 Can you hear me now online? Hello Johan. I can hear you. Can you hear me? Thank you Eric. Yes, we can hear you. Okay, thanks. I'll start again. Welcome to this session on DHS2 in other domains. We have a packed session with three presenters in 45 minutes. So the presenters have been asked to keep it short. So we have some time for questions. In any case, there's the possibility of writing down questions in the associated community of practice page. So the presenters can address your questions, comments, later after the session. So the three presenters. So we have today we start from Uganda. Eric Minam Van Basi will talk about how DHS2 is used across all sectors in the country to monitor development indicators. Then we'll follow with Leila Ismail based here and also Nadia Semtruk online on the use of DHS2 for reporting human rights violations. I believe that case is Ukraine. And then lastly we have Henrik Kalisti presenting from Tanzania how DHS2 supports child protection services there. So I'll just then give the word to Eric Minam Basi from his Uganda. Thank you Johan. Good morning colleagues and members in the audience. It's good to be speaking to you about again once these use cases that we have implemented here in Uganda. In the audience I have my colleague Patrick who I think he's physically attending. So as far as questions are concerned we will be sharing those questions. Also I wanted to note that the use case that we will be discussing is a collaborative effort between his Fugan and his Ethiopia. So yeah we've been working on a use case for e-government services to foster national involvement planning using DHS2 and in here we will be discussing a number of things from the background to to the implementation and to what is really happening currently. So quickly the national development planning process is a government endeavor that by and large is run by the government of Uganda through the national planning authority and supervised by the office of the prime minister. So with funding from the European Union the government attempted to take on this activity to develop we call it NDP3 because it's the third version of the national development plan. So we refer to it as NDP3. We're based M&E system to monitor planning for the government both central and local. NDP3 like I mentioned is a program based approach to planning, budgeting and implementation as well as results reporting which all of this is really consolidated into a single vision for the country that we call vision 2040 that has a number of activities to be achieved by 2040. The system is built on DHIS2 platform with custom applications covering up to about 20 programs. These programs are basically made up of the action plans. We call them a program implementation plans that is PIAPS that specify outcomes, outputs, activities and the resources required to deliver the different program targets or indicator targets. So it's a really comprehensive M&E framework that addresses planning for the entire government. The technical assistance was focused on enabling efficiency and accurate data entry, exploration, reporting and analysis for two arms of government. We have the central and the local government. For now what we've been focusing on has been mainly the central government. The methodology or implementation methodology focused on putting in place an NDP3 M&E web-based system that is based on national documents and some of those documents are what we are referencing here. We have the third national development plan that goes up to 2025. Then the program implementation action plans and also the Uganda vision 2040 which have specific targets like I've already mentioned. These programs really cover government ministries, departments and agencies all over and so we focused on putting in place five applications. These applications are by and large custom made because of the complexity and the way the framework for monitoring this program is developed. So we will see the later on that we did go ahead and develop the NDP landing page which is a summary page that basically gives highlight information on all programs, indicators, actions, outputs, outcomes and so on. Then the target data entry, the performance data entry and results tracking as well as a document library within DHS too. We are used to DHS within health doing a lot of qualitative data but in here we'll probably experience the idea that DHS could also be used as to some extent a document repository partly because when government does something they want evidence, they want reports, they want pictures, they want images and so on. So quite really interesting in terms of what has been done on this use case. In terms of the products we like I've mentioned we have put in place an application based on DHS too that summarizes key results, result areas for the program and then also provides performance figures against targets overall. So what you see on this side is really a landing page which is one of the applications that I mentioned that summarizes data and information. Then this screenshot on the right hand side lower also shows a bit of performance for different program indicators, objectives and key result areas. The application allows filters to make use experience dynamic and users can also export reports for further analysis. I also need to re-emphasize that I will keep talking about the application being custom made because it's not part of the DHS to core but these are apps that were custom built to work within DHS to as a platform and to provide the M&E requirement for this use case. Then in terms of how data capture is done you'll notice that where we normally have organization units here we have what we call government votes and these votes basically list all ministries, departments and agencies and then in terms of data capture for each of the votes we have created the individual data sets for different result framework levels. We're aware we have outputs, outcomes and then intermediate results so we will find that that is the way it's captured and then for each indicator the teams provide a baseline, a target and the actual performance per year and then they are explanatory or attachments like I mentioned earlier if for example the government plan to build a road and maybe the monitoring team goes there to see the progress of the work, they'll take pictures, they'll write reports and those are the things they'll attach in this section and that's the little caption below also is the extension of when you click in this battle you will get a place where you can attach the file and also provide an explanatory note on the file that you're attaching. Yeah so we're able to do indicator-based targeting and reporting and then also provide baselines as well as explanatory notes. Out of the data captured we are able to do dashboards and provide key performance indicators analyzed over time on government interventions as well as indicators. So yeah what has basically come out of this and what we we are now looking at is that due to the scale of the work we've worked on close to 11,300 indicators, 5,500 groups, data sets and so on. It's quite a large system because it covers the entire government operation and it's also another very good use case. We've done a lot of capacity building in terms of training close to 263 personnel have been trained and what you see in the breakdown is the number of participants or people trained per agency. So we have development partners close to 123 government agencies represented, past participants represented and then government ministries 128 the judicial and parliament and then public universities. So this is a government-wide initiative and also covers quite a really large scope in terms of training. Yeah this chart is a summary of the numbers that we see here and by and large you can see that still government MDAs take up a larger part of participation ownership and reporting. Yeah so in terms of what would really consider as key success factors buying and full ownership is one of these. I mentioned earlier that this is really supervised by the office of the prime minister with TA through the national planning authority and also minister of finance. Then we've also shared the successes recorded by the minister of health and the minister of education in implementing similar initiatives and this has also helped. Of course the assurance of local tech and persistence through his groups has also been very very key to this. The flexibility of the platform to generate visualizations has also been seen as one of the other success factor. We've mentioned that this is really a hundred percent fully owned and the capacity building is also going to be a hundred percent through government and then ability to integrate with other government systems. I will also take note that we've done integration with IBP. IBP is integrated bank of projects. One of the other government systems that also does the monitoring of government projects. The IFMIS, the PBS, all these other government projects that will be integrated but for now the integration has been with the first one which is the IBP. There have of course been some challenges, some of which include the functionality of the application has mainly been heavily customized due to the complexity of the framework because the framework is really really heavily complex and heavily disaggregated. There is also one of the other issues that we know as bureaucracy which has been mainly leading to time wastage and you find that decisions take long, requirements take long to be decided on and that sort of delays in terms of delivering on some of the items. There has been also an issue of limited funding because again government is no long really in developing countries the noteness society puts quite adequate funding on some of these things so you find for example doing in-person workshops, trainings cannot easily be conducted due to obsessive funding. Then online training sessions that have been organized before have been not very successful partly because participation is very limited and it's quite also difficult to gauge the participation and the concentration of participants on the other side. Then like I mentioned in number two three requirements for some of the tasks have also not been well defined and clarified especially where the application requires programming and then there are still some considerable quality related issues with indicators and and and assigning MBAs so those are some of the highlighted issues. In terms of lessons learned participation and interest is key for stakeholders. End user perspectives on the development process and quality assurance has been also very very important integrating other elements in this initiative has also been important for example where people have quite related data indicators that they need to be collected but rather than run a parallel systems having this integrated in one has been also key. I mentioned the issue of linkages with other government related systems as well as a beverage on the expertise in country. Yeah so these have been really some of the lessons the initiative is about nine months no one year and nine months and there are some other components that we are still working on but we do believe that it's one of those success instances and use cases that we have seen especially outside of the health domain. So in terms of looking forward and where we are we do plan on improving coordination and engaging or engagement with stakeholders. Government has so many stakeholders and we only do meet and work with them through the supervising entity which is the office of the prime minister and yeah so every time you meet the this one then the other one comes up with a new requirement you meet this one this one comes with a new requirement so that is an area that we are working to to to to solo then strengthen in-house capacity with fully designated with fully designated to coordinate and to coordinate the development. We are trying to train the the technical teams at the office of the prime minister and the national planning authority to fully coordinate the development of the of the system but also the the training specifically for the government ministries and departments because not again not all of them were trained we had representative from 123 ministries and agencies but we are still they are still many more that did not participate and we do think that the best way to to build capacity and to support them is to really have a core team on a national level that is looking at this and able to scale in terms of support and providing technical assistance. We are also reviewing the indicators they are they keep changing the indicators and like you saw they are close to 11 000 so whenever they review a number of those have to change so it's really a massive undertaking and we work with with the departments and ministries to be able to date the changes on indicators and also the the other requested issues. Then we are also working to finalize the development and deployment of other key features especially analytics they had requested the team requested for a dashboard that they call it GAPA. GAPA means government annual performance reporting dashboard that they want to customize out of the data that is collected through the system so we are working on making that one available and then we are continuing to also support and train users and also create more awareness and use. Yeah I think that is the end I will ask maybe I don't know if Patrick who is in the audience wants to add anything and thank you Johan hopefully I'm still in the time over. Thank you. I think in the interest of time I'll defer all of you to post your comments and questions on the community practice page and then I'll give the word to Leila and Nadia. Hello can you hear me? Very close okay I'll try and be as fast as possible the slide is the slide deck is available on the shed if you want to catch up on anything if I zoom through a bit too quickly. Is the other notes going to be on that one? Sorry great so this presentation is on a program that we're running at Frontline AIDS and the Alliance for Public Health in Ukraine it's Rights Evidence Action my name is Leila Isma I'm the Senior Advisor for Monitoring Systems at Frontline AIDS and my colleague Nadia Semchuk is online and ready to give half of the presentation with me from Ukraine in case you don't know who we are we were set up in 1993 to work with community groups in the countries most affected by the AIDS pandemic epidemic. Today we work as a partnership in more than 40 countries taking local national and global action on HIV health and human rights. We're a global partnership that's open to everyone and we're working with partners from grassroots community groups right through two national governments. The React program itself I won't go through this now but you can look at the slide later was built in response to increasing stigma discrimination and criminalization of people living with HIV and other marginalized populations it's a community-based human rights monitoring and response system. It stands for Rights Evidence and Action and it's designed for civil society organizations to document data about human rights violations as well as providing and referring clients to health legal and other public services but also using the data collected to inform quality human rights-based HIV programming as well as policy and advocacy at national regional and global levels. This is the illustration of the project but I'll let you explore that later. This is a DHIS2 conference so of course we built it in DHIS2. It's what we're using for the data documentation side of the project. We've named our instance Wanda so if I keep referring to Wanda that's why we named it after Wanda Fox who was a trans rights activist from Colombia. Having the data in DHIS2 allows us to do relatively easy monitoring and analysis of the human rights data. We use quantitative and qualitative data and it's to inform programming to evidence for advocacy to influence decision makers and used for evidence in bids and proposals to resource human rights programs amongst other things. This is kind of what it looks like it's tracker capture pretty straightforward client information and case information. It's based on a generic template which we then customize for each country who are using it they might want to customize it depending on their programming depending on who they're reaching in terms of populations but from the front line needs perspective we really would like to be able to review all of the data across countries at a global level so we do want to keep it as a template with similarities across all the programs we run. For example at the moment we're looking particularly at the role of police as a perpetrator to do a global human rights report. This means that we want to ensure wherever possible our data elements and our indicators are standardized across all countries. What we've done with it so far since it's been on DHIS2 since 2019 there's some stats here I'll let you read through later but I'm going to go straight down to this bottom one which is our partners Alliance for Public Health APH in Ukraine have successfully migrated to their own instance of DHIS2 and that's what we want to talk about today the sustainability of the model and of the program and how we can go from an organization being in our instance of DHIS2 to then owning their own. It's really encouraging for us to see this kind of thing from a sustainability and a localization point of view. So what are the benefits of organizations hosting their own instance? I think it's pretty self-explanatory they'll have total control over the program design and governance they will have complete ownership and sharing of the data of course they're always going to own their own data we make that clear but complete ownership and sharing there's additional options to use DHIS2 for other programs we use it for other programs ourselves in service delivery programs etc. It can really strengthen internal capacity in an organization and it's good for our agenda of localization and program sustainability overall. A quick slide about the process of it APH piloted React in our instance of wonder for one year and they recorded about 2,000 cases which may not sound like a lot but it was a really good feat and achievement so based on the success they decided to set up their own instance of DHIS2 independently of us. The people that were involved were frontline aides BAO who's in the room and APH for themselves so BAO were setting up the new system based on the configuration of our wonder and they also had to migrate all the existing data from the system into the new instance. It began in late 2020 went live at the start of 2021 so it didn't take that long to do but some key considerations APH were already an exceptional partner who had strong capacity in running monitoring systems they have been using Syrex since before DHIS2 we've tried this process with a couple of other organizations it hasn't always been this easy or successful so we'll point out this is definitely a good practice story but we're going to hope to share some of our lessons learned I'm going to hand over now to Nadia to talk us through the next challenges are you there Nadia you're muted I think oh thank you thank you Leila good afternoon dear participants so Leila just briefly said about the process we had and actually it was time and expertise confusing consuming and we want to share with you some challenges and advice as well that we faced during the process so the process of existing data migration had to be kept really carefully at all the stages for some period of time all of the current users of the system were disabled and restricted to enter new data so this was done for us to finish the the process of data migration and fully test the new instance as for now data is no longer all in one system so for front-line A's who would like to keep some oversight for all react program it is important to keep good communication and sharing if we want to combine data use for global advocacy activities for example another challenge that should be mentioned it is budget so you should consider that the cost of setting up a new instance is definitely would be much higher than sharing such costs within several programs and among other challenges it is the process of creating the analytic objects like program indicators and dashboard so we had to create them from scratch so it also took sometimes for that but anyway we could advise we could provide you with some advice next slide please yeah sorry for this so some advice for other organizations thinking of creating their own instance so first of all really have a plan prepare a plan of steps involved stuff both internal and external and consider budget that needed while setting up the system make sure that you have enough internal technical capacity and it is really about internal as it is more beneficial to have than external however you also should consider some budget for additional system administrator training also evaluate your needs in using the system like setting configuration using languages using the system within different countries and contexts and if possible consider it further expansion and scale at the early stage or at the middle if that possible also it would be a good idea to have piloting on an existing system it could be beneficial before investing in your own instance spend enough time for testing the system and its revision we do spend a lot of time in testing and revision and this process was done and again and again and maybe this is the reason why why we succeed in that so be patient with that also consider the server location in terms of proven security and data protection issues and maintain resources so our servers were under the maintenance of BAO systems and we decided to have them at the same place and we are we defined that it was for it was a good decision also keep fundamental data elements unified between instances so it is for you for further collision or standardizing something or comparison data elements or data you actually receive and also it is a good idea to have some basic standardized data indicators also for you to compare the data you have and with all of this for sure make an ongoing monitoring of the system functionality and response so it is needed to do for several times for us during the whole process of data migration so having said that next slide it's been a year and a half that APH having its own DHS to instance and how it looks today what are the results we have so far so we have more than 10 000 cases registered in the system and the cases were registered in 13 countries so far under APH management more than 170 NGOs implementing React and we have more than 300 users so far but the system is growing and new countries new users are creating having shown such results we constantly do in regular monitoring of external and internal program needs and this facilitates the program the prompt response to program changes and requests also we spent a lot of time to ensure data quality in the system and it is possible through continual trainings for users and providing them guidance in interactive forms like online trainings, video and so on as a result we have a reliable source for advocacy actions in implementing countries so the data produced during within our DHS to instance is fully used and it is a reliable source and also it is important to share the results we have through different platforms like being here and sharing at another platforms next slide we are inviting you to take a look at our React data portal where we actually have statistics success stories of response reports examples of advocacy actions taken using the data from our DHS to instance and much more please use the QR code you can see on the screen to enter the website or you can find the presentation and look through this later the presentation is available on the web page of this session on DHS to conference website that's all thank you for your attention if you have any questions or need any support or an advice in setting up your own DHS to instance we are here with Leila to answer your questions or provide some assistance or you can reach us later after the conference our speaker will be Henry from Tanzania on integrated child protection management using DHS to right right good morning i hope you can hear me i'm going to be very brief so that i can spend at least the the remaining time which is less than five minutes probably just to take you through another area that DHS to can find it very interesting and necessary to explore where i'm going to present a particular use case in this street case monitoring system in Tanzania which look forward to integrated child protection management uh using the DHS to so uh my name is Henry Karisti of course i would like to acknowledge my colleagues Lillian and Dr. Hones Kimaro as well as happiness Nyanda who worked it together in putting out putting this together for sharing um right thank you oh yeah so just a little bit of background uh of course child protection is the response bit of every member in of course any society uh and through different policies the government of Tanzania has also committed to improving and securing well-being of uh child of course through this it has established the various policies among those policies uh the national costed plan of action for most vulnerable children uh two uh we as well as the national plan of action to end the violence against women and children and all these policies mostly aimed to mitigate the negative impact of various aspects including the issue of child neglect child aid and forced marriage and violence against children when we are not but along with those policies it's also implemented uh national integrated case management system framework which aim to harmonize uh the the processes around the implementation of child protection uh aspects so uh despite of the existence of this of course along with this of course the government has established a ministry very specific for community development gender women and special groups which is uh directly responsible for dealing with a social welfare aspect including uh child protection but along with that it has also another ministry which is uh president office it has another ministry which is the president uh pure edge that is the president office regional administration and local government authority which is responsible for implementation of all the policies that has been established by the ministry responsible for that so uh despite of course existence of all these initiatives still child protection issues has been happening and more intervention definitely are required by various authorities so while these efforts are in place of course uh there is a need for information related to all these initiatives that are being implemented to be well organized to ensure data driven planning and decision making so there was a lot of existing initiatives including the government establishing appropriate regulations and tools in place that uh supposed to be used during the provision of these services and documentation uh most of them being paper tools of course a microsoft access database was also uh somehow established but most of this becomes they were not efficient enough and probably not sustainable enough uh especially considering the the geographical area as well as demographic of the country so just to give you a hint on uh Tanzania is uh located in east Africa and it has a total area of nine thousand nine hundred and forty five thousand with the administrative areas which include 26 regions 184 councils and a good number of wards as villages so uh the population was projected to be 57 by 2020 and among this population you can see the young population was um 543 above 43 percent and of course the youth 15 to 24 was uh 59 more than 99 percent basically this is based on the nbs which is the national bureau of statistics and we are based on the last sensor conducted in 2020 and 12 of course we are expecting to have another sensor this year so considering these settings of course most of the issues related to child protection they happen in the villages of course from the community and they can originate from uh from the household being reported by either the child himself or probably anyone in the community it can be institutional within the community but mostly they will engage some village executive officers but at the end the law requires social welfare to be uh uh directly engaged to any child protection matters who has to of course initiate the file and handle the case until the child gets the required uh protection however of course social affairs are mostly available at national level region level as well as districts very few wards has social welfare so far and most of the village do not have at all but there exist of course uh an engagement of the community workers who mostly are connected coordinated by partners working closely in the rural areas of course I mean in the villages or streets uh to provide these uh social fair services just uh some facts and figures that were based on UNICEF Tanzania uh 2017 child protection fact sheets actually these are the one which led to the implementation of this system in one or another you can see more than twice of all number of girls than boys experienced some form of sexual violence before turning 18 in Tanzania and basically orphans are more vulnerable to sexual and emotional abuse but the interesting fact was that uh domestic violence is was somehow widely accepted by even women than men and considering the fact also that almost 60 percent of women aged 25 to 49 years were married before the age of 18 by then so those were just some hints on the facts in the ground to show the concern in place so when there was all these issues being discussed the concern was also on how then the data monitoring could be done in order to inform the uh planned decision making and of course UNICEF while working with the government uh can't get to us just to know what kind of technology could help uh to improve the situation that's where we found the HS2 being somehow useful uh considering the fact that we were leveraging on the existing system by then uh all these services was were offered by the same minister which was the minister of health uh so given that the minister of health has already implemented the HS2 in most of the aspects and the similarities between those two services we found it necessary to build on existing installments uh also the potential of linkage of all other social fair services around within the same platform uh ease of scale up and the extent of course to engage the rest of the other services the potential for integrating it with other system as well as linkage with partners around and of course most importantly the power of influencing data driven decision making which comes with the HS2 all these factors uh uh made us of course believe uh dhs2 could be the right platform to be used to support those initiatives so we went on and come up with the design that was aiming to uh incorporate of course a tracker model that could of course trace all track uh all child protection concerns so for every case uh there was some of course necessary agreed variables and stages that were supposed to be captured because of course there are there are many aspects that they are always filed through the case but of course given the resources around the number of social fairs so we had to choose only the minimum number of uh variables that of course were necessary also for for data use uh aspect so you can see uh on the dcms side those are the stages and potential variables that were considered to be captured for any cases that is charged from the when it is reported in this investigations up to the pointy it is closed so this is the tracker model within dhs2 and then the rest would be benefiting from the analysis that comes with the features in dhs2 so this is an example of just uh dashboard that was uh put in place and mainly it was trying to answer some comparison uh based on children living in a street versus child protection concerns because of course within the same system as you may notice there is also aggregate data for most vulnerable children being captured and uh child protection are part of the most vulnerable uh children so for instance this was basically dashboard trying to compare and see uh the relationship between the children living in a street versus those who uh got the child protection uh concerns um so this is the scored as well that was implemented in order to uh in order to simplify management uh decisions and try to enforce accountability around the system so among the achievements of course is having the just user friendly dhs2 tracker capture uh and we managed I mean this started as a pilot of course in selected district in 2017 but by March 2021 uh it was rolled out to the entire country so uh the rollouts was done in phases and a bit delayed because of resources but of course in average I would say more than 2000 cases are reported through dcms every year and the dhs2 core analysis tools are widely used uh for data use analysis data use purpose so this map is actually showing the reality that all districts are now reporting uh child protection concern through the dhs2 so what is more interesting out of this uh is the fact that when we started our vision was to also make use of dhs2 uh to improve the data collection and and and of course use within the social welfare and we started of course with the child I mean with most vulnerable children concern and and the child protection but our vision was of course to see it including all other services around and lucky enough the existence of this system has actually spear added the vision that the ministry now have to integrate uh all social welfare services within the system of course this includes different aspects in social welfare and as I'm speaking of course the government is uh in its initiative to start of course engaging the callers coming up with the requirements for this comprehensive system and they are looking much forward for the dhs2 to play a very important role in this of course the challenge has been of availability of resources they are really banking on some technical assistance on the implementation of dhs2 but unfortunately not so many partners are interested in everything in social welfare probably a very specific aspect mostly in child protection but for them they want to achieve a comprehensive thing within dhs2 so we believe this is an opportunity uh for for for providing the technical assistance at least stage to establish dhs2 within the social welfare uh sector as an attention to practice page um unless you have some comments now and you're not eager to join the other sessions because we have this room there are no other sessions taking place here if there are from online or on site okay thanks again to all three presenters