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BAO Systems and the University of Oslo are excited to welcome you to the 4th annual DHIS 2 Symposium! 

2018 Symposium Themes: 

The global digital health space is moving at a rapid pace, making exponential gains within the last few years.  It’s hard to imagine that after only 10 years of development, DHIS 2 is being implemented in 87 countries and Indian states, with 53 operating at national scale.  This kinetic global expansion of DHIS 2 has led to exciting collaborations and partnerships that are working to improve LMIC health systems.  

And yet we know that there is still work to be done to improve these systems.  

In our 4th DHIS 2 Symposium, we’ll look closely at how international partnerships between NGOs and governments are supporting national systems strengthening through technical support that ultimately improves the use of DHIS 2 and how this work is bringing us closer to harmonized data.

But beyond national systems, there is still exciting innovation happening all around us.  We’ll spend time looking at Android mobile applications and hear from the UiO about efforts to overhaul and re-develop the applications.  Biometrics are making concrete gains in development work and we’ll hear how they can be incorporated into DHIS 2.

Other topics to be explored include:  

  • What work is being done around using DHIS 2 for the Sustainable Development Goals and how can we move that work forward?

  • How is data used in concrete ways to drive decision-making, course-correction and drive impact of your programs?

  • How is integration with other systems like LMIS and EMRs improving national systems?





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Thursday, March 22
 

9:30am PDT

Registration: Check-in and Breakfast
Thursday March 22, 2018 9:30am - 10:00am PDT
FHI 360 Foyer

10:00am PDT

Welcome Remarks
Speakers
NH

Nicola Hobby

Director of Programs, BAO Systems
Nicola Hobby is the Director of Programs at BAO Systems and has been the Organizing Chair of the DHIS 2 Symposium since 2015. Prior to joining BAO, Nicola worked in international public health for 11 years with Population Services International in a variety of positions. She has worked... Read More →


Thursday March 22, 2018 10:00am - 10:15am PDT
Academy Hall

10:15am PDT

From Container to Content: DHIS 2 as Canal to Foster Convergence, Completeness, Commensurability and Quality
The WHO cluster for Health Metrics and Measurement is working with the University of Oslo to package standard data element and indicator definitions with a set of core analytical outputs for the DHIS 2 platform. We look at the status and future plans for this work, and the potential for sharing of high-quality metadata configurations and related content, for both aggregate and case-based data.

Moderators
avatar for Adebusoye Anifalaje

Adebusoye Anifalaje

Principal/CIO, BAO Systems
Adebusoye is a seasoned informatics professional specialising in resource-constrained contexts. Busoye has worked in leading the deployment of DHIS2 (an open source software) for various ministries of health and iNGOs in Africa, Asia, North America & Europe. He holds two Masters degrees... Read More →

Speakers
avatar for Knut Staring

Knut Staring

WHO
Knut Staring works on health information systems and standards in the Department of Information, Evidence, and Research with the World Health Organization, Geneva, Switzerland. Knut is one of the founders of DHIS 2, he holds PhD and masters degrees from the University of Oslo, and... Read More →


Thursday March 22, 2018 10:15am - 11:00am PDT
Academy Hall
  Plenary Session
  • Company WHO International

11:00am PDT

Does DHIS 2 Contribute to "leave no one behind"? The example of Tropical Diseases and the Sustainable Development Goals
The Neglected Tropical Diseases (NTDs) affect and are affected by many of the other development areas covered under the Sustainable Development Goals (SDGs). Fighting against the NTDs, which affect the “poorest of the poor” obviously is in line with SDGs’ motto “Leaving no one behind”. But NTDs are more specifically targeted by health-related SDG goal 3.

The target 3.3 to “end the epidemics of AIDS, tuberculosis, malaria and NTDs” has an NTDs-specific indicator which is the indicator 3.3.5 “Number of people requiring interventions against NTDs”. This indicator is conceptualized as the number of people requiring treatment and care, i.e. the average annual number of people requiring mass treatment known as preventive chemotherapy and the number of new cases requiring individual treatment and care for at least one NTD, which is simplified as the number of cases.

The target 3.8 to “Achieve universal health coverage” has a coverage indicator based on trace intervention that includes infectious diseases. NTDs could be a perfect tracer for infectious diseases, along with tuberculosis effective treatment, HIV antiretroviral treatment, insecticide-treated net (ITN) coverage for malaria prevention and improved water source and adequate sanitation. The NTD coverage index is a composite indicator which reflects the access to both preventive and curative treatment.

The World Health Organization (WHO) is accountable for reporting and monitoring these SDGs indicators. This implies defining precisely the indicators, supporting the countries in collecting the required quality data that will enable the calculation of these indicators, compiling and disseminating these indicators to the international community.

Since 2015, the Department of Control of NTDs at the WHO has been developing and implementing the world Information System to Control and Eliminate NTDs. The aim of this global information system is to
enable WHO to monitor progress towards control, elimination, and eradication of NTDs. One of its sub-systems is the WHO integrated data platform, based on DHIS 2. Through this online platform, the NTD
department at WHO aims at 1/ building a global data warehouse where all data shared by the countries will be stored, compiles, analysed, discussed and disseminated and 2/ supporting endemic countries in strengthening all surveillance-related tasks for NTDs, from data standardization and collection, to data use and dissemination.

In this context, the NTD department has developed standardized indicators to be monitored, defined the minimum aggregated and individual data to be collected to be able to calculate those indicators and has translated this into DHIS 2 metadata (data elements, indicators, data sets, programs...). This
metadata is now available to any country which would like to integrate NTDs in their national DHIS 2 instance. Moreover, the NTDs-related SDGs indicators are calculated based on the data shared by the countries and shared with WHO through the WHO integrated data platform. An SDGs dashboard has been created to enable the visualization and discussion of SDGs indicators related to NTDs for internal users of this platform. A DHIS 2-based web portal has also been created to enable a timely and efficient dissemination of those indicators to the international community.

In the last few years, the adoption of DHIS 2 by countries and by the department of control of NTDs at WHO helped to strengthen NTDs surveillance, improving NTDs indicators reporting, use and dissemination and making NTDs and its affected population more visible.

Moderators
avatar for Donna Medeiros

Donna Medeiros

Senior Digital Health Architect and Policy Advisor, Asian Development Bank
Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2... Read More →

Speakers
avatar for Lise Grout

Lise Grout

Technical officer, WHO
I am an vet epidemiologist working as epidemiologist, data manager and M&E officer at the department of control of the Neglected Tropical Diseases (NTDs) at the WHO headquarters in Geneva, Switzerland.Since 2016, we have been working on developing standards metadata for case management-NTDs... Read More →


Thursday March 22, 2018 11:00am - 11:45am PDT
Academy Hall

11:45am PDT

DHIS 2 Interoperability in the Rwanda Health Data Warehouse
This session describes how Rwanda - an early adopter of the DHIS 2 platform - established a national data warehouse instance to consolidated data from multiple DHIS 2 instances and other data sources.  It highlights methods developed to synchronize metadata and data values, challenges met along the way and proposed future enhancements.

Moderators
avatar for Donna Medeiros

Donna Medeiros

Senior Digital Health Architect and Policy Advisor, Asian Development Bank
Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2... Read More →

Speakers
avatar for Randy Wilson

Randy Wilson

RHSSA Team Leader, MSH
David Randolph (Randy) Wilson has over 30 years of experience in the field of international public health, with a strong focus on the design and implementation of management information systems and M&E over the past 15 years.  He has extensive experience as an information systems... Read More →


Thursday March 22, 2018 11:45am - 12:15pm PDT
Academy Hall

12:15pm PDT

Lunch - Networking
Thursday March 22, 2018 12:15pm - 1:00pm PDT
FHI 360 Foyer

1:00pm PDT

DHIS 2 Security Considerations
With heightened scrutiny for storage and use of data containing personally identifiable information (PII) and personal health information (PHI), the public health sector is increasingly dealing with security and compliance requirements.  From General Data Protection Regulation (GDPR), Health Insurance Portability and Accountability Act (HIPAA), and local country requirements, the need for including security in health information management systems (HMIS) is no longer an optional afterthought, but rather a key requirement.  

Experts from BAO and the University of Oslo will discuss security considerations at the the following levels: organization, hosting, and application.  The organization level will look into the high level security considerations that organizations should consider and be aware of. The hosting level will discuss strategies and specifics required for proper storage, auditing, maintenance, and reporting.  Finally, for the application level we will discuss specific features in the current and upcoming DHIS 2 version as they relate to individual level data security, storage, and use.

Speakers
avatar for Dan Cocos

Dan Cocos

CTO, BAO Systems
Dan leads the engineering team and is responsible for BAO’s hosting services and software development. With over seven years of DHIS 2 experience, he also works closely with clients and the DHIS 2 Development team to ensure smooth upgrade paths and development of future features... Read More →
avatar for Mike Frost

Mike Frost

Senior Advisor, University of Oslo
Mike Frost is a Senior Advisor with the Health Information Systems Program at the University of Oslo, and Senior Advisor with the eRegistries Initiative at the Norwegian Institute of Public Health. He has worked on digital health projects in Bangladesh, Ghana, Guatemala, Liberia... Read More →
avatar for Steffen Tengesdal

Steffen Tengesdal

Principal/CEO, BAO Systems
Steffen Tengesdal is one of the founders of BAO Systems, which works with many of the largest NGOs and international agencies on DHIS 2 deployments, hosting, development, support, and training.
avatar for Kenn White

Kenn White

Co-founder, BAO Systems


Thursday March 22, 2018 1:00pm - 1:45pm PDT
Balcony D Room

1:00pm PDT

OpenLMIS DHIS 2 Integration
Speakers
avatar for Timothy Harding

Timothy Harding

Sr. Systems Analyst, BAO Systems
Tim brings a keen eye for detail to BAO. He has 10 years’ professional experience burying his nose in Excel sheets, Access databases, aggregate collection forms, and ETL software of many stripes. Since joining BAO he has worked on myriad DHIS 2 implementations for many different... Read More →
avatar for Tenly Snow

Tenly Snow

OpenLMIS Community Manager, OpenLMIS
Tenly Snow serves as Community Manager for OpenLMIS, a vibrant and expanding open source initiative comprising a community of almost 20 major global health partners working together to design high-quality LMIS software for health supply chains. Tenly comes from a global development... Read More →


Thursday March 22, 2018 1:00pm - 1:45pm PDT
Vista Room

1:00pm PDT

QuestMark: DHIS 2 Android for Human Beings
QuestMark (QM) aims to provide NGOs, DHIS 2 project implementers, research organisations, international consultants and other data warehouse server developers with a new Android platform. QM translates DHIS 2 concepts into intuitive processes covering the following key functionalities: Data Collection (e.g. for Malaria Case Surveillance apps), M&E (e.g. for Quality Assessment Tools) and LMIS (e.g. for per-clinic stock control). This is accomplished relying on the combination of a modular system and a clean architecture to properly separate the responsibilities of the different pieces. In the nutshell, QM is not an app but a framework to build an app.

Speakers
avatar for Ignacio Foche Pérez

Ignacio Foche Pérez

Director, EyeSeeTea Ltd
Based in Sallanches (France), Ignacio is dedicated full time to the London-based EyeSeeTea Ltd company where he is co-founder director, developer and leader of the Android team. As part of his responsibilities, Ignacio leads the development of DHIS 2 Android Apps for organizations... Read More →
avatar for Adrian Quintana

Adrian Quintana

Project Manager, EyeSeeTea
Adrian Quintana Perez is co-founder and director of the web department at EyeSeeTea. He leads a web development team which develops DHIS 2 Web applications and contributes to the DHIS 2 core platform for NRC, PSI, MSF, and JHPIEGO. Adrian is involved in designing and implementing... Read More →


Thursday March 22, 2018 1:00pm - 1:45pm PDT
Balcony B Room

1:00pm PDT

The Importance of DHIS 2 for Planning and Costing Health Care Services for Universal Health Coverage
Achieving universal health coverage requires mobilizing and allocating sufficient financial resources. This can only be done properly if the cost of providing health services is known. Management Sciences for Health (MSH) has assisted governments and NGOs in many countries in modeling the costs of health services. Accurate costing improves advocacy for and supports better planning and allocation of, funds to ensure that providers, medicines, supplies, and other resources are made available as needed. Modeling the costs of health services in hospitals, health centers, and communities rely heavily on accurate information on the numbers and types of services provided, including diagnoses for illnesses. For large-scale (national or provincial) modeling, the only effective way of obtaining information on services is through a national health information system. While experiences have generally been positive, matching health information system data with the actual services to be costed can be challenging, and data are often incomplete and/or inaccurate. 
In 2017, MSH assisted the Uganda Ministry of Health (MOH) in conducting a costing study of government and private health facilities, in order to estimate the cost of providing services and the financial resources needed to establish a national health insurance program. The main source of service data was the MOH’s national Health Management Information System (HMIS), which is built on DHIS 2 and has data for most of the public and private health facilities in the country. These critical data for cost modeling were matched with data on staffing and costs collected from a sample of facilities. By comparing the numbers of services provided by diagnosis with the estimated prevalence and incidence rates, the team was able to ascertain both the utilization levels and the gaps between utilization and need for services. The team was also able to show the additional financial resources required to provide better quality of care and to scale up the numbers of services to match the need. Since the costs in the models are driven by the numbers of services, the team was able to ascertain the cost of improving quality of care and of scaling up utilization.  
Uganda’s HMIS is generally well designed, and it provided much of the information needed for the costing, but the team faced a number of challenges. Some facilities that did not provide data could not be included in the sample of facilities costed, and also were not included in the national totals of services. For example, all facilities in Uganda treat malaria; however, if some facilities do not report their malaria treatment data, then the total number of malaria treatments provided in the country cannot be costed or compared with the need. Some facilities only provided data for some of the months of the year, and there did not seem to be an effective follow-up system to ensure that data gaps were filled. Some facilities submitted figures that were obviously incorrect, but there seemed to be no effective validation system in place. Finally, comparisons with the package of services showed that the HMIS does not provide all the information needed for costing.     

The HMIS provided vital information for the costing, and for determining which services should be scaled up. However, improvements need to made, both in the selection of indicators and in the completeness and validation of data so that the system may reach its full potential. 

Speakers
avatar for Yohana Dukhan

Yohana Dukhan

Senior Health Economist, Management Sciences for Health
Yohana Dukhan is a Senior Health Economist with Management Sciences for Health. She provides technical leadership and technical assistance for MSH’s projects in the areas of health financing and governance, domestic resource mobilization, public financial management, costing, supply... Read More →


Thursday March 22, 2018 1:00pm - 1:45pm PDT
Balcony E Room
  Breakout Session
  • Company MSH

1:00pm PDT

Using DHIS 2 Analytics and Interpretations to drive targeting setting for 90-90-90 indicators in South Africa
The challenge that we face is that in South Africa, which has largest HIV burden globally, with an estimated 7.1 million people living with HIV (PLHIV) and a projected increase to 7.5 million in 2020. While progress is being made towards epidemic control defined as less new infections than the number of AIDS deaths, 90/90/90 targets will not be attained by 2020 without a strong focus on acceleration and additional resources. A new PEPFAR funded initiative, the Treatment and Retention Acceleration Program (TRAP) is to accelerate epidemic control in South Africa by putting 6.1 million people on ART in the public health system and 610,000 in the private sector by December 2020, resulting in a total of 6,710,000 people on treatment by December 2020. The presentation will review steps to create dashboards in the DHIS, to set targets at provincial, district, and facility level, using available denominator and target data. In particular the use of dashboards and the new interpretation feature is seen as a major innovation for bringing various stakeholders together to improve performance and enhance supervision.

Speakers
VS

Vincent Shaw

HISP South Africa


Thursday March 22, 2018 1:00pm - 1:45pm PDT
Academy Hall

2:00pm PDT

Fostering a Culture of Data Use with DHIS 2 for Health Systems Strengthening: a Case Study on Private-Public Sector Collaboration in Lao PDR
Beginning in 2013, the Lao PDR Ministry of Health (MOH), with technical assistance from the World Health Organization (WHO), implemented DHIS 2 as part of the national health sector reform framework. Today, the Laos office of Population ServicesInternational (PSI) actively collaborates with MOH to integrate health data from the private sector into the national health management information system and provides technical assistance to strengthen the use of data in DHIS 2 to drive decision making. Data visualization and evidence-based decision making have now been integrated into the daily routine in the MOH and PSI/Laos, as shown in the recent, government-led response to a malaria outbreak in Southern Laos. Electronic integration of private sector data through DHIS 2 increases the timeliness and quality of data to strengthen decision-making. This presentation will present PSI/Laos’ experience, lessons learned, and its plans to replicate this solution for other health areas while continuing to provide technical assistance for interpreting and using data to take action.

Speakers
avatar for Thongdy Phommavongsa

Thongdy Phommavongsa

Program Manager, PSI
Thongdy Phommavongsa has served as a Program Manager at the Laos office ofPopulation Services International (PSI) since 2013. At PSI/Laos, he works to manage programs across disease areas including PSI Laos’ extensive work in malaria. Outside of PSI, Thongdy is a well-recognized... Read More →


Thursday March 22, 2018 2:00pm - 2:45pm PDT
Vista Room

2:00pm PDT

Integrating Data from Multiple Data Systems - Streamlining Data Use for Health System Decision-making
Countries are confronted with multiple siloed routine data systems. National health information systems are often separate from other data systems. Separately, they generate a huge amount of data that could be more powerful if analyzed together. While benefits of data integration are discussed, there is still a need for health information architecture that reduces duplicate efforts and facilitates data use. Now that there is a vast amount of data for use by different programs, the next challenge is to improve the use of data between programs for health-systems strengthening. By presenting different use cases, this session will address that challenge from different angles to demonstrate the potential for centralizing data, how it can be done, and what are the challenges along the way.

Speakers
avatar for Tamara Goldschmidt

Tamara Goldschmidt

Program and Partnerships Lead, Bluesquare
Tamara Goldschmidt is a public health professional with more than nine years of experience working in digital health and development, both domestically and internationally. As the Program and Partnership Lead at Bluesquare, she leads the work on designing and implementing data systems... Read More →


Thursday March 22, 2018 2:00pm - 2:45pm PDT
Vista Room

2:00pm PDT

Interoperability Between DHIS 2 and E-TB Manager: Paving the Way for an Improved National Integrated Digital TB Reporting System in Bangladesh
Lessons learned from the integration of e-TB Manager and DHIS 2 in Bangladesh are of profound importance: both tools are internationally recognized and operate in many countries, but this is the first time that their interoperability has been fully implemented and proven to exchange TB data successfully. The same approach could be replicated in other countries where e-TB manager and DHIS 2 co-exist.

Speakers
avatar for Andre Zagorski

Andre Zagorski

Senior Principal Technical Advisor PHT, MSH
Mr. Andre Zagorski is Senior Principal Technical Advisor for Tuberculosis in the Management Sciences for Health’s (MSH) Pharmaceuticals and Health Technologies (PHT) Group in charge of developing TB strategies and interventions to ensure universal access to anti-TB medicines, regimens... Read More →


Thursday March 22, 2018 2:00pm - 2:45pm PDT
Balcony D Room

2:00pm PDT

Scripting Custom Forms
Come see the complex interactive forms used by PEPFAR to track in DHIS 2 USG-funded AIDS intervention around the world.  These forms push the envelope of data collection in DHIS 2, including two sets of tabbed navigation, dynamic calculation, dynamic mutual exclusion, integrated validation rules, and drafts in static HTML.  The process for creating the forms and integrating them into DHIS 2 will be covered as well.

Speakers
avatar for Ben Guaraldi

Ben Guaraldi

DATIM Development Team Lead, PEPFAR
Ben Guaraldi is the Technical Lead for DATIM, the PEPFAR installation of DHIS2. In that role, he creates and maintains big and little pieces of code that keep the metaphorical trains running on time. Previous positions include Solutions Architect for iFactory, a web design, and development... Read More →
avatar for Timothy Harding

Timothy Harding

Sr. Systems Analyst, BAO Systems
Tim brings a keen eye for detail to BAO. He has 10 years’ professional experience burying his nose in Excel sheets, Access databases, aggregate collection forms, and ETL software of many stripes. Since joining BAO he has worked on myriad DHIS 2 implementations for many different... Read More →


Thursday March 22, 2018 2:00pm - 2:45pm PDT
Balcony E Room

2:00pm PDT

Utilization of DHIS 2 Tracker to Collect Tuberculosis Patient-level Data in Haiti
During this session, the speaker will present the pilot of an added module in the health information system of Haiti using DHIS 2 to capture patient-level data for routine Tb cases. The speaker will emphasize how this system interacts with the current national information system and how it prepares the ground for more efficiency which may lead to improved quality of care provided to Tb patients at the national level.

Speakers
avatar for Atwood Raphael

Atwood Raphael

Chief Of Party, DAI
Atwood, a Fulbright alumnus, has nineteen years of successful experience in public health. He had been involved in all aspects of management related to health system strengthening. He contributed substantially to the management, design/implementation, and expansion of health management... Read More →


Thursday March 22, 2018 2:00pm - 2:45pm PDT
Balcony B Room

2:45pm PDT

Coffee Break
Thursday March 22, 2018 2:45pm - 3:00pm PDT
FHI 360 Foyer

3:15pm PDT

Tracker 2.0 Roadmap
At the DHIS 2 Experts Academy in August 2017, a roadmap was developed for Tracker development in 2018. During this session, we will take a look at what is new in 2.29, and discuss the roadmap for 2.30 and beyond.
 New 2.29 features:
 Data capture and data view sharing levels: A new and simplified authorization model allows for assigning “data capture” and “data view” access to users and user groups at various levels, including programs, program stages, data sets and category options.
Integrated search and registration: The steps for searching and registering new tracked entities now integrate with each other. When registering a new tracked entity instance, the registration form will automatically search for possible duplicates and alert the user in case of suspected duplicates. When a search turns out with no hits, the searched values are carried over to the registration form.
Improved configurability and security for searching: The ability to assign search authorization to users at any place within the org unit structure, while also allowing for a configuration that reduces the amount of information returned in the search results per tracked entity instance for privacy purposes.
Sending of messages based on program rules: It is now possible to write program rules that trigger messages to designated recipients (SMS, email, or DHIS 2 messages) from a notification template library. The messages are triggered when data is sent to the DHIS 2 server, based on data in events or on tracked entities. A use case for this is disease surveillance settings, where certain conditions would trigger an immediate message to a case investigator to follow up a critical case. Another use case is sending messages to patients being tracked based on their health status and follow-up.
ID-generation based on functional patterns: The addition of a specific tool for generating unique IDs based on a configured pattern. The patterns can contain various parts, like org unit code, year and a sequence number.
Program indicator cohort support: Added functionality that allows program indicators to query data relative to the reporting period. This will be useful for cohort analysis use cases, and for creating moving-average program indicators.
Compare forms when entering tracker data: Individual program stages can be configured to display past events side by side for ease of comparison.
Persistent information bar in the top menu for tracked entities: It is now possible to configure a persistent information bar containing key attributes or calculated values for individual tracked entities. The information bar will be visible at the top of the screen while capturing data for a single tracked entity.
Support for images tracked entity instance attributes: It is now possible to upload an image as a Tracked Entity Instance attribute and display the image in lists and the profile widget. When the image type is used for a data element, the image will be visible in the data entry form.
Support for program rules in event capture grid: Program rules are now executed when capturing data in the event capture grid.

Moderators
avatar for Donna Medeiros

Donna Medeiros

Senior Digital Health Architect and Policy Advisor, Asian Development Bank
Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2... Read More →

Speakers
avatar for Mike Frost

Mike Frost

Senior Advisor, University of Oslo
Mike Frost is a Senior Advisor with the Health Information Systems Program at the University of Oslo, and Senior Advisor with the eRegistries Initiative at the Norwegian Institute of Public Health. He has worked on digital health projects in Bangladesh, Ghana, Guatemala, Liberia... Read More →


Thursday March 22, 2018 3:15pm - 4:15pm PDT
Academy Hall

4:00pm PDT

The Future of HNQIS
Poor quality of care results in poor health outcomes. Improving and monitoring the quality of care in lower- and middle-income countries presents both unique challenges and opportunities to increase efficiencies in resource allocation based on standardized evaluations. Key constraints include the lack of enforced standards, delayed performance feedback, and poor use of monitoring data to allocate resources. To address this, PSI in 2015 created the tablet-based application, Health Network Quality Improvement System (HNQIS), to improve quality of health services in health care networks and effectively manage and reach health impact at scale. 

3 years later, HNQIS is now active in 23 countries and has conducted more than 18,000 assessments at 8,000 outlets across 13 health areas. This plenary session will reflect on HNQIS' impact since 2015 and future plans, including PSI's collaboration with the University of Oslo and other stakeholders to integrate HNQIS into DHIS2, thus enabling access to HNQIS for all DHIS2 users. With HNQIS, PSI hopes to meet its objectives of sharing technology and expanding solutions to better fit the needs of the larger global health community. 

Moderators
avatar for Adebusoye Anifalaje

Adebusoye Anifalaje

Principal/CIO, BAO Systems
Adebusoye is a seasoned informatics professional specialising in resource-constrained contexts. Busoye has worked in leading the deployment of DHIS2 (an open source software) for various ministries of health and iNGOs in Africa, Asia, North America & Europe. He holds two Masters degrees... Read More →

Speakers
avatar for Daniel Messer

Daniel Messer

CIO, PSI
avatar for Wycliffe Waweru

Wycliffe Waweru

Sr Regional M&E Advisor East Africa, PSI
Wycliffe provides leadership and technical assistance on the design and implementation of routine monitoring strategies and systems, as well as providing technical and capacity building support for the generation and use of evidence in multiple PCI programs in 7 countries in the East... Read More →


Thursday March 22, 2018 4:00pm - 4:45pm PDT
Academy Hall

4:45pm PDT

End of Day 1 Q&A
Thursday March 22, 2018 4:45pm - 5:00pm PDT
Academy Hall

5:00pm PDT

Networking Reception
Please join us for a networking reception immediately following the symposium! 

Thursday March 22, 2018 5:00pm - 7:00pm PDT
FHI 360 Foyer
 
Friday, March 23
 

8:30am PDT

Breakfast & Networking
Friday March 23, 2018 8:30am - 9:00am PDT
FHI 360 Foyer

9:00am PDT

Plenary Discussion - Games and Fabulous Prizes
Speakers
NH

Nicola Hobby

Director of Programs, BAO Systems
Nicola Hobby is the Director of Programs at BAO Systems and has been the Organizing Chair of the DHIS 2 Symposium since 2015. Prior to joining BAO, Nicola worked in international public health for 11 years with Population Services International in a variety of positions. She has worked... Read More →


Friday March 23, 2018 9:00am - 9:15am PDT
Academy Hall

9:15am PDT

Pathfinder's Data Management Story - Transitioning from a Custom-built Online Database to DHIS 2
Since May 2017, Pathfinder has been working with BAO Systems to transition its custom-built performance monitoring system to DHIS 2.  The transition includes refining and importing 9 years of global indicator data from 232 projects into Pathfinder’s new organizational DHIS 2 instance, as well as integrating existing and future country instances with the central instance. Pathfinder’s Carolyn Boyce will talk about the project process, successes and challenges faced as the organization has moved forward with the transition project over the past year. 

Moderators
avatar for Adebusoye Anifalaje

Adebusoye Anifalaje

Principal/CIO, BAO Systems
Adebusoye is a seasoned informatics professional specialising in resource-constrained contexts. Busoye has worked in leading the deployment of DHIS2 (an open source software) for various ministries of health and iNGOs in Africa, Asia, North America & Europe. He holds two Masters degrees... Read More →

Speakers
avatar for Carolyn Boyce

Carolyn Boyce

Sr. Management Information Systems Advisor, Pathfinder International
Carolyn Boyce has over 20 years of experience working with a variety of groups to plan, implement, monitor, and evaluate their activities.  She has created guidance, systems, and tools, as well as provided technical assistance and training in a variety of ways, including face-to-face... Read More →


Friday March 23, 2018 9:15am - 10:00am PDT
Academy Hall

10:00am PDT

Thirteen Quarters Post Deployment: PEPFAR’s DHIS 2 implementation and the Future of HIV Data Exchange and Use
PEPFAR uses data reported through DATIM, its DHIS 2 implementation, to facilitate decisions to focus its resources in the facilities and communities where they will have the greatest impact to achieve HIV epidemic control.  The program also uses data from other sources to improve data quality and coverage, including data from Ministry of Health (MoH) information systems.  In 2017, PEPFAR launched a “PEPFAR/MoH Data Alignment” activity that aimed to facilitate the repeatable exchange of facility-level HIV reporting data from a MoH system to the PEPFAR DATIM system.  The activity involved a great deal of tedious organizational hierarchy (re)alignment and indicator mapping, but it has led to development and/or refinement of a variety of tools, resources, and nascent communities of practice that will make the process more robust, less burdensome, and more likely to be adopted in the HIV disease domain and beyond.  In this panel, we begin with a general overview and update on DATIM and PEPFAR’s ongoing strategic investments in core development of DHIS 2.  The majority of time will focus on the PEPFAR/MoH data alignment activity, including overall process, architecture, indicator mapping tools, facility reconciliation tools, data analysis, and data reuse.

Moderators
avatar for Donna Medeiros

Donna Medeiros

Senior Digital Health Architect and Policy Advisor, Asian Development Bank
Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2... Read More →

Speakers
MD

Mark DeZalia

Health Information Systems Team Lead, OGAC/US Department of State
avatar for Nega Gebreyesus

Nega Gebreyesus

Senior HMIS Advisor, USAID
Nega Gebreyesus is a USAID Senior HIS Advisor in the Office of HIV/AIDS. Nega brings over twenty years of experience in Information Technology working for public and private organizations. He worked for University of Washington I-TECH Ethiopia operation as Deputy Country Director... Read More →
avatar for Jason Knueppel

Jason Knueppel

Implementation Manager, BAO Systems
PEPFAR/MOH Data Alignment Activity, Data Exchange and Interoperability
avatar for Annah Ngaruro

Annah Ngaruro

DATIM Data Exchange Sub-Team Lead, ICF
Annah Ngaruro is PEPFAR’s DATIM Data Exchange Sub-team lead.  She is a Project Management Institute-certified Project Management Professional and a Certified Information Systems Security Professional with 18 years of experience developing and supporting health information systems... Read More →
avatar for Pooja Vinayak

Pooja Vinayak

Data Analyst, PwC
Pooja Vinayak supports US Department of State’s Office of the Global AIDS Coordinator (S/GAC) through PricewaterhouseCoopers Public Sector. As a Data Analyst for the US President’s Emergency Plan for AIDS Relief (PEPFAR), Pooja leads data analysis for the Ministry of Health... Read More →


Friday March 23, 2018 10:00am - 11:00am PDT
Academy Hall

11:00am PDT

Coffee Break
Friday March 23, 2018 11:00am - 11:15am PDT
FHI 360 Foyer

11:15am PDT

DHIS 2 New Generation Mobile App
As mobile devices and networks become more accessible, direct data capture by health workers is becoming key functionality, opening new real-time (or near real-time) opportunities for data analysis and decision making. During this session, UiO’s mobile team will present the ongoing work for the release of a brand-new next-generation Android app later this year. We will also cover the enhancements to the current generation of apps.
 

Moderators
avatar for Adebusoye Anifalaje

Adebusoye Anifalaje

Principal/CIO, BAO Systems
Adebusoye is a seasoned informatics professional specialising in resource-constrained contexts. Busoye has worked in leading the deployment of DHIS2 (an open source software) for various ministries of health and iNGOs in Africa, Asia, North America & Europe. He holds two Masters degrees... Read More →

Speakers
avatar for Rodolfo Melia

Rodolfo Melia

Principal, KnowTechTure
Rodolfo has been designing, building and deploying technology solutions for non-profits for over 25 years. Rodolfo trained as an Architect but decided to combine his strategic design acumen, passion for technology, and early experience working in the NGO sector to specialize in redesigning... Read More →


Friday March 23, 2018 11:15am - 12:00pm PDT
Academy Hall

12:00pm PDT

A Biometric Identification Approach for DHIS 2 Tracker in Bangladesh
An eRegistry trial, conducted by the Norwegian Institute of Public Health (NIPH), the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), and the Health Information Systems Programme (HISP) at the University of Oslo, is examining the effectiveness of an eRegistry on health care services for pregnant women and newborn babies at the community level in Matlab, Bangladesh. Clinical care staff use Tracker at both the village and health facility level to capture data during each visit with a pregnant woman, and these data are used to generate not only decision support, but also routine reporting statistics, and targeted SMS messages to women.
 A key component of the trial is the creation of a longitudinal health record, which requires accurate identification of a patient for continuity of care. The project utilizes an Android-based biometric solution from Element, Inc., which uses the common camera on a tablet or smartphone to scan the palm print and produce a unique string for each individual. Preliminary work shows high levels of user acceptance and accuracy.

Moderators
avatar for Adebusoye Anifalaje

Adebusoye Anifalaje

Principal/CIO, BAO Systems
Adebusoye is a seasoned informatics professional specialising in resource-constrained contexts. Busoye has worked in leading the deployment of DHIS2 (an open source software) for various ministries of health and iNGOs in Africa, Asia, North America & Europe. He holds two Masters degrees... Read More →

Speakers
avatar for Rebecca Distler

Rebecca Distler

Director, Global Health Initiatives, Element, Inc.
Rebecca Distler is Director of Global Health Initiatives at Element, Inc., where she helps partners use mobile biometrics to create a digital identity for patients and provide access to health care. In this role, she also co-leads the BioNIC initiative, a collaboration with the Global... Read More →
avatar for Mike Frost

Mike Frost

Senior Advisor, University of Oslo
Mike Frost is a Senior Advisor with the Health Information Systems Program at the University of Oslo, and Senior Advisor with the eRegistries Initiative at the Norwegian Institute of Public Health. He has worked on digital health projects in Bangladesh, Ghana, Guatemala, Liberia... Read More →


Friday March 23, 2018 12:00pm - 1:00pm PDT
Academy Hall

1:00pm PDT

Lunch - Networking
Friday March 23, 2018 1:00pm - 1:30pm PDT
FHI 360 Foyer

1:30pm PDT

Hardware in the Open Source Digital Landscape
VecnaCares designs and deploys the CliniPAK, a solution for a low-cost, field-ready server for hosting applications and synching data to the cloud. This session will give an overview of how hardware is adapting to and changing the evolving open source digital health landscape. We will present a few case studies of the CliniPAK, including Kakuma Refugee camp, a health facility deployment in Malawi, and a disaster relief scenario. Multiple users can log on to the same instance of DHIS 2 and update data in real-time. By deploying DHIS 2 on the CliniPAK together, there is a possibility for a completely offline deployment that would enable data capture in the field as well as allow better service delivery, increase access, and improve outcomes. 
We had talked about some of these points last year, but we have a new version of the CliniPAK that has SIM-card connectivity, a diagnostic application to monitor CliniPAK functionality in the field, and a new design, which we'll present. 

 

Speakers
avatar for Paul Amendola

Paul Amendola

Executive Director, VecnaCares Charitable Trust
Paul Amendola, MPH is the Executive Director of VecnaCares Charitable Trust. A leader in the ICT4D field and community, Paul brings over 12 years of health information systems building, health systems strengthening, technology deployments, informatics expertise, and humanitarian response... Read More →


Friday March 23, 2018 1:30pm - 2:15pm PDT
Academy Hall
  Breakout Session
  • Company VecnaCares

1:30pm PDT

If It's Not Helping Government, It's Not Helping.
Join Akros as they work through design principles and use-cases aimed at improving
government performance in understanding disease, education, and economic distribution at sub-national levels, responding to these conditions and calibrating service delivery and surveillance as this cycle progresses.

Speakers
avatar for Benjamin Winters

Benjamin Winters

Regional Director, Akros
Mr. Winters has designed and deployed national-scale and sub-national surveillance systems for malaria, HIV/AIDS, ICCM, education, nutrition, infrastructure, governance and sanitation in 13 countries in sub-Saharan Africa, Latin America and the Caribbean. He simplifies advanced surveillance... Read More →


Friday March 23, 2018 1:30pm - 2:15pm PDT
Balcony C Room

1:30pm PDT

Strengthening Health Data Reporting by Integrating National and Project DHIS 2 Instances: Experiences from the DRC
This session gives an overview of how the USAID funded IHPplus project in the Democratic Republic of Congo (DRC) contributed to improving the availability of routine health data by utilizing the MOH’s DHIS 2 integration in the project supported health zones. It also points out the importance of interoperability between MOH and project in-house DHIS 2 instances in order to stop parallel system and improve health zones capacity to collect and enter high-quality data into the MoH’s DHI2 system. The IHPplus M&E team could, therefore, better continue to focus on data analysis, reinforcing capacity to make evidence-based decisions, and improving the quality of project activity implementation. It also presents the ongoing effort to improve the quality of routine health data, data analysis, and use through DHIS 2.

Speakers
avatar for Moussa Traore

Moussa Traore

Monitoring and Evaluation Director, Management Sciences for Health
Mr. TRAORE Moussa is currently a Senior M&E Director working for Management Science for Health (MSH) in the Democratic Republic of Congo. He is a result oriented development professional with over 10 years' experience in Program Planning & Development, Research, Monitoring and Evaluation... Read More →


Friday March 23, 2018 1:30pm - 2:15pm PDT
Balcony D Room

1:30pm PDT

Tableau Connector
There are times when DHIS2 users desire to have data visualization and analytic capabilities beyond the native features. For example the Ministry of Health in Zambia and PATH chose to partner with the Tableau Foundation to launch the Visualize No Malaria project and use Tableau’s software to improve decision making with the goal of eliminating malaria in Zambia by 2021. The success of this project has led to Tableau’s use in other global health applications with DHIS2. In this session you’ll learn what is possible for health analytics at a variety of levels and see two open-source integrations between DHIS2 and Tableau: First, a connector developed by BAO Systems that allows Tableau users to login to DHIS2 and get data. Second, an app for DHIS2 developed by Palladium Group, PATH, and StarSchema that embeds Tableau views and dashboards into DHIS2. These two integrations enable Tableau users to pull data from DHIS2, author visualizations, publish them, and then DHIS2 users can interact with those visualizations without ever having to leave DHIS2.
 

Speakers
avatar for Jonathan Drummey

Jonathan Drummey

Data Visualization Specialist, PATH
Jonathan is a Data Visualization Specialist at PATH where he helps build capacity for working with data and data visualization in support of PATH's mission to improve global health. He regularly answers questions on the Tableau community forums and blogs at http://drawingwithnumbers.artisart.org... Read More →
avatar for Steffen Tengesdal

Steffen Tengesdal

Principal/CEO, BAO Systems
Steffen Tengesdal is one of the founders of BAO Systems, which works with many of the largest NGOs and international agencies on DHIS 2 deployments, hosting, development, support, and training.


Friday March 23, 2018 1:30pm - 2:15pm PDT
Balcony E Room

1:30pm PDT

Tracker Use Cases in Fragile Settings
With the DHIS2 increasing being used to manage Individual records, and seeing significant deployments in fragile settings such as conflict zones and isolated countries, special attention needs to be placed on architecting systems for robustness and handling sensitive data.    This presentation will draw on experiences implementing DHIS2 as the National HIS in Sudan and Eritrea along with more targeted use cases in Palestine, Annexed Crimea and Northern Syria.  We aim to sensitize and inform on challenges, risks and deployment considerations for the DHIS2 platform, infrastructure and surrounding governance.


Friday March 23, 2018 1:30pm - 2:15pm PDT
Vista Room

2:20pm PDT

Designing an Institutional DHIS 2 Instance for a Diverse Portfolio
Several years ago, MSH began an effort to bring projects and systems across the organization into a single DHIS 2 instance with a hybrid architecture: Data Repository Engine for Analytics and Management, or DREAM@MSH.

This hybrid configuration was used to ensure that data collected would serve our staff and their needs across different levels of MSH:
1. in the field (for projects and in country offices)
2. at headquarters

MSH undertook an extensive discovery and design process to:
- explore and harmonize disparate data systems across the organization,
- configure the system with an emphasis on the ability to expand,
- satisfy project and context-specific needs,
- to provide a consistent experience for end-users.

This session will describe the four primary types of use-cases highlighted by the pilot projects, the broader needs represented by these projects, and the challenges posed by an attempt to create one system for these highly varying needs. 
 

Speakers
avatar for Vidya Mahadevan

Vidya Mahadevan

Senior M&E Advisor, MSH
Vidya Mahadevan is a Senior Monitoring, Evaluation and Research Advisor at MSH. She has spent the last decade providing M&E technical assistance, implementing field surveys and studies, and managing humanitarian projects in insecure and post-conflict environments. Vidya's field... Read More →


Friday March 23, 2018 2:20pm - 3:05pm PDT
Academy Hall

2:20pm PDT

DHIS 2 for All: Meeting the Needs of Jhpiego Offices Worldwide
Jhpiego, a global maternal and child health NGO affiliated with Johns Hopkins University, has been using DHIS 2 for almost two years. JADE – Jhpiego Analytic Data Engine is used in 27 countries to collect programmatic data. The primary audience for data analysis in JADE is headquarters. We are now faced with the challenge of also serving the needs of country offices separately. DHIS 2 for All encourages and supports Jhpiego country offices to build customized DHIS 2 instances. This is meant to replace the common practice of staff managing disparate Excel files and paper repositories of achievement data stored and shared from Dropbox, personal computers and in 3-ring binders while ensuring that the data is secure, permanent, accessible and ready to be visualized. One of the goals of DHIS 2 for all is to support country offices to collect in-country PMP data while also strengthening the relationship between the Jhpiego country office and MOH in sharing data.  The Jhpiego team will share its strategies and some early lessons learned in working with Liberia, Lesotho, and Mozambique in setting up DHIS 2 instances.

Speakers
avatar for Parisa Kharazi

Parisa Kharazi

Monitoring and Evaluation Advisor, Jhpiego
Parisa Kharazi is a Monitoring and Evaluation Advisor at Jhpiego, a global maternal and child health NGO affiliated with Johns Hopkins University. She has supported Jhpiego’s development and deployment of DHIS 2 across the organization and works with stakeholders on communicating... Read More →
avatar for Scott Merritt

Scott Merritt

Informatics Advisor, Jhpiego
Scott Merritt is a Senior Health Informatics Advisor, working for Jhpiego. Scott has a master’s degree in Management Information Systems and has been working on the deployment of information tools in the developing world for more than 15 years, mostly in and supporting Africa environments... Read More →


Friday March 23, 2018 2:20pm - 3:05pm PDT
Vista Room

2:20pm PDT

Using Routine Health Data in Innovative Ways to Inform Evidence-Based Decision Making
Programme and line managers at National and Provincial health departments in South Africa have not had exposure to DHIS 2 and are, therefore, not using it to analyze the data for both data quality and performance.  They do not know how to use the information for generating reports and for planning and implementing interventions to improve health.  In this session, Jenni Brown from HISP will talk about a training programme that was developed and implemented to use routine data in DHIS 2 in innovative ways to provide managers with a wealth of information on which to base their management decisions.
The aim of the program is to develop managers’ skills to use existing data and information in DHIS 2 for Evidence-Based Health Results Management (EBHRM) which includes Monitoring, Evaluation, Reporting & Feedback (MERF) to achieve health goals and optimize health program performance aimed at increasing life expectancy.

Through this programme, managers are being trained to apply existing Systems Theory, Logic and Result Frameworks and Epidemiological principles of prevention to categorize existing indicators in the South African routine information database into a results framework to inform EBHRM and MERF at all levels of the South African Health Care Services. Managers are also being trained on DHIS 2  reporting functionality using graphs, maps, and color-coded tables to populate a dashboard that displays the data according to the results framework principles taught in the course.

EBHRM training packages were developed for various focus areas:
  • Reducing perinatal mortality
  • PMTCT
  • HAST
  • Hospital services
Managers at national and provincial levels were trained and are being supported to use DHIS 2 and apply the results framework when planning, monitoring and reporting.This approach is being used as the method of choice to promote the use of information amongst programme and line managers in South Africa.  The training will be offered down to the facility level. 

Speakers
avatar for Jenni Brown

Jenni Brown

Project Manager, HISP SA
Ms. Jenni Brown is a professional nurse and qualified district health manager. During her 18 years of service in the Joe Gqabi district municipality, she gained extensive experience in the management of public primary health care services, health information systems management and... Read More →


Friday March 23, 2018 2:20pm - 3:05pm PDT
Balcony D Room

3:05pm PDT

Coffee Break - Evaluations
Friday March 23, 2018 3:05pm - 3:15pm PDT
FHI 360 Foyer

3:15pm PDT

DHIS 2 Data Protection in Humanitarian Settings
Moderators
avatar for Donna Medeiros

Donna Medeiros

Senior Digital Health Architect and Policy Advisor, Asian Development Bank
Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2... Read More →

Speakers
MM

Megan McGuire

eHealth Unit Director, MSF
Megan is the eHealth Unit Director at Médecins Sans Frontières (MSF) – USA, currently leading the Digital Health transformation for the French Section of MSF across 26 countries. She has worked as an Epidemiologist in various projects for MSF throughout sub-Saharan Africa since... Read More →


Friday March 23, 2018 3:15pm - 4:00pm PDT
Academy Hall

4:00pm PDT

Crystal Ball Gazing - The Future of DHIS 2
Moderators
avatar for Donna Medeiros

Donna Medeiros

Senior Digital Health Architect and Policy Advisor, Asian Development Bank
Donna Medeiros has led health information technology collaborative efforts for 25+ years in countries throughout Africa, Asia, the Caribbean, the Middle East and the America convening ministries and partners to move forward national, regional and global systems including in DHIS 2... Read More →

Speakers
avatar for Mike Frost

Mike Frost

Senior Advisor, University of Oslo
Mike Frost is a Senior Advisor with the Health Information Systems Program at the University of Oslo, and Senior Advisor with the eRegistries Initiative at the Norwegian Institute of Public Health. He has worked on digital health projects in Bangladesh, Ghana, Guatemala, Liberia... Read More →
MM

Megan McGuire

eHealth Unit Director, MSF
Megan is the eHealth Unit Director at Médecins Sans Frontières (MSF) – USA, currently leading the Digital Health transformation for the French Section of MSF across 26 countries. She has worked as an Epidemiologist in various projects for MSF throughout sub-Saharan Africa since... Read More →
avatar for Daniel Messer

Daniel Messer

CIO, PSI
avatar for Knut Staring

Knut Staring

WHO
Knut Staring works on health information systems and standards in the Department of Information, Evidence, and Research with the World Health Organization, Geneva, Switzerland. Knut is one of the founders of DHIS 2, he holds PhD and masters degrees from the University of Oslo, and... Read More →


Friday March 23, 2018 4:00pm - 4:45pm PDT
Academy Hall