HISP Ethiopia: Current status and future directions

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HISP Ethiopia Current status and future
directions

• Seid Hussein

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Background

• HISP-Ethiopia established as a collaboration
  between the Department of Informatics, University
  of Oslo and the Department of Information
  Science, Addis Ababa University
• To date MoU have been signed with five regions to
  implement DHIS 2.0
• Currently MoU has been signed between
  HISP-Ethiopia and Oromia, Amhara, Tigray,
  Benishangul-Gumuz regions and Addis Ababa City
  Government
• Most of the work of HISP in the country is
  focused towards implementing DHIS in the
  different regions

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Presence of HISP in the country
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Software customization

• DHIS 1.3 is customized for Addis Ababa, Oromia,
  Tigray and Benishangul-Gumuz regions, the
  organizational structure of these states is
  stored in the DHIS along with the data elements
  and datasets
• DHIS 1.4 customized for Oromia, Addis Ababa and
  Amhara regions again the organizational
  structure and data elements, datasets and
  indicators stored in the database
• DHIS 2.0 is on the process of customization for
  Tigray and Benishangul-Gumuz regions the database
  in 1.3 already populated in the DHIS 2.0 database
  with a tool that is designed by fellow programmer
  from Vietnam
• An ICD module is on the process of development
  for this module,
• An Integrated HIV/AIDS Management System (IHAMS)
  is on development the first module of the
  software has been completed and deployed in two
  ART clinics in Addis Ababa with plans to extend
  the software to incorporate more HIV/AIDS
  programs like PMTCT and VCT

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Training and Capacity Building

• Training of users
• Training on using the use of DHIS has been given
  prior to and as a follow up of DHIS
  implementation in all the regions where DHIS is
  implemented
• Manuals have been prepared and distributed to the
  users
• Capacity building
• Four people have their masters from the
  University of Oslo in Information Systems and
  four more are studying for their masters
• Two people have their Masters degree from Eduardo
  Mondlane University in Mozambique and two more
  people are studying
• Currently five people are doing their Ph.D. at
  the University of Oslo
• The HISP Ethiopia team has undergone capacity
  building courses in java by the HISP Ethiopia
  programmer
• One programmer from Vietnam was in Ethiopia for
  two months to help the development efforts in
  DHIS and ART
• The DHIS 2.0 core develop and the DHIS 2.0
  development coordinator were in Ethiopia for 10
  days in August to help the development efforts
  and accustom the HISP Ethiopia team with DHIS 2.0
  technologies

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Implementation

• DHIS 1.3 is implemented in all the health centers
  and all the government hospitals of Addis Ababa
  and many clinics from the private sector and NGOs
• DHIS 1.4 is implemented at wereda (district)
  level in four zones and scaled up to eight zones
  at zonal (provincial) level in Oromia region
• DHIS 1.4 is rolled out in all the zones of Amhara
  region at zonal level with plans to implement it
  at district level
• The HISP Ethiopia team is working on the
  customization of DHIS 2.0 to implement in Tigray
  and Benishangul-Gumuz and Tigray regions, once
  the customization is completed the software will
  be rolled out in these regions
• ART software developed by the two members of the
  HISP Ethiopia team has been implemented in two
  ART clinics in Addis Ababa and with plans to
  implement it in more ART clinics in Addis Ababa
  and Oromia regions

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Challenges

• No formal agreement with the Ministry of Health
  which has added uncertainty to some of the
  officials in the regions to adopt the project or
  not
• Problem of infrastructure in most of the regions
  most of the health facilities and some
  districts have problems of electricity and other
  infrastructural capacity
• Low level of capacity in software development
• Administrative problems the financial system of
  the University makes it very difficult for
  implementation
• Staff withdrawal until now two researchers and
  one programmer have left the project
• Shortage of manpower to implement the project
  one facilitator is recruited for each region
  which brings a problem in big regions like Oromia
  two HISP researchers are coordinating the five
  regions
• Level of awareness among the staff that work on
  health information and the image they have among
  other staff

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The future

• The Ministry is going to introduce a new set of
  indicators and reporting formats, DHIS has to be
  customized to accommodate the new changes
• Finishing the development of the ICD module of
  DHIS and implement the software in the two
  regions an MoU has been agreed to implement the
  software
• ART module is going to be enhanced to become an
  Integrated HIV/AIDS Management System (IHAMS) and
  rolled out to the ART clinics in the country
• Recruiting/adopting and implementing a GIS module
  for DHIS and IHAMS to include spatial data and
  analyze the data accordingly

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Thank you! Questions?