This community innovation has been accepted at the 2025 DHIS2 Annual Conference
Integrating USSD with DHIS2 case-based TB System
TAMBUA TB is a USSD mobile application launched in 2018 to support tuberculosis (TB) self-screening and deliver treatment literacy messages. Designed to increase TB case detection and improve access to quality, patient-centered care, the application was implemented in six regions in Tanzania with promising results. However, its standalone nature, operating outside of integrated health systems, posed challenges to its sustainability and scalability. TAMBUA TB was successfully revamped and integrated into the DHIS2 case based TB management system to address these limitations. A structured technological framework was developed to achieve interoperability between the Tambua TB USSD application and DHIS2. Key challenges and user requirements were identified through stakeholder consultations, guiding the creation a scalable and interoperable system. The USSD platform was optimized to support real-time data entry, while secure RESTful APIs were implemented to ensure seamless data exchange between the two systems. This integration created a scalable, unified platform that enhanced the application’s functionality and linked it with national health systems. TB identification and management at the community level have been significantly strengthened, ensuring improved sustainability, data-driven decision-making, and better patient-centered outcomes. Integrating TAMBUA TB USSD with DHIS2 demonstrates the transformative potential of interoperable digital health solutions in TB control. Real-time data synchronization and automated workflows have improved case detection, reduced diagnostic delays, and streamlined referrals, enhancing treatment initiation. Targeted educational messages have boosted community awareness, while real time data validation has strengthened data reliability for evidence-based decisions. The system has optimized resource allocation to underserved areas and, importantly, reduced operational costs, addressing sustainability and scalability challenges and demonstrating a scalable and sustainable model for enhancing health systems
Primary Author: Meshack Mialla
Keywords:
USSD TB Platform, DHIS2 TB case based management system, Integration and interoperability, Tanzania, Community TB identification and management
2 Likes
Hi
Thank you for sharing this with the community. I think it’s a great advantage to know that an external app could be integrated with DHIS2 to expand and empower its use and features.
I also learned about the TB situation in Tanzania and the amount of effort and support needed to eliminate it. I wish you good luck with your work.
I’m curious about the Tambua TB app “self-screening” and how does that work? Additionally, is this app available for use by others?
Thanks!