Pariticipants: Delegates from Srilanka and Tajikstan
Scaling data granularity to the individual and discrete level
Data must be intuitive and obvious to health information system actors.
Some of the key functionalities offered by DHIS Tracker include:
- Developed as a module inside DHIS2 to enable the tracking by names of patients or beneficiaries enrolled in programmes requiring longitudinal care.
- Allows for name based data to be tracked longitudinally, aggregated, and exported to DHIS2, where it can take advantage of all data validation, reporting and GIS mapping functionalities provided by DHIS2. From aggregated facility data can drill down to individual names. “From top to down, and down to top”.
- Supports three different models of name based data: one time events (eg birth and deaths), programme based events (ANC care or immunization), and encounter based events (tracking TB or ARV care for HIV patients)
- Easily customizable for : Patient registration forms to specific requirements, including managing multiple identification schemes, enrolling in multiple programmes; Adding new programmes; and Programme stages to add or change stages and what parameter needed to be managed where.
- Patients can be easily searched using different parameters, and in also enabling the tracking of migration cases in a district or a state.
- Provides monitoring tools to field staff, such as the Activity Report to help track care of individual patients and the Scheduler to help the health worker plan her activities.
- Integrated with DHIS Mobile for interfacing the receiving of services data from the mobile client and to send activity plans and beneficiary alerts to the mobile. SMS alerts can be sent from the server to the mobile client.
Enabling integrated health record for the community:
Enabled with the DHIS Tracker
The HISP India vision is to work with the DHIS Tracker to enable states to develop an "electronic health record" for the community. Typically, we find that a particular person in a village may be registered for multiple health programmes of the health system, such as ANC and HIV, or HIV and TB, or immunization and school health. Currently, the system deals with these programmes independently, each having their own primary registers, reporting formats and recording forms. The Tracker allows you to have all these programmes defined in one database, so when a person is being registered for a programme, he or she can be searched across the programmes to see if already registered. And if yes, all the stored information, for example, demographic information and medical history can be reused in the new enrollment. While reducing redundancies of data, this system can also help providing more integrated care.
For example, if a child in the school health programme is diagnosed with polio, the records can be checked from the immunization programme to see whether all the vaccinations have been given to the child. Such a system in the future can also be seen as potentially helping to address the vexed problem of primary registers, when the 20 odd registers maintained in a Sub Centre (currently organized by health programmes - ANC, Immunization etc) can potentially be replaced by "Health Cards" where the integrated record of a person (generated as an output of the Tracker system) could be maintained in the Sub Centre. Such an integrated system is currently being designed for the State of Andhra Pradesh, where tracking systems have been created for mother care, child immunization, TB, HIV - all requiring longitudinal name based information support - and plans are afoot to extend to Nutrition Rehablitation Centres and School Health, programmes which have similar needs.