CLICK TO ADD TITLE

[DATE][SPEAKERS NAMES]

10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, 2017

Thanks to our generous sponsors

HMIS/LMIS Integration in Tanzania

Tenly Snow, OpenLMIS Community Manager

Naomi Printz, Deputy Chief of Party, Global Health Supply Chain Project - Techanical Assistance - Tanzania

Unique Characteristics of HMIS & LMIS

Healthmanagementinformationsystems(HMIS)collect,aggregate,anduse

servicedata fromhealthfacilities

Logisticsmanagementinformationsystems(LMIS)collectandusecommoditysupply

data fromhealthandstoragefacilities

Defining HMIS

Ahealthmanagementinformationsystem(HMIS)collectsandreportsprograminformation,suchasincidenceofdisease,client/patientinformation,andhealthservicesrendered.

HMISdatacanbeusedtodeterminediseasepatternsortotrackhealthservicesuse,aswellastomonitorandevaluatehealthservicedelivery.

DHIS2isthemostwidelyusedapplicationinLMICs,andisoptimizedfordata reporting.

Defining LMIS

A logistics management information system (LMIS) is a system that is used to collect, organize, and present logistics data gathered from all levels of the health system. An LMIS enables logisticians to collect the data needed to make informed decisions that will ultimately improve product availability patient treatment.OpenLMIS and Logistimo are examples of LMIS applications in use in Africa and Asia. They are optimized for supply chain management

15 Known Electronic LMIS Deployments

Can DHIS2 be an electronic LMIS?

Exchanging Data between HMIS & LMIS

Motivation: The reality of integrating HMIS & LMIS data

• Despite great interest in combining HMIS & LMIS data, there are few country examples where this is routinely implemented.

• Thus the UNCoLSC decided to test HMIS/LMIS integration projects with the 3 UNCoLSC-funded information systems.

• Tanzania & Senegal chosen as initial deployment sites.– User requirement gathering started in Tanzania in January

2015– Initial conversations started in Senegal in September 2015– Overall intent of the project is document the real-world

experiences, considerations and lessons learned to assist deployments in other countries.

OpenLMIS & DHIS2

OpenLMIS isamultipartner opensourcelogisticsmanagementinformationsystem.TheOpenLMIS implementationinTanzaniaisknownas“eLMIS.”

LMIS HMIS

DHIS2isaflexible,web-basedopen-sourceinformationsystemwithvisualizationfeaturesincludingGIS,chartsandpivottables.

Requirements Gathering

Software Development Testing Deployment &

Training

Linking HMIS and LMIS in Tanzania

HMIS LMIS

Systemused DHIS2 eLMIS

Datacollected Services(patients,cases) Productsusedforthatservice

Wherethedatacomesfrom Servicesrecords Stores,dispensingarearecords

Frequencyofdatareportingfromfacilities

Monthly Quarterly

Whoentersthedataelectronicallyinthesystems

DistrictHMISfocalperson Districtpharmacist

InTanzania,DHIS2andeLMISareseparatesystems;however,thereisvalueincomparingcasedata(diseaseencounterdata)withdataonquantitiesoftreatments/products consumed.

TheUniversityofDaresSalaam(UDSM)has ledtheprocessofdevelopingdashboards,whichintegratespecificdatapointsacrosseLMISandDHIS2.

Practical example: RMNCH

LMIS data compared with service data(sample dashboard graph with sample data)

National level dashboard - consumption data has been pulled into DHIS2 and dashboards developed to compare cases of PPH and retained placenta and consumption of oxytocin, ergometrine, and misoprostal

Practical example: RMNCH

Council (district) level dashboard

Users can drill down into data of one council (district) to examine the consumption and services data

Challenges and Recommendations

Challenge Recommendation

Reportingperiodmismatch • Calculatedmonth• Updatestoreportingperiod• Softwareimprovement/enhancement

Facility/productlistmatching/synchronization

• MatchedlistsmanuallyanddevelopingmaintenanceSOP

• Adherencetostandardsandadoptionofmasterfacilitylists

• GS1andproductcodes(UNSPSC)

Datainterpretation • Mappingofserviceandcommoditydata

• Establishred/yellow/greenthresholds• Decisiontreeguidelinesfor

interpretation

Practical example: LLINs

Practical example: LLINs

Thereare128digitalhealthsystemsinTanzania– peer2peerintegrationisneitherfeasiblenorsensible

128 Digital Health Systems

Source: Data Use Partnership assessment

Health Information Exchange Conceptual Model

Global Digital Health Forum

Integration lab Joint panel with JSIHMIS/LMIS Integration in Tanzania

10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, 2017

Thanks to our generous sponsors