dhis2-users team mailing list archive

[wanjala pepela <wanjala2p@xxxxxxxxx>]

Thanks for the information,

We have also experience with the use of OpenXdata in mobile for MOVE-IT and results for transmission is OK but cannot be used to get more results that are expected; Tall free numbers for SMS may be ideal; Aggregation also is an issue but can be used for data entry and relay information on to DHIS. It also calls for software be downloaded and installed in each phone and cannot use ordinary phones;

regards
 
PEPELA WANJALA
MINISTRY OF HEALTH HEADQUARTERS
HEALTH INFORMATION SYSTEM
AFYA HOUSE, HIS LG 37
P.O BOX 30016, NAIROBI, KENYA
TEL: +254 (020) 2717077 EXT 45097
CELL: +254 (0) 722375633 or 0202033363
EMAIL: wanjala2p@xxxxxxxxx
            hmis@xxxxxxxxxxxx
 "HealthInformation Management - Making a World of Difference”
 



On Tuesday, November 19, 2013 8:06 AM, Knut Staring <knutst@xxxxxxxxx> wrote:
 
---------- Videresendt e-post ----------
Fra: "Dagmar Timler" <diggitydugs@xxxxxxxxx>
Dato: 18. nov. 2013 07:42
Emne: [ict4chw] HCT project in South Africa using DHIS2 and OpenXdata (as "Capture")
Til:  <ict4chw@xxxxxxxxxxxxxxxx>
Kopi: 


Hi, my name is Dagmar
Timler and I am part of a team at Cell-Life in South Africa.
It's my pleasure to
tell you today about a project initiated by the South African
National Department of Health.

Background

The South
African National Department of Health (NDOH)
identified that mobile technology could play an important role
in improving both the speed and the quality of data for informed
decision making and improved service delivery in the Public health
sector.  The Department Tendered for a supplier to design and
implement a Mobile Monitoring and Reporting System for the HIV
Counseling and Testing and Antiretroviral Treatment data collection
programs, the Ward-Based Primary Health Care Workers Community
Outreach Teams mobile support initiative and other rapid data
submission programmes as may be required.
Through funding from
the Department of International Development, under the SARRAH
Programme a consortium of HISP and Cell-Life were appointed to implement the Project, and used the OpenXdata software (under the brand name “Capture”) and the DHIS2 to
implement the Mobile Monitoring and Reporting System.
Pilot Phase

The pilot phase
included all nine provinces in South Africa, selecting one pilot
district per province.

This meant, that the
project pilot consisted of 937 users and facilities (1 user per
facility). The project pilot phase launched in May
2012 and ran successfully until July 2013. The pilot phase started with the reporting data
on HIV Testing And Counselling (HCT) which included the number of
persons pre-test counseled and also
tested for HIV, and also Anti-retroviral Treatment (ART) which
collects information on people started and remaining on ART.
The initial data
elements collected reports on the HIV Counselling and Testing (HCT)
programme of the NDOH. The success of the pilot phase was such,  that
the program is now being implemented in all 52 districts with more
than 4000 facilities reporting their HCT and ART data monthly via
mobile phones.

Technology

HISP-SA and Cell-Life
presented a solution that responds to NDOH requirements by
integrating OpenXdata (under the
brand name “Capture”) and DHIS2.
OpenXdata (under the
brand name “Capture”) is used as the Mobile component for data
collection, which enables users to capture, validate their data at
the time of capturing and upload data to the DHIS2

DHIS2 is used to store
the data submitted via the mobile component and provides flexible
analysis and reporting tools in the form of dashboards on user’s
desktop - where the page contents are automatically updated from the
database – and is fully integrated with reporting tools (iReports,
Jasper) and third party analysis tools - Excel Pivot tables and GIS .

This solution will
provide facility managers, sub district managers, district managers,
provincial mangers and NDOH with
instant access of the data collected at facility level and allows it
to respond quickly and effectively
should it be required.
The technical solution
consisted of the following elements:

	* OpenXdata (under the brand name “Capture”): Mobile data collection 
	* DHIS2: web based central database
	* APN: Access Point Name with 10 Gig monthly data
	* Data SIM Cards: Vodacom SIM cards linked only to the APN
	* Server: Hosting Capture and DHIS
	* Cell-Phones: Nokia 5230
	* Please Call Me line (PCM): Used to send the download link to the users.
	* Implementation – set-up (distributing 1000 phones)
Each user was given a
Cellphone, SIM card, username and password. The Cellphones were
issued by the National Department
of Health and the SIM cards are paid for by the National Department
of Health. SIM cards were
configured to link only to the APN and would not have any access to
the internet or make and receive voice calls in order to control
costs and limit abuse.
Users send a Please
Call Me (PCM) on receiving their phones, that triggers a response SMS
directing them to download the mobile phone application which sits on
the server and only accessible via the APN.

A PCM is free service
provided by South African mobile networks which sends an SMS  to a
specified number requesting the sender is called back. The PCM was
used as it would have been logistically challenging setting up each
phone and then having them distributed to the users, and since it was
unknown when the users would be receiving the phones, an SMS sent too
early could be deleted without being read.

Implementation

Users were instructed
by the NDOH to submit the required data on a monthly basis. Once data
is submitted from the mobile phone to the openXdata server (under the
brand name “Capture”) the data is automatically exported to DHIS2
in an XML format. The form data elements are linked using DHIS
specific bindings.

Managers can then
access the data and generate the required reports in DHIS2 via the
web interface.

Training

The method used in
training users on the application was a train the trainers model. 20
master trainers were selected
per district and were responsible for cascading the training sessions
to the rest of the district.
Each user was provided
a comprehensive user guide detailing every step of the process, which mainly included screen
shots and explanations on what was required.
Progress to-date

On the whole the
feedback from users has continually been very positive. Users like
the simple interface and the ease with which data can be inputted and
submitted.

It is vital that there
is “buy-in” to the solution to ensure that it is accepted and
used as specified. This should be
incorporated into training sessions to overcome any potential user
resistance to change.
To-date, over 900
facilities have been trained and the project team is in the process
of planning the roll-out of the balance of approximately 3200 mobiles
required to complete the project. Funding is provided jointly by the
National Ministry of Health plus DFID who are assisting in the early
phases.

The Project Pilot
evaluation report together with the project close out report was
extremely positive resulting in the  recommendation to commence with
the full roll-out to the remaining  43 districts.
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