 So I was explaining about the problem domain. So when it comes to nutrition, what causes malnutrition? So nutrition is the, like I wrote the thing, the problem is actually the malnutrition. And there are acute causes, for example, like diarrhea or infection that can lead to childhood malnutrition. And there can be chronic causes as well. So this is why addressing problem of nutrition has been very difficult. And in most of our countries, just like in the case of Sri Lanka, the approach has traditionally been very health-sounding. So just because all the malnourished cases are diagnosed by the health sector, what we first do is we'll try to see whether we can come up with an intervention, a health-related intervention to address this. But our understanding, again, the understanding based on decades of studies in Sri Lanka, there are ample amount of research publications as well, is that most of the causes leading to chronic malnutrition, especially, are not directly related to health causes, right? So this is where our health-centered approach of addressing malnutrition has been questioned. So I'm talking about the context 10 years back. So even in 2013, they had this question, if you take very health-centered approach, will that work? So that was the kind of question that the country had 10 years back. So this is when they came up with this concept called multi-sector action plan for nutrition. So the objective was, you will get hold of all the stakeholders, not just the health sector, you will have a health sector and agriculture. Now, I mean, it's kind of ironic now that these days we are talking about climate health and how climate agriculture, nutrition, health are all connected, but like this was an issue that we realized a long time. And this plan was kind of drafted by the presidential secretariat, kind of like highest level in the administration hierarchy in Sri Lanka. And they came up with the concept now. But the main problem was to implement this, they needed to know the problem, right? So the problem identification and getting hold of all the stakeholders and putting an action plan together was missing one key component, which was timely data. So that was the problem. So to sort that, the main issue that we had was like, it was all paper-based information that we had at that moment. I mean, even when it comes to data, I think it's the same in other countries as well. Health sector has a lot of data compared to many other sectors. In other sectors, data collection may be not so efficient, right? So we had data, but most of the data was in papers and some of them are aggregate, but the thing is like, children are having different courses for malnutrition. So you needed to kind of cater some individual intervention. So to do that, you needed data from individual children. That's number one. And the other thing, this data has to be shared with all different stakeholders, right? So that was the second goal. So to address these two problems, a decade ago, they realized that paper-based systems are not gonna work. So they had to come up with a digital system. So how this was planned is what my colleague from the Ministry of Health Sri Lanka, in fact, she has also been working on this thing for more than five years now, right? Yeah, five or six years. So she will present about how they approach this problem and what are the digital technologies used and how the implementation worked and what were the challenges and what were the lessons done. So Dr. Amila will be discussing about that. So she's a medical officer in health informatics in nutrition division of Ministry of Health Sri Lanka. And a little bit of technical things about the approach. My colleague, Hassli Mohamed, from his Sri Lanka, he will highlight on that. So we'll first invite Dr. Amila Liyan again from Ministry of Health Sri Lanka to present the problem domain, approach, challenges and way forward. Thank you, Dr. Pamon. And I want to thank his Sri Lanka and health information unit for giving the nutrition division, Ministry of Health, this opportunity. So let me briefly tell you about the public health sector in Sri Lanka. On the top, we have the Ministry of Health and the campaigns, the control programs. And at the field level, we have a very extensive field level public health care delivery service. This is the organization hierarchy, the provinces, districts. Then it goes on until Ramaniladar GN levels. So in the basic hierarchical area in public health service delivery is the medical officer of health areas. In Sri Lanka, we have around 356 areas. And the in-charge officer of that area is a medical doctor. And under him, they're needed to have that requirement and real-time data transmission, data to be shared with the stakeholders as part of the multi-sector action plan for nutrition. So the system design, it has two components, DHS to mobile application and the web component. I would like to invite Mr. Hasli Mohoma to briefly explain about the technological logic behind it. Yeah, so. And just one question. What is the population for each PHM? Target for each PHM? Public health and public service? Should I answer it, yeah. So again, I can only give you an aspect. Yeah, I think we go, yeah. Two weeks and a half, two weekend, very, very, between 9,000 and 30,000, yeah. Right, so thank you so much. So this is the first version of the app which we have developed. As Dr. Pamod mentioned, this was developed way back earlier where we have a proper DHI tool based Android SDK was there. So the entire application was a custom application and the only way for us to make this application is to make a communication between the DHI S2 is through the web APIs. So I hope most of you already aware of that from the Austen's presentation. Then once the Android SDK was released for DHI S2, then we were one of the early adapters and there were some pros and cons being an early adapter of any kind of software applications. Some of the things will be supported and some of the things will not be supported. So what is the reason why we want to go to SDK? So first of all, we need to know what is actually an SDK? So SDK stands for Software Development Kids. It's kind of a library where it provides a complete holistic approach of kind of a data access layer where you don't have to worry about writing queries and how to get the data. Simply you can call the functions and you can integrate them into applications. So you no longer need to write web APIs nor to get the data. And some of the advantages which I can think of is you don't have to write any more API queries. Instead, you can focus on the functionality and you can keep on developing the applications. And another advantage is the offline collection of data and syncing the data back when you are online because that is a true nature in most of the countries, I think, right? So except the metropolitan areas, there are some areas where there is no interconnectivity to the community. So this is one of the advantage we see. And we can also ensure by using the Android SDK for GHIs so that whatever you build is compatible for that specific version and upwards. So even if you tend to use any kind of old feature, still that is supported. Or even if you use kind of a new feature that is still sometimes again, you have to refer to the paid documentation whether it is back but compatible or not, but still most of the things would work. And another important advantage you find is error management. So if you're trying to communicate with the server in a different way, which is not ideal, then it will pop up an error. Then you can correct your issues in your application. So at the time of development, we are currently still, we are targeting Android version API level 19, which would work for Android phones with the version 4.4, which is around the coverage of 95% around the globe. And the main reason you can see even over here, this is not something looks like a standard Android application. Again, we use UI customizations to customize the application to our local requirement. The first one you can see is a trilingual language support. And the next one is the home screen that you will see on the upcoming slides. And visual validation is available that will also, Dr. Amali will be just talking with you. And we used an open Android graph library to represent graphs in a visual format that will be also in the upcoming slide. Over to Amali. Thank you, Mr. Asli. So as you can see, this is the login interface. I'm going to explain the app in screenshots. And they will log in using a username, password, and the trilingual interface. The prime requirement was that the system had to be designed using the trilingual interface. As you all know, Sri Lanka has three main languages. So it was requested at the login page. So once you use a login, the user was presented with a screen which displayed a kind of a dashboard. The number of children under KIA and the programs they are assigned to are shown in the first six icons, the colorful icons. And on the below, the other side, you can see properly. They have the view my area details, child registration, one minute new child counts, and synchronization and change language. So when you go to the view my data area details, this is how we'll see the list of children under your KIA and once you click a child, you can go into the child's profile. When there's a new child comes, they have to register a child. So we usually take the basic details like the name, address, age, date of birth, and the mother's information or the caregiver's information and also birth date and the birth length will be recorded during the registration, which is a one-time action only during registration. So once the child is registered, the profile will appear like this and you all can see the below. I have enlarged it. Already enrolled programs are not enrolled programs are there. And when a child will be immediately registered in the anthropometric program, which is symbolized from that icon, the colorful icon there on the top, yeah, road chart, yes. So every child will be automatically registered into that program. But the below icons, if a child is malnourished only, the PHM will be designed to which program they will be enrolled. And according to that, the public health will be enrolled to those programs. So I'll just simply explain the anthropometry, the growth monitoring. So once you enter that program, you select the program stage and that is the height, weight and entering interface. So you all can see it supports color coding as you type it based on WHO reference ranges. So it will lessen the errors. And once you enter the height, weight, you can plot the graphs. These are the graph, weight for age, height for age, weight for height, graphs. And what are the risk factors she will enter? Because as you all know, she's a field level healthcare worker and she's aware of the child's family circumstances and issues. And also the PHM has the criteria which needs to be followed to mark these household respective. So we have categorized these into five, poor child feeding practices, high prevalence of communicable diseases, low food security, poor poverty and poor income management and inadequate water and poor sanitation. Depending on the household risk factors, meat wife will be marking these risk factors. And that's basically the role of meat wife. That's where the mobile component ends. So the anthropometry will be continued then the program enrollments will be continued. And following marking this, then the web components come. I will invite Mr. Hasli again to explain about the technological part. Thank you again. So apart from this mobile application, we also do have a web application which is to support some additional functionalities which cannot be provided through a mobile interface. So this particular mobile application, sorry, web application was developed using AngularJS. So considering the fact that we started with way earlier, at the time we don't have that much of a support like we have today. So, and some additional functionalities. So she's a district, she's a district attorney to the sector program, whatever, whichever is available in the tag. Yeah. And then a frame set just right now that then we don't get paid which have some extra options. So for that, the child will be moved to which area. Will it be more? Because maybe it will be not everything of people. It will be having only the mobile, just for the reality so that we can think of in our area. We can also think of that. Sure. It's also if only 6,915 public health providers, they have employed phones, APS, are they their person or have they provided for them? Sure. So let me answer to the first question. So thanks for pointing out a mistake on my presentation. So actually this mobile application will be used by the midwives. This web application is mainly for the administration only. So maybe Dr. can explain a bit further on that those who are using that. Yeah, as you all know, the DHS2, we have user levels. So the midwife's role is only in the mobile component. The only role is that she will only register the child for the respective program. Exactly. And then the baby will be later on checked to take care of IP. Yes. Yes. That's right. Any second? Yeah. No, but my question was paper. Can you tell me the data I know and what can they give us? Let me give them a little bit of an idea. I don't know if there's a need for that part here. And then in the Android app, we can have... Yeah, we can. So in the Android app, we have some very minimal issues in generalizing, but all this data that is captured in the mobile app will be synchronized with the DHS2 server. Once it is synchronized, anybody logging in, including the midwife, should be able to see the same data captured as the last dashboards, analysis and everything on their version. But as we currently mentioned, the midwives don't have access to that. But in the office, the main office, like the midwives are coding, they have a couple of computers and they can use it when they do this month's reviews and more. And then the browsing process will monitor the activity. How many hours? How much, what is the time period in which it is analyzed? And then it goes again to the child, which the child needs to help. In whatever category, we are being registered. So because the midwife is entering, it is real time, like she knows like who are the... I don't know, I don't know. But the ministry will give a response to the midwife that she might have been entered into the project and actually biographically. And then she will come to know that how I'm going to treat the child or treat the child and manage the child. What support she needs? She needs it. So one comfort, one area that we have that is not extensively covered is multi-sector collaboration and management. So as I mentioned, now when the child is married, that is indicated, but there are also plans in which it may help or not. So they, at the village level, they have a multi-sector committee, divine agricultural officer, social service and more. So they are supposed to have this regular meeting, ideally monthly, but we are practically, this one company monthly. So in that, we produce a helipad and midwife and the medical doctor who's in charge of the area will identify and they will already, but other courses, if there are agricultural problems, solar services, that will be discussed at this multi-sector committee that is happening. And how much period it will be? Ideally it should be one month, but then again practically, I think it could be even longer, right? There are implementation challenges. The midwife is a team doctor. She is under the data. And this figure that is actually more for administrative years, what kind of supply should be given to the midwife, which areas there are more, something more than this. So we can focus more on that village or district, whether it's in the morning or the day, this is the thing. No, no, no. I'm going to move this. I'm going to move it. I'm going to move it. I'm going to move it. I'm going to move it. Yes, what is the data? Which has been transferred from the midwife area, from the midwife area to the midwife area. But I'm concerned about the check. I have, yeah, yeah, we have been told nothing. I think my understanding is that I got confused. So the midwife in the field presents the child and her talk to the data that appears on the road and the application. And she can register the child into one of the four programs. Yes. And then the four programs are 10 or a doctor or social, whatever they are but managing the other the different program is at the facility or different models. You're excited. So the thing is, the program that she mentioned so they are the one program and for me. Okay. I can't wait for this. I'm going to move. I was thinking how does the program she mentioned except one everything else is very interesting. I mean, or so in the field based on she's a very serious involved person to the program and once she does that medical doctor will also be able to see this. So she is supposed to register to the program. Yes, they should. But also the other thing they do not have a mobile that we can So is there any any organ if a child is called a real man and they never go directly to the doctor they need you to the moment because waiting for one month means another I think what they're asking about the intervention to the child. So this forget about this mobile the system has been there for ages in Sri Lanka in paper based system when the child is severely malnourished the PHN has a criteria what to do we have this BP 100 and we have to refer to the hospital she will do that then and there and if the child is moderately malnourished there are certain approaches to do it's just that the multi-sectoral part where the other sectors comes in we didn't have that so this is basically what we connected and you are correct as you said the multi-sector part is the challenge I will speak about the challenges in other slides and our part is the next part of the question was whether the violins are being provided by the very white parents are using our own yes I will you want me to ask that because I will be discussing that all so we should clear it so thank you yes can you please please please please please please please please okay thank you so technology part so these are the main things we have to highlight and we can install the application and it can be accessed through the search and to talk about why we need to again have a customized web application is number one is we need to show the progress of nutritional parameters for a specific period on an individual so again considering the fact that we started the project what naturally supported in GHIS too so this is one of the reason why we need to use a web app for visualizing these kind of information and there are some other additional analytical requirements from different stakeholders and to cater to them again we thought of going for a web application and I think doctor may be talking more about the different user levels and for better to those different user levels we have to go for a web app and the reasons will be discussed by doctor thank you before she starts I will submit my excuse it's not for the question it's not for the question actually at the same time the whole thing is going in our mind for our own content so the thing is we are estimating an asset here 21 million and now again like there it goes yeah okay so as Mr. Hudson explained so we have this customized app other than the generic apps so the user levels the PHM is the only one who is using the mobile app the other levels above her the supervising officers the medical office of health and the other central level people will be using this and also the non-health partners will be using the web component we have developed different user levels for different different users so this is the web app that we have customized so there are also we can see the malnutrition analysis data categorization based on nutritional problem and also it supports data visualization based on selected area sorry and data approval to refer to other sectors so if this is let's say I'm the medical office of health and the midwife has referred 21 children attention from the other health other sectors not the health sector but the other sectors so we can review the medical office of health can review each and each and every child individually and refer them by ticking the tick they can refer them to the non-health sector and after referring them only the non-health sector will see the list of children who needs their attention so this is an individual profile in the web app there also we support the graphs and in the individual child profile once you review a child the icons will turn green before that it will be yellow once you review the child it will turn green so these are the trainings that we did that was basically about the web app I will quickly go through the strengths and lessons learned so it was a real time surveillance system on nutrition and it offline data entering in areas with poor network coverage mobile devices being an efficient method of field level data collecting and transmission and the acceptance by the end users were excellent end users were positive on the approach of multi-sector action plan for nutrition and this required a minimal learning curve the use simple mobile technology interfaces were quite similar to the existing color coding graphs in the paper based system and they can use this tool as a monitoring tool for their monthly reviews, district reviews and national reviews the challenges I mean of course the lack of infrastructure this as you asked the mobile devices were provided for the end users in the first project it was provided by the UNICEF the second project only for the pilot I am talking about the first project it was UNICEF the second project it was WFP the first project the first project good fashion so what effect are global then how so there is a significant capital cost associated with the purchasing mobile devices it is even true for maintenance and replacement of devices this is a major concern regarding sustainability of mobile solution governments like us it is very difficult to bear this large cost and the multi sector collaboration this should be even though we have a multi sector action plan for nutrition the collaboration is very difficult in the other sectors and there is no mechanism in place to support the system at all levels when it comes to the field levels like any queries the field level staff have to call the center and get sorted and of course the financial resources for future training activities and the use of mobile data initially during the pilot project we gave them we covered the expenses by giving them a fee and now it has expired and it has discharged midwives so way forward scaling up to the national level and strengthening the multi sector collaboration and building up a network to support at all levels by public private partnership so when it comes to infrastructure the governments I don't think governments like Sri Lanka cannot bear the cost so I think public it has to go for a public private partnership yep thank you there is no dedicated since provided by with the same thing which is the same so no incentives were provided for the data and if they do not have Android phone then is there any SMS based approach for this so these are if they know it is next yeah so this is how my idea projects so in the first phase they have the things that are provided they have the data but it is very difficult but I actually mentioned the the MCH some of you so they there is a little overlap so they also have but also they are they are they are they provide incentives they are they are they but this project is not saved and some I think and we are so they have actually done they are still not being able to save the entire country but there is a similar program and that one of course that is how that is very well presented and just for one comment we Asian countries we do have some very common problems so no sustainability in the program projects they give a very good result but when there is no sustainability sustainability this is this is my general board so within the the system what is the internet so the data is pushed onto the data is the patient records so they use that data and I can see that they are on the data so so is there a correlation between what the what the MV is doing to the answer right so okay but I will I will what they did so this is the challenge right there is some overlap between so some of the the good thing is both the both the are right you have and kind of but why is the just so so so so so so so okay so so so so so so So every year, most of you, they will be doing comprehensive service. But other than that, it's a nutrition institution who is doing this comprehensive thing or two. Yes, they have some coordination. The aggregated data at the district and national level, the departments are sharing. And there is a repeat of, you know, they are using each other's data. We have a tracker on this list. Tracker meeting, of course, unfortunately, again, like please guide me back, I don't think the tracker instance that you are running here, the NCH department is not coming next, right? So individual level data. But see, you have different departments at the top. But at the bottom, it's the same one with the management. So we are empty. We are cleaning. We are child. So as we are cleaning, we need to talk to them. So as a part of that, in a way, I think it was as clean as possible, clean as possible. So we have kind of a holistic view of everything. But again, I remember the collaboration is the number one thing. So we have to talk to them. We have to talk to them. Very good. Thank you so much. Okay. Now we have actually going to see standard policy here again, because we have a whole bunch of and then we have an entire center. So if you don't mind, you can answer the question later and we'll quickly end up on the list. So, actually, I mean, where the power model is team presented that was started from the well nutrition measurement with height at weight. But in some cases, this is a study of using work. So in some cases, we, in many countries are in the field visit, like in the domiciliary visit, the community health worker are reluctant to take the height board and weight board or weight mashing with them to every household. So, in that cases, they uses a more that there is meet up around circumstances. So they measure it for the six month to 59 month children. So it is basically used in community setting and in some cases, where there are emergency so you need to at least screen the child very quickly. Here is it who does not know the measurement so rather taking the height board and weight board and then taking the measurement. So there is a mocked up which have a rate portion and then yellow and green portion for the measurement. So, we, I mean, on this study, we are going to assess that whether the more is a tool which can be used at the field level as a screening tool. So, or it is not suitable in this case. So for this measurement, we have taken sensitivity, specificity, positive productivity, negative productivity as a statistical tool. So, in our case, like it has been said by Sri Lanka and all of this surrounding countries are saying we are taking the disease information from I am CI and also the nutrition information in the same tracker for operating at the field. So, from there this variable we have calculated here the date of the service and date of the measurement and the date of the birth of the style, and then his height weight and then the mock measurement. So these are the fields we have calculated and from this we have calculated the Sam and ma'am child by the WHO measurement, like the median and their two standard deviation high and then below at the G as a man at the same. So, those who have not know about the these tools of like sensitivity, specificity, positive productivity and then negative productivity. So, the sensitivity is actually used as a low rate of false negative so it basically I mean when you don't have a. Does not have a individual is not a having the disease, but he has been. She has been characterized as the disease person. So, at that specificity is just the opposite and then the positive productivity is mostly same but it actually referred to the post evaluation and then. I mean pre evolution and then sensitivity specificity usually used as a pre evolution. So, so after this study we have found that the sensitivity and positive activity are much lower in terms of BAM and some pressure identification. So, it probably the lower value has been represented that he at the community setting probably it is not a good tool to use at a yes as a screening tool because at the facility level when it has been measured. It found that the sensitivity and positive productivity is low. So probably it is due to geographical setting might be in it might not be a suitable tool for all geographical set, but it might be helpful for other. And then in terms of when we come to the from moderate to severe pressure. So we found that there in a positive activity has a sharp down. So that is for the wait for height part. So it is same for the height for age and also the word for it. So it has almost similar kind of pattern we have found in three of the main measurement of the blue Joe standard tool. To combat this result. I mean, the sensitivity in this result also identified this according to different sex, so male and female, and in male and female. So we found that the height for age and also the wait for height. There are no significant difference between the male and female. But in word for age, there are significant difference between the male and female. So, and also then come to the positive activity. So here is also saying the height for age and wait for height. There is no significant difference, but in the in the way for is there are significant difference identified between male and female. So this has been conducted with taking the consideration of 95% standard level with the alpha 0.05. And now, when it comes in terms of a specific analysis, so we consider, I mean, below or then five year of level. So we have taken by different type of intervention like 0 to five months, who are exclusively breastfeeding at 6 to 11 months that are breastfeeding, but they are in infant age, and then 12 to 23 months. They are with the complimentary breastfeeding, but out of infant and 23 to 24, 59 months that are exit from the breastfeeding. So, this when we have found that there are significant differences. And in terms of word for age and wait for height, but there is no significant difference in terms of height for age. And we found that among these three groups, the 11 to 23 year month child are more sensitive so that that matches with their below measurement at the month and then the measurement at the height at home. So for that group, it has been matched, but for the other groups, the below groups and the higher groups that has not been matched significantly. So, so from from this research, what can be done there's, because as we found that the, there are sharp decline in Sam, so whether the patient is Sam or man that should be assessed at the health facility level. And then, then there are some organizations who are already developed some tool for a specific more tool. So that can be used because the more tool has been used in Bangladesh and also in most of the countries that is not as specific so that from six months to five year it has the same measurement. And then also there is, there is a requirement for making a generalized linear model using the ASX combination because we have not done that. And then with also it for the height as we found that the height measurement have a much difference from from the measurement of more. So it also required an in depth analysis with the height of the parents because that has a significant difference when the patient, when the child is growing, more than two years will found that from the WHO standard it always then a genetical factor has been come forward rather than an additional. And I think that's all from yes, yes, that has been identified in this. So again, it's building a burden when she refers a patient, a boy, a child who is not married to the only child of the same age. So again, it's building a burden when she refers a patient, a boy, a child who is not married to the only child of the same age. So again, it's building a burden when she refers a patient, a boy, a child who is not married to the only child of the same age. Where the child is against the age and parents are feeling that it's fine. And sometimes there is the parents are not happy about the age of the child. And also, I mean, the post positive, but also the, I mean, post negative are also impacted to most of the sense because when you identify the child in the field as not malnourished, but they are actually malnourished. So any other question? I think. Hello. It's okay. So this is the project which has been initiated from quite some time. So I'll just go through a few things. In the, I've already uploaded all the slides in the Google Docs. So after this presentation, Nick will go through on how can you access all this presentation and everything. There is also your URL, which you can actually log in online and like can I play with it? It's fine. It's a demo site, which we, which I'll also use to demo for this, for course of time. We all know about DHS to I'm not going to get into what is DHS to. So let's just only about the cause of death. So the need, why do we need it? The cause of death reporting. We all know like it's the cause of death, like it was very crucial for the planning and making the things, how many of the trends we have and the problems, what we faced. Just one second. Let's get it on. Yeah. The availability of incomplete and inaccurate coding system. So we have seen this one quite some time. Before ICD-11, we had ICD-10. We had implemented that one in Solomon Islands, starting with and also like in some other countries. And then we have to do, there were people were entering couple of codes together, entering wrong data. And it was very hard to, to combine and like make the things through. And then ICD coders in especially Solomon Islands and other places, there were only one person, all the data is to come to one place. And then that's where they're doing the data entry. And in other countries, like in Laos, they're still doing the training on ICD-11 or ICD-10, not even 11 yet. So there are lots of gaps on all different things. One thing is just like people are recording all the things, but they have not been trained on ICD-11 and all different things, our ICD-10. But also at the technical level, so they didn't really had any kind of places where we can try to combine all these things together. So there were lots of initiative from Uganda, from other places where they built custom form in tracker and like have lots of developers and everyone to make an app. So what we tried to do, let's just try to make a generic app which can be installed in any DHRs to instance, so that like you can try to collect the data in a more seamless manner without using any kind of developer. So like we have lots of guide and everything we work quite a lot quite hard on making a generic solution so that we can install in any DHRs to instance. So to begin with the WHO HQ and BDI department, so they asked us to create this app. Before creating the app, we also did a review of all the other system in DHRs to and in other places where they have customized the ICD-11 coding tool into DHRs to and what it was some places they went to. We have three types of program right aggregate event and tracker. So most of the people went into events because like I said that this one time, why do we have to put it in tracker. But the problem is if you put it as an event, then you lose lots of things. All the patient names and everything it's in patient attribute. So it should be in the tracker. And then you are linking the cost of death data also to CRVS people. So then it will become very hard if you can configure it as an event program. So we went through quite a lot of things and also just say like how best you can try to synchronize the data between cost of death and as well as the CRVS system. So there are few pilots happening on that side. And also a few people know the Anacort 3. So what happens if you're collecting all the data but Anacort 3 it has a particular format which they want to try to analyze. So people have been doing kind of SQL queries and everything to write all these things down. So we just say, okay, let's just identify what are all the requirements what we need for cost of death and then we try to combine everything in one single app. So just to go into the few of the key features. So it's an easily configurable. So no developer is involved. So you can install it in your own DHR state. I'll go through on that one a bit. A simplified data entry. Even though we are using tracker it is DHR state in the backend. But like it's an app which just like hides all different kind of fields and gives the end user very simple way and we made it exactly as your paper form looks like. In the cost of death you always have frame A and frame B right. Frame A you identify all the costs and everything and frame B has the specific things whether it is a maternal death or infant death. So both the things has been set up for that. It also has you can collect real time. And it also links directly with the WHO ICD 11 coding to whether it is in the WHO one or if you have already installed ICD coding to linear Docker both can be connected to this one. The other part is you also have cost of death certificate. So we have a simple cost of death certificate where it can be printed directly from the data entry screen and also some of the countries that wanted a specific format with a logo and all different things that can also be done inside the app itself. So you don't have to go somewhere else to print the cost of death before it is inside the app. There are also few rule engine based on the age and gender. So if if it is under one year you get infant mortality details. If it is female, then you'll get the maternal mortality details also the and one of the main thing is the translation. We speak very different languages also the app can be translated in many places or many languages and it's user can themselves they can change at their own languages I'll show that one how it is. And if people have already done like last time like in a for you like you give us the all the translation so we already put it in the app itself so that like other countries don't have to do it. So if you if you see that translation is not there so you can always add. So these are some screenshots. I'm not going to do the screenshots. It's better to just actually just see the app itself. So quickly. Let me just go down. So I'll just log out just for a second. So this is the demo URL. So DHS to dot world slash cost of death and the username password are exactly around here. So you can type your username password and you can play around with it. It's no problem. Yes, I city level. So once you log in. So you also have all the functionalities and everything and also the app itself, which you can download and you can test. Please don't test it in the production one always lesson in the development instance. Okay. Yes. Yes, like this is the one things which every country is asking. We already have in DHS to ICD town, but like in now you're selling to use ICD 11. And this question we've been asking the pleasure because we cannot do if they have any kind of mapping and all the things we can try to do that one up. So one of the way what we've been like telling all the countries, you don't merge what you try to do, keep your ICD coding on time and you import you to do the other transformation and everything and import it to the new one, so that like you don't edit the old data. Okay, so just going through quickly through the app itself. So in here. This is the ICD coding cost of that app. I city 11. So when you, I'm just like open on here. So when you open the app, the Internet is there. You will see all the menus from here. Just like I'm surrounded with time. Yeah, so there is data entry module. Dashboard administration and translation itself. So these are all different things which you can try to do. Oh, no, no, no, okay. This is depending on your DHS instance right. So once you configure the DHS to and if you allow any private person to enter the data, then this app can also be used there. So this is just on your DHS to itself. Okay, so before going to data entry, let me just like quickly go through the administration part itself. Here you have user manual in built itself in the app. So you can try to go through it. And I'll just go through the quickly the installation. So once you once you install the app, you will not see all this field. So what you just see like it's just this is the place where you can download. And the first thing is this one is you need to point to where is your ICD 11 coding tool is existing. This is the global one, which they use. So when we enter the search, it goes to that particular place. And they also have a Docker image which you can install in your own server. So that's the first part what you have to do. I don't go to the default. I'll just quickly go to the custom part itself. So here you have to because when we install ICD because of that app in your DHS to in your DHS to you already have tracker program for Malaria TV or other things right. You are collecting first name you're collecting last name you're collecting data, but you're collecting gender and all different things. So what this app does is it will give these are all the mandatory field, but you select what is it called, maybe the first name is called the given name. The first name is called a family name, or all different things you can try to use it. But in the app you also have, like for example, some people requested we don't want any names. And like for example in Bangladesh they say like we don't have first name last name but full name in one area. So the app can also be when you install you can select whether you want full name first name last name or no name. So these are the three options which you already have. So once you select all these different things, you can decide in my country we are also having passport number or insurance number or other attributes. These are all the attributes what you try to do that you can try to include it itself. So the app will allow to add your own personal attributes what you want to collect. Then is a frame a frame a we just say cannot be modified frame a and frame b you cannot modify but you can add additional sections. For example, I also want to get the investigation details. So you can have additional data elements and all the things that you can try to include it directly here. Then this is the one place where are we collecting this, which hospital, which group that you have to select. So I just say okay, in my country, not all the health facilities but only the hospitals and private hospitals are going to fill this form. So you can select that one. And this is the part which most of the people miss in DHS to we have three types of user group, every program you need to have admin. That means someone who can actually change the, the if there is a name changes or anything data element name or other things build name that is admin group. Other one is data capture person who can actually capture the data. The third rule is who can view that means the person cannot edit cannot do anything but he can only view the data. So you can select either the person or the user group that this particular person can only view the data or all different things. Yeah, and then you just review and installation will be done. So this has been this app has been tested heavily on all these things and it has also been used in in many countries. Just yesterday, Solomon Islands need to install the cost of death app. So we had some problems are like we already fixed it was inside the thing. So it has been tested from 35 to 40. So if you are country using anything below them 35, please don't use this app yet. So I better to upgrade to any of the things. And then like you can try to use all this thing so just now very quickly I'll try to do a registration. So these are a few things. I just say Harry Potter 2. And date of birth you can just say 23 years. Let's say female address and all different things are just like saving. So then like here, we also went through lots of changes when we implemented this one wasn't there. We had only the ICD 11. So they wanted the free text so that like when the people are writing in the paper form or if they are using directly they wanted what did the doctor say and what are the quarters are staying. So like here, let's just say me just quickly just do this. It was so like when I click on here, so when I search. Okay, so when you are searching, this is actually not in DHS to it is going the first time when I showed the installation. It is all the way in the WHO things so it is actually asking the WHO ICD recording website and giving you all the different details. So where you can do all different things search you have the everything around here. This is the whole ICD 11 which you have in your place. Okay. And then like you can just like select and save and like these are the this is very things you can try to use. Okay. Three weeks. Let me just like one more. So I'll just select this one. One last to say it's in the years. Years. And then so I just say. So like if you remember this last column underlining cause of that. So if you have an option where you can select this underlining cause of that or in here you can actually compute. So just tell me what is your underlying cause of death. So when you click. So it will select the underlying cause of death and also gives all different full report from from the storage tool, which is also been integrated in the in the app. So not only just giving you the few of the details but also in other things. No, it's up to you if you want to make it mandatory it's up to you. Yeah. Now that's why I'm saying we what we are trying to give is a tool. Then like you have to select like the first screen out just showed you like all the things you can select no name or first name or things. And then of these things and you can choose as in your DHS to what do you want to make it mandatory or not mandatory. Yes. Now here like what they've been trying to do. This is the frame B, like if you just see the manner of that if I selected one under one year, you will have two more sections. So, yeah, so like whenever additional things. Yes. So like this one in the big a looks same, but in frame B so I'm right now I'm in the frame B based on if you just see if it is female you have the metal that. If I just say male, then this one will be gone. And if it is under one year, then you'll get infended. So this one will actually help you in awarding data entry mistake. So we are not even going to show the infant that column if the age is different age and gender. Okay. So this is just a normal data entry. Okay, so now, let me just see if they may have done all different things. This is a very simple cause of that certificate, which you can modify whatever you want and you can also include proper one which I'll show it to you in a few minutes, let's just say that's an administration, I guess. So these are also other things which you can try to install or configure and all the things. I'll come back to a bit later. Okay, just quickly. What are all the other features that this is just the data entry part. Okay. So here these are a list of all the people what you've been trying to enter and play around and things. Then let's go for the dashboard. So these are all custom dashboard which double hr already wanted to have when you click on underlining concept that it is already broken down by different use cause groups, which you can try to analyze. And these are the dashboards which you get automatically when you install this app and all the data is coming directly from what you have entered. This one, let's just say in city. Most frequent cause of that. So I've got by the chapters. So these are all the things what you have triple causes HIV, all these things, and we can try to add more and more. Other part which I want to show is an accord export. You can select the year. I don't want to run it now. I guess I would run it here. And this is the exact way like what you have. And then you can try to download the all the data from here, which you can try to use your own an accord to for the analysis. An accord three. But we also have one other issue which is a population. That's also we've been like handle. So like here, all the translation, what you can try to do right now we have translated English French and Arabic, but if you want, you can add your own languages. Add the language. So these are here. You can add like, let's just say, Bengali or things, and then you have it all here then you can translate by yourself. Or we can also give you the list of all the translation translation is just the UI. Like when you do this, they tend to do that. They tend to that's the whole things what you can try to do. Okay, let me quickly show you how the translation will look like. I guess like I've covered all the things before that one on the administration part. For example, this is the cost of death certificate and you just say I don't want to include name I don't want to include things you can include in the header or footer or the body or the different kind of logo. That's up to you. But if you want a custom one, you can ask any of your his members to create a simple report which can be put around here. That's also is the one of things custom way where you can just upload your report so that you can try to deal with it. Okay, so now let me go back. I just want to quickly show you the translation itself. This is I'm just like now changing it to let's just say Arabic. So now all the things will be translated in Arabic itself. So including data entry screens and and everything. So here is the information which you can try to download directly from the DHS to app hub. So if you all know where to find the tools right the apps.dhs.org that's where like all the apps which can be used. So we can just say ICD. So then like you have it wrong here. So which you can download it and like use it and all. So in the app itself you have all the manuals and everything that here you go. So all the things are data free voting. That's okay. Someone has sent it wrong data. So many of these screens and everything has been changed, which you can try to use it at later stage. Okay, including the dashboards and and all. Yeah. Thanks to people around here. His Mina they did the other translation and all the things. Okay. Yeah, it's exactly. So any questions. No, perfect. Yes, please. Sorry, this app. Ah, this is not verbal autopsy right. So when you do the verbal autopsy that's completely different. So then like it's doing afterwards. This one is medical. Medical certificate. Yeah, medically certified cause of death. So there are two types of things right one is verbal autopsy where the people go after the things are just like. And this one is the medically certified cause of death that only the ICD coders are doing most of the big hospitals they have a quarter. It's not usually doctor. It's like, right? Okay. But they're the ICD quarter have to actually just write exact word or exact terminology. And that's usually requires lots of training of doing it. Not only that's many countries have been start standardizing that one. They use ICD 10 but that was like, if they need kind of changes happen it was hard but here now, any kind of new things happening it's all in the web. Even the ICD coding tool has been translated. Like for example here. So, because like now it's all in Arabic, so you can type everything in Arabic so you will get all the things. So the ICD coding tool has been translated into 11 languages, so which you can try to use it for your own. Okay. Yes, please. Okay, so the thing is, if you're using on our first thing is the data entry, right? So in DHR, so you do the all the data entry. Anacode is just only for the analysis, which is aggregate number, right? So what you're seeing around here. Did I miss that one up? So here what DHR store this tool is doing, it's giving you the output of Anacode, which you can download and use your own local Anacode for analysis. But all the data entry is it's by names, right? Anacode is just like the number. This is the door is this is integrated. This one here. What you're seeing, this is actually Doris. So Doris gives you the tools for underline class of that. So what we did was when we made this app Doris was not there yet. And then we've been working very closely with Doris the person. We worked very closely with her and the team to integrate the Doris the tool into this app. In this app, you also have Doris. Anacode 3. Oh, no, but we have, we finished, but I guess like Parida and you can try to work. That's Indonesia and Bangladesh just nearby. Because like, I guess like we have to move up soon. So they would have been also finished so that like we can end up the session and then you have more time to explore Sri Lanka. If you have any things, please, everything is in online. All this application and everything is you can use it. So no problem. Okay.