Rapport d’évaluation de la performance du Système d’Information Sanitaire de Routine (SISR) et de la Surveillance Intégrée de la Maladie et la Riposte (SIMR)

The evaluation aimed to identify the strengths and weaknesses of the SISR and SIMR, as well as to provide recommendations for improvement. The evaluation was supported by the President's Malaria Initiative (PMI) through the United States Agency for International Development (USAID) under the MEASURE Evaluation project. The evaluation team consisted of experts from various organizations, including the Ministry of Public Health, the National Institute of Statistics, and the World Health Organization. The evaluation used a mixed-methods approach, combining both quantitative and qualitative data collection and analysis methods. The quantitative data were collected through surveys and interviews with healthcare providers, while the qualitative data were collected through focus group discussions and observations. The evaluation found that the SISR and SIMR systems were not functioning optimally, with several challenges hindering their effectiveness. These challenges included inadequate training for healthcare providers, limited access to data, and poor data quality, as well as inadequate resources and infrastructure. The evaluation also found that the SISR and SIMR systems were not well-integrated, with data not being shared effectively between different levels of the healthcare system. This lack of integration made it difficult to track and respond to disease outbreaks, and to make informed decisions about healthcare policy and programming. The evaluation recommended several improvements to the SISR and SIMR systems, including the development of a more robust data management system, the provision of training for healthcare providers, and the establishment of a more effective system for sharing data between different levels of the healthcare system. The evaluation also recommended that the Ministry of Public Health and the National Institute of Statistics work together to develop a more comprehensive plan for improving the SISR and SIMR systems, and that the World Health Organization provide technical assistance to support this effort. The evaluation concluded that the SISR and SIMR systems were critical components of the healthcare system in Madagascar, and that their improvement was essential for improving the health outcomes of the population. The evaluation recommended that the Ministry of Public Health and the National Institute of Statistics prioritize the improvement of the SISR and SIMR systems, and that the World Health Organization provide technical assistance to support this effort. The evaluation concluded that the SISR and SIMR systems were critical components of the healthcare system in