The followings were the main discussions:
<strong><u>Internet connection and band-with:</u></strong> Grameen phone’s capacity with band-with is deteriorating badly, connectivity is low at community clinic level, several meetings were held with the management of Grameen phone, progress is slow to solve this issue. There were some suggestions as follows</li>
Issue new 3G or 4G sim to replace in the modem</li>
<li>In Upazila, it was suggested to use LAN connection where it is installed already by BTCL.
Inventory for Community Clinic and other facility’s hardware:</u></strong> Inventory of modems and laptops, the sim is urgent and will be completed in January by using a different software to monitor logistics apart from DHIS2. Directorate MIS will instruct to entry data about hardware on the 1<sup>st</sup> working day of next week (14<sup>th</sup> January 2018). Dr. Munmun, CBHC, and, Tasmia, WHO will also inform CHCP, and, contact to statisticians at Upazila (onetime survey). Mr. Majid, IT consultant at MIS will present the survey result in the next coordination meeting.</li>
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<li><strong><u>Decentralization of repair and maintenance of computer, laptops, tabs</u></strong> were already taken place by Director MIS at Divisional level. One person from each district was provided with training on software and hardware for 14 days. One lac taka budget allocation was processed from E-MIS OP to each division for decentralized repair and maintenance of computers and laptops which will reduce delay, transport and travel cost to bring those centrally.</li>
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<li><strong><u>Support ticket- a tool in HRM software to solving problems:</u></strong> Monitoring and action team should work together to solve identified problems in the system through support tickets. 323 support tickets will be solved by this week (11<sup>th</sup> of January) by respective staffs assigned for those. Tasmia, WHO consultant is requested to be given the authority to create and delete user name as she has been working on behalf of Director CBHC and monitoring CC information.</li>
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<li><strong><u>Revitalization of the monitoring system:</u></strong> tool for data quality audit and facility monitoring tool will be used for data verification, an order will be issued by Director MIS. Divisional monitoring team should be activated and prompted. From each line director, focal person is needed to be trained on data monitoring and audit. Director MIS will take lead and partners will support for training and mentoring including UNICEF. Formation of Data quality audit committee in each level and each facility was a suggestion by Dr. Be-Nazir. More stronger recommendation from the committee derived on <strong><u>using data and dashboards in monthly meeting</u></strong> at each level to improve data use and data quality. <strong><u>Data approval system</u></strong> before reporting can be introduced in DHIS2 too. Skype monitoring system can be established too.</li>
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<li><strong><u>Correction of data</u></strong> until 2015 in DHIS2 will be continued until <strong>21<sup>st</sup> of February 2018</strong>, then the system will be blocked so that further changes cannot be introduced, as public dashboards are accessible to all, it is sometimes confusing to get different figures. Data validation and correction for 2016 and 2017 can continue for some more extended period. Validation rule will be applied to the DHIS2 system. Two way-SMS will also be incorporated in DHIS2 to provide feedback at a lower level.</li>
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<li><strong><u>Cause of death analysis through VA</u></strong>: more than 7000 VA done by CRVS program which is not linked with DHIS2 (there is a need of MOU with Cabinet Division and Director MIS). ODK tool used CRVS (suggestion to use WHO tool) needs to be revised, otherwise linking data from two system will not be possible<strong>. Dr. Sayem, UNICEF</strong> will lead a small team to work on this platform and analysis data of VA in both systems (CRVS and MIS: ODK vs DHIS2). The data quality audit team with an epidemiologist will be as such:</li>
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<ul>
<li>Sayem, UNICEF</li>
<li>Iqbal, icddr,b</li>
<li>Hannan, HISP Bangladesh</li>
<li>Badsha, icddrb</li>
<li>Farhana Habib, Bloomberg</li>
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<li>Director MIS instructed to continue the way forward to finalize e-health Standard and Inter-Operability Framework. Dr. Jannat, UNICEF will share a concept note by this month.</li>
<li>Director MIS also requested to take necessary preparation for the learning visit by the govt officials of Nepal to learn about HMIS in Bangladesh in the last week of February 2018.</li>
<li>All development partners will continue their support and keep the momentum high-up in 2018 as well as they all together work for a shared vision of strengthening HMIS in Bangladesh.</li>