This community innovation has been accepted at the 2026 DHIS2 Annual Conference as a physical poster.
HISP Rwanda’s Contribution to Global Health Inform
Introduction: Founded in 2013, HISP Rwanda implements DHIS2-anchored health solutions across 11 Anglophone and Francophone nations. While these diverse digital interventions have matured significantly, evidence of their implementation and impact remains fragmented. This practice-based review synthesizes scattered data to evaluate system performance and document lessons for regional scaling. Methods: We conducted a practice-based review (Feb 2012–Nov 2025), triangulating non-confidential internal materials with public records from ministries and agencies, WHO/DHIS2 documentation, partner reports, and peer-reviewed/grey literature. Artifacts were identified via structured searches and citation chasing. Data were extracted to a standard template, validated across ≥2 sources when possible, and graded by weight of evidence. Results: Twelve solution areas emerged: national HMIS on DHIS2; HIV aggregate reporting; TB/HIV case-based monitoring; CRVS, electronic immunisation registry interoperability with caregiver digital cards; COVID-19 vaccination e-tracker and digital certificates; COVID-19 case contact management; indicator-based eIDSR; Event-Based Surveillance enablement; oncology registry with CanReg5 integration; climate–health analytics within DHIS2; ENR-MIS upgrade/interoperability; and regional deployments like oncology registry, immunisation micro-planning, eLMIS. Reported effects included improved timeliness and internal consistency, reduced duplicate entry, streamlined workflows, real-time coverage monitoring, verifiable credentials, earlier outbreak alerts, and end-to-end stock visibility, enabling stronger, faster, evidence-based decision-making. Conclusions: Findings support a platform-first, government-owned digital public goods approach, reinforced by standards-based interoperability, governance, and capacity building. Limitations include variable outcome quantification and attribution in multi-partner settings. Priorities are institutionalised MEL, broader cross-program triangulation, user-centred data products, and sustained investment in metadata stewardship and national developer/analyst capacity.
Primary Author: Similien NDAGIJIMANA
Keywords:
Digital health; DHIS2; Health Management Information Systems (HMIS); Electronic immunization registry (eIR); CRVS interoperability; EBS/eIDSR surveillance; COVID-19 vaccination; eLMIS; Climate–health analytics; Monitoring, Evaluation and Learning (MEL); Digital public goods; Rwanda
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