Report on the workshop to present the results of the 4th evaluation survey of the minimal digital ecosystem (EDM)

Under the leadership of the Secrétariat Technique des Reformes sur le Financement de la Santé, a workshop was organized on Thursday, October 16, 2025 in Ouagadougou to enable RESADE to restitute the results of the fourth EDM evaluation survey to stakeholders and gather their amendments. This meeting, held in hybrid mode (face-to-face and online), was attended by the Ministry of Health’s technical departments (DSI, DSF, ST/ RFS, DCAPS, etc.), the Ministry of Health’s technical and financial partners (ThinkWell, Terres des Hommes, CHAI, Pathfinder) and the RESADE team.

Specifically, this meeting was intended as a forum for RESADE to present the main findings of the fourth EDM evaluation survey to stakeholders, and to gather observations, comments and suggestions from stakeholders with a view to improving the report.

Discussions confirmed the relevance of evaluating the EDM to assess its implementation, effects and adoption factors. In particular, they highlighted the need for a dashboard and the gradual abandonment of paper registers, as well as the need to strengthen national governance of digital health to reduce fragmentation “tool by tool”. Participants stressed the need for ongoing capacity-building for service providers, the optimization of equipment according to a “workstation” rather than “tool-by-tool” logic, the resolution of connectivity, maintenance and helpdesk constraints, and the promotion of a genuine culture of data use (access to formats suitable for analysis and monitoring of data-driven decisions). The recommendations cover coordination (mapping and alignment of interventions), an overall funding plan for the initiative (rather than isolated tools), EDM – DHIS2 interoperability with a dashboard, maintenance plan and local funding for connectivity (e.g. COGES), a scaling-up plan and implementation manual, as well as mechanisms for monitoring recommendations and the use of data for decision-making. The implementation of these recommendations will enable dynamic learning of the EDM to ensure the transition to a more stable and integrated digital system: the Centre National d’Intelligence Sanitaire (CeNIS).

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