Health Information Systems Programme. Kristin Braa & Johan Sæbu University of Oslo
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1 Health Information Systems Programme Kristin Braa & Johan Sæbu University of Oslo
2 Health Information Systems Program District Health Information System DHIS 2 HISP a global action research network headed and initiated at the Dept. of Informatics, University of Oslo since 1994 DHIS 2 is an open source software for reporting, analysis and dissemination of data for all health programs Shared and integrated data warehouse for essential health data: information for action Implemented in more than 40 countries, national standard in 12 countries, WHO endorsed Joint 3-donor (PEPFAR, Global Fund, Norad) effort to strengthen DHIS 2 use in countries UiO Innovation award 2013
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4 Action oriented multidisciplinary research Strengthening national health information systems Collaborating with Ministries of Health Building capacity locally At present 32 PhD students worldwide. 30 graduated PhD school 6 international Masters program DHIS Academy (East Africa, West Africa, Asia, Latin America) Research theme: Sustainable implementation Interoperability Architect(ing) Scaling Open source software development done in a global network
5 Research phenomena Large, complex II Architectures and architecting Integration and interoperability Moving from paper, to desktop, to mobile phones Moving from paper, to here on the desk, to there in the cloud Centralizing and decentralizing effects of digitization Participatory design in distributed, online communities, including social media Impact of technology: better systems, better decisions, better health? ICT4D
6 Some recent PhD theses from HISP Open Generification: The case of District Health Information Software, Abyot Asalefew Exploring the Institutional Logics and Complexity of Health Management Information Systems, Ime Asangansi, Customization of Generic Open Source Software for Health Sector in Developing Countries: A Practice Based Approach, Zeferino Benjamim Saugene Global Scaling of Health Information Infrastructures: Circulating Translations, Johan Sæbu Harnessing community knowledge for health: Case studies from community health service and information systems in Ethiopia, Zufan Abera In Search of the Missing Data. The case of maternal and child health data in Malawi, Chipo Kanjo
7 DHIS 2 Academy: Regional training program in East Africa, West Africa, Asia, Latin-America Advanced DHIS 2 Academy, Entebbe, 4-13 June 2013
8 Present in over 40 countries National standard: Kenya, Ghana, Uganda, Rwanda, Liberia, Sierra Leone, Gambia, Zanzibar, Malawi, Zimbabwe, Zambia, Bangladesh, 12 Indian states
9 From pilots to national to regional scale HISP collaborative Network of Action Regional development South Africa Norway Malawi Vietnam Togo Botswana Tanzania Burkina Faso Bangladesh Uganda Kenya India Rwanda Gambia West Africa Health Organisation (WAHO/ ECOWAS) East Africa Community Sri Lanka Nigeria Mali Liberia Ghana Sierra Leone Côte d Ivoir
10 Ebola?
11 Ebola cases in Guinea
12 Extending the DHIS reach through mobiles Districts / Hospitals Clinics Community Health Workers Community / Villages SMS Java Browser Android PC/laptop/tablet
13 Web Portal Data from Mobile devises Data warehouse DHIS 2 -Data mart -Meta data -Visualising tools Dashboard Annual measles coverage % Measles under 1 year coverage by district 2006 (Measles doses given to children < 1 year / total population < 1 year) Chake Michew eni Mkoani Wete Central North A North B South Urban West Chake District District District District District District District District District District Pemba Zone Unguja Zone LMIS Graphs District HR EMR Mobile Maps Getting data in - Data warehousing Getting data out - Decision support systems
14 Information for action Collect Use Analyze
15 Learning through network of action: National online HIS using mobile internet Kenya First mover Ghana Fast moving learning from Kenya Uganda Maternal and neonatal death audits Tracking of pregnant women Indian states Mobile HIS reporting, 6000 health workers Punjab, Himachal Pradesh Zambia 600 mobiles for malaria incidence reporting Rwanda Tracker, ANC, sophisticated integration Malawi Browser vs app
16 In search of the missing data: Uganda Saving Mothers Giving Life Project in 4 districts in Uganda National DHIS2-based infrastructure is used for reporting most routine data from clinics SMS reporting by Village Health Teams (CHWs) National DHIS Database SMS Broadcast Messages
17 Weekly reporting Send to 6767 Dashboard Graphs Mobile Maps
18 SMS Broadcast to Village Health Teams and Beneficiaries From SMGL: Dear VHT member, Encourage all pregnant mothers to attend antenatal care at least four times during pregnancy
19 Results
20 Results
21 Uganda: epmtct - SMS Weekly Reporting Goal: Elimination of mother to child transmition of HIV Rolling out to 2,400 Option B+ implementing service outlets pmtct a.400. b.359. c.50. d.98. e.10. f.50. g.0. h.n. i.y
22 Leverage on the social network
23 Improving data quality through social media Interpretations Charts, reports, maps can be shared with other users of DHIS 2 Discussion forum open to all users to comment on the data Fostering communities of data use
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25
26 High tech low resource big impact
27 Invitation Much under-theorized empirical material
28 HISP collaborative Network of Action Health Information Systems Research, Implementation Development Open Source Software DHIS2 Sharing across the world Regional development West Africa & East Africa: Botswana Norway Vietnam South Africa Malawi Togo others Nigeria Liberia Sri Lanka Mali Tanzania Burkina Faso Ghana Bangladesh Uganda Kenya Rwanda India Gambia Sierra Leone Côte d Ivoir Capacity Building Training, Education, Research Partner contribution PSI, Pepfar, Global Fund Use of DHIS for own reporting & development
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