Progress to date in The Gambia

Real-time indicators provided by Smart Paper Technology Solution
Real-time indicators

Provided by Smart Paper Technology Solution

Children Registered


Children Fully Vaccinated


Children Followed-up with SMS


Currently, 81 health service delivery points* are using Smart Paper Technology Solution

*In health facilities and during outreach sessions

Smart Paper Technology was implemented and rigorously evaluated in two regions in The Gambia- Western Region 1 and Western Region 2. After successful evaluation results, the solution is currently being scaled-up to the remaining regions. The Smart Paper Technology (SPT) Solution is integrated with DHIS2.

The following data use interventions are integrated across the health care chain:

At the community level, families with children receive SMS messages one day before their visit reminding them about their due date to visit the facility.
Health workers receive their key performance indicators and develop strategies to improve in the underperfoming areas.
Medical stores provide supplies to each health facility based on system generated stock request forms.
Decision makers and planners at regional and national levels review the performance of each health facility/area using the integrated dashboard and reports. The insights help decision makers identify and close the gaps in health service delivery points.
More About Smart Paper Technology Solution
External evaluation results
The data quality assessment, based on WHO's data quality review toolkit, indicated that the data completeness, timeliness, internal and external consistency is 100%; the incidence of recording errors were 2%, and the data accuracy was 98%.
With Smart Paper Technology, the time spent on data administration per child fully vaccinated and receiving the required vitamin A and de-worming services were decreased by 59%.
The cost analysis indicated that Smart Paper Technology Solution cost only USD 364.51 more compared with printing the existing HMIS tools; USD 3,227.42 and USD2,862.91 respectively.
Three themes emerged from caregiver interviews: the usefulness of SMS reminders, the practical benefits of MyChild Solution for caregivers, and caregivers’ wishes related to immunisation activities overall. Themes emerging from stakeholder interviews included the easing of work by MyChild Solution for health workers and their supervisors, the suitability of MyChild Solution for the local context, the desire to scale-up the solution and include more service areas, the improved data quality the solution provides and additional issues for consideration moving forward.

Based on the results of external evaluations, we are working with our partners to scale up the Smart Paper Technology solution.


Voices from The Gambia
Families with children
Health Workers
Ministry of Health
Snapshots from the Field
By creating a record with a unique ID number for every registered child in a health facility or outreach station, Shifo Birth Record provides an accurate population count for every district.
Shifo team works with front-line health workers using our innovations during care delivery. Observing the care delivery process and asking questions to families and health workers help us to understand how our solutions are used in the field and what can be improved.
After a great day full of fruitful discussions on Data Use Initiatives to improve quality of care and reach every child with preventive health services. Shifo, MoH, Action Aid together in Stockholm.
Health workers like Saikou have more time to provide individual counselling and care to children and families which is a big gain in the health system and the right thing to do.
With MyChild Solution, existing paper forms are replaced with Smart Paper Forms. Administration and reporting is reduced by 60% per child fully immunised with this solution.
Together with key actors, we are working to to continuously improve child health services in The Gambia. SMS reminders sent automatically to the families is a great way to improve timeliness and coverage to services and all mother love it!

Partners in The Gambia

Coat of arms of The Gambia Ministry of Health & Social Welfare and Regional Health Offices

Contact Us

If you work to strengthen health systems and want to achieve better health outcomes by using reliable and relevant data, contact us to learn more about how we can partner together to implement Smart Paper Technology Solution in your region.
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