PiR2-IT Digital Health Transformation · demo Built-in agents

Pillar 3

Point-of-Care MIS & Routine Health Information Systems

The systems clinicians, community health workers and supply-chain staff use every day.

Our approach

Connecting frontline tools to health system performance. Digital tools must solve real frontline bottlenecks. We support the technical scale-up of point-of-care Electronic Medical Records (such as e-Ubuzima or OpenMRS) and routine health information systems (DHIS2), integrating mHealth for primary health care workers and eLMIS for real-time visibility of vaccine and pharmaceutical supply chains.

Electronic Medical / Health Records (EMR / EHR)

Clinical record systems (e.g. OpenMRS, e-Ubuzima) scaled across service delivery points and feeding a shared longitudinal record; DHIS2 Tracker for programme-level data. Software packages: OpenMRS / Bahmni, OpenELIS, DHIS2 Tracker.

  • Select EMR solutions against national functional and interoperability requirements
  • Pilot in reference facilities with connectivity and power readiness
  • Scale through phased rollout waves with a national support model
  • Integrate EMRs with MPI, laboratory and ePrescription through the HIE
  • Use the shared health record for continuity of care and patient access
  • Deliverable: EMR functional requirements and selection report
  • Deliverable: Pilot evaluation and rollout wave plan
  • Deliverable: Integrations with MPI, laboratory and ePrescription; support model

Digitized Primary Health Care (e-PHC)

Offline-first mobile tools for community health workers and rural facilities, plus regulated telemedicine. Software packages: Community Health Toolkit / DHIS2 Android, Telemedicine platform, Mobile device management.

  • Standardise on one national CHW app instead of parallel donor apps
  • Define offline-first and device-management requirements
  • Link CHW data to the client registry and DHIS2 reporting
  • Set telemedicine regulation, clinical protocols and reimbursement
  • Use decision support and referral tracking across community and facility levels
  • Deliverable: Single national CHW application
  • Deliverable: Device management and offline sync design
  • Deliverable: Telemedicine regulation, protocols and reimbursement rules

Logistics & Supply Chain (eLMIS)

Real-time tracking of medicine and vaccine inventories, from central stores to the last mile, to prevent stock-outs. Software packages: OpenLMIS, GS1 barcode scanning.

  • Deploy an eLMIS (e.g. OpenLMIS) at central and regional warehouses
  • Adopt GS1 barcodes for priority products
  • Extend to facility level with mobile stock reporting
  • Integrate eLMIS with the HMIS and the product registry
  • Use demand forecasting and automated replenishment
  • Deliverable: eLMIS from central store to facility
  • Deliverable: Stock and wastage dashboards
  • Deliverable: Demand forecasting model

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

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