March 10, 2006

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Health Information Systems Programme (HISP)
Current Status and Future Directions

• HISP Ethiopia Team

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HISP - Global

• A global Research and Development network around
  health information systems in developing
  countries.
• Building synergies between informatics and public
  health.
• Supporting health reforms eg, HISP national
  standard in South Africa. (see www.hisp.org)
• Research 15 Phd students doing thesis within
  HISP framework registered at the University of
  Oslo.
• Education 25 students doing Masters studies
  within HISP framework.
• Enabling global benchmarks, such as open source
  platform, data standards etc.
• Enabling south-south-north collaborative networks

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Funding Sources

• Global network supported by Norwegian Aid,
  Norwegian research council, EU, Health Metrics
  Network.
• Locally, in respective countries, funding from
  various sources like national health ministries,
  USAID, Dutch Aid, national governments etc.
• PhD and Masters students funded through Norwegian
  government scholarship program.
• Total funding globally to the extent of over 1
  Million Euros per year.
• In Ethiopia, Approx 200,000 USD contributed since
  2003 by EU and Norwegian Goverment (60 for
  implementation and 40 for students scholarship -
  approx)

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HISP The Global Spread
Angola
Botswana
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HISP Ethiopia

• HISP initiated in 2003
• Housed in Dept. of Information Science, Addis
  Ababa University
• Framework of a MOU signed between the University
  of Oslo and AAU
• EU projectSpecific Support Action
• MOU HISP Ethiopia (AAU and UIO) and 5 Regions
  (Addis Ababa, Oromia, Amhara, Tigray, Benishangul
  Gumuz)

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Regional Presence
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• HISP Ethiopia Team

Three Facilitators who have diploma in Computer
science
One Programmer
4 Phd and 7 Msc Students (6 Informatics and 1 MD)
at the University of Oslo/AAU
Oslo and AAU University Project Managers
4 HISP Researchers 3 Msc in Infn. Sys. 1 in
Public Health
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• HISP Focus

Informatics
Public Health
3 HISP Researchers (fulltime) all with M. Sc.
Information Systems 1 Systems developer 4 Ph. D.
students 6 M. Sc. Students 3 Facilitators with
diplomas
1 Public health nurse 1 Medical Doctor (Masters
student in Information Science at AAU)
Oslo/AAU faculty
Oslo/AAU faculty

• DHIS Software development/implementation
• Capacity development
• Network building

HISP implementation
Research Education
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Key Actions

• Data standardization
• Capacity building
• System development, implementation
• Systems evaluation
• International networking

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Data standardization

• Standardization efforts started in Addis data
  sets and data collection instruments
• Addis standards taken as point of departure for
  creation of similar standards in other regions
• Intensive participatory processes employed
• A longer process ahead with the involvement of
  FMOH

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Capacity Building

• Masters courses currently 2 health staff doing
  Public Health studies in Maputo, funded by NORAD
• Two health bureau staff supported to attend
  intensive HMIS course in Tanzania
• Curently two courses (HIS and GIS for health)
  being conducted in AAU.
• Proposal being developed for establishng Masters
  and doctoral programs in HIS at AAU.
• Around 10 training sessions of 1-2 weeks period
  held on DHIS software, computer basics, and using
  information for action
• Seeking to make HMIS courses as part of
  curriculum in diploma programs of health colleges
  in regions where we are working

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Some Key Partners in Global Health Education
Network

• Ethiopia
• Department of Information Science, Addis Ababa
  University
• Mozambique
• Faculty of Medicine and Department of
  Informatics, University Eduardo Mondlane
• Malawi
• Medical College, University of Malawi
• Tanzania
• Department of Computer Science, Muhimbili
  University College, University of Dar es Salaam
• South Africa
• Department of Informatics, University of
  Pretoria.
• School of Public Health, University of Western
  Cape.
• India
• Indian Institute of Information Technology and
  Management, Trivandrum
• Sri Chitra Tirunal Institute of Sciences and
  Medical Technology, Trivandrum

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System Development Efforts

• DHIS 1.3 (from South Africa) customized for
  Addis, eg by adding Mortality Morbidity module.
  Currently implemented in 3 regions
• DHIS 1.3 is migrated to 1.4, and field transition
  process started in Oromia.

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System Evaluation Efforts

• Four pairs of students involved in evaluation in
  Addis and Oromia
• The HMN evaluation tool being used for the
  evaluation
• Evaluation will provide inputs for diagnosis of
  problems planning future improvements
• Two focus areas
• Assessing data quality
• Improving data usage

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Evaluation Framework
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International Networking Efforts

• Partcipating in DHIS 2.0 development work
• Nodal agency for care 2x development for EPR
  systems and for HIV/AIDS
• Participating in the HMIS course in Tanzania
• Sharing training resources
• Masters students from Oslo are coming to take
  courses in AAU

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Status in Regions
Activities
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Ongoing Enhancements

• GISCartoWeb being developed in India to be
  customized for Addis
• DHIS 2 (implemented in Kerala, India) being
  customized for Addis
• Care2X prototyped in Zewditu Hospital
• Care2X to be customized for ART module
• Additional modules for drugs, personnel
• Pilot study vital events registrationTigray

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Challenges for the Future

• Institutional
• Gaining stronger federal support
• Entering into strategic partnerships with other
  key actors, for example health institutions
• Gaining more financial support
• Strengthening implementation arm of HISP
• Implementation
• Scaling up in the 5 regions
• Extend data standardization to include federal
• Make full transition to 1.4
• Enhance the level of use of information

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Challenges for the Future (cont.)

• Moving towards an effective data warehouse model
  with DHIS 2
• Customization and testing of DHIS 2
• Multiple data sets and indicators
• Care 2X development and testing
• GIS development and implementation
• Including private facilities reporting
• Integrating of vital events registration system
  (of Central Statistical Authority)
• Integrating other relevant systems

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HISP Ethiopia DHIS Version 1.3
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HISP Ethiopia DHIS Version 1.3
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HISP Ethiopia DHIS Version 1.4
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DHIS Version 2.0
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DHIS Version 2.0