HMIS in Platform

An Overview

Man Bahadur Oli

Officer 6th (Statistics)
Health Training Center, Butwol
 Introduction
• DHIS 2 is a software platform that the University of Oslo developed in 2006
to manage health information systems (HIS).
• The first implementation was in India in 2006 and the first national rollout
was in Kenya in 2010.
• Since then, low- and middle-income countries (LMICs) worldwide have
adopted the software.
• DHIS 2 is flexible, adaptable, and extendable through web application
program interfaces (APIs), which are useful for building software
applications (apps).
• It can be customized to suit many purposes for health information
management and for non-health sectors, too.
• It is a customizable free open source software (FOSS) which can be designed
and upgraded according to users' need on their own
Why DHIS-2
• Data quality - validation
• Interoperability – Open MRS
• Free and open software platform
• Strong analytical tool and visualization option
• Group communication/interaction
• Easy upgradability
• Fit for aggregated and client tracking both
Why DHIS-2 ……..
Data validation rules/mechanisms are built-in
ensuring data quality
Can be immediately rolled-out to health facility
level without major modifications
Legacy data can be imported to DHIS-2 and
multiple year analysis is possible
User experience sharing, messaging
Individual Record Mobile Friendly
 Data in & Information Out
ta l
po r
b
We
Data cap rd
from pa ture b o a
per form h
s Das
- Data mart Graph
Data - Meta data
Data from mobile Warehouse - Visualizing
devices tools Map

Table

act ad
DHIS2
Ex t r Mo
LMIS m lo bile
sfo r
tran

HR FMIS
Getting data in – data warehousing Getting data out – decision support system
DHIS2 implementation status (current) - globally

DHIS 2 currently
being used at
various levels in
54 countries.
Key Features
1. Dashboard
2. Data visualizer
3. Pivot table
4. GIS
5. Data quality modules
6. Event Capture
7. Standard reports
8. Feedback and messaging
 DHIS2 in Nepal

• Health Management Information System (HMIS)

 Formally launched in 1st Mangsir 2073 by Hob’ble Health Minister
 Rolled out from 14th Mangsir 2073,
 Around 260 district level HR were trained
 Migrated Legacy data (Previous software) in to DHIS2 platform
since FY 2071/72 – 2073/74 (whatever entered)

• Early Warning and Reporting System (EWARS)

 Customized and Rolled out from Ashwin 2073
 Currently a central system and will go to sentinel site in next phase
 DHIS 2 Building Blocks
• 3 core dimensions in DHIS 2 describing the data (3’W)
• The where, organization unit
• The when, period
• The what, data element
• All data values will at minimum have these 3 dimensions
Organization Data Period Value
Unit Element
Rimi Health Post, SM-PNC visits within Shrawan 2075 4
Dolpa 24 hours
 Organization Unit
• Represents the geographical context
• Facility or ward providing services
• Administrative unit like district or Rural Municipality/Municipality
• Data is mostly collected and kept disaggregated at the lowest level (the
health facilities)
• Reports can be aggregated for any level
• Located inside a hierarchy (tree)
• Reflects administrative structure and levels
• Great impact on system usability and performance
The WHERE Dimension
Level
Nepal National
 06 Province Provincial
 59 Surkhet District
 Barahtaal R.Municipality
Ward No. 9 Ward
Lekhgaun HP HF (Data Capture)

Data Aggregation Level

Group Set and Group
• A flexible tool to add more categorization to Orgunits
• Group sets simplify how reporting is done, and facilitate analysis
through the use of tools such as Pivot table, visualizer
• Technique for creating alternative hierarchy
• Orgunits can be grouped into groups
 Group Set Example
Gr Or
o G gU
nit
u ro /
p u Fa
Se p cili
t ty

Type of Facility

Hospital PHCC HP
Group Set Example

Ownership

Zonal Hosp-1 PHC-1 HP-1 UHC-1 PSI Marie Stope Hosp-1 Hosp-2
When Dimension-Period
• Daily • Financial April
• Weekly • (Nepali Fiscal Year)

• Monthly • Financial July

• Bi-Monthly • Financial Oct
• Quarterly • Six-monthly April
• Six Monthly
• Yearly
What Dimension
• Indicators
• Data elements
• Data sets
• Event data items
• Program indicators
Indicators Type
• Total
• Ratio
• Percentage
• Per 1000
• Per 10000
• Per 100000
DHIS2 Login
Local Server: http://192.168.1.2:8080/hmis

Central Server: http://202.70.86.2/hmis

Logging out of DHIS2
User Management
• User
• Data Set
• Organization unit
• User Group
• User can Add/Edit/Delete/View Data as per user role
 Input: Organization Unit
• Can Add/Edit/Delete
• Can Upgrade
• Can Change Parent OU
• Health Facility Registry
• Name of OU
• HF Code
• Maintain Opening/Closing Date
• Contact Person (Name, Phone No. Email etc)
• Location (GIS)
• Latitude
• Longitude
Input: Data Entry
Ensuring data quality

Garbage in

=
 

Garbage out

 
Data Quality
• Not accept “o” where DE type is number
• Min-Max outlier
• Checks the values against a pre-defined max/min range for each data
element+orgunit combination
• Double-click on a value/field in data entry to see the historical values
and the range, also allows for individual ranges to be edited
• Data Validation
• A popup will notify the users if the value is outside the range
• Completeness and timeliness reports
Data Quality (Validation)
 Output: 1-Report/Data Quality

• Standard Report –Nepal specific Report

• Organization Unit Report
• Data Set Report
• Reporting Rate Summary
• Min-Max outlier
• St. Dev outlier
• Follow-up analysis
 Output: 2-Pivot Table
• DHIS 2 features a fully web-based pivot table which lets you analyze data along
all data dimensions and arrange these on columns, rows and as filters at
demand.
• We can include totals and subtotals and remove empty rows, and control display
density, font size and digit group separator.
• Pivot tables can be saved as favorites and be downloaded and used as basis for
offline MS Excel pivot tables.
Output: 3-Data Visualizer
• DHIS 2 provides nice charting
capabilities
• supports chart types like column, line,
pie, stacked column and area charts.
• Display trend lines, legends, titles,
labels, target lines and baselines.
• Select easily from all of our indicators,
organizational units, time periods and
other dimensions Charts can be
downloaded as images and PDFs.
Types of charts

• Column chart
• Stacked column chart
• Bar chart
• Stacked bar chart
• Line chart
• Area chart
• Pie chart
• Radar chart
• Speedometer chart
 Output: 4-GIS
DHIS 2 supports web-based GIS features that
lets you do thematic mapping of areas and
points, view facilities based on classifications,
visualize catchment areas for each facility.
Can create custom legend sets and link them
to indicators and lets you put labels on areas
and points and search and filter based on
various criteria
Can overlay multiple layers and use Google
Maps as background layer
Maps can be saved as favorites and shared
with other people.
 Output: 5-Dash Board
DHIS 2 provides a personal dashboard
where we can put our favorite charts,
maps and reports for fast access.
We can search directly from the
dashboard for analysis related to a
particular subject or for other people.
The dashboard features integrated
messaging functionality which lets you
communicate directly with other users.
 Can view the data interpretation feed
- data interpretations shared from the
various analytics and start discussion
on that.
Output: 5-Dash Board

• Easily view the charts/tables/maps you use most

frequently
• Quickly monitor program progress
• Establish a routine for regularly checking key program
aspects
• Readily share information with others
Event Capture

event capture is
used for data
entry of
Leprosy/HIV
individual Records
 Standard report
• In standard report
app we can
customize reports
as per your need.
Our all existing
reports have been
developed in this
module and user
can start using
them.
 Manage messages and feedback messages
• Within DHIS2 we can
send messages and
feedback messages to
users, user groups and
organization units.
• When we send a
feedback message, it is
routed to a particular
user group.
• If we are a member of
this user group, we can
access to feedback
handling tools.
Thank you
 Local Server
SSID: Prov5 DHIS2 Training Key:

Web Browser : Google Chrome

: Opera
: UC Browser
: Mozilla Firefox

http://192.168.1.2
 District Name New Users
Rukum DHO Rukum East patarasi.rm
East
Rukum
East Kanaka Sundari Rural Municipality kanakasundari.rm
Rukum Sinja Rural Municipality sinja.rm
East
Rukum
East Chandannath Municipality chandannath.mun
 District Name New Users

Rukum DHO Rukum East rukumeast

East

Rukum Putha Uttanganga Rural Municipality puthauttanganga.rm

East

Rukum Sisne Rural Municipality sisne.rm

East

Rukum Bhoome Rural Municipality bhoome.rm

East
District Name New Users
Dang DHO Dang dhodang
Dang Bangalachuli Rural Municipality bangalachuli.rm
Dang Ghorahi Sub-Metropolitan City ghorahi.submetro
Dang Tulsipur Sub-Metropolitan City tulsipur.submetro
Dang Shantinagar Rural Municipality shantinagar.rm
Dang Babai Rural Municipality babai.rm
Dang Dangisharan Rural Municipality dangisharan.rm
Dang Lamahi Municipality lamahi.mun
Dang Rapti Rural Municipality rapti.rm.dang
Dang Gadhawa Rural Municipality gadhawa.rm
Dang Rajpur Rural Municipality rajpur.rm.dang
Dang Lamahi Hospital lamahi.hospital
Password : HMIS1234
 Central Server-Real
SSID: ………………. Key: ………….
Web Browser : Google Chrome
: Opera
: UC Browser
: Mozilla Firefox

http://202.70.86.2/hmis
Your User Your password
Man Bahadur Oli, Officer 6th(Statistics)
Health Training Center, Rupandehi, Butwol
Phone: 9858020008 email : mboliskt@gmail.com,
mn_oli@yahoo.com