This community innovation has been accepted at the 2026 DHIS2 Annual Conference as a physical poster.
Health program monitoring in conflict
The Medical Activity Database is the ICRC’s monitoring and reporting tool for all health activities integrated into our operations across all delegations. Aggregated monthly data from Primary Health Care and First Aid Prehospital Services to Physical Rehabilitation, Hospitals and Mental Health are captured, approved and visualized in the MAD instance. Implemented with DHIS2 since 2022, the limitless visualisation and data extraction capabilities including maps has been one of the most popular differences we experience compared to the previous digital solution. This generates significant time savings from the ICRC delegations in the field to shared services teams in Belgrade and Manila as well as HQ. Thanks to the transversality of the tool across health services, it is today easier to observe trends in the large spectrum of indicators from continuum of care to weapon wounded patients and victims of sexual violence received in health facilities, hospitals or detention and make decisions about programs facing risks such as nutritional emergencies, mass casualty incidents or lack of vaccination coverage. In the MAD instance we have developed a custom data approval analytics script to enable approval the users to know the status of reports and manage their tasks of completing and approving the reports of their area of responsibility. The script is in the roadmap of integration to the DHIS2 CORE app. The MAD is a bright example of interoperable solutions in the ICRC as it synchronized to individual patient data collected in OpenMRS, the referential location management and the institutional Planning and Monitoring tool, with measurable impact on time saving and data quality across databases. More connections are in progress between the MAD and other ICRC DHIS2 instances.
Primary Author: Ioanna Antzoulatou
Keywords:
Analytics, Approval, Customization, project management, humanitarian, conflict, digital health, maps, trends, planning, aggregate data, facility, interoperability, primary health care, hospital, physical rehabilitation, mental health, psychosocial, first aid, prehospital, detention, sexual violence, weapon wounded, mother and child, antenatal, SRH