1. 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

2. 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

3. 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

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

5. 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

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

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

8. CHESS field procedures
CRUN
URCN

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

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

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

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

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

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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. CRUN
CHESS launching
Where are we up to date ?
URCN

24. 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

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

26. 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

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