I just want to add that, as Mr. Morley pointed out, many of these records departments are just filled with paper. There often is a culture of collecting useless information—a lot of information. Physicians, community health workers, nurses collect information. What's lacking is the collecting of the good information and using it properly.
One of our projects in Tanzania witnessed an interesting event wherein one of the districts reported a vaccination rate of 120%. We said “Something's wrong here. Are you fudging the numbers?” The physicians weren't and the community health workers weren't fudging the numbers, but the census data—the denominator data they were using—was terribly outdated. The population had grown. The number of vaccinations that had been provided was correct, but they were basing it on a poor denominator from poor census data.
So it's all tied together. How can the planners ask for more resources for their vaccination programs or other health programs when the numbers they're using don't support it? It's all tied together.