DHIS2: Platform for integration and interoperability ... · DHIS2: Platform for integration and...
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DHIS2: Platform for integration and interoperability - Example Indonesia Background • HISP : global network for HIS development, Open Source Software, education and research • DHIS 2 open source software platform: reporting, analysis and Jørn Braa, University of Oslo dissemination of health data, integration & tracking individuals • Started in South Africa in the 1990’s - DHIS2: Kerala 2006 - Bangladesh 2009 - Now 50+ countries using DHIS 2 • Indonesia: Combined National & District ‘dashboard’ approach
Transcript of DHIS2: Platform for integration and interoperability ... · DHIS2: Platform for integration and...
DHIS2: Platform for integration and interoperability- Example Indonesia
Background
• HISP : global network for HIS development, Open Source Software, education and research
• DHIS 2 open source software platform: reporting, analysis and
Jørn Braa, University of Oslo
platform: reporting, analysis and dissemination of health data, integration & tracking individuals
• Started in South Africa in the 1990’s- DHIS2: Kerala 2006- Bangladesh 2009- Now 50+ countries using DHIS 2
• Indonesia: Combined National & District ‘dashboard’ approach
Improved Internet & mobile 3G network – ‘cloud’ infrastructure
Rapid scaling – from ‘hundreds’ of installations to 1
BEFORENOW
Online system – one server
Easier to integrate with other systems
• Many national systems: TB, HIV/AIDS, Insurance …
• Web Api: Interoperability
TB AIDS BPJS
• ‘Server to server’
DHIS 2:
• Data warehouse aggregate data
• Dashboard: Import & present data without disturbing underlying systems
Data Data from-Data mart-Meta data
Dashboard
Web Portal
DHIS2 Country platform: Integrating health programs & data sources
Data warehouse
DHIS 2
LMIS
HR EMR
Measles under 1 year coverage by district 2006(Measles doses given to children < 1 year / total population < 1 year)
74.7
81.379.0 80.7
89.594.4
80.0 79.9
93.6 93.8
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Chake
Chake
District
Michew eni
District
Mkoani
District
Wete
District
Central
District
North A
District
North B
District
South
District
Urban
District
West
District
Pemba Zone Unguja Zone
District
An
nu
al m
easl
es c
ov
erag
e %
Data fromMobile devises
-Meta data-Visualisingtools
Graphs
Maps
Getting data in - Data warehousing Getting data out - Decision support systems – ‘Business intelligence (BI)
Mobile
Indonesia Data Warehouse & Dashboard
BKKBNBKKBN(Family
Planning BPJS
(Social Security
National level:Electronic data sources
Dashboard
DHIS2 Data warehouse
DHIS2 Data warehouse
SITT (TB) SIHA (HIV)(Malaria) E-Sismal(Malaria)
NCD Logistics
Board)Planning Board)
(Social Security Provider)
NIHR&D
Vaccine Malaria
TB AIDS
Others
MCH IDSR
DISTRICT:Each programmanage own data- report to national
District
NATIONAL
PROVINCE: All programs receive reports aggregated by district –from district programs
KOMDATA/ HMIS
AIDSTBBPJS
TB MCH
Vaccine
IDSR
Malaria
AIDS
OthersVaccine
Others
Malaria
PUSKESMAS/ Health Centre : Each Program Reports to Program in District
- report to national & province
Puskesmas – Health facility
Data flow
Indonesia: Many parallel systems (& different facility codes !)
• Some are capturing data by facility - Puskesmas
• HIV/AIDS, TB, Malaria (but Excel), BPJS (Insurance), Nutrition
• Some are collecting data aggregated by district
• MCH /ANC, KOMAT (HMIS), morbidity
Indonesia DHIS 2: Integration & Interoperability- Many national database Systems
• MCH /ANC, KOMAT (HMIS), morbidity /outpatients
Two combined strategies: Top-down: and Bottom up
– Systems capturing data by facility: import directly to DHIS2, make available countrywide
– Systems reporting data aggregated by districts: Start capturing (or import) data by district in DHIS2
Vaccine
Malaria
TB AIDS
MCHIDSR
DISTRICT:Integrated data warehouse & dashboard
PROVINCE: Integrated data warehouse& dashboard used by all
DHIS2
Data access& use
DHIS2District systemIntegration
TB MCH IDSRAIDS
OthersVaccine
Others
Malaria
PUSKESMAS: Programs use DHIS2, both data use and reporting
dashboard
Puskesmas – Health facility
Vaccine
TB AIDS
MCHIDSR
National Data warehouse
- Central Server
DISTRICT:Integrated data
DHIS2AIDSTB
National System Integration
BPJS
TB MCH IDSR
Malaria
AIDS
Vaccine
Others
MCH
Malaria
IDSR Integrated data warehouse & dashboard
Puskesmas – Health facility
Location of Hospitals and Puskesmas (Health Centres)Critical!!: all systems must be mapped to shared code
DHIS : Data warehouseStatistical data
Malaria
Komdat/HMIS
MA
PP
ING
Mapping Facility codes MCH
Shared Facility codes Integrating data sources
FamilyPlanning
EPI
Human Resource recordsDashboard
TB
HIV/AIDS
/HMIS
FacilityCodesRegister
MA
PP
ING
Nutrition
BPJS
LMISIndonesia
Integrated National HTM Dashboard
TB +Ve rate 2014By Province
By District TB +Ve cases by facilities
National TB Dashboard
Yogyakarta Dashboard
