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Glossary of digital health and project terms

Glossary of project-cycle, procurement, health systems, DPI, standards, governance, knowledge management and Kenyan digital health terms, in English and French.

Operations & project cycle

ASA — Advisory Services and Analytics: analytical and advisory work that informs policy and operations, without lending.
Aide-Mémoire — Record of a mission's findings and the actions agreed with the client.
BTOR — Back-to-Office Report: internal note after a mission.
CPF — Country Partnership Framework: the multi-year strategy that sets priorities for engagement with a country.
DLI — Disbursement-Linked Indicator: a result whose achievement triggers a disbursement.
DPF — Development Policy Financing: budget support tied to policy and institutional reforms.
ESF — Environmental and Social Framework: policies and standards for managing environmental and social risks of investment projects.
ESCP — Environmental and Social Commitment Plan: the borrower's commitments on environmental and social measures, with timing.
GFF — Global Financing Facility: multi-partner facility co-financing health and nutrition, often alongside IDA.
ICR — Implementation Completion and Results Report: self-evaluation of an operation at closing.
IDA — International Development Association: the part of the World Bank Group that provides grants and concessional credits to the poorest countries.
IPF — Investment Project Financing: financing for specific activities, goods, works and services.
ISR — Implementation Status and Results Report: periodic rating of progress and implementation.
PAD — Project Appraisal Document: the full description of an operation submitted for approval.
PCN — Project Concept Note: the first document framing a proposed operation.
PDO — Project Development Objective: the outcome the operation is accountable for.
PforR — Program-for-Results: financing that disburses against results of a government programme.
PIU / PMU — Project implementation unit / programme management unit: the team that manages day-to-day implementation.
TTL — Task Team Leader: the staff member who leads an operation.

Procurement

PPSD — Project Procurement Strategy for Development: market and risk analysis that sets the procurement approach.
STEP — Systematic Tracking of Exchanges in Procurement: the system used to prepare and track procurement plans and processes.
TCO — Total cost of ownership: acquisition plus operation, maintenance, staff and exit costs over the life of a system.
TOR — Terms of Reference: objectives, scope and deliverables of an assignment.

Health systems

UHC — Universal Health Coverage: everyone receives the health services they need without financial hardship.
CHW / CHP — Community health worker / community health promoter: trained lay worker delivering basic services in the community.
DHIS2 — Open-source platform for routine health data collection, analysis and dashboards.
EMR / EHR — Electronic medical record (one facility) / electronic health record (shared across facilities).
eLMIS — Electronic logistics management information system for medicines and vaccines.
HMIS — Health management information system for routine, mostly aggregate, reporting.
IDSR — Integrated Disease Surveillance and Response.

DPI & architecture

DPI — Digital public infrastructure: shared, interoperable systems such as identity, payments and data exchange, used across sectors.
DPG — Digital public good: open-source software, data or standards meeting recognised openness and do-no-harm criteria.
HIE — Health information exchange: the interoperability layer that routes, secures and audits data exchanges.
MPI / Client registry — Assigns and matches a unique identity for each person across systems.
OpenHIE — Community reference architecture for national health information exchange.
Enterprise architecture (EA) — Blueprint linking capabilities, processes, applications, data and technology, with target and transition states.

Standards

HL7 FHIR — Standard for exchanging health data as resources over web APIs.
ICD-11 — WHO International Classification of Diseases, 11th revision.
LOINC — Code system for laboratory tests and clinical observations.
GS1 — Global standards for identifying and barcoding products, including medicines and vaccines.
IHE profile — Integration profile describing how standards are combined for a use case (e.g. PIXm, PDQm, ATNA, mCSD).

Governance, security & AI

DPIA — Data protection impact assessment before processing personal data.
Data sovereignty — The state's authority over where and how national data is stored, processed and shared.
Human-in-the-loop — A person reviews and decides; the system proposes.
Zero trust — Security model that verifies every user, device and request instead of trusting the network.
Decision gate — Formal checkpoint where a governance body decides go, go with conditions, hold or stop.
RACI — Responsible, Accountable, Consulted, Informed.

Knowledge & records

Version control — Each change creates a new numbered version; earlier versions stay retrievable.
Check-out / check-in — A document is locked while one person edits it and released with a new version.
Metadata — Descriptive fields (type, country, stage, pillar, owner, classification) that make documents findable.
Records retention — Rules for how long each document class is kept and how it is disposed of.
Community of practice — Group of practitioners sharing knowledge on a topic across teams and countries.
After-action review — Short debrief: what was planned, what happened, why, what to change.

Kenya

Digital Health Agency (DHA) — Kenyan agency established by the Digital Health Act 2023 to develop and maintain the comprehensive integrated health information system.
Digital Health Superhighway — Kenya's national digital health platform led by the DHA: client, health worker, facility and community health unit registries and the exchange.
Social Health Authority (SHA) — Kenyan authority under the Social Health Insurance Act 2023 that registers beneficiaries and manages three funds; replaced NHIF.
PHC Fund · SHIF · ECCIF — The three SHA funds: Primary Healthcare Fund, Social Health Insurance Fund, Emergency, Chronic and Critical Illness Fund.
Taifa Care — The Kenyan government's UHC programme delivered through SHA.
Primary care network (PCN) — Network linking community health units with primary health care facilities, established by the Primary Health Care Act 2023.
eCHIS — Kenya's electronic community health information system used by community health workers.
KMHFL — Kenya Master Health Facility List: the national facility registry.
KHIS — Kenya Health Information System, the national routine health reporting system.
IPRS / Maisha Namba — Kenya's population registration system and the national identity ecosystem introduced in 2023, used by the Client Registry.
ODPC — Office of the Data Protection Commissioner, Kenya's data protection regulator under the Data Protection Act 2019.
BREHS (P179698) — World Bank-financed Building Resilient and Responsive Health Systems project in Kenya (approved 2024).

Illustrative countries and data. Independent PiR2-IT tool aligned with the six pillars of health digital transformation used in World Bank Group HNP practice; not an official World Bank Group product.

Digital Health Transformation Navigator — live demo