1. 27.05.2016 Seite 1 Bringing data into common place through use of appropriate database software Muhammad Abdul Hannan Khan Senior Advisor HMIS GIZ Health Dhaka, Bangladesh 20 June 2011

2. 27.05.2016 Seite 2 Page 2 DMIS Project objectives DMIS is a project funded by giz and its objectives are :  Create a central data warehouse for integration of data from different sources, e.g. MIS Health, FP, NNP, UPHCPII, and vertical programs (EPI, TB etc.)  Enhance utilization and quality of routine data  Improve the HIS related capacity of the MoHFW and the performance of the MISs and programs 27.05.2016

3. 27.05.2016 Seite 3 Page 3 Making data compatible and comparable Data Warehouse MIS FP MIS Health 27.05.2016 UPHCP MIS EPI TB MIS

4. 27.05.2016 Seite 4 Page 4 Data warehouse today  The data warehouse with about 8 million data values and 1,000 data elements is ready for use, e.g. for indicator monitoring; it can create dynamic reports, graphics and GIS presentation for all levels and different queries  A web portal is designed and dashboards containing the most important indicators are ready, allowing the utilization of information at the fingertip  MISs have started using the same open source software (DHIS2) DMIS is using; standardization and harmonization processes have been initiated 27.05.2016

5. 27.05.2016 Seite 5 Page 5 Opportunities  Use the data warehouse as a basis for an integrated e-health architecture, that pools data from all MISs and other systems, e.g. HRIS, Hospital IS, Logistics, finance and poverty related data; DSF; private sector; patient/case based information; integration of all urban health data (SSFP, UPHCP, etc.) & other upcoming systems (e.g. OP reporting)  Improve & decentralize data entry and utilization for program monitoring and decision making 27.05.2016

6. 27.05.2016 Seite 6 Page 6 1.Monitor reporting 2.Monitor data reliability 3.Monitor facility services 4.Perform Disease Surveillance 1.Monitor Trainings 2.Monitor Leaves 3.Monitor Postings 1.Health expenditure tracking 2.Beneficiary payments 3.Insurance tracking 1.Lab Tests 2.Diagnosis 3.Treatment 5 HIS Architecture UID 1.External Agencies 2.Drug Stores 3.Labs UID 1.Electronic health records 2.Service tracking in the community 3.Decision support to work force UID HIS 1.Logistics management 2.Requirement Forecasting 3.Equipment

7. 27.05.2016 Seite 7 Page 7 DHIS 2 : Technical Specifications  The Application is Free and Open Source,  Developed using four layer architecture. The layers are Database layer, Hibernate, Spring and Webworks.  The application is modular in structure and capable of being plugged in with other applications even if running in different platforms  The Application run both online and offline with the same features.  The application is Database independent and is now currently optimized for free and open source MySQL 5.0 database.  The application is platform independent which can be run on both Windows 2000,Me,XP and above and Linux like operating systems.  The application is support multi-language customization both the user screen and database. 27.05.2016

8. 27.05.2016 Seite 8 Page 8 Open Source sustainability advantages 27.05.2016

9. 27.05.2016 Seite 9 Page 9 Need for standard identity of reporting units  Present status: No central register of healthcare service providers and administrative division of a country.  Consequence: missing unique identity of districts, upazilas, facilities and NGOs  Example of different spelling of upazila name: NNPFPTB JhalkhathiJhalokatiJhalakati

10. 27.05.2016 Seite 10 Page 10 Need for unified definitions of data elements and indicators  Several MISs collect the same information but uses different names of the data elements.  Data elements are not clearly defined and definitions are not shared between MIS’s  Consequence: It is very difficult to interpret routine data and indicators results  Example: FPEPIUPHCP Women who received TT 1st dose Pregnant Women Give TT1 dose TT Vaccination Dose 1

11. 27.05.2016 Seite 11 Page 11 DMIS standards (data interchange) (ISO/TS 17369: 2005 SDMX-HD)  For metadata - ISO/IEC 11179  For data interchange - ISO/TS 17369: 2005 SDMX-HD

12. 27.05.2016 Seite 12 Page 12 DMIS: ETL (Extract, Transfer, Load) Process

13. 27.05.2016 Seite 13 Page 1313 DMIS: Meaning of Data Values

14. 27.05.2016 Seite 14 Page 1414 DMIS: ETL Process

15. 27.05.2016 Seite 15 Page 15 Thank you 27.05.2016