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