In this discussion thread, feel free to ask questions related to the Community Health Information Systems: Global standards for a diverse world session of the 2020 DHIS2 Digital Annual Conference. You can post your questions ahead of, during, or after the session. The panellists will check this thread for questions, and select some for responding to in the session, or follow up after the session has ended. Feel free to respond to other questions or add to them if you have something to follow up with.
@omielp Would the DHIS2 platform/framework allow for integration of crop and livestock health information captured by extension agents, paravets and others? I am asking because there are plans under way in Uganda to test integrated crop-livestock health advisory services for farmers, as part of a One Health approach. A key component is to look at ways to effective capture and use data. Thanks
The CHIS guidance document the UNICEF is leading on is focusing on data collected by CHWs. What about the data collected during community-based interventions, but not performed by CHWs? Are they supposed to be part of the CHIS? Or are they supposed to be integrated into the HMIS through the “health facility” packages?
@omielp Are there any connections between the Ugandan DHIS2/HISP and the One Health various initiatives?
@alfredo Who manages the A2D interoperability service? What does it take to keep this service running?
a question for Patrick
For the CHIS package, is there a sample for Uganda only for the moment?
Because of the content of the activity package is often different from one country to another
CHIS and HMIS work is very impressive. Is CHIS aggregate or tracker or both, in such case how CHIS data is managed and aggregated multiple users and platforms and data is not duplicated? Thanks
@alfredo Does other system that can be integrated directly to HMIS system. use the interoperability layer / system that helps to connect these other systems to DHIS2? or is connected peer to peer?
It is possible to use the platform for any data collection, however national implementations are built based on HMIS tools and so, for any integration into the national system, you have to start by integrating/making provisions in HMIS tools, then it will be implemented in the national DHIS2.
I know there has been an activity related to this with support from CDC, but I would differ this question to @prosper who is our team lead and with a better understanding of this program.
Hi @souleymaneya the UNICEF guidelines should be published in the near future, following consultations with WHO programmes and field. These guidelines are structured in a way that allows countries to select and choose from a standardized list of indicators what makes sense for their country context. In addition to being able to select from standard indicators across different programmatic areas (e.g. malaria, HIV, NCDs etc), the indicators are sorted based on a maturity model. So that depending on how community data is being collected, some indicators are the ‘basic’ package and some indicators are more appropriate when patient-based or individual level data collection is possible. In this way, the package is a ‘gold standard’ of all indicators, but adaptable.
Good question @GROUT_Lise. One of the challenges with standardizing an approach to community health data is the high variability of data flows, structure & community based interventions in countries. My recommendation would be to first look at the list of the CHIS standard indicators (that are focused on CHWs, yes) to see if they are appropriate to the community-based intervention. Where standard indicators can be used, that will support harmonization in the HMIS. However, if there is already a reporting mechanism, say from community interventions within a catchment area to the Health Facility, there might be other ways of structuring this. As an example I’ve seen in malaria elimination countries in the GMS, community health workers report malaria tests & cases through the HF. But sometimes they conduct active surveillance, and these are basically the same data points but are entered in a line-listing that includes information about whether the suspected cases tested/confirmed cases were found through active or passive surveillance. There’s lots to be learned from this question, I think. Thanks for bringing it up.
well received Rebecca,
Thank you very much
So it is not necessary straight forward to apply DHIS2 to the agricultural sector, right?
Yes, you can deploy an instance in the agricultural sector and have a plan to exchange data with the health instance.
The recording of the session is available on our YouTube channel.