dhis2 - a multi-stakeholder his platform in bangladesh for ... › wp-content › uploads › 2016...
TRANSCRIPT
Seminar on Strengthening Routine Health Information System (RHIS)
DHIS2 – a multi stake holder HIS platform forStrengthening RHIS in Bangladesh
Page 1
Muhammad Abdul Hannan KhanSr. Technical Advisor – HIS, GIZ, Bangladesh
13 January 2015
Strengthening RHIS in Bangladesh
Bangladesh Health Sector
Page 226/02/2013
Background
The Health System of Bangladesh is pluralistic andfragmented.
In 2008, based on a recommendation from Annual
Page 3
In 2008, based on a recommendation from AnnualProgram Review of Sector Wide Approach (SWAP), GIZagreed to assist the MoHFW in developing a well-functioning health information system (HIS) whichincorporates data across all the different levels of thehealth system.
So, in 2009, an innovative and integrated approachtowards HIS strengthening was started.
26/02/2013
Introduction of DHIS2
GIZ supported MoHFW to develop a central electronicdata repository for national health data, called theNational Data Warehouse using DHIS2 version 2.0.1
Page 4
National Data Warehouse using DHIS2 version 2.0.1
The aim was to bridge the gap between the fragmentedsystems by bringing together the data from variousdatabases.
DHIS2 is a free and Open Source health informationsystem developed and maintained by University ofOslo.
26/02/2013
Why DHIS2
Inte
rnatio
naliz
ed
data
inone
pla
ceA
weso
me
visu
aliz
ation
managem
ent
Indiv
idualdata
reco
rds
Page 5
Inte
rnatio
naliz
ed
26/02/2013
All
data
inone
pla
ceA
weso
me
visu
aliz
ation
Data
managem
ent
On
Mobile
Indiv
idualdata
reco
rds
DHIS2 History
• 1994: Initiated at Dept. of Informatics, University ofOslo
• 1996: First implementation based on MS Access in
Page 6
• 1996: First implementation based on MS Access inSouth Africa
• 2005: DHIS 2 Java web-based development started
• 2006: First DHIS 2 implementation in Kerala, India
• 2010: First national online DHIS 2 implementation inKenya
26/02/2013
46 countries, 25’000 users monthly
Page 7
DHIS 2 Reach
Implemented in 46 countries (national standard in 13
• HMIS
• Health programs (HIV, TB, Malaria and more)
• Logistics (UNCOLSC)
• Facility registry (OpenHIE)
Page 8
• Facility registry (OpenHIE)
• Facility surveys (SA Core Standards/WHO SARA)
• Disease surveillance (CDC Global Health Security)
• Finance (Rwanda Health Finance, PEPFAR Expenditure Analysis)
• Education (Pilots, India)
• Case-based registers (Ghana, Kenya)
• Water and sanitation (Zambia, DRC)
• Tracking of pregnant women and children (Uganda, India, Bangladesh)
• Tracking of TB patients (Rwanda)
DHIS 2 Reach
Implemented in a large number of NGOs (23 currently)
• Population Services International (PSI)
• Médecins Sans Frontières (MSF)
• International Rescue Committee (IRC)
• IMA World Health (IMA)
Page 9
• IMA World Health (IMA)
• Management Sciences for Health (MSH)
• EngenderHealth
• Caribbean Epidemiology Center (CAREC)
• Family Health International (FHI 360)
• ICAP
• IntraHealth
• CHAI
• BEMFAM
DHIS 2 Reach
Used by several global/regional/international organizations
• World Health Organization - Malaria program, DQA tool
• UNICEF - HQ / Zambia / DRC
Page 10
• Economic Community Of West African States (ECOWAS)
• East African Community (EAC)
• PEPFAR – HQ
• USAID – Nigeria
• CDC - Global Health Security
DHIS2 introduced in DGHS
As a part of this initiative GIZ advocate DHIS2-customization for interested MISs. DGHS showninterest and DHIS2 was first customized for them fordecentralized data entry (2011).
Page 11
decentralized data entry (2011).
The first data sets were:
• Monthly EmOC Data Set
• Monthly Hospital Bed Statement Data Set
• Monthly IMCI Dataset
26/02/2013
Now DHIS2 in DGHS
Now DGHS has:
• 32 aggregated data sets
• 3 individual data sets
Page 12
• Most health programs are included
• Data entered up-to 4, 501 Union level facility
• 2 individual data sets
• Data will be entered from 12,784 community clinic
26/02/2013
Our DHIS2 ImplementationAggregated data entry:
Page 1326/02/2013
Our DHIS2 ImplementationPatient data entry:
Page 1426/02/2013
Our DHIS2 ImplementationReporting options:
Page 1526/02/2013
DHIS2 in DGFP
DGFP showing interest to implement DHIS2 for theiragreegriated service statistics system and MNCHtracking. GIZ and ICDDB under the supervison ofPMMU will help DGFP to implement DHIS2. All upzila oftwo district will start data entry from February 2015 and
Page 16
two district will start data entry from February 2015 andby the end of this year all upzila will be covered.
The first three data sets were:
• Monthly CAR Data Set
• Monthly MNCH Data Set
• Monthly FP commodity distribution Data Set
26/02/2013
DHIS2 for Urban Area
GIZ developed an Urban HMIS package which canbe used for all Urban Facilities including CityCorporations and NGOs. This HMIS package basedon the DGHS Server are free for everyone to adoptfollowing the standards of MIS DGHS. DGHS
Page 17
following the standards of MIS DGHS. DGHSprovided a dedicated Server for Urban HMIS.
We GIZ are currently supporting HMISimplementation in Sylhet, Rajshahi and Narayanganjcity corporations with the active participation ofrelevant health departments and NGOs, public andprivate facilities.
26/02/2013
HMIS Initiative: Sylhet City CorporationExample – Dashboard of CHO
Page 1826/02/2013
HMIS Initiative: Sylhet City CorporationExample
Page 1926/02/2013
HMIS Initiative: Sylhet City CorporationExample
Page 2026/02/2013
HMIS Initiative: Sylhet CityCorporation Example
Page 2126/02/2013
Top 10 Diseases
Page 2214.01.2015
Peptic ulcer reporting by NGO Clinics
Page 2314.01.2015
FP service; reported by NGO Clinics
Page 2414.01.2015
FP service; last and current year
Page 2514.01.2015
Maternal program: Delivery last 12months
Page 2614.01.2015
Maternal program: ANC visit status
Page 2714.01.2015
Maternal program: ANC visit status
Page 2814.01.2015
Bangladesh Health Sector – DHIS2 Systems
Page 2926/02/2013
Development Partners Supporting DHIS2Implementation
• USAID
• DFID
• UNICEF
Page 30
• UNICEF
• WHO
• UNFPA
• CIDA
• GIZ
26/02/2013
Thank you
Page 31
Thank youQ&A
26/02/2013