Reports assembled by hand at month end
National figures are transcribed from tally sheets weeks after the fact.

What happens today
Facility staff spend days copying registers into monthly summaries. Numbers arrive late, incomplete, and impossible to check against the visits that produced them: which is precisely the gap the Ministry names in its own review of the system.
Planning and outbreak response run on data that is already out of date.
What replaces it, step by step
On the platformEvery visit tallies as it happens, data-quality scoring runs before export, and DHIS2-ready reports (Monthly HMIS 105, Weekly Epi, Immunization Coverage) are generated, not retyped.
Tally at the point of care
Each visit contributes to the indicators as it is recorded. There is no separate counting exercise.
Score the data before it leaves
Data-quality checks flag missing fields, impossible values and gaps in reporting ahead of submission.
Generate the national reports
Monthly HMIS 105, Weekly Epi and Immunization Coverage reports are produced from the same records, in DHIS2-ready form.
Submit and keep the trail
Submission is logged and traceable back to the encounters that produced each number, so a figure can be checked rather than trusted.