DISTRICT HEALTH INFORMATION MANAGEMENT SYSTEM DHIMS II- ADDRESSING THEHEALTH INFORMATION GAPS THE EXPERIENCE OF THE GHANA HEALTH SERVICE

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DISTRICT HEALTH INFORMATION MANAGEMENT
SYSTEM DHIMS II- ADDRESSING THEHEALTH
INFORMATION GAPS THE EXPERIENCE OF THE GHANA
HEALTH SERVICE

• Dr. Frank Nyonator, Dr. Anthony Ofosu , Mr. Dan
  Osei , Mr. Dominic K Atweam
• Ghana Health Service-Policy Planning Monitoring
  and Evaluation Division

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Outline of presentation

• HMIS Challenges
• ICT Solutions
• Requirements and Security
• Innovation
• Lessons learnt
• Conclusion

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HIMS Challenges

• Obtaining routine service data (USEFUL DATA) from
  all health facilities across Ghana has been the
  single most immediate challenge of the health
  sector
• USEFUL DATA for health managers at all levels
  for planning, budgeting and decision-making has
  not been timely or complete.
• Difficulty in tracking both reporting and
  non-reporting facilities
• Greater challenge for monitoring and evaluation
  activities of the sector.
• This culminates in the slow response of GHS in
  addressing potential health emergencies and
  epidemics and planning based on estimates.

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ICT Solution

• GHS Collaborated with the University of Oslo
  developed a software called the District Health
  Information Management System (DHIMS2)
• DHIMS2 is a comprehensive HMIS solution for the
  reporting and analysis needs of district health
  administrations and health facilities at every
  level.
• Its been designed to
• Provide a comprehensive HMIS solution based on
  data warehousing principles and a modular
  structure which can easily be customized to the
  needs of different health systems - national,
  regions, districts, and facilities
• DHIMS2 is centralized, which enables easy, online
  updates and deployment of the application.

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ICT Solution-Accessibility

• DHIMS2 is accessible in all 170 (216) districts
  and is being used by health facilities and
  district health directorates to collect, collate,
  transmit and analyze routine health service data.
  
• All staff in District Health Directorates and
  health facilities with the required capacity for
  DHIMS2 management has been registered as secure
  users on the DHIMS2 server.
• There are currently 5,563 registered users from
  government, quasi-government, private and
  faith-based facilities that are submitting their
  service report each month.

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Requirement Security

• The only requirements for the user is to have a
  web browser installed on a computer and have an
  Internet connection.
• To access DHIMS2 you do not need any software to
  be installed on your computer. It works
  independent of the operating system on your
  personal computer.
• Data is encrypted , SSL certficate authentication
  
• Requires strict user guide line

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Personalized Dashboard that Managers can track
their service data of interest
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Quick reports for managers
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INNOVATION

• GHS ensured in-house capacity building and
  development of DHIMS2 application .
• All modifications done on the DHIS2 platform to
  adapt it for GHS use as DHIMS2 were accomplished
  by our own staff, trained by a TA s from the
  University Of Oslo.
• We have accomplished a nationwide implementation
  of a web-based data collation and reporting
  system involve private, quasi government and
  government facilities without an initial pilot
  project.

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Implementation

• GHS to date has trained 5 health workers in each
  of the 170(216) districts (850 health workers),
  180 system administrators across the 10 Regional
  Health Directorates and all 170(216) District
  health directorates to support the use of DHIMS2
  in collecting and collating health service data.
• Senior Managers at the headquarters level,
  Regional and district level have also been
  trained and all now use DHIMS2 to monitor the
  service utilization and inputs as well as to
  generate their own reports due to the real time
  data on DHIMS2

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LESSONS LEARNED

• When routine health service data is visible,
  easily available and accessible on a common
  platform for all managers it leads to improvement
  in Data Quality.
• Dealing with the Human Factor and Change
  management are the most important challenges to
  overcome when putting in a technology to address
  service delivery bottlenecks

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CONCLUSION

• Introducing DHIMS2 into the Health Sector has so
  far been successful in mitigating the challenges
  with service data collection and reducing the
  information transmission bottlenecks and
  timeliness.
• .

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Integrated architecture of interoperable systems
Integrated architecture of interoperable systems
and infrastructures (paper, computers, internet,
mobiles telephones

• Replicated at each administrative level
• National
• Regional
• District

Reports, GIS, Pivot, Graphs
etc DHIS2
Data from/to mobile phones
Data Warehouse
Data capture from Paper reports
DHIS2/NBIT
Import e data
Household Tracking
Monthly summary Reports
Export e summary data
Medical Records
Logistics MIS
Human Resource Records
Open MRS
Telephone
Open LMIS
iHRIS
Register pregnant women and immunization
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