Capacity building in Health Information Systems 20 years of experience

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1 Capacity building in Health Information Systems 20 years of experience Professor Kristin Braa & Lars Helge Øverland Department of Informatics, University of Oslo, Norway

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 Aggregate and individual records and event captures Shared and integrated data warehouse for essential health data: information for action Implemented in more than 47 countries, national standard in 16 countries, 12 Indian states Joint 3-donor (PEPFAR, Global Fund, Norad) effort to strengthen DHIS 2 use in countries UiO Innovation award 2013

3 Brief history of DHIS : First implementation (MS Access) in South Africa 2000 National standard in South Africa 2005: DHIS 2 Java web-based development started 2006: First DHIS 2 implementation in Kerala, India 2010: First national online DHIS 2 implementation in Kenya, then Ghana, Uganda, Rwanda 2012: First DHIS 2 NGO implementation by PSI

4 Action oriented multidisciplinary research VISION: Develop sustainable information systems that empower communities and decision makers to improve coverage and quality of services Strengthening national health information systems Collaborating with Ministries of Health Research theme: Sustainable implementation Interoperability Architect(ing) Scaling

5 Building capacity locally At present 35 PhD students worldwide. 35 PhDs graduated last 10 year PhD school 6 international Masters program Open source development in a global network HISP Vietnam, HISP Tanzania, HISP India, HISP US. HISP Norway, HISP SA HISP nodes in multiple countries HISP Nigeria, HISP Rwanda, HISP Uganda, HISP West Africa From national level to regional level Regional DHIS2 for ECOWAS West Africa Health Organization covering 15 countries), East Africa Community (EAC)

6 DHIS Academy Regional workshops (10 days) twice a year basic and advanced in East Africa, West Africa, Asia, Latin America Share experiences across countries Learn about new DHIS functionality, customization and advanced use South South collaboration Basic DHIS 2 Academy, Vietnam February 2014

7 Capacity building at scale Integrating DHIS2 in undergraduate education for all - from nurses to doctors Building up Health Informatics Master program App development capacity Rwanda and Malawi Sri Lanka, Tanzania Advanced DHIS 2 Academy, Rwanda May 2014

8 DHIS2 as a platform Generic and generative platform - supports a wide range of uses also beyond the health sector Allows for distributed innovation in a wide network Flexible configuration and customization for a range of organizations and use cases Allows for new functionality through open APIs and app development

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

10 Present in over 40 countries National standard: Kenya, Ghana, Uganda, Rwanda, Tanzania, Nigeria, Liberia, Sierra Leone, Gambia, Zanzibar, Malawi, Zimbabwe, Zambia, Burkina Faso, Bangladesh, 12 Indian states WHO endorsed 10

11 Enabling the innovation cycle Beyond capacity building at educational level Open source software development done in a global network Enable App development for local innovation

12 Customisation of DHIS 2 You can set up a system without being a programmer Organization hierarchy with any number of levels Specify any kind of data to be collected Define any type of indicator to be calculated User profiles and roles Management of data Configure many types of output, including charts, tables, maps and dashboards Define analysis and reports along any number of categories and dimensions

13 Apps can be selected from DHIS2 App store Or be developed We encourage people to make apps generic and share

14 DHIS2 App development Web Application Programming Interface (Web API) provides flexibility to extend the functionality Current architecture lets you install web apps that use the API to add functionality to solve specific use cases With tailored User Interface Can share them with others in the DHIS App store E.g. BMI percentile chart app for dhis2 developed in Sri Lanka