Tanzania Diabetes Assocition

1. EXCELLENCE & OBJECTIVES

Cardiovascular diseases (CVD) are rising rapidly in Tanzania, but millions remain unscreened due to limited diagnostics and centralized care. Universal Community Services (UCS) uses a mature mHealth app for community screenings. However, this data is isolated from the public network, causing broken referral loops. Facility doctors using the Government of Tanzania Hospital Management Information System (GoT-HoMIS) cannot see community records, and data does not sync with the national District Health Information Software (DHIS2).

This project unites UCS, Muhimbili University of Health and Allied Sciences (MUHAS), and the Tanzania Diabetes Association (TDA) to build a community-to-facility digital bridge through three objectives:

Objective 1: Build a secure, compliant API gateway linking the mHealth tool with GoT-HoMIS and DHIS2 within 12 months.

Objective 2: Scale digital CVD screening to 30,000–50,000 high-risk individuals across 50 facilities by Month 24.

Objective 3: Embed validated clinical pathways into MUHAS undergraduate medical/nursing curricula by Month 36.

2. METHODOLOGY & OPEN SCIENCE

MUHAS will lead implementation research under a Data Management Plan adhering to FAIR principles. Datasets will be anonymized before DHIS2 transmission, ensuring compliance with EU GDPR and the Tanzania Personal Data Protection Act (PDPA). Evaluation data will be published via open access.

3. 3-YEAR WORK PLAN & BUDGET ALLOCATION (Total: EUR 250,000)

WP1: Management & Coordination (Lead: UCS | Months 01-36 | EUR 44,500). Deliverables: Consortium agreements, quarterly reports, and risk audits.

WP2: Technical Interoperability & Data Security (Lead: UCS | Months 01-12 | EUR 75,000). Deliverables: Operational API gateway, GoT-HoMIS sandbox validation, and automated DHIS2 sync.

WP3: Field Scale-up & Capacity Building (Lead: UCS/TDA | Months 10-24 | EUR 51,000). Deliverables: Smartphones/blood pressure cuffs distributed; 500+ CHWs and 100+ facility nurses trained across 50 clinics.

WP4: Research, Evaluation, & Institutionalization (Lead: MUHAS | Months 01-36 | EUR 79,500). Deliverables: NIMR/IRB ethical approvals, Health Economics Evaluation, and active undergraduate curriculum modules.

4. KEY PERFORMANCE METRICS & EXPECTED IMPACTS

System Interoperability: >95% automated data sync success rate between the app and GoT-HoMIS.

National Surveillance: Monthly automated aggregate CVD data reports synced into DHIS2.

Workforce Capacity: 500+ CHWs and 100+ public facility nurses actively using the framework.

Patient Reach & Compliance: 30,000 to 50,000 individuals screened with a >75% clinic referral adherence rate.

Policy Integration: 100% curriculum integration of the digital health module within MUHAS tracks.

Financial Allocation: Personnel (34.2% / EUR 85,500); Tech Integration (30.0% / EUR 75,000); Scaling (18.0% / EUR 45,000); Research/M&E (9.8% / EUR 24,500); Overheads (8.0% / EUR 20,000).