South Africa Projects
National Health Information Repository and Data Warehouse Project (NHIRD) (Ongoing)
The Director-General (DG) of the National Health Department (NDoH) has recognised that despite a variety of sources of information available to managers, data is still not easily accessible, is often not integrated, and as a result is not utilised as frequently and intensively as it should be to inform decision making. The vision is to provide up to date information not only on routine National Indicator/Data Sets (NIDS) data and indicators, but also to provide a unified and integrated repository for data such as the annual HIV and Syphilis survey, Demography and Health Surveys, Child Health and HCT campaigns, aggregated financial data from the BAS and municipal financial systems including District Health Expenditure Review (DHER) Data, Human Resource data from PERSAL and municipal HR systems, and a range of data sets from other government departments (e.g. StatsSA, HSRC, MRC) and national/international development partners. Data is displayed in the form of tables, graphs, and thematic health maps demonstrating to both departmental and outside visitors the current status of the SA population’s health. The NHIRD is thus a “data warehouse” integrating data from the various specialist information systems that exist so as to be able to develop composite indicators (e.g. staffing workloads, HR cost per patient seen, etc) and to compare and understand the status of health services from multiple perspectives.
Support to the HIMME Cluster at the National Department of Health (Ongoing)
Through this project, we provide support to the National Department of Health (NDoH) in improving data quality in the DHIS at the national level and in all 9 provinces. This project involves placing several senior HMIS facilitators at both the National and provincial Departments of Health. Time is also allocated for software development and database management, and numerous “data clean-up” workshops have been convened. Data quality audit tools have been developed, and the Core Standards and Measures database commissioned. This project has run over 2 years and is ongoing.
CDC Contract to Support HIS Development in South Africa (2011-2016)
This project is a 5 year project awarded to HISP-SA (in collaboration with Jembi, Health Partners SA, University of Pretoria, and MSH). The main aim of the project is to provide assistance to the Department of Health for strengthening the national health information system at national, provincial, district, sub-district, facility and community levels. This aim will be achieved by addressing the following objectives: Development and alignment of enabling mechanisms and structures for management of HIS; This objective has 3 sub-objectives, namely: Enterprise Architecture (Not in year 1) Standards for Interoperability (Not in year 1) Governance Structures for data and information management Provisioning of institutional technical assistance and support to the Department of Health through 5 sub-objectives: Technical Assistance Capacity building on all levels Short term training Establish health informatics expertise at provincial levels ensuring sustainability.
National Data Capturers Tender (2009-2014)
The project has been initiated from the office of the President as a job creation and skills development exercise, particularly focussed on Grade 12 school leavers from rural areas. HISP partnered with Health Systems Trust and the University of Pretoria to implement this project. A 21 day training course covering 5 modules (Overview of the health information system, Improving data Quality, and three computer modules namely Computer Literacy, District Health Information Software, and ETR.net) was developed. This project ran over 3 years and a new tender was awarded again for training to commence May 2014.
IACT Project in Eastern Cape Province (Ongoing)
HISP-SA has been specifically contracted to design an easy-to-use ART module for capturing data from the Adult Clinical Record called Debo. The purpose of the module is to capture, process, store, and analyse ART adult patient data records in the Eastern Cape. This software module is based on an ART patient information system originally developed by HISP-Ethiopia, but has been significantly re-engineered. However, the technology platform is still based on free and open source components, being programmed in PHP/Symfony, the web-server Apache, the database MySQL, and the installer Bitrock.
DHER – District Health Expenditure Review (Ongoing)
HISP has been assisting NDoH each year with information and analysis. HISP-SA is designing the DHIS (which is a primary source of data for this review) to become even more functional for the DHER.