DHIS2 Symposium

Returning March 19-20 2020

Bringing together new and experienced users, technical experts, implementers, and innovators to share ideas, insights and successes about how DHIS2 is being used to drive decision making and impact.

Call for Speakers

We are currently accepting abstracts for the 2020 DHIS2 Symposium. All applications will be reviewed and selected proposals will receive discounted tickets to the event.

Forging connections and gaining new ideas

The symposium brings together representatives from global development agencies, governments, and NGOs with a shared vision of using data to drive decision making and action. The event is an opportunity to interact with peers and thought leaders in health systems strengthening, monitoring and evaluation, and adaptive program management. The event will highlight use cases of how DHIS has been adopted in creative ways to solve common challenges in collecting, managing, visualizing, and most importantly, using data.

If you are an international development M&E specialist, project or program manager, IT staff, or just really love data, then you should attend. New and returning attendees will benefit from learning about innovative use cases, the development roadmap of the software, and resources available to the community. 

Join our community, as we spend two days talking about data and related hot topics like integration, interoperability, quality improvement,  dashboards, and more.

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2019 Symposium Themes

The global digital health and development space is moving at a rapid pace, with exponential gains in the last few years. DHIS2 was first released in 2008, and now, 11 years later, the platform is used as the national HMIS in 67 countries, has been adopted by NGOs at the project and enterprise levels, and has expanded into other development sectors such as WASH and education. With this expansion of DHIS2, we’ve witnessed exciting collaborations and innovations aimed at getting the right data to the right people at the right time. Despite our progress, there are still improvements to be made.

In our 5th annual DHIS2 Symposium, we will explore how connections have been forged amongst governments and NGOs to build information systems, expand its access, and promote its use.

We will learn about the various approaches implementers are using to facilitate data exchange, integration, and interoperability and how these efforts have resulted in improved metrics and data use. We will hear about the challenges, successes, and lessons learned from national DHIS2 implementations working towards data harmonization in multiple countries.

Other topics that will be explored include:

  • How data are being used to drive program decision making, adaptive management, and impact
  • How the Tracker and mobile apps are improving data collection
  • New and upcoming DHIS2, including Android, features,

Finally, our event will close out while we reflect on the future trends in digital health and what that means for our DHIS2 community

 

Your symposium experience

Pre-conference

Optional DHIS2 Analytics and Visualization training. We have a dream team of facilitators who will guide you through DHIS2's powerful data analytics and visualization capabilities.

Thursday, April 11

The 2019 DHIS2 Symposium kicks off its first day. Stay late for a sponsored reception from 5-7 pm to visit vendor tables, make new connections, and catch up with old acquaintances.

Friday, April 12

More exciting plenary and breakout sessions featuring advances in leveraging DHIS2 to improve data use and HIS, followed by closing remarks and a summary of the two-day event.

Agenda

Thursday, April 11

8:30

Registration & Breakfast

FHI 360 Foyer

9:00

Welcome & Opening Remarks

Nicola Hobby – BAO Systems

Plenary

Academy Hall

9:15

Keynote Speech

Plenary

Academy Hall

10:30

Coffee Break – Networking

FHI 360 Foyer

11:30

PMI VectorLink Collect: Integrating Vector Control at Global Scale

Jillian Berkowitz, Matthew Boddie – Abt Associates

Plenary

Academy Hall

12:15

Comments, Thoughts and Questions from Participants

Plenary

Academy Hall

12:30

Lunch – Networking

FHI 360 Foyer

2:15

Virtual Strategies for DHIS 2 Capacity Building, Lessons from PEPFAR

Shayna Padovano – Guidehouse, Matthieu Pinard – University of Oslo

Breakout

Academy Hall

2:15

DHIS 2 Tracker to Manage the Interns and Community Service Placement Program in South Africa

Vincent Shaw – HISP South Africa

Breakout

Balcony D

3:00

Coffee Break – Networking

FHI 360 Foyer

3:15

University of Oslo: Community of Practice

Mike Frost – UiO

Breakout

Balcony D

4:15

Security Panel

Kenn White – BAO Systems, Lars Øverland – UiO, Alan Ivey – BAO Systems, Mike Frost – UiO

Plenary

Academy Hall

5:00

Reception: Networking Event

FHI 360 Foyer

Friday, April 12

8:30

Registration & Breakfast

FHI 360 Foyer

9:00

Q&A/Kahoot

Nicola Hobby – BAO Systems

Plenary

Academy Hall

9:15

Harnessing Digital Data for Social Good

Kate Wilson – Digital Impact Alliance

Plenary

Academy Hall

10:00

What’s New in DHIS 2 + Future Roadmap

Plenary

Academy Hall

10:45

Coffee Break – Networking

FHI 360 Foyer

11:00

DHIS 2 Tracker Features and Roadmap

Mike Frost – UiO

Moderator: Busoye Anifalaje

Plenary

Academy Hall

11:45

DHIS 2 Android Features and Roadmap

Plenary

Academy Hall

12:30

Lunch – Networking

FHI 360 Foyer

2:15

The Best of Both Worlds: Integrating DHIS 2 and an Electronic Medical Record (EMR) Bahmni for Better Patient Outcomes and Improved Program Decision Making

Breakout

Academy Hall

3:00

Coffee Break – Networking

FHI 360 Foyer

3:15

PEPFAR MoH Alignment

Jason Knueppel – BAO Systems, Mark DeZalia – OGAC/US Department of State, Anna Ngaruro – ICF International

Breakout

Vista Room

4:15

Panel Debate: Future Trends in Digital Health and Closing Remarks

Patricia Mechael – Health Enabled, Adele Waugaman – USAID, Dominic Haazen – The World Bank

Plenary

Academy Hall

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The evolution of analytics in HMIS

Is routine data actually being used to drive decision making?

Steffen Tengesdal, Katherine Lew, Sarah Searle

Introduction & context: This session will trace the arc of history of analytics within routine health data/HMIS, contextualize current trends, and explore future analytic directions. This session is appropriate for NGOs, international agencies, and government users.

Historically, routine health management information systems (HMIS) have largely concentrated on the problem of collecting and ingesting data. Early software implementation in this space looked at the multitude of registers and paper-based records at healthcare facilities and set out to create data entry interfaces and programs that would commit this data to a relational database. Data was entered by data clerks on a periodic basis, and little was implemented to analyze or visualize the data collected, with the exception of numbers pulled quarterly or annually to report to donors or other stakeholders.

Trajectory and current state of analytics in HMIS: Presenters will then guide session participants through the current state of analytics in HMIS with illustrative examples of improvements and limitations. Over time, innovation in the areas of offline/asynchronous data collection as well as increased use and availability of mobile data collection and point of care applications has allowed data to flow in faster, at a more granular level, at a higher volume on a near-real time basis. Yet data use, particularly to inform day-to-day programmatic or technical decision making, has been limited, and existing reports and analytics mostly tell a story for a particular point in time. “Data for decision making” is oft-cited as a goal for health data and HMIS projects, but can be difficult to operationalize when systems are not designed to make data available in a way that gives insights to decision makers.

Conclusions & future directions: The time is ripe for HMIS implementers to transition from strengthening systems simply to collect and periodically report on routine health data to designing smarter, dynamic systems. BAO Systems is leveraging leading edge, cloud-based data technologies in a flexible, modular analytics platform to pull together multiple data sets, structured and unstructured data, and multi-sectoral data in a way that allows deeper and more powerful insights to be made by decision makers. The analytics platform also makes this rich data environment available to be linked to business intelligence software as well as modelling and algorithm-based machine learning tools, in what we expect to be the next evolution of analytics within routine HMIS.

 

Anna Ngaruro

PEPFAR | DATIM Data Exchange Sub-team lead

Annah Ngaruro is PEPFAR’s DATIM Data Exchange Sub-team lead. She is a Project Management Institute-certified Project Management Professional and a Certified Information Systems Security Professional with 18 years of experience developing and supporting health information systems. She has developed and supported systems for clients such as the U.S. Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), the U.S. Centers for Medicare and Medicaid, the National Science Foundation, and the National Institutes of Health.In addition, Ms. Ngaruro has extensive experience as a systems analyst, database administrator, and programmer.

Patricia N Mechael

Health Enabled | Principal and Policy Lead

Dr. Patricia (Patty) Mechael is co-founder and policy lead at HealthEnabled, a South African based non-profit focused on nationally scaled integrated digital health systems. She leads the Global Digital Health Index and supports the organization’s policy, capacity building, and research initiatives.

With over 20 years working in more than 30 countries primarily in Africa and Asia, Patty is celebrated for her roles as thought leader, writer, researcher, professor and executive director of the mHealth Alliance. She is a Rockefeller Foundation Bellagio Fellow, Johns Hopkins University Knowledge for the World Distinguished Alumnus Award Recipient, British Council UK Education Social Impact Award Recipient, editorial board member of the Journal of Medical Internet Research, and co-editor of mHealth in Practice: Mobile technology for health promotion in the developing world.

Dr. Mechael holds a PhD in Public Health and Policy from the London School of Hygiene and Tropical Medicine and a Masters in Health Science in International Health from the Johns Hopkins School of Public Health.

Aleck Dhliwayo

Population Services International (PSI) | Information Systems Manager

Aleck Dhliwayo is PSI Zimbabwe’s Information Systems Manager based in Harare. Aleck has considerable experience in innovative Information systems in the Public Health arena. Aleck has a special interest in delivering cutting-edge, appropriate Digital health technologies and strategies for real time decision making and increased health impact in low resource environments.

Matthieu Pinard

University of Oslo

Matthieu Pinard joined the University of Oslo as the DHIS2 Academy and Community Coordinator in 2013. He has participated in and organized many DHIS2 academies in Africa and Asia. He is currently responsible for the DHIS2 Online Academy which provides both a MOOC and in-country digital capacity strengthening. He is supporting implementations in francophone countries and taking part in the coordination of the translation effort related to DHIS2. Matthieu is a member of the DHIS2 CoP coordinating team and is helping to establish community.dhis2.org as the heart of the DHIS2 community where members can learn, share experiences and build their network.

Amber Marie Sheets

Population Services International | Evidence Technical Advisor

Amber Sheets is currently the Evidence Technical Advisor for Population Services International Zimbabwe. In this role, Amber has enjoyed collaboration with the Harare-based team on a wide variety of projects aimed at improving the organization’s evidence-based approaches to service delivery. The successes of the team have included a number of key workstreams that allow PSI, donor, Ministry staff, and clinicians to access better data, faster, for better decision making to improve client care.

Donna Medeiros

Asian Development Bank | Senior Digital Health Architect and Policy Advisor

Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2.

Currently supporting Asia member countries as a Senior Digital Health Architect and Policy Advisor for the Asian Development Bank (ADB), her previous NGO leadership roles include Director of Research, Data and Analytics and Project Director for national scale CDC, USAID and EU funded projects. She is involved in various United Nations SDG initiatives including the World Health Organization Health Data Collaborative (HDC). With a lengthy history of helping organize interactive global meetings, she is very excited to be a part of this year’s amazing DHIS 2 Symposium.

Chris van Hasselt

FHI 360 | IT Project Manager

Chris van Hasselt is an IT Project Manager with FHI 360’s Information Solutions and Services team, and is a member of the FHI 360 Analytics for Health work group. He holds a PMP certification and has had a lengthy career working in the information technology field. With a degree in mathematics and strong interest in both statistics and public health programs, he brings together unique skills in his work developing business intelligence data products combining DHIS 2 data and the Power BI suite.

Meredith Mahachi

FHI 360 | Business Analyst

Meredith is a Business analyst on the Enterprise Data Management team leading the data governance program and supporting many business intelligence and health program data activities. Just prior to this she was a member of the Strategy and Innovation team at FHI 360 where she spent time working on the Competitive Intelligence tool, the strategic plan, and the Balanced Scorecard.

Prior to FHI 360 Meredith was a Peace Corps volunteer in Malawi, an associate at Morgan Stanley, and an intern in the DRC. Meredith has a Masters degree in applied economics from Johns Hopkins University and a Bachelor’s degree in economics from Florida State University.

Adele Waugaman

USAID | Senior Advisor, Digital Health

Adele Waugaman is Senior Advisor, Digital Health, at the U.S. Agency for International Development (USAID), where she is leading the development of a new strategy guiding the Agency’s investments in digital technologies to support global health programs and outcomes. She is co-chair of the 200-member Digital Health & Interoperability Working Group, an affiliated expert at the Harvard Humanitarian Initiative, and she serves on the advisory groups of a variety of development and humanitarian initiatives.

FHIR: The Emerging Global Standard for Data Exchange and Community Building

This session will discuss the emerging ecosystem of interoperable systems that is emerging around the FHIR standard for health data exchange, as well as a few key related specifications for securing FHIR data (SMART) and using it for decision support (CDS Hooks).

National HMIS Data Integration: Experiences from Strengthening Integrated Delivery of HIV/AIDS Services Project in Nigeria.

Authors: Siaka Momoh1, Amina Abba-Gana1, Oluwasanmi Adedokun1, Moyosola Abass1, John Duru4, Jummai Mohammed4, Cecilia Alagi1, Akinyemi Atobatele2, Ezekiel James2, Mike Merrigan3, Hadiza Khamofu1, Satish Raj-Pandey1
1. FHI 360, Nigeria;  2. United States Agency for International Development, Nigeria; 3. FHI360 North Carolina, US;  4.  Nigeria Federal Ministry of Women Affairs and Social Development

Background:

National HMIS often consist of multiple data collection systems with data inputs from different electronic platforms – client based and aggregate data sources. Intra-operating such multiple databases could be intricate. Here we share experiences from FHI 360-led Strengthening Integrated Delivery of HIV/AIDS (SIDHAS) project to intra-operate the National OVC Management Information System (NOMIS) a client-based database built on open-source Java technology and DHIS2 an aggregate data management system.

Description:

FHI 360 developed the NOMIS software under the PEPFAR-funded Global HIV/AIDS Initiative Nigeria (GHAIN) project in 2009 and this was adopted by the Federal Ministry of Women Affairs and Social Development as the national OVC database in 2011. The NOMIS uses the Nigeria National OVC tools to collect client level data and generates aggregate reports for monitoring the OVC program and reporting to donor. The SIDHAS project also uses DHIS2 to collect aggregate data for other program areas such as ART, PMTCT, HCT from health facilities. This led to two separate reports from two different systems. Hence, there was the need to integrate the data from the two systems into one database to enable display of all the data in a single pivot table or dashboard. Thus, the development of a data exchange protocol to generate aggregate reports from the NOMIS and export same to DHIS2.

The NOMIS aggregates OVC data for the desired reporting period for the two major indicator categories- OVC_SERV and OVC_HIVSTAT and export them to the SIDHAS DHIS2 instance through a secure connection. The NOMIS is also capable of writing the same aggregate data to a DHIS2 compatible XML data import format that can be imported directly into DHIS2. This serves as an alternative form of exchanging data with DHIS2 if the direct push option is not desired. This enables SIDHAS team to access OVC data from DHIS2 database as done for the other program indicators.

Results:

SIDHAS was able to export data for OVC_SERV and OVC_HIVSTAT from the NOMIS software to the DHIS2 and has used this technique to keep track of aggregate OVC program data directly from DHIS2 for over a 2-year period from October 1, 2015 – September 30, 2018.

Lessons Learned:

We surmise that interoperating a client level database with aggregate level DHIS2 database is feasible and simplifies reporting. We recommend NOMIS-DHIS2 data exchange protocol for other programs.

Unlocking data exchange for harmonized health information system in Ethiopian Health System

Abstract Summary:

Ethiopia has adopted an enterprise architecture approach in developing its national health information systems (HIS). The approach focuses on identification and development of multiple domains in the health system and ensures information systems are designed to support the business need across these domains. Identifying and unlocking data needs across these multiple domains facilitate smooth functioning and utilization of the system with efficient use of resources and harmonization.

Two major HIS components being designed and rolled-out by the Ethiopia Ministry of Health are a Master Facility Registry (MFR) and DHIS2. The MFR would serve as a foundational component of the national eHealth architecture and acts as a central authority to collect, store and distribute up to date and standardized facility data. DHIS2 is the backbone of the HIS with current functionalities including service delivery reporting, reporting of public health emergency management and a cross-sectoral nutritional reporting and management system.

In Ethiopia, one such data exchange need identified is between a master facility registry and other existing systems, such as, service delivery reporting system (DHIS2), logistic management system (eLMIS), electronic patient management systems (EMR), electronic community management system (eCHIS) and others. This was identified to address the challenges around health facility registration, licensing, maintaining infrastructure, supplies and commodities functions being managed by different departments. Additionally, a master facility registry is useful for planning and monitoring access to health facilities, service availability, and equitable logistics, human and financial resource distribution and functionality. Coordinating and maintaining one master facility registry is challenging across these departments. The benefit of such exchange would be to collect data once and use it across multiple systems.

As a first step, the Ministry of Health focused on enabling data exchange between the national MFR and DHIS2. It has been decided by the ministry that any new facility created, renamed, upgraded or closed should be updated on the MFR by the relevant department. The MFR then generates an automated Application Program Interface (API) that connects with the interoperability layer that then sends the message to DHIS2. The interoperability layer mediates and standardizes data from the MFR before sending it to DHIS2 and other systems. The session will describe the process and actual functionality of this data exchange. It also highlights lessons learnt and success factors that can be helpful to countries or systems interested in this use case.

Attendees will gain a deeper understanding on the process of decision-making for identification of business process and implementation of data exchange between MFR and DHIS2. Current governance mechanisms to manage the process will also be shared with the participants.

Ethiopia’s experience will provide important lessons to the global community on implementation of an interoperability layer to facilitate data exchange and improve data availability and usability in DHIS2.

Tracker and Mobile data collection – using the latest DHIS 2 upgrades to accomplish more for programs

Abstract:

The DHIS 2 Tracker App and the new Mobile Data Collection App are great tools that can help support broader program development. As we have rolled it out in the framework of a variety of projects – from Kangaroo Mother Care in Cameroon, to child protection in the Central African Republic, and patient tracking in Morocco – we have begun a mapping of the context where the tools are at their best and where we there are limits to its ability to solve problems.

DHIS 2 implementation among stakeholders in Madagascar: Ownership and sustainability

Authors: Fanor Joseph, MSc, Resident Advisor, MEASURE Evaluation, Madagascar; Moussa Ly, MPH, Senior Technical Advisor, MEASURE Evaluation; Joelson Ramboanasolondrainibe, BSc, IT advisor

Madagascar’s National Development Plan prioritizes strengthening the health system and improving universal access to health care. Meeting these objectives requires that high‐quality health information be available for decision making. However, the latest assessments of Madagascar’s National Health Information System (HIS) (PRISM, 2015; RATS, 2017) revealed weaknesses in the areas of system management and governance; data needs and decision making; data collection and processing; and real‐time access, analysis, and dissemination of information. In 2015, assessment results showed 36 percent completeness of data and 50 percent timeliness in reporting. With the technical and financial support of MEASURE Evaluation, funded by the United States Agency for International Development (USAID), the Ministry of Health (through the three directorates of the Department of Studies and Planning [DEP], the Direction du Système d’Information [DSI] [Health Information System], and the Direction de la Veille Sanitaire et de la Surveillance Epidémiologique [DVSSE] [Health and Epidemiological Surveillance]) decided to set up a DHIS 2 data warehouse accessible via the Internet. This innovative approach will help to foster the emergence of a dynamic health system that will strengthen the capacity of health service providers to address many health problems.

Initial DHIS 2 implementation:

MEASURE Evaluation supported and facilitated, among other strategies, the development of the DHIS 2 plan of action and the mobilization of all stakeholders in a health information system (HIS) strengthening committee to better coordinate technical and financial assistance. This committee met to align technical and financial support with the DHIS 2 action plan, national HIS strategic plan, and the road map for HIS strengthening.

MEASURE Evaluation helped develop training curriculums as well as guidelines to create, use, and enter reporting forms into DHIS 2. The project facilitated training sessions for 25 trainers at the central level and coached them on configuring reporting forms, creating dashboards, and validating data to enable analysis and facilitate further trainings. DHIS 2 was first implemented in two regions to ensure its feasibility and to provide recommendations for a scale‐up strategy. Evaluation findings from this phase proved essential in harmonizing approaches and methods for DHIS 2 implementation, and these early findings were used to update and standardize tools (training curriculum, guidelines, supervision, and facility and community reporting forms) and ensure technical partners supported their use.

DHIS 2 scale‐up:

The mobilization of all stakeholders in the DHIS 2 scaling process provided a coordinated response to interventions in order to maximize both technical and financial resources. The roles of the key players are as follows:

n conclusion, through involving and coordinating key stakeholders in government and other implementing partners, Madagascar was able to realize a dramatic improvement in timeliness and completeness of data, and scale up DHIS 2 nationally within a very short period.

Stakeholder collaboration for an integrated health information software with nationwide coverage: the history of DHIS 2 implementation in Mali

Aminata Traoré1., Madina Kouyate1., Issiaka Dembele1., Karim Traoré2., Mamoutou Diabaté3., Edem Kossi4., Abdoulaye Dao2., Ouassa Berthe3., M. Alimou Barry1., Jessica Posner1.
1. MEASURE Evaluation, Bamako Mali;  2. Cellule de Planification et de Statistique Secteur Santé, Développement Social et Promotion de la Femme, Bamako, Mali, 3. Direction Nationale de la santé, Bamako, Mali; 4. Health Information System Program West Africa, Lome, Togo

Introduction:

In Mali, the health information system (HIS) was previously managed by multiple entities that did not effectively communicate. A comprehensive picture of Mali’s health data was only available after an annual statistical yearbook was shared, much too late for time sensitive decision making. There was a need for an integrated HIS that would require the participation of all key health management information system (HMIS) stakeholders while also meeting their individual requirements. Receiving partner buy-in and maintaining their commitment was not an easy task, but past experiences indicated that collaboration was essential for successful implementation of DHIS 2.

Methods:

The MEASURE Evaluation project, funded by the United States Agency for International Development
(USAID) undertook a “stepwise” (or step-by-step) approach to align stakeholders implementing disparate HIS initiatives into a “network” in support of one national HMIS for Mali. These steps are outlined below.

Step 1: Map HMIS partners in Mali by area of focus and mandate

Step 2: Create an open forum discussion

Step 3: Develop DHIS 2 roadmap with three-year timeline:

Step 4: Host regular HMIS partners meeting:

Step 5: Create DHIS 2 technical and steering committees

The MOH’s vision was to implement the DHIS 2 from the national level down to the primary healthcare facility level, encouraging data use at facilities.

Enabling factors:

Two enabling factors were crucial for a successful implementation. The first factor was the Performance of Routine Information System Management (PRISM) assessment in 2013 that pinpointed key problems plaguing Mali’s HMIS. This assessment served as a reference for all future work, and as an advocacy piece on the urgency for action to strengthen the national HMIS. The second factor was the joint commitment by the MOH and USAID for change. Their support and advocacy sparked an overhaul of the HMIS and rollout of DHIS 2. USAID also played a key role in coordinating donors, such as the Global Fund to Fight AIDS, Malaria and Tuberculosis, and Gavi, the Vaccine Alliance.

Results achieved:

This strong collaboration between stakeholders has led to unprecedented achievement in a relatively short period of time. By working in a coordinated fashion, DHIS 2 was rolled out nationwide at district, hospital, and facility levels in less than 16 months. As of early 2019, the DHIS 2 had been deployed at 100 percent of the regional health offices (9 out of 9), 100 percent of hospitals (13 of 13), 100 percent of districts (65 out of 65 districts), and 97 percent of community health centers (centres de santé communautaire) (1354 out of 1382). Due to major security barriers, only a few health facilities in the northern regions remain without DHIS 2.

The DHIS 2 technical team, composed of 25 members, was trained to customize the HMIS reports and keep track of new requests for integration. A core team was also trained through a national training of trainers (TOT) involving central and regional level staff. This allowed for a cascade training approach to the operational levels (districts and health facilities) on managing and using DHIS 2. The system’s rollout from central to the community level included training and supervision of 2,157 users. Laptops were provided to all users at all levels. Various MOH departments now regularly work together to troubleshoot and address HMIS issues, as do partners supporting Mali’s HMIS.

Nine separate (previously parallel) systems are now included within the DHIS 2: Local information system
(SLIS), hospital information systems, epidemiologic surveillance, malaria (routine and surveillance data), TB, HIV/AIDS, immunization, nutrition, and neglected tropical diseases. Improved coordination of routine reporting and epidemiological surveillance activities have led to reduced reporting burdens for health providers and an overall improvement in the quality of data available for decision-making. With the success of the rollout, new innovations are being ‘added on’ such as an electronic register (currently in the pilot phase of introduction).

Conclusion:

The national rollout of DHIS 2 in Mali is only the beginning of the HMIS-strengthening process. Well-known challenges remain to improve data quality and develop a culture of information use and accountability. Continuous efforts, a sustained or even greater level of commitment, and time are required to overcome these challenges. Continued efforts to train managers and other decision makers in data analysis and use will lead to more efficient resource allocation and better response to disease outbreaks. By harmonizing HMIS indicators and developing a roadmap to implement the DHIS 2 platform, the Malian MOH and its partners have contributed significantly to the country’s enabling environment for a strong HIS, and ultimately improved health outcomes.

Mind the Gap: Bridging the Hyper-Local Data Divide through Tanzania Health Data Dashboards

Nearly a decade after rollout began, DHIS2 in Tanzania has grown into a stable, flexible tool that meets central-level data needs. Yet Development Gateway’s research on local data use practices identified a key obstacle: DHIS2 information was not being used by decision-makers at district or facility levels.1 Given Tanzania’s movement toward devolved service delivery, this lack of data use presents a hazard to health outcomes.

How can we bridge the gap between the national DHIS2 system, and local data use? With support from the Bill & Melinda Gates Foundation, Development Gateway (DG) undertook a collaborative, cross-ministerial program to increase health data access and use. Through a Harvard-developed problem-driven, iterative, and adaptive (PDIA) process, DG sought to (1) identify local priority health decisions, (2) identify the information needed to make those decisions, and (3) trial which visualization methods are most useful when communicating these data to local officials. Ultimately, this work resulted in co-created dashboards that pull data – including CRVS, ward-, and facility-level data – from DHIS2, to enable easier analysis by council and community-level planners.

This case study will share learnings from our decision-centered design and iteration process, using DHIS2 to make health data easier to understand. We will provide a framework for distilling, organizing, and presenting large quantities of DHIS2 information in a useful way for local decision-makers and will share the visual dashboards developed. Participants will leave this session with greater insight into how to transform DHIS2 data into meaningful information to influence local health outcomes. Participants will also be provided with a practical framework for balancing PDIA theory and practice.


Population Served in Pahi Ward, Kondoa District


Data on Community & Facility Level Deaths in Pahi Ward, Kondoa District

1. Bhatia, V., Stout, S., Homer, D., Baldwin, B. (2016). Results Data Initiative: Findings from Tanzania. Washington, DC: Development

Establishing a National Plan for DHIS 2: A Case Study From Malawi

Background:

As part of the Kuunika Project funded by the Bill and Melinda Gates Foundation and. implemented by the Government of Malawi and a consortium of partners, we have been working over the past 3 years to deploy a national interoperability layer connecting DHIS2 to other systems in the country’s HMIS, and have

Highlighting Malawi as case study, we will share our lessons learned from having an influx of resources into national HMIS planning and some of the activities that we think other countries may benefit from in their deployments.

  1. Establishing a national plan for DHIS2 – change management, resourcing, SOPs, and long-term planning for national systems are lacking in many countries where DHIS2 has been deployed as a national system. Software is not enough, adopting an enterprise architecture mentality and having clearly developed roadmaps for national instances with well communicated timelines and resourcing is critical to the success of the national system.
  2. Deploying an HMIS application – The results of several studies in Malawi all pointed to the same path for the Malawi DHIS2 system – ~65% of nurses have access to a smartphone, but ~70% don’t have access to a computer. Hardware matters in implementation, and we will share our successes and challenges in deploying DHIS2 mobile for data use across 5 districts in Malawi to ~2,000 users.
  3. DHIS2 user analytics – One key adaptive learning techniques for DHIS2 deployments — tracking users with google analytics and other tools.

We have previously presented at the ICT4D and the Global Digital Health Forum on the HMIS application and Kuunika project but have not previously presented on the DHIS2 national plans and user analytics.

Emergency response using DHIS2 for Forcibly Displaced Myanmar Nationals (FDMNs) at Cox’s Bazar, Bangladesh

Authors: Masud Parvez2, Monjur Ahmed2, ASM Sayem2, Jannatul Ferdous2, Iqbal Anwar1, Abul Kalam Azad3
1. International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 2. United Nations Children’s Fund (UNICEF), 3. Directorate General of Health Services, Ministry of Health and Family Welfare, Government of Bangladesh

Background:

Since August 2017 till date, Bangladesh has received 909,000 Forcibly Displaced Myanmar Nationals (FDMNs) following conflict occurred in Rakhine State, Myanmar. The FDMNs settlement in Cox’s Bazar on the border with Myanmar is now the world’s largest refugee camp. Subsequently, the needs for healthcare services among FDMNs are huge and pressing. On the other hands NGOs, service provides, individuals rushed into the camp directly to help people without informing the health authority. Lot of duplication happened due to lack of reporting system. The risk of disease outbreaks and other public health concerns are also high. This necessitates developing a routine data collection system and public health information dashboard which helps to monitor disease trends on real-time data. Solution:

Methods:

Upon arrival of FDMNs in Bangladesh, the Directorate General of Health Services (DGHS) under Ministry of Health and Family Welfare (MoH&FW) has been in the front line to locate the camp and health post using GPS. A dedicated DHIS2 server had been established to cover over 180 reporting units. Public health experts assessed the situation and technical team designed the aggregate dataset. Data has been entered every day from health facilities managed by Govt., NGOs/INGOs, development partners under different major diseases, maternal health services and child health services thematic area. Finally, a central public dashboard has been developed using DHIS2 Web API for disseminating information.

Results:

More than 50% facilities are now submitting data daily. The publicly accessible dashboard is now showing real time data on several health indicators such as number of maternal deaths, normal delivery at public facility, measles and rubella vaccination campaigns, oral poliovaccination, Vitamin A administration, oral cholera vaccination, SAM and MAM interventions etc. GIS is helping policy makers to analyze distribution of heath workforce, monitor health services, allocate resources in health facilities, based on evidence and identify the gap where new health facility needs to be established.

Conclusion:

Given the fact that the FDMNs camps are located in remote areas, there is lack of internet facility to provide instant information in DHIS2. The sudden influx of such huge population is another challenge to collect information daily in DHIS2. Despite these obstacles, the achievement has been significant in terms of user friendliness and acceptability by the partners using the software. While refugee situation was amplifying the risk of exposure to disease outbreaks in scanty camp settings, DHIS2 information dashboard has taken up the role of surveillance, preparedness and response planning. DGHS has indeed demonstrated extraordinary capacities through DHIS2 led national data collection and analyzing system for providing evidence-based health services to FDMNs.

cStock approach – An affordable and scalable supply chain management tool for community health programs using DHIS2

Summary:

This presentation will highlight how cStock, a community health worker supply chain tool was created using DHIS2 to capture routine logistics data reporting, support resupply processes, and track stock outs and emergencies supplies. cStock has been an opportunity to expand the DHIS2 functionality to include supply chain workflows and indicators hence contributing to the next generation of DHIS2. The presentation will also highlight the results of the pilot study and future plans for the system.

Background:

Community-based health programs are a critical component to achieving universal health coverage. Data-visibility and, responsive supply chains will be essential to the success of these programs. JSI successfully developed, deployed, and scaled the original cStock system in Malawi. However, cStock in Malawi was custom built and could not be scaled to other countries.

In 2017 JSI was awarded a Saving Lives at Birth Grant to replicate the cStock approach in Kenya. Through this grant JSI sought to create a replicable, open source version of cStock that could be easily implemented by other countries in the region and globally. As DHIS2 is used in over 60 countries, and is at national scale in Kenya, JSI and other project partners decided that cStock functionality should be built using DHIS2.

In Kenya, our cStock approach uses a combination of DHIS2 tools – mobile tools, web-based dashboards, and predictive analytics – to provide a logistics information system for community health workers. The result is a system that supports demand-based resupply procedures, connects community health volunteers (CHVs) with their resupply facility, provides data visibility, and supports data use to improve availability of health products among CHVs. cStock has been an opportunity to expand the DHIS2 functionality to include supply chain workflows and indicators hence contributing to the next generation of DHIS2.

cStock Design:

Through a partnership with University of Oslo, JSI and Kenya Ministry of Health undertook a comprehensive supply chain design process to adapt the cStock workflows to DHIS2. The team designed the workflows to utilize whatever technology is already available to the target users – feature or smart phone, computers, or tablets. To achieve this, the system uses both DHIS2 aggregate application for routine monthly reporting, the DHIS2 tracker application for emergency orders and web-based and smartphone applications to access dashboards.

cStock links stock reporting to resupply and automates the calculation of resupply based on consumption trends. Stock data reported by the community health worker triggers the re-order process, whereby DHIS2 uses predictive analytics to calculate resupply quantities using a moving two-month average of monthly consumption and adjusting for stock outs. DHIS2 then transmits a request via SMS or the application to supervisors at health facilities. This process facilitates accuracy in order quantities, reduces transport time and costs, and improves communication.

The project team worked together to program common supply chain indicators into the DHIS2 dashboard. The indicators include reporting rates, data quality, stock status, inventory management, and stock availability. The algorithms employed to calculate the logistics indicators use DHIS2 predictors, originally designed for predicting disease, and as such have expanded the capacity of DHIS2 to analyze supply chain data. Eventually the aim is to be able to display logistics data alongside service data to create a more complete picture of the community health program.

To foster a culture of data use, the project also implemented the Information Mobilized for Performance Analysis and Continuous Transformation (IMPACT) Teams, a people-centered, data-driven approach for improving the performance and efficiency of supply chains and strengthening management practices. The IMPACT teams use quality improvement methods to interpret data from DHIS2, prioritize problems, find solutions, and take action to improve performance.

Pilot Results:

cStock was piloted in Siaya County, Kenya by over 500 CHVs for a period of 10 months between February 2018 to November 2018. The endline assessment found that the majority of cStock users reported the system was feasible, acceptable, and effective. The users also noted the importance of IMPACT teams and WhatsApp groups to support the implementation and use of technology solutions to strengthen community health programs.

Key factors identified that made the pilot successful included implementing technology within a whole system approach to supply chain, connecting reporting to resupply processes, monitoring overstocks as well as understocks, and teaching community program staff how to use supply chain data.

Next Steps:

JSI is preparing to roll out cStock to four new counties in Kenya this year. These counties are in the remote and challenging Northern region of Kenya with nomadic and migratory populations. As part of the preparation for scale to the new counties, JSI is using a human centered design approach to incorporate our findings from the pilot in Siaya County and update DHIS2 configuration to improve on the current design and adapt for hard to reach nomadic and migratory populations. We intend to use this symposium to learn from the greater DHIS2 community and other program implementers who may be working in community health and struggling with supply chain management.

Challenges and learnings of data integration with “National DHIS2” in Uganda and Kenya

Authors: Chris van Hasselt1, Amina Abba-Gana2, Meredith Mahachi1, Siaka Momoh2, Emma Herrick1, Mike Merrigan1, Moyosola Abass2, Oluwasanmi Adedokun2
1. FHI 360, US  2. FHI 360, Nigeria

Summary:

Living Goods supports and manages digitally-enabled community health workers (CHWs) to deliver dramatically better health outcomes at a significantly lower cost than facility-based care. Traditionally, all of Living Goods health data is shared with government partners through customized dashboards that show real-time results in their geographic area, in-direct enabling it to be counted towards DHIS2 goals. With the popularity of the DHIS2 platform in East Africa, national governments face a new issue of many parallel DHIS2 or data storage instances. Living Goods is leading the initiative where the national DHIS2 instance serving as health data warehouse to pull together key indicators from isolated and program specific DHIS2 or siloed data storage to serve a one-stop-shop for national health sector indicator data. Living Goods currently supports over 8,900 CHWs in Kenya and Uganda, serving over seven million people at less than $2.30 per person annually. CHWs provide this care by using workflows in the SmartHealth mobile platform that are designed to survey households on their health needs and prompt health interventions based upon the client’s answers. CHWs focus their efforts on the health impacts where they can make the biggest difference at the lowest cost: pregnancy and newborn care; childhood malaria, pneumonia, diarrhea; nutrition; family planning; and immunization.

Living Goods is extensively engaged with MoH and national teams in Uganda and Kenya to establish a seamless integration between the SmartHealth™ platform and DHIS2 so that data automatically flows into the government system. The work in Uganda and Kenya is expected to reduce the incidence of parallel reporting, made for better data quality, and made data more consistent sharing among health sector stakeholders. We will share lessons learned and challenges experienced in Kenya and Uganda. We expect the learnings from the Living Goods experience will inform other implementing partners looking to streamline the data integration process and significantly reduce the required effort and resource. Other organizations will benefit from the Living Goods experience of engaging various national actors and government consultants with their roles and responsibilities during the whole exercise.

Are you a new DHIS 2 Administrator? Here are some things that can help…

Abstract:

So, you find yourself in charge of a new DHIS2 instance! Congratulations! Now you just need to learn how to run it. And support your users. And answer one of the most important questions: “What’s happening on my platform”? To answer this question, you need to know…

  1. Who are the users (and what do they do)? Which users are active (and are they using the platform according to their relevant user rights)?
  2. How many users are administrators?
  3. How much new data did we get this week, this month, this quarter? Looking forward, is my storage going to be enough?
  4. Were any new programs or data sets created? By whom?
  5. How many org units are missing parents and so are now invalid?
  6. How many facilities are in my instance?

You”ll probably also want to setup and enforce some kind of governance about names – for data elements, groups and other – if you don’t want it to become a mess in the coming months or years.

We’ll focus on these kinds of questions, and discuss common problems and possible solutions for an average DHIS 2 administrator – or, when you’re lucky, a DHIS 2 support team – who has to keep it running and stay ahead of things.

We will also include a discussion and demonstration of the DHIS 2 API which allows users to retrieve information on meta data – from Data Elements to Org Units to Users. While perceived as very technical, it’s a relatively easy tool and can provide important insights on a program (even with limited rights) such as:

Participants will also have a chance to ask other questions related to these basic platform management questions.

A Tested Practice to Accelerate Project DHIS2 Implementation: A Case of USAID Transform – Primary Health Care Project in Ethiopia

Author: Ismael Ali, JSI

Introduction:

Transform: Primary Health Care is a USAID-funded health project that seeks to contribute to preventable child and maternal deaths (PCMD) by supporting the implementation of the Government of Ethiopia’s (GoE) Health Sector Transformation Plan (HSTP). The project covers a total of 360 Woredas\Districts—more than 50 percent of the population—across Ethiopia’s four major regions. Project activities are executed at cluster/zone and regional office levels, with additional project data collected at the household, facility, and district levels. The project monitoring and evaluation system aims to produce high quality data in order to facilitate evidence-based decision making at all levels. The project introduced DHIS2 to address system-based challenges related to data quality and to facilitate evidence-based decision-making.

Approach:

The project DHIS2 implementation took place over a year period and had three steps. Step one was to conduct the requirement analysis that involved identifying a local consultant to assist with the initial set-up and determining the needed internal capacity to design and maintain the system. In step two, a local server, or test environment, was set up and the metadata and organization units dictionary was created using Microsoft Excel. The last step consisted of a phased-based approach to the design and development of the DHIS2 database including importing existing electronic project data. During Phase 1, the project outcome monitoring surveys, capacity enhancement data, and service delivery data were included. During Phase 2, facility and district key performance indicators and score cards were developed. During each phase, the standard DHIS2 development process was followed. Moreover, a two days training tailored to two different user groups were conducted. Both trainings include data entry, analysis, event and tracker capture modules. The advanced training was tailored to monitoring and evaluation personnel by focusing on DHIS2 configuration, critical problem-solving, evidence-based programming, and data management.

Challenges and Recommendations:

During the implementation of the project DHIS2 several challenges were encountered. While most challenges were addressed through DHIS2 version updates from 2.28 to 3.0, some were related to user management and event data imports. In addition, maintaining and tuning a self-managed cloud installation required advanced skills and time to achieve high stability and performance. To address this, hosting the DHIS2 on a managed cloud instance is recommended by the project. Aligning DHIS2 data quality features with frequent data quality assessment and supervision are also recommended to address challenges related to persistent data quality and use.

Conclusion:

Implementing a stepwise approach and making sure internal capacity is established have demonstrated effectiveness and accelerated the project DHIS2 database design and development. Furthermore, involving project technical experts in all design steps is very important. However, it is also apparent that implementation of a system like DHIS2 is not a panacea to all data quality issues and lack of evidence-based decision-making. The need for acceptance and adequate support to targeted users of the system cannot be overemphasized. Users need practical and tailored training on the system to strengthen the data use culture and decision making, alongside practical training in the DHIS2 system itself.

Connecting with Sara: Connecting clients to health services using electronic referrals in DHIS 2

Summary:

Connecting with Sara (CwS) is an initiative to track and engage with Population Service International’s (PSI) target audience (referred to as ‘Sara’) through her mobile phone. To date, PSI’s engagement with Sara has been limited to home visits, doctors’ visits, and mass media. PSI has piloted mobile phone outreach in the past but is now looking to scale, taking advantage of Sara’s mobile phone access to meet her health needs. Connecting with Sara helps PSI to link clients to health services and products, provide access to information about these services, and better understand health care from the client’s perspective.

Under the CwS initiative, PSI built a mobile app linked to DHIS2 for community health workers to refer, track, and follow up with Sara as she receives health services. As of January 2019, the Connecting with Sara app is live in Tanzania, Zimbabwe, Nepal, and Mozambique, with over 150,000 referrals redeemed for family planning services, and over 90,000 clients who have signed up for further mobile engagement. To date, CwS has focused on improving linkages to care for demand generation programs. As PSI learns from the development of the platform, there will be important lessons to be shared with the global DHIS2 community to contribute to the core development of DHIS2 as a platform for linking clients to care.

Vinisha Bhatia Murdach

Development Gateway | Senior Learning Advisor

Ms. Vinisha Bhatia Murdach is a Senior Learning Advisor at DG. She focuses on measuring effectiveness, efficiency, and impact of development programs, with emphasis on results management and adaptive learning. She has worked with USAID, UNICEF, UK’s DFID, Global Affairs Canada, OECD, Bill & Melinda Gates Foundation, and NGOs. Vinisha leads DG’s Results Data Initiative Tanzania, Malawi, Global Affairs Canada, and UK’s DFID. In this role, Vinisha engages with country governments and development agencies to co-create tools and processes for increasing the use of data in decision-making. Vinisha’s portfolio also includes roll out of UNICEF’s Data for Children strategic framework in Ethiopia; technical advisor for data use in Timor-Leste via USAID Higher Education Solutions Network; development of the Cities Data Toolkit funded by UNOPS; and development of DG’s own learning approach. Prior to joining DG, Vinisha worked at Innovations for Poverty Action on the research quality assurance and capacity building where she led training and research quality assurance initiatives for 800 global staff. Vinisha holds a Master’s degree in International Development from the New School University and Bachelor’s degree in Economics and International Business Administration from University of Wisconsin – La Crosse.

Data, Data, Everywhere: Strategies for Integrating DHIS 2 Data for Program Performance and Quality Improvement

Authors: Chris van Hasselt1, Amina Abba-Gana2, Meredith Mahachi1, Siaka Momoh2, Emma Herrick1, Mike Merrigan1, Moyosola Abass2, Oluwasanmi Adedokun2
1. FHI 360, US  2. FHI 360, Nigeria

Background:

DHIS 2 is a widely used tool with successful implementations in low and middle-income countries, including for national-scale deployments and international NGO-based programs. Program implementations typically include output indicators for health services which on their own may provide an incomplete view of program health.

Our team’s challenge was to combine DHIS 2 health service data for PEPFAR programs with other data sources including budget, procurement, and finance systems. Information from these sources are tracked using tools such as MS Excel, MS Access, ODK Database and customized or proprietary software, often functioning as data silos. Data ownership, policy, and technology integration barriers can impede development of a holistic picture of program health. Program and project teams wanted a comprehensive view of FHI 360 PEPFAR activities, with more frequent and granular data to guide responsive performance management.

Here we present FHI 360’s response to this challenge, describing our Analytics for Health (A4H) initiative, a collaboration between technology and strategic information teams. A4H leverages regular data such as US government datasets for PEPFAR Monitoring, Evaluation and Reporting (MER) indicators (DATIM), as well as internal data sources that reflect the overall state of PEPFAR projects within FHI 360s portfolio. The A4H initiative uses a variety of technologies including DHIS 2, Microsoft Power BI, and Microsoft’s Azure Resources, to provide a comprehensive toolset for data management and analysis.

Solution:

The A4H Team recognized that, when fully integrated, a comprehensive dashboard would drive data use and performance measurement in multiple program domains. Our team leveraged existing resources and tools, an approach supported by key stakeholders. There are many components to this effort, but two important focus areas are integration and scalability.

Figure 1: FHI 360’s Global PEPFAR Performance dashboard, built with Power BI

Power BI is recognized as an industry leader in the business intelligence space and is a powerful tool with an active community of support fostered by Microsoft. Microsoft’s flexible licensing structure enabled our adoption of this cost-effective tool. With Power BI, we can accommodate potentially hundreds of different data source integrations. Connections to DHIS 2 instance data is handled via Power BI’s web query connector and the DHIS 2 API. With careful attention to data mapping, multiple DHIS 2 instances can be efficiently cross-linked. Additionally, we can discover new data insights by joining DHIS 2 data to internal budget information or public health statistics. Project teams can see all relevant data in one central reporting hub, greatly increasing the odds of data use. There are other tools that can fill this role, but our licensing agreements with Microsoft made Power BI a cost-effective choice. Power BI was scarcely known in the organization before the A4H projects, but it is now another core enterprise tool, with over 1100 datasets in use.

To address scalability issues, cloud infrastructure in Power BI and Microsoft Azure allow for a right-size solution for any monitoring or analysis situation. We have used the Azure platform to create virtual computing infrastructure to host DHIS 2 instances, and Azure Logic Apps to create efficient, scalable connections to those instances and non-DHIS 2 databases. This reduced burden of data entry on our project staff and brought integrations with other data and Power BI, to a new level, allowing us to capture and act on data within days instead of months.

After fact-finding conversations with key stakeholders, we implemented a global PEPFAR dashboard that correlates quarterly data from DATIM, the PEPFAR global reporting platform, with monthly internal results. Initially, we considered bringing this data together directly in Power BI. However, we determined that the volume of data was too great to pursue that approach. Instead, we scaled up the solution, leveraging Azure Data Factory and Data Lake storage. We use Logic Apps to pull data from project databases, transform the data into a standard format, and send it over to a SQL database, a common ETL process Once there we can build reports using Power BI. We conducted many demonstrations with stakeholders to determine the decision making that these integrations made possible.

Results:

Lessons Learned:

Organizations can use increasingly accessible technology solutions such as Microsoft Power BI to bridge data integration gaps across programs and projects without the burden developing a specific tool, thereby saving cost, time and effort. Integrated dashboards utilizing data from various sources are very power tool for promoting more effective data use for improving program performance and quality.

International NGOs can take advantage of Microsoft platforms such an azure to automatically pull large volumes of the data from country and project databases to meet global analysis needs, thereby reducing the burden of multiple data entry of staff.

FHI 360’s experience building our A4H team and delivering data analytics to projects using DHIS 2 and Power BI is instructive in many ways. It has reinforced the fact that close collaboration between information technology and program technical teams ensures greater efficiency in data integration and more effective data analysis for impact.

Shayna Padovano

Guidehouse | Senior Associate

Shayna Padovano has over 10 years of experience in developing and delivering effective adult learning solutions and strategies for U.S. government agencies and private sector organizations. She has extensive experience working on international initiatives and with multi-country teams both face to face and virtually. Her experience in cross-cultural communication provides her a unique perspective on audience engagement which she incorporates into designing training programs for international students, foreign business professionals, government, and technology leaders.

She currently leads the PEPFAR Program Results for Impact Monitoring and Epidemic Control (PRIME) Information Systems Training and Communications team. The team focuses on building the capacity of headquarters, field staff, and implementing partners across the PEPFAR centrally supported systems landscape in order to optimize systems use and bring the program closer to reaching the UNAIDS 90-90-90 and 95-95-95 targets. Shayna is a Senior Associate with Guidehouse and holds a Master’s degree in International Communication from American University and is an adjunct professor of public speaking at Georgetown University.

Ravinder Deolal

ThoughtWorks Technologies | Senior Business Analyst

Ravinder Deolal has nearly 7 years of experience in IT industry and worked in the field of Banking and Health. He has experience in product implementation and customisation to meet client needs. He has worked with several NGOs like JSS, SEARCH in India to digitalise their hospital management system. He led the team to digitise paper based health record system for Ministry of Health, Bhutan. He worked with Population Services International to implement and integrate Bahmni EMR system with DHIS.

Matthew Boddie

Abt Associates

Matthew Boddie works as the system administrator for DHIS 2 for the U.S. President’s Malaria Initiative (PMI) VectorLink project. He has been a part of Abt’s Data Science division for 3 years, specifically working with mobile data collection systems from development through analysis/visualization stages. Prior to this work, Matthew lived a combined 5 years in Uganda, acting as the National Malaria Coordinator for Peace Corps Uganda while simultaneously holding a field coordinator role as a volunteer with a malaria prevention project in the country.

Jillian Berkowitz

Abt Associates

Jillian Berkowitz has been working with DHIS 2 system implementations in support of malaria programming for 5 years. As technical lead for the U.S. President’s Malaria Initiative (PMI) VectorLink project’s global DHIS 2 rollout, she specializes in bridging the technology divide between complex public health programming and information system design and implementation. Before joining the Abt Associates VectorLink team as Monitoring & Evaluation Specialist, she served as an ICT4D Specialist with Abt’s Data Science division, identifying opportunities for use of technology to strengthen a diverse international development portfolio.

Vincent Shaw

HISP South Africa | Executive Director

Dr Vincent Shaw is a medical doctor by profession and holds a PhD in Information Management. He has extensive experience in public sector health management having served in the Eastern Cape Province of South Africa at facility, district, regional and provincial levels for many years. He’s been extensively involved in the development of information systems in the public sector in resource constrained settings, and has been intimately involved in the development and use of the DHIS in a variety of contexts. Vincent has focussed on the development of hospital information systems, as well as building routine information systems from the ground up (in contexts such as South Africa, Nigeria, South Sudan and Zambia). He has led various initiatives to strengthen information systems such as the importing of “legacy” data into the DHIS software in Zambia, the development of a surveillance module in the DHIS and its use in West Africa, and the use of DHIS to strengthen human resource information systems in South Africa. He has extensive experience in developing health information systems in contexts characterised by low levels of access to technology and power, and low computer literacy. His experience in managing district hospitals at the provincial level in South Africa provides depth to the team in the use of service related information to support financial allocations and health service planning, aspects that are becoming increasingly relevant in relation to Universal Health Coverage. He has also published numerous articles and book chapters related to health information systems development in resource constrained contexts.

James Agnew

Consultant

James Agnew is a standards and information geek who will talk your ear off about this subject if you let him. He leads the HAPI project, an open source implementation of the HL7 v2 and FHIR standards that is used globally. By day he is the CTO of Smile CDR, a health data platform vendor.

Busoye Anifalaje

BAO Systems | Chief Implementation Officer

Busoye is a seasoned informatics professional specializing in resource-constrained contexts. As head of the BAO Systems service delivery team, he provides strategic oversight, staff mentoring, and technical solution design for large-scale DHIS 2 implementations. Since 2009 Busoye has worked exclusively in leading the deployment of DHIS 2 for various ministries of health and international NGOs in countries such as Nigeria, South Africa, Namibia, Afghanistan, Haiti, Sierra Leone, Jordan, DRC, Kenya, USA, and UK. He holds two masters’ degrees in Information Systems and Organization Research and a PhD from the London School of Economics. His research interest lies in understanding the role of information systems in improving governance structures for public health delivery. Busoye lives in Cambridge, UK and enjoys classical music (especially baroque) and West End musicals.

Vidya Mahadevan

Bluesquare | Senior M&E Expert

Vidya Mahadevan is an expert in project monitoring and evaluation with more than 10 years of experience providing TA for program monitoring and evaluation, conducting field research and surveys, and supporting other data collection activities across humanitarian and development settings. Throughout working on varied programs and settings, she has focused on how to leverage available data, technology, and other resources to best serve beneficiaries and other end-users. Vidya has an MPH in International Health Epidemiology from the University of Michigan and a Bachelors in Public Health from the Johns Hopkins University.

Antoine Legrand

Bluesquare | Head of Global Health Programs

Antoine Legrand has over five years of health data system implementation and integration experience. Antoine has led the deployment of health financing and quality enhancement data systems in eight countries, including major interventions such as the Republic of Congo.
Antoine has extensive experience with DHIS 2, DHIS 2 training, mobile data collection, XLS forms, DataViz and RBF systems managed on DHIS 2. Antoine leads all the project implementation at Bluesquare. He holds a master’s degree in Public Health.

Kate Wilson

Digital Impact Alliance | CEO

Kate believes that digital technology products, new technology policies and updated business model practices are required to make transformative change in the lives of the under-served and to decrease
the growing digital divide. She has committed the past 26 years to bringing diverse stakeholders together to find common ground in business, technology, and policy, holding leadership roles in both
the corporate and non-profit sector. She co-founded and led the Digital Health Solutions Group at PATH, the Seattle-based international health organization driving transformative innovation to save lives, and prior to that held roles in ICT product development and launch, strategic planning and business development at Microsoft, Intel and General Electric.

Dominic S. Haazen

The World Bank | Lead Health Policy Specialist, Health, Nutrition & Population Global Practice

Dominic S. Haazen is a Lead Health Policy Specialist with the Health Nutrition and Population Global Practice, where he is responsible for managing and providing technical expertise in a number of countries, including currently in Gabon, Cote d’Ivoire, Sierra Leone, Cameroon, Tanzania, Malawi, Kosovo, Macedonia, Ukraine, Uzbekistan, Morocco, Saudi Arabia, and Tamil Nadu, India. He is an expert in the areas of health information systems/e-Health, emergency medical services, health financing, and health system management. He has worked in over 60 developing countries, primarily in Europe, Central Asia, and Africa, but has also worked in the Middle East/North Africa and South Asia regions. He has had field assignments in Dar es Salaam, Tanzania (2008-2011), and Riga, Latvia (2002-2004).

Prior to joining the World Bank in 1998, he worked as a private consultant in the areas of health financing, health planning, and operational reviews of health providers, and held senior positions in the British Columbia (Canada) Ministry of Health, including CFO/CIO of the division responsible for funding hospitals and long-term care, and CEO of the British Columbia Ambulance Service (a province-wide emergency medical services provider). He holds B.Sc. (Mathematics/Computer Science) and a Masters Degree in Public Administration degrees and is a Chartered Professional Accountant (Canada).

Jason Knueppel

BAO Systems | Deployment Manager

Jason Knueppel brings 17 years of experience designing, leading and implementing the development of IT solutions in a wide cross-section of institutions and industries, working in cloud-based solutions and improving business processes and data governance. Prior to joining BAO Systems, he worked for CDC in Mozambique where he coordinated and led multi-agency and partner health information system projects.

Andrea Fletcher

Cooper/Smith | Lead Data Strategist

Andrea is the lead data strategist at Cooper/Smith, a lean technical start-up that uses hard data to improve the efficiency and effectiveness of health and development programs worldwide. In her role as lead data strategist, she works with governments and partners to develop strategies and implement programs around data systems, data use, and data governance. She has worked with the Kuunika project in Malawi for the past 3 years in collaboration with the Ministry of Health and Population and funded through the Bill and Melinda Gates Foundation. She also works with the World Bank Global Facility Financing, Georgetown University’s Blantyre HIV Prevention Strategy Program, and DIAL. Her primary focus is on delivering high-quality data use implementations at a national scale, and designing technology with end users.

Prior to joining Cooper/Smith she held a variety of roles at Dimagi, a social enterprise that develops last mile solutions, where she deployed mobile health projects around the world. These projects ranged from small-scale pilots to Ministry of Health-backed national implementations. Andrea holds an MPH from Emory University, and a BA from Washington and Jefferson College.

Ali Ismael

JSI Research and Training Institute, inc. Ethiopia | Monitoring and Evaluation Advisor

Ismael Ali is a Senior Information System and Public Health professional with more than 10 years’ experience in program design, research, monitoring and evaluation, and leading and implementing the development of health information technology solutions. Currently, Ismael is working as a monitoring and evaluation advisor at JSI Research & Training Institute, Inc. in Ethiopia. He has worked on different public health projects in support of RMNCH, FP, and health systems strengthening programs. Ismael holds a master’s degree in Public Health and a Bachelor of Science in Computer Science.

Eyob Kebede Hailegiorgis

Federal Ministry of Health, Ethiopia | Director of Health Information Technology

Eyob Kebede is the Director of Health Information Technology at the Federal Ministry of Health with experience and expertise in software development and implementation, data center design and development, and computer networking. Earlier in his career, Eyob served as a faculty member and Director of ICT of Debre Birhan University. He is one of the young and vibrant leaders of Health Systems at the Ministry of Health and his responsibility includes overseeing the digital health planning, development, and implementation at the national level.

Sarah Andersson

JSI | Senior Technical Advisor

Ms. Sarah Andersson is a Senior Technical Advisor for JSI’s Center for Health Logistics based in the U.S. Ms. Andersson has 20 years’ experience in pharmacy and in supporting supply chains for pharmaceuticals. In her current position she provides oversight for a variety of supply chain projects ranging from designing and deploying mobile health information systems for community health workers, revitalizing family planning supply chain in Indonesia, implementation of leadership and quality improvement workshops in Kenya and improving data use for the vaccines supply chain in Pakistan. Ms. Andersson was previously a Technical Manager for the SC4CCM project and oversaw the original design, development, and deployment of cStock in Malawi. Ms. Andersson is now the Senior Advisor for the cStock project in Kenya, a DHIS 2 application for community health workers.

Daniel Messer

PSI | Director and CIO

As Chief Information Officer, Daniel is responsible for PSI’s information technology, MIS, and ERP systems. Daniel is also co-founder and chair of the Non-Profit Organization Knowledge Initiative which improves technology collaboration between major non-profits. Prior to PSI, Daniel was based in London directing International Planned Parenthood’s information systems, including clinic management systems for the federation’s network of clinics across the globe. Daniel graduated from the Free University of Berlin where he was involved in East African research projects. He is fluent in French and German.

Rodolfo Melia

University of Oslo | DHIS 2 Android Team

Rodolfo has been designing, building and deploying technology solutions for non-profits for over 25 years. Rodolfo trained as an Architect but decided to combine his strategic design acumen, passion for technology, and early experience working in the NGO sector to specialize in redesigning and automating non-profit business processes.Rodolfo currently lives in Spain and travels frequently to Africa & Asia, ensuring that each DHIS 2 implementation adds value to all its stakeholders. Current assignments include multiple projects at PSI and Save the Children. He currently co-leads the re-designing UiO’s Android app.

Alan Ivey

BAO Systems | Lead Systems Engineer

As the Lead Systems Engineer at BAO Systems, Alan has designed the hosting platform and manages the fleet of servers, used in over 60 countries. Alan has over 12 years of experience in systems design and administration for clients ranging from federal agencies to nonprofits and social advocacy organizations. He has experience in designing and supporting scalable, highly-redundant, and high-performance systems built on open-source software. He holds a B.P.S. in Computer Network Security from the University of Mary Washington.

Lars Helge Øverland

University of Oslo | DHIS 2 Tech Lead

Lars Helge Overland has been the lead developer of the DHIS 2 platform since its start in 2005. He has been responsible for designing and implementing the DHIS 2 software as well as building up the development team which today produces the DHIS 2 standard releases. Lars has worked as a consultant for multiple major development organizations, including WHO, USAID, DANIDA, NORAD and MSH, and is leading the software development process for the global PEPFAR reporting system. He holds a Master of Informatics degree from the University of Oslo.

Kenneth White

BAO Systems |

Kenneth White is a security architect and engineer with over 20 years experience developing systems for public health and clinical research. He has lead the design, security, and operations of several safety- and business-critical global applications for clients including commercial pharma, NIH, CDC, Medicare, numerous NGOs, DOD, and the U.S. Treasury. Kenn’s work on network security and forensics and been cited by media including the Wall Street Journal, Forbes, Reuters, CNN, Wired and Nature. He has served as a technical reviewer for the Software Engineering Institute, and is a co-founder and director of the Open Crypto Audit Project which has performed security reviews for widely-used software including TrueCrypt and OpenSSL. Kenn holds a Masters from Harvard and is a PhD candidate in neuroscience and cognitive science, with applied research in real-time classification and machine learning. He is a co-founder of BAO Systems.

Muhammad Masud Parvez

UNICEF | Health MIS Consultant

Muhammad Parvez has more than 15 years of experience on IT project development, management, and implementation. He is currently an MIS consultant at the Directorate General of Health Services under the Ministry of Health and Family Welfare. In this capacity, Mr. Parvez is providing technical support to enhance national DHIS 2 systems and has developed innovative solutions to improve MIS and strengthening capacities of national health authorities, including developing an HIV patient tracker, a routine data collection system for the Director General of Drug Administration, and a public web portal that enables integrated data analytics. Mr. Parvez holds a M.Sc in Health Informatics and B.Sc in Computer Science. He has completed several certifications on Microsoft Dynamic Navision, Database Administration, Business Intelligence and system security, and works with Tableau. Mr. Parvez is a guest lecturer in health informatics at the Bangladesh University of Health Science.

Steffen Tengesdal

BAO Systems | CEO

Steffen Tengesdal is the co-founder and CEO of BAO Systems, a leading DHIS 2 implementation/hosting and data analytics firm with offices in Washington DC, Oslo, Abuja, Lisbon, and Cambridge, UK. Mr. Tengesdal has over 17 years of senior IT level management and system design experience. He has supported projects in over 50 countries and contributed to country assessments. strategic planning, system design, data security, and emerging technologies in digital health for government, commercial, and international non-profit clients. Mr. Tengesdal is a proponent of Open Source software, data standards, and common sense approaches to enable data use.

Sarah Searle

BAO Systems |

Sarah Searle works with partners and the BAO Systems team across the globe to manage the iterative design and roll-out of DHIS 2-based systems . She is passionate about building systems that empower people to access and utilize high-quality data to make decisions. Sarah’s background is in health systems strengthening and digital health in low- and middle-income settings, particularly in the areas of reproductive, maternal, and newborn health, and she brings this global health lens to her work in deploying data systems. Her work experience spans large international NGOs, academic institutions, and small tech companies, and she holds a masters degree in public health.

Katherine Lew

BAO Systems | Product Liaison Senior Manager

Ms. Lew brings over 15 years of public health experience with emphasis in health information systems, data management, and data analytics, visualization and use. Before joining BAO Systems, she supported NGO country programs and headquarters with customization and implementation of data analytics platforms to drive program adaptive management and improvement. Having worked in multiple countries across Asia and Africa, she has keen insight into the business requirements of our clients. Ms. Lew serves as a conduit between clients, product management, and product development, helping to drive strategy and improve product functionality to meet client needs.

Mike Frost

University of Oslo | Senior Advisor

Mike Frost is a Senior Advisor with the Health Information Systems Program at the University of Oslo as product manager for DHIS2 Tracker. He has worked on digital health projects in Bangladesh, Ghana, Guatemala, Liberia, Mozambique, Myanmar, Nigeria, Palestine, Tanzania, the United States, Zambia and Zimbabwe, in support of RMNCH, malaria, FP, and HIV programs.

Kathryn Alexander

Development Gateway | Senior Associate

Kathryn Alexander is a Senior Associate at Development Gateway, focused on promoting data sharing and use for improved service delivery at both national and subnational levels. Kathryn has experience designing data needs assessments and hands-on trainings to support data producers and users across Sub-Saharan Africa and Asia. She managed DG’s Results Data initiative programming in Tanzania, supporting the government to develop tools, skills, and incentives needed for improved health planning and decision-making with DHIS2 data. Kathryn has also led work to advance data-driven agricultural development in Cambodia and Nepal and currently oversees the Administrative Data-Driven Decisions (AD3) Program, focused on strengthening the use of government administrative data in driving results in East and West Africa. Kathryn holds an MPA in International Development from Princeton University and a BS in Mechanical Engineering from the University of Texas at Austin. Previously she worked with the World Food Programme and also taught math and science at a secondary school in Tanzania as a Peace Corps Volunteer.

Mamadou Alimou Barry

MEASURE Evaluation | Senior HIS Specialist

Senior HIS Specialist at MEASURE Evaluation/JSI since 2008, he is pharmacist biologist by training (University of Dakar) and holder of an MPH (Epidemiology and Biostatistics) from University Oklahoma. As a public health professional, he possess experiences for more than 25 years in Africa, particularly with USAID, the CDC and the Canadian Cooperation (CIDA/CCISD). His main areas of expertise during these years were programs evaluation and capacity building in the areas as diverse as the HIV prevention and surveillance, Health Information Systems, monitoring and Evaluation of health programs. Currently he is acting as Sr. Technical Advisor of the MEASURE Evaluation Projects in Mali and Cote d’Ivoire.

Moussa Ly

Measure Evaluation

Moussa has over 20 years of progressive experience as a Country team leader and manager, data manager, research assistant, research coordinator, Monitoring and Evaluation specialist, and health technical program lead on development programs in Africa, Asia and the Caribbean. With a focus on USAID-funded maternal and child health, nutrition, family planning, reproductive health, malaria and TB/HIV/AIDS programs, his consultancy work includes leading an essential commodities system evaluation in Developing Countries and co-developing an M&E plan to support the Countries’ HIV/AIDS, Malaria and Health Population and Nutrition National Programs.

Asif Akram

Living Goods | CTO

Asif has joined Living Goods as a Chief Technology Officer with comprehensive experience in establishing, leading and directing multi-disciplinary teams for global brand leaders and FTSE companies. Asif was leading technical aspects of various public health projects in Imperial College, London and LKC School of Medicine, Singapore. Prior to that, Asif was part of the faculties of Cambridge University and Oxford University and actively contributing to various scientific and medical projects. Asif holds an MSc degree in Computer Science and BSc. degree in Chemical Engineering.

Nicola Hobby

BAO Systems | Director of Programs

Nicola Hobby is the Director of Programs at BAO Systems and has been the Organizing Chair of the DHIS 2 Symposium since 2015. Nicola is also the Product Owner for DATIM, the PEFFAR DHIS 2 monitoring system. Prior to joining BAO, Nicola worked in international public health for 11 years with Population Services International in a variety of positions. She has worked in over 20 countries in Asia, Africa and Latin America leading or managing system strengthening initiatives. Nicola has extensive knowledge about implementing DHIS 2 as an enterprise-level MIS. As the Director of Programs, she oversees the operational group supporting DHIS 2 and other development projects for a variety of public health and international development clients.

John Young

BAO Systems | Director of Fun

Nicola Hobby is the Director of Programs at BAO Systems and has been the Organizing Chair of the DHIS 2 Symposium since 2015. Nicola is also the Product Owner for DATIM, the PEFFAR DHIS 2 monitoring system. Prior to joining BAO, Nicola worked in international public health for 11 years with Population Services International in a variety of positions. She has worked in over 20 countries in Asia, Africa and Latin America leading or managing system strengthening initiatives. Nicola has extensive knowledge about implementing DHIS 2 as an enterprise-level MIS. As the Director of Programs, she oversees the operational group supporting DHIS 2 and other development projects for a variety of public health and international development clients.

Bronze

$ 1,000
  • (1) Complimentary Ticket to the DHIS 2 Symposium
  • Recognition on all Onsite, Online, Email and Social Media Branding

Silver

$ 3,500
  • (1) Complimentary Ticket to the DHIS 2 Symposium
  • Recognition on all Onsite, Online, Email and Social Media Branding
  • Swag/Inserts in Swag Bag

Gold

$ 6,500
  • (2) Complimentary Tickets to the DHIS 2 Symposium
  • Recognition on all Onsite, Online, Email and Social Media Branding
  • Swag/Inserts in Swag Bag
  • Attendance at BAO Hosted Happy Hour

Platinum

$ 12,000
  • (4) Complimentary Tickets to the DHIS 2 Symposium
  • Recognition on all Onsite, Online, Email and Social Media Branding
  • Swag/Inserts in Swag Bag
  • Happy Hour Attendance
  • Exhibitors Booth
  • (1) Lunch Sponsorship

Beneficiary

$ 18,000
  • (6) Complimentary Tickets to the DHIS 2 Symposium
  • Recognition on all Onsite, Online, Email and Social Media Branding
  • Swag/Inserts in Swag Bag
  • Happy Hour Attendance
  • Exhibitors Booth
  • (1) Lunch Sponsorship
  • Evening Reception Sponsorship
  • Prime Speaker Spot
  • VIP Seating