Open source HMIS platform integration & sharing. Knut Staring

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2 Open source HMIS platform integration & sharing Knut Staring

3 Open source HMIS platform integration & sharing Knut Staring, PhD, University of Oslo AeHIN 2013

4 HISP: global action research network DHIS 2: open source HIS web platform DHIS Mobile extends HIS backbone to facilities and community HISP and DHIS 2 Deliveries by skilled birth attendant, Kenya

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6 Cultivate open infrastructures Evolve towards shared, open backbone Appropriate balance of central coordination Medical Records Systems National HIS Routine data Logistics MIS Human Resource Other systems Program Tracking

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10 Backbone resources -> architecture Facility registry Data dictionary (data elements and indicators) Users Profiles Contact info (mobile numbers) Shared analyses and interpretations Dashboards

11 Expanding on the backbone Geographically -> national scale, including remote areas Historically -> Legacy time series Thematically > new programs (e.g. nutrition) Functionally -> Advanced analytics and APPs Devices -> classes of mobiles Penetration -> facilities and CHW Integration through the Web API

12 AGGREGATION Aggregation Engine Case-based data Aggregated data

13 Tracker use cases Register books (monthly M&E indicators) Facility surveys (e.g. WHO SARA) Integration of longitudinal programs ANC/PMTCT/Delivery/PNC Educational events in the community

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15 Extending the reach through mobiles Districts / Hospitals Clinics Community Health Workers Community / Villages SMS Java Browser Android PC/laptop/tablet

16 Electronic Health Information Systems in Uganda Opportunities Well defined structure for information flow Availability of HMIS focal persons in districts Good ICT infrastructure in most districts Development partners support HIS strengthening

17 mhealth Pilotitis

18 Partnerships: Oriented over 300 MuK ICT interns

19 Current and planned use cases Maternal and neonatal death audits Data analysis at facility level Weekly deaths of infants and women in reproductive age from Village Health Teams Electronic TB register

20 UNICEF Rapid SMS IDSR and Stock Integration with DHIS2 Locations Users mtrac Central database DHIS2 DHIS2 central database and data processing for all HMIS data Data Centre MoH Resource Centre Admins mtrac District Dash Board DHIS2 Aggregate DHIS2 Analysis and presentation District HMIS Officers Feature Mobile Phone Facility Rapid SMS IDSR and Stock reporting System Hospitals/HU/ VHTs,

21 Challenges in Uganda Maintaining Server Up and running 24/7 No power backup at the MoH server room Undedicated internet for server Human resource to maintain the server and user support Follow-up of trained districts, constant use of the system at districts Power fluctuations and limited internet in some districts Revised HMIS manual tools are not available in all districts Majority of the districts have not been followed up

22 Routine HMIS data Feedback and messaging/alerts Integrated Disease Surveillance & Response Malaria program (incidence and stock/-outs) Vital event registration

23 Apps

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26 Sharing in Communities of Practice Web App Store Mobiles Open Source Translations Users and profiles Academy User doc Mailing lists Googlable archives WAHO, EAC, AeHIN

27 Internal messaging

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33 Mobile = communicate and share Address book and Closed User Group

34 Apps: HTML5, Javascript & CSS Extensions of the DHIS 2 user interface Clean and loosely coupled Can be uploaded at runtime Interacting with the Web API

35 orks/hisp/integrated-health-informationarchitecture.html

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37 Portal integration: TamilNadu, India

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39 Offline dataentry

40 Sharing, interpretations, messaging Share with everyone, user groups or keep private Let people edit or view only Program, data set, indicator, report, chart, map, pivot... Also external sharing - no login required: Integration with web portals

41 Advanced DHIS2 Academy

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43 The many meanings of mobile SMS data entry Java clients Android app Simple browser (Opera mobile) Full HTML5 browser

44 Under development 2.13 Oct 11 & 2.14 Dec 20 Shareable dashboards Search: forms, groups, users Seamless: Pivots, Charts and GIS Drill-down: case level data Notifications and alerts Partner data attribution

45 Dynamic data dimensions Gender and age group Gender Age group Female Male Under 5 5 and over Male + Under 5 years 123

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