This community innovation has been accepted at the 2025 DHIS2 Annual Conference
DHIS2 for Casualty and Bed Monitoring in Lebanon
DHIS2 is used in Lebanon for online reporting of communicable diseases, with data entered directly by hospitals, medical centers, and laboratories. During the armed conflict in the southern frontiers, the Public Health Emergency Operations Center (PHEOC) required real time data on casualties and hospital bed availability. To address this, DHIS2 was customized for timely reporting and monitoring. A DHIS2 Tracker program was customized for casualty reporting, and a daily dataset was implemented for hospital bed vacancy monitoring. Structured forms captured key variables, including demographics, triage status, injury mechanism, and ER destination. Hospitals were trained in data collection and reporting. The bed vacancy dataset allowed multiple daily updates. Two DHIS2 dashboards visualized casualty trends and hospital capacity, while an automated FlexDashboard, updated via an R script, supported national reporting. Data completeness and reporting consistency were continuously monitored to enhance system performance. During the war (September 23 – November 27, 2024), 122 hospitals were onboarded for real time casualty reporting, with 20 training sessions conducted. Key variable completeness ranged from 61% to 97%, with 16,310 cases recorded. For hospital capacity tracking, 138 hospitals submitted 6,806 bed vacancy forms, achieving 75% reporting completeness. Two DHIS2 dashboards were developed: one visualized casualty trends, including daily cases, deaths, and demographics; the other displayed available hospital beds by location. Additionally, a FlexDashboard, updated via an R script, provided real time national reporting. The DHIS2 casualty tracker and bed vacancy system enabled efficient real-time monitoring during the war, supporting timely decision-making and resource allocation. Automated dashboards, including a FlexDashboard with R script updates, ensured national reporting. This experience highlights the value of adaptable digital health solutions in crisis response.
Primary Author: Abass Jouny
Keywords:
DHIS2, Casualty Tracking, Hospital Bed Vacancy, Lebanon, Real-Time Monitoring, Public Health Emergency, Crisis Response, Automated Dashboards.
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