{"id":5811,"date":"2025-03-14T07:54:28","date_gmt":"2025-03-14T07:54:28","guid":{"rendered":"https:\/\/resade.org\/publication\/massive-and-dynamic-deployment-of-minimal-digital-ecosystem-tools-in-burkina-fasos-health-districts-an-asset-for-scaling-up-but-a-challenge-for-intervention-evaluation\/"},"modified":"2025-03-14T07:54:28","modified_gmt":"2025-03-14T07:54:28","slug":"massive-and-dynamic-deployment-of-minimal-digital-ecosystem-tools-in-burkina-fasos-health-districts-an-asset-for-scaling-up-but-a-challenge-for-intervention-evaluation","status":"publish","type":"publication","link":"https:\/\/resade.org\/en\/publication\/massive-and-dynamic-deployment-of-minimal-digital-ecosystem-tools-in-burkina-fasos-health-districts-an-asset-for-scaling-up-but-a-challenge-for-intervention-evaluation\/","title":{"rendered":"Massive and Dynamic Deployment of Minimal Digital Ecosystem Tools in Burkina Faso’s Health Districts: An Asset for Scaling Up but a Challenge for Intervention Evaluation"},"content":{"rendered":"


\nIn July 2023, Burkina Faso’s Ministry of Health and Public Hygiene, together with NGOs and funding from the Bill & Melinda Gates Foundation, launched the Ecosyst\u00e8me Digital Minimal (EDM). The EDM aims to select and simultaneously deploy eight digital solutions at health facility and community level in the Ziniar\u00e9 and T\u00e9nado health districts to maximize complementarity and synergies. With the exception of the FIS, the tools selected were pre-existing in the national system; the main criterion for selection was their widespread use locally, in order to reduce costs and risks of take-up. Between July 2023 and April 2024, deployment was dynamic: at the start three tools in T\u00e9nado and two in Ziniar\u00e9; at the end of April seven tools in each intervention district. The districts of Manga and Sapouy were chosen as control districts, but several tools are also present in these control districts, which complicates the evaluation. FIS is deployed nationwide; other tools such as REC-PCIME and REC-Maternit\u00e9 are present in a significant proportion of districts. Some solutions are still not widely deployed nationwide. The note describes the chronology of training and access code assignment, specifying that “deployment” means training and code assignment, not necessarily actual use by providers. The authors point out that the opportunistic pace imposed by the Ministry and developers creates methodological challenges for assessing impact, and recommend a pragmatic and adaptive evaluation approach. Ongoing monitoring and methodological adjustments are required.
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