 It's a pleasure to introduce today's plenary session. So UIO is a WHO Collaborating Center for Innovation and Implementation Research in Health Information Systems Strengthening. And the tangible results of this partnership have been the development of health data content for DHIS2, which we generally disseminate through the WHO metadata packages. Some of you may have heard of these. So those who really know DHIS2, you know that out of the box, it's an empty shell. So you have to define all of the metadata that's in there for all of the different health programs that you need to capture and collect and analyze data for. So we've been working with WHO for the last several years to define a kind of gold standard DHIS2 configuration for health metadata. And we've been working towards this goal forever in mind with an integrated in-country HMIS. So a health management information system that has harmonized metadata and can capture all of this core data across different health programs. So this DHIS2 health content, we think it's even more than the metadata packages themselves. These can be installed onto national DHIS2 instances, but we really see this as an extension of WHO's work on developing health facility data toolkit and several other tools that are in their score framework that An will also introduce to you guys. So the partnership, WHO is technology agnostic, but DHIS2 is a platform used by more than 70 countries. So together we know that we can leverage this presence in so many countries to disseminate these global standards and to support the WHO's curriculum on analysis and data use. And further push ourselves as well to facilitate uptake with end-user training materials and with demo databases and system design guides that help us to disseminate good practices and how to do DHIS2 design. But also we learn from real-world implementations and we learn from all of the countries who have been out there implementing and designing and integrating their systems. So in the parallel sessions today you'll hear from a broad swath of our community of practice around how they've been using DHIS2 to meet health program goals for HIV, TB, RMNCH, immunization, other areas. But in this session we are very welcome our representatives, so Dr. Hong-Ang Chu, Aang, from the WHO headquarters, as well as representatives from the Lao PDR Ministry of Health, the Palestinian National Institute for Public Health, and the Rwanda Ministry of Health to share their perspectives on the journey towards strengthening integrated HMIS and adopting these global standards. So without further ado, I'm very pleased to introduce my colleague, Aang, from the Division of Data Analytics and Delivery for Impact. She's based in Geneva and she's the primary focal point at WHOQ for our UIO collaboration, which is continuing to grow. So she has a long history with DHIS2 implementation. She has been a champion for promoting the platform as a way to disseminate standards. But she also spent many years working in the Lao PDR WHO country office. So she is a steadfast supporter of making sure that we keep our global products and collaboration focused on meeting the needs of countries and helping countries to support their goals. So Aang, I will hand it over to you. Good afternoon everybody. Very nice to be back to be with the team and I'm very sorry that we will not be able to see everybody in person. Can you hear me well because we had some problem with audio earlier? We can hear you well thanks. Okay, so thanks Rebecca for the introductions and hello to everybody. It's very strange to talk to supposed to be a very familiar faces and we don't see anybody here and which makes me a little bit more nervous. So today I'm talking on behalf of the division of data analytics and delivery for impact, which is the new division in WHO. And I have a lot of people ask me the question, what is DDI doing? So we thought it would be a very good idea of taking this opportunity to give a very brief introduction of what DDI is doing and where we are in the collaboration in partnership with the DHHP, the diversity of all people. And to work on the strengthening of the health information system that most of all is to see how we're going to do together to support the country to overcome a lot of challenges by trying to reach the overall common goal of the universal health coverage and the health related sustainable development goal. So I am just trying to see how I'm going to do this. So let me start with this. I think on Monday when Dr. Samira Asma our director of the division gave the opening remark and one of her first things to say was that the high level that WHO together with all the country's state member to come up with the goal which is the triple billions. And out of that it means the entire world together we're trying to have a one billion people to be more benefiting from universal health coverage, another one billion to be enjoying better health and well-being and one more billion is to be more protected from the health emergencies. And that is even more relevant now with the ongoing pandemic which affects everybody in every corner of the world and that would also be something that we have to consider. And I think that is something was very relevant also on the presentation yesterday when you see how different countries will work together to try to control this pandemic and that will also affect the efforts of all the country put together to achieve this very ambitious goal. So the DDI was the that is the short name for the division of data analytics and delivery for impact. It was established aiming at supporting the organization to support the country and see how best we can trying to prioritize and support to strengthen the services in health sector but then through the evidence base which is this is why where the data coming in and this is why we are focused on in our divisions. There are three main strategies. Number one is to see how we can better measure to support the monitoring of the progress. How we're going to support the country to focus on what is the best way to prioritize to reach the results and how we're going to measure the impact. How we're going to support the internal building capacity in terms of coordination, get the governance side right and get all the concern party work together so that the country will achieve the target that contribute to the 1 billion or triple billions. For us what we're doing is that we have three four key areas that building into this strategy. Number one is to set the standards and also provide use of the the data available to get the estimate right so that the country can set up the goals that contribute to the three billion goals. Also we can only do that if the country have a robust and comprehensive and good health information system and through that is how we're going to work together how the data is going to circulate and use it collected and all of that through the data governance and exchange so that everybody will see where they are and how to get to the next steps which lead to the stock taking to see no that is all different milestones of measurement of the country. One of the latest external result of products that was published recently by the division is the score which is a the first for the first time is a very comprehensive tools that show represent all the different components that to build a comprehensive and strong health formation system. This and then the report of that will be released by the end of this year and this technical package that was launched last month has offered more than 90 different tools and technical guidance that help the country to see you know how best to strengthen the health information system and the HIS2 was mentioned there in several areas out of that they all focus a lot on is how to strengthen the data collection the analysis and also use of it to strengthen the routine health information system. Also one of the new features and it's being working on within our division is the World Health Data Hub which is the end-to-end data single repository that will help country to send the data regardless of different formats but the main point is that they go in one place but then it can be presented through different portals so one is for the country to use so the country share the data but also have the that can be they can also see the data through the old portal and out of that you know what is the achievement and the status of the triple billion will be reflected that there will be one stop portal for all data link to health that's sent to WHO and then there's be another portal that for you to go and do the analysis that is needed for your own use of all the country or for the program and then one of the work has been going on is the collection of the data catalogs and based on that we are trying to set the standards and the HSO will be one of those group of data metadata standard that's going to be in this data catalog. The other new feature is the mapping the GIS we just recently established the GIS center that aim a two purpose one is to work and support the Ministry of Health through our country offices to strengthen and use of the mapping for the country boundaries also for the health facility and be it as a part of the analysis to make better presentations of and visualisation for the own the outcome of the health sectors and secondly is to build a global database linked to the boundaries and the health facility so that it can be served as a base for any country who wanted to start you know to start to use mapping and location of health facility in the health information system. So having said that what would be the work of the GIS and the University of Oslo with the WHO as part of the collaboration Rebecca mentioned earlier in the opening speech and that was the work we have been doing in the last three or four years in terms of trying to build a standard for the data collections for the data analysis and the presentation of it through a set of dashboard standards that help country to visualise to to analyse the data better but also to for the cross analysis and comparisons and also for WHO it is a very it's a very good step to start for standardised data also for all different programme to work together and why we have to do that the latest world health statistic reports show that there are lots of countries that don't have enough capacity at the moment and don't have the available data to help them to monitor the universal health coverage and the SDGs so one of the core points and linked to that is we need to help the country to monitor which is the routine health information systems and the HS2 has been part of WHO to strengthen these three areas number one is to set the standard through the standard digital packages and to make sure that the data are harmonised and collected secondly is to help them in terms of strengthening the analysis link that with different other data which you will see later in the country implementation to see how does it fit in and help the country to monitor the triple billion targets linked with the other data sources and in the future how we turn that together and build the the part of the end-to-end data repository through the integration of different platforms, different programmes and also linked with different interoperability with the GIS with the ICD-11 with the logistic system and with the survey to make sure that the data is transparent and visible and accessible wherever the users are and the result is we have 39 countries have implemented this with the support mostly at the moment from Global Fund and Gavi which you have heard from the presentation yesterday and there are more and more partners who also wanted to support this and to see the benefits of having one single integrated health routine health information platform that share across different programmes, different partners and can be used across the entire country and so far we have these many products and the latest one was COVID which is developed in a very interesting way which I hope you heard of it yesterday I was really impressed how it was developed and made into available through a cohesive and very and cooperative way by many different players in the communities and how it was rolled out so fast in such a short time. We have a more in the pipeline and moving from aggregated reporting into a case by retractors but also one of the things that coming up a lot recently is the community health information system as one of the core points for the primary healthcare which is essential part of the universal health coverage and how do we work together we have the WHO mostly but also UNICEF and other the technical partner contributes the technical guidance for the agnostic health data collection and analysis standards and we have the DHI community help in terms of making it into a digital data package that can be implemented in the countries and adapted in the country so that it not just meet the needs of WHO but more importantly also meet the needs of the country data requirements and then I think also one very interesting feature is the network with the health data collaborative where all the partner work together and support the country implementations. How do we do it together we have come up with a very simple cycle which go through development testing implementation lesson learn and then go back to the improved movement and then we start with WHO or technical agency and then from the second phase we work hand in hand with the University of Oslo aiming at strengthening this package and make it as user friendly as possible. So this is what we do we work together we're trying to put country at first make sure that it is usable it is useful it is supporting the implementation but the capacity building in the country it has a feedback loop so that we always learn from our doing and then this the the improvement and strengthening of that is continuing process so just a simple key message here we need to have a clear guidance on the how we how we use the data what data is needed putting the country at first for the user perspective then we need to make sure that there is a environment that supports the implementation and the use of data strengthening the data quality the governance of data make sure that there is a privacy there is a confidentiality and and and security for whoever use our system and then and last but not least is that you know it doesn't matter how strong the software is our WHO and now our DHI's who call it also need a very clear standard need a very good communications and a unified common guidance that we work together so that country can have the same message and they can make the best out of this with our lots of confusions which we come up sometimes and the need to work together to strengthen the capacity in the country so that was a concept and for the next it was how it works in the reality and I'm really looking forward to listening to how our friends in Palestine and Rwanda are making this into reality thank you thank you Aang and now I'm pleased to introduce Khadija Abu Khadir from the Palestinian National Institute of Public Health. Hi Rebekah hello everybody nice to join you this session and hope next year to be face-to-face inshallah I will share my screen so we can you can see my presentation. I will be presenting the Palestinian experience on behalf of the Palestinian National Institute of Public Health we are the Palestinian Institute of Public Health we are one of the WHO project that have been endorsed by the Palestinian government and the president to be an independent governmental entity and evidence-driven institute that aims to improve the health and the well-being of the general public in Palestine we are working closely with the Palestinian ministry of health our colleagues at the Norwegian Institute of Public Health and other partners from University of Oslo HDI as to health and community okay so the NIH since its establishment has been working heavily with the stakeholders to strengthening the essential public health function and the health system in Palestine through providing accurate and reliable data and evidence-based information creating an integrated and sustainable HIS that collects all information health information in one system enabling easy access and better overview of health within the country is our vision and would be an appropriate tool to reach the goal so our condition in Palestine regarding the HIS before our working on this field we have unfortunately a limited functioning HIS where there was a health information system in hospitals which started in 2009 and currently is running in almost all government and hospital and only four health directorate out of 13 having this HIS in addition to only four clinic out of more than 400 the clinic also having the HIS unfortunately we can notice that this HIS was failed to be scale up or to be sustained in addition to the lack of proper technological solution and the resources constant so at 2017 we started our experience with the HIS in Palestine with the national implementation for a customized tracker of interactive checklist and decision support system and this has been implemented in close collaboration with the Norwegian Institute of Public Health and University of Austin starting from this point we have noticed at the NIH and Ministry of Health that the HIS is will be a good HIS tool and software for the Palestinian context as being able to be customized for our need and for our health system needs so the BNIB has invested heavily the capacity building of Ministry of Health and BNIB to until we succeed to establish a national country team with a member from both BNIB and Ministry of Health that have been with wide range of specialties and capacity BNIB tries to provide every learning opportunity for the team to master the skills and the knowledge that needed to maintain and to develop the HIS program in Palestine and actually the team were able with the remote support to develop to customize the first HIS aggregated system for most of the primary health care report and statistics and this is only was the beginning then a tracker program which is patient based tracker for the case-based surveillance and for mammography also was another achievement for this team the big achievement was within system that we were working on to integrate the NCD and to have a unified patient record where all primary health care services have been integrated in one electronic record and with avoiding the verticals program to track patients from P and registered on birth registry till death register even without the break of Covid which is started in Palestine at March 2020 the team managed successfully and we are proud to say that in a short notice to develop a COVID surveillance package according to Ministry of Health needs and WHO packages and may end up finishing for that could be positive and confirmed cases so this slide you can see the graph that show the current ongoing irregisteries and computerized program in Ministry of Health the primary health care clinic you can see on one of the side we have the mch irregistery which is customized the tracker virgin 2 by 2.29 you can see at the end of the graph also we have the HMIS and in the middle you can see the standard tracker that have been built by the national team all of them are in 2.30 and they are in the process to be updated 2.32 unfortunately we noticed that there are a limited so I'll move for the next slide which is show the ideal vision for the primary health care e-health application we are looking forward to have this graph on the ground where would like to have an ideal virgin where all registries have been interacting with each other and there will be like a master registries to be synchronized with all other trackers where essential enabler data will be exchanged in unified format so we can notice that we are planning to have a free master registry and actually we will succeed to have at least two of them the facility registry that contain all facility in the primary health care and we have the HMI as we are ready and now we are working very well on doing the client registry all these standard tracker and there will be like an in a data exchange and in the integration with these registries in order to be able also to interact on to do integration with outside ministry of health HMIS and health information system such as the BCDS and other health system and non-health system in balistar okay so how we were working during our work with the main partner the ministry of health and other partner we we were able to to approach ministry of health in different way the first approach and the third mechanism that we were heavily investing in is the building the national capacity in the HIS too that would enhance the developed HIS and to ensure the sustainability so ministry and other partners would feel the sense of being always being able to be supported they will be able to maintain the developed HIS and they will never left behind it's very important so that they can be committed to the developed HIS and other programs other approach that we use with the ministry of health is the implementation phases we never went for program in one time we depend on the gradual phases in implementation where we do sometimes piloting test then go if the the program was working well on the real and on the ground we go for the national scale up this is very important as this will facilitate the change management the process and the adaptation of the ministry of health and the systems user to the new technology and to the system another important point that we were relay only during our working with the ministry of health to strengthen their health system is the clear requirement where we usually develop for any developed program we prepare a clear requirement and we share it with the related technical units starting from the minister from the deputy to the technical unit and even sometimes with the end user to make sure that these requirements are matching with their needs with a satisfying flow of work and this is very important as it would enhance the ownership and also the open and active communication listening to the partner especially ministry of health needs being frankly and honest on what the HIS do and what develop system can do and what cannot do it's very important this is with help to have trust relationship and this is with also help us in providing a continuous feedback for the ministry of health and for the partner to make sure that we are working on the same ground and we are doing what they are expecting so we will not be surprised or the minister of health to be surprised with an expectation that did not come to the mind of the developer or so looking to the factor that's contribute just a two minute warning thanks yes okay the contribute to the success of the work in addition to what I have mentioned I would like to hide that the health strategy initiative that is going down in Palestine and it help us to have a commitment from the ministry of health to to be able to implement the different health I would like to go to the last slide in my presentation which is the future perspective continue our work with the ministry of health to strengthen their system we are planning to focus more on the stability and further growth for the HIS to platform we are planning to include more health services that have not been part of the health system till now such as the mental health services and the school health and a major issue also we are focusing on is the integration with other non-governmental health sector we have started with the with the ministry of women's affair we succeed to have national observatory for the agenda-based violence and we are planning to move for other organizations such as ministry of education ministry of anterior and the party of Oslo and the HIS for better outcome and for better strengthening for the health system I will stop here Rebekah and other colleagues and I have to thank here the BNIBF team without their dedicated work none of this would be achieved and a special thanks for our colleagues from Oslo from you know you know in Norwegian Institute of Public Health and we would not forget our colleagues from HIS for their generous support and cooperation thank you thank you so much Khadija for for sharing all of these hard-earned lessons learned and I do hope that the strong foundation of the HMIS lets you reach to your ideal so we'll keep learning from you in the years to come Dr. Chonsili and our Lao PDR team the floor is yours I'm sorry I should introduce I'm sorry Dr. Chonsili Pomavang he's the deputy director general for the department of planning and cooperation at the Lao PDR ministry of health so welcome Dr. Chonsili. I think you have to share your screen to slide. Okay can you hear us? We can. Okay so uh I just would like to start our PowerPoint please not go why? Okay so this is the first presentation that the topic that we are going to cover during these 10 minutes mainly talking about the what we have done and what future we are going to do and I just start what begin by the uh overall what we have done in in the past so far the SS2 has been already started since 2015 and 2017 it's already become the connection of the integration platform to the whole country so far we already trained more than a thousand staff for the training staff on not only for data and papers but also for using the system managing the system everything and so far only 14 key health program has already been integrated into the into the SS2 system so that we can see it all and more than a thousand two hundred health facilities meaning including the central and hospital and provincial and district and health center already using the data and the data into the system and so far we we checked the automatic reports so far already 90% reporting completed also very good there the second thing it now we already has already integrated many programs into the system but we call more than about 40 programs are already integrated into the system so we apply our free function of the SS2 both including aggregate event capture and tracker because so we can see here some program has already on on on using only aggregate and event capture some program already still mainly event capture and so far we already have one program like a logistic management information system have only interpreted with the SS2 and we we still have about free program that you need in the future with the internet into the system mainly for the health insulin the hospital information system or EMR and so the the hormone resource information system will be later on integrated into the system but mainly we cover the key program that requires for the government checking tracking indicator so this is the main integrated into the system in in law so what so far ongoing the system that we are doing now so for the SS2 we use not only for collection of the number or code we also extend to the to the quality of service meaning that we use the system to to track the the quality of service at the hospital and we are now already customize the quality scorecard into the tablet so that we can the health center or can check the center level can check the quality of service of the health center and health facility we also include also clinical variant meaning that the how how the the health staff perform using the distance to modern to to to check the quality of the staff who are performed the the treatment of the of the of the disease in the hospital we also improve improving the quality of data aside from the we have a normal system already in place like a mark mean or well it is a good news i have the the the quality checklist on tablet to capture data or this is mainly for the for the epi data right also the we have a system cooperation between the survey data and routine data the interaction of the unicef global for the SS2 we're also using the system to monitor the disbursement link indicator which is funded by global fund and and and and the world bank to track the indicator that later on you you can link to the payment without this this is to the the world bank global cannot cannot proceed the program because even based on that to verify whether the system and and the actual information is is included we also used indicator to to monitor the quality of the quality of care for nutrition financial information system and also other program like history tv and and the e-pay service so we know the also integrated data from other sector to the to the to the main hsms because of we now we also integrate of the climate data into into into the system we can link between two information to to to monitor the to inform the decision maker where it's needed to to her and also the data can be shared with the noted with the minister of whole fair mainly on the mortality of the children mortality the marketing and marketing so that we have already have agreement any information from yes so we can share with them and any information that they have from the system from moha can save us so we also have the innovative approach to strengthening even basis serverland so we have used the serverland function of the desert to to to develop a cup to information from hotline called easy serverland we also strengthening the the company data from community service for strengthening of serverland system we also expanded the not only the facility based information also extended to the community based information we are now collecting information that is not collected from the looting information like water supply and also the the company planning for detail and also the helping solar and so more finally we formed the committee based on when we got the the ryan population cow meaning the the ryan number of target population that we we used to calculate the the main indicator so and so we as we said they very use the we customize the tune like the way so data quality assessment tune immunization data analysis tune and so also the dashboard for the covid-19 which is really useful information so what are we already adopting global global standard of integration for his or her the first thing the lab adopt the standard the user tools such as the uh the dark quality tune immunization analysis tune we also have used the adopt the customized standard packet of covid-19 as i mentioned before during the covid-19 only our system can provide interesting information for for the covid-19 tracking we also use the standard report for generated this is specific system for example for tv sv malalia which is very standard so that they can report not only to the country but also report internationally to the wso to other thing we because of the standard because of the that the reporting already standard also we are working also with the national uh digital health guidelines standard to ensure the interval over the years of continuous we've got the continued support from the way so to the loud team we also got support from you know also the health health information system in vietnam also standby anytime that we need them they just provide the support technically support for us so as i said that we are working uh with the partner we are not only minister of health alone but also working with different partner like a global fund word bank adb lots of work and many partners putting funding together not only the funding is also technically putting together we also have a legal partner coordination meeting talking about health information system we update we legally review the system review the how how people using the system to to monitor the indicator how people using what is challenging what is the benefit from that holding the legal meeting we also have one system one door system that all information all information all the design or development of the form should be gone to the our this is to team we also have the uh one detailed plan we need the plan including all the partner in the end including also government the different partners like uh word bank and adb global fund we know the all activity we also use the funding to sustain this because the ui and this much of a link together provide really sustainable funding to stimulate the the health staff to to continue working on the quality of the health information system and also part of the national global health strengthening initiative dr chopson li i'll give you two minutes for yes yes i this is the last uh power point so aside from success we have also the challenging for example first itself about the the use of information anyway we have no matter we have a good quality of data but people didn't use it not uh it's not good so yeah so uh many people still not understand the whole concept many people use the system but some people use uh the system they tell us whatever they want to do but some system cannot function to to provide uh what what they need also the data quality needs to be strengthening we need to strengthen the ownership of the people who are using the system yeah so uh so the key lesson learned we have to first of all we have to have a very strong uh leadership on also we have we have to have the the strategy to guide the uh to to involve all the partnered to put the to investment into the system and to make the system more functioning and certainly so this is the uh in the future we are still we will continue to to to uh working with the hospital information to integrate to the system also in the property with the other system that's not uh it's not in the system yet this is my last power for you so thank you and any questions you can have thank you so much dr chanceli i think it's just really impressive for all of us to see how much you have achieved by having a common plan and a common investment framework and now being able to push into um some really innovative areas with the end supply integration and working across sectors so it's my pleasure to introduce our last speaker it's um andrew we're here from the rwanda ministry of health um andrew if you would like to share your screen um thank you rebecca and um okay good so um my presentation will much more focus on the renders approach to strengthen hms and adoption of the blecho standards without taking much time we currently we have one integrated system in rwanda that collects all clinical data from all health facilities uh so this is the background uh we uh mostly in before 2011 we had the system that was uh no offline system but uh in 2011 we managed to move from the offline system to a web based system so the main the main aim of moving was the fact that the system was really not easy to to maintain and it was a little bit complicated so in 2011 we reviewed our tools you can see it on my powerpoint we reviewed all our tools and harmonize our reporting form and we developed also sops to ensure that the new system has all needed uh materials that standardize their data management across the facilities then in 2012 we launched the web based system uh 2013 we worked around uh indicator manuals and ensuring that everything the definition is well everything is well defined uh then 2014 we implemented the etb which was the first case-based system in to be implemented in rwanda then we continued 2018 and 19 where we've been working with blecho to implement the data quality tools and then ap tracker so these are the standardized documents that we developed in data management we have sops we have data collection tools we have indicator reference manual uh then these are the packages that we already have in place now we have uh program routine clinical reports that are reported directly from the health facilities then we have case-based like etb ap tracker and mccod that uh you know medical certification cause of death all of these are the blecho packages then we have annual reports daily flash report from the from the from that helps the high levels from the ministry take actions real-time action we have disease surveillance then we have performance even best financing then covid-19 as we as i presented yesterday then the data quality mechanism because all of above cannot be really useful when we don't have the mechanism of data quality like many other countries we work with the dp which is the development partners to ensure that the data we collect is of good quality so we have what we call integrated supportive supervision that uh that brings together multi-discrimination teams including partners and uh also uh i would like to appreciate the the the contribution of who in this process so all of them they come together then they take data from the hs2 then they go down to check if whatever is in the hs2 is the same as what we have in the system or what we have in the source of data so this one also contributes a lot in terms of data quality and also confident when we are taking a decision on our data so uh we have decentralized monthly data validation also that also contribute a lot on this this is an example of the monthly data validation meetings you can see that the health workers on monthly basis they they meet and they check the data before it's reported in hmis but again we also have another meeting that they do to to discuss on their indicators and the health uh their indicators and whether they are moving up or down so this is the data use monthly meeting that i was talking about they when they discuss it's it's always shared by the head of the hospital remember that at the hospital it has the catchment area of the health centers so they discuss and they try to come up with interventions but all of uh intervention are based on the data so they present directly from the hs2 then they they take actions based on what data says from their catchment area i always give an example of an increased malaria that we we had this specific period of time then there was a there was an intervention that the government says those people from the this category they have to be subsidized then the community workers also have to consider adult for treatment but all of that was from the dhs2 so how how are we using these packages because we already have the framework of data management in in place but what we did in 2019 was like changing most of our tools to ensure that we institutionalize or we accommodate the new tools because you know most of the time we promote information used but when we don't have robust tools to ensure that people are able to visualize data they're able to visualize errors and outliers so that's where we we really uh we installed with m o m o and u i o and double h o we joined the efforts and we managed to train our people and we installed the double h o data quality tool and this tool was also institutionalized because you know we changed our sop when we shared a link our sop is version 2019 so it really accommodated the use of data quality tool and this one has really contributed a lot because it's very easy for you to track the outliers during the data checking and data review meetings so we also have the program level dashboards you can see that on my dashboard there with tb and tb notification and deliveries some of these most of these dashboards are from packages that we really installed and we tried to to to customize them based on the program needs and the facility needs so uh for sustainability we always collaborate with our partners but also um we've been really working closely with double h o to ensure that our teams are also trained uh with uh collaboration with double h with uh universal or slow we managed to have a pool of experts in the country to ensure that whatever we are doing is not based on one person but is based on the pool of people across the country so that whenever time we need we'll always have experts of people around to support the system so we are now introducing the use of e-learning as part of uh uh mitigating the the the covid situation but also uh some funding you know that uh training is expensive so we are now using e-learning to train our people we have managed to train everyone on their data quality including the double h o data quality app so now we are also adding other contents trained online so the condition of these packages and dashboards and dhs too is really wide but i wanted just to highlight a few of them there is a policy and strategy decisions uh has program planning these are more resource managed resource management capacity building and others so future plans because you know even though i'm presenting that we have these tools we are not where we want we are still need to to join efforts with our partners and everyone to ensure that you promote the information you use at facility level and district level availing data use tools to users e-g double h o packages capacity building to all users uh these these the areas of these are the areas of focus you can i didn't want it to write then the bullet points you can we can see it from the system the favorite views you can see that obviously our system is telling us the dhs too is telling us that most of the people are using pivot table and shots so we need to put much efforts on the dashboards we need to put much efforts on other analytical objects like maps and others so this is the link of to our tools that have been presenting SOPs and your statistics booklet and others thank you this the end of my presentation better information better decision and better health so for any questions please post it on the commuter of practice thank you thank you Andrew that was amazing and i particularly like the slide on on data use and being able to leverage that framework for for data management i also think we're pretty excited to see what you all do in terms of e-learning for covid um we have maybe three minutes so maybe can only take one question um on there was a question about um how to actually support data use so once databases are set up in countries and they have more of the standards um how do we ensure that the data gets used and i think on or if another presenter would like to answer that question but then we'll move everything else to the community of practice which i have posted in the chat okay hi hi Arthur thanks for the questions um i think if you understand it correctly it's about you know the it's about the data lake concept if that's the case it's the whole point is that it should the whole data lake concept is to ease the way the country share the data and then to and then it should be made available and accessible to all the country to use it but of course to show it on the on the internet it doesn't mean that it's going to be used and then that is you know in the name of the division there is the department of delivery of impact where they are actually doing uh lots of estimates and then work with the country to come up with the targets for different countries and then every three months they take a stock tax of you know how far they have gone and then use these portals as a way of showing how far and and where the country goes and then and then trying to to work with them to to make use of the data and then collect the data again so even a circle but it's what it's more important and it will need further strengthening and and and collaborative effort to support the country is to set up a proper data governance with focus on the data use to strengthen the data quality and also to build the capacity and I think that is where the the DHS to standards with the integrated platform plays a very very important roles because it already has a lot of engagement from different programs and and then have more interest in that so we can talk more about this but I'm very much aware of the the time and please feel free to contact me any time over. So thank you Aang and also thank you very much Khadija, Dr. Chansali and to Andrew for sharing with us your your country experiences we look forward to following your continued progress over the years and at this point we will stop the recording and get started for the next session. Thank you all very much.