1. health and fitness

Open Health Information Exchange Partnership (OpenHIE)
Helping countries scale up and advance country ownership
of health information systems
Client: U.S. Centers for Disease Control
and Prevention (CDC)
Location: Cambodia, Mozambique,
Rwanda, Zimbabwe
Cardno’s CDC Public-Private Partnerships in PEPFAR Countries Project (CDC P4)
Cardno operates in coordination with the U.S. Centers for Disease Control and Prevention (CDC) and the
President’s Emergency Plan for AIDS Relief’s (PEPFAR) U.S. Office of Global AIDS Coordinator (OGAC) to serve
as the Global Secretariat. Cardno assists in managing the Health Informatics Public-Private Partnership.
Sector: Health
Background
Start date: March 2010
Increasing use of information and communication technologies (ICT) is providing new possibilities to solve
public health challenges. This is particularly the case in the developing world, where there are few barriers
of legacy systems and obstacles that hinder building relevant, interoperable and effective health information
systems. The use of appropriate eHealth solutions in developing nations has great potential for improving
health outcomes. OGAC, in conjunction with other U.S. Government implementing agencies, launched the
new Health Informatics (HI) Initiative in 2010. The initiative developed into a public-private partnership to
increase the use of ICT in providing new possibilities to solve public health problems in countries targeted by
PEPFAR.
Completion date: September 2015
Office responsible:
Cardno Emerging Markets USA, Ltd.
Key services:
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Funds Management
PPP Management/Governance
Monitoring and Evaluation
Knowledge Management and Strategic
Communications
Contact Cardno:
Phone +1 703 373 7747
[email protected]
www.cardno.com
Project Website:
www.cdcp4.org
Partnership Website:
www.ohie.org
Key partners include Jembi Health Systems, Regenstrief Institute, InSTEDD, University of Oslo, ecGroup and
BAO Systems.
Overview
The objective of OpenHIE is to reinforce country-led processes to build and deploy interoperable and
sustainable health information systems in low-resource settings to improve access to quality health care and
efficiently increase productivity. OpenHIE has been implemented in Cambodia, Mozambique, Rwanda, and
Zimbabwe. The partnership offers vendors and implementers access to the Health Enterprise Architecture
Lab reference node to identify interoperability standards and to test compatibility. OpenHIE advises host
The use of appropriate
eHealth solutions in
developing nations
has great potential
for improving health
outcomes.
Guiding Principles
> A coordinated approach that allows a larger set
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of stakeholders to provide funding and technical
resources with greater efficiency.
Country ownership and capacity development
allow local constituencies to articulate
needs and ensures appropriate support and
partnerships.
A commitment to transparency will facilitate
the use of open architecture, industry-based
standards, and sharing of requirements and
other components.
Strategic reuse of projects and components will
allow for more cost-effective replication and
scale-up.
Research and monitoring and evaluation will
contribute to the body of knowledge that informs
future investments.
and the Site Improvement through Monitoring
Systems (SIMS). DATIM allows for data entry,
analysis, visualization, and export. It provides
graphical Dashboard and reports needed to support
targeted epidemic response and can potentially
integrate MoH and USG Agency M&E systems.
Rwanda Implementation
Cambodia Implementation
The partnership assisted the Government of
Cambodia to achieve its goals under the 2008-2013
National Health Information Systems Strategic
Plan (HISSP) that were closely aligned with
government priorities under the 2008-2015 Health
Strategic Plan. OpenHIE conducted assessments
on work and information flows that informed the
Cambodia Implementation Plan rolled out in late
2012. The findings from these assessments were
validated with Cambodia’s National Center for
HIV/AIDS, Dermatology and STDs staff. OpenHIE
has also developed a prototype of a Continuous
Quality Improvement e-dashboard of HIV treatment
indicators for subsequent implementation.
Mozambique Implementation
Data for Accountability, Transparency,
and Impact (DATIM)
With OpenHIE partner Oslo University, the
partnership has developed, on behalf of PEPFAR,
the Data for Accountability, Transparency and
Impact (DATIM) system to be deployed as the main
corporate PEPFAR information system. DATIM is
the PEPFAR-specific version of DHIS2 and was
launched for the Country Operational Plan (COP)
the following projects to the Ministry of Health: i)
the terms of reference of the national monitoring
and evaluation system called SIS-MA; and ii)
developed a health information system based on
individual patient records.
OpenHIE has helped to roll out the Mozambique
Open Architectures, Standards and Information
Systems group (mOASIS) and has implemented
lessons learned from the Rwanda Health Enterprise
Architecture (RHEA) project. The partnership has
supported the Mozambican Inter-institutional Vital
Statistics Working Group in its networking through
regional meetings with international counterpart
agencies. OpenHIE has supported the delivery of
OpenHIE has provided technical support for the
implementation of the Rwanda Health Enterprise
Architecture (RHEA), which aims to strengthen the
national eHealth strategy and more specifically
support the national maternal health care system.
The Rwanda Health Information Exchange was
piloted by the Ministry of Health and installed in
14 local health centers and one hospital across the
Rwamagana district during the pilot phase. Starting
in 2013, seven health centers in the Rwamagana
District have been connected.
Zimbabwe Implementation
OpenHIE is partnering with the University of
Zimbabwe’s Health Informatics Training and
Research Advancement Center (HITRAC) to
harmonize its national health information system
with the Enterprise Architecture (EA) framework
implemented in Rwanda. By late 2011 OpenHIE
and HITRAC had assisted the Ministry of Health
in defining hardware requirements for human
resource applications. By late 2012 OpenHIE and
HITRAC developed a national eHealth strategy and
a national Human Resource Information Systems
(HRIS) database.
Images:
Front from left to right: Mobile health technology is an effective tool in HIV prevention. Health informatics technology has
helped productivity of health workers
Back from left to right: Health informatics technology has improved patient recognition and treatment of Cambodia’s HIV
positive patients. The Rwanda Health Information Exchange was launched at the Ruhunda Health Centre in the Rwamagana
District in September 2012.
April 2015
country governments to ensure their strategies
are consistently aligned with national health
information system activities to enhance future
bids and implementation of the technology.