Using the same HMIS (DHIS-2) of Myanmar Public Health;
1. Awareness: Many staff are used to paper-based reporting and lack understanding of DHIS2 benefits. Communication meetings, orientation, and demonstrations were needed to explain why the change wass ncessary emphasizing improved data-driven decision-making.
2. Desire: Resistance arose from fear of extra workload or job insecurity. To build motivation, recognize and reward early adopters as “DHIS2 Champions.”
3. Knowledge: Limited digital literacy and inconsistent training hindered adoption. Conducted many practical, step-by-step training in local languages, supported by user manuals and job aids, which was known as “ToT” “Training of Trainers” to cascade the training locally.
4. Ability: Challenges included poor internet, lack of devices, and double work during transition. Providing necessary equipment, on-site coaching to strengthen the application locally.
5. Reinforcement: To sustain change, integrated DHIS2 reports into routine supervision and performance reviews. Providing annual refresher training, ensuring leadership used DHIS2 data in decision-making, and allocating a stable budget for system maintenance from central government.
