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PROJECTS
Project name: Quick Analysis of Antimicrobial Resistance Patterns and Trends
Users: 74 Public and Private Microbiology Laboratories in Bangladesh, Nepal, Bhutan, Sri Lanka, Laos, Papua New Guinea, Timor-Leste

Affiliated by: CAPTURA, International Vaccine Institute, South Korea
Duration: August 2022 - continue

Summary:

To assist in interpretation and visualization of AMR data, CAPTURA is working on developing the QAAPT application. QAAPT is intended for use by decision-makers, such as healthcare professionals and national AMR coordinators, engaged in AMR surveillance. It is possible for users to analyze AMR data and generate dashboards to display AMR patterns, trends and antibiograms.

Quickly analyze AMR secondary datasets that have been taken from WHONET, any other EHR, and manually entered datasets.

Install on any web server, including local computers, cloud servers, shared hosting servers, and organization-owned servers.

Assist different tiers of AMR data users and decision-makers in LMICs in making data-driven decisions rapidly.

Detail: https://qaapt.com

Project name: CAPTURA: Capturing Data on Antimicrobial Resistance Patterns and Trends in Use in Regions of Asia (12 South and Southeast Asian Countries)

Consortium: The CAPTURA consortium is led by the International Vaccine Institute (IVI), and includes as partners, the Public Health Surveillance Group (PHSG), Harvard Medical School’s Brigham & Women’s Hospital (BWH) and Oxford University’s Big Data Institute (BDI).

Funded by: The Fleming Fund, UK

Duration: April 2020 - continue

Summary: The UK Government has established the Fleming Fund to respond to the global threat of antimicrobial resistance (AMR). The Fleming Fund Regional Grants Grants includes a “call for data”, which aims to expand the volume of historical and current data available on AMR and antimicrobial use (AMU) across regions in Africa and Asia.
The CAPTURA consortium has been awarded two out of four Regional grants to work with 12 countries in South and South East Asia to collect and analyse retrospective data on AMR and AMU in the human health sector in these countries.
CAPTURA aims to increase the volume of data available to improve spatiotemporal mapping of AMR and antimicrobial use (AMU).
This will be done by working with local governments to identify and subsequently assess the quality of available data on AMR and AMU. Relevant data will be collated and analysed to provide meta-data and give regional and inter-regional context. The project will also help identify gaps in data and areas for quality improvement that can be addressed in future initiatives to strengthen surveillance capacity. The information resource generated by the project will improve awareness, advocacy, policy, and interventions needed to combat AMR and antimicrobial misuse.
Detail: https://captura.ivi.int/about

Project name: Digitization Roadmap Development for the Directorate General of Drug Administration (DGDA) in Bangladesh
Client: Directorate General of Drug Administration, Under Ministry of Health and Family Welfare, Dhaka, Bangladesh.

Funded by: The U.S. Pharmacopeial Convention (USP), PQM+, USAID

Duration: June - December 2024

My Role: Provided Strategic Guideline to Develop the Roadmap

Summary: The U.S. Pharmacopeial Convention (USP), through the USAID-funded Promoting the Quality of Medicines Plus (PQM+) program, is collaborating with the Directorate General of Drug Administration (DGDA) to enhance regulatory efficiency and pharmaceutical governance in Bangladesh. This project is focused on achieving WHO maturity level-3 for DGDA and WHO-prequalification for the National Drug Control Laboratory (NDCL), ensuring that Bangladesh strengthens its regulatory framework for quality medicines.
Objectives: The objectives of the project are to collaborate with the Directorate General of Drug Administration (DGDA) and relevant stakeholders to define clear development goals, and to develop a digital architectural blueprint that will guide the transformation process. A comprehensive digitization roadmap will be created to align with DGDA’s strategic vision, ensuring a cohesive approach to digital initiatives. Additionally, an in-depth assessment of the current IT infrastructure will be conducted to identify areas for improvement, and expert recommendations will be provided for the implementation of electronic systems within the regulatory framework. The project will also focus on integrating cross-functional digital solutions to streamline operations and enhance efficiency in regulatory processes.

Project name: Supports in installation, deployment and full documentation of OpenRIMS modules for Automating Regulatory Process Management
Client: Directorate General of Drug Administration, Under Ministry of Health and Family Welfare, Dhaka, Bangladesh

Funded by: MTaPS Project, MSH, USAID

Duration: June 2023 - December 2024

My Role: Provided Technical Assistance to Customize and Implement OpenRIMS for Bangladesh

Summary: The objective of a Regulatory Information Management System (RIMS) is to automate, streamline, and digitize the regulatory processes and work routines at a National Medicines Regulatory Authority (NMRA). OpenRIMS, a robust open-source platform, serves this purpose by adhering to Common Standards for Regulatory Information Management. OpenRIMS is Free and Open Source Software (FOSS), designed to be highly adaptable and customizable. Through its web-based interface, it can be easily localized to fit the specific needs and regulatory procedures of any country, including language preferences, to ensure effective integration within the local context
A dedicated technical team is collaborating with the Directorate General of Drug Administration (DGDA) to provide a comprehensive range of services. The team's role involves the seamless installation and deployment of OpenRIMS modules, ensuring their full functionality for regulatory process automation. Additionally, we are responsible for customizing the system to meet the DGDA's specific needs, providing ongoing technical assistance, end-user support, and ensuring smooth integration with existing workflows. Furthermore, we will prepare and deliver detailed documentation to facilitate the understanding, use, and long-term sustainability of OpenRIMS, ensuring that the DGDA can independently manage and operate the system with ease.
The team's aim is to enhance the efficiency, transparency, and effectiveness of regulatory processes, enabling the DGDA to better manage the lifecycle of pharmaceuticals and improve public health outcomes through digitalization.

Project name: Design and development of web-portal for multisectoral AMR information, data and other materials of national/local relevance from human, animal, and other sectors.
Client: DGHS, MoHFW, Bangladesh

Funded by: USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program

Duration: December 2021 - May 2022

Summary: MTaPS Program supports the Global Health Security Agenda (GHSA) in 13 countries to help build countries' capacity to protect themselves from infectious disease threats and to raise global health security as a national and worldwide priority. The Program's GHSA work focuses on contributing to antimicrobial resistance (AMR) containment, specifically by supporting infection prevention and control (IPC), antimicrobial stewardship (AMS), and multisectoral coordination (MSC) on AMR.
Bangladesh developed a national action plan for AMR (NAP-AMR) 2017-2022 with an associated roadmap, which includes the development of a web-based system for document sharing as an output. Currently, sectors have their own web presence, but a common platform for AMR information is lacking. For example, IEDCR regularly uploads AMR surveillance findings to their website gathered from 9 sentinel sites (hospitals) that is publicly accessible. DLS, DOF, BLRI, and BARA are at different stages of their web-based information system development. The workshop participants underscored the need for a common web-based platform with data across the sectors that are accessible to the public. This was also a recommendation from the Global Antibiotic Resistance Partnership (GARP) Bangladesh National Working Group. A follow-up workshop on the NAP-AMR implementation status on March 4, 2020, one of recommendation was to create a publicly available web-based platform to share AMR- related information and data across sectors. CDC/DGHS convened a Follow up meeting on 2nd September 2020. One of recommendation was, there should be a system of information sharing under one umbrella to avoid missing information and duplication of efforts by developing/incorporating a web-based AMR information sharing platform for the members of One Health.

Project name: Development of a Standard Treatment Guideline (STG) mobile app for android mobile phones and tablets.
Client: DGHS, MoHFW, Bangladesh

Funded by: USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program

Duration: December 2021 - May 2022

Summary: MTaPS/Bangladesh supported CDC, DGHS for developing national STGs for common infectious diseases. In Bangladesh, MTaPS first reviewed the common disease patterns in the country to identify the important infectious diseases based on their burden. CDC, DGHS established a small core working group, MTaPS assisted to formulate a methodology for developing the STGs with common infectious diseases and antibiotics list based on last three editions 2016, 2017, and 2018 of Health Bulletins and existing hospital antibiotic guidelines and incorporate in WHO AWaRe classification. Then template distributed to core working group comprising experts from different disciplines to designate their present practices of both preferred and alternative drug according to WHO AWaRe classification for the treatment of included infectious diseases and STG developed. Finally, all chapters reviewed by different senior professional associations. Then CDC, DGHS finalized the STG.
MTaPS will support CDC, DGHS to develop a publicly available web-based platform to facilitate dissemination of AMR information, and an app version of the STG in accordance with the developed STG for common infectious diseases, also transforming from mobile phone app to nationally recognized STG app and building capacity of practitioners to increase the use of WHO AWaRe classification.

Project name: Antimicrobial Resistance Surveillance: WHONET and DHIS2 integration in Bangladesh

Client: Communicable Disease Control Program and IEDCR, Bangladesh

Funded by: CAPTURA, International Vaccine Institute, Seoul, South Korea

Duration: August-2020 to December 2023

Summary: Antimicrobial resistance (AMR) is an emerging public health threat causing significant morbidity, mortality, and healthcare costs especially in low- and medium-income countries, but to date few groups have explored advanced AMR data management within DHIS2. In this work, we describe a collaboration between the Bangladesh Ministry of Health and Family Welfares Directorate General of Health Services (DGHS), the CAPTURA Project (Capturing Data on Antimicrobial Resistance Patterns and Trends in Use in Regions of Asia) led by the International Vaccine Institute (Republic of Korea) supported by the UK Department of Health Fleming Fund, and the WHONET development team at the WHO Collaborating Centre for Surveillance of Antimicrobial Resistance (United States). WHONET, www.whonet.org, is a free software promoted by the World Health Organization supporting local, national, regional, and international resistance surveillance activities in over 2,500 human, animal, and food microbiology laboratories in over 130 countries. WHONET supports advanced automated features for interpretation of antimicrobial susceptibility test measurements by CLSI and EUCAST standards; multidrug-resistance profiles; 190 public health, clinical, and quality control isolate alerts; and statistical detection of hospital and community outbreaks using SaTScan. WHONET supports international guidelines for the management of repeat isolates, e.g. first isolate per patient per species per data stratification and data subset, which is not supported by DHIS2 core functionality. WHONETs import tool BacLink permits the capture and standardization (ETL-extract, transform, and load) of microbiology data from diverse laboratory information systems, test instruments, and desktop applications.
To support WHONET and DHIS2 interoperability, we have developed pre-defined and user-defined data export options of two types: 1) aggregate statistics (and associated metadata) to DHIS2 Data Sets; and 2) isolate listings (and associated metadata) to DHIS2 Event Programs. These WHONET listing and analysis exports can be visualized within DHIS2 dashboards, pivot tables, charts, and maps. Metadata exports are consistent across all WHONET installations, permitting simple data exchange between DHIS2 instances. In Bangladesh, we have installed WHONET in 31 laboratories and trained more than 140 microbiologists, clinicians, IT staff, and national AMR policymakers. Three years of laboratory data from 41 governmental and private hospitals in eight divisions are being submitted to the DGHS AMR-dedicated DHIS2 server through the WHONET-DHIS2 interoperability features described, leveraging both WHONETs advanced data management and alert capabilities for AMR data with existing Bangladesh DHIS2 platforms for web-based visualization for all communicable diseases supporting the development, implementation, monitoring, and impact evaluation in near real-time of national resistance containment strategies.

Project name: DHIS2 Web app and Interoperability between WHONET Antimicrobial Resistance (AMR) and DHIS2
Client: Indian Council of Medical Research (ICMR), Under HISP India, India

Funded by: Department Informatics, University of Oslo, Norway

Duration: April-2019 to February-2020

Summary: Currently in DHIS2 application, the programs are created as per organism groups. When the data needs to be imported from WHONET, it will be difficult to identify the program since it will need to first look at organism isolated and then identify the respective program which does not look feasible.
An easier way out will be to create a single program for all the organisms containing all antibiotics. All the data to be imported can be imported in this single program and then the same aggregation logic can be used to aggregating data as is followed for organism group specific programs. Thus the columns heads in WHONET file will need to be mapped to the attributes and data elements in 'AMR data import' program.

Project name: System Requirement Specification for eLMIS for DGHS

Client: DGHS, MoHFW, Bangladesh

Funded by: USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program

Duration: September 2020 - January 2021

Summary: The US Agency for International Development (USAID) funded the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program to provide support to the Ministry of Health and Family Welfare (MOHFW), its component directorates (Directorate General of Health Services [DGHS], Directorate General of Family Planning [DGFP], Directorate General of Drug Administration [DGDA]), and other key entities (National Tuberculosis Program [NTP]) to strengthen the capacity of policy makers, health care providers, and institutions to improve commodity management, with an emphasis on governance, procurement, institutional capacity-building, health information systems, and other health system strengthening initiatives aimed at ensuring continuous availability of commodities to support health care delivery and the timely availability of reliable data to support evidence-based decision making.
SIAPS developed and implemented comprehensive systems for MOHFW that track procurement and facilitate catalogue preparation, procurement planning, package development, tracking, and linking with drug registration.
SIAPS also designed and implemented the Asset Management System (a module within the MOHFW Supply Chain Management Portal [SCMP; https://scmpbd.org/ams/]) which entails a systematic process for deploying, operating, maintaining, upgrading, and disposing of assets cost effectively. The DGFP electronic Logistics Management Information System (eLMIS), DGHS eLMIS, and TB Warehouse Inventory Management System (WIMS) are continuously updated with reproductive, maternal, neonatal, and child health and TB commodity information at the different levels. SIAPS also designed and implemented an automated drug registration system called Pharmadex for DGDA. e-TB Manager is another tool developed for NTP to track individual TB patients from detection to recovery. Funded by USAID, the Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program will provide pharmaceutical system strengthening assistance for sustained improvements in health system performance and advancing USAID's goals of preventing child and maternal deaths, controlling the HIV/AIDS epidemic, combatting infectious disease threats, and expanding essential health coverage. However, MTaPS will provide its support to DGDA, DGHS, DGFP, NTP, and, as a whole, to MOHFW to enable those tools to capture data and use it for decision making. MTaPS will also support them in reducing the lead time in the drug registration process and improving transparency in the registration system.
The goal of the global, five-year (2018-2023) MTaPS Program is to enable low- and middle-income countries to strengthen their pharmaceutical systems to ensure sustainable access to and appropriate use of safe, effective, quality-assured, and affordable essential medicines and medicine-related pharmaceutical services. An existing eLMIS was developed to support DGHS in collecting 24 priority medicines (total of 34, if different strengths of the same medicine are counted), which are commonly provided to government health facilities (HFs) from community clinics (CCs) to district hospitals. The eLMIS collects aggregated data about the 34 government-approved priority medicines that are consumed/distributed to government HFs. The eLMIS facilitates quick data entry, data validation, timely publication of the monthly LMIS report, instant availability of data, and increased efficiency of the supply chain. The primary purpose of the eLMIS was to increase visibility of medicine availability data at all levels of the system to inform supply chain management decisions, including forecasting, procurement, and distribution.

Project name: DHIS2 Installation, Customization, and Implementation for COVID-19 Tracker

Funded by: ASPEN TECH LLC, USA

Duration: May-August 2020

Summary: The COVID-19 pandemic posed unprecedented challenges to global public health systems, prompting the need for robust data collection, real-time reporting, and timely response strategies. In response to this urgent need, DHIS2, a leading health data management platform, developed specialized toolkits to enhance the effectiveness of public health programs during the pandemic. The WHO-DHIS2 health data toolkits are designed to support the rapid deployment and implementation of health information systems that assist in case detection, surveillance, and response efforts for COVID-19.

This project involved the installation, customization, and implementation of DHIS2 for tracking and managing COVID-19 cases in real time. The system was tailored to the specific needs of COVID-19 surveillance, incorporating various modules to streamline the monitoring and reporting of cases, contacts, and other related events.

The key modules of the DHIS2 system implemented in this project included:

  • COVID-19 Case-Based Surveillance (Tracker): A module designed to track individual COVID-19 cases, capturing detailed information about each patient's health status, treatment progress, and outcomes.
  • Contact Registration & Follow-Up Program (Tracker): This module enabled the registration of individuals who came into contact with confirmed COVID-19 cases, ensuring timely follow-up and monitoring of potential infections.
  • Ports of Entry Screening & Follow-Up Program (Tracker): Focused on tracking individuals entering the country, ensuring that travelers were screened for COVID-19 symptoms and followed up accordingly.
  • COVID-19 Surveillance Event Program (Event): This feature was used for documenting and managing COVID-19-related events, such as outbreaks or clusters of cases, ensuring that appropriate interventions could be applied in a timely manner.
  • COVID-19 Aggregate Surveillance (Aggregate): Allowed for the collection and reporting of aggregate data on COVID-19 cases, facilitating high-level monitoring and decision-making by health authorities.
  • Mobile App: A mobile application was developed for frontline health workers to collect data in real time, allowing them to register cases, track contacts, and monitor symptoms directly from the field.

With the implementation of these modules, the DHIS2 system enabled a seamless integration of data from various sources, providing real-time insights and facilitating rapid decision-making for COVID-19 response efforts. This project played a critical role in enhancing the surveillance capabilities of health authorities, enabling them to respond more effectively to the pandemic.

By leveraging DHIS2’s flexibility and scalability, the system could be easily adapted to the evolving needs of the pandemic, ensuring it remained an essential tool for health authorities. The success of this project underscores the importance of digital health solutions in managing public health crises, offering a foundation for future epidemic and pandemic preparedness.

Project name: Automation of Pharmacy Council of Bangladesh (PCB) & Database and interlinking with DGDA

Client: Pharmacy Council of Bangladesh, Under Ministry of Health and Family Welfare, Dhaka, Bangladesh

Funded by: Better Health in Bangladesh Project, UKAID
Duration: August-2019 to Continue

Summary: A potential solution to addressing this challenge lies with the most commonly used source of medicines in many developing countries-the private sector drug sellers. Accreditation of drug sellers was not present in Bangladesh until DGDA took the initiative during the implementation of HPNSDP. With the support from JDTAF, MSH worked with DGDA and other sector stakeholders to develop the first standards for retail medicine outlets and design and implement an accreditation program for two new levels of pharmaceutical outlets-Model Pharmacy and Model Medicine Shop. Accreditation standards for retail medicine outlets in Bangladesh have been approved by the competent authority. MSH also developed several strategies to support implementation of the standards. Realizing the importance of the continuation of the activity and the extensive relevant experience, MOHFW has included the piloting of the approved model for accreditation of retail medicine outlets. DFID Bangladesh is supporting the 4th HNPSP, through the, 'Better Health in Bangladesh' program for a period of five years.
Pharmacy Council of Bangladesh (PCB) is an autonomous organization, considered as the controlling authority of pharmacy education and practice in the country. The council provides registration for all grades of pharmacists. The main objective of the Pharmacy Council of Bangladesh is to regulate the practice of Pharmacy throughout Bangladesh. As a counterpart, The Directorate General of Drug Administration (DGDA) under the MOHFW is the Drug Regulatory Authority of Bangladesh. DGDA has an efficient web portal with live data availability. PCB hence requires a web site that will commensurate with DGDA to further strengthening their partnership in dealing with pharmacists and retail drug outlets efficiently.

Project name: Pharmacy Management Software for Model Pharmacy and Model Medicine Shop

Client: Directorate General of Drug Administration, Under Ministry of Health and Family Welfare, Bangladesh

Funded by: Better Health in Bangladesh Project, UKAID

Duration: July-2019 to January-2020

Summary: Improving access to quality medicines and pharmaceutical services is an essential component of the health services strategy to improve clinical care. Most leading causes of death and disability in developing countries can be prevented, treated, or at least alleviated with cost-effective essential medicines. Despite this fact, hundreds of millions of people do not have regular access to essential medicines and many of those who do have access are given the wrong treatment, receive too little medicine for their illness, or do not use the medicine correctly. Ensuring the availability, affordability, accessibility, and appropriate use of quality medicines are thus crucially important in order to improve health status of the population. This is a challenge for many countries, including Bangladesh.
A potential solution to addressing this challenge lies with the most commonly used source of medicines in many developing countries-the private sector drug seller. Accreditation of drug sellers was not present in Bangladesh until DGDA took the initiative during the implementation of HPNSDP. With the support from JDTAF, MSH worked with DGDA and other sector stakeholders to develop the first standards for retail medicine outlets and design and implement an accreditation program for two new levels of pharmaceutical outlets-pharmacies and medicine shops. Accreditation standards for retail drug shops in Bangladesh have been approved by the competent authority. MSH also developed the several strategies to support implementation of the standards. Realizing the importance of the continuation of the activity and the extensive relevant experience, DFID included the piloting of the approved model for accreditation of drug store sellers DFID Bangladesh is supporting the 4th HNPSP, through the, 'Better Health in Bangladesh' program for a period of five years.
The DGDA under the MOHFW is the competent drug regulatory authority of Bangladesh. This DGDA supervises and implements all prevailing drug regulations in the country and regulates all activities of, but not limited to retail drug stores. To strengthen monitoring and supervision of DGDA and also to provide a sustainable incentive for the medicine outlet owners, BHB project has a provision to develop a pharmacy management software. This pharmacy management software is a pre-requisite for the Model Pharmacy, according to the newly developed standard. In model medicine shops, this management software is preferred but not a must.

Project name: National Nutrition Services (NNS) Logistics Management System development background study, supply follow design, software solution framework and roll-out plan development, training and logistics budget plan

Objectives: To improve the nutrition status of women & children to combat malnutrition as a public health problem.

Client: National Nutrition Services (NNS), DGHS, MoHFW, Bangladesh

Duration: July 2019 - Jan 2020

Summary: Bangladesh is facing a critical challenge with high rates of malnutrition among children and mothers, particularly in rural areas. In response to this issue, the National Nutrition Programme (NNP) was established as a key initiative under the Ministry of Health and Family Welfare (MoHFW) to improve the nutrition status of the population. The NNP is part of the broader National Nutrition Services (NNS), aimed at tackling malnutrition through community mobilization, targeted interventions, and strategic partnerships with local NGOs.

This project involved a comprehensive background study of the current logistics management systems, identifying supply chain gaps, and designing an effective logistics management system for nutrition services delivery. The project also entailed the development of a detailed software solution framework to track and optimize the distribution of nutrition supplies, including micronutrient supplements and food aid. A roll-out plan for the software, along with a training program and logistics budget plan, was developed to ensure seamless implementation at the national level.

The goal was to create a sustainable and scalable logistics management system capable of supporting the National Nutrition Services and its partners in delivering timely, efficient, and high-quality nutrition services. The software solution aimed to improve data visibility, streamline supply chain processes, and enhance monitoring and reporting capabilities for better decision-making.

The success of earlier projects like the Bangladesh Integrated Nutrition Project (BINP), funded by the World Bank and other donors, demonstrated that community-based nutrition services could effectively reduce malnutrition. With the new system, the National Nutrition Services will have the tools needed to replicate these successes across the country, focusing on women and children who are most at risk of malnutrition.

Project name: DHIS2 TB Tracker and Custom Application Development

Client: Ministry of Health, Philippines

Funded by: URC, Philippines

Duration: June-2019 to September-2019

Summary: The DHIS2 TB Tracker and Custom Application Development project was part of the USAID-funded TB Platforms for Sustainable Detection, Care, and Treatment initiative, aimed at supporting the National Tuberculosis Control Program (NTP) of the Philippines. This project directly contributed to the Department of Health’s ambitious goal to diagnose and treat 2.5 million Filipinos with tuberculosis, achieving 90% TB treatment coverage by 2022.

The project included the installation, configuration, and full-scale implementation of DHIS2 for the NTP, allowing for enhanced monitoring and management of TB cases across the country. Additionally, a custom application was developed to streamline TB case tracking, patient management, and treatment monitoring, fully integrated into the DHIS2 system for real-time data capture and analysis.

This system provided health professionals with an effective tool to monitor the progress of tuberculosis treatment programs and patient outcomes, facilitating faster responses and ensuring better coordination across healthcare facilities. The integration with DHIS2 enabled efficient data reporting, improved decision-making, and supported the nationwide TB control strategy.

Project name: DHIS2 Implementation for Activity Tracking including budgeting and expenditure

Client: APTMIS, Ondo State, Nigeria

Duration: April-2019 to September-2019

Summary: To design and develop custom application to track each facility quarterly budget and expenditure. This custom app has integrated with DHIS2. The DHIS2 org units and users are automatically synchronized with the custom app as well as all types of permission has been managed by utilizing DHIS2 permission resources.

The system helped improve financial transparency and accountability across the healthcare facilities in Ondo State. By aligning financial reporting with existing health information structures in DHIS2, it enabled timely decision-making and resource allocation. The solution also facilitated seamless reporting workflows, user-friendly interfaces for health managers, and real-time tracking of financial indicators.

Project name: DHIS2 User's Activity Capture and Research App

Client: Ministry of Health, Palestine and ICDDRB, Bangladesh

Duration: December-2018 to March-2019

Summary: The user activity capture dashboard widget can be embedded into any dashboard, and captures information on how long a user is using a dashboard, how much time is spent on a dashboard. Those data on user activity are then sent to the data store. When a user lands on the dashboard with this widget, the widget text shows a welcome message, reminding him when he last visited this dashboard.
A separate user activity widget then aggregates these data for all users, and is designed to help different level managers to analyse the dashboard activity of the user. It presents, the username, start time, and end time, organizational unit, dashboard detail for every time a user visited a dashboard. The data can be downloaded by a manager in the form of an Excel Sheet, or analysed individual user activity directly within the app. This app is generic so the community can easily download from app store and use this app with any DHIS instance v2.27 and above.

Project name: DHIS2 Validation Results App

Client: Ministry of Health, Palestine and ICDDRB, Bangladesh

Duration: December-2018 to March-2019

Summary: Every week, e-Registries implementations in Palestine and Bangladesh run validation analysis on aggregated tracker data. Triggering validation rules will persist and send tailored notifications (validation rule instruction) to user's dashboards. For example, a validation result may inform a user their clinic did not provide proper screening of pregnant women for diabetes last month, and link to detailed instructions on how to do so. Users can then interact with each notification as thumbs up/down or comment. This app builds on earlier efforts by allowing custom sorting and filtering of the various validation notifications. It is possible to sort validation results with newest first, validation rule priorities, validation rules group and feedback type.

Project name: Master Health Facility List (MFL) Map Visualization

Client: Ministry of Health, Central Jakarta, Indonesia

Duration: November-2018 to April-2019

Summary: This project involved the development and implementation of a map-based visualization module for the Master Health Facility List (MFL) within the DHIS2 ecosystem. The solution enabled visualization of facilities across four administrative levels, enhancing geographical and organizational transparency.

The system integrated data from service, resource, and administrative domains to present a unified view of healthcare infrastructure across Indonesia. It supported decision-making and health system planning by offering interactive maps, hierarchical facility filtering, and real-time updates synchronized with DHIS2. This implementation significantly improved facility registry management and strategic oversight of healthcare delivery points nationwide.

Project name: DHIS2 Middleware Apps and Interoperability between Facility Registry and DHIS2
Client: DGHS, MoHFW, Bangladesh

Funded by: UiO, Norway

Duration: September-2017 to February-2019

Summary: This project focused on developing middleware applications to enhance interoperability between the national Facility Registry and DHIS2 for the Directorate General of Health Services (DGHS), Bangladesh. The middleware supported real-time facility creation, update, and deletion operations directly from the registry to DHIS2. It included a notification center, automated handling of blank field records in DHIS2, and a GIS-based visualization module for geolocating health facilities.

A key achievement was enabling both automatic and manual data transactions between multiple DHIS2 instances and other systems such as the Human Resource Information System (HRIS). The solution facilitated seamless data exchange, multi-instance DHIS2 integration, and offered real-time logging and monitoring capabilities to support system administrators and data managers. This work significantly improved data consistency, system interoperability, and visibility into national health infrastructure data flows.

Project name: Routine Health Information System (RHIS) for the Ministry of Health and Family Welfare, Bangladesh
Client: DGHS, MoHFW, Bangladesh
Funded by: SIAPS Project, MSH
Duration: July-2015 to August-2017

Summary: The Routine Health Information System (RHIS) is a comprehensive digital platform developed for the Ministry of Health and Family Welfare (MoHFW), Bangladesh, to automate and streamline public health service delivery and data management. Key modules include Birth and Death Registration, Child Care e-Registration, EPI (Expanded Programme on Immunization) for women and children, IMCI (Integrated Management of Childhood Illness) case management, Mother and Newborn Register, and tools for Health Assistants and CSBAs (Community Skilled Birth Attendants).

The system was designed to improve data accuracy, strengthen health surveillance, and support evidence-based planning at national and sub-national levels. It enhanced field-level reporting through mobile and web-based interfaces and provided centralized dashboards for policymakers to monitor maternal, child, and community health indicators in real time. This initiative significantly contributed to improving data-driven decision-making and service quality in Bangladesh's public health infrastructure.

Project name: Khulna Shishu Hospital Automation System
Client: Khulna Shishu Hospital Authority, Khulna, Bangladesh
Funded by: SIAPS Project, MSH
Duration: July-2015 to August-2017

Summary: Comprehensive hospital automation system covering patient record management, follow-up management, auto prescription generation, patient shifting, death certification, human resource management, billing, inventory and store management, bed management, indoor activities management, and doctors' scheduling and administration.

The system was designed to streamline clinical and administrative workflows, reduce manual errors, and improve service delivery for pediatric care. By integrating core hospital functions into a centralized digital platform, it enabled real-time access to patient and facility data, optimized resource utilization, and enhanced reporting capabilities for informed decision-making by hospital administrators.

Project name: Nationwide supply chain management system (eLMIS) design, development and implementation for DGHS, MoHFW, Bangladesh
Client: DGHS, MoHFWA, Bangladesh
Funded by: SIAPS Project, MSH
Duration: July-2015 to August-2017

Summary: Maternal, neonatal and child health (MNCH) holds one of the biggest focuses in Bangladesh national health care system. Since the Millennium Development Goals were set in 2000, Bangladesh made notable progresses in curbing maternal mortality and child mortality. Between 1990 and 2015, the maternal mortality ratio (MMR) and under-5 mortality ratio (U5MR) in Bangladesh fell by an impressive 69.1% and 73% respectively1. Priority MNCH medicines help to avert these unnecessary deaths thus and tracking its availability in various health centers is crucial. DHIS2 is a flexible, web-based open-source information system with visualization features including GIS, charts and pivot tables. DHIS2 is being used in Bangladesh for collecting logistics data for priority maternal, neonatal and child health (MNCH) from different levels like District Hospital (DH), Civil Surgeon Office (CSO) which covers District Reserve Store, Upazila Health Complex (UHC), Union Sub Center (USC), Community Clinic (CC) and other health related NGO's/Facilities. We have developed an interoperable mechanism through which data on these MNCH medicines is entered into DHIS2 and populated to the Ministry of Health and Family Welfare(MoHFW), Bangladesh owned Supply Chain Management Portal (SCMP) where interactive dashboards are visible.
So far, we have implemented DHIS2 based eLMIS in 19 districts in around 4000 facilities by successfully exporting DHIS2 data through server side language with MySQL and PostgreSQL database. As a result, we are now able to track various variants like reported, non-reported facilities, national level stock, monthly stock, stock out facilities, number of days stock out, data monitoring, timeliness, nearest expiry medicines, nearest expiry quantity and data upload statistics. Due to the system, from 2015 to 2018the data reporting rate has increased from 60% to 97%, the average reporting rate has increased from 70% to 97%, which is remarkable. The government can now take necessary steps for stock out facilities and ensure the availability of these lifesaving medicines. They are planning to procure MNCH medicines based on the data made available from the system. Timely procurement and ensuring the availability of the medicines using this platform can help to minimize maternal, newborn and child health mortality.

Other projects: Distributed Supply Chain Management System (D2LMIS), Internet Service Providers Automation System (ISPERP), Interoperability between RHIS and DHIS2, DHIS2 MiddleWare Application for Ministry of Health, Interoperability between Electronic Tuberculosis Manager (e-TB Manager) and DHIS2, Restaurant Management System with PoS (Online Based), Dashboard and Website for ICT Division, Inventory Management System, Custom BI for SAP

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