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Session 6 a DHIS2 : Overview and Implementation in West Africa

  1. DHIS2 Overview and Implementation in West Africa Regional Workshop From Health Information System to collective Intelligence Refocusing the health district on population using ICT 16-18 December 2015 Hôtel du Lac, Cotonou-Bénin Dapo Adejumo & Jerry Aziawa HISP
  2. Outline • Introduction • Historical Perspective • DHIS2 and HIS • DHIS2 Core Features • DHIS2 Implementations in West Africa • Anglophone WA , Nigeria, Ghana, SL , Liberia • Francophone • Development Philosophy and Plan • Conclusion
  3. Introduction • District Health Information Software • A web-based software package built with free and open source frameworks • A tool for collection, validation, analysis, and presentation of aggregate statistical data, tailored (but not limited) to integrated health information management activities. • A generic tool rather than a pre-configured database application, with an open meta-data model and a flexible user interface that allows the user to design the contents of a specific information system without the need for programming
  4. DHIS2 and HIS….Answers to Multiple Questions….
  5. H e a l t h I n d i c a t o r s Maternal Health Population Data Diseases Child Health Semi-Perm Data Integrated Monthly Report RHIS for local management Other Systems •Quality Control •Aggregation •Analysis •Graph •Maps •Reports •Self Assessment •Monitoring •Decisions •Minimum Data Set Surveys HMIS Priority Programs FEEDBACK
  6. Hierarchy of Standards Client Data System Data Facility Data MDG Data Strat Plan Data
  7. Core Functionality • Online Application with offline capabilities • Capture, analysis and dissemination of data • Handles Routine aggregate data, events (individual records) and surveys • Can server as an Integrated warehouse for essential data • Self-service analysis and communication
  8. Core Features / Applications
  9. Data Mining – Aggregate, Individual and Tracker
  10. Powerful Analytic Tools
  11. Interactive Dashboards
  12. Information For Action – Power to the User!!! • Efficient Access Control to make information available to all levels of information systems with emphasis on districts • Interactive platform to to ensure peer review of information ( District to District
  13. Interoperability – Robust WEB API
  14. DHIS2 as a datawarehouse
  15. Data DHIS 2 LMIS HR EMR (Measles dos e s giv en to children < 1 ye a r / total population < 1 year) 8 9 .5 9 4 .4 93. 6 93. 81 0 0 .0 9 0 .0 8 0 .0 7 0 .0 6 0 .0 5 0 .0 4 0 .0 3 0 .0 2 0 .0 1 0 .0 0 .0 s t ric t 74 81 . 7 . 3 7 9 . 0 8 0 . 7 80. 0 7 9 . 9 Chake Chake District Michew eni District Pemba Mkoani District Z o n e Wete District Central District North A District North B District Unguja South District Z o n e Urban District We Dist D is tric t Annualmeaslescoverage % Data from Mobile devises -Data mart -Meta data -Visualising tools Dashboard Graphs Maps Getting data in - Data warehousing Getting data out - Decision support systems – ‘Business intelligence (BI) Web Portal Mobile
  16. Data Warehouse Paperbasedsystems: OPD,EPI, RCH, other programs Usersof primarydata & dataproviders Electronic Medical Records HR Management Logistics & drugs Mobile reporting Finance Usersof primarydata & dataproviders Usersof processed& integrateddata Integration of technologies, systems,data & health programs IntegratedHealth Information Architecture (“Horizontal integration”) - integrating sub-systems,technologies,health services& programs Performance Basedfinancing reporting SDMX -HD Paper reports Aggregate& indicator data
  17. DHIS 2 Implementation
  18. Global Reach Partners Pilot/early phase Scaling up Nation-wide rollout
  19. West Africa Implementation use cases
  20. National Health Management Information System - Nigeria • Routine data from 34000 health facilities across the country • DHIS2 implemented in 2012 for the National Health Management Information System • Proved to be a highly scalable solution for the country • Current National reporting of 70% for National Minimum Dataset • Long-term vision of DHIS2 as National Datawarehouse
  21. Implementation Design • Centralized System with leadership from the Federal Ministry of Health – A single National instance • Paper forms transmit data from the health facility to the District • District officers capture data to the online DHIS2 via laptop computers and internet modems • A growing number of health facilities capture routine data directly to the database using mobile devices • All levels with access to relevant information
  22. Challenges • Last Vestiges of parallel reporting systems by various donors and institutions • Human resource constraints at district level – staff are often saddled with multiple responsibilities aside information systems • Low Funding from National , Regional and Local Governments with heavy dependence on external donors – problems of sustenability • Challenges with quality of data stemming from weak data systems at lower levels • Low use of information at lower levels…
  23. Tracker and Events – Ghana Health Service • Registration of Outpatient Cases • Registration and Tracking of Antenatal Clients • Registration and Tracking of Children within Immunization program
  24. FullCIF Minimal caseline list (Name,Sex,Age,Status, Location) Labresult (for diagnosis) Burial data Contacts WWW WWW WWW WWW WWW Case Import WWW CaseInvestigation Form Liberia : Integrated Ebola
  25. Sierra Leone • Distributed installation: Due to poor internet connectivity, the idea was to have many local instances in order to collect and aggregate data without relying on internet. • Few setbacks: human resource issues as the entire HMIS team was sacked.
  26. Burkina Faso • System used nationwide • Few setbacks: Big data collection tools designed to satisfy everybody but does not in practice and human resource issue as they difficulties in keeping the team.
  27. WAHO(WestAfrica) Dashboard
  28. Thank you

Notes de l'éditeur

  1. January 2006