Nanoro HDSS, Burkina Faso Halidou TINTO, Innocent VALEA, Karim DERRA CRUN CHESS Pilot Study Nanoro HDSS, Burkina Faso Halidou TINTO, Innocent VALEA, Karim DERRA URCN

CRUN URCN Outline Overview of the project Study area Implementation strategy Basket of diseases Implementation of the Project Biometric registration in the communities Deployment in the health facilities (HF) Challenges and lessons learned URCN

Clinical Research Unit of Nanoro (CRUN) Mission: to strengthen the rational basis of heath care for populations living in tropical countries. Located at Center Western BF, 85 km from Ouagadougou (latitude 12,41262, longitude -2,11547) ≈ 600 Km² in rural area HDSS began  March2009 Economical activities: Agriculture Mossi community (>90%) Burkina Faso URCN

CRUN URCN Nanoro surveillance area 12 villages Population : ~34 837 Health facilities 3 peripheral health centers 1 referral hospital URCN

Implementation strategy CRUN Strengthen human resource capacity of local HF Adaptation of existing organization of the HF to the CHESS requirements Community engagement: Meetings with the MoH, Health District of Nanoro, Director of referral hospital Community sensitization Local health staff sensitization CHESS implementation (step by step approach) URCN

Implementation steps CRUN URCN Training: HDSS staff Local health workers Identification of HDSS population Updates with fingerprint enrollment Database validation Deployment in HF URCN

Basket of diseases CRUN URCN Malaria (RDT / Microscopy) HIV (RDT) TB Meningitis Measles Dengue* URCN

CHESS field procedures CRUN URCN

BEFORE CRUN CHESS IMPLEMENTATION Where are we up to date ? URCN AFTER

Biometric registration phase (1/3) CRUN Software development Server & Tablets configuration Field team training Field test URCN

Biometric registration phase (2/3) CRUN Fieldworker with enrollment devices biometric data collection URCN

Biometric registration phase (3/3) CRUN Screen of biometric data collected URCN

Biometric registration status CRUN Enrollment period: Start date: 08Sept2016 End date: 19Jan2017 24/24 villages completed 40 097people enrolled 66 % global enrolment rate URCN

Preparation phase in HF CRUN Preparation phase in HF Where are we up to date ? URCN

Software & Hardware configuration CRUN PHIS software translation into French completed Server & computers configuration completed 2 times visits by the PHIS team in Nanoro site to assist the site : September 2016 January 2017 URCN

PHIS demonstration meeting CRUN Meeting made at 19Sept2016 with all the potential users : Local health team & Study staff Nanoro Hospital Nanoro Health District & CRUN After presentation, some inputs were collected Local health team training ongoing URCN

CRUN URCN Deployment in HF (1/6) Intranet configuration at one HF PHARMACY   MATERNITY   workstation 5 Server workstation 1 DISPENSARY   Switch workstation 2 workstation 3 URCN workstation 4

Cabling done for all HF which did not have cables Deployment in HF (2/6) CRUN Cabling done for all HF which did not have cables CSPS Nanoro CSPS Seguedin CSPS Nazoanga CRUN URCN

Solar power installed for 2 HF without electricity Deployment in HF (3/6) CRUN Solar power installed for 2 HF without electricity CSPS Seguedin CSPS Nazoanga URCN

Training of the local health staff completed for 4 health HF Deployment in HF (4/6) CRUN Training of the local health staff completed for 4 health HF Nanoro, Seguedin, Nazoanga & CRUN completed Tranning ongoing in Nanoro hospital URCN

CRUN URCN Deployment in HF (5/6) 3 health centers ready to started at 1st March 2017 CSPS Nanoro, Seguedin & Nazoanga Computers & server installed Software (PHIS) installed Cabling & solar power completed Training of the local health staff completed Pretest completed URCN

Nanoro referral hospital (CMA) not yet ready Deployment in HF (6/6) CRUN Nanoro referral hospital (CMA) not yet ready Server & Software (PHIS) installed Cabling completed OPD building construction completed Training of the local health staff ongoing Computers available but yet installed URCN

CRUN CHESS launching Where are we up to date ? URCN

CHESS official launching by MoH CRUN The Minister of Health of Burkina launched officially the CHESS study on 14th February 2017 at the Nanoro HF URCN

CHESS official starting CRUN The CHESS started officially in the three health facilities on 1st March 2017 : CSPS Nanoro, Seguedin & Nazoanga URCN

Challenges and lessons learned CRUN Software – Hardware Always think both Intranet connectivity Cabling is better No electricity for some HF Solar power “Peopleware” At beginning, people were afraid … no knowledge of the computer Budget The site has made some efforts to provide additional resource that the approved budget can’t afford. URCN

THANK FOR YOUR ATTENTION ! CRUN THANK FOR YOUR ATTENTION ! URCN INDEPTH CHESS Team 1st visite in Nanoro