1. 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Concurrent session: Innovations in ICT

5. Patient management/tracking Surveys Outbreaks Investigations Surveillance Logistics & Supplies HR managemt Financial management Monitoring & evaluation District health Management Public health data architecture Laboratory systems Drug monitoring … Public health applications framework – examples - Approaching a RHIS architecture

6. Open MRS CSpro Episurveyor .. EpiInfo … iHRIS … CRIS DHIS OpenHealth – Platform/Architecture … … Patient management Epi surveillance Health info mgt Surveys Logistics & supplies Financial mgt Outbreaks invest. HR management Monit. & eval. L Laboratories Drug monitoring . . . Leveraging existing tools and systems For starter integrated toolkit …

8. Example: DHIS-OpenHealthMapper in Sierra Leone Indicators by Chiefdom displayed using colours

10. The Adapted HMN Data warehouse approach (for aggregate data) An integrative “umbrella” across programs, sub-systems & infrastructures (paper, computers, Internet, mobile telephones Data warehouse Reports, GIS, Pivot, graphs, etc, (for aggregate data) Import Electronic data Data capture from paper reports Electronic Patient records Paper patient records Electronic e.g. HR records Export electronic summary data Monthly summary reports Replicated at each Administrative Level: National State/Province District Municipality Data from / to Mobile telephones

12. Increasing differences between views 3 Levels of (achieving) Interoperability/ Standardisation: -- Organisational/ Political /pragmatic -- Semantic -- Syntactic /technical Compared to telephone conversations: -Interested in talking? -Shared language and Shared understanding? -compatible telephones & networks? Interoperability and integration require standards Standardisation & interoperability may be seen as going on at 3 levels of increasing complexity Standardisation process: cycling through the levels. For each level, “solutions” based/running on solutions at level below, and rely on agreement at level above SDMX-HD, etc . Shared / agreed indicators & meta data Programs / donors /agencies Agree to standardisation Unique id.

15. HR & Capacity development; How may Developing countries NOT get disempowered in the age of Networked ICT – some concerns Mastering & “controlling” ICT in the context of Internet, Servers, WEB & Mobile telephones Different & new skills & capacity At the same time: ICT services are being globalised – “cloud computing” How can countries cope? (Apart from traditional training) RHIS interventions should always be based on local participation, ownership and control – ALSO in the area of ICT!