tier.net
Systems analyst
Joshua Murphy
+27 (0) 11 715 5818
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Essential to health systems strengthening is accurate data collection to inform decision-making and reflect progress. For this reason, it is of critical importance that health facilities across the country use the same or similar systems and standards in order to facilitate accurate collation and comparison of data on a regional and national level.
Anova is particularly proud to have supported the rollout of an e-register system in the Western Cape that led to the national uptake of a new monitoring and evaluation system for ART, called tier.net.
Using software developed by the University of Cape Town (UCT), Anova-supported facilities in the Cape Winelands and West Coast districts have successfully implemented electronic data collection at all ART sites within the last year.
The transfer from paper-based registers allows “quicker, better and more accurate data which allows for better planning”, according to Anova’s Theunis Hurter.
“This is not about putting some software on a computer,” says Hurter. “It’s systems strengthening. You are working with data you can trust and it allows for better management and planning.” The electronic system also helps with tracking clients who are “lost to follow up” and, as Hurter says, “it liberates clerks to do other work”.
Essential to this process is standardised training developed by Anova and the Western Cape team which embraces the challenge of rolling the system out in other provinces where paper registers may not be as well maintained as in the Western Cape.



