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10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, 2017
Thanks to our generous sponsors
HMIS/LMIS Integration in Tanzania
Tenly Snow, OpenLMIS Community Manager
Naomi Printz, Deputy Chief of Party, Global Health Supply Chain Project - Techanical Assistance - Tanzania
Unique Characteristics of HMIS & LMIS
Healthmanagementinformationsystems(HMIS)collect,aggregate,anduse
servicedata fromhealthfacilities
Logisticsmanagementinformationsystems(LMIS)collectandusecommoditysupply
data fromhealthandstoragefacilities
Defining HMIS
Ahealthmanagementinformationsystem(HMIS)collectsandreportsprograminformation,suchasincidenceofdisease,client/patientinformation,andhealthservicesrendered.
HMISdatacanbeusedtodeterminediseasepatternsortotrackhealthservicesuse,aswellastomonitorandevaluatehealthservicedelivery.
DHIS2isthemostwidelyusedapplicationinLMICs,andisoptimizedfordata reporting.
Defining LMIS
A logistics management information system (LMIS) is a system that is used to collect, organize, and present logistics data gathered from all levels of the health system. An LMIS enables logisticians to collect the data needed to make informed decisions that will ultimately improve product availability patient treatment.OpenLMIS and Logistimo are examples of LMIS applications in use in Africa and Asia. They are optimized for supply chain management
Motivation: The reality of integrating HMIS & LMIS data
• Despite great interest in combining HMIS & LMIS data, there are few country examples where this is routinely implemented.
• Thus the UNCoLSC decided to test HMIS/LMIS integration projects with the 3 UNCoLSC-funded information systems.
• Tanzania & Senegal chosen as initial deployment sites.– User requirement gathering started in Tanzania in January
2015– Initial conversations started in Senegal in September 2015– Overall intent of the project is document the real-world
experiences, considerations and lessons learned to assist deployments in other countries.
OpenLMIS & DHIS2
OpenLMIS isamultipartner opensourcelogisticsmanagementinformationsystem.TheOpenLMIS implementationinTanzaniaisknownas“eLMIS.”
LMIS HMIS
DHIS2isaflexible,web-basedopen-sourceinformationsystemwithvisualizationfeaturesincludingGIS,chartsandpivottables.
Requirements Gathering
Software Development Testing Deployment &
Training
Linking HMIS and LMIS in Tanzania
HMIS LMIS
Systemused DHIS2 eLMIS
Datacollected Services(patients,cases) Productsusedforthatservice
Wherethedatacomesfrom Servicesrecords Stores,dispensingarearecords
Frequencyofdatareportingfromfacilities
Monthly Quarterly
Whoentersthedataelectronicallyinthesystems
DistrictHMISfocalperson Districtpharmacist
InTanzania,DHIS2andeLMISareseparatesystems;however,thereisvalueincomparingcasedata(diseaseencounterdata)withdataonquantitiesoftreatments/products consumed.
TheUniversityofDaresSalaam(UDSM)has ledtheprocessofdevelopingdashboards,whichintegratespecificdatapointsacrosseLMISandDHIS2.
LMIS data compared with service data(sample dashboard graph with sample data)
National level dashboard - consumption data has been pulled into DHIS2 and dashboards developed to compare cases of PPH and retained placenta and consumption of oxytocin, ergometrine, and misoprostal
Practical example: RMNCH
Council (district) level dashboard
Users can drill down into data of one council (district) to examine the consumption and services data
Challenges and Recommendations
Challenge Recommendation
Reportingperiodmismatch • Calculatedmonth• Updatestoreportingperiod• Softwareimprovement/enhancement
Facility/productlistmatching/synchronization
• MatchedlistsmanuallyanddevelopingmaintenanceSOP
• Adherencetostandardsandadoptionofmasterfacilitylists
• GS1andproductcodes(UNSPSC)
Datainterpretation • Mappingofserviceandcommoditydata
• Establishred/yellow/greenthresholds• Decisiontreeguidelinesfor
interpretation
Thereare128digitalhealthsystemsinTanzania– peer2peerintegrationisneitherfeasiblenorsensible
128 Digital Health Systems
Source: Data Use Partnership assessment