Ghana ghsdhims.org - an AfDB 2013 Award Winner on eHealth!
Ghana has since April 2012 used DHIS 2 nation-wide with a fully online deployment led by the Ghana Health Service. Recently this implementation won the The African Development Bank eHealth competition.
In addition to the routine aggregate data collected every month, the district hospitals are using the DHIS 2 Tracker module to capture case-based data from inpatient admissions and deaths with ICD-10 coded diagnosis, enabling more accurate morbidity and mortality statistics. More than 200 hospitals across the country register totally about 1000 new admissions every day using DHIS Tracker.
The online national DHIS 2 system played an active role in the recent regional annual performance reviews and by policy only data from the DHIS 2 is to be used in these reviews. Ghana delivered a record-breaking DHIS 2 rollout covering the whole country in around 6 months.
Tanzania finalized its country wide rollout in 2013 after completely deploying a revised HMIS tools national wide. Over 1.5 million data from all facilities in the country are entered monthly in the National Data warehouse through internet connection using their Modems, Broadband LAN and VSAT link.
Through its epidemiology unit Tanzania has implemented weekly eIDSR reporting using Mobile USSD to DHIS 2. Immediate outbreaks and weekly summary data are directly collected from all public, private and FBO health facilities within the country. This fosters country’s disease surveillance and response through DHIS 2. Tanzania is also the first country to fully integrate the Pay for Performance payout model into the DHIS2 National data warehouse which enables health service providers to fully monitor their performance and payments through DHIS 2.
Kenya was the first country in Sub-Saharan Africa to deploy a completely online national HIS in September 2011. All districts and selected health facilities are connecting to the DHIS 2 national server using Mobile Internet (dongles/usb modems) on their computers. Kenya allows self-registration of personal user accounts.
After 1 year of country-wide use the national reporting rates for the major monthly forms are stable above 90 percent. Approximately 2000 users are entering data and using the data analytics features in DHIS 2 to improve management of health districts and other administrative areas. The Kenya ministry of health allows for people to self-register their account, so you are free to log in and have a look.
Kenya has through the DHIS 2 Tracker customised the WHO SARA tool to conduct an extensive facility survey directly in DHIS 2. Having a full inventory of availability and readiness of services for all health facilities, public and private, will be a big boost for the data analysis in the national Kenyan DHIS 2 system.
To foster data use and simplify access to the data in DHIS 2 and other systems in the HIS architecture a web portal is under development. This Drupal-based portal makes full use of the DHIS 2 Web-API accessing pre-defined data analysis outputs like tables, charts and maps, as well as plugins to embed the Data Visualizer and GIS modules or to display favourite charts in a dynamic carousel.
The Kenyan DHIS 2 system is seeing an increase in the use of the collaborative tools. District officers from different sides of the country are using Interpretations to share charts and discuss possible interventions to improve health care, and daily many users are sending feedback messages or requests for support to the national team using the messages feature.
Uganda went country-wide with their online DHIS 2 implementation in August 2012 after a speedy roll-out that took less than 6 months, again taking advantage of the rapidly improving mobile Internet coverage in East Africa.
In addition to HMIS aggregate data, Uganda is at the forefront of the use of the new patient tracking capabilities in DHIS 2. A pilot implementation to track mothers and children to improve the continuum of care is under way and different client platforms are being explored to reach out to the local health workers and the pregnant mothers, such as laptops, smart phones, feature phones, and SMS messaging.
In the four Saving Mothers and Giving Life (SMGL) pilot districts in Western Uganda key indicators on maternal health are being collected in the community using mobile phones. Village Health Teams (VHT) are submitting data directly to the online national DHIS 2 system using SMS. This data is then immidiately available for data analysis by all online users at all levels across the the country.
The national HMIS platform in Zambia has recently migrated to DHIS 2, supporting collection of data from facilities from the whole country. DHIS 2 is also being used in several community health worker and facility data collection programs.
The national Malaria control program and PATH have deployed a DHIS 2 Mobile solution to support a Malaria eradication initiative.
More than 600 clients are submitting a minimum dataset (cases, lab results, stocks) on Malaria every week using mobile phones (a J2ME client), and in return get access to mobile-tailored reports, like line charts with trend analysis.
You can read more about how the National Malaria Control Center in Zambia is using DHIS 2 to collect critical data from facilities and community health workers here.