Introduction to HISP and the DHISIntroduction to HISP and the DHIS

Vincent Shaw

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

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

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

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

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

Software development DHIS v1.3 + 1.4

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

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

InactiveActiveInformal trainingMasters prog.

Distribution of training programmes

Training and HR Development

1994 - 1998

1998

2000

2001

2002

2003

2005

BEANISH Project

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

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

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