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Message #00076
Re: Prepaing for the "Better Immunization Data" initiative "Tools Developer Summit"
On Wed, Dec 11, 2013 at 12:37 PM, Jim Grace <jimgrace@xxxxxxxxx> wrote:
> Knut, thanks.
>
> All, are there any other slide sets about DHIS, besides the slide
> repository on dhis.org, and Kristin's "Innovative Mobile Technologies
> improving health in developing countries" from
> http://www.slideshare.net/dhis2/global-citizen2?
>
I attach one here, but much is leant from previous ones.
>
> And can you help me with details on where and how tracker is used?
> - Tracking patients in programs: (where?)
>
I think mainly Uganda and Bangladesh, though don't have detailed info. Lots
of interest elsewhere, not sure if Tracker is quite ready yet....
Knut
- Tracking drugs stocks: South Africa(?)
>
> - Tracking lab test samples: CDC Global Health Security project in Uganda
>
> Cheers,
> Jim
>
> On Tue, Dec 10, 2013 at 8:53 PM, Knut Staring <knutst@xxxxxxxxx> wrote:
>
>> As far as I know, the ODK integration project never went very far, it was
>> just some of Richard Anderson's students at University of Washington.
>>
>> Considering that Richard does indeed work for PATH as well and that ODK
>> also originates from that area, I definitely think this is something that
>> should be pursued with the additional funding they will provide.
>>
>> Knut
>>
>>
>> On Tue, Dec 10, 2013 at 11:42 PM, Lars Helge Øverland <
>> larshelge@xxxxxxxxx> wrote:
>>
>>> ---------- Forwarded message ----------
>>> From: "Jim Grace" <jimgrace@xxxxxxxxx>
>>> Date: Dec 10, 2013 11:30 PM
>>> Subject: [Dhis2-devs-core] Prepaing for the "Better Immunization Data"
>>> initiative "Tools Developer Summit"
>>> To: "DHIS 2 Core developers list" <dhis2-devs-core@xxxxxxxxxxxxxxxxxxx>
>>> Cc:
>>>
>>> Hi All,
>>>
>>> I'll be representing DHIS this Thursday and Friday at the "Tools
>>> Developer Summit" of PATH's "Better Immunization Data" (BID) initiative
>>> (Gates funded), in Washington D.C. I think I'm fine preparing for the
>>> event, but I would welcome suggestions in two areas:
>>>
>>> 1. On Thursday morning I'll give a "lightning talk" about DHIS -- 5
>>> minutes, with 20 slides auto-advancing every 15 seconds. Based on the
>>> "challenges" below, it looks like the tracker module is of special
>>> interest, as it can be used in all three areas: beneficiary campaigns
>>> (e.g., sending texts to patients), identifying patients, and stocks
>>> management. So my basic idea is give a brief overview of DHIS in general,
>>> and then talk some about tracker. As far as ideas for slides, I see the
>>> slide repository on dhis.org, and I also stumbled on Kristin's very
>>> nice set of slides "Innovative Mobile Technologies improving health in
>>> developing countries" from
>>> http://www.slideshare.net/dhis2/global-citizen2.
>>>
>>> Are there any other slide resources I should know about? A lightning
>>> talk especially benefits from more pictures and fewer words (even more than
>>> a usual presentation.)
>>>
>>> 2. They're talking about using standard tools like DHIS as part of their
>>> solution to get better immunization data, with the possibility of using
>>> some of the grant funding to pay for software enhancements if necessary.
>>> After looking at the "challenges" below, what features could we add to DHIS
>>> for these areas, if we had more funding? (Don't worry, I won't make any new
>>> commitments, but I'd like to have some ideas in mind for brainstorming.)
>>>
>>> Connectivity is a big problem, and I wonder if one thing we might do is
>>> more powerful off-line data entry. I've seen talk of efforts to integrate
>>> ODK with DHIS. Where do these stand now? Is this the best way to get more
>>> flexible off-line data entry, or are there other approaches we should
>>> consider?
>>>
>>> What are the various things we know people are currently using tracker
>>> for? Here's what I've heard of:
>>>
>>> - Tracking patients in programs: (where?)
>>> - Tracking drugs stocks: South Africa(?)
>>> - Tracking lab test samples: CDC Global Health Security project in
>>> Uganda
>>>
>>> Thanks.
>>>
>>> The workshop "challenges" are:
>>>
>>> *Challenge A: Beneficiary campaigns*
>>>
>>> *Discuss challenges in health messaging to beneficiaries in the context
>>> of health education, alerts, and adherence.*
>>>
>>> Messages may need to be broadcast to a village or to a specific to an
>>> individual. For example, there may need to be an alert for a village about
>>> an upcoming immunization campaign, notification that new vaccines are in
>>> stock after a period of shortage, or warning of a disease outbreak and
>>> anticipated symptoms. If there is an ability to uniquely identify a mother
>>> and child, perhaps a targeted message can be sent to provide the mother
>>> with a relevant health tip based on an upcoming immunization or a reminder
>>> that it is time for the next vaccine, a follow-up, etc. This may also
>>> include tools to improve social mobilization and awareness.
>>>
>>> *Challenge B: Patient identification*
>>>
>>> *Discuss challenges in relation to identification, tracking, and
>>> longitudinal records.*
>>>
>>> While a country may have unique identification of adults, this type of
>>> tracking seldom extends to children. A caregiver is often given a child
>>> health card to track the child’s growth and vaccine history. Whether the
>>> card accompanies a child to an immunization session varies. It is
>>> difficult, if not impossible to determine the identity of the child who is
>>> brought for immunization and match it to health facility records. At a
>>> health facility, there may be an individual record of a child’s vaccination
>>> history within a register that could be cross-referenced. Yet this process
>>> can be time consuming when there is a large lineup of children waiting for
>>> services. Further, if the family moves outside of the district, it is near
>>> impossible to see the longitudinal record of care. Who is this particular
>>> child? Did the child receive the full regimen of DTP? Of the polio
>>> vaccine? Which children are expected at the clinic this month?
>>>
>>> *Challenge C: Supply chain*
>>>
>>> *Discuss challenges in relation to stock on hand, cold chain, and stock
>>> management.*
>>>
>>> Beyond the district level of the health system, there is limited
>>> visibility into the interdependencies of the cold chain necessary for
>>> viable vaccines. Often, vaccines are pushed to the outlying facilities,
>>> tracked on paper registers, resupplied through inefficient processes in the
>>> event of a stock-out, with a seeming data disconnect between what vaccines
>>> have been administered and what has been supplied. Unfortunately,
>>> immunization officers often do not have the data to help guide efficient
>>> flow of vaccines when there are overstocks, when vaccines are nearing their
>>> expiry dates, when growing population trends predict near future shortages
>>> in supply, or when problems with the refrigeration foretell a need for
>>> immediate maintenance.
>>>
>>> Cheers,
>>> Jim
>>>
>>> --
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>>> Post to : dhis2-devs-core@xxxxxxxxxxxxxxxxxxx
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>>>
>>>
>>
>>
>> --
>> Knut Staring
>> Dept. of Informatics, University of Oslo
>> +4791880522
>> http://dhis2.org
>>
>> --
>> Mailing list: https://launchpad.net/~dhis2-devs-core
>> Post to : dhis2-devs-core@xxxxxxxxxxxxxxxxxxx
>> Unsubscribe : https://launchpad.net/~dhis2-devs-core
>> More help : https://help.launchpad.net/ListHelp
>>
>>
>
--
Knut Staring
Dept. of Informatics, University of Oslo
+4791880522
http://dhis2.org
References