Knut Staring and Morten Olav Hansen HISP, University of Oslo

DHIS2 implementation & integration

Powerful analysis and reporting functionality

Data entry for a wide range of health information, including stocks and logistics

Flexible features for tracking SMGL

programs

SMGL districts life cycle chart

Global Impact – DHIS 2

● Chosen as national system ● Coverage in part of country

Extending the DHIS reach

Community / Villages

Community Health Workers

Clinics

Districts / Hospitals

Zambia roll out during 2011 November

Kenya national data repository

•  Rolled out March – September 2011 –  All (~250) districts 1 week basic training, 30% 3 day refresher

training, 50% support visits –  National team of 3-5 people –  15-20 very active superusers at province and district level: ToT

seminars –  Learning-by doing and local ownership

•  Online through mobile modems (dongles) •  HTML5 offline data entry •  Feedback through DHIS2 internal messaging •  Initial use of cloud based hosting •  Portal

Software Stack

•  Java •  Spring •  Hibernate •  Struts 2 •  HTML/CSS, etc

WebAPI

•  RESTful (resource oriented, http) •  Supports XML/JSON/JSONP •  Language agnostic •  Simple to use •  Integration module: Apache Camel •  Interoperability workshops/bootcamps Use case: Kenya Master Facility List (and

EMRs)

Zambia DHIS2 and Mobile client interface

What is DHIS-Mobile?

–  Java client for facility reporting –  Java client for program tracking –  Mobile browsing client for facility reporting –  Mobile browser for program tracking –  Beta SMS data entry

An Incentive to Work

•  Each report is worth 5,000 ZMK ($1) airtime per

•  Phones provided for free •  CHWs given option to get a basic feature

phone after 10 reports in lieu of airtime •  No report = No incentives •  CLINIC = reduction in incentive for a report if

late

Java Application vs Browser

Source: Braa, Roland, Sanner

Not just one technology or handset •  Mobile market is moving rapidly, enabling a wider

range of technologies/handsets – not just one… •  SMS, Browser, J2ME and PC fill different niches •  Private vs project phones (scale vs control) •  Private vs project mobile subscriptions •  Scale brings challenges in handset management

Java or Browser SMS Smart Phone (Android) PC/laptop/tablet

Nigeria Kenya: Sub-100USD Android Kenya: PC & Mobile Broadband Malawi, Zambia, India