 For four years MSF has been using Excel spreadsheets to monitor their medical activities But as projects projects Became more complex the organization became bigger. It started to To be complicated to manage these Excel spreadsheets as as The compilation has to to be done manually so the the situation this situation led to delays and decision-making's on the field and in The proper use of the data Another another need that was unditified Was the need to give ownership to the team on the field on the the data collection process and Accountancy of their own work. So both OCP and OCBA Were in the same situation a few years ago and then independently they were looking for a solution To to fix the these problems and both OCP's ended up with DHIS solution DHIS as a District health information system is widely used by ministries of health around in 30 countries and also NGOs The system is maintained by the University of Oslo and has a wide community of users and also developers DHIS is an open-source scalable web technology and You can any system can interact with it through its API basically as a user perspective a functional perspective DHIS is a central repository. So all the data are in one database The Access to the platform is pretty easy. The access to the data is defined by user role and Any user can create its own dashboards using predefined analytics tools that creates tables and charts. I Will show you an Example of a dashboard with different visual elements So for example, we have The mobility of different pathologies, so you can create a chart with different lines Here we have A line chart with a target You can create stack bars a single entry tables in which we have a list of Indicators that we want to monitor and here we have a double entry table now I will Show you the way we chose to work with DHIS as OCP level And then I will give the microphone to Inmas and she will show you The solution that shows at the OC for OCBA so We gather the data in this central repository and we use it at HQ level. We directly connect to DHIS to at HQ and coordination level but because we have connectivity issues on Several projects on the field Which was to work with a an app we call praxis It's a Google Chrome app that can be easily downloaded from Google Chrome There's no need to to have IT Or technical skills to Implement or maintain it So the field team the medical team can deploy and maintain it Basically the weights working so the staff is entering data on the the The app and once we have Internet connectivity the data is pushed up to DHIS to as a Back-end Synchronization system, but it's a two-way synchronize synchronization system The data is pushed up to DHIS to where all the data are gathered for all the projects and This data is pushed down to praxis in the form of of Tables and charts that are gathered in standard weekly and monthly reports But there's no need to interact with the system the The synchronization is automatically done in the back-end we We update every two to four weeks the the app so that It fits with our requirements coming from the field We can quickly make some modifications on the data model all the reports I am in charge of doing all these modifications on the HIS to and once it's done the all those modifications are pushed down on the field, so we'll give the Roll to Inma. I know sorry So where are we at right now We've worked on the data model for aggregated and event data So now we have a standard what we're working on we can make slight modifications We have this field application praxis that is working offline So the data stays on the computer when there is no connection and is working online when there is There is connection it sends small packages of data several tens of kb's many Packets of data and it's used for data entry and Data analysis through automatic reports Right now we are still implementing The app on the on the field and we are focusing on the the learning curve of the end users At a field and HQ level and we are training them so that they are able to create their own project specific dashboard and the strategy for the next month and years is to empower and the staff and We we also We will also create new datasets because I mean not all the all of the The types of projects are now Available and in praxis and we will continue the the implementation Thank you Thank you, Olivia. Hi, my name is in my I'm the head of IT in Barcelona and Would like to share with you that our view of of how we came to this solution The way that in Barcelona we Started the deployment of this system. It's a little bit different, but the actual situation is Is that nowadays? our challenge was to improve the way that we reported and collected information and allow and provide analysis functionalities for everybody that is Working in the organization from the field headquarters. So Last year we started implementation around the summer and now Happily 2015 was closed using the reporting in the HIS to so we focus very much on Utilizing the standard system. So we have an online and offline solution that Uses a server at the field level and we are now expecting the outputs of the development of the HIS community to enhance the synchronization capabilities and starting to use Standard apps and also the API for integrating other solutions in the future The point that we are Having here is provide users with full analysis capabilities at all levels and that's why At the moment We are about to close the project in this current implementation phase after Really having conducted the process of training of users at all level with 60 extractors using the The solution being projects or coordination extractors in the field more than 350 people trained and now starting to work to Continue improving the use of the standard solution with individual data with The better use of the EIS capabilities and starting to deploy mobile solutions and Here also you have seen before a couple of other experiences from Barcelona And this is our backbone of information and we're working to see how we integrate this in a big Lake or our house of information. So we're focusing still and keep on focusing in the process of modeling of the Data Minimizing the work on IT and focusing more on the data and the user experience and working with the community of DHS to and and the rest of the community of Of MSF We wanted to show you as well a little bit of How the two projects are measuring success in both cases. We think that we can Talk about success being two different projects you see that the degrees of implementation in terms of Geographical and organizational outreach is different, but We are progressing at a good pace and you can see that in the case of the Barcelona project we are focusing a lot in measuring the output of the Satisfactions of users regarding their training the implementation because we focused a lot there the process on on training and change management where is in the case of the Paris team they had to measure very much The technical success so they focused a lot as well Beyond training as well on how to solve quickly Technical issues that were key in the deployment of of practice and in both cases you can see that the Success regarding timely reporting is quite high and this Compared with the previous situation where we had delays of months in obtaining data is quite challenging because even collecting the baseline for time of reporting was complicated and So far nowadays where we are in terms of community of DHS or health information system implementation is that the the reality is that nowadays we have a strong or community of practice around health information systems and regularly Discuss about indicators discuss about experiences in quite an open way So this is the actual innovation more than the system is that the knowledge That we're creating around it and the openness of this team of people that is sharing experiences and seeing that with time we hope that the next projects are gonna be faster and stronger and Hopefully in a few months or during this year start sharing the data that we are collecting through our External mechanisms of of data sharing to start really to provide some open data on our activities and and so on so Yes, this is Where we are and we really hope that in the near future the community continues working together and grow stronger Thanks a lot. Thank you