DHIS2: Concept and
Implementation Strategy
Guardian Y. Sanjaya
Learning Objective
•
Understanding concept of DHIS2
•
Understanding the use of DHIS2 as an integrated health information
systems platform
DHIS2
•
DHIS2 is a free and open source database and application for
collecting, processing, and analyzing health information
•
Objective of DHIS2 implementation is to be able to generate, analyze
and disseminate health information to facilitate effective policy
formulation, management, planning, budgeting, implementation,
monitoring and evaluation of health services and program
interventions in the health sector.
Where is the role of DHIS2 mostly?
Concept of DHIS2
• Free and open source software (95% of cost is for capacity building, the rest infrastructure)
• Datawarehouse approach with data from various sources (regular reports, population data, map data)
• More likely to support health systems strengthening
• Improving data integration, rather than create new applications
• Promoting the use of data standards (data elements, indicators)
• The main benefit lies in the use of information for decision making
• Support the process flow of health data either vertically or horizontally
• Simplify scalability and sustainability of the information system
3 Dimension of DHIS2
• 3 dimension of DHIS 2 that describe data:
• where, related to the organisation unit
• when, related to periode of report
• what, related to data element which is collected
• All data values will at minimum have these 3 dimensions
Organization Unit Data Element Period Value
Mlati Health Center ANC Visit K4 Sept 2015 87.2%
Depok 1 Health Center ANC Visit K4 Sept 2015 91.4%
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 81.3 79.0 80.7
89.5 94.4 80.0 79.9
93.6 93.8 0.0
Michew eni District
North A District
North B District Pemba Zone Unguja Zone
District Mobile devises
-Data mart -Meta data -Visualising
tools
Dashboard
Graphs
Maps
Getting data in - Data warehousing Getting data out - Decision support
systems – ‘Business intelligence (BI) Web Portal
Mobile
Data Warehouse
Paper based systems: OPD, EPI, RCH, other programs
Users of primary data & data providers
Electronic
& drugs Mobilereporting Finance
Users of primary data & data providers
Users of processed & integrated data
Integration of technologies, systems, data & health programs
Integrated Health Information Architecture (“Horizontal integration”) - integrating sub-systems, technologies, health services & programs
Performance Based financing
reporting
ADX
Paper reports
Aggregate & indicator data
Integrated Dashboard
Integrated Data Source
TB MCH
PUSKESMAS:
Programs use DHIS2, both data use and
reporting
DISTRICT:
Integrated data warehouse & dashboard
Puskesmas – Health facility
PROVINCE:
Integrated data warehouse & dashboard used by all
DHIS2
Data access & use
DHIS2
Integration Source of Data
DHIS : Data warehouse Statistical data
Patients &
Medical records
Human Resource records
Data transfer To DHIS, e.g.:
#deliveries
@health centre per month
& population data
Data transfer DHIS, e.g.:
#midwifes
@health centre X for period
DHIS is calculating Indicators:
1. Deliveries per midwife
Per facility per month
Integration of technology
Lightweight Browser SMS
Android app
or browser Tablet
PC/laptop
Current DHIS2 in Indonesia
DHIS2
BPJS Kesehatan – DHIS2 Data Capture (Mobile) BKKBN - Dashboard
Malaria/ Dengue Tracker
MoH – Data Center and Dashboard District/Provincial Health
Office - Dashboard
University of Oslo
Universitas Gadjah Mada
DHIS2 Implementation
1. Install and customize DHIS2 instance
2. Working on Organization Unit hierarchy (reporting/data flow) 3. Setting up data element, category and preparing indicators 4. Data sets, data entry and design data entry form
5. Data quality and validation rule 6. Pivot table and data visualizer 7. Using GIS modules
DHIS2 Usage Expectation
Manual/ Semi Manual
Multiple eHealth
Population Data
Individual Data
Other Data
DHIS2
Statistical Tools Dashboards
Fix Format Reporting
