eTIQH: Electronic Tool to Improve Quality of Health

Lack of access to quality primary healthcare is a major obstacle to improving patient health outcomes. AKDN dHRC in collaboration with the Novartis Foundation has addressed this complex challenge by developing eTIQH, Electronic Tool to Improve Quality of Health. eTIQH, is an Android-based mobile application with a web portal, which aims to improve the quality of health care services through monitoring and reporting tools. These tools assist with organizational assessments, feedback, and evidence-based planning.


eTIQH is a digital, supportive supervision tool that helps health care administrators improve the quality of health care services provided by health care providers. The tool allows health system managers to more efficiently supervise facilities under their umbrella, and allows them to provide performance feedback to the health workers in these facilities in real-time.



The mobile application is not dependent on internet connectivity and functions in online and offline modes, allowing data to be synchronized as and when internet connectivity becomes available. Through the mobile application, coordinators and data collectors fill out assessment forms, after which the application generates scores through integrated Artificial Intelligence (AI). The assessment forms are based on six tools, each covering an essential quality dimension and answering a central question, as detailed below:


  • Physical environment and equipment: do health facilities have sufficient resources and provide a supportive environment to enable providers to fulfil the job expectations that are placed on them?
  • Job expectations: do providers know what is expected from them in terms of service delivery?
  • Professional knowledge and skills: do health providers have sufficient knowledge and skills to fulfil job expectations?
  • Management and administration of the facility: do health facilities have a sound management system that provides supportive supervision and feedback to providers and the community?
  • Staff motivation: are providers motivated to fulfil job expectations?
  • Client satisfaction: are community expectations of health service performance met?

The system automatically generates statistical reports as data is uploaded from the mobile application. The reports are accessible by health system managers and decision makers from the application’s web portal for evidence-based planning and management.

The plan is to implement this application in the 1st quarter of 2019.