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CHISU is a flagship data and information system project of the USAID Bureau for Global Health, Office of Health Systems.
CHISU Bulletin - September 2022


In August, we marked the two-year anniversary of CHISU!

We are proud to go beyond technology to promote organizational and process evolution: moving from paper registers to online visualizations for decision making. We impact how work gets done, transforming how clients and institutions engage and interact.

As we gear toward the mid-project mark, results achieved with CHISU support showcase health information systems progress and evolution, with a positive impact on country efforts and responses to global health threats. The program joins the global community to promote universal health coverage and looks forward to collaborating with partners across geographies, sharing digital transformation lessons and helping improve health outcomes for all.

We have expanded the program to cover 10 countries and two regions and are now working across six continents in diverse contexts, from Haiti to Indonesia, Serbia and Madagascar - and are looking forward to engaging with additional countries in the coming year. While each country presents its own unique set of opportunities and challenges, what remains constant is our approach. CHISU works to support HIS evolution according to the priorities set by the host country government and we work in-country to build from existing capacity to strengthen governance, systems and data use. 

In addition to geographic expansion, we are now addressing numerous health areas including HIV, TB, RMNCAH, malaria, COVID-19, and nutrition as well as those like One Health, which extends to other domains, including the environment and animal husbandry. We already have an impressive technical team supporting systems and interoperability, and we are making investments in governance, processes, people, and the entire digital ecosystem that supports a health system.          

With COVID-19 exposing pre-existing vulnerabilities in many health systems and highlighting the value of quality data availability for decision making, it is time digital health becomes an integral part of health priorities and benefits people in a way that is ethical, safe, secure, reliable, equitable and sustainable. 

We hope you enjoy reading highlights from this past quarter and we look forward to sharing results and learnings from our work with you in the future.
In case you missed it 

Challenges and Opportunities with Linking Malaria Data:
Global Perspectives from Ghana and Malawi 

Learn more

Digital Decisions Made for the COVID-19 Response:
Reflections and Lessons

Learn more

Niger authorities celebrate CHISU anniversary in the country
CHISU spent its first year in Niger laying the foundation for improving health data quality and use through the application of the Stages of Continuous Improvement (SOCI) tool, contributing to the development of the next HIS Strategic Plan in the country.

This included a comprehensive ICT infrastructure assessment for two regions and eight central level Ministry of Health directorates, as well as installing and using the World Health Organization's Data Quality Review Tool to establish a routine process for monitoring data quality. CHISU will continue to build on these foundational activities, expanding the number of intervention areas in the country. 
Kouanda Bibata, a community health worker from the Center for Health and Social Promotion in Nariou, a small town in the Sabou Department, and her baby.
Thanks to CHISU, training in Burkina Faso now includes breastfeeding breaks. The initiative allows women to take care of their babies and still fully participate in activities to improve their professional performance and career prospects, promoting gender equality in the country. Learn more
Partners gathered for a high-level workshop on national health emergency priorities in Mali.
Mali just concluded a high-level workshop on national health emergency priorities and other public health events. The workshop was organized  in Bamako by the Ministry of Health and Social Development with technical and financial support from CHISU and the Global Fund, among other partners. The goal was to improve the response to health emergencies in the country and develop a plan to resolve challenges, including COVID-19 prevention and response.

Participants included representatives from the Ministry of Health and Social Development, Ministry of Higher Education and Scientific Research, Ministry of Rural Development, Ministry of Environment, Sanitation and Sustainable Development, and  technical and financial partners: CDC, USAID, CHISU, the Global Fund, AFENET, WHO and UNICEF.

The Minister of Health and Social Development, Mme. Diéminatou Sangaré thanked the participants, government representatives and partners for their support. She highlighted the importance of human resources management, a national equipment maintenance policy, decentralization of reference labs, mobilization of financial resources, and human resources motivation to keep moving this agenda forward.
Stakeholders in Serbia discuss data use and needs in the health system in June 2022. Photo: Aleksandar Jančević.
CHISU has recently facilitated data needs assessment workshops for the implementation of Serbia’s eHealth Strategy 2022-2026, so health information systems can dynamically anticipate demand for medical commodities, minimize stock outs and advance health outcomes. Learn more
SATUSEHAT, a digital health ecosystem that provides data connectivity, analysis, and services to support and integrate various health applications in Indonesia, was recently launched by the Government with CHISU support.
In Indonesia, CHISU is helping the Ministry of Health as it developed and launched a new data exchange platform, SATUSEHAT, a key product of the country’s Digital Health Transformation Strategy.

The program is also supporting key meetings of the Health Information System technical working groups, the implementation of the Fast Healthcare Interoperability Resources (FHIRⓇ) standards that the country has selected, and the establishment of a digital maturity index to support the national effort to assess and measure progress in its digital transformation journey.

Additionally, CHISU will help develop a comprehensive data to action capacity strengthening program at the national and regional levels. This action plan will include a component dedicated to systematizing data quality improvement processes.

The plan will focus on data analytics, improving FHIRⓇ database use, ensuring understanding of key gender considerations, and building foundational elements for the use of artificial intelligence and machine learning in Indonesia.
Haiti's Annual Statistical Report 2021 brings two years of reliable health data to inform decision making.
Several partners joined the launch of Haiti’s Annual Statistical Report 2021. The report, developed with CHISU support, includes two years of reliable health data to inform decision making in the country. It presents gaps and discusses opportunities for program implementation. 
Over 40 participants representing Ministry of Health programs, departments and partners discussed interventions and planning priorities covering all HIS domains in Malawi.
“I wish to thank the USAID funded CHISU program  for providing support for this process to take place,” said Malawi’s Ministry of Health Director for Planning and Policy Development, Kate Langwe, as she opened the country’s SOCI assessment workshop to identify health information system strengths and gaps. 

A comprehensive and decentralized routine health management information system has been implemented countrywide since 2002. The system is being reviewed in preparation for a new HIS Strategic Plan. To inform the process, the Central Monitoring and Evaluation Division and the Digital Health Division decided to undertake the SOCI assessment. Read more
A series of CHISU supported workshops in Ghana reached 251 professionals in 78 districts.
CHISU is supporting Ghana's National Malaria Control Program to improve data quality by strengthening district staff capacity. A series of workshops were held in 78 districts, focusing on data verification and validation skills. A total of 251 people were trained; almost 40% of the participants were women.  
Upcoming events

The World Health Summit is a leading inter-sectoral health conference bringing together experts from around the world to help set the agenda for a healthier future for all. The 2022 edition, jointly organized with WHO, will be held in Berlin from Oct 16-18. Learn more  

Other upcoming events:

The Global Digital Health Forum from Dec 5-7 will be a great opportunity to expand the conversation about harnessing the power of digital health to ensure healthy lives for all people. Learn more 
Recent highlights
  • CHISU attended DEVEX World 2022 with the theme turning ideas into action, including a track on data and digital revolution, which emphasized the importance of digital health, data ownership, data use and information systems governance to  reimagine development. 
  • During the DHIS2 Annual Conference, Roody Thermidor, Deputy Director of the Studies and Planning Unit of Haiti's Ministry of Health, shared insights on how the country is using DHIS2 to track tuberculosis cases. CHISU is proud to be working with the Ministry of Health in this effort.
Learn more about the CHISU program.

Consultant, Supply Chain (St Vincent & Grenadines)
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Consultant, Supply Chain (Dominica)
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Consultant, HIS (Antigua & Barbuda, Dominica & St Lucia)
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JSI leads CHISU with RTI International, Vital Strategies, Macro-Eyes, Jembi Health Systems, and the Global Evaluation and Monitoring Network for Health (GEMNet-Health).
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