This community innovation has been accepted at the 2026 DHIS2 Annual Conference and will be included a session.
e-Register: Leveraging DHIS2 Tracker to Modernize Ethiopia’s National HMIS
Ethiopia’s Health Management Information System (HMIS) data capture relies on manual, paper based data collection, resulting in delays, transcription errors, illegible records, high costs of printing, and inefficient workflows. These issues undermine data quality, timeliness, and evidence based decision making in health facilities. To address this, e Register was designed as a digital innovation through the DHIS2 tracker platform, aiming to streamline data capture, enhance accuracy, and reduce operational burdens. The e Register was developed using a participatory approach that actively engaged healthcare providers to ensure alignment with workflows and standards. It digitizes more than 50 paper registers, transforming numerous tally sheets and reporting templates into outputs automatically generated from the digital system. The platform has automated data validation, program rules, and real time aggregation. A pilot was implemented in a selected health facility, where manual processes were replaced with electronic data entry. The e Register eliminated paper based registration, which saved the organization about 10,000 USD per facility annually in printing. Data quality improved significantly, with a 95% reduction in ICD 11 coding errors, minimizing missed interpretations and enhancing priority disease interventions. Reporting efficiency surged, reducing data capture time from 5 minutes to 3 seconds per entry and automating report generation for seamless integration into national DHIS2. Facilities reported improved data completeness, timeliness and accuracy with real time data access supporting informed decisions and reducing providers’ burden. This digital transformation represents a scalable model for enhancing HIS in resource limited settings. By optimizing workflows, ensuring data integrity, and cutting costs, the e Register holds significant potential for nationwide expansion. Globally, it offers a replicable solution for regions without EHR,supporting improved HIS and evidences.
Primary Author: Feregenet Debela
Keywords:
eRegistry, Electronic register, DHIS2, Health Management Information System (HMIS), Ethiopia, Digital innovation, Primary healthcare, Scale-up, Digital health transformation, custom application
Thanks for sharing well doen team ET, way to go to bridge the gap between EMR and implementation challanges