Eastern Afruca Community E-health & Integrated Disease Surveillance and Response Project


  • Reference: P-Z1-IBE-004
  • Appraisal Date: 15/04/2012
  • Board Presentation: 27/09/2012
  • Status: PipelinePIPE
  • Implementing Agency: EAST AFRICAN COMMUNITY (EAC)
  • Location: TANZANIA


The proposals/ projects objectives will be delivered under the following four components:

(i) Strengthening Integrated Disease Surveillance and Response;

(ii) Strengthening Health Management Information System (HMIS);

(iii) Establishment of a Regional Integrated E-Health System Health Information System;

(iv) Strengthening Institutional Capacity of EAC. The components are detailed as follows:

Component I: Strengthened Integrated Disease Surveillance and Response (IDSR): The project will support efforts to improve quality of data quality; strengthen network of reference laboratories; improve cross border disease surveillance, preparedness, investigation, and response; promote continuous exchange of expertise and best practices for disease surveillance and response; and support centres of excellence( i.e laboratories, training centres, etc.).

Component II: Strengthening of the Health Management Information System (HMIS): The project will assist strengthening of EAC's HMIS by contributing to: the harmonization of key indicators for measuring the health system performance; shared monthly/quarterly reports between member states and EAC; provision of an institutional support to ensure linkage between EAC and health data at country level in order to obtain updated regional health information system (HIS) database with current population based and statistics; strengthened operational research; funding assessment survey of health system.

Component III: Establishment of a Regional Integrated E-Health System: The project will finance a baseline survey and feasibility study; establish an e-Health regional database and network in East Africa; strengthen capacity for pre-service and in-service at all levels; promote e-Health at partner states level (advocacy, awareness and skills development) through the introduction of ICT accessories; harmonize and update national policies, laws and regulations as regard to e-Health practice in the East African Community; promote Public-Private Partnerships (PPPs) in EAC through consultative meetings with industry stakeholders (i.e ICT companies) to offer support to e-Health and affordable ICT technologies (radios, PDAs, mobile, digital pen and GIS).

Component IV: Strengthening Institutional Capacity of EAC: The activities related to this output will include assessment of institutional capacity; (Finance & Administation divisions; health and statistic department, M&E department, Advocacy etc.); strengthening of financial management system of EAC Health department; provision of support to the EAC parliamentary health committee (capacity building in advocacy for e-Health and disease surveillance) to ensure budgetary allocation and implementation of the agreements of partner states; provision of resources to improve the EAIDSNET newsletter; funding M&E review meetings; staffing at EAC; strengthening ICT at the EAC headquarter and MOH's of the partner states (servers, computers, videoconferencing etc.); support to regional health p rofessional associations and regulatory authorities in the promotion of e-Health.


the objective of the project it to contribute to regional integration through the improvement of Disease Surveillance and Response and sharing of health information


The EAC countries have made significant progress in the integration of their economies. This has led to an increasing movement of people and goods in the Community. Consequently communicable diseases can easily spread from one country to another. The existing national health information systems are not able to cope in a coordinated manner with the spread of diseases and do not adequately address regional and inter-country health issues. There is a need to put in place an effici ent and integrated health information system that can facilitate the surveillance of these diseases.

The health of the people of the five EAC partner countries (Kenya, Tanzania, Uganda, Rwanda and Burundi) share similar characteristics with respect to the disease burden (challenges of new diseases such as HIV/AIDS and old endemic diseases like malaria), delivery systems constraints imposed by limited capacity and resources, and challenges to meet Millennium Development Goals (MDGs). Moreover the health care delivery systems in most countries in the community have not been able to adequately cover effectively the population with a basic package of health services due to the fact that population settlements are scattered all over without easy access to health facilities. Where peripheral health units have been established they are not adequately supervised by central and specialized facilities. Moreover the referral system is not effective. Therefore there is a need to establish an e-health delivery system that will address these deficiencies and will therefore add value to national programs and will neither substitute nor compete with national programs


1. The principal aim of the project is to contribute to regional integration through the improvement of Disease Surveillance and Response and sharing of health information. The project will facilitate the early management of the epidemics of major diseases as early as possible and the sharing of health information among Eastern Africa Community partner countries. These latter will undertake these ctivities in a concerted effort and a network to reinforce the national capacities in order to have a more suitable response and management of potential risks of epidemics before they advance and to benefit from E-health use.

The project will impact positively in the reduction of morbidity and mortality from major communicable diseases, will reduce cost of travel, will reduce overlapping of national activities and will increase the economy of scale of certain number of health activities. Interventions in this proposal have been carefully selected and included only where there is evidence that there is an added value of a common action between various countries.

Key contacts


Estimated Cost

USD 26,388,774