Report on “Strengthening HMIS using DHIS2” a three-day workshop in Jessore”

Report on

 “Strengthening HMIS using DHIS2” a three-day workshop in Jessore”

1. Training details:

1. Description of activities:

In Bangladesh, District Health Information System (DHIS2) software is being used to collect and analyze aggregate data from government-run health facilities. icddr,b continues working closely with government to strengthen capacities to generate flawless health data from different tiers of health facilities. As part of this initiative, SHARE (Strengthening Health Applying Research Evidence) project, funded by EU funded, icddr,b supported to organize a three-day  workshop in Jessore district along with UNICEF, HISP Bangladesh and COIA Secretariat . This workshop was organized by MIS, DGHS with key stakeholders supporting strengthening HMIS system of Jessore district from 15-17 November, 2016 in Brack Learning Center, Jessore from 9.00 AM to 5.00 PM.  The main objective of this workshop was to enhance capacity of district health managers’ on the use of data using DHIS2.

Day 1: November 15, 2016

The three-day HMIS workshop started with registration and inaugural session. The inaugural session was chaired by Dr. Md. Raushan Anwar, Director Health, Khulna Division. Then welcome speech provided by Dr. Shyamal Krishna Shaha, Superentent, 250 Bed hospital,Jessore. In his speech he thanked icddr,b to take such timely and important initiative for strengthening HMIS in Jessore district.  He emphasized on the human resource problem. One Statistician in a health facility is involved in different types of work and so cant concentrated on their own assigned activitiy properly. Dr. Gopendra Nath, Civil Surgeon, Jessore, delivered his valuable speech. In his speech he mentions that the health managers should take the opportunity of the power of information and moving forward accordingly. Dr. Jannatul ferdous, Deputy Project Coordinator, icddr,b delivered her speech and briefly present the activities of EU funded SHARE project and the goal of this training workshop. She also heightened the importance of quality data and using data the health managers can take the evidence informed decision.  The Objectives of the workshop presented by Dr. Adana Khan, Assistant Chef MIS, DGHS. After that Dr. Rawshan Anwar , Director, Health , delivered his valuable speech. In his speech he focused on the Importance of MIS and data and Information and opening the workshop.

After the introductory session, scheduled sessions were conducted by respective facilitators as follow:

In the session of Introduction to Health System & MIS,  Dr. Jannatul Ferdous presented the basic concept of health system and MIS. Md. Zobayer Hossain, Assistant Chief, Khulna Divisional Office presented the overview of HMIS  system used in MIS, DGHS. Md. Masud Parvez, Analyst Programmer, icddrb and Mohammad Saiful Islam, Senior Programmer, icddr,b showed data collection forms – Aggregated. After that Mrs. Tasmia, Monitoring and Evaluation Officer, COIA+, icddr,b and Md. Waliul Hasan presented individual  tracking system  focusing on some important data collection forms and errors in data and finally Dr. Jannatul Ferdous presented on the data quality and its impact.

Day 2: November 16, 2016

The 2^nd day of the training session started with a recap session facilitated by Dr. Jannatul Ferdous. After the short recap, scheduled sessions were conducted by respective facilitators as follow:

Mr. Abul Hayat Rony, HMIS consultant presented how to analyze data, presentation through dashboards/ demonstration on dashboard (graph, line pivot, GIS) . Mrs. Tasmia and Mr. Hasan presented individual tracking and monitoring.

Group work – Group was formulated according to role such as UH&FPO, statistician, IT focal person, Senior Staff Nurse. Each group had five case studies (Child, maternal, death, reporting, logistics for every sub-district).  For each group, one facilitator was assigned to help them.

Day 3: November 17, 2016

After the short recap, scheduled sessions were conducted by respective facilitators as follow:

Mr. Masud Parvez and Mr Saiful Islam presented newly created Health Bulletin which will come automatically from different data source. They also presented the DGHS Public Dashboards and template for monthly meeting/dashboards for monthly meeting. After that in spot problem solving session lots of issues was solve instantly like the user login problem, some dashboard issues. Some problems like internet and hardware issues was addressed by MIS, DGHS and they promise to solve as early as possible.

1. Pre- and Post-test assessment:

Pre and post test was conducted to see the change in attainment of knowledge in participants. Total score was 29 and duration was 20 minutes.

1. Course evaluation:

At the end of the course, an evaluation was conducted to perceive opinion of participants. Few comments from the participants are as follows:

1. This three days session was good and would be very helpful
2. This type of training was required earlier specially for UH&FPO who didn’t get this DHIS2 training earlier so effectively.
3. This training will help to use the DHIS2 and use of data for analysis and decision making
4. All resource person were very efficient and talented
5. Observations/recommendations:

1. Most of the statistician know about the basic use of DHIS2 but from this training they come learn how to analyze data with the help of their respective health managers
2. Though UH&FPO was very much new to this system, after this training they present their own created dashboard in DHIS2
3. Lots of field end-user issues had been solved instantly during this training especially on individual tracking.
4. Refresher training should be conduct after 6 month
5. Issue Ticket System for solving the field problems and issue or create a email group for that.
6. Statistician will create at least 10 tab and present in the next monthly meeting
7. IT focal person and statistician will help the UH&FPO to use the data properly
8. Internet bandwidth should be increased and non-functioning modem, laptop and Tab issue should be resolved as early as possible

Closing

Dr. Md. Raushan Anwar, Director Health, Khulna Division, Dr. Gopendra Nath Civil Surgeon, Jessore, Dr. Md. Abul Fajal, Deputy Director, Khulna Division was present in the closing ceremony. All the participants were highly impressed with the training. They stated that as health manager, the learning from this training would be extremely beneficial for them in future planning and decision making using this tool. From the representative of IT focal person Dr. Mausumi Paul, UHC Baghear Para, Assistant Surgeon delivered her speech about overall of the training. She said that the training was fruitful and from this hands-on training they learn how to analyze data and use the data for decision. Dr. Gopendra Nath Civil Surgeon, Jessore said that all the participants should keep using this system and the DHIS2 dashboard will be used in next district monthly meeting. Dr. Md. Abul Fajal Deputy Director, Khulna Division emphasized on all the HMIS system of DGHS including the newly created dashboard and health bulletin. Finally, the chair of the workshop, Dr. Md. Raushan Anwar, Director Health, Khulna Division made his concluding remarks of three-day’s workshop. In his concluding remarks, the chairman of the workshop said that the workshop has been very successful and thanked all the organizer and participants of the workshop and announced the closure of the workshop.

Annex-I

List of participants: (Not according to seniority)

Annex-II

1. List of facilitators: (Not according to seniority)