This community innovation has been accepted at the 2026 DHIS2 Annual Conference as a digital poster.
DHIS2 as DPI for Birth Registration
DHIS2 functions as national digital public infrastructure (DPI) for routine health information management in many low and middle income countries. In Uganda, DHIS2 captures antenatal care (ANC) and birth related data largely as aggregate indicators, which limits reuse of individual level data for services such as birth registration and integration with civil registration and vital statistics (CRVS) systems. This paper presents an implementation and methods use case describing how DHIS2 was configured and piloted to support individual-level ANC and birth data workflows and to explore interoperability pathways with CRVS. The use case was piloted within Uganda’s national DHIS2 platform in Mukono District. In this context, DHIS2 is currently used to track individual-level ANC data at public HCII and HCIII facilities, and five facilities have fully transitioned to a digital ANC eRegistry. The pilot focused on differentiated service delivery contexts by examining public HCII and HCIII workflows for ANC and birth data. Mixed implementation methods were used to generate operational understanding of system configuration and readiness, including DHIS2 Tracker and metadata configuration reviews, workflow mapping, stakeholder consultations, and analysis of secondary data from public health facility digital systems and infrastructure assessments. Analysis was guided by CFIR and PRISM. The use case documents how ANC and birth data are captured at the point of care and transformed through routine reporting workflows within DHIS2, and examines DHIS2 functionalities relevant to interoperability with CRVS, including Tracker configuration, metadata structures, user roles, and reporting processes. Attention is given to how facility-level shapes feasible configuration choices and workflow design. This implementation and methods use case illustrates how DHIS2 can be positioned as a connector within national DPI ecosystems.
Primary Author: Evelyn Patra Asio @Evie_P_A
Keywords:
DHIS2; Tracker; Interoperability; Digital Public Infrastructure; Birth Registration; ANC; CRVS; Uganda
