The principle routine reporting systems currently available in Zambia include the national Health Management Information System (HMIS) and the ten sentinel district-based Malaria Information System (MIS). Other routine reporting systems exist within government line ministries and non-governmental agencies targeting disease- or issue-specific reporting.
The HMIS is the primary clinical services monitoring system for the Ministry of Health in Zambia. Malaria information collected as part of the HMIS includes malaria attendance, discharges and deaths for children less than five years of age and above. This information is reported quarterly through district and provincial offices. Malaria cases represent clinical diagnosis which is usually non-specific fever cases. Malaria laboratory confirmation of clinical diagnosis is conducted in many tertiary facilities in Zambia, but reporting through HMIS of laboratory confirmation is not done.
The Ministry of Health is currently engaged in a comprehensive HMIS revision process with the support of the European Union. The HMIS assessment report and plan of action have been adopted and work is underway to incorporate an expanded malaria portfolio for understanding malaria burden and delivery of key malaria control services.
With the support of the World Bank and key malaria M&E stakeholders, a plan for improving district performance monitoring has also been developed in 2006. It is hoped that progress made in this effort will inform the overall HMIS revision for malaria and also guide partners in the planning and availability of key routinely reported malaria information.
Zambia’s Malaria Information System (MIS) is currently being used to collect malaria information from the ten sentinel districts, shown on the map below, on a monthly basis. The MIS captures information related to case management, malaria in pregnancy and insecticide treated nets (ITNs).
Ten Sentinel Districts in Zambia for Malaria Control