 So to pay tribute to all of you that actually came here on time, we will start. And this this plenary will actually, this kind of the first of the two plenaries, well, the row of plenaries will actually be about the topic of the conference this year, sharing innovation across sectors. And we will have many, many, many sectors presented today up to 22, isn't it? 22 sectors will be presented and six countries. So stay awake and we will have first presentations and then all the Q&A and the discussion will be saved for the panel in the end. So let us start with Prosper talking about cross-sector use cases, key responses to assess, to measure these estuages. And then we will continue with Malavi with the Ministry of Agriculture. Then we will continue with Jörn talking about sinosis in DRC. Then we will end up with John and Sam on and also we'll see talking about climate health and also civil registry from Laos. Okay, good morning. There's still more coffee out there, so we could we could pick some coffee and come with it. Yeah, so good morning and welcome to the final day. A great opportunity for us to be sharing with you. The shareings and the cross-sectors that we're talking about. So I'm here just putting on big shoes for three countries. Again, this already shows the sharing we already have that I'm able to present all the three use cases in the three countries. The sharing has already started happening. So I will be sharing the different cross-sector implementations in the different countries. And when we talk about cross-sector, we're talking about more than one government, more than one ministry, more than one institution in a country. So most of us have been talking about health, health, health, health. Education came in last year, but now we're talking about, you know, all these so many that I'm going to share. So this is a compilation of a summaries from the two powerful implementations that have really driven DHS to crazy as we shall share, but also produced some good insight to what we can be able to do in terms of improving the DHS to monitor and have it as a digital public good. So when we talk about cross-sector, this is the mess that we are in. You know, you talk about health, you talk about environment, you talk about climate health, you talk about education, you talk about finance, you talk about sports. All these so many sectors is what we're looking at. So a little piece of this has been picked in Uganda and in Luanda and in Ethiopia. And we're going to share with you to see how the DHS is really helping in terms of bringing the data together for translation and being able to monitor the government programs. So DHS is in the center of this, getting all this data, exchanging the data, managing the data, visualizing the data in these different sectors. So these are the different three use cases. And again, they could be more. We didn't go out to look for many, but these are the three use cases that we already know right now that have been shared in the different parallel sessions. We look at Ethiopia at a level of a district cross-sector implementation and really using the basis of the DHS to drive this implementation. So they are looking to see and they have been able to use the DHS for health and build on other sectors like agriculture and the rest as we shall see to be able to monitor the key performing indicators for what they have as a transformation agenda. Trying to be able to improve the social welfare of the different districts. And so they are bringing all these two sectors, these three or four sectors to be able to look at data transmitted together. Then we move to Luanda, where it's looking at more on the local government that could also be below the district. And really looking at how you can be able to monitor accountability across the different local governments, even to the grassroots of where they have the lowest, they are operating at the lowest political entity to be able to monitor innovation. So here you have targets being set by the different governments with funds allocated. And then moving from village to village to be able to monitor these indicators. So you find a mix of implementations where villages or local government have different targets and set of indicators that you are monitoring. And we'll also be able to see how this is implemented, especially how DHS2 is really supporting this kind of implementation. Moving from the paper-based kind of monitoring to now an electronic monitoring for a local government. Then we come to Uganda, which has all the mixes from the national level also up to the grassroots, where we are monitoring the national development plan. So governments also have their national development plans. So for us we are on plan 3, which is towards the vision 2040. And here we are looking at all the sectors actually in the country, as I shared in the previous slide. And also a new initiative, which is also looking at the parish development model, where the different parishes are given grants and they're supposed to use them and then we're able to monitor what happens. So this is how the DHS2 now comes into the mix of all these things. And as we talk, there are quite a number of systems that we all know in the different governments. So we have to exchange data between them, like if we miss the finance system, so that has to be, you know, exchanged from those systems. So what motivated us to really use DHS2 in these three countries, and again, even more that are coming. So for most of these implementation, I may not want to talk about how much it has costed them to be able to decide whether to go for DHS2. But a lot of our local governments and our governments have been depending on vendor systems, which have been quite expensive. In one of the countries, the last vendor before DHS2, I don't use all the funds to do requirements gathering and they stopped there. So the DHS took up the requirements gathering and the requirements gathered and they were able to use it. So we find a lot of challenges in terms of how much it has been costing the governments to be able to develop these systems, maintain them with expatriates, most of them are expatriate they are driven, do the upgrades we've seen somewhere where people have to be thrown into the country to just adjust one data element. And also sometimes functionality, especially around a visualization that has also been one of the biggest motivator of the DHS2. Then of course, the local expertise that are in the country that have been able to demonstrate the functionality, the capabilities, the sustainability model of the DHS2. We have of course our HIST groups that have been in the three countries, but also most importantly the teams that we have been able to train over time. I think when you look at our academy training database, we are almost now over 10,000 or something like that. And these people have all been trained in the use of DHS2 and they're all out in the countries there. Then of course, thanks to the ministries of health in these countries that have really implemented DHS2 for over 10 years. So a government looking at an implementation which has been stable for 10 years really gives them the confidence to go for this solution. Then of course, the flexibility around DHS2 that you can be able to even add on top scripts, app plugins to support extra functionality because when you get to these sectors, we find quite different requirements that are not supported by the core. Then of course also the track record in health I have shared, but most importantly around COVID. The COVID implementations in these countries really drove the cross sector implementation. So in the instance that we are running, in the implementation that we are running for COVID, we just realized that we were able to bring the different sectors. For Uganda, we talk about education and health. For Rwanda, we talk about the immigration and all these other sectors. So these have also been one of the key and also having also these other extensions that we had already started, the education as we've talked about, the judiciary in Uganda, monitoring how many cases have been addressed, the social protection and agriculture in Malawi as you've shared and environment and minerals in Rwanda. So these have also been able to give the confidence of the government that these systems can be able to work in the government. So in terms of progress, I'll just give a snapshot. The implementations are up and running. For Ethiopia, they have been able to customize this on top of the DHS to for education added those different sectors and they're able to generate the data, being able to pilot and now moving to more of the districts, what they call there, where it does. For Rwanda, they never pilot, but this one they did some pilots, but the pilot here is really to inform the next implementation. So much as they talk about a pilot, it is just a whole administrative unit with all the different levels and this is just being used to be able to implement in the next. As I shared for Rwanda, they have different indicators almost for a different sub unit as they move from one province to another province. For Uganda, the configuration has also been completed for all the NDP target indicators, over 5000 indicators into the system because we're looking at all the sectors and the targets because they have been able to set the targets for each year until 2040, all the targets have been put in the system and then for the previous two financial years that has been uploaded and now the rollout and the training is ongoing in all these different sectors. And then for Uganda, because they want this to be, we see we're going up 2040, so for us to be able to sustain it, there is an initiation of an MOU between his and the office of the Prime Minister to be able to support this as we keep monitoring the progress. Now, of course, there are challenges, not so many though, just for them for now. The challenge, we first a little bit as a standardization of indicators. As we know from here, you've had this one HMI stool, it's the same everywhere you go, but here you find that the indicators probably could even be the same defined different from one implementation site to another implementation site. So you'll find that we have quite a lot of multiple data elements, data sets indicators, that's why they become so many, because sometimes they slightly change as you move, but again, the HMI stool with its robustness, we are able to cater for that, that the mitigations are what is in blue. Then there are some of the unique functionalities and features that the governments may want in terms of security, in terms of visualization, in terms of data capture, but we've been able to sort of this by just adding a few apps on top of the HMI stool that would be soon implemented in the core. Then there's efficient funds for implementation. Again, as you see, this is talking about more than one sector. We've been struggling with health alone, but now if you're going to train the whole country, all the ministries and so on, it becomes quite challenging and requires a lot of budget. So we've been trying to do a lot of online training, thanks to COVID for teaching us that, and we've also been developing user guides, which are very simple to use, and then also the e-learning platforms. Mudo has also been very keen in this. We've really been able to do this, and then also the YouTube videos that have been shared with these ministries for them to be able to get the training. Then interprobability with other, with multiple systems, some of which are very sensitive in terms of data sharing. You talk about, you know, this, this ministry sharing their budget with the other one, they may not be able to want to look at that. So some of the things we've been able to do is just, you know, sometimes we export and import with Excel. Lessons learned. Lastly, this is a quote from last, I think that was in 2011, where I said everything is possible in the HIS2, and I took that, you know, as a quote in the Bible, and we've been using it, and that's why we've been able to really push the HIS2 beyond. So with the HIS2, everything is possible. I think the great platform that we have here in terms of what you can be able to add and how you can be able to switch it, turn it around, has been one of the, you know, lessons learned. You can have apps on top of it. We can have scripts. We can have plugins. Data translation, very key. You know, imagine when you're sitting and you're able to look at all the different sectors, like when it comes to health, you want to look at a good culture, how it contributes to your nutrition programs, and education, how it contributes to your immunization programs. Then again, this has also, you know, sparked up a lot of interest. We already have Gambia and Marui knocking on the door. Before we even finish these implementations, Gambia is already now up in the, actually, the demo was already up yesterday, prototype to be shared with the government to be able to look at that. Installation is also very key. We really need to build the capacity within the Institute, like for now for the government. This is a big undertaking. So MOUs are important, and then establishing for working environments within the MOUs that we have above. Just a quick snapshot of what you can be able to realize. This could be all the different indicators that you can bring on the dashboard. Here, you can have a scorecard looking at your different ministries and quickly look out for the reds. This is one of the beautiful dashboards that you will find in the president's office looking at, you know, what, how the sector is performing in the different the directives for the manifesto they are running. And then lastly, in terms of appreciation, we really want to thank the governments that have been able to participate with us in this. The government of Ethiopia, Rwanda, and Uganda for really taking this bold step. And I think they are not regretting as we talked to them. We had a nice presentation from Uganda and Rwanda and Ethiopia the other day. The national and the regional implementation units that we have in these countries, the districts, ministries and all that. The development partners that have funded this European Union has been funding Uganda and is now funding the implementation in Gambia. Then his groups that have taken this work and Rwanda, Ethiopia and Uganda and also the UIO teams that we've been all, you know, disturbing and telling them, you know, we need this. And when they say that we can't do it, we say, OK, the HHS can do everything. So we shall be able to fix it. Thank you very much. And thank you so much, Prosper. I forgot to say that Prosper is and representing his Uganda, but you all know that, I think. So let us welcome Jennifer Nkosi from Ministry of Agriculture and Malawi talking about the NAMI project. We heard a bit about the NAMI project last year as well. We even have a PhD student that will start up working on this project from Malawi from the same team coming to Oslo in August. And also, I have to mention that these projects that Prosper was presented also have PhD students that are studying because we really think this is kind of super interesting. And I think it's spot on for the sharing on innovation cross sector. It's a good example. So over to you, Jennifer. Thank you very much, Kristen. Hello, everyone. Hello. Yes. Thank you very much for having me and to share what we are doing, how we are using the data used to in the agriculture sector in the Ministry of Agriculture in Malawi. So my name is Jennifer Nkosi. I'm an economist and also I'm the one who is conducting the NAMI system in the Ministry. So let me begin with by saying that I have a friend, a colleague, who usually comes to my office and say, Jennifer, I love NAMI system. I love the functionalities of the DHS2 platform, how I'm able to utilize that addressing label. So that's why I'm here to share with you why we love NAMI and why we think the DHS2, it's a good platform to try in different sectors, including agriculture. So NAMI, our vision is that it's a one stop system where you will find different data sources, different data sites to do with primates, data to do with marketing, production, and the system we are collecting data at lower level by the extension workers, the ones who are collecting data. And the data is either collected aggregate data or it's individual level data. In this system, we are making sure that under the day it's being utilized by different stakeholders in the ministry, including the farmers as well, including the academia, the research institution. So at the end of this, we also are developing a public portal where we want to share some of the analytics and the reports that will be generating through the system. So just a quick update of what we have achieved in terms of the implementation. So we have rolled out 12 modules out of the 18. And I know that as we be going in the future, the 18 modules is going to increase based on the needs of different users and stakeholders. But currently right now we are 12 modules. And one of the modules that has gained momentum in our ministry, it's the house registration. And as of now, we have registered over 807,000 households. And this system we're implementing in 12 out of 28 districts. And 1,622 devices translating to the number of staff that were trained and that are collecting the crash data in the system. So this is just a snapshot of the household registration as I indicated. It's one of the modules that the ministry and even the donors in our sector are interested because you are able to collect detailed information to do with the household demographics, the enterprises, the households are involved, even the support that they are able to receive from NGOs and support from also from government projects. And this is assisting us in terms of targeting and programming different projects based on the information that we are collecting at household level. And also from this household registration, we have learned more in terms of the capability of the DHIS2 platform because we have been able to develop customized application on top of the DHIS2 to facilitate in terms of sampling of the households and those sampled households allowing them to different programs. For example, food situation assessment that we do bi-weekly and also production estimates that we collect every quarter. And that is an annual exercise. So my presentation today will focus on the key modules, what we are doing and what we want to do moving forward. We have three modules. We have the majority looking at weather and climate data. We have the farm organization, household registration. It's one of that. It's one of the modules. It's one of it. We have lead farmer. These are the farmers that work with extension workers in delivery of extension messages. And also a module to do with animal health and livestock. Here we are looking at disease outbreak and livestock production estimates and other data information that we are collecting in the three modules. So to start with the weather and climate efforts that we have started and NAMES, we want to have a better weather data collection at community level. That's our vision. According to we are just collecting our info data, but we want to go more and be able to collect other weather parameters including a temperature and humidity. Also our vision is that based on the information that we are collecting on weather and climate should guide us on farming practices and paste disease management and other resource allocations from national level to household level. And also we are looking at combined analytics, how we can link weather with crop animal nutrition data sets because I know that weather has a diary effect on crop animal and nutritional aspects. Then also we are looking at linking the climate efforts that we have through extension services and the model of farmers that we are registering, the lead farmers and the farmer free schools. So what we want us that we collect this climate data, we analyze it, we develop extension services, extension messages based on the permit products and that we have developed and for that we will be share to the farmers. So that will help us in documentation of the best practices based on the information that we are collecting on the weather and climate data and also support mentorship efforts. So the tools and the work that we have done in the numbers so on weather and climate data we have configured 379 weather stations as part of the reporting hierarchy and this is being collected at community level. So we have our data at lowest point as possible and climate efforts through extension services. We have currently registered 6603 lead farmers and 85 farmer free schools and since the activity of the registration is ongoing we expect that the number of these lead farmers and the farmer free schools it's going to increase. So as I said earlier these the lead farmers and the farmer free schools were using them as a model are used in dissemination of acacia technologies and messages and also were able to monitor and map the interventions that are being implemented by the lead farmers and the farmer free school. So this is just a snapshot of some of the analytics officializations that we are generating using dynamic system the rainfall that we collected last season and this season and also this is also a visualization showing the number of lead farmers that we have registered per district and the analysis can even go to the lowest point of data collection. So we can be able to know that in this specific area we have this number of lead farmers so that will help us in terms of better programming and targeting. And the other modules that also we have in dynamic system it's the livestock and the animal earth. So as I said in this module we are looking at the production aspect and also we are looking at the animal health aspect in terms of the disease outbreak and in terms of the we have currently started with the production and production collecting of production of different lifetop and under this questionnaire we're also able to collect some different dynamics of different lifetops that we keep in our communities. So we are able also to know in terms of how many dogs have died due to rabies how many people have been bitten by dogs. So it's one of the parameters that we are able to track under the production questionnaire but we have a set of data sets that go into details in terms of animal disease outbreak. So that's where we are going in terms of in terms of further configuration of the animal disease, animal health in terms of monitoring and surveillance of the animal health. So we also work with the ministry of health in different portfolios whether to do with nutrition, whether to do with disease outbreak in terms of zoonotic diseases. So we also have identified opportunities for community level one health efforts. So we are looking at us as a ministry being able to provide climatic data to the minister of health and for them to be able to utilize that information that we collect by the extension makers for their own systems. And also we are looking at guiding efforts on how we can link between climate change, food production that affects human nutrition and health. And also we have the one healthy surveillance that as a ministry we are part of the team that we do work together in terms of surveillance of zoonotic diseases. So we are looking at cross sector analysis of disease patterns using the system. And also on the human health and labor availability, we're also looking at cross sector analysis of disease burden impact on agricultural labor availability that if a person is malnutritioned that will also affect in terms of productivity in the agricultural sector because of labor availability. So we want to create a synergy where we can work together to have a one platform where we can be collecting different information and be able to utilize in our own respective sectors. So what are the new and future efforts that we have started and also we envisioned moving forward. We want to start importing a 10 year info data. We have managed to gather historical data for 10 years on info data, but also that's one of the challenges that we are currently facing because we are migrating from paper based to electronic. So to gather the paper based historical data has been a challenge. And also we are in partnership with the University of Malawi's Center for Resilience at the Food System. Here we are looking at the center providing capacity development for our staff in the ministry in terms of how we can further develop the system and also utilization of the system. And also we are looking at development of automated instruments for addition weather parameters as we already indicated. We are just focusing on the rainfall data currently and collaboration with the Investor Voslo as already indicated by Kristin they have identified a PhD student that would do research on the enormous system and also collaboration with the Ministry of Health on common areas of efforts at community level using the one healthy platform together with the enormous system. Lastly, we cannot forget the ones that they are mandated to generate climate information. We work together so we want to have, we want the department to be able to disseminate more personalized and actionable climate products to the farmers because currently the climate products that they are producing, it's at high level at national level, but we want to find a way of how we can, the analysis should go as low as to the community level when they are developing their climate products. And lastly, we want NAMIS not to be a system only that generates data, but we want also this system to benefit the farmers who are getting the information. So we want this system where but when we collect that information we should be able to send back the feedback in terms of giving them the update, generating extension messages, coming up with extension technologies on how they can benefit in their livelihoods in terms of agricultural production and productivity. So it don't want to be a one way, but it has to be a two way whereby they give us the information, we utilize it and we give them back and they benefit from the system. Thank you very much. Super Jennifer, very, very interesting and on the spot presentation for this session and this is a good transition over to Euron that will talk more about animal health. It was introduced here and we will go more into depth of the synosis for the DRC. And Ken, sorry, sorry, sorry. So then we have seven countries, more countries. And we will have so write down your questions if you know we save it for the time of the panel to discuss or and to ask questions. And I have many of them to Jennifer, but we can also use the next one here. Yeah, good morning, everybody. I'm about to talk about one health and the one health approach. But we do focus on animal health, in fact, because if you want to achieve something on the one health side, we need to also maybe put more emphasis on the animal health, because that's kind of the little brother in terms of health information system. So we start by comparing the domains of animal health with human health surveillance. So to see what are the differences, because if you just take the approach from human health and try to implement it in animal health, it doesn't necessarily pay off very well. So we are looking into lessons from Kenya. And we have a pilot project working in the DRC, which we then try to to apply the learnings to. So first and why this animal health surveillance is important. And well, yes, even though there are some some questions around covid, we can say that anyway, that it's kind of the transmission between animals and humans that that is the focus. We have more obvious things like anthrax, rift valley fever, monkeypox, and talking about DRC Ebola, of course, is an important reason for looking at early warning on this health security. So the general approach is then to integrate animal and human health surveillance into a one health approach. And the reason why we want to focus a bit on animal health, because that is the poorest developed partner in this partnership lesson from Kenya. They have a system with the paper and electronic reporting surveillance data. And surveillance is very much about a little interesting for us to try to fight against all the serous in the general HIS, HMIS, because here is a kind of compulsory serial reporting. They want to see whether a disease is not present. That's kind of a very important part of the disease surveillance in this system. And the end users of the system, that's veterinarian officers and users, they are farms, slaughterhouses, and they're using mobile data data for data entry. So the digital system has the potential to give real-time data. The problem is that it's not well implemented, but it's not well functioning. And we will look into why, because this is leading to serious underreporting and gaps in reporting. So discussing with the people involved in this system and possible causes for this poor performance, suboptimal performance, is of course that maybe particularly in Kenya, then you have complexities between the wild animals, wildlife, and domestic animals. And the reporting across and within is not causing problems. And then we also see what we have also learned to observe a lot in the more well-known HMIS reporting. That is the poor reporting structures. If no data are reported, then we get no complaints as people are saying. And you can stop reporting and you hear nothing from the level above you. So it's passive reporting is a general problem. And maybe because it's about animals and it's maybe so not so focused on, say, the economic aspects of the farms and cattle farming, for example, there's no urgency around reporting. So it's not what they say, not so very compulsory to report. And that is, of course, resulting in the reporting. And it's also poor connection with human health. And you see that human health is more concerned with with zoonotic diseases than the veterinarian animal health are. Maybe that is an important thing to address, because of course, farmers animal health, they are more interested in the economy of things than necessarily to focus on the few diseases that can transmit a little bit to humans. And also what they complain a bit is that one health is very often understood that human health people trying to educate the kind of the animal health people. So that's some kind of disagreement between the camps. So these are then lessons from Kenya, and then we move to DRC and see how we can apply these lessons to strengthen particularly the animal side of things in DRC. So, of course, DRC is known as a hotspot for zoonotic diseases and a great concern when it comes to kind of disease surveillance and health security. We have Ebola and just now we have monkeypox from DRC. And DRC has used this global FO system for some time. Let's impress this one. And this is about reporting to FO at the headquarter. But based on rabies projects in one province, Congo Central, in DRC, they used DHIS, but at a global instance. And then they wanted to make it local, and we started to work with them and to expand from rabies to more general animal health surveillance. And when it comes to the other part, and in one health approach, the Ministry of Health in DRC have used DHIS-2 since 2015. So we started then last year, late in the year, with the Ministry of Livestock and Fisheries in this Congo Central, and a university in Kinshasa, the Pedagogic University of Kinshasa. And then we worked on putting up local instance for these province on animal health and to having as an objective to work on an integrated dashboard on sonotic diseases with human health and animal health. So the project then customized DHIS for the animal health surveillance, the pilot, and to make it interoperable with what is the guard that was the rabies system. And so that you don't have to enter the data twice. And to make the system interoperable with the FIO system. And of course also to work on this integrated dashboard with the general HMIS in DRC. Challenges in DRC when it comes to this animal health part. Of course, also in particular, maybe in the DRC, the information system in animal health sector is much less structured than the human health. Because the human health or the general HMIS and HIRS is established with a basis in the health facilities and more or less dedicated HIRS officers who are responsible for data reporting etc. But you don't have anything like that in the human health. If you look beyond the last administrative structure, you have farms, you have people and that is of course a source for some challenges. And of course in the DRC, you don't have many veterinarians. You have trained animal health surveillance officers that are responsible for so-called sectors to come back to that. And the problem is of course that the structure of reporting, the hierarchy as we call it in the DHIS to lingo is different between the two sectors. So it's difficult to correlate data. So we need to manage multiple hierarchies to continue in the DHIS to lingo. So that is a challenge and the paper based system and the computer based system are not well developed. And also there's less stakeholders including donors etc. that are interested in in the animal health as compared with the human health. If you look at the structure between human health, you have the on the human health hierarchy as the reporting structure and hierarchy, you have the provincial central, you have the province, you have something they call Zondesante which is a bit like district and you have Edesante and at the base you have formation of Zondesante and that's the facility. You have the facilities and then up to the air and to the zone the Zondesante and to the province. And if you compare with the animal health hierarchy, you have territorial which is either many territorial in one zone the Zondesante or one to one or even the opposite. And that makes things complicated and the same between the sector and the Edesante. So that is the complexity. Okay implementation. Actually it's been working since last year and they have supervision starting with training and supervision every every quarter that is still working. Of course depending on on funding how this is continuing. Here we have a screenshot of one health notification dashboard where you have monkeypox, rabies, African swine fever among others. So the system is working and collecting data. If you look at the way forward, important areas is to test out generally this aggregate health reporting. What is something we have found out is very important is to make the system more generally useful for the agriculture sector for the for the animal health sector and to include also other M&E indicators that might be important and increase the usability for those who are interested in the animal health so that you get a stronger animal health system in order to integrate it well with the human health. So include more and more make information output for multiple stakeholders, farmers, local government, traditional structures etc. It's important and to collaborate with the human health on the zoonotic dashboard. That's obvious and work on including integrating climate data, environmental data and thereby to expand the one health approach and make it more vibrant to put it that way because animal health is maybe more climate and environment etc. and maybe more directly have more direct impact on animal health than most other areas. So that is important to work on expanding the one health approach. Thank you Jørn. Super interesting and I hope we will have time in the panel depending on John's time consuming but very very interesting to expand our area of health that also the importance of animal health in the whole one health concept. So that's very interesting. So now John will go from Africa to Asia and talk about two initiatives in Laos, both the climate health initiative as well as civil registry. Thanks Christine. So I will not take a long time, I will just try to finish as much as soon as possible so that we can have more discussion. Not too fast. Okay, 10 minutes. So I just want to, my name is John Lewis from his Vietnam, a part of his Spacia hub and part of University of Oslo. I've been working with the DHR2 for quite some time. I just want to give a bit of background about Laos. So Laos we first started in 2013 and now it's been 10 years. We just recently celebrated our 10 years implementation of the DHR2 in Laos. We started with Ann and with all the people on establishing the DHR2 core team, made sure like all the people are there, integrated with the different programs started slowly building the digital health strategy, HIR strategy and EL strategy in 2014 and 15. And then in 2016 was building the provincial core team, district core teams and other things and also tried to include different programs like EPI, NCLE and other things. And then like in 2020 onwards it was more about how do we integrate with other different ministries and other include all the other data which is essential for health information system. This is just a few slides like what is there inside DHR2 and what is there in outside in the country and how the data can be linked or worked together in using a public dashboard or using internal mechanism and other things. I'm not going to give all the description about what we're trying to do but focusing on enhancing the health system resilient on building the early warning system for climate sensitive data. So this is something which the WHO allow along with the disease surveillance team and with the Ministry of Health and with the climate data we've been trying to work together. First thing is to impact on the climate change. The climate change is to like have the climate sensitive diseases allow actually it's a landlocked country next to Vietnam and it has a long river and all things and it's it's a border between Vietnam, Cambodia, Myanmar and Thailand. So now what's happening like we are just seeing also the climate change in Oslo. We never had so good weather. Usually when we just say summer we have like okay 48 hours of summer. So now we have like four or at least like four weeks of really hot weather. Same it's happening in Laos. Its rainy season are getting shorter and more intense. So that's related to the floods and more frequently the large dengue outbreak. So we're just like giving what's happening based on the climate and also the drier season is getting longer or more warmer. It was 42 degrees which was reported just a few weeks back in Laos. So it's affecting the agriculture, the food security, the rural population and it also has very close correlations between the the waterborne diseases in the dry season which accounts for 11% of death among children under five. So the health worker already know that there is a direct correlation between climate change and the health. But like what we can try to do how do we build that one in a routine health reform system or how we can try to help them up. So the first thing like we worked with NCLE program to strengthen the disease surveillance data in DHR2. They've been using quite well. So they started with their with their excel sheet and then they saw the potential of DHR2. They've been using it. They're also now been using the not only the event based surveillance but also indicate based surveillance. And then like what we did is to host, we went to the Ministry of Natural Resources and Environment, got all the climate data put into DHR2, both the Minnan Max and also the average rainfall in DHR2 itself. And then we worked with the University of Gothenburg on early warning system which combines the data from the climate and the rainfall and predicts when can it predicts the outbreak in both in diarrhea and then good. So that's the model we've been trying to work on. And our colleague around here Jason Pickering is working very closely how this tool can be useful not only for the law but as a generic tool which can be used in any DHR still instance. So this is what has been happening right now and we've been trying to working on this automatic data exchange between DHR2 and EVON and also have a very strong linkages between Ministry of Health Resources and Environment. So this is just a few things like how it works. Here like we DHR2 is collecting daily in the event based the this is surveillance data and we also combined to weekly. The rainfall and the things are the daily data which we are also putting that putting it down but we are analyzing only by weekly basis. In Laos there are not so many weather stations we have weather station but like in four of six different places in the whole country the country is of 18 provinces and then we are making the combining the data and all just see and then based on that one we get trying to get the response out. So this is the what we are planning right now we have just like integrated between DHR2 and the EVON in a semi-automatic way where we push the data to EVON system and EVON system use the output and then we put the EVONs data back into DHR2 but we want to try to make this one automatic so that like it can be used not only by the higher level but at least at the province level people and district level people. So this is just an example of combining the diarrhea data in one of the places in Urumsai with the rainfall and temperature so or the last few years. Same thing with the rainfall and things with the dengue and this was the like one of the things like this is not the district but like the EVON system causes a district but like these are all the provinces in Laos we have 18 provinces so all the different things and then these are the all the different accuracy and based on the things what they've been trying to predict the positive predict value and negative predict the value and based on that one they've been trying to use. Same thing for EVON for the all the things you just see like we didn't have some of the data we are missing for some of the provinces so again so these are the few of the things output board we've been trying to produce so how this will help if we know the outbreak based on the climate we can try to prepare a bit more better or as I say much more better with the like the diarrhea outbreak and all the things so we can have the ORR stocks and all the things in the in a particular area prepare the health worker which they already know that there there will be because it's they know that okay the climate change is happening but like we know there will be diarrhea things but we don't have sufficient drugs or the equipment or the things so they can try to deal with that one and also educate people when they go out like okay you have to drink more water all these things and so that can be the the few of the other place. The second topic which I'm going to talk very quickly is about how what all the different things what we did to integrate between civil registration system and DHR state. DHR has started a long time civil registration system which is or we call ECRVS they use their software called HERA which they just started last year end of last year and this year to to do the all the registration and everything but the ministry of health add all the other data. The ministry of health did survey also the whole survey by the all the health worker which is called the family health community system where we collected all the family members details family details also details like water and sanitation and we try to compare all the things and we also just see these are all collected in DHR state by the way so we had a 6.3 million population data in DHR state the total population of Laos is 6.8 so we had 92 percentage of the coverage in in family health movement system itself. This is the survey usually was done every year but during during the covid we the minister of health didn't do that one because like we have to be locked down but covid also helped us because like DHR state system was used for building the covid certificate and that also helped to to collect 6.2 million record and 30% of the record has been verified by the the public itself and rest all the things because of the covid certificate and covid vaccination ID so 6.2 million people have the unique covid certificate ID which can be used across different places. So we have all this data now and then civil registration just started and they had 100,000 data and I say how best we can try to collaborate so what we just say okay look we have all the data we can give it to you you can verify with your own stream and all the things and then you can provide national law ID which then we will be imported into DHR state and once we import people cannot change the ID the name the first name last name date of birth and the the sex and other few details so those are part of the civil registration system. What we will try to do on the birth notification is whenever the birth's happening in DHR state it's been recorded we just send these are all the information what we'll send it to them and they will verify and all the things and they will send back the the things. This is something which is very essential so Ministry of Health and Ministry of Home Affair who's a part who's dealing the initiative of ECRVS they have an agreement on like how do we share the data first thing is the general things and then in the middle section there are some sorry everything is in law even I don't understand law but like I can understand there is something called API API API in few places so what they've been like trying to just say like okay these are all the information which we will be sending to DHR state and these are all the information where DHRs to can send using this API so it is also at that particular minute level details is how the data exchange is happening and it is been stamped and signed by the both ministry so this will allow the technical people of Ministry of Health and Ministry of Home Affair to work together so they have a broad agreement and at the level down so then they don't have to go and ask every time or can we share this data can we share this one how do we share so those are all different things has been chatted down and we put on things similar kind of things we won't try to do that one in the climate things but we still don't know how best we can try to use it because the climate stations are in different places with the WHO initiative what we've been trying to do is to have few other weather station installed in the health center so that like data exchange can happen and like we've been working with the the University of Oslo the the core team on how data can be stored and communicated across and predict things so that's basically I want to to have so we have more time for the discussion very well done John and everyone can I call all the presenters up to the to the state chair you're Jennifer prosper John you have to go and sit and you you can't prepare yourself for some questions but I will just while you are maybe starting with with Jennifer because we are following up on John's John's topic of exchanging data between ministries that's a challenge I assume so could you share some of your I mean you have the Ministry of Agriculture health how is that has that been a challenge in Malawi thank you very much for the question yes for us it's also a challenge in terms of data sharing when it comes to raw data it has been a challenge but what we do is that when maybe we are developing reports we do invite the the stakeholders that we have to work with informing them what is required so maybe that can act like an MOU between the two ministries so once the authorizing authority from that ministry authorizes that they can be able to provide that information we're able to get that information yeah and but most of the times we do work together in different forums for example to do with the nutrition aspect our ministry we have a department a department of station we have a section that deals with nutrition intervention in the culture sector but they do work in hand in hand with the Department of Nutrition in the Ministry of Health so in terms of collaboration and maybe access of information when we are working in that environment or from it's it doesn't create that kind of challenge but maybe if there is that not collaboration that's when there is more challenge yeah thank you thank you and we we have here heard now you know going from the whole national development plan all the way down to the community and to the extension workers it's kind of a big spam of scope so Jørn do you want to comment there's not so much tested out on the sharing between animal health and human health in DRC but nobody has so far opposed to the idea of a shared dashboard where people are sending data from from the one system HMI's and new system into the same dashboard so it's not so far an issue as far as as far as Edvin can of course add to that but but more importantly is to in that case with the say the agriculture I mean the Ministry of Agriculture Fishery and all that and and the Ministry of Health is to start working together and to work together on on the data that's not there and in order for a kind of integrated sonotic system to to surveillance system to be realized that is of course important but but also it's important that the animal health side and learn a bit from from what has been achieved in human health in in order to develop the systems at these periphery levels and the out in the in the districts and in the province you guys can also ask questions so prepare yourself there is one there but I just want to say one question I have the incentives for the farmers to do animal health it's not really there because they are you know they want to you know bring the livestock up but of course if a if a animal dies it's you know it's an economy so I think them the the the institutional practices are super different from the the animal side than the the human health side so that I guess will be a huge challenge even though it's impacting a lot and more I saw a hand thank you thank you for the presentations um for from allowing the it was really impressive to see that you have 379 weather stations and I I was curious as far as I guess just lessons experienced experiences and how you found how you find I guess maintenance and the quality coming from those other stations and potentially also maybe from allow with you know you recognize this as a as different you know you have six and you have 18 provinces if you're looking also peaked by this number or if you're looking at google earth engine or I guess what you feel like next steps might be for you thank you okay thank you so in terms of maintenance and data quality so for us the system in terms of data quality checks is that once the extension workers collect the any data at community level the one who is heading them or the coordinator that we are calling it at epa level that's extension planning area you're the ones who could net a cash activity yeah is the one who is supposed for in terms of data validation so we go through stages of data validation before it's utilized by the ministry or even accessed by the department of meteorological services so in terms of the weather stations the way they are is that some of the weather stations they're automated so the department of mates they are the ones that receive directory the weather information directed from the automated stations but some of the stations they're not automated so they have to wait for the extension workers to collect that information and be able to share with the department of meteorological services yeah thank you just on the on the law side like it's yeah we looked at the google earth engine and tried to get the the weather data but law does not really have so much there so like we we even looked at that because it takes the average things right and it takes from the different the points of the weather data and then it's not so accurate so that's has been one of the challenge so what the the WHO and the minister of health are trying to do is to buy few weather station data and install it in different places and we looked at a few of the devices it's not so expensive and it can directly send the data to the server and we can get them both the rainfall data and the the climate data into the system and then like we can just see how best we can try to use it utilize it that's what we've been trying to focus on so average is not the good thing when it's come to climate data actually temperature is the peaks uh now or not uh uh thank you for the presentation i think for the uh for Malawi in Kenya um and yeah see i think it's it will be very good to to learn more about you know how the use of the data at the community and the the community level but then my also particular interest is for the law presentations on the CRVSI um so we are pushing the data into the CRVS but what will be the use of the CRVS data back into um into the the the the health the data as part of the analytics um and the products of the system thanks and so just to address on the law first and then i can give the mic to young to answer on the the zoonotic one with the CRVS what we just told that like from the ministry of health side all the birds and all the deaths whatever it is collected in DHRST we will send the notification to them we are just sending only the notification with given the the id numbers and all different things and what um the ministry of home affair with the hair assistant will give is all the deaths happen in the villages so that will be pushed into to DHRST so we are giving the notification they will confirm it and then give the the national ID on the death side so whatever deaths happen in the hospital we are going to share with them and whatever the village that happened we will share it back but the challenge is in DHRST our organ is the facility the hospital and all things in the CRVS it's only districts and villages so when they these are the different things the challenge which we need to try to to to take care but in law instance villages is also part of law DHRST organ so it was easier to to transfer the data between the CRVS and DHRST lessons from the human part of the information system HMIS is of course that you need to feed the information back and get interest around the information at as local level as possible in order to to move forward as I think that is one of the not one of the lessons from from the general human information system that we need to give to the animal health side that even though it's not necessarily achieved everywhere in HMIS etc but if you're not being able to give data that are interesting at I mean for farmers for example when it comes to animal health then then there it will be no progress anywhere and that is also the reason why we are saying that ah we need to include other indicators not only the zoonotic diseases because the farmers may be more interested in diseases that are affecting their economy and livestock and that kind of things and necessarily that kind of speciality of transmission between animals and humans so to strengthen them more generally the information system in animals is probably the best way forward to also get early warning and health security surveillance that we are interested in from the other side then so give data back to the people is important and the data that they want or need we have a quite big spam from animal health to monitoring the SDGs across sector I would say but however across sector and so Prosper you are presenting both from the national development plan but also down to the Ronda even though that's Andrew's topic and Adolf and team have you seen the any of the incentives to actually utilizing the data on a different level than the national you know at the national how low can you go with those data yeah thank you very much yeah I think in all the implementations we we've seen the most incentive that most of these use I mean most of these implementations go with the funding so there are sources attached to you know the the the innovation I mean the preparation that you are happening at both national level district level and then village level so you will find a lot of need to report I think the reporting we had one question which was about you know how how do we get these sectors all report so one of the incentives that as you report your data you are getting more funding so it's like results almost best financing but also there there is also a competition that is among this because there's a lot of comparison between one village to another village as you are doing your reporting so this data is available at different levels we've seen in Rwanda it used to be on you know boards where people go and read but now you have it on the dashboard or you can even have it on the on the phone so the more incentive is the team being able to see that they are you know being counted and also the reporting comes with more funding as you as as you are as you are implementing thank you any question from the audience to this distinguished panel Kristen almost asked my question but this is to prosper on Uganda specifically I can imagine that to the level of integration you've achieved in Uganda is actually quite impressive and very expensive do you think Uganda is at a place where this is now institutionalized where if the European Union doesn't fund it there is enough value that's been seen I mean the president has a dashboard that the government will continue to fund this because they see the importance and how critical this data is for the economy yeah thank you very much and that's one of the you know the the big thing that we look out in implementation especially in governments really looking at sustainability not only just having a good use case that can be able to you know showcase in a conference or whatever but the people really using this system so the beauty around Uganda implementation is that the system has been in place whether it has been you know it's been more of excel spreadsheets so people have been reporting with you know excel and the office of the prime minister go through all these excels to look at the different sectors and the generated report but the the biggest incentives is for them being able to you know as first from the office of the prime minister which is managing this being able to manage it that are very well you know having a robust system that can be able to give them a lot of data but but also for the other sectors also being able to have a place where they can be able to go online and look at their data so that's one of the biggest incentive that is really pulling this then um they have been also structures of this reporting in those ministries different ministries they have they have structures of who is reporting when to report and the deadlines and so on so that's that structure is already there so this platform is already is is already finding some comfort in the implementation yeah so um the european of course union has the contract they had with with us to support this i ended is ending this month and that's why we uh they have asked us to have an MOU where we can be able to keep you know supporting them as as we keep moving but we really see that they're also thinking of you know in the next financial year which is beginning this year to put the budget that will cater for you know the maintenance of the system is being hosted by the um by the national um national uh data warehouse so that's where it's hosted so there's no cost to the hosting but also the budget that they are planning in and they've actually asked us you know like what kind of implementation needs do we need like trainings regular trainings and uh system applet and so on so there is a really good um a great willingness to be able to support it moving forward thank you thank you uh any other question from the audience if not i have one uh i can take in more generally but the hinting at agriculture never um we have seen in education that uh the appetite for having better data system for analytics are coming from industries when they look to health that have better have you seen any of the same has that what has been driving for us from agriculture to use dh2 it's not a leading question you know it's not but uh i'm wondering whether this kind of appetite for for data has kind of spread or diffused through through the you know pandemic or or or the the quality or the more data as we have seen in education that's not jealousy but you know a bit of enemy and competition between health and education jennifer i guess so for us in the ministry i think before they influence the start of the dynamic system there is always has been interest in um agricultural data by different stakeholders that work with but i think the challenges that we are having then was that in terms of having uh timely data having a database where uh the information is consolidated so with uh the introduction of the system in the sector it has uh gain interest uh with the donors and gain interest with academia there is such institutions uh the students uh that use uh acacia information uh for different reports and also generating uh different policies uh and also there is an interest where by now we want to be using further the household registration for different innovations uh maybe also including the subsidy program that we implement uh in the ministry so yeah for this uh system i think it will provide uh whereby accessibility is the accessibility of information uh before rather than that before when we it was a challenge for one to have access uh to our precious data yeah thank you yeah we have one question online so the question is for all of you uh in any of the countries we are using uh dhs2 for cross sector do you have any data sharing policy that's a question yeah like it's um on the left side like we have within within the ministry uh ministry of home affairs hello can you hear me so in law like we have the things with the ministry of home affairs and ministry of health so there like we have a clear cut uh data sharing agreement what data can be pushed and also what are all the different fields that uh uh minister of home affair is collecting for the births and the deaths and what are the different fields with dhs2 is collecting so they are also including few of the data which they want minister of health to collect so that they can try to do so this it's not only yeah agreement on the data sharing but also on the metadata side and all so that's it's been there between two ministry with the ministry of natural resources and the environment we are just starting so where we are pulling the data from there but i'm not quite sure what data we will give back to them so right now we are just like only pulling the data of the climate and the things uh from from these weather stations but not not much uh what what we can are giving back to them that's from from law side in kenya there is an agreement between ministry of health and uh and uh the climate uh meteorological uh agency whatever that is called on sharing of climate data and health data that is something when we had a meeting in the ministry of health in kenya we were informed about and they are actually launching initiatives around climate and health and we will have a big conference later in the year so they focus on that sharing talking we're just commenting well before you Jennifer so so world meteorological organization are advocating for open data so that's kind of in the era of of sharing but in practice of course different Jennifer yes for us we also have a data sharing policy that is being managed by the department of e-government under the minister of information so as the government entities we are able to utilize that policy and also we have the national statistical phase that's the other ones also who coordinates and oversee all the data statistics that are collected in the government sectors yeah so we have that policy thank you um um i i will put uh my commissioner from minister of education of heresy from Uganda on sport uh to help me with this but i i for in terms of data sharing but i know uh Uganda has had an initiative so i may i'll ask daughter Sarah to comment a little bit on data sharing across sectors uh thank you very much uh prosper i think data sharing across sectors in Uganda is something that is being promoted especially under the current national development plan framework that prosper presented and uh this is to align all sectors towards ensuring that we achieve the vision 2040 or the development plan goals and uh we are using the program based approach uh to planning and also to performance monitoring so we all have indicators and this is to enable sectors to move from being uh implementing as silos but uh like for example the health the human capital development program is comprised of three sectors health education and uh gender and social development so on a quarterly basis we actually have to show cause on how the human capital development program has contributed to the achievement of the national development goal so we have an M and E framework where we have to look at all these indicators and see the performance so we must know how education is performing gender and social development and health and we are assessed as a program uh towards this achievement and this is done through the office of the prime minister as the officer of government so i think that is the sharing than instead of having one sector information system we are now opening up to see how we all contribute to the goals thank you thank you very much thank you very much just a short question to mulawi i'm from pakistan do you have uh any plan to actually study the impact of the weather on the incidence of the disease in future the impact of the weather on incidence of different diseases in your areas sorry uh okay yes uh yeah we have plans on how we can assess the impact of uh climates on uh different diseases including the uh animal diseases uh that's why we are saying that we have started uh with the climate information and also we are also looking we also have a module on the animal health and uh in the future what we want to do is to link these two modules and be able to assess on how one module one data contributes uh to the other uh data set for example how climates is affecting or impacting uh disease outbreak on livestock yeah so that's where we are going yeah thank you that is the last word from this distinguished panel uh thank you so much a big hand and we have we have a coffee break but please come back sharp because we have then a very very exciting uh plenary again uh with uh looking back looking forward for dhs2 to become an innovative platform and we will have presentation by large austin and again a distinguished panel okay see you all i think the best way what we have learned this week the best way to start a session is to start a session then people will come eventually so this since we have so many fun parts of this session that will last one and a half hour we need to start because we first will have large and and austin reflecting on 20 years or more our dhs2 is not 20 years it's well it's very soon 20 years with dhs2 from 2005 actually 18 years of dhs2 and looking forward looking how dhs2 can become even more an innovative platform you will also have mark to see you from pepvar we will end here from uh ministry of health of ronda and his branda and we also have pamod parmesh silanka in the panel afterwards for discussion so over to large and us all right thank you very much christin um so let me just start by saying uh it's been really tremendous to to to watch all the beautiful presentations that we see in this week it's just really amazing to see all the use cases and the domains and all the different fantastic work that's being done um so when you look back in time you actually start to realize it's it's been a while like we've been doing dhs2 now actually for um 17 years it's uh time flies as you can say so today um austin mickey and myself i'm larce um have the honor of uh taking the opportunity to kind of look back a little bit on the on the history and reflect a little bit about what has happened and also about some of the lessons that we learned over the years and then after that austin's going to talk about the future we're going to look at what's next for dhs2 we have a lot of exciting uh new solutions and new ideas coming up so um so stay tuned for that so to begin with i'm going to have the very difficult task of explaining the history of dhs2 in five minutes probably cannot be done uh but let me try so and one of the key messages here is that it hasn't really been the way it is now all the time you know this is pretty new the way things are now with product managers and and and you know solution architects and gira and ci pipelines and things it didn't really use to be like that in the in the beginning so the very the very first implementation of dhs2 um actually took place in in the kerala in in some indian states back in 2006 and it was done by by his pindia and the systems were very much standalone this was before we had even internet in in in india so everything was offline so the the system was basically then written on a cd on a cd a rewritable cd um and then shipped by motorbike to all the health facilities so people were driving around and installing cds in the in the health offices um even had rewritable cds i can remember because every time there was a bug you had to write a new cd then you had to go and install it so i think it's safe to say that the whole thing was a lot more laborious now back then than what it is now um this was also the first developer workshop that we had and um the core team uh well the core team is actually what you see on that photo i don't know if you can recognize some of these people we have abhi out on the left it's been a fantastic person for dhs2 over the years uh been here from the beginning we have barat who who was the lead developer of his pindia at the time and then some other guy on the on the side you don't know who he is uh too much um can't even recognize him uh and on the left there we have um the one and only john louis i don't know if you count as a developer john but uh john has been very instrumental um also john told me to say that that bottle on the photo has nothing to do with john that was not i mean all right so from from uh india we moved to salion so salion was really the first african country where we implemented dhs2 uh once again it was standalone so um deployed on on district servers um and at the time there wasn't any kind of fancy you know web apps and and uh dashboards and visualizations and these things we only have data entry um we could create the elements and organets and look at data set reports that was it maybe download the pdf that's what you could do at the time so we had trainings it was less to train on we had as you can see here like data entry screen that was remark looks very much the same as it does now even the data entry module i will say but everything else has changed um and once again like the data was really then you know sent um offline so we had to basically then drive around to every district by uh by car by a land cruiser um and then you had to drive to a district you made an export in xml um and then took it onto your own laptop you upgraded the war file you you got some feedback from the users you you did some training and then you started driving again to the next district um so so needless to say i was quite laborious and uh data timeliness uh suffered a bit from from all the driving um and of course in in recent times here leon also has now decent mobile internet coverage so things have things have improved very moved to kenya so kenya was really the first large scale web based implementation of dhs2 so this was the first national scale um dhs2 i would say and um i would actually say that the timing was on our side um during those years the mobile internet really took off in in east africa so you know jern and i and ula is just coming here we traveled around in the in the districts in kenya um and we saw that you know people were entering data when the wi-fi went down people just picked up their dungle from their pockets put them in their laptop you know and continued working as if nothing happened and we were just amazed um and we thought that this is this is very good for us this is a good good timing so we managed to actually then customize uh and roll out dhs2 in kenya fairly quickly for aggregate data um and within something like six months you know people could actually then just enter data and and look at reports um i will say that in the during those years like we had nothing like we have now in terms of ci pipelines and you know q and a teams and beta testing and whatnot uh we usually joke that um we talked to the end users in the morning we developed features uh in the evening and at night and then we pushed the production uh at midnight and then you made our silent prayer that things would work in the in the morning so yes very very uh agile at the time maybe a little bit too much and then you know Uganda took on dhs2 and Rwanda and Burundi in all these countries you know you know Ghana and South Africa and then the ball started rolling essentially um in a lot of countries in Africa and Asia started to use it um so going to leapfrog a little bit then in 2013 we got interests from a huge organization called PEPFAR that looked at dhs2 and we also have Mark who's here with us uh he has done a fantastic job uh searing the the information systems of datum of of of PEPFAR and PEPFAR took interest in dhs2 I will say because it was used in in so many countries right so many countries used it and they thought hmm it might work for us so we had a couple of years for you know there was a lot of a lot of work day and night to uh to adapt dhs2 for for PEPFAR we called it datum for PEPFAR a lot of a lot of aspiration and a lot of perspiration as Mark likes to say um and I think today PEPFAR is used by something like 35 ish countries something like that yeah uh so that was a huge uh we even had like trainings in in Johannesburg the apps went ready we developed apps at night and demoed in the morning was very stressful right so around 2014 this is when uh dhs2 really started to become what I would call a global standard right so we had lots of people like traveling to Geneva and Kristen and Ula and Knut was even seconded we even like gave Knut the doublet show for a while he worked there um and that ended up with a official like collaborative center agreement with the doublet show we had many people uh Ula, Prosper and others traveled to Atlanta to meet with the CDC uh we've worked a lot with CDC on the global health security agenda um other organizations even Google showed interest sent us an invitation um for their earth engine workshop and Bjorn made this amazing presentation yesterday or was it the day before where he showed all the cool stuff we can do with the Google earth engine even today so that has been really a fantastic uh collaboration and then we had the dhs2 symposium in DC in 2014 that really kind of exposed dhs2 to the NGO community and then NGO started to become aware of it uh and then the ball started rolling also on the US side UNICEF also started using you know adopting dhs2 all right and since then I would say the the rest is history as we've seen this week there's so much going on I think you guys know more much more than I do about what's going on these days too much to cover in the rest of history so with all this history I think it's time to kind of reflect a little bit on the on the lessons learned like what I've learned from from all these years and I'm I'm going to focus mostly on the software design now I'm a software engineer so I'm I'm going to focus a bit on the software design there so obviously like generic design accessibility in apps has really been uh critical for us so we like to talk about like generic design as a success factor so when we went to Kenya in East Africa we quickly learned that a lot of the countries in East Africa they had the same challenges we went to Kenya sold a lot of problems went to Uganda faced a lot of the same problems went to run the same problems and we saw that there was a lot of potential for reusing the same software like you should not go back from the scratch and build new software for every country that would be very dumb so we decided that we should try to make it very flexible generic reusable so they can build on what's there and take it forward like that the good thing with being generic is that it really reduces maintenance costs I think today it would have been totally impossible to support software for every country right from from the core team side that would have been unmanageable so we decided to make a generic core software that could be used the other thing with generic software I would say which may be a bit underappreciated is that it really accumulates best practices knowledge and solutions so when you go to one country you work through a set of problems and you sort of solve the problems you have you know long nights you work hard you figure it out when you go to the next country that problem is more or less solved right and then you solve another problem in that country you move to the next one and in that journey you really kind of accumulates knowledge and solutions so that I saw the kind of the solutions are transferred country by country and today I would say when countries today start to adopt these as too for like especially for aggregate and events it's fairly easy right they can get up and running quickly and start using the software because a lot of the problems and the challenges are kind of already solved this of course still problems but the foundational ones are solved and I will say like generic design of course has the context dimension where you can use it across countries across domains across use cases you can also then think of generic design in a time dimension so as you know like everything tends to change over time there will be new datasets there will be new programs they will you know forms will change new requirements you go from aggregate to bingo the good thing with being very flexible and configurable is that you can do all this without having to go back to the dev team and ask for changes in the software you can do it yourself with configuration and I think that has really been a critical success factor that even as time goes by you can still do a lot yes of course there's new features to be built but you can change the system fundamentally super quick history I'm going to be briefly now super quick history of the design so I will say that back in 2010 we started to have this generic thinking but there was no API you know there was no custom apps no app platform there was no way of the only way to get the date out you have to download to excel you know so take on excel and do whatever you wanted with it from from there which made it very hard to extend with features and hard to kind of integrate and extend for local customization so the only way to do this was to basically fork the entire thing so you took the entire software made a copy of it and made some changes and even in India I remember that they had almost like one d-shastu for every state which you know needless to say got very hard to maintain so we thought that we had that like legendary discussion in Sanzibar I think Ula and I uh walking some water pipe or whatever it was at the time um nothing else and we started thinking that we really need something that could expose d-shastu to the world right so it's not like a product it becomes something that people can build upon right so we decided to build an API and in hindsight I mean this looks obvious but APIs went really hot at the time you know this is like 11 years 13 years ago so or 11 years ago so so it was like slightly novel at the time sounds obvious now um and then you had you know Morton joined us you had you know very good developers joining us building up the team we made the API more comprehensive and we started around 2016 to see more web apps being developed so people now started to make you know custom apps which was great um only thing was it was very complicated at the time time consuming there's still fairly low quality no consistency everyone basically picked their own framework so like whatever framework people preferred they would pick and the result was that the apps looked very very uh not uniform right it was very different no common look and feel it looks kind of amateurish so so we decided or often came and joined us in around 2019 and I think his first reaction was oh my god what's going on what are you guys doing we need some consistency here so he came up with this idea of the app platform so the app platform is really kind of the the platform for building web apps it brings some some structure some rigidness and a common way of building apps same framework same style so with this the apps are now slightly starting to become more uniform uh the quality goes up and cost goes down because now people don't have to spend two weeks just figuring out how on earth am I going to approach this you know it's kind of given so that helps and we see from from around 2019 we see that most complex implementations now do custom apps for every major country there's now starting to become apps so the thing is that even though in our apps I would say it's a huge success overall it can be better right can be better I think it's still complex still a bit costly to build and maintain still break so what we're working on now is really to create a shed uh and reusable UI component library so that instead of having to reinvent the organetry for the 100th time you can basically then take the organetry that we built and use that one um to avoid kind of reinventing the bill um we also would like it very easy and and cheap to build apps they just shouldn't cost a lot of money and take you know months or years it should be quick so um we now would like to make it very fast so you can build custom apps that can even be thrown away when you don't want to use it anymore the other thing we're working hard on is to allow for custom back in micro microservices right um this is to support what we call data intensive workloads um there's a saying that when you have a hammer you know every problem looks like a nail um and I will say without mentioning any names or anything like that is true for web app developers because if you are a web app developer you think that everything should be a web app um and the result of that is that people build data intensive applications as web apps and they shouldn't really be they build integration jobs as web apps and they shouldn't really be so so what we're trying to do now is really to support what we call custom back in micro services where people can build like apps on the back end things that belong on the back end like integration data processing and computation that should sit on the back end so that is is coming as like to say okay super quick on the methodology so software methodology uh you know and if you've been around in it for some time uh you know that many people are very dogmatic they will tell you that you know you need three air plans you know old code should be tested you never break an api quarterly releases is the best you know the people are very kind of opinionated about this but I would say that in in our opinion on the on the Disha two side is that software methodology is more of a strategic choice you should really think of it as a strategic choice um and it definitely relates to the face of the platform and it has trade off so the trade off is always between like long-term planning versus being very responsive it's hard to be both right it's hard to have a five-year plan and react very quickly when someone comes to you having very long-release cycles versus having short iterations there's benefits and and uh downsides with both testing in q&a versus features like how much time do you spend on features how much time do you spend on testing and also how much time how much do you focus on stability versus focusing on rapid change those are trade-offs to be made you can't really have both sides here so that's why we should think about this from our strategic side so I would say that for Disha's 2 we really have more or less three phases you have the startup phase uh from the very beginning until like 2013 ish where we were kind of in startup mode some people say we still are but that's so in the beginning we really like focus on building the right solution right we didn't really spend a lot of time on testing in q&a we really focus on building like the right solution we we focused on like rapid prototyping generating knowledge about what people need and what people want that was the key focus at the time and really like when you're starting out with something and this I would say goes for any product if you're building something else it's really about understanding what the users need and want that's the top priority when you're starting out don't spend a ton of time writing tests and pipelines and things because if you have no users it doesn't matter if your software doesn't have any bugs because nobody's going to use it you're going to run out of money and your product is going to go away so so that's why you need to focus on building knowledge about what people want and do you do that with prototyping next phase around 2013 ish um this is what we call the growth phase so this is when we went slightly out of startup mode and I was starting to kind of grow the the software and the idea now was really to make the platform useful for many right so at this phase you really would like to make it useful for many and scalable it doesn't really matter if you have a beautiful system if it's used by five people like nobody's going to care you'll be the best system in the world so now you need to focus on scale like make it scalable make it possible to run at the country level and make it possible to run even at the global level so in this phase it's really important that you still need to accept breaking changes I remember that we had a lot of complaints people came and said you guys you're terrible like you break the api you're breaking our apps and integrations and he said sorry but we actually had to make a data model change because we learned that it's the right thing to do so instead of then saying okay everything's going to be stable you need to actually allow for some change and even upset some people you just have to live with it I know from um from experience that can be hard um and then the last phase where it's I think we're in now which is what they call global adoption this is now when people are starting to say you know that this is the biggest most implemented system in the in the world and all that then you can say that okay we reach global level now and this is where you would like to slow down you need to slow down focus on stability focus on testing now you can't do radical changes anymore you can't do crazy things you need to slow down and slow slowly start to focus on testing uh slowly cycles more q and a more focused on pipelines and ci stability testing better testing and I still thank you know the the the guy upstairs that we have phil join us around uh 2018-19 phil is our q and a manager has really brought a lot of uh rigor and and and testing and q colt assurance to the team so we're very happy for that okay um we can skip ahead a little bit so let's talk a little bit about the software strategy for for these guys too so with these guys to be really we try to really have a deliberate strategy from the very beginning and I would say that a foundational piece of the strategy really was to have a strong core developer team right so the good thing with having a strong core developer team is that you can really have an overall vision and holistic plan for the software it allows you to build the product that you would like to build you can have a holistic cohesive plan we know of other systems in this space that rely more on community contributions that you know people in different countries and teams and so on submit patches we think that that is problematic because it then really leaves it up to the community to decide what's gonna happen and it's very hard when you sit in one country to understand what to do from a global perspective you know that's very hard it's very hard to have a global perspective when you sit in one particular country organization so so we believe that having a strong core team is really critical for having a software that's cohesive and have a holistic vision behind it and the same time as you talked about many times we would like to make it very configurable and generic so by making the system configurable generic and and kind of adaptable we allow implementers to really configure it to the needs there's no need to go back to the dev team to kind of ask for something all the time you're not stuck not being able to do what you want by having a really flexible system you allow the implementers like the non-technical or semi-technical implementers to basically adapt the system and of course designing the software with extensibility in mind that's been absolutely critical for us so what that means is that you can now allow the system to be integrated with others you can build scripts as Prosper talked about in the morning you can have scripts integrations widgets plugins name it whatever you want custom web apps to go the last mile to kind of cover the last mile in the country it's very hard to make a generic software that supports the whole world right you do have to allow local teams to customize to go the last mile and make it really work in the context and to do that you always have to do some local work so that's what we're trying to do deliberately in the whole architecture of the software and of course we have seen this week that even from Oslo we're trying to really support a capable community of local developers so having the combination of a strong core team with a very capable set of like local teams in countries is a very powerful combination we've seen so much innovation you know Tanzania and South Africa and Ghana I'm probably forgetting many now have shown us like really amazing stuff this week local apps innovations you know integrations and whatnot so it's clear now that the this approach is working like we can see so much good good things coming out of the country so I really really really impressed with all the stuff going on now in the countries so so how does this translate then to the architecture so all this strategy we're trying to inform the architecture right so this what you're looking at here is really like a very high level overview of the of the architecture of these just a bit simplified of course but from a high level so so what you see in the in the blue part there is really the core platform this is the back end core dc2 platform that's you know stores the data and and you know has all the business logic etc the white areas there are what enables this extensibility in integration so we have apis we have the app platform we have webhooks we also have a lot of things that are really the enablers of extensibility and local customization so these are the things that allow you to kind of plug in an extent of course we also have core web apps so there will be core applications like the the data entry and the maintenance and data visualizer and all these things that you know well we do believe that it's very important to have a strong set of core web apps at the same time allowing for local web apps to be built in the context so then around this core architecture we then see that we can have local apps and local integrations so that local teams in countries are able to build their own web applications their own android applications android app has come a fantastic uh uh long way now we can see thanks to marta and jose and the team really a fantastic job it now has an stk you can build your own apps on top of the stk you can plug in new domains new modules and whatnot these days it's become very sophisticated and it really also enables people to build their own android applications same with integrations people can now build their own integrations we've seen numerous examples this week of people integrating systems now it's happening everywhere so people are using the apis the webhooks and so on to integrate with other systems and this is we like to say this is by design this is what we try to do from the beginning to build a core platform that's possible to extend and and and build out in the local communities okay so a couple of other points on on how we think about software first of all facilitate the entire data flow uh what this means is that these just you allow you to capture data uh import data manage the data and also analyze and visualize the data all in one thing one some people call it a boombox you know it can do everything I think we also seen this week that we now see more and more like data lakes data warehouses data integration systems being used which is very cool to see and it's happening now these days but for many countries at least going back some years I think setting up this kind of data lake architecture with data pipelines and joining of data sets and that stuff it's quite complicated it's not trivial right and many people struggle even them all over the world many people struggle with that so allowing people to do the whole lifecycle of data in one platform has really been helpful for us data entry imports validation analytics in the same place now we see that it's becoming more of a kind of more broader architecture but that's just very very interesting open source license of course has been critical um I have to be honest we don't get a ton of contributions you know like it's coming in lots of patches and so on that's not really been the major benefit I would say the main the main benefit of open source is that it reduces risk of project financing you know that many projects are time bound of course so with these just you even if you're running low on funding for a while you can still keep the lights on right you can still keep the lights on because the software itself doesn't cost anything everything hosting cost etc but the software itself doesn't cost anything so it also then removes the procurement and licensing process if you're going with the proprietary software one you have to pay for it but b you also have to have a process right you have to procure it there's got to be contracting you got to acquire licenses you got to install licenses it's just so much more inconvenient to do with these just you just download and install and you run and that's really been helpful for us to make it simple to to operate scalability of course is important we always try to think scalability first right many systems tend to do like low level individual data they don't really they don't they work very well in a couple of districts but it don't work so well in a country right so if you try to use a system that's developed for a few districts it typically doesn't work so well at the national scale but so we try to make it work at the national scale and even at the global scale so you can take the software run it in you know Bangladesh or you can run it you know PSI runs in 60 countries and so on you're trying to think about scale before focusing on complex features and finally like hosting anywhere so with DHS2 you have a wide range of options for hosting so it's not like it's only in the cloud or only on-prem or desktop you can choose so DHS2 can be hosted on-premise in a local or government data center it can be hosted in the cloud in your own cloud account and you can also sign up now for managed hosting in the cloud there multiple providers of managed hosting of DHS2 so you can if you just want to click a button you can do that also so this kind of breadth of hosting options also been critical okay we're getting to the ends we're getting to the ends so a couple of just a couple of design principles that we have behind the DHS2 software there's a ton of software principles obviously so I'm going to just pick some of my favorite principles here so the first one is that real usinates and input really are the foundation of product design right so listening to users is really the foundation for everything I think we all agree like if you don't have users if you don't listen to them you're not really having a system if you're sitting somewhere else in a meeting room trying to make up your requirements it's not going to be very successful so you need to have users you need to listen to them that's number one when that's said I also want to say since I have people's attention that you should tell us your problem and not your solution this is something we see a loss so so people come to us and say you know like I would like you know custom forms in androids right but then as system engineers we always try to think but why do you need custom forms in androids right and then people start to say oh yeah because I would like to have these colors and I would like to have you know fields in this order and I would like to have a table of things right and then it's like okay so that is your problem right that is your problem you would like to order the things differently you like different colors let's work on that and then we can go back and design a solution that allows you to do that in a different way that might be better right so when you give us feedback we sincerely appreciate the feedback but try to tell you tell us your problem and not your solution necessarily and again I just want to mention that sometimes it's quite hard to also be a core team because we get a lot of requests you know people come to us and as for many things now that we have apps it's become better because people can build things themselves but from our perspective also we have to be a little bit careful that if you try to please everyone you're not going to really going to please anyone so differently if you say yes to every request I think the reality is that nobody's actually going to use your platform 10 years from now we try to keep the software a little bit simple like we try to not overwhelm it with a million features because if we add a million features it's going to be too complex and one day you're going to say this is too complex for me I give up so when you talk to us and we say man maybe not that is typically why we say because in the long run it's very good to keep the software simple which is the last point start simple we always try to start simple so when you build new features when we build new features we always try to keep to keep things simple like in the first iteration we don't add too many things if you add too many features if you make it too complex the chance is that you're making too many assumptions you're trying to starting to guess what people need and when you make guesses very often you get it wrong right and the risk goes up because now when you're building things that people don't really need you have to go back and change it and people get unhappy so that's why we strive to keep it simple all right and that's it it's nice for for listening I think we're going to move it over to Austin now I just want to say Austin has taken over the lead developer role now recently he's been doing a really tremendous job he's doing you know hiring and recruiting and proposals and software and team management and whatnot it's been really good I think you should give Altima a good round of applause don't leave yet thank you Lars but don't leave yet because I have the the great misfortune not only of following Lars on the stage here but also as the technical lead of the project so whoever is willing please stand up and give Lars a huge round of applause for the last 17 years would be a yes too come on don't worry he's not leaving yet either we're keeping him in around as much as we can thank you thank you so much thank you all and it's not like he's left you know yeah so you know he's still continue any capacity advisor and he will continue to advise us in a 20% okay yeah Lars is handing the reins a little bit as the the lead developer technical lead over to me which is is a challenge that I am trying to do my best to step into but I'm very appreciative of him also being on as an advisor as we continue so coming from three people in Kerala in the India building DHS2 this is a screenshot from the DHS2 website great new map that was put together by Bjorn and Max's team and communications showing all the different use cases and all the different countries where DHS2 is used there's more than 100 probably this isn't even a complete list I think there are several that are not yet in that database because it is free and open source software people are using it all over the world in ways that we don't understand we don't know we can't we can't know because it's somebody downloads it uses it as the national system in their country and tells us three years later when something breaks but if you can see yourself on the map you can send us an email and we'll add you if you don't see yourself on the map go go to the website go to the inaction section and you can look at the different categories share your stories also with Max there are great great impact stories from a lot of different countries on there and but we now also have a much bigger team so from three people in in the room kind of writing code at night and pushing to production in the morning and we're sending it on a CD on a motorbike around the around the country we now have more than around 60 people on the core software team spread all over the world and it's a remote first team so a lot of them are watching online here today and and that's that's been a big change and it also helps us to to push things forward while also building in the stability and the the foundation that dhs2 provides for all of these different countries and one of the ways that we address kind of the trade-offs that Lars put in his slides where he mentioned that you have to choose between either slowing down releases or moving quickly and innovating quickly you have to choose between stability and agility and that's that is true but we're we're kind of cheating by building this platform for extensibility so the core and the foundation is moving into that that global adoption phase where it's the foundation for so much that all of you are working on around the world and that needs to be stable that needs to be rock solid and we need to do a lot to make sure that that is has all of the the core functionality for usable software a usable platform that it has no bugs that it has performs well as scales go to huge huge numbers in many different countries but it can also be at the foundation the platform for innovation and that innovation is something that we do by developing different applications but mostly it's what all of you do and there were a large number of very high quality applications that were submitted the app competition this year it was a very difficult choice to choose the finalists that you'll see later today and so we want to enable that type of innovation not only locally but also to share those innovations and use them across different countries so we able we're able to kind of cheat by building a platform that is stable but also provides the the foundation for agile development and iteration so how are we going to do that going forward i'm going to talk a little bit about the what's coming next for dhs2 as a platform and extensions is something that is the the next step beyond applications so we have web applications and android apps we have the app platform we have the android SDK but very infrequently i think is an app a web application enough right if you have that hammer everything looks like a nail you start to build integrations and you start to build data processing in web applications which is not the right place for those to be so really to enable the full spectrum of customization and adaptation of dhs2 to different contexts we need to build the kind of the the primitives enable those primitives to be used in those extensions and to be built so that includes extending the api extending the data model and having custom configuration that is shared between different countries and contexts having applications having plugins that let you put extensions in certain places in dhs2 and not having to reinvent the wheel and build an entirely new application and especially integrations also with other systems as there's more and more heterogeneous and complex architectures in health and other domains as well so this is where we're going there's a lot of ways that we can support this and we'll talk about a few of them one of those is plugins so we for a long time have had the ability to build plugins on the dashboard we're expanding that capability making it more secure more performant and allowing you to bundle a plugin with an application that's already available in version 239 and 40 um but there are other places where we want to enable extension points in dhs2 enable people to extend just the part that they need to to customize for their particular use case or their particular context so that includes on the tracked entity dashboard in the capture app in data entry with what has been custom forms being able to enable customization and adaptation of those forms and interfaces for a specific context it includes android application modules so you can plug in as we saw with the real-time stock module that was demonstrated in version 40 you can have modular modularization of the android application and be able to replace the the specific parts that you need for a particular program while still keeping the rest of the great application that's there and many many other examples as well potentially custom map layers we'll we'll look at where we can add additional extensions another way that we're looking at approaching this is by moving to what we call a global app shell so in the development of the application platform we introduced the concept of an application shell that's where the the header bar became much more consistent across the platform than it was before at one point there was no header bar on many applications in some cases that's still the case and and what we're moving towards is being able to make that consistent across all of the different applications within a particular instance by furthering that separation and allowing the the app shell to be updated independently and to be global across your entire instance and so this is another one way that we're addressing this as well and this also helps to provide a consistent user experience and a usable experience for the users of dhs2 in different contexts another way is by introducing tracker plugins so i mentioned this for tracked entity instance dashboard in in capture app there are many other places where we might want to include extensions or plugins in dhs2 and this one is plugins in the capture app for data entry so being able to customize how you actually enter an icd 10 code or an icd 11 code or other potential ways that you want to customize the experience so that someone can have a basically perform their job in a better way so this might look like having a button instead of a just a drop down with an option set that then opens up a very complex custom interface for doing icd 11 coding for example but there are many many many more examples of where this can be very valuable and so this is something that we want to add as a as an extension point in dhs2 is to be able to customize how you do data entry for specific data elements in a custom form for in a form for example i mentioned also android application modules so um thank you very much marcos who's here for providing this slide for me um but there are currently there are a lot of modules within the android application and some of those you might want to customize for particular programs maybe your stock management tool which is like rts the real-time stock tool that is a little bit of a different program than a typical tracker or event program might be and so being able to customize the look and feel in the the user experience just for that one program while keeping everything else that is built into that application is really powerful we have other other examples from logistics and education but there are many more that enable this to be useful for individual country implementations as well and then we get to the server side so as we mentioned a web application hammer is not necessarily the hammer that you want to use for a lot of these solutions and and so we're looking at how we can expand the and the platform of dhs2 to make it easier to build and share extensions that also occur on the server side as law has mentioned the microservice server extensions so this is enabling us also to be more agile and more modular and granular in the releases that we have in the components that we provide but also allows for custom integrations and custom back end services to be built and shared within the community so now i want to talk a little bit about how we're we're actually going to do this and or what the next releases are this is the the the main bad news for the for the presentation and there is good news that comes right after it so don't worry about that um version 41 so first of all before before i dive into that we're talking about versions here in a whole number so version 40 and version 41 and we're moving away from the concept of having two dot 40 and two dot 41 because that gets a little bit redundant and gives us a little bit less flexibility so there was actually an announcement that was published today and basically sharing that hisp and dhs2 aren't just names and they are names because we're moving into new domains outside of health and we have functionality that's outside of just district level there's national level there's facility level there's district level there's international level so they're just names just like ibm and others have have moved from international business machines to just being ibm there are many other examples of this and as part of that dhs2 being part of the name dhs2 2 dot 40 doesn't really make sense so we're moving to version 40 and version 41 just a small semantic thing that we're doing um but in order to focus on a few key things namely quality design and extensibility and really make sure that the core is stable and a solid foundation for innovation and for use in countries the next version version 41 will be out in one year so in in may of 2024 but that doesn't mean we're going to be doing nothing between now and may of 2024 so these are the patch releases approximately that you will see for version 40 which was out last month in the next year so we release a patch release or a minor release approximately every two to three months for each of the supported versions so this is version 40 patches and these are the other patches that will approximately obviously the the the exact dates and the exact numbers will might change but these this is what we're working on in the meantime right so we're we have supported versions for 38 and 39 and 40 that will be continually improved and worked on during the next year as we're also developing version 41 and that's not all because we have continuous release which I talked about um on Monday as well and this is where applications can be released independently of the core so even though version 41 won't necessarily be out for another year we can continually improve and build even features and functionality into the applications that are built on top of that platform so that's things like the maintenance application the data visualizer application dashboards every single web app that you can see in dhs2 can be continually improved over the course of this year including adding some functionality so there might be releases of these applications throughout the year it might be every week if there's a an issue that needs to be handled quickly we can release it very quickly it can be updated in different instances in a very timely manner and if there's an issue it can also be rolled back in those instances so we'll be releasing continuously the applications and the extensions to dhs2 which are becoming more and more powerful over the course of this year which allows us to have both the stability of the long release cycle with the agility of short releases for individual applications or extensions and if this sound feels overwhelming there's a lot of releases there we'll be also including these applications in in the core releases so you don't need to take them if you don't need those features or that functionality you can wait for the one that's bundled with the next major release you can also we'll be trying to bundle up kind of an announcement of what has been released in the last three months once a quarter so that you can know these are the applications that were released these are the minor versions that were released and this is the major version that came out this quarter for example so now i'm going to talk a little bit about version 41 specifically and who here has watched the films or read the book lord of the rings the hobbit tarot token okay there there are quite a few for those of you online who can't see the audience and who do you think is the hero of that film there was an answer golem in the crowd for me the eagles that's a good one so there are two main hobbits in the film and one of them is frodo who everybody knows and the other one is sam wise and sam wise is the one who who slight spoiler not too much carries frodo across the finish line more or less he's the one that is stable and gets gets the frodo to where he's going which is to destroy the ring that is yeah anyway well we won't go into that too much this is this is the codename for our version 41 release and why is that that is because we want to be the the stable hero that is the foundation for everything that we're doing this means that we're going to focus on three things quality design and extensibility infrastructure for the version 41 release of dhs2 and what does this actually mean so i'm going to share here a picture of my colleague ana who this picture was taken in jamaica it's going to be a year of focusing on these things which means there might be a few fewer features i'll talk about a lot of the features that are exciting and coming up as well but we're going to focus on quality design and extensibility so that we can provide this solid foundation this means we'll work on stability and performance we want to make upgrades as seamless and risk-free as possible and we want to limit regressions that we introduce in version 41 we want to focus on design as well so there are things in dhs2 that are complicated sometimes and sometimes it's training is a big challenge for a lot of implementations and we can work to reduce the the cost and the need for those trainings and the complexity of the software by focusing on usability the quality of life of the user of dhs2 so they can find what they're looking for and have an intuitive way to navigate around the platform consistency across different applications and things like accessibility that have not been highly prioritized in the past and then extensibility which as i mentioned is allowing the rapid iteration and the rapid adaptation of dhs2 to local contexts that means we need to focus on building a rock solid platform for that extensibility that extends beyond just applications but it wouldn't be a what's next for dhs2 presentation if i didn't talk about some of the features of dhs2 that are coming in 41 in the 41 time frame so we have a lot of releases in applications as well that might be a little bit before a little bit after but in this time frame we're going to be working on a number of things that are exciting and some of these are part of the usability push so some of these are focusing on making dhs2 more usable more accessible more easy to understand but some of them are functionality that is highly requested and that we've known we needed to implement for some time as well so the first of these is a new version of the login application so the login app is a little bit a little bit dated i think i saw a presentation for PEPFAR maybe in one of Lars's slides where it's had this exact same login page probably from 2014 i'm not sure if it's exactly the same but maybe it was 2016 2017 but it's been around for quite a while and needs a little bit of of TLC this doesn't look that different does it that's okay because this means that we can build on the the core that we all know the core login application and extend it so have an updated refreshed design while still keeping it familiar but importantly this also allows for customization in a way that hasn't been supported in the past so this login page could also be supported out of the box for dhs2 it's a customization using themes to be able to say i want to put my login dialogue on the left side i want to put an image on the right side maybe i want to have some logos there for different supporters of this this particular implementation and this will be a theme that we can provide potentially out of the box we're moving to a new technology that is part of also the extensibility infrastructure effort to eliminate some of the older technologies that are underlying dhs2 so we needed to redo the login application anyway and there are a lot of ways that people customize it today that aren't typically supported out of the box they're they're very custom kind of hacky ways to do it so we're trying to make that more of a first-class feature that includes having login support like theming of the login page support like you see here it includes a improved way to do two-factor authentication so you don't have to check a box and then put in a code if you don't really know what that is that's very confusing so if you have two-factor authentication enabled you will log in as normal and then you'll get just like you see in most other applications then you'll get a dialogue asking you to enter the code from your authenticator application and then we have the ability to do fully custom dhs2 login application themes so this means you can put custom images custom links you can do whatever you want with this while keeping the login functionality that is built into the application and can be basically injected and then themed in a fully custom way so now for the next functionality that probably a lot of people have been waiting a long time for this is around maintenance and particularly the maintenance application we're going to make it better that's the bottom line so I should preface all of this by saying that we're engaging in an iterative development and design process where some of these mock-ups might change and that's actually a very good thing because it means we're talking to users as Lars said we're talking to people and seeing all right this is an idea that we have let's make sure that this actually makes sense for the hundred countries that are using dhs2 bulk edits in maintenance that's something that has been asked for for a long time so this is a new way to view and edit and manage your metadata or your configuration in dhs2 in a way that's been very difficult in the past and so building in a lot of this functionality to do bulk edits to do more intuitive and streamlined ways to edit individual objects pagination standardized look and feel and being able to filter all of these types of things and are part of this redesign this is just an example of one of the the data entry forms but it'll also be much improved compared to the the look and feel that's been a little bit dated for dhs2 maintenance app and then we have organization unit management another functionality within the maintenance app that has been long requested so this includes things like being able to merge organization units this thing's like bulk editing and management of organization unit trees in within the maintenance application so there's a lot that's going on there and and I did want to mention one thing that is in addition to this that this is part of a larger effort to make it easier and more powerful ways to manage and maintain the metadata of dhs2 systems and particularly a network of dhs2 systems over time so in addition to this we're talking about import export stability and improvements there and talking about ways to extend the data model to make it easier to manage permissions and bulk groups of metadata within dhs2 so now i'm going to go through some more features quickly and we don't have a lot of times i'm just going to go quickly through them and one of those is cross program line lists so we introduced the line listing application recently but that is only listing events and enrollments and we now will have the ability to introduce tracked entity line lists or cross program line lists to be able to analyze and cohorts of people that are across different programs we also have some functionality in dashboards that has been very much requested and again these are early mock-ups but that includes being able to manage dashboards in a way that hasn't been possible before being able to manage these dashboards in a dedicated interface which cleans up and makes it easier to to have the data be front and center in the dashboards themselves so hiding a lot of the the management interface that you might have seen in the past and really getting it out of the way of the data that you want to present to the user this includes things like filtering and moving those into places where you have more room to really expand on the functionality that's based there and more features like that a couple more that I wanted to talk about I only have a few minutes left but referrals and transfers in the capture application this is something we've referred to as temporary referrals and permanent referrals in the past but this allows you to not only make a referral out but also to respond to that referral and say that some person was potentially seen or a referral was processed by the receiving organization unit or the receiving facility android capture usability we talked about a little bit at the beginning of the week as well this is improvements that are ongoing and is part of our push for usability making it easier to understand what's going on and to see the data that you need and to really get through the application in a consistent and intuitive way so there's a lot of improvements coming there for usability and then this one is it's a small one but it's one of my favorites this has been there for quite a while in the maintenance app subsections being available in the application menu but it has slowly faded out of out of the interface and now we're bringing it back and we're making it even better so in addition to being able to jump to data elements overview in this example or to create go to the create a new data element screen immediately from anywhere in dhs2 we're looking at being able to also jump directly to visualizations that you know exist in your system to be able to search for malaria and find things related to malaria in different applications in dhs2 without needing to know that you need to go to the data visualizer application and then file open and search in there so this will help users to find their way around the system and this is just the tip of the iceberg of what we can do with an interface like this in combination with the global app shell which allows us to have this immediately available in all the different applications across dhs2 so you have a consistent interface no matter where you are and then my last slide is there's a lot of things under the hood that we want to work on in 41 and this is around the focus on extensibility infrastructure on quality and that includes a big focus on performance and a focus on security and a focus on quality so we have testing efforts that have been overhauled in 40 version 40 with the beta testing program we have performance testing that we want to do and we want to make sure that we are improving the functionality of things like program indicators and analytics runtime and having a robust functionality for importing and exporting metadata to be able to manage metadata in a system so look for a lot more that might not be flashy screenshots but hopefully will be even more useful and make dhs2 a really useful platform in all of the countries where you're working and with that thank you for listening and we'll turn it over to you thank you Austin I guess there's so many that want to to post questions for Lars and Austin but we are actually doing the panel again and then there will be question possibilities for you please Austin and Lars sit please sit and then I will call upon Mark to see yeah from PEPFAR we heard the PEPFAR story a bit today and then they will also call up Pamut from his Sri Lanka and Ru from Ministry of Health in Rwanda and his Rwanda and then you earn where I earn you earn also but then you need to bring your rucksack down cannot bring that for the panel no one will steal your computer while you're sitting there we will take care of Tommy Cowell take care of you wanted to continue to be a bit energetic here this morning we need one more chair welcome to mark he just arrived you will be able to squeeze because we are we have the last would say semester discussed heavily how we can improve the innovation capabilities creating even a more innovative innovation ecosystem around the DHS2 and that is actually been of course inspired by the we would say prove of the concept of the DHS2 as an innovative platform during the pandemic where we saw that Sri Lanka was the first even in January 2020 late January 2023 days after the three two suspected cases coming into the the Port of Colombo Colombo in Sri Lanka they were able to make a port of entry I just have to tell it took the municipality of Norway or Oslo or Norway one and a half years to do a port of entry for Godumon took three days in Sri Lanka so I just want to to to to let Pamud brag a bit about how that was possible on the on the platform of the DHS2 without you know having all the programming expertise so thank you so much Christine for briefly introducing like what exactly happened in Sri Lanka back in background like January 2020 so in summary like what was made possible was one thing like so within couple of weeks of like everyone got to know like there is something really strange going on starting from China but like spreading really fast we were able to produce something for COVID-19 surveillance in Sri Lanka which is again like we as in not just a history Lanka it was us and especially the Ministry of Health and many others like especially the ICT agency who's representing all the tech related work and the entire governance of the country so that is one and the next thing I wanted to highlight is around this I mean like just after like one year's time then we started producing COVID-19 vaccine and that is when we were also tasked with this very difficult target of enrolling the entire population of 21 million people of Sri Lanka into DHS2 and to track them for COVID-19 vaccinations so these were the two things that that are the highlights of this entire implementation but what I would like to highlight is about what made it possible so this is something that is also relating to my PhD work so first thing of course like I will start with what Austin has and last has been highlighting the platform so yesterday evening there was one session at 5 p.m. where we kind of tried to discuss about the digital public goods and the community and like one aspect was like now DHS2 is present everywhere right not just health education climate who's doing that are you guys promoting DHS2 by just going to all the ministries it's not really that the the true thing that actually happened in in Sri Lanka and many other countries is like platform while it is being modular it's so customizable right we have many other DPG so open source solutions where the community and I mean like it's actually mostly talking to the developers but here it's the implementers and the ministries it is so easy to adopt so that is one main thing about the platform that made it possible during the pandemic so it was not just agile development it was agile implementation so we started with something very basic for port of entry monitoring and then of course we had a lot of support that's my second thing the community and the engagement so we had a local community in Sri Lanka plus UIO and the entire HIST like we were working with everyone in the HIST and the UIO Austin specifically I must mention like he had sleepless nights supporting us to build apps based on this innovative platform and of course finally the local capacity so we had a lot of collaborations with the University of Colombo like more than one decade I would say like Prof Yon can talk more about it so we had in country capacity so that's why we were competent and confident to do something during the pandemic so these strings three things are what made it possible super and then we can go over to Andrew maybe because they may be the the the best in class of borrowing all these innovations across the HIST groups can you tell a bit about your experiences yeah thank you Christine I think Randa is like Sri Lanka so for us what happened is that you know my personal experience is that during the pandemic people always panic and the panicking goes around the different areas I remember when they called me to go to the front line I was at home then my family was telling me you're going yes I said yes I'm going oh you're going to bring COVID in the back home I said no no no it's not bring COVID we're going to do interventions A, B, C, D they say let's pray for you then close your eyes when that time you see good when you close your eyes but what I want to mean is that sometimes during the pandemic there will always be no options I mean no one would be knowing what to do what will happen then lack enough when we heard a story from Sri Lanka that's when we understood that at least there is a module there is a package that can be implemented so one story I want to tell you when we are trying to find different solutions because during COVID there was many suggestions one vendor came and said we can customize it then let's have a meeting tomorrow then all of us we went including our leadership to check on the system then when you reached on the timeline the person said it will take us six months that is the minimum then the minister was like oh six months all of us maybe will be that will be not there then that option was not was not our option because you know that's why I want just to emphasize on the flexibility of the HHS too so imagine if you can implement a solution and take six months when you are when it's an intervention for the outbreak so what we did was because after reading the the the story from Sri Lanka we told our leadership give us time because you know when we are taking this innovation we don't say we are taking them we just say we are going to code then they give us like two days we go somewhere when it's just import importing the package then we went and imported the package one day second day third day we started the system running and everyone was reporting we are able to to to get the data because it was important for us to know the cases to confirm the cases and be able to know what which intervention because remember on the pandemic you have to ensure that one district if it's more affected it doesn't affect another districts so for me I think the important thing that made Rwanda to use the HHS too during pandemic one is flexibility it takes little time to implement because at least we have a big community that are implementing and they're having innovations and these innovations are free they are open that is our value the second is that we have a global team the network we are not working alone we are in the countries but we work with the country experts but again we have global teams that are developing the system that gives us the confidence to implement the third is that we don't require training sometimes some of these modules they are using tracker and we already have tracker there then whenever you implement it users will get used without having the five or ten days training so without taking long I think we'll be answering based on the questions thank you thank you Andrew and this is very good examples but as we learned from last but some of us knew it before and everyone knows it actually our history with PEPFAR goes way back from when my Garen came 8 of December 2012 and we okay we can go into 13 then but more can you tell a bit about the the the travel and the journey with the HHS too and why PEPFAR chose to to go along and we are very happy for that I have to say that's another story how PEPFAR has been so instrumental to be called for the HHS to to become a platform because somebody needs to finance the core and nobody wants that except for PEPFAR so thank you Kristen and it's a it's a pleasure to be here particularly in this panel with so many esteemed colleagues you know PEPFAR has been investing in the DHIS2 platform as you said since 2012 actually I think some of those initial discussions started and this predates the shift in the PEPFAR program to to doing much more granular data collection much more frequently at the facility level and and we support over 50,000 individual facilities over 53 countries so more than more than 30 and in 23 of those countries those are bilateral so we have a bilateral agreement in those and almost all those countries DHIS2 investments predated PEPFAR's engagement in those countries and and that was one of the major reasons why my my predecessor Mike Garon chose as as we were looking at sort of reading the tea leaves about where the program was going wanting to do more than sort of a single data point entered for a single country once or twice per year to quarterly getting much more granular about all aspects of the HIV epidemic monitoring that and so that that appetite for data we knew on the system side that you were not going to be able to engage with host governments around that level of data collection that level of frequency if you were to bring in some big proprietary system that really had the perception of hoovering up data from from a country so that was a strategic decision to use the systems that were known and trusted and that there was a large community built around DHIS2 already however there were growing pains associated with that and Lars mentioned and I see Jason and Oula and lots of other folks who've been part of that journey with the PEPFAR program over the last decade plus PEPFAR is celebrating its 20th anniversary this year there's a big campaign of course with our lawmakers to advocate for a reauthorization of the program and we're very hopeful about that but something really remarkable is happening right now within the Department of State where where I work and where the PEPFAR program is is focused and so we are as in about two weeks we will be the global health security and diplomacy bureau PEPFAR has always been sort of a temporary office within the Department of State and the PEPFAR program will be the anchor for this bureau so we will still be executing PEPFAR we'll still be doing that but there will be other diseases added to that bureau and our ambassador ambassador John Kingison who previously led Africa CDC and worked on the COVID response across the continent will be dual-hatted representing that bureau and the PEPFAR office I mentioned this because it's relevant because as the as the PEPFAR program has helped to advocate for more investments than DHIS2 created that appetite for data much more frequently much more granularly which again we can get into some of the caveats associated with that we have an opportunity to better coordinate the way in which different parts of the United States government are thinking about their data models the tools they use to take those up the the capacity approaches they take for those that are collecting and managing data systems at a country level and so we see potential over the next years to really leverage the the new organization within our office in our bureau to be sharing the examples and experiences that we have within HIV data across a variety of other areas now the the the double sided coin with PEPFAR using data so often is that there's just a sensational appetite for the types of data at a global level that we that we need and so we're really trying to there's there's there's a sustainability roadmap in in development right now and we have a data roadmap that will be a part of that that'll be publicly available and the next few months as well and we really want to start in incentivizing my my boss disagreed just last week and what I was trying to say we need to control our appetite for data and that's not going to happen where we do agree is we can control our appetite for parallel data so we really need to be doing more education showing the consequences of asking for things that don't really exist in national systems and being and using a better awareness of what actually exists and what it takes to generate those to inform what we collect when and how we use that and so part of that data roadmap is better describing the the sort of archetypes the states of national systems and investments from country to country and helping us to understand what we can reasonably ask for and what formats and I'm looking at my colleagues from Global Fund who are in here as well who are already starting to think about following PEPFAR's model for direct reporting and really just want to encourage us and our colleagues from WHO as well really just to be thinking really very hard about how and what we're requesting because of because of those consequences. I did just want to say a couple other things as we're as we're developing and using these systems the the need to monitor the HIV epidemic longitudinally is very real and most many countries are doing some sort of individual level systems whether that's tracker or open MRS or something else and and also for HIV and many other programs we need to look beyond data that may be in DHIS too and so there's a lot of guidance that we have out of around our program right now around sort of integrated national data repositories data warehouses in some countries they may be trying to use DHIS too for that Lars and I spoke earlier but a lot of they're using Azure they're using AWS they're using something that may be on-prem that might be hosted might be hybrid and we should only expect more of that and we're driving a demand for that but thinking about how DHIS too feeds into that is part of that is absolutely important. Coming from representing the United States government we have a lot of cybersecurity requirements and so a lot of these investments in core have been a necessity for things that we need to be able to use this platform within the United States government system boundary and those are only increasing so multi-factor authentication encryption data at rest encryption data in transit zero trust architectures a big one that's coming as well and so we were able to grandfather use of DHIS too in as an open source product and it's not as encouraged right now with the U.S. government so we really want to be working more closely with University of Oslo over the next years to really continue to advocate for why investments in open source systems are so important and demonstrating how those can actually work within United States government boundary other boundaries where there's an increasing focus on cybersecurity etc and that gets me to the point that Kristen Rae well so we continue to hear about how great it is to have free features in the platform and the importance for standard core but that doesn't come for free there there's someone paying for those salaries and others and so PEPFAR has been very fortunate in the ability for our funding to be able to be not implementation focused for the funds that we give to core software development we do have a much larger amount of funds that we put into implementation but that happens at our country level so we have a core investment that goes there we were able and ignore ad and PEPFAR were some of the original partners that were able to provide that that core funding and for all the reasons that that Austin and Morris have laid out this morning we feel that this is absolutely important and looking at my colleagues from digital square path where we coordinate our investments to to University of Oslo for core software we're looking to donors to be able to make that case more broadly there's huge benefits to having a stable platform that we can use in a lot of different sectors a lot of use cases but in the early days we were very nervous where PEPFAR was an outsized piece of that pie for the core software development those pieces have increased the overall size of the pie has increased and that's great but we need to continue to advocate for what for why for why that's important and then just I'll leave with the importance of working with indigenous capacity the PEPFAR program has a target of 70 percent of our funds that go to the country level are focused on indigenous organizations I think there's so many with the HIST networks with others that are using DHIS too there's a huge community of developers that are doing this but more more broadly even beyond DHIS too huge initiatives around data science and if we want to just host an event in this this year as well and we're really looking at more more more data literacy making sure that we're able to support platforms that are that are using data in all sorts of different formats not just from DHIS too and and those are not sorts of things that you need to bring in outside outside organizations to be really meeting a lot of those those sorts of things so I'm very excited that we're able to continue supporting the DHIS to thank you I think it needs a hand for this one thank you for that pledge and you and maybe you would like to talk about something else but however or he wants to talk no questions no problem yeah no one thing I wanted to to uh raise because I noted that in us one of his slides where that open source is good because it's less bureaucracy and what I will emphasize is rather that it's good even even even research based evidence that open source is enabling innovation as it is evidence that proprietary software is hindering innovation and that was the example from from Andrew and and Pamu down what happened during during the pandemic where the network of open source software actually enabled sharing of best practices and even apps and not necessarily only the apps but also the the way to do things the best practices etc so I think that is a very very important part of everything and it's also about me I came in after you I have to mention something about the platform as well and we started to discuss with your criticism again Mike Gehren many years back and at one point I remember I asked him him why is the US government coming here and supporting open source kind of anarchistic group like this that's not very normal and he said yes no because we are progressive he said and also because the reason the official reason was that DHS is used in all these countries and eventually we want to have interoperability and collaboration and uh leading on capacity etc etc various countries so that was according to him than the the official reason that but I think it's quite interesting that that this collaboration came about and I'm happy here that it will continue into the future this big cross of fingers for that and into this this talk about Petra and Mike Gehren I want to say something about the future of DHS because he also had one other you know our numerous discussions he also said I don't understand why you guys are not focused in on where you have monopoly absolute monopoly and that's aggregate data and that kind of analysis and I when we now think about the future of DHS too I want to raise that again not only the aggregate data but please remember that everything that has to do with analytics MNE etc whether it's I mean underrun from the tracker or from medical records etc it's always about single units of numerical data and the analytics coming from that tradition is what we have now seen is a big problem for for DHS too because we have been so successful in making it possible to specialize into different systems which is a good thing because that enable participation and user user control of the development but at the same time it creates a problem with the integration and different silos of systems etc so that has brought us back to where it started and that we need to work harder on the analytics and we have already had a lot of say competition from the system all these other kind of tableau and others who are actually doing exactly what we did in the old days saying that let's take data from all these sources put it into one one database call it a data warehouse and do our analytics so maybe that is the future go back to that again yeah okay thank you I'll stop it I was thinking maybe Austin since the two of you had the presentation maybe we should open up a question to all of you guys or you have a comment Austin yes of course yeah I was going to I was going to just respond quickly to the the four previous speakers so thank you very much for yeah the comments I wanted to start with with Pamud and the sleepless nights supporting Sri Lanka I haven't been yet to Sri Lanka but I would love to go someday so I had to support it from quite a far away but I think you you highlighted very clearly what is the power of a platform in addressing real needs and real urgent needs in public health but in other situations as well and then Andrew you you extended on that to say that it's a it's a community it's a the all of us are sharing our innovations and and working together to address these problems and that's really I think quite unique and enabled by that platform as well and I was in Rwanda with you a couple months ago with a group of 50 people learning about integration and that touches on the another point that both Mark and Jorn brought up which is interoperability and integration are a part of that platform and that extensibility and being able to play well with others and get data to where it needs to go and so it was really a powerful experience to be in with 50 people learning about interoperability with DHS to from 20 different countries or more and then taking a bus across the the border to Uganda to meet with some very talented developers in the network in the community working on building extensions and adaptations of DHS to and so I think the the interoperability is a really big part of our focus as well as security and I think that it was on one of my slides but it's a big focus for us as well is investing in first-class support for interoperability and first-class support for top-notch security which has sometimes been been an afterthought in in the space where we work and and yeah so interoperability and complex architectures and and being able to get the data to where you need it to be able to do triangulated analytics on that I think is really the the way that we're we're going in the future so looking forward to that journey together I was my quick comment sorry it was a little bit longer no no no no no we open the floor so you want to comment I can just have just just super quick comments on to build on what marx says and also you and says I think you know DHS to be really we do spend a lot of energy building out analytics right we have people you know working very hard on it but the thing is we also built out very complicated or not very but the big complicated tracker systems now where people do you know modern child analysis this household and the spring and this whatnot and and then the problem is that people come and say oh but we can't really analyze this data you know we spend all this time putting the data in but we can't look at it in analytics and I would say that maybe we are putting a unnecessary constraint on the system and ourselves because the data is there and the data is there and there are things like there's a thing called sequel that allows you to query the database to get the data out and display it in the report that exists right so but still we say can't be done right but it can so I feel like to kind of take some pressure off the dishes to analytics and you know save the the poor guys working on analytics day and night we should be able to also kind of integrate the more ad hoc explorative analysis that we do find today in data warehouses and bi tools in DHS because it can be done is it that we say that it can't um I would say that DHS 2 is really a fantastic tool when it comes to distributing analysis to many people right um you know that's implementing a data like a bi tool at scale can be difficult because of training and installation and costs so like distributing analysis in DHS 2 is is what the the software does really well so I think in the future now uh with Unlady's team I think it's going to be really interesting to see if we could try to combine the power of the kind of DHS 2 predefined reports and dashboards and program indicators with the more explorative ad hoc analysis that we can do in in data warehouses and the tools together thank you Lars any questions guys and girls from the audience you have the chance no hands yes we have one Pamoud is not here for running anymore so first of all I just wish to commend you this has been fabulous four days really eye opening at all levels oh sorry my name is Amani Siam I'm the regional advisor for health information systems um in the WHO South CC Asia regional office I'm responsible for 11 countries uh eight of them are using DHS 2 profoundly and strongly so so I just wish to commend you on this Lars I take your point we're not going to ask you do this and do that and solutions and whatever but I need you to help us please to in a way having like a marketing strategy for DHS 2 so the asks I have is that you have we are still trapped with the lower and lower middle income thinking for DHS 2 we need to you know raise the bar on this we have a few upper middle income countries who are really in a mess with their facility based systems and there's something to learn there so that would have been one thing of course to reflect on the fact that it's not just a map and what you drew it's the socioeconomic groupings that you have gained and now that you are crossing over from the health to other sectors you have to take that into account the second thing is about data sovereignty I think this is something we need you to package into your marketing and I have to say as as technical agencies we failed you a bit because I think it should have been our responsibility to market the data itself and the use we can't expect you to handle the informatics and the public health aspect as well so so you you really provoke us by a lot of what you've said and what you're in has said so the two asks are definitely to raise the game to speak more about upper middle incomes and what they can learn from DHI students not for Africa only or for Asia it's really it has a global dimension of applicability now second the data the idea that the data sovereignty is always guarded and then third I think what I would really ask you to consider given all the collective partners especially that you have a meeting coming up of the partners in the sense that what I think my colleague from PEPFAR spoke about the spectrum is increasing like for the Southeast Asia now we have a big issue with dinghy it's again uprising we still have a big entrapment with TB so we have to look into cross infection so for me the big education I had coming is the capture the fact that we will definitely want to look at the profile of co-infections what do they look like and third but first of course the NCDs we need more to be done for the NCDs and in that respect I want really to come to urge you to have like a Marshall plan to start thinking of patient registries that should be trapped by DHI students for instance cancer we still are not doing well in analyzing cancer data and they complain about we don't have good data we you know it's really hooked into very small places so I'm just saying that if you can come up a bit more as you say you focus on quality this is what what Austin said we are going towards quality it's also speciality not just quality we have to show new offerings that we are able to handle patient registries for instance that will be a huge asset you will open up a massive scale of data use if we can trap the new types of users beyond what we call the communicable and infectious diseases so these are for us I'm going to write you an email Speaking of which Norway was actually using the SS2 for contact tracing so it's not only the you know upper and you know upper and middle in Asia that is a mess it's also Norway to me almost we have our own problems yeah but that was more like a comment I felt thank you Absalom Mamelina from Malawi because I just want to appreciate for the good presentation and the ambitious plans for the future of the DHIS2 my question I just want to find out if this functionality whereby one is able to compare within countries like in our case we have uh uh banners because we have some challenges uh cross border challenges uh when dealing with the immunization uh ETI whereby but maybe some uh there are cross border issues uh one country let's say we have Mozambique, Zambia, Tanzania we see we're bordering our country so there's this issue of cross border challenges and I just want to find out maybe there could be that fractionate of uh linking uh that linkage between one country to say within the DHIS2 to say uh what they are doing in that country and that are bordering thank you you could talk about we have many cross border projects we have the Mekong we have a cross border project yeah yeah so we have a cross border project between countries in southeast Asia and the big big problem with everything that has to do with cross border is to get the data sharing agreement because even though it's about sharing necessary data for example transfer referral of patients between the two sides it seems to be so close to national security etc that all the governments are thinking wow this is this is dangerous so take it easy but yes cross border movement is very important uh in in uh I mean the in in healthcare I mean you have patients moving back and forth you have malaria we have a malaria project also in in in southeast Asia where all the countries agree on on on surveillance and monitoring malaria on the on the border areas so yeah what about the east african community yeah we have the east african community also but that's that's more like data to shared shared database it's similar we have uh west africa health organization also having that kind of shared data across across countries so reporting up to a shared database that's of course should be easier than to actually have cross border direct exchange of data because it's require less of less agreements on on security of data and and mo use etc but yes we are both both in the east africa community and west africa health organization I think so yeah thank you I am to make up from uh west africa uh uh west african health organization and yesterday we shared some experience on that and I think so more than the other collective the other regional economic community west africa today this problem of the data sharing agreement or it is not a problem because among the countries no border the people are just circulating from freely circulating one country for the other we have a Nigeria that's so no visa no anything I'd require it so the challenge become for the health why to do to ensure that so the health the health problem not become the barrier for that free circulation among the people and we since Ebola crisis in 2014 2016 we have now a regional platform for the information sharing and that regional platform we are improving it every day to improve the information that's so it's accessible for any country that's so the data entry is done in each country basic epidemic prone disease for the moment and the all other country have access on it they can do it until district level that's so they can localize the points now we are putting information on the point of the entry that can be in the gis module so that the people know where the people getting entry from the other country and where the problem that's so the problem of the I think so one of the difficulty in the other countries that's so that free movement in the among the the country they become yet the problem that is not problem in the ocovas that's so what we are doing now and working with his supporters is so how to improve the platform to be really today we are working on the the early warning system on that platform that's so in any case notified at a suspected case you know how the other countries can take it as alert to activate the mechanism of the prevention for that point of the health security thank you 15 minutes into the app competition so maybe somebody will look at me oh we have a question more okay we can't can be be short Pakistan well this is Mustafa Jamal Kazia national coordinator Pakistan for TB HIV in malaria ever since I'm not a doctor but I can be a very good manager ever since I've joined this assignment and I'm keep on very close eye on the DHS too and what problems we are facing right now the sharing of datas from the private sector to the public sector and from public sector to private sector it seems very very tough and every one of them are engaged not the public sector but the private sector is quite engaged working in the silos these needs to be you know mandatory for the private sectors to share the datas with the public sector so that we can integrate it a proper data space into the entire DHS system in the CMU what we have seen so far it is not happening and seldomly you know they talk too much but they don't do that so what I would be requesting that it should be done in latent and this is what everyone is in connection with DHS for developing the software and then they you know manage their data accordingly I would be suggesting that the public sector is the most I would say that the key and pivotal for all the databases for the partners and supporters to work with it this is the main problem and secondly I would be saying there are some cross-sectoral or multi-sectoral approaches in the DHS too is little lacking we need to do that also strengthening the multi-sectoral engagements into these diseases like HIV, TB and malaria are also facing challenges in blood front transfusions so this could be the best educator well any patient or anyone who is actually transfused the blood it should be indicated so I would be inviting the DHS too to come to Pakistan and prepare a software for blood transfusions also so that we can maintain the data and manage this thing thank you very much I can actually try to try to wrap up a few of these different different lines of thinking maybe a little bit and bring it back to the platform that we were talking about at the beginning as well and data sharing is important and Mark you mentioned direct reporting using national systems and not having parallel reporting I think there's a lot of similarities between that and cross-border sharing not necessarily of cross-border migration but of different countries reporting the aggregate data at the end of the day right that we want to see to track progress overall and we see that as something that we're investing a lot in as the DHS do platform as well is in being able to have the ability for multiple systems to come together to have the aggregate data from the result of a tracker program for example you want to get a count out of it at the end of the day and you want to send that to your national HMIS and maybe that national HMIS is sending it to PEPVAR or sending it to Global Fund or sending it to the East Africa region or something like this and there's a lot of I think opportunity for us to be able to bring that data together in using the tools that we have and building in integrations also with other systems because it's not always DHS do there's a lot of DHS do but there's many other systems as well so building interoperability with those systems and being able to combine data from different programs different countries into somewhere where they can be actionable so bringing that data together to where it can really be operated on I think is really valuable as a platform I don't know if anybody else wants to Just one final comment so the problem you highlighted the way the HISP look at it from our approach it's more socio-technical so there is so much that the platform a technology can do but it's more about the governance that you set up in the country and they will do as DHS to platform the technology it's more about how you approach the problem and work with the government set up the proper governance and implement in such a way that this cross-sector collaboration is made a reality. Okay so I get to stay on stage I guess I'm going to help to facilitate the app competition so as we've been talking a lot about this platform there are a lot of extensions and adaptations of DHS too that are shared and we have an app hub we have a way for people to build and share Android applications that are built on top of the Android SDK that were built on top of DHS too and so we had a quite a number of submissions very high quality submissions many of them were presented on a session on Monday and on yeah and now we're going to listen to the five finalists present their applications so each of them will have seven minutes to present and all of you at the end of that will vote on who you think is the best or the the most innovative or the most interesting innovation that is presented today so with that I think my colleague Renee is online as well so hopefully we can get get the system set up Renee is our developer advocate and who helps to facilitate the collaboration of the developers in the community we also have several presenters who are online as well and and hopefully we'll get that up shortly otherwise I'm just going to keep riffing all right I guess I'm going to keep doing that is anyone have a question about the the app competition or the platform or want to comment on any of the applications that you saw in the in the previous session I'm going to have to repeat it probably because I'm not sure we have a mic two minutes cool sure so the idea is to really focus on that that quality yeah sorry the quality the question was um it's a good question uh so I mentioned that there will be a year between version 40 and version 41 in the releases of dhs2 and is that going to continue beyond 41 so is that just a one-year thing or are we continuing so the idea is that we want it to be uh uh transparent and and be able to to share exactly like what our plan is when you can expect things to come from from the core team so for 41 it will be in one year looking forward we want we want to make that kind of a consistent pattern we might change it again in the future but looking forward the the current plan is that it will be uh yearly release and that being said we'll we'll adapt as as we go and so we do have also the continuous releases and the and the other ways that we continue to innovate and and build on top of that and yeah thanks yes yeah so we'll be we'll be sharing again more details about that and but the the three release uh so so we support three releases three stable releases back and what the immediate effect of pushing 41 to may of 2024 is is that that everything will be supported for an additional six months that's already out there today right so we have the still the three release policy okay sure it's a good question so given given the like i'm just i'm gonna repeat the question given the increase of multi-sectoral use of dhs2 how high on our agenda is the support of multiple organets or multiple organet hierarchies within dhs2 and that definitely is something that is something we're thinking about a lot and it's not necessarily again going back to what lars mentioned of of problems and not solutions there are different ways to approach that and we would want to approach it in a way that makes sense and is scalable multiple organet hierarchies as a concept is something that we're definitely thinking about it's not on the talk it for 41 at the moment but it's definitely i think you'll see some functionality towards that end towards also managing larger volumes of organets that are of different types using groups potentially to have the same effect as as multiple organet hierarchies for example so we'll yeah be able to share more about that in the future but good question sure how many app submissions were there um does anyone have the total number i think there were something around 40 app submissions 30 30 or 40 um maybe a little bit less um i don't know if anyone has the number in front of them but yeah there were quite a few this year and there were quite a few uh high quality ones so we had five that presented on monday um as in web applications and then we also had uh the the three web application finalists that are today and we had two app uh android application finalists plus a number that were um interesting as well in that i'm not sure if i'm just going to keep talking here or we're we're going to start the app competition hopefully you can do that soon so there's a problem yeah which so no solution to some there's a problem where if you have open it with your organets or the events over time i think you don't retain the data historically is this something you find as a problem as well that requires some solution so yes i absolutely think so so i think this is part of the the yes sorry the the question was around uh if your metadata changes over time the data it becomes associated with different things or or gets lost potentially in in some situation so how do you manage the changing metadata and and the effect on data in a system and that is i think a big part of the managing metadata over time push that we have so in in addition to just being able to manage your metadata you need to say how does this how does this change over time what does that effect have what effect does that have on the data that is in my system so being able to merge and split org units for example being able to combine data elements and be able to have basically migrations for the data is definitely something that is part of that push in 41 and beyond how are we looking max um so this is a we will be going to i believe to songs one for the party in a little bit and since i'm up here we don't have an agenda i'm going to invite anyone who would like to go for a run to go for a run with me and about 10 other people who are going to be jogging around songs one lake later today so if you have your running equipment or one or one run barefoot and then jump in the lake afterwards you're more than welcome and it's a very nice flat three kilometer course that goes around the lake it's very beautiful so feel free to feel free to join and then we'll have lots of other games and and things like that i think around as well ah we've got something going on here okay we're good all right so without further ado that was much ado but we will have less of it uh we are going to turn it over to the app competition so we have a number of finalists and i'm hopefully rena is online and can help me to introduce the first of those finalists rena are you there with us can you can we hear you and that's where you can hear me but i can hear you we can see you but we cannot hear you working on that all right i don't know what he's supposed to say no he's got the list do you hear me now still no apologies the technical difficulties we're doing so well rena can you try again yeah hi hello still no audio they can hear me on the zoom call at least and so now the question is can you hear me in the audience what's the run line uh yeah it's three kilometers uh two two miles flat around the lake what's the prize for winning the app competition uh so we have badges on the community practice for all the winners of the app competition we also provide basically sponsored attendance at one of the app developer meetups that we have um so we've done that in the past as well um yeah and we actually have a i think i think gift is still here is gift gift here gift i can't i don't see where you are ah there we're in the back gift was actually the winner from the app competition last year so let's give a round of applause to gift with his Tanzania gift do you know any jokes sounds sounds promising looks like i'm off the screen already can you hear me yet yep yep we're getting there all right okay next time you guys gotta give us time to set up between sessions yeah we're good now so you can hear me in Oslo rena you're on thanks all right all right um okay i'm gonna keep this relatively short because we're a little bit over time um but first of all i want to thank everyone that has submitted an app to the app competition there were outstanding applications this year and as Austin already mentioned we had a really tough choice in in selecting the finalists we've selected five finalists in the end that we think should be on the spotlight today and you really should enjoy the the presentations that are coming up um from them um there is let me see i'm i have as as as Austin mentioned i have the list in front of me and we're gonna start off um i'm gonna go with the order a little bit and i'll explain how the voting works um first of all Hespio and uh uh albert is gonna show us the visualization studio and um sully usu from uh hisp Indonesia will show jumpa doctor and android application then there is eric from hisp Tanzania who will be showing us the analytics messenger then uh chaturanga i'm sorry if i don't pronounce it correctly will show um the growth and nutrition monitoring system and then finally uh we have uh not show from uh ict who will show the homepage app and we have two android applications and three web applications this year and they will all be sharing the same uh all be in the same pool unlike last year if you're familiar with how it went last year that we had a separate vote for both android and web um there will be a vote after the presentations are done um and that means that once the last presentation is done you can go to the community of practice to vote um there will be a poll up as soon as the last one is done i will be sharing a qr codes for everyone can just take their phone and scan the qr code and directly go to the c o p um and make sure you're logged in there and then you can vote um okay i i'm just gonna hand it over as we're half an hour past the the schedule time which is totally fine um there is seven minutes for each finalist um and albert i'm not sure if you're already a co-host but i want to hand it over to you unless there's anything i need to mention before that um and then you can start your presentation thank you rene i'll share my screen please confirm that you can see my screen yes yes i can see it here yeah so hello hello ladies and gentlemen my name is albert mutesasa from his pew ganda and this afternoon i'm here to present to you an innovative solution that addresses some of the limitations of the current dashboarding tools and that solution is the dhs2 visualization studio app now this application is a dashboarding tool that aims at revolutionizing data analysis and visualization by tackling the several crucial challenges that we have right now now um previously the dhs2 commit has often been facing a challenge of lack of real-time data updates while analyzing data secure public access in form of public portals intuitive visualization of data on one instance for multiple data instances or data data sources rather including different dhs2 instances and also data from other external systems which are non-dhs2 we also looked at highly customizable charts to the liking of the user now this deficiency significantly hampers effective analysis and visualization especially when real-time insights and public accessibility are of at most importance now the solution on top of the the problem we the previous solutions were project specific uh thereby i'm having trouble with uh okay good previous solutions we are project specific and required in developing dashboards after dashboards and we are time consuming so uh above all that we come up with a solution which is the data visualization application and this offers live data monitoring this enables real-time data analysis for timely insights and decision-making it also offers display of data from diverse sources including different dhs2 instances and other non-dhs2 external sources it also offers an ability to create custom indicators using metadata and it can be metadata from different dhs2 instances or even other non-dhs2 instances or non-dhs2 systems it also you it also provides the the the the the ability to access dashboards without login but also putting uh security without compromising security it also offers the the the ability for flexible chatting meaning that it provides a versatile and customizable chatting system for effective and visualization uh the dimension it is also highly highly customizable to the dot um we this work we have done some collaboration with with with with one of the his groups which is his proanda and it came on board in the later stages of the development because they are facing a similar problem so we have been working together in terms of collaboration and using different tools to come up with a perfect product for this one here um we have used this application in in in a number of use cases in Uganda here one of them is at the campaign dashboards so we customize the campaign dashboards using the visualization studio application and these are real-time meaning that data is displayed as it comes in we've also customized the Uganda manifesto dashboards uh this is in the department this is in the office of the president we've also worked with the minister of education in Uganda to customize the school based surveillance dashboard using the visualization studio app we've also worked with the WHO in uh Uganda here to come up with uh with interactive dashboards or an online visualization tool which was also customized using the visualization studio app we've also worked with the surveillance department in the minister of health to come up to customize the EVD dashboard and this is real-time also um this this this these are screenshots of some of the use cases we've worked on this is the polio vaccination campaign dashboard which is real-time this is the the office of the president the manifesto dashboard this one is not real-time uh this is the the measles rebella campaign dashboard and this is also real-time this one is the the WHO dashboard the online visualization tool which has also customized using the visualization studio application this one is the the screenshot for for the sbs dashboard the school based surveillance dashboard which was also customized in using the visualization studio application this one is the yellow fever application now you you must be seeing zeros because this is real-time data is going this these are queries already waiting for data to come in to be displayed and as soon as data comes in uh the data will be displayed here and it has a it has a refresh interval of 10 seconds so after 10 seconds it refreshes the dashboard and it displays this data here um this this is how the the application looks like and uh with that presentation i'll take you through a small demo of what this does so this is a this is already and this is already the dashboard that i have made before and i'm going to i'm going to show you what we the process of creating a dashboard so here you create a data source as you can see we have a different data sources here this instance here is the ei desa dot health dot go dot ug but i've created uh more than four data sources one of them is this one that is coming from the hmi s and you see the url is different this other one is uh is the ecs which is coming also from the another instance the url is also different and after there you can create a category which is like a program area then you go ahead and create a visualization query which i've already created one so we won't have to go through that then after creating a query you can create an indicator which in turn we are going to use to create a dashboard so i've created one of uh one dashboard to for this particular purpose here and i'm going to show you how we create this one so it like i said it is highly customizable from from the filters to the dashboards to the logos etc etc now assuming that i have another sponsor for this particular work i'm doing i can just go ahead here and add a logo for that particular sponsor here um this this is going to be an image i'll add the image then after adding the image i can upload this image let me get maybe his Uganda is sponsoring this one and i apply that and my logo will come down here let me say i have another another sponsor here i can add another sponsor down here these are already created dashboards this is already a created dashboard so i can add a single value here like this i add a visualization i give it a title let us say presumptive presumptive TB cases right i can i can come here my query is this one here which is the percentage of presumptive TB cases identified in opd and this time it is a single value something like that so it is zero but uh uh since it is a percentage i can say my my number format style is a percent something like that so i can play around with these configurations i can play around with the title um i can configuration we're at seven minutes okay but that's a great presentation and a great dashboard um and thank you for for sharing your visualization studio okay okay thank you thank you um i have a question is the next presenter in the meeting because i'm looking for a solid user from his indonesian for the next presentation um okay we'll we'll we'll move over to the third presentation and hopefully um uh solid user will be here with us soon but then next is eric from his Tanzania and he will show the analytics messenger eric floor is yours and i cannot hear you yet hello everyone yes perfect yeah i hope you can see my screen yes all right so i'll start right now yeah my name is eric chingalo system developer from his Tanzania and i'll be presenting to you the dhs2 analytics API messenger so just a little background over the past 20 years we have seen the evolution of the dhs2 as a platform but this has been greatly influenced by the technology trends from having microsoft accesses database to having the dhs2 capture app is a mobile technology so in light of this we also saw a massive growth in the use of the social messaging platforms such as facebook whatsapp is the number shows over there so this brought us an alert that we have a potential bringing dhs2 closer to users through these social messaging platforms and that's where the the whole idea around the dhs2 analytics messengers come about so you might ask what this app is dhs2 analytics messenger is an application that leverages the use of the dhs2 analytics together with the popular messaging social messaging platforms such as whatsapp to deliver analytics closer to the user it mainly takes the dhs2 analytics and brings them to the user through these messaging platforms and you might be wondering how how did we end up doing all this so if we divided this solution into two components the analytics assistant which is which is a chatbot solution and together with the analytics messenger which is more like a push analytics solution this is the web app so for those who are having smartphones you can try to scan this QR code to see the analytics assistants maybe you are very welcome to join this demo as i explained where once you scan this chat this this QR code you can just type hello dhs2 oh hello then you'll get a more of a instruction on how you can get the visualization in a more easier way so within less than 30 less than 30 seconds you'll find yourself having the visualization is how this video shows so i'd urge you all to scan and use this but this resource is going to be available after this slide this is only one part of the dhs2 analytics messenger well the second part is the analytics messenger itself this is a web app now that allows pushing allows pushing of of the dhs2 through the whatsapp number of whatsapp groups so this now allows you to have a whatsapp group configured and you can be able to send your numbers there send your visualizations there so you can scan this QR code and be able to join this group or scan this link over there but you might be wondering why only manually so this also allows scheduling of this push analytics so you can schedule the analytics to be sent automatically but also we we are using this messenger app to configure this analytics in the web app so that you can be able to to configure the analytics which are publicly available but also to configure the flow through the chatbot that i just presented before well we can now try to see the demo of how this web app looks like we'll go to the instance so this is the demo that we are having so our app is called the analytics messenger and within this app as i said before you can configure first the gateways this is more like a communication between your dhs2 instance and the in the analytics services but also on the other hand we are also allowing you to configure the visualizations which are publicly available through the messenger app so in here it's very simple you just have to name your group let's say tb and then you can be able to filter among the dhs2 existing favorites so let's say here this is the list of favorites coming from the dhs2 instance so you can search from them and select which ones you want to be available so this is more like what we are having right now but that's just a configuration part the fun part is the analytics push analytics part where in here you can be able to push your analytics and you can do it by just naming your analytics let's say i'll name this as api and then select a gateway service that we're going to use which is already configured to sending this on our visualizations and selecting which visualization group you want to send together with the with the actual visualization from the filtered list you can also send messages concerning this visualization let's say a simple the simple description of this visualization but the fun part is we are allowing you either to send through whatsapp groups through phone numbers but also through through whatsapp group through phone numbers but also through dhs2 users configured for the sake of this demo i just used the group and you can scan this cube you can scan the qr code for those who are able to scan the qr code you'll be able to see this visualization i'll bring you back to the slide later on so okay very sorry it seems like the server has gone down a bit yeah so yeah we have we have received a number of requests so it seems like the whatsapp server has gone down the technical team is going to help me to set it up so yeah by saving by configuring this one we're able to save and this person can't get this visualization at any time so what we have done we are allowing you to either send them directly or schedule them so for instance i can try to schedule i add this already created so add this yak so for those who are joining the group will be able to see this you can schedule it up and add your scheduling mechanism and we have made it very easy for you so you can say let's say you have visualization wanting to be sent every day midnight for instance or let's say five minutes so by just adding this after five minutes those members joined by the group of dhs2 visualization will be able to get these visualizations there well you forgive me for the for the server seems like it has been down we have lots of people here today so i'll continue the slide and i'll represent to you i don't know if you are seeing my screen so what are the impact of this solution first of all as a senior manager you'll be able to view this you'll be able to view visualizations directly you as a senior manager you'll be able to at instantly get data directly from the assistant but just by just making a normal conversation while on the other side is a national program manager through the dhs2 analytics messenger you can send your visualization to the program managers groups so they can get more notification concerning it well this has been all i have this c o p post in the community of practice you can try to scan this QR code all the resources are going to be found here and for those who aren't able to follow up the demo we'll share the links there so that you can follow up easily and get to know more about us we can also chat through our email info at hisptanzania.org thank you so much for your cooperation that has been all don't forget to vote for us thank you thank you eric it was maybe just to refresh like we were going to sort out the several issues seems like we had lots of resources of requests from the members so forgive us for the inconveniences of course thank you for your amazing presentation and you were nicely in time so perfect um we're gonna move over to the next presentation um this is going to be done by chat ranga from history langka and i will present a android application um the first android application that we had planned is uh either going to be moved to the back uh hopefully um sell the user will be here uh in time um but until then chat ranga good luck with your presentation and um your floor is yours yeah thank you so much and uh good afternoon everyone hope you can actually see my screen over here yeah and um yeah so i'm presenting um i'm chat ranga from the ministry of health Sri Lanka and i'm presenting today uh growth and nutrition monitoring system a custom made android based mobile application um which is developed by uh Sri Lanka here's Sri Lanka and which is um which actually using the android SDK which is provided by the dhs2 team and which acts as a tracker capture program on dhs2 for the ground level field health officers uh who are like you know public health midfifters so when you initially come to the application when you click on it and you will be prompted with the logging screen and um as you can see i have actually logged into the uh application so once you logged into the application you can actually see these uh the trialing well like you know we have multicultural uh ethnicities so we have singhalese tamil and english so i'll head on to the english version so when you're inside the uh inside the application you'll be prompted with like dashboard and where you can actually get the information from and on the bottom of the screen you can see the syncing and the changing of the language if you accidentally hit on it um hit on the wrong language so in here you can tap on this uh in here you can actually see all the registrations and other programs such as like you know supplementary feeding program therapeutic feeding program i'm starting to interrupt but we don't see your screen moving uh can you see we see the login screen really hold up yes i'm also pausing the time for a bit to make sure you're working again give me a minute can you see the screen now yes i see a screen yeah yeah so i'll start from the beginning so uh once you're logged in you can see the uh the the trialing well uh interface and i'm going into the english pro uh language and you can actually see all these uh um information at a glance you can actually see all of this and um you know the different programs we are actually having like therapeutic supplement feeding therapeutic feeding program uh likewise so in be my uh area details if you go into that you can actually see all the children which are um in your area like you know this um like ground level field officers can actually have a look at their children in in in their area so all children and active and uh once their children is completed like you know they have received all the treatment it'll be in the completed area so once you go back to the dashboard you can actually see this child registration which we have actually categorized into three parts where the child's uh information whereas like the the gram and the other area which which is the smallest administrative area in Sri Lanka and birth and immunization registration number and you know the name age um like you know date of birth all of that ethnicity all of that information and then mother um like mother's name uh national identity card number like that and if there is like you know unfortunately the mother is uh passed away or something like that then the caregiver's uh information and the birth details of the child so i have prepared a child already and once you enter the child's details you can actually see the the child's details as in a matter of like this so if you want if you have accidentally entered different data you can actually simply uh tap on the edit button and you can change the name like that and submit it again so now i have already enrolled this child into like few different programs so the basic information like you know the anthropometry tracking so anthropometry tracking is like it continuously happening like repeated data periodically done by the round level field officer right so it it's a spontaneous spotting in the system so so once you actually enter these data you can actually see um in a graph like we actually have this graph where we can actually plot the data and you can get a good information about the child how this child is actually receiving these um uh the the uh treatments so also i want to highlight that in length and the weight sorry yeah uh in the length and the weight programs we have incorporated this color scheme of this uh the charts so if you put like something like this it'll go into a red color or if you put another value like you know it depends on the age of the child so when you tap on that you select submit and plot the chart and you can see that it should change see it has changed so that's actually incorrect data that's why it has gone up so like that you can actually have the anthropometry data so in the nutrition specific intervention tracking we have separate application in the system so we have this supplementary data therapeutic data program likewise so i'll basically all these application have um you know um uh few section like uh uh you enrollment is a one-time action and the system intervention monitoring which is done periodically periodically to facilitate the update the entry and those intervention packages um and then evidence-based intervention follow uh following of upcoming out of the uh child of following these interventions such as recovery so i'll go into this supplementary feeding program um so indication for the portion which is the supplementary feeding program we are actually uh giving away for the children so you enter the date and let's just say that this child is having moderate accurate malnutrition you submit it and that is just one time so then you have the intervention which will be repeatedly like periodically happening so i'll just say no symposia or let's just say that this child is on symposia so how many packets we would we have given the child so whether if the child is given in counseling yes like that we can submit it so once it's done we have the outcome of it so you select the child and you select what's the outcome of the child whether if the child is recovered whether the child is sent to therapeutic feeding program or defaulted or left the area or left due to condition of age five because this is targeted on under five children and whether the child has passed away so um then again i want to highlight that this is um we are going to collaborate with these cross sectors like it's a it's system the uniqueness is that we are actually going to get get involvement of these multi-sector people so cross sector collaboration with them so we have developed the web based system uh in the in from the mobile application the android application it will just i'm afraid i have to interrupt you here um that was the seven minutes i gave you a little bit extra time because of the technical difficulties that are out of your control uh yeah uh could just give me like you know one minute one minute or two minutes um no no we we need to keep um keep everyone to the same time well if you have a final word that would be okay yeah so this will be the uh so the select program uh you have that section of like reason for enrollment uh we have uh whether the moderate acute malnutrition long standing likewise we have selected the few of these uh problems of the child let's just say that this child is again having these problems um yeah so sorry um yeah so that's yeah of course of course sorry i have to interrupt you here but um we're gonna be having to keep everyone to the same time it was a great application it looks really good um it has with all the other presentations so far um but thank you um then it's up to nacho um are you here or can you yes i can hear you okay perfectly i'm gonna try to share my screen so please let me know when um you can see it can you i can see your desktop yeah yeah okay perfect yeah good luck thank you thank you so much um hello everybody i will be i won't be super long um and they actually will cut me in seven minutes so there's no chance that i am not uh short and we will be partying right after i'm with you i'm with you in spirit but i'm physically like 15 meters far from you there were some technical issues in that building and so i needed to present remotely i'm here to announce you um that on at ict i'm nato from ict and at ict we had a baby actually and this baby is now nine months old we are super proud of her she's doing very well and he's coming to a family that is this family DHS to ict suite that i'm presenting you here um for those of you that don't know what we do we are um doing what we think is creating community by creating multiple applications generic applications that you can install off a on top of a bird bird um DHS to to extend the functionalities that often are not so easy to be done in DHS to so you have here applications for creating trainings distributing metadata packages synchronizing you were talking before about the cross border data exchange so metadata sync will pretty pretty much do that you and but let's focus on um landing page landing page is has been trained by the training app and somehow by her big sister and because it's sharing is inheriting most of its code from the from the training app that you might know it won the competition the competition two years ago and and basically it is fully interoperable so if you create a landing page in training app you can import it in in the home page and so this is like trying to solve some problems that are coming both from shared shared instances you know that in shared instances having groups that see different things when they log in so this is about what you see after the login um is important but it's also important in some instances that are only for one proposed to guide the users into something that makes sense for them um let's go directly to um the application so when you install the homepage app you get this so this is not very useful obviously but then you can go to the settings and you have two main sections one is the landing pages that you have that is here on top and then the actions the actions you need to think them on them about a shortcuts to a place in dhs2 it's basically that you can create both of them from this plus button adding a landing page and adding an action if you add an action you will see um well very basic information that you need to fill in like a styling of that action how that button will appear in this in the screen and then you can decide also what is the application that needs to be launched by this um by the shortcut and which are the compatibility in the compatibility of those shortcuts because you can export them later and you need to be sure that that will work or not in the in the final instance that you're installing this and so that's that's about the actions but let's try to edit a landing page very quickly i i have some something prepared um so i'm gonna just put a name you will see in a couple of minutes we will have a landing page so i'm going to create a landing page um for uh world matter reports i provide an icon i can define many other properties like do i want the sections to be in line in the same page or multiple pages and then do i want to attach an action if i don't want then i just okay put some comment some text if this is an editor that is um for those of you that know markdown this is basically markdown so you can use you can explore your own um configurations i go out and i already have a landing page that makes sense more or less it's very pretty pretty simple then why not i could with markdown put some links here and link this enter enter data and visualize data sections directly to the place in the in the hs2 something more complex i want to add sections there so i'm what i'm doing is okay i will create a section whose name will be um this enter data and then an icon i'm going to associate a data entry shortcut to that and put some meaningful text okay i copy that text here and i save it i'm going to do the same now i have a landing page with a section here i'm going to do the same at another section with the visualizer part so visualizer data is the name of the section um and then i'm going to select that dashboard icon here that will look like the dashboard and then select the action so the shortcut to the dashboard application and some meaningful text here i do know no longer need this because i've converted that into sections so i'm going to delete it and just go and see how it looks like you see in a couple of minutes we have created a landing page where we have sections you can navigate and you can click and it takes you to the place that you want to go in you don't need a developer that's the magic of this and then but i want to show you also some other um features like for example i can import you so and now i have two landing pages i go out i have the selection because i have access to both i can select which one i want and you see it's a landing page with its sections that is pretty much what i want and well later you have like sharing settings that you can do but also you can export translations translations will look like it's super simple actually will look like this so you see this is quite easy to translate and then importing it back it's just importing that um that is it what i wanted to show you and there are more features but i don't have time so just the last say um to recognize that we are all working on giant shoulders and these are my giants these are all the the enormous team of ICT and i wanted to thank also um the the malaria department of W.H.O. and some of the tempers collaborate partners that they have been collaborating with us to make me making it possible and also my two little giants that are waiting for me at home and thank you all um this is on and please if you like it vote for it thank you thank you um all right um that's a great presentation great apps um so far we've seen four of the five um and i've yet to locate saldi youssef from um uh hisp Indonesia if you're here please let your let be yourself known because otherwise we'll have to move on to the voting rounds i'm gonna give you a little bit of time because i don't see you so maybe you're there under a different name and i don't know you're here all right um all right to give everyone uh the information how we are going to do the votes um i think we should go to the votes here um this is also the sign for you to put the pull up on the community of practice um i will share a qr code on screen um that let's see there we go now you can all hopefully see now um there's a qr code there which will link you to the voting um and i have a timer on screen as well um that i will start now and when the timer is done we will close the votes um and the winner will be known um so maybe a final round of applause for all the app presenters um today and the finalists all right um i'm not sure if there's anything that can be said in the audience um while everyone is voting i'm gonna vote myself as well it's only right um already 54 56 votes keep you go keep it going people it's going very fast all right 110 votes people that's amazing let's see if we can have more votes in last year we did have uh promises from our our hosting provider that this wouldn't happen but we do have a number of people getting uh too many requests unfortunately so uh we'll try to maybe move off of this platform for the next uh the next time we'll do this unfortunately keep trying hopefully we can uh get some more people in apologies for the confusion another count is still going up so a lot of people still have success so that's good i think it's number of requests at the same time so keep trying and maybe you'll beat your neighbors in a race and i get a show of hands for anyone who has not yet been able to vote all right a few of you keep trying please 142 still votes coming through so that's good once again anyone still not able to get through okay fewer so please keep trying you will get through i hope last call four three two one and fireworks hopefully everybody had a chance to vote if you didn't i apologize you can write in your vote later and we'll we'll have a recap all right the poll is closed i'm gonna stop sharing that screen um we also have the results i'm not sure if anyone everyone can actually see the results but we do have it it was actually very close i must say between three difference they were all within a couple percentages of each other but i'll go start with the third place again i don't know if anyone can see this but the third place is the visualization studio from his Uganda with 24 24 percent of the votes then on the second place it's the homepage app from ict with 26 percent of the votes and on the first place and congratulations for landing first is the analytics messenger from his Tanzania by Eric Chengelo congratulations thank you Renee for for getting us through that and thank you everyone for your presentations the finalists and congratulations to his Tanzania our winner this year and now we will have some logistics i believe for the the next uh part of the evening or the afternoon so now it's time for the mentee our traditional mentee to close the annual conference so please go on mentee.com and use the following code 87603476 mentee.com oh the mentee can handle so many other questions at once yeah the code should be showing here sorry i'll put it back for now yeah 87603476 is that okay so first question did the annual conference meet your expectations yes 100 yes more or less what i expected partially but a bit disappointing or not at all let's go to the next question just ask the people next to you if any of the we need to move on sorry about that it's supposed to show up here but yeah please describe how the annual conference did or did not meet your expectations if it's content oh sorry okay maybe let me use this one is it better oh yeah okay so please describe how the annual conference did or did not meet your expectations too many sessions met my expectations fantastic good what do you think of the length of the of the conference four days is a good format it was too long two three days would be better or it was too short make it a few days longer i won't say anything what type of session did you like the most plenary parallel or use case bazaar seems like parallel sessions were the most popular next question whether enough plenary sessions yes it was the right amount i would like fewer or i would like more seems like it was the right amount whether enough parallel sessions it was the right amount or fewer or i would like more same that's good whether enough use case bazaar posters seems like it was the right amount as well please share how we can improve the use case bazaar less bazaar fine more categorization too many seems like some more so that's a nice feedback just make them on the paper poster okay let's move to the next one would you like to see over types of formats in addition to plenary parallel and bazaar sessions yes okay let's see the suggestions hackathon training workshops country experiences so speed dating demos practical sessions trainings yeah these are great to bring forward to next year what's where are your three favorite sessions this year AI is pretty big maturity security interoperability i saw usability testing there which makes me happy uh future DHS too yeah looking back and forward hope most people have been able to join with the code sorry it's supposed to show up here but you can also go in and submit feedback at a later point so when you have the slides you can also go in and submit some more so looks like there's a great variety of what people liked which is really good to see and here are some more topics if there's anything we didn't discuss or you would like more of CC sustainability more into integration but also know is pretty high that hopefully means we covered a lot of your interests women in tech i agree we had a nice little session on monday for women in DHS too but it would be great to expand on that one yeah i think we can move on we were 350 participants is that a good number it worked well so that's good then i think we can be more do you have a comment to that no your general feedback suggestions for improvement how can we improve the annual sorry african meals yeah we can look into that hot foods yeah a lot on the food and and the visa process it's so true yeah we know there were some issues with that african meals again more women presenters agreed post in asia well we do have the asia conference for those who might not know we also do have an asia regional conference in the fall in the fall in december what do you think was the most valuable important thing you learned and i saw meeting new people innovations from the country where are we now ownership yeah there's a lot of different things here so that's great cross-sector use that was a big focus this year so that good that people found that useful and also the dpg focus as well yeah i think we'll move on just with time what do you think of drifter the annual conference app we used for the agenda of the conference so it was great made it so much easier to know what was going on it was okay or not useful i prefer the old good old world documents i prefer scared the platform used the previous years or didn't use it so yeah it was okay apparently that's mostly good and okay what did you think of the quality of food i guess african meals will come back good great i heard some comments in the ugeans we also had the food comment earlier so okay good love it add asian food african foods that would that would be fun actually with our with the senegalese restaurant we have also i promise we'll try to look into that next year okay next one what was that then i think the end no sin yeah i think at the end okay thanks all for your comments here's the code again if anyone wants to go in but now we're moving on to our beloved kahoots i'm just going to move this over here for a second i don't know how is the sound on this do we want the kahoot music or are we okay oh there we go yeah so here we at least have the the pin and the qr code so please join please let me know if you can't join think this one we won't have any too many requests errors hopefully so i don't know if we're still online but 400 people can join so i think that's the highest limit we've had i also like the new avatars i haven't seen this before yes he's still some people need to join how many of them have most people joined anyone okay i don't hear anything so it might get started you can also join as as the game goes i guess let's start so about 20 seconds per question so first question if you remember this from monday how many countries were represented at this year's annual conference 53 73 63 or 83 yes 73 someone commented last year that the highest answer was always the right answer so that's that's not happening this year always at least okay jay thousand points very impressive well after a while we'll try and figure out who's who's who but we'll move on to next how many abstracts were submitted for this year's annual conference 59 179 129 249 there's a little bit of a different number presented on monday right so i went for the yeah closest but yeah last time yeah 120 or 179 sorry i said the wrong okay guy next to austin where is austin right there oh i guess guessing it's fun wood i'm sorry i'm revealing your identity already so when did this conference change its name from expertist academy to annual conference which i still think i said a lot this year so it was a 2021 2018 2020 or 2019 that it changed to be the 2019 if anyone thinks any answers are wrong uh go to ula okay blood yeah i don't it's not my okay and often discuss question what does ths2 currently stand for currently at this well now if you remember what austin said earlier as a hint this is a very contested question that we always yeah so as austin said uh currently now it's just the name it's just a an acronym and just people still guessed more system than than software you could read more about it in the news section of our website okay which country was the first national scale mobile web-based h-m-i-s implementation of d-tasu in 2010 this might have been in largest presentation yeah good good memory good memory ula's still in the lead but he's disqualified so vlog this so here's his semester staff are working remotely yeah 58 good lots of people got that don't know all right let's see when is the sunset in oslo today so try to put both so is it at 10 41 p.m is it at 741 p.m is it at 9 p.m or is it at 8 41 p.m i don't know why i didn't do 9 41 p.m please pretend it's 9 41 p.m please never yeah a good one this one was the latest i wanted to do that so hopefully we're all at song swan still right when the sun goes down okay what app is this so there's going to be an app icon so is it the horizontal bar chart app is it the data entry app is it the import export app or is it the reports app i'll see if you know the new icons most people knew it oh joe you knew your own icon yay okay guess the d-tasu version so 1.4 238 218 or 229 i'm trying to remember if this was also controversial last year but i don't think so it could of course be other versions around that area but you know the closest one yes 218 definitely not 238 which one of these is not one of pivots friends is it happy is it tracky is it mappy or is it entry and the picture might give you a hint and is loving this it is tracky the other ones were on the zoom call all right ben ben knew that one of course so we're looking forward to you know continuing this conversation on the cp so one question is how many members have joined in the last year so as you can see all these numbers are pretty high which is really great so two thousand four hundred three thousand two thousand six hundred two thousand eight hundred and i don't remember the answer right now but it was it was round like it was this number yeah two thousand eight hundred might be more now this was done yesterday or the day before oh joe and who has received the most likes on their c o p post in the last year so these are the four top ones so if you see your name great job you're one of the top one is it ulambeck is it haima bosque is it gasim or is it jepps yes as many know it's our wonderful c o p manager gasim a boss for the great job he's doing okay last question very you know the standard question are you looking forward to animal conference next no or yes thank you all know the answer okay i don't even know okay let's let's do the podium third place ulam second place not enough i don't know who that is so is there someone here and then which we do have a couple runners up so i think not enough or maybe the runners up are the you know the real winners so thank you this was the cow so then i think it's max or have you summary who's the first one here that's not uio anyways just for fun because i forgot prices so it's just for fun okay yeah free drinks that's song son free drinks and snacks so we're just moving to the final slides of the closing we want to start by thanking everyone for coming and being part of this and that includes everyone here also people who joined us online we had a lot of great turnout online but especially people who volunteered to come to us low to be part of this who spoke of the event who sent in your abstracts you really make this event what it is so that's it's great to have you all here um we got a lot of good pictures we'll try to share some of these and hopefully have a photo album you can all contribute to if you took great photos and want to share them please tag us on social media or get in touch so we are updating our website with links to presentations you can download those we've done some of that already so just keep checking back and send us an email if there's one that you're looking for that you don't see uh there and we've already uploaded a lot of videos to the youtube channel so you can go to the dhs to youtube channel find the annual conference playlist and that includes all plenary sessions and parallel sessions and the french recordings from the sessions that were interpreted so you can go there and find those and then we encourage you to also just post about this on the community practice so if you had a presentation you made or you have a question for something you presented that's a good way to follow up with people after the event and also to share your own works that people can comment on it or ask you questions about it right and ola do you want to talk about the social event yes thank you max i think before we start about uh start talking about the fun let's thank a few more people um let's start with uh the technical team with with max grant and the rest of the team big thanks big thanks we've had a lot of volunteers so people that are normally programming or documenting dhs have been supporting this so to all the volunteers big big thank you and as always there's one special person that we need to give big extra thanks to alice alice it's soon time for lunch so as you know we have we postponed the lunch a little bit so that you could fill up your stomach before you start to to fill it up with other things a bit later um so right after this we'll go over to the cafeteria we'll have lunch and then as you finish lunch uh try to look for the dark blue badge or someone that you trust and then you can start walk down to the table under the metro station and this is important you should go the opposite direction of what you normally do so this is opposite of the city city center so it's on this side when you walk down and then look for number five song swan is that my phone yeah let's leave it here so look for train number five song swan song swan is the name of the lake it's also the name of the the final stop uh of that line so it should be quite easy so go to the get off at the final stop called song swan and then as you can see on the map here it's just a short walk eight minutes 700 meters down to the lake and then to the left and then the his beach you can search for it on google maps it's there his beach at song swan it's on the bottom left corner of the lake there and there are people there already that have set up a nice camp for us okay and we will serve drinks and snacks uh unfortunately no barbecue this year it's been very very dry um so there's a total ban on all kind of fire barbecue in the forest and we're in the middle of the forest up there so we need to be careful uh so uh to bob and john and other smokers please be careful with your cigarettes okay and then another very serious comment is that we had some unfortunate incidents uh behavior that we don't accept here uh last year of sexual harassment so please respect each other treat each other nicely we're from many different cultures backgrounds and gender be nice to each other and have a good atmosphere we had a great atmosphere all week and let's continue the good atmosphere up there as it it's hot we have drinks but please treat each other with respect thank you so thanks to everyone for joining flying all the way up to the warm north of the world we have amazing weather this week thanks for coming and we haven't finished yet we have many hours of socializing and networking to do up there enjoy his speech and see you up there thank you