 slides? Yes, yes. Okay, then can you do it or do you need more permissions? I need more permission. I'm making you co-host now. Okay, so in Bridget, you can speak now as well. Hi everyone, this is Bridget Magova from Uganda, but best in Sierra Leone. Myself and Bamoy are implementing case-based disease surveillance and weekly reporting in Sierra Leone. So Bamoy is going to take us through the different approaches we are using and what we've gone through and what we've achieved so far. I'm currently working with Affinit and supporting the Directorate of Health, Security and Emergencies. Over to you, Bamoy. Thank you. Good morning, good afternoon, good evening, everybody and everywhere we are at Yoha. I am Mohamed Bamoy Kamara. I am from Sierra Leone and I was born in Sierra Leone and I grew up in Sierra Leone. I'm currently working for the DHSE that is the Directorate of Health, Security and Emergencies and I'm also a support staff in the implementation of ECBDS, EFDSR. I didn't get that. Could you try again? Currently, we've implemented the aggregated antitraca for the HRIS2. For the aggregated, we've implemented the monthly HMIS reporting and also the weekly disease reporting. And also we've also implemented the COVID-19 bed occupancy. And for the traca program, we've partly implemented the case-based because not all the districts have been affected by this project. And also we are using the COVID response, case-based for the COVID response. And we've implemented the contact tracing COVID-19 program, the quarantine monitoring program and the passenger locator form. Sorry, Bamoy. We can't see the next slide. We still see the header slide. The header slide, okay. We've implemented both the aggregate antitraca component of the HRIS2 in Sierra Leone. So for the aggregates, we've implemented the monthly HMIS reporting and the weekly disease reporting, the COVID-19 bed occupancy. And for the traca programs, we've implemented the case-based disease partly because not all the districts have been affected. We are still struggling on having funds for implementing the other regions. Also, we've implemented the contact tracing for the COVID-19 response, the quarantine monitoring and the passenger locator form. For the Android implementation, so for the weekly reporting, what we did, we first did a national TOT that is a national training of trainers because of the number of staff and the number of people involved in the project. We had to do a national TOT for the district and facility. And for the Android capture, we actually implemented the Android capture app. But for the IDSR, we are currently using a custom app developed by E-Enterfika. And I was working at E-Enterfika. I was not part of the development team, but I was part of the deployment and implementation team. So we've rolled out the IDSR to 1,300 L facility. We've also distributed tablets to this 1,300 L facility. And also, we implemented and we distributed MDM in all of these tablets and facilities. But due to funding, we've actually stopped the MDM subscription as expired. So we are crippled with funding now. So for the case-based surveillance reporting, what we did, we started with four districts. We piloted the project in four districts. After then, we move, we escalate the project to eight districts. So it has left another 80 states. So far, 800 L facilities have been affected by the case-based. And we are using the Android data capture app developed by Oslo to implement this project. But we are having challenges with internet submissions and SMS submission. Because in order for you to use an app in Sierra Leone, you need the gateway. So we are still struggling on getting the gateway in order for us to configure the SMS channel. So far, our achievements so far, 16 out of 16 districts have been using Android tablets and Android devices. And they've been reporting the IDSR. And also, we've actually achieved the completeness and terminus of the WHO limit. And 12 out of 16 districts that is over 80 L facilities have been trained on case-based reporting of 20 priority diseases. 16 out of 16 districts are currently using the case-based. That is, they are using the web platform in order to report positive and suspected cases of COVID-19, including contact. And also, this case-based project has been actually affected by the national. That is the Ministry of Health is fully involved. All other L partners are fully involved. That is the WHO, the CDC, PIH and all. And also, we've actually integrated ComCare and Health Connect. These are third-party applications that are integrated with the HHS. So they are all communicating with the HHS now. And also, we are using the WhatsApp group, our WhatsApp channel in order to communicate our technical issues and how we can solve them. So for the lessons learned, one, the change of management in any electronic system implementation. So this is one of the reasons that people or, I mean, damage or reduce the strength of any implementation systems in everywhere. So pilot testing in different areas of the counties we are using in order to assess the performance of the application. And users and stakeholder engagement during implementation, because in order to implement a project successfully, we need to involve all stakeholders. That is all health-related stakeholders. That is the WHO, the CDC, Affinite, Ministry of Health, EL, and Focus 1000. And also, MDM promotes effectiveness and efficiency in mobile application implementation. So because of the MDM, health facility staff, we are not able to misuse the device because it restricts them from accessing some other third-party applications like YouTube, WhatsApp, and so on. But because of now, we don't have MDM, some of these tablets have been damaged, have been misused, and some health facilities are not reporting using the tablets. Some of them are using the R-copy. So also, the other lessons learned is building capacity at lower level promotes the sustainability of any DHS to implementation. In order for you to be sustainable in DHS, you need to make sure you develop local capacity that is in our Sierra Leoneans indigents. So some of our challenges, facilities that are in each area are struggling with connectivity. You know, this part of the world, we are still struggling with connectivity, not everywhere you can get network access. So for this reason, that's why we are trying and we are pushing. They are in order to get the SMS working. So inadequate forms for replacing damaged and faulty devices. Currently, almost 80% of the devices that have been developed are out of date. They are running on KitKat, that is Android 4.4. And the Oslo app is, I mean, struggling in order for it to be installed in those tablets. So there is need to replace those tablets and we are struggling with funding on reliable power source in order to charge those tablets. So for some villages, because of there is no electricity, the facilities in charge have to have to take, I mean, transport in order to, he or she has to move from one point to the other in order to charge the tablets for it to be used. So they are faced with that challenge. So inadequate forms also in order for us to include HMIS officers in those districts that we are working on, you see. So we don't have focal person in those districts. Whenever there is an issue with the national people have to go down there. And it takes time for us to go down there. So there is need for us to get funding in order to have a code HMIS officer. Like I said again, there is inadequate forms for MDM subscriptions. Before, WTO was paying for MDM. So why is it that WTO decided to transit the MDM subscription to the Ministry of Health? That is the government. And the government currently is crippled with budget funding. So that is why we are unable to get MDM subscription. So resistance by the laboratory to use the case-based application. So currently we are having a challenge with the laboratory pillar. The laboratory pillar is a bit non-responsive in using the case-based. But we are still in negotiation in order for them to use the case-based to enter data. Mohammad, I need to remind you that you are run out of time. So if you can please complete that, remember that you need to finish this. Thank you. Thank you, so lack of in-count capacity to maintain custom app because this custom app, it was developed by some developers, even though we have local developers, but these local developers are junior developers. They are not too experienced in customizing or maintaining this application. So that's why we are very happy the Oslo app is working fine and we are planning to transit to the Oslo app. So the way forward, one, like I said, we are planning to migrate to the Oslo generic app and also ensure the SMS functionality is working perfect. So also we are planning to build IT capacity at this level in order to promote faster response to facility staff for their technical challenges. Deploy SMS, so SMS submission capture app for case-based disease surveillance reporting. So I think one of the challenges in also using the case-based is submitting case-based data because it is a mix of characters. That is, you are also submitting texts and values via SMS. That is another challenge. So we need also the laboratory pillar to be friendly with us in order for them to use the case-based. Deploy weekly and case-based electronic reporting in private and faith-based health facilities. So some of the private and faith-based health facilities are not using the IDS currently but we are planning for us to hold out there. Mohamad, sorry, you have one minute. Okay, okay. Sorry, because we are taking time from the other participants. It's really interesting but... I know, I know. So again, we are planning to build national level capacity to DHS2 and in-counts he backends in. Currently, we don't have no DHS2, I mean DHS2 staff, DHS2 officers that fully understand the configuration and how to maintain the system. So we need capacity building. Thank you all and I'm very, very happy to do this presentation. Thank you Matta. Thank you. Thank you very much. Thank you very much. We are going to have to move to the next presenter. We will see if we have time for questions later.