The harmonized Reproductive Health Registry (hRHR), a global initiative introduced by the WHO to improve maternal and child health (MCH) data across the world, is being implemented in the Mafraq governorate of Jordan as an intervention to improve the availability and accessibility of MCH data to assure a responsive health care system for mothers and their children.
With funding from the International Development Research Center- Canada (IDRC), the Ministry of Health is implementing the hRHR with support from GHD|EMPHNET. As an electronic registry, the hRHR serves as an effective tool for bridging the information gap between the different levels of care, thereby assuring an effective referral system that will positively improve health outcomes and quality of Sexual and Reproductive Health (SRH) services provided to women and children.
Preparations for the implementation started in 2017. The hRHR has been implemented and studied in seven health centers in Mafraq health directorate to automate non-computerized centers and ensure the capability of this electronic registry, while equipping the staff with needed on-the-job training and mentoring field visits.
To analyze the successfulness of the introduced electronic hRHR using tools/questionnaires to target stakeholders, service providers, and service users, the MoH and EMPHNET conducted the mid-point and end-point evaluation between June and November 2021. The evaluations were conducted with support from the Field Epidemiology Training Program (FETP) in Jordan, which has experience in data collection and systems evaluation.
The evaluation’s findings showed that the new hRHR has high level of acceptance among stakeholders, health providers, and women using MCH services. The evaluation also showed that the system improved documentation of data, decreased time and effort of data reporting and retrieval, and improved access to patient data.
The evaluation, as well as the continuous study of the hRHR intervention during its implementation, provides confirmatory evidence that different variables of the project such as acceptability, usefulness, adoptability, appropriateness, feasibility, efficiency, sustainability, and scalability, worked smoothly during the hRHR implementation in Mafraq setting. Given the striking similarity of the Mafraq to other governorates in terms of the use of the hRHR web-based system, the momentum and potential for scale-up of the intervention is great. In light of these findings, great potential to keep the existing momentum and not only expand the scope of the intervention (to include more indicators) but also scale it up to other governorates.