scholarly journals Converting the existing disease surveillance from a paper-based to an electronic-based system using District Health Information System (DHIS-2) for real-time information: The Lebanese experience

2021 ◽  
Author(s):  
Dalal Youssef ◽  
Ayat Yaghi ◽  
Abbas Jouny ◽  
Linda Abou-Abbas ◽  
Houssam Chammaa ◽  
...  
Keyword(s):  
Real Time ◽  
Disease Surveillance ◽  
Surveillance Systems ◽  
District Health ◽  
Medical Centers ◽  
Before And After ◽  
Reported Data ◽  
Real Time Information ◽  
Time Information ◽  
Roll Out

Abstract Introduction:The Ministry of Public Health in Lebanon is in the process of converting the surveillance reporting from a cumbersome paper-based system to a web-based electronic platform (DHIS-2) to have real-time information for early detection of alerts and outbreaks and for initiating a prompt response.Objectives:This paper aimed to document the Lebanese experience in implementing DHIS-2 for the disease surveillance system. It also targets to assess the improvement of reporting rates and timeliness of the reported data and to disclose the encountered challenges and opportunities. MethodologyThis is a retrospective description of processes involved in the implementation of the DHIS-2 tool in Lebanon. Initially, it was piloted for the school-based surveillance in 2014; then its use was extended in May 2017 to cover other specific surveillance systems. This included all surveillance programs collecting aggregate data from hospitals, medical centers, dispensaries, or laboratories at the first stage. As part of the national roll-out process, the online application was developed. The customized aggregated-based datasets, organization units, user accounts, specific and generic dashboards were generated. More than 80 training sessions were conducted throughout the country targeting 1290 end-users including health officers at the national and provincial levels, focal persons who were working in all public and private hospitals, laboratories, and medical centers as well. Completeness and timeliness of reported data were compared before and after the implementation of DHIS-2. The unveiled challenges and the main lessons learnt during the roll-out process were discussed.ResultsFor laboratory-based surveillance, completeness of reporting increased from 70.8% in May to 89.6% in October. Timeliness has improved from 25% to 74%. For medical centers, an improvement of 8.1% for completeness and 9.4% in timeliness was recorded before and after training sessions. For zero reporting, completeness remains the same (88%) and timeliness has improved from 74% to 87%. The main challenges faced during the implementation of DHIS-2 were mainly infrastructural and system-related in addition to poor internet connectivity and limited workforce and frequent changes to DHIS-2 versions.ConclusionImplementation of DHIS-2 improved timeliness and completeness for aggregated data reporting. Continued on-site support, monitoring, and system enhancement are needed to improve the performance of DHIS-2.

scholarly journals Converting the existing disease surveillance from a paper-based to an electronic-based system using District Health Information System (DHIS-2) for real-time information: The Lebanese experience

2021 ◽  
Author(s):  
dalal Ali youssef
Keyword(s):  
Real Time ◽  
Disease Surveillance ◽  
Lessons Learned ◽  
Surveillance Systems ◽  
Medical Centers ◽  
Before And After ◽  
Reported Data ◽  
Real Time Information ◽  
Time Information ◽  
Roll Out

Abstract Introduction:The Ministry of Public Health in Lebanon is in the process of converting the surveillance reporting from a cumbersome paper-based system to a web-based electronic platform (DHIS-2) to have real-time information for early detection of alerts and outbreaks and for initiating a prompt response.Objectives:This paper aimed to document the Lebanese experience in implementing DHIS-2 for the disease surveillance system. It also targets to assess the improvement of reporting rates and timeliness of the reported data and to disclose the encountered challenges and opportunities. MethodologyThis is a retrospective description of processes involved in the implementation of the DHIS-2 tool in Lebanon. Initially, it was piloted for the school-based surveillance in 2014; then its use was extended in May 2017 to cover other specific surveillance systems. This included all surveillance programs collecting aggregate data from hospitals, medical centers, dispensaries, or laboratories at the first stage. As part of the national roll-out process, the online application was developed. The customized aggregated-based datasets, organization units, user accounts, specific and generic dashboards were generated. More than 80 training sessions were conducted throughout the country targeting 1290 end-users including health officers at the national and provincial levels, focal persons working in all public and private hospitals, laboratories, and medical centers as well. Completeness and timeliness of reported data were compared before and after the implementation of DHIS-2. Challenges and lessons learned during the roll-out process are listed.ResultsFor laboratory-based surveillance, completeness of reporting increased from 70.8% in May to 89.6% in October. Timeliness has improved from 25% to 74%. For medical centers, an improvement of 8.1% for completeness and 9.4% in timeliness was recorded before and after training sessions. For zero reporting, completeness remains the same (88%) and timeliness has improved from 74% to 87%. The main challenges faced during the implementation of DHIS-2 were mainly infrastructural and system-related in addition to poor internet connectivity and limited workforce and frequent changes to DHIS-2 versions.ConclusionImplementation of DHIS-2 improved timeliness and completeness for aggregated data reporting. Continued on-site support, monitoring, and system enhancement are needed to improve the performance of DHIS-2.

scholarly journals Two parallel reporting systems for malaria surveillance in Pakistan, 2013–17: is exact burden reflected?

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1986
Author(s):  
Hammad Habib ◽  
Razia Fatima ◽  
Abdul Baseer Achakzai ◽  
Ahmad Wali ◽  
Aashifa Yaqoob ◽  
...  
Keyword(s):  
Information System ◽  
Disease Surveillance ◽  
Health Information System ◽  
Cross Sectional Study ◽  
Surveillance Systems ◽  
Malaria Surveillance ◽  
District Health ◽  
Cross Sectional ◽  
Reporting Systems ◽  
Reported Data

Background: Pakistan is facing challenges regarding the availability of reliable data for malaria surveillance. These include lack of coordination between different reporting systems and fragmented information system. This study aimed to compare the reporting of malaria surveillance systems in Pakistan. Methods: There are two parallel reporting systems for malaria surveillance in Pakistan, the District Health Information System (DHIS) and Malaria Information System (MIS). DHIS reports on all morbidity at health facility level, while MIS is only used for malaria surveillance in the donor supported districts. A cross sectional study was conducted between July-September 2018 by using the retrospective records of DHIS and MIS data reported to the Directorate of Malaria Control (DOMC) Islamabad during 2013-17. Descriptive and inferential analysis was performed to compare the coverage, outcome and impact indicators. Results: During 2013-17, all districts (n=145, 100%) across Pakistan reported on the DHIS. The MIS reporting coverage has gradually increased from 21 (14.5%) to 72 (49.7%) districts. Reported number of suspected screened and confirmed malaria cases were compared. MIS reported twice the number of suspects screened for malaria (100.5%) and confirmed malaria cases (124.4%) as compared to the DHIS. The difference in the reported average annual blood examination rate (ABER) was 3.8, test positivity rate (TPR) was -0.9 and the annual parasite incidence (API) was 4.9/1000 population over five years between two systems. DHIS reported only half the ABER and API as compared to MIS. Conclusion: There is huge under-reporting of suspected and confirmed malaria cases in the DHIS as compared to MIS. Urgent attention is needed to address this, as it is vital to have uniform reporting of true disease burden across the country. An integrated disease surveillance system, improved data validation systems, and use of the online DHIS-2 are potential options for better integrity and coherence of reported data.

Potential Urban Rainfall Prediction Measurement System

1984 ◽  
Vol 16 (8-9) ◽  
pp. 349-362 ◽  
Author(s):  
John L Vogel
Keyword(s):  
Real Time ◽  
The United States ◽  
Monitoring Systems ◽  
Climatic Region ◽  
Convective Storm ◽  
Rainfall Prediction ◽  
Water Quality Regulations ◽  
General Data ◽  
Real Time Information ◽  
Time Information

Continued growth of urban regions and more stringent water quality regulations have resulted in an increased need for more real-time information about past, present, and future patterns and intensities of precipitation. Detailed, real-time information about precipitation can be obtained using radar and raingages for monitoring and prediction of precipitation amounts. The philosophy and the requirements for the development of real-time radar prediction-monitoring systems are described for climatic region similar to the Midwest of the united States. General data analysis and interpretation techniques associated with rainfall from convective storm systems are presented.

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