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