1. Ministry of Health Uganda
National Electronic Health Management Information Systems
(eHMIS)
(Towards a One Stop National Health Data System)
Powered by DHIS2
Dr. Edward Mukooyo, MD, MSc.
Assistant Commissioner of Health Services,
Division of Health Information,
Ministry of Health,
Uganda.

2. Presentation Outline Uganda HMIS background
eHMIS vision and One Stop Center for Health Data
eHMIS Implementation milestones to date
eHMIS Key successes to date
Key challenges and wayforward
Uganda HMIS background, key challenges as rationale to DHIS2 implementation
Key successes todate
- Integration of programs data and partner reporting
- Interim support to health and partner reporting needs in between reviews
- Reporting and quality improvements
- Data use (dashboards and scorecard)
- Partnership with partners
Quick Demo
- National and district dashboards
- Scorecard and Bottleneck Analysis

3. Uganda HMIS HMIS since 1980s
Manual District and National Aggregate Reporting 1980s and 1990s
Several paper tools reviews and updates aligned to government planning
Several electronic systems piloted and rolled out but not to scale
Epi Info District Aggregate Reporting ( )
Web-HMIS ( )
mTrac – Weekly SMS reporting (Dec,2011 – todate with support from DFID, UNICEF and WHO) integrated with DHIS2
DHIS2 HMIS reporting (Jan, todate, with support from:- USG, UN Agencies and many other partners)

4. What is eHMIS
Data collection, aggregation and reporting system from facility and community
Based on DHIS2 and integrated with other reporting tools
Currently Serves as the facility registry

5. Uganda’s Vision for eHMIS
Vision of MoH Uganda
Creating a “One – Stop” (Data Warehouse) national health information system which serves all stakeholders across different levels
Supporting National, District and community/ Facility level data analysis and use
IDSR
Facility Registry
Syndromic Surveillance
Integration Layer (IL)
Data Warehouse (DW) HR
Lab
Others
EMR

6. Key Successes Health Programs Data integration
eHMIS has been integrated with different technical Areas and Partner reporting needs
HIV, TB and Malaria
Reproductive health
Disease Surveillance and Logistics
Etc…
eHMIS has been integrated with other reporting systems (mTrac, eIDSR,

7. Key Successes cont’d Data quality and reporting improvement
Improved reporting rates
More Health facilities are reporting and districts completing data entry o time
Quarterly National data cleaning activities instituted
All stakeholders come together to clean national data in the DHIS2 system prior to reporting
Ability to use the data during the DQA’s

8. Key Successes cont’d
National system addresses different stakeholder data needs;
Increased number of stakeholders accessing the DHIS2
Addendums to interim reporting needs
Number of analytic products i.e. District and Partner Favorites and Dashboards

9. Key Successes cont’d Fostering data use culture
Districts review meetings held each quarter
Data used for making decisions at all levels
District and Facility Partner reporting facilitation (Hardware and connectivity, Data entry, data validation and cleaning)
Public-Private partnership for health data (zero rated health domain and URLs)

10. Plugins for Data Use Web-portal - open access to cleaned data;
Public access to cleaned databases
Scorecard integrated with Bottleneck Analysis (BNA);

11. Challenges
Continuous Capacity building (National super-users and endusers)
Continuous maintenance of the Organization Units hierarchy which is ever changing
Ever-changing Donor requirements
Reporting by private practitioners still low and irregular

12. Wayforward
HMIS review and incorporating all the addendums (ePMTCT, Nutrition, Viral load….)
Continue strengthening the partnerships and collaborations to build a “One Stop Data Centre”
Strategies for retraining and continuous capacity building
Data entry at source (cascade down to more health facilities)

13. Thank You