 labor-based systems to smart digital systems. Yes. And these also aid the countries to more effectively and accurately adopt and benefit from the WHO health and data recommendations through the digital systems, which is the last bit. For this particular BIK for the ANP, other requirements are based on systems that provide the functionality of digital tracking and decision support, and include among other components for data elements and decision support logic. And this supplementation will be used in this project with the NIH to include international WHO recommendations for ANC and digital tracker to improve the government health system informing evidence-based policies and other initiatives. So hopefully this will result in other... Sorry for the technical problem. I was saying that we used... You can do interventions and recommendations in the field of health in the different countries where the WHO intervenes. Adapting external care guidelines into DHIS to track the modules for clinical care. And so I'm going to walk through a bit of the process of adapting this DAK that we did into a global generic DHIS to track the modules. So within the DAK, you can see that it has a number of components here. The one that was very helpful for us was this component five of core data elements. Because these are essentially spreadsheets that describe an ideal system for collecting data on antinatal care, expressing the WHO guidelines. And so you can see here that these core data elements are described for something. I'm going to look at the data elements that have been taken into account. Here, we have outlined the age of gestation that has been taken into account during our studies on the field to be able to inform people about the adaptation of the WHO guidelines or the WHO guidelines. Now, what are the steps to take into account when we are calling the WHO guidelines? So there are first of all world-wide guidelines to take into account. In addition, there is a certain specificity of diagnostics. There are also records that we took into account during the work in Uganda and also the tracker. So we have to think about how to make the transition to be able to leave a software to enter the WHO. So we did everything to be able to include, while taking into account the WHO guidelines. We managed to integrate it into the program and the model of the WHO. Now, for those of the WHO's mother program, there have been preliminary metadata where we have tried to do studies for the 17 WHO tracker programs not only to have different types of data elements, but also we have a number of very high programs that we hope to develop to help us to be able to place the WHO of the same kind so that it is in conformity with our needs. Here, there are screen captures concerning what we had to undertake for the rules of the program. Here, in the WHO, you can see here the registration. And then, when you enter, the first thing you have to do before entering any data, you have to quickly do a verification. So you have to try to do the research and make sure there is no danger. You can see that there are different stations, different destroyers and profiles. There are also modules and there are many calculations done. So we try to make this application available so that others can use it too. There are, I don't know, many challenges, many challenges. But first of all, in relation to the tribe, to the tribe, TEI, if we compare them with the data elements, then there is also the comparison between the first visit and the routine visit. There is a quick verification before entering and visiting ANC. There are also technical problems in relation to the terrain map. So that's something we tried to solve. There was also the select multiple option in DHIS2. I'm pointing out that the interpreters have a hard time capturing the orators, so you will excuse us. Here are the different subjects that we have. And so we tried to find solutions. I mentioned that there were ICD-10 codes. You can, is not it, a solar meter. You can find, is not it, other means to use the ICD-10 codes. I mentioned the guide for the directive. There is a complex software with executable codes. So you can try to use it. Another thing that we could not do, if you want to create a world version of the Tracker system, this is really very, very important. So you have to develop the program rules and all the other elements. If you want to put this system in place and try to adapt it to the global level, you have to collaborate. The countries will be able to put in place the program rules, as you can see here. So we try, is not it, to solve this problem with collaboration with the countries. So I'm a little late. Thank you very much for following us. There is a community of practices where you can ask your questions. We will try to answer them during the session. Hello. I am here to represent a program from USAID that works on data. I am here to talk about the digital support supervision. This session concerns the Tracker. And we are very, very interested in the implementation of the Tracker. But it is also important to use the Tracker in clinical areas. It is something very important especially for supervisors. So the plan in my presentation, I will first explain to you a little bit what this is. I will also talk about supervising activities. I will talk about the framework that we have put in place and talk about the digital support supervision. And the future perspectives. So CHISU is a project that focuses on national systems, the system of countries. We try to support countries so that actionable data is available. We have four objectives in its framework, especially the reinforcement of governance and we ensure that there is a favorable environment for health information systems in high countries. Increase availability and interoperability of health data, especially the quality, as well as the information systems and the other objectives. We will try to see how to develop a framework that can help us in this supervision. So we try not to evaluate the different needs. The objective is to develop a global directive for digital support supervision. There is first the evaluation of the environment, the consultation, and we also have to work on a framework and a guide document. We try to see how we can digitalize the components. We are not really developing new applications. We know that countries can create new applications themselves. We want to work together to support interoperability. So we try to create this framework to know what needs to be kept in mind when we need to digitalize such components. So what do we want to say when we talk about the digitalization of support supervision? You all heard about support supervision. First, there is the caretaker, who has the head, who is the supervisor, who is the person to supervise. He is the caretaker who has to supervise, and then there is the manager and the supervisor. So he could have other employees, other caretakers, other people who work in the field of health. So it's not only me, the nurses, it's not only me, the doctors who are supervising. It could be other people who work in the same field. So what is support supervision? It implies a lot of things. There is first the preparation, the planning, the digitization. What are the establishments that need to be supervised? Where is the agent? What are the establishments that are not far away and difficult to access? There is also the reporting. There is direct observation of the patients, the inspection and the interviews. The interviews are conducted in the form of care providers. There is also a collection of information. Then there is training, there is the subject and there is feedback that will help to solve a number of problems. So we must, for example, do the subject of logistics, for example, and follow up on a lot of things. So all these parts, all these elements are really important. They are necessary, they are essential. Next slide. What are the types of individual interventions that can bring this kind of assistance, this kind of support? If you look at the planning, the reporting, what is the preparation process? You try to get data to better understand the situation and you can find these data at the level of the HHS-2. So you will need to give these data when you are going to ensure supervision. So as a supervisor, you also need to take into account the activities of follow-up. And I think it is a very important factor that explains why certain establishments fail when it comes to follow-up. It is also an opportunity to look at the different materials of training and as a supervisor, you must have material resources. So what I would like to say is that what you think of the whole supervision system, there are really a lot of points in it that you can number and I think you need to collaborate to get there. So you have to ask yourself what are the different actions to follow up with. So I would like to give you an example. You will have to order HHS-2 and use it for supervision. It is a tool that has been developed that is currently used. There are components that do not help in the planning of evaluation and in our subjects, which in yellow color concerns what happened in different sciences, to see if the activities that were mentioned, that had been planned, were made. There are a lot of documentation on this particular system and there is a lot of work that is in progress to improve the system. There is a document, a framework that will be developed in this framework. And then next year we will work with the countries that are already ready to develop digital and supervision tools. We will see how less these tools are used. So if you are in a country that already uses this kind of tool, we really like to collaborate. Thank you very much. I have trouble with this slide, so we reaccommodated for this session. So please stick around so we can hear the whole presentation if you are able to. And again, if you have questions, please try to find it on the community. If you have any questions, feel free to go to the practice community to post them there. Hello everyone. I am from Guinea. I am a French speaker. The GHS2 tracker. So what we did, what was the algorithm we did, which step we used to go forward and where we are right now? So we will see how we made the transition from the proper version to the electronic version. We will quickly talk about the program from Tupaculose to Haiti. We will talk about the digital transformation of this program. And we will also talk about challenges and the scale of the program. I hope you understand me. So here is the reality. In 2004, there were more than 12,000 cases of Tupaculose confirmed in Haiti. And the total mortality rate was very high. The national program against Tupaculose tried to control the resistance of the drug. And the Tupaculose Co-Infection made a very close collaboration with the districts and the laboratories at the national level. Now the reality is that the data on Tupaculose is only available for each trimester. And it was not really of good quality. So we tried to collect data to share them. And I would like to share the different objectives. The different objectives, what we have already decided to use is not the digital tool, it was to improve the availability of data in time. We also tried to improve the quality of data on Tupaculose to improve the availability and the quality of the follow-up indicators of the program on Tupaculose for our objective. We have selected a certain number of tools to get there. First of all, the following formula, the identification of the case of Tupaculose. So there is a person who is positive on Tupaculose. We gave him this formula. We also used the record which, is not it, was sensitive to pharmaceutical products. We needed a record, an alienation. And then we also needed a record for, is not it, to record the case of resistance to drugs. So it was very, very difficult to digitize everything you see there. So we needed to understand the norms and protocols. So we had to work with the UEP and the National Programme to fight against Tupaculose. So we have tried to collaborate to understand the norms and protocols. We have configured four records of Tupaculose using the DHS-2 tracker. And the protocols of Tupaculose were used with the DHS-2 tracker to create a link between the different records. So we also needed to create programs rather than indicators of the program, as well as automatic tablets for the performance analysis of Tupaculose. And if you want some resistance to drugs, I can track him and put him on the material resistance registers. So that's the process. It wasn't very easy to make it because we need advocacy. In relation to the use of the DHS-2 tracker for patient management, we also had to form data managers at district level in relation to data analysis. And then we had to provide tablets and computers as well as the internet connection for health and health establishments and districts. Our approach that we adopted was that of continuous evaluation of data quality and the organization of meetings to see together the different sounds taken. In relation to the internet connection, we distributed SIM cards to help the different actors to have access to the internet. I have already indicated that there have been a lot of meetings that we didn't have to see together what was working and what wasn't. In terms of technology, that's what we did. There are TB registers as well as TB patients. There are board tables for the analysis. There were also data for the laboratory entrance and data to predict the medicines to be administered. Data for the computer as well as right away. Now we will see the results that we have been able to record thanks to these efforts. There are now a number of patients who have been followed through the system of 30,000 patients during the second semester from 2019 to 64,000 patients today. All 283 sites are now followed and used in this system. So between 2018 and 2021, you can see the results. Now, in terms of durability, we work in collaboration with different actors to evaluate the data. We also try to make sure that the data is harmonized. Here are the board tables that we created. We used the HIS-2 tracker, but I can't really finish without talking to you about the challenges. The responsibility of the patient is to be able to to to to to be able to to to be able to to to to to to on the country site, So the challenge is the reinforcement of the capacities and the different actors at the level of the establishments. Another problem is the availability of the internet connection. There is also the challenge of maintaining a certain level of data quality and not having access to this data in real time. Another problem is the coordination of the supervision role to improve the quality of data at the level of the health establishments. Now let's talk about the implementation at the level of the program. So there is the capacity of tracking and vaccination against tuberculosis. There is also the ability to track the patients suffering from tuberculosis, but also track their status in terms of vaccination against COVID-19. There is also the integration with the health information system at the level of the community. There is also the inclusion of the board table for the head of the program against tuberculosis at the level of health establishments in order to improve the supervision at the level of these health establishments, to improve the test, but also the availability of these tests and the medication without forgetting their management. There is also the integration of the tracking data at the level of the health establishments. There is also the need to improve the analysis of the tracking data, the visualization and interpretation of the data in order to clarify the decision-making process. I hope that my English has been clear. Thank you very much. Thank you very much, thank you very much. So I pray that all the people who follow the interpretation may excuse us because we have encountered a problem. Even the explorers were far from the microphone and the quality of the sound was not good at all. So please excuse us.