Fondation Pierre Fabre

The objective of eIDSR is to provide electronic case-based disease reports to the Ministry of Health

Main beneficiary country:
Liberia

About the sponsor

eHealth Africa

Founded in 2009, eHA’s mission is to build stronger health systems through the design and implementation of data-driven solutions that respond to local needs and provide underserved communities with tools to lead healthier lives. Based in Africa, eHA achieves its mission through establishing new standards in health delivery and emergency response through the integration of information, technology, and operations.

eHA has country offices in Nigeria, Sierra Leone, Liberia, and Germany and works across West Africa and are currently executing projects in many countries in the region, including Chad, Cameroon, DRC, Niger, and others. eHealth Africa has over 700 staff working across these offices and project offices. Leveraging an integrated approach as much as possible, eHA focuses on the following 5 areas:

  • Health Delivery Systems
  • Public Health Emergency Management Systems
  • Disease Surveillance Systems
  • Laboratory & Diagnostic Systems
  • Nutrition & Food Security Systems

Sector: Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Country of origin: Liberia

The organisation has:

18
Full-Time Equivalents
18
Employees
0
Volunteer
2
Service providers

Initiative overview

Healthcare themes targeted

  • Malaria/paludism
  • Infectious diseases
  • Disease Surveillance, health data analysis

Stage of development:

  • Pilot project/testing/trials

Area where initiative is utilised

  • Provincial/regional (in one region of a single country)

Initiative start date

  • 11/12/2017

Initiative end date

  • 03/30/2018

Financing

Financing method

  • Public (grant/subsidies, call for proposals/call for tender, etc.)
  • Government agency (i.e AFD, USAID, etc.)
  • Intergovernmental or international agency

Economic model(s)

  • Donations

About the initiative

During the 2014-2015 Ebola outbreak in Liberia, disease surveillance reports were paper-based. This created three significant problems for the MOH which greatly hindered public health emergency response: Health Facilities were unable to submit reports of potential new cases in real-time. Slow reporting limited the amount of actionable public health data available to the MOH; Without proper data validation, reports were often incomplete and/or inaccurate. This also limited the amount of data on which the MOH could base response decisions; and It was difficult for the MOH to track which health facilities were consistently reporting on new cases at all. The MOH lacked the ability to easily analyze which health facilities were reporting, and identify those requiring follow-ups. eHA’s eIDSR system is designed to ensure that new case reports can be submitted in near-real time, that data is complete and accurate, and that all health facilities are effectively reporting. With this system, the MOH will receive rapid and accurate data regarding new potential public health threats.

eIDSR provides Liberia’s Emergency Management system with actionable data on which to mobilize and coordinate emergency response resources by pinpointing potential outbreaks and providing real time case information. Upon notification of a potential outbreak, Liberia’s Emergency Operations Centers (EOCs), based throughout the country, activate. The system also adds value to health facility workers by making it possible to receive feedback regarding sample tests. Based on sample status (positive, negative, or rejected), health workers can then be notified to prepare for additional potential cases. Furthermore, eIDSR creates a demand for data from several additional solutions, some of which are currently under development. These include the Health Facility Registry, which provides the MOH with a single true and accurate source of data for all health facilities throughout the country. The eIDSR system can integrate with data from the master facility list, providing coordinates and contact information for all facilities. In addition, the eIDSR authentication system uses iHRIS, which is the MOH’s health human resources database. eIDSR pulls health worker information for identifying the facility they are based at, and for checking reporting authorisation based on contact info (SIM/phone-related data). This enables health facility workers enabling them to send case reports via SMS which will sync directly with DHIS2.

The objective of eIDSR is to provide electronic case-based disease reports to District Surveillance Officers (DSOs) and the central Ministry of Health (MOH) for the purpose of delivering complete data in near-real time regarding potential outbreaks. The eIDSR initiative enables health facility workers to report suspected cases of infectious diseases in near-real time using mobile phone technology. Upon examination of the patient, the health facility worker submits an SMS report to a short code, and the report syncs via RapidPro to DHIS2. The local DSO is also notified to conduct a follow-up case investigation, and enter updated case data into an Offline Tracker application. The DSO’s report is likewise synced to DHIS2. The system also includes a Lab Feedback function, which enables laboratory officers to update case reports using the Offline Tracker based on sample testing results. The system then sends a feedback message to the health facility worker, to provide updates on the status and results of sample tests. Finally, the system includes a weekly reporting feature, which prompts health facility workers to report prior to a regular weekly deadline to confirm the number of cases received over the course of the week. This feature allows the DSOs and the central MOH to monitor usage of the system, and to identify opportunities for follow-up mentoring and supervision. Currently, eHA, the MOH, and other partners have piloted this eIDSR system in 78 health facilities in two counties (Margibi and Grand Cape Mount). The Ministry plans to launch phase two in early 2018, in which the system will be scaled to an additional four counties. The ultimate goal is for eIDSR to scale nationwide in the coming year, providing all public and private health facilities with the means to instantaneously report potential disease outbreaks for rapid investigation and response.

Fields of application:

Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data - Rapid outbreak response

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)
  • Entire population

Initiative objectives

  • Improved disease surveillance and outbreak response

Key figures

4614000 Number of beneficiaries since launch

170 Number of users per Day

Materials used

  • Cellular (mobile) phone
  • Smartphone
  • Computer

Technologies used

  • Mobile telecommunications (without data connection)
  • Internet
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use

Yes

Open Source

Yes

Open Data

No

Independent evaluation

No

Partners

Centers for Disease Control and Prevention

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

IntraHealth

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

USAID

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

World Health Organization

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Partners

Collaborators

startupBrics