ZHI has robust Strategic Information and Evaluation (SIE) systems for each of its projects, and currently these are Accelerated, and Comprehensive HIV Care for Epidemic Control (ACCE) and DREAMS Reignite, Innovate, Sustain and Empower (RISE). Each of these systems are structured to allow data collection, capture in respective databases and access by program and SIE staff at community, health facility, district, provincial and national levels. The main databases are District Health Information Software (DHIS 2), with ACCE and DREAMS-RISE having separate instances. The DREAMS-RISE DHIS manages beneficiary-level data, and the ACCE DHIS manages largely aggregate data; DHIS 2 tracker is also used by ACCE for longitudinal tracking of sub-groups of clients including treatment defaulters and clients referred for treatment initiation.

ZHI SIE systems are evidence based, participatory and software automated, with a greater emphasis on learning and continuous quality improvement. Key performance indicator data are collected and analyzed weekly, monthly, quarterly, biannually, and annually; these are packaged into information products including slide decks and narrative reports which are shared internally with program teams and externally with sub-partners, government line ministries and donors. Figures 2 and 3 summarize data flow within the ACCE and DREAMS-RISE projects respectively.