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Experience of integrating DHIS2 with CRVS


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Presentation by Murodillo Latifov (Independent ICT Expert, Tajikistan) at the international conference on innovations in Civil Registration and Vital Statistics (CRVS) systems - Ottawa on 27-28 February 2018. See more at

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Experience of integrating DHIS2 with CRVS

  1. 1. Experience of integrating DHIS2 with CRVS Murodillo Latifov Independent ICT Expert, Tajikistan, PhD
  2. 2. Civil Registry System of Tajikistan CRO system of Tajikistan is marked to be satisfactory in terms of completeness and accuracy of registering civil events CRO has adequate content, capacity and practice, dissemination and use of vital statistics, but automation, integration and use of system is ranked as inadequate Human development sector unit, Central Asia Country Unit Europe and Central Asia Region, Republic of Tajikistan. Improving Statistics for Children’s Births and Deaths. World Bank, 2011:p3
  3. 3. Brief overview of Tajikistan’s electronic CRVS  Started as subcomponent of HMIS (2012)  HMIS implementation was developed using HMN framework (WHO), which has CRVS component on demographics  With many uncertainties  Sustainability; network coverage; end user acceptance; lack of experience in the CRVS field in other contexts  Developed and implemented on installed base (DHIS2)  Based on success of DHIS2 as national HMIS in many countries  Interagency collaboration  Burst of interagency collaboration (MoH, Moj, SSA and others)  Runs as self sustaining CRVS application of Tajikistan (2018)  CRO offices cover routine fees for maintenance and data connectivity
  4. 4. Design, development and implementation process
  5. 5. Facets of Information Infrastructure  Facets of II – an approach to isolate different concerns during design and implementation  Data related  ICT related  Policy related  Capacity related  II as carrier of institutions – bringing together fragmented institutions  II spans across many organizations and standards embedded in II will equally influence member organizations  Introducing institutional change through transparent emulation in software artefacts  Providing end users with the same look and feel, hiding advanced options so as users have the same input and output as before and only gradually shifting to new features of the system  Broader topology of standardization  Generification, localization, contextualization, internationalization, universalization
  6. 6. Standardization process and the meaning of standards to the processes  Standardization as generification  Similarity of processes and habits, need generalization: real life processes, programming (coding) routines  Standardization as localization  Something that is used successfully in other contexts (locations, field, purpose) and could easily be applied as a “well known solution”  Standardization as contextualization  New emerging standard that are made up of institutionalized practices in the given field  Standardization as internationalization  The “global” in globalization is viewed “as simply another adjective to describe cross-border relations between countries.” It describes the growth in international exchange and interdependence  Standardization as universalisation  Process of spreading ideas and experiences to people at all corners of the earth so that aspirations and experiences around the world become harmonized
  7. 7. Centralized CRO Information System Daily VE registration Elec. rep Manual MoJ CRO Headquarters Municipality District Province Daily CRO vital even records Reports Reports National level reports Centralized Data Base SSA MoH MoH MoH MIS
  8. 8. Progress and Output to Date All 68 districts are connected to the central database 340 CRO specialists have been trained for CRO IS use and about half also attended basic computer courses MoJ’s post - qualification institute developed CRO IS curricula and training materials Data security and digital signature was implemented into the CRO IS
  9. 9. Key Recommendations, Focus Areas Strategic level 1. Public good - Currently limited sharing and lack of openness - Will require the change of institutional norms 2. Institutional incentives - Few incentives for citizens, some dis-incentives - Limited interagency information sharing Operational level 3. Holistic approach - Legislation must be changed to support data sharing - Organizational and institutional arrangements supporting data sharing among public sector entities and the private sector - Technology 4. Business relationships - National personal ID 5. Tactics of integration - Grant access to other public and private actors
  10. 10. Thank You!