This community innovation has been accepted at the 2026 DHIS2 Annual Conference as a digital poster.
Nigeria Climate Indicators-DHIS2 Interoperability
Background: Nigeria is highly vulnerable to climate change, with projections showing rising climate sensitive disease burden by 2030 due to heat, flooding, drought, and extreme weather. The Nigeria Health National Adaptation Plan (HNAP) 2025–2030 prioritizes climate informed surveillance, early warning, and evidence based decision making to strengthen health system resilience. This paper explores opportunities to leverage DHIS2 to systematically monitor climate sensitive health indicators identified in the HNAP. Methods: A systematic desk review mapped HNAP priority indicators against existing DHIS2 functionalities to identify integration opportunities and system enhancement requirements. Aligned with the HNAP Integrated Risk Monitoring and Early Warning pillar, the proposed digital approach will comprise of three steps: (i) indicator mapping and adaptation of climate sensitive health indicators (e.g., malaria, cholera, heat related illness, malnutrition, and cardiovascular outcomes); (ii) DHIS2 system re configuration, upgrade and phased deployment to integrate climate tagged variables, geospatial layers, and interoperability with meteorological and environmental data platforms; and (iii) capacity strengthening and data governance interventions to improve data quality, timeliness, and use at national and sub national levels. Expected Outcomes: The DHIS2 platform presents opportunities for integrating additional climate sensitive health indicators such as heat related illness (heat stroke), vector borne diseases (dengue, zinka and lyme), respiratory illness (lung cancer), water borne diseases (giardiasis), mental health (depression and anxiety) and cardiovascular diseases, while optimizing the reporting of climate sensitive data on the DHIS2 platform. Noteworthy, implementing HNAP climate integration in DHIS2 faces potential challenges from system complexity and persisting infrastructure limitations. Conclusions: Leveraging DHIS2 within the HNAP framework potentially provides a cost effective, evidence driven pathway to strengthen climate responsive health surveillance in Nigeria.
Primary Author: Sorbari Igbiri
Keywords:
Climate, HNAP, DHIS2, integration
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