introduction to hisp and the dhis vincent shaw. overview of presentation: hisp overview –goals...
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Introduction to HISP and the DHISIntroduction to HISP and the DHIS
Vincent Shaw
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Overview of Presentation:Overview of Presentation:
HISP overviewHISP overview– GoalsGoals– ActivitiesActivities
Information systems in the context of Information systems in the context of developing countriesdeveloping countries– How data is collected and transformed into How data is collected and transformed into
informationinformation– Use of informationUse of information
DHIS and the key design principlesDHIS and the key design principles
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What is HISPWhat is HISP
Health Information Systems ProgrammeHealth Information Systems Programme
Global network of individuals and organisationsGlobal network of individuals and organisations– Academic institutionsAcademic institutions– Non-governmental organisationsNon-governmental organisations– Governmental organisations Governmental organisations
Members are orientated towards the “HISP goal”Members are orientated towards the “HISP goal”
An example of a South-South-North An example of a South-South-North collaborationcollaboration
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Goal of HISPGoal of HISP
Design, implement and sustain HIS following a Design, implement and sustain HIS following a participatory approach participatory approach
To support local management of health care To support local management of health care delivery and information flowsdelivery and information flows
In health facilities, districts, and provincesIn health facilities, districts, and provinces
And its further spread within and across And its further spread within and across developing countriesdeveloping countries
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Achieved through:Achieved through:
HIS design, development and HIS design, development and implementationimplementation
Organisational and human resources Organisational and human resources developmentdevelopment
Theoretical and practical knowledge about Theoretical and practical knowledge about challenges of implementing HIS in challenges of implementing HIS in developing countriesdeveloping countries
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HIS design, development and HIS design, development and implementationimplementation
Development of FOSS (called the DHIS)Development of FOSS (called the DHIS)
Emphasis on Emphasis on – Participatory developmentParticipatory development– Creation of software that empowers the usersCreation of software that empowers the users
Increasingly open to use of and integration with other Increasingly open to use of and integration with other FOSS packagesFOSS packages
Distributed development although major work done in Distributed development although major work done in South AfricaSouth Africa
Customisation of packages done locallyCustomisation of packages done locally
Multilanguage enabled softwareMultilanguage enabled software
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Software development DHIS v1.3 + 1.4
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Critique of the Software Critique of the Software Development to DateDevelopment to Date
Too focussed on SAToo focussed on SA– In fact too focussed on a single individual in SAIn fact too focussed on a single individual in SA
Possibly we have not harnessed opportunities in Possibly we have not harnessed opportunities in India strongly enoughIndia strongly enough
In some countries software development In some countries software development component has not been complemented with a component has not been complemented with a strong enough “project implementation” focusstrong enough “project implementation” focus
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Organisational and human Organisational and human resources developmentresources development
Development of Development of information systems information systems through project through project implementationimplementation
Assessment of Assessment of Information SystemsInformation Systems
Dental unit 1PAWC
City HealthClinic 1
54 private medical pract.
GeriatricServices
MOU(Midwife&
obstetric unit)PAWC
23 private dental pract.
12 private pharmacies
Private hospital:31 medical specialists
Day HospitalDNHPD
UWC OralHealth Centre
City HealthClinic 2
City HealthClinic 3
City HealthClinic 4
City HealthClinic 5
Dental unit 2PAWC
Dental unit 3PAWC
12-15 NGOs
SchoolHealth
DNHDPPretoria
Groote SchuurHospital
PAWC
DNHDPWestern Cape City Health
MITCHELL’S PLAIN
Environmentaloffice
MandalayMobile clinic
RSCYouthHealth
Services
Psyciatr ichospitalPAWC
RSC
Outsidehospitals
BirthsDeathsNotifiable diseases
New /emergingflow of information
NGOs(No n-gov.
Org anisations)
Health Centres & Clinics
DISTRICTINFORMATION
CENTRE& DATABASE
DISTRICTHEALTH
MNG. TEAM
Traditionalhealers
PrivateSector
HealthCommittees
Maternity/Mun its
HOSPITALSIn and out patients
Mental Healthservices
Nutrition
TB
STD/ AIDS
LocalGov ernment
SpecialInteres tGro ups
Health& Welfare
Foru m
DentalServices Circumcision
Surg eons
Familyplanning
GOVERNMENT NON-GOVERNMENT
COMMUNITYSTRUCTURES
COMMUNITY
HEALTH PR OGRAMS
Higherlev els
Unions
Referrals
HEALTH SERVICES
VERTICAL
SchoolHealth
EnvironmentalHealth
Other sources, e.g.Birth / death registers; TB regis ter, census data
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InactiveActiveInformal trainingMasters prog.
Distribution of training programmes
Training and HR Development
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1994 - 1998
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1998
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2000
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2001
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2002
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2003
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2005
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BEANISH Project
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HISP StrategyHISP Strategy
Can be conceptualised through the “networks of Can be conceptualised through the “networks of action” approachaction” approach
Often beginning with a strong association with Often beginning with a strong association with grass roots organisations and servicesgrass roots organisations and services
Creation of a critical mass that increases Creation of a critical mass that increases expectationsexpectations
Creation of alliances with ministry for recognition Creation of alliances with ministry for recognition of grass-roots progress and further roll-outof grass-roots progress and further roll-out
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Overview of key activities in Overview of key activities in countries countries 1/21/2
Malawi:Malawi:– Integration between DHIS and PMISIntegration between DHIS and PMIS– Development of DHIS14_Patient ModuleDevelopment of DHIS14_Patient Module
Nigeria:Nigeria:– Integration DHIS and Indehela softwareIntegration DHIS and Indehela software
Botswana:Botswana:– Development and training on DHIS14Development and training on DHIS14
Mozambique:Mozambique:– Implementation of DHIS in MoH and ProvincesImplementation of DHIS in MoH and Provinces
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Overview of key activities in Overview of key activities in countries countries 2/22/2
Zanzibar:Zanzibar:– Implementation of DHIS14 in PHC and Implementation of DHIS14 in PHC and
HospitalsHospitals