 a smooth transition and we will be there to support. I know the SMS is a very important thing and and well let's keep working to make that transition and to make it super sustainable, not super sustainable. Our next participant is Onkymin. So Martin if I can ask you to make Onkymin co-host. Yes. And Onkymin I have to remind you that please try to make your presentation in that you have a slot of 10 minutes in and I'm afraid we will not have time for everyone that we have committed to. So please try to give us your key messages and key successful examples in these 10 minutes. Thank you. The floor is yours. Yes. Thank you mother and and organizer and all of the THI's the facilitator to invite me to to be present my project in Myanmar. In the academy. So can you see my screen? Yes. We are seeing your your presented view in case you don't want to. All right. So let me to take my screen. All right. How about now? Yes. Now it's perfect. Please go ahead. Okay. So yeah. So good day all. So I'm Onkymin and I'm an EHR project coordinator in in the in the group of our principal recipient team in the city of Myanmar. And here I would like to present about our tracker deployment for Malaria animation in Myanmar. So and and we call this app the Malaria case-based reporting and surveillance the MCPIS app. And our app is host by the BAO system and developed by the no texture. And this is my presentation online. So which well yeah and which will be as listed which I will be covered in this presentation. So in the background and objectives as Myanmar is a malaria endemic region. And as we have also transition from malaria control program to the malaria elimination. And we have been focused the background is we have to be there is the increasing needs of case-based and quality data in in the elimination setting. So that we have been developed this app in order to solve these challenges. And another thing is as our end user for this app is dedicated to the village health volunteer which also called community health workers. In Myanmar we name it the MCMV integrated community malaria volunteers. So it's also it will be also soft as the job aid for these volunteers to improve their service quality. And and yeah last but not least as it is it will be you know improve their the data utilization by the by the respective program manager and the national team. So I would like to outline a bit of our development process because we have a quite complex of development in a process in here because like our project started in 2016 and at that time like with the application concept defined together with the national program and the partners our first prototype have been developed in 2016 which we name back then the MCPR without the surveillance part. So and and and in 2017 we have been like user we have been content contented that user acceptance testing and as well as the pilot testing and rule out. So and of course at that time we have been already also doing all after after logistic like most of the mobile devices at this year. So and yeah and this year we have been continuing rule out to the national program and our implementing partners for land here. And yeah interestingly when we have been like nationally doing updates there is another similar app but rather like at the time we our MCPRS is based on the event program but not the Trager WEM and interestingly there is a new app which is called MCPRS the case big surveillance app developed by WHO in 2018 to use this in the malaria elimination but they lacked the reporting part so that and finally in 2018 we have been discussed to integrate these two parts into WAN as a final integrated national tool for the malaria elimination. So and and yeah and and at the start of the 2019 we have been initiating the process of data integration and and hopefully and with a bit of love of course the university also the team mother you all have been released the Android capture app so it is very handy for us to you know like integrate all of these our event program and the Trager to into WAN just these into into the Android capture. So like since the start of the 2019 we have been developed the MCPRS which is based on the Trager program using the Android capture app and yeah and and this year we have been deploying MCPRS and the transition from MCPR to MCPRS already near near near the end so in here a more complex thing is that we also have an organizational structure organization unit structure changes in these two parts like in previously in the MCPR our organization unit structure is based on the village track and village but in the MCPRS is we have been changes to the in order to align with the health administrative layer and it is renamed with the rural health center and the sub-center and then our annuals will be the volunteer in India. So it is a bit challenging for us and yeah it is complex to do but nevertheless we have been into all of these process and yeah of course for the guidelines and document documentation we have been developed in our Lugat languages and as well as other a bit of the necessary man user manual. So regarding our MCPRS feature we have been to each our at our user we have been like created called a volunteer app in the GHS2 like in order to ease the creating of the new user at the local Lugat level and also you know to be more customizable with the Lugat context and this yeah and another thing is same at the like before the transition of the MCPRS we have been see that most of our user in the GHS2 just use the you know event rapport mostly so that we have been have an idea to develop the standardized dashboard for all of our partners and yeah it is a quite bit challenging for us right now and because of in this feature development process we have been also include the malaria positive case notification which is trigger finding our setting rule like if there is any or any positive case detected the from the from the mobile devices it will be automatically trigger the notification alert to the respected township hooker so to this implementation at a glance so right now we have been have a hand more townships and our user is 3,500 more than 3,500 and yeah to this separated cases we have been like having the more than 300,000 cases reported and have a more than 2000 positive cases reported for the challenges an issue like for most the majority contribute to the human capacity like the lack of digital literacy in a volunteer it is very quite challenging and complex for us because of they even have you know they didn't have a basic phone fans they didn't even know the kind of thing so that we have been we have to make sure to know that and another challenging is like as we are hosting our mcbi as in the google place too we have to create all of the google account for them so which mean like it's more than 3,000 google account our partners have to be created and there is a developer burden of reporting in volunteer because of right now we are we don't abandon the paper base yet so that there is two reporting channel so which increase their burden and another thing is the our challenge is the low frequency of the modernity and supervision to detect these our back and issue and respectively the technical issue with devices and internet coverage and in here I would like to mention a bit about the technical because of like as you all know we have been all seeing face these technical challenges and and another thing is that we we are unable to update the version you know like timely or continuously because of like in here we have been like for our mcbi is event capture at the use and we agree that to the entry capture at version 1.3.1 and right now we have agreed updated to the 2.3 so like on kumin i need to remind you that you should be finishing in the next minutes thank you yes yes it is uh i'm i'm concluded isn't it finished thank you madame for no but please finish yours at least your sentence yeah yeah yeah sorry so uh for for the lesson land we have to consist the the effectiveness rather than the skill in our implementation so like sometimes we have to like to make a pause and to reassess and evaluate our implementation and and another thing is although yeah there will be a multiple factor to contribute into affect the data the data quality and completeness but it is mainly due to the lack of human capacity and willingness to act on it and yeah and for our lesson land or we have to always please always consist consider to pre-create and move on devices in a frequent patches rather than massive one because of will be left behind with this uh thank you all thank you very much very much can you see my screen yes that's perfect so good morning good afternoon everyone uh uh i am dr abrahman shahab from afghanistan i'm working as a senior technical advisor with health net international tpo and i would like to present my plans for the electronic humanization registry tracker program in afghanistan this is a planned project as a distinction to the previous two colleagues who presented their existing projects i will just briefly say a few words about health net international tpo it's a netherland based international NGO and it's working in many countries in afghanistan it works since 1994 and it works in public health care mental health and psychosocial support public health research public health capacity building sectors and there is a link to the website if you're interested to know more about the organization i have taken few screenshots from the who or website about the utilization of dhis2 in afghanistan i will briefly go through the few um pages the this one is about the utilization of dhis2 for for health information system in afghanistan it's in a pilot phase in it's only implemented at the provincial level meaning that dhis2 is used by provincial um hmi officers to enter data and then currently we have dhis2 for covid 19 and it was listed that it's also used for other tracker uses i don't know what could be those uses i will find out later uh and uh for the android app i think there is no official uh utilization for android app in afghanistan as it's listed on the who website and the reason why i would like to use dhis2 for child immunization is based on the low coverage and the drop out and the problems with paper based system and also the loss of children to the completion and missing of immunization cards by mothers so the paper based system everyone knows have has many challenges and with the availability of dhis2 we can address many of these challenges i have put some figures here about the coverage of a few um vaccine vaccines in afghanistan although it does not seem bad um these figures are the who estimates the national figures are much higher than this the figures the ministry of public health is putting but these are the figures that could be trusted to a major degree and uh the model i am planning to use is based on the who electronic immunization registry which is a tracker tracker data model where data will be collected by individuals meaning children and the basis would be the afghanistan standard immunization schedule and i would like to pilot this in one health facility in one district where my organization is currently implementing primary and secondary health services through one program here in afghanistan which we call sehat mandi it's a basic package of health services and essential package of hospital services based program so i would be implementing this tracker program in one district which is relatively secure and the population could easily be tracked and the program will be linked to hms indicator and the program will generate reports at aggregate level this is a general schematic presentation of the program i am planning to implement from the left side corner you can see that uh the tablet or mobile in the health facility given to the vaccinator will be used to register children with all the required demographics and everything and the stages they will be completing through follow-up schedules and then the mothers will be visiting the health facility for the scheduled visits and they will be receiving sms alerts through their phone or their through their family members phones and in case the child is missing or goes defalter so the sms will go to the cjw and also to the family and probably to the designated village elder and the data from the individual cases will be collected and compiled and reported on monthly basis through the standard channel we have to the central office of our organization and then to the ministry of public health i have taken this schema from martha's presentation i hope i have not reached the property rights so we will go through all these stages and thanks for this nice training i got alerted to take many things into account now like how i was thinking about the dhs2 deployment probably it has changed dramatically so we'll be doing many things in each of these steps and i will be requesting support from different people in this forum and i would request the facilitators to share the email addresses of the participants who are willing to share their emails so that we can have a network for support although we have the community dhs2 community but this group can also have communication coordination in future so i will be needing support in each of these steps from different colleagues in the dhs2 community the challenge is we have in Afghanistan i will also highlight that in the survey we completed before i have responded to the questions about another dhs2 program we have in our organization that's an aggregate model-based hms program which is in the design phase so we have discovered many challenges in that program and those challenges we will face again in the epi tracker program the first one is internet coverage we have i can sale around 50 percent of health facilities in the country have access to internet and there is shortage of qualified staff for the designer and deployment in Afghanistan and the other major challenge is insecurity in many places even if there is internet coverage keeping a mobile device would trigger many sensitive sensitivities and reactions from the opposition group so that's another challenge in insecurity is also a challenge for movement of the people who will be deploying the system and finally the bureaucratic process in the rollout phase in Afghanistan in the stage where we would like to roll out the program at the national level through the MOPH that would need a lot of bureaucratic approvals and things so these are the major challenges we are foreseeing and hopefully we will be able to overcome all these challenges so thank you very much and if there are any questions I'll be more than happy to respond through Slack over here thank you very much I will finish so thank you Marta it was a last minute presentation as I told you yesterday I just bring some here and there and apologies for any consistency so I'm presenting from Ethiopia I am working for Amra fans Africa which is african-based international NGO headquartered in Nairobi Kenya so I'm currently working for a USAID funded project called USAID Transforming Health in Developing Regions which works in the four developing regions of Ethiopia the borders you see here we have one region the other one here and two on the western part of the country so the project is implemented by Amra as I said who leads a consortium of organizations project open trials and general electric health care are also members of this consortium we have 56 districts what are those means in Ethiopia it's to mean districts we work in 56 districts of these four regions so we started in 2017 we will end in 2022 so we're using DHS2 event program to monitor standard of care in this regions the project is mainly on maternal and child health so we want to monitor the standard of health the quality of care in maternal and child health service so we have a checklist that was being used before before building it into DHS2 actually we are lucky that we adopted both the checklist as well as DHS2 metadata from a sister or project working in the central part of the country similar projects similar funding from USAID but different to geographic locations so they were using that before we came into the picture so it was tested and deployed by that project so we adopted it as it as is so the steps that Marta was explaining yesterday we are not we are not in that process so we just deploy it into our context so we have checklists for different levels of the community the health system we have a community level checklist we have a health center checklist and the health posts which are the hierarchies of the health system in the country we also have a household survey checklist what that we do every year to see the coverage of some of the key and maternal and neonatal health indicators so we have also a hospital follow-up we also have as I was explaining previously in our training in our academy we also have a data is a training database that we monitor we we monitor the number of participants that we provide different trainings so we use the data the android capture app to to to collect data but we also use a bulk upload as I tried to explain yesterday or the day before to upload training data from an excel template that is downloaded from the this bulk upload app built by wto we started using this after the last day-chart conference which which I participated so we have we had a problem in using an entering training data in the in the web capture app so after after we get acquainted with this app it was a very interesting app and we're using it for bulk upload so these are the programs that I try to explain these are the this is one of the events that the health center checklist it has many sections it has different program components so we have questions under each program component and this one is a training database actually which has also sections so we use the the bulk upload the capture app as well as android app to to enter data into the data as to instance as there is that of this we can now see coverage of these these are the dashboards that I just cropped and bring it to from the system so you can see the trend of most of the key indicators from 2018 to 2019 and then 2020 this is from the household survey where we see the contraceptive coverage of in these districts that we support and we the pentavalent third dose which is the immunization coverage so these are the the the results of using DHISO as a standard of care monitoring and as as Emily actually I mean monitoring and evaluation tool so we report these indicators to the donor directly from the the system and these are other the dashboard items that I I brought and the biggest challenge you have is now I was reaching out to Jaime and now our colleagues from Rwanda is helping us to secure our server it was not a secured server so we're working with DDR and hopefully it will be secured and and because it was not a secured server it was frequently blocked by our local telecom provider hopefully after this will be and it was difficult sometimes to to also use to to also use because of the blockage sometimes data entry was delayed from the field from the users and infrastructure as my colleagues previous presenters point out is also a big challenge because as you might have noticed we're working on the peripheral areas of the country where coverage to the internet and electricity is very as a very is very challenging this is all Marta it was the last minute thing but it's helpful I think it was fantastic thank you and it was a very yeah very very good I'm very good to see that you are already using the the Android app so I think I would say if if in general for for all if you don't see yourself your project your sorry we are having a bit of an electrical storm here I don't know if you could hear that but if I disappear is because of that so what was I saying if you don't see your country or your project slash country in the maps for the HIS too we will talk later about the community I encourage you to to to send us a message in the community tag us and and make sure we and make sure we we publish your your your project there because we are aware we are aware that we are not aware of all the projects in the in the world using the HIS too so and and for Android is very clear because we see the statistics from google play of usage we don't have a clue on the activity or the number of users but we see there is action that is from the app and and it's way more than what we actually know so I invite you to share in the community we'll let you like let you know later how I'm taking the Slack channel to