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Customization of DHIS2

Technical experience from

DI Yogyakarta Province

UGM-UIO Prof of Concept Project

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Outline

Background

Method of customization

Systematic approach Results (screen shoots)

Benefit of using DHIS2

Issue and challenges Future plan

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Background

Universitas Gadjah Mada (UGM) visited by Prof.Sundeep Sahay from University of Oslo, Norwey

Follow up visitation to make proof of concept DHIS2usage in Yogyakarta context, by

Teleconference with Prof. Sundeepassigning HISPIndia as technical support of customization

Internal discussion with DHO and PHO staffMCHreports as case study of customization

SIMKES involved 5 district health office and 1 provincialhealth office (health information staff) to start ToT ofDHIS2 customization with appointed facilitators (HISPIndia)

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Method

All representative DHO and PHO sitting

together with SIMKES staff

Using blank DHIS2 application, put it into a

dedicated server

Two appointed facilitators (HISP India)

facilitated customization and transfer of

knowledge of DHIS2 to DHO, PHO and

SIMKES staff.

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Process of customization

1. Working on Organization Unit hierarchy (reporting/dataflow)

2. Working on standard formsdetermining certain reportfor first phase customization (It was decided using MCHreports)

3. Setting up data element4. Setting up validation rule

5. Preparing indicators

6. Translation of database & Interface

7. Creating output and data completeness check8. Integration of reports (Offline report uploading)

9. Customize GIS modules

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Village

Sub District

Cadre

CadreCadre

CadreCadre

Cadre

Indonesia

Province

District

Poskesdes

District

Hospital

Cadre Cadre Cadre

Provincial

Hospital

Health Facility

Geographic Area

Report flow

Pustu Polindes

PHC

Hierarchy

Setting up standards for

facility wise reporting

framework or Area Based

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Determining Standard

Standard form MCH program is agreed for the

customization process during the ToT

MCH Integrated Format data elements

Target MCH data (yearly basis)

Monthly reports

Maternal and child health

Family planning

Immunization School health

Mortality and morbidity

Nutrition

Reporting Structure [Facility based/Area based]

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Data Element, Validation Role and

Indicators

Link to data element

Link to validation role

Link to indicators

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MCH Dataset (customized)

Validation Rules

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Creating Output and Data

Completeness Check

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Integration Modules

1. Offline upload (excel-import)

2. Integration with other systems

SIMPUS (in progress)

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Working with GIS

Importing of shape files

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Dashboard & Interpretations

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Benefit of DHIS2

Directing the use of standards (forms, dataelements, indicators)

Provide flexibility to the local context

Less technical requirements, easy tocustomize (Open source)

Improve communication between

provincial, district and facility level Facilitate access to health information fordifferent stakeholder

Integration with other systems

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Capacity building and networking

Capacity building and transfer of

knowledge

HMIS model following WHO recommendation

(HMN framework)

Technical capacity building for DHIS2

North-south and south-south collaborative

network between Oslo University - UGM -HISP India

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Issues & Challenges implementation

Organization hierarchy (facility wise reportingbased and geographical area)

Reporting Standards (forms, data elements,

indicators) Capacity building and transfer of knowledge

Combining DHIS2 with existing systems(SIMPUS, Kartini, SIKDA Generik)

Sustainability and management issue (dataadministrator, central data, networks)

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Future Plan

Integration with existing systems (SIMPUS)

Scaling up to other local reports i.e: health profiles,facility reporting (hospital, village health post), SPM

Using SIKNAS Online for data flow (District, Provincial

and MoH) Individual reports (Mortality reports, patients visit

reports)

Tracking individual services (maternal and child health,

Nutrition, TB) Strengthening HMIS model which can be assessed by

national level for broader need