Posted Wed Jul 11, 2018 by Richard Stanley
The latest roadmap for iHRIS is here: https://trello.com/b/PnyMpHsl/ihris-roadmap
The developer community is asking for any and all feedback on features that you want to see in iHRIS Manage, Train, and Qualify.
Please reply in the Google Group! https://groups.google.com/forum/#!forum/ihris
Posted Tue Jul 10, 2018 by Richard Stanley
Posted Mon Dec 12, 2016 by John Liebhardt
We are happy to announce the iHRIS Foundation, a new structure to manage the continuing growth of iHRIS while ensuring that community needs are met.
iHRIS has grown since its launch by IntraHealth International in 2006. iHRIS is presently installed in 24 countries with a handful of projects moving through the planning stages. Today, the iHRIS Community currently has nearly 300 active members on its Google Group and Slack Channels.
Implementing software like iHRIS is not just a matter of finding server space and a few terminals. Because iHRIS handles health workforce information, diverse groups of stakeholders from various ministries and organizations must form consensus on a variety of issues. Local iHRIS developers and implementers help these stakeholders work through these issues, and look toward the greater community for problem solving and support.
As iHRIS software grows, governments and organizations depend on it. The iHRIS Foundation will help the community build upon the success of iHRIS and set goals and objectives for the future.
The iHRIS Foundation will create the iHRIS Foundation Secretariat to help set those goals. The Secretariat will begin work creating its organizational structure, answering questions like:
IntraHealth International is looking for individuals and organizations with technical, community, industry and legal expertise to join the iHRIS Foundation Secretariat to move the iHRIS Community to the future.
For more information on the iHRIS Foundation Secretariat, please see this page: https://www.ihris.org/ihris-foundation-secretariat/
For more information on the iHRIS Foundation, please see this page: https://www.ihris.org/ihris-foundation/
You can also email: ihris-secretariat [at] ihrisfoundation.org
Photo by Trevor Snapp, for IntraHealth International
Posted Thu Dec 01, 2016 by John Liebhardt
West Africa’s Ebola outbreak reminds us that frontline health workers are a vital component of every health system, and structures must be put in place to continuously support them and their important work. The outbreak highlighted a critical need to establish a more robust communications and data collection system between health workers and their supervisors as they address priority health needs. Equipping health workers with the right kind of information about the diagnosis, treatment, and prevention of disease will enable them to support their communities to fight back against endemic and epidemic diseases. Information is power, and finding the fastest and most efficient ways to disseminate this information is key.
mHero is one way to harness the well-known power of mobile technology to reach frontline health workers. mHero is a communications platform that allows a ministry of health and others in healthcare to send information, questions, surveys, and training materials to frontline healthcare workers via their mobile phones, using currently available systems. It has been implemented up in Liberia and is being installed in Sierra Leone, Guinea, and Mali.
IntraHealth International, with the support of the West African Health Organization, is announcing a new, free online course to inform health leaders, their staff, and others about mHero. The course, which will run April 4 – 29, 2016, will allow participants to engage through self-paced activities as well as join live session “office hours” with mHero experts for the first three weeks. The fourth week will feature a virtual workshop over the week where students will use all the components to develop, deploy, and use data in a use case. It is estimated up to two hours each week will be required for the course.
Target participants for the course include Ministries of Health and other governmental stakeholders, implementing partners, faith-based organizations and donors. The course will offer three tracks to be tailored to stakeholders (decision makers), system administrators (developers and ICT support staff) and mHero users (mHero team members involved in the day-to-day of mHero implementation).
The course objectives are:
Materials Needed for the Course
The free course will be offered in April over four consecutive weeks. Each week participants will have access to reading materials, presentations, videos, discussion forums and quizzes to further their learning and engagement in mHero. The course will give participants opportunities to engage with mHero users and experts through live “office hours” that will occur one hour each week. These sessions will provide a platform to ask questions and get answers about mHero programmatic implementation as well as technical components of the platform. Participants successfully completing all exercises, quizzes, and a final exam will receive a Certificate of Accomplishment in mHero Technology.
After April’s sessions virtual course, all of the material will be adapted for future participants for self-paced learning for the remainder of the project, until June 6. The continuing online course will feature discussion forums and chat so the larger mHero community can support those new to the system.
To sign up for the course, contact firstname.lastname@example.org providing your name, email address, location and job title. Please also indicate which track you’d like to join:
Posted Mon Jul 25, 2016 by John Liebhardt
By Amanda Puckett BenDor
IntraHealth International and UNICEF launched the mHero platform in late 2014 in the midst of the Ebola outbreak in West Africa. Originally designed to help Ministries of Health connect with frontline health workers via SMS messages to collect and share information helpful for a rapid response to Ebola, mHero is now a tool embraced by Ministries of Health to support two-way communication for a wide-range of health services.
mHero is different than may other mHealth applications–it is not an application designed to address a single programmatic purpose. Rather, mHero provides infrastructure which is adaptable to a Ministry’s needs and which leverages information the Ministry is already managing on health workers. Deploying mHero is not about deploying a software technology, it is about people and processes–the organizational development needed to govern and manage such a powerful tool.
mHero is not a wholly new technology. Rather it is a system that embraces various open source health information systems such as iHRIS–IntraHealth’s human resources information system–and RapidPro–UNICEF’s two-way interactive messaging system–and DHIS2 to facilitate communication to health workers. Behind those communications, mHero’s technology allows system integration and information sharing leveraging components of OpenHIE, a set of technologies that allows data systems to speak to each other using open international standards for data exchange.
From its inception, the organizations supporting mHero have aligned the development and deployment alongside each of the nine Principles for Digital Development, a living set of guidelines intended to help development practitioners integrate established best practices into digital health programs. Here are the nine ways that illustrate how mHero was created and continues to evolve to ensure that digital development is done right.
Design with the User
With support from UNICEF and USAID, mHero’s small-scale pilot project took place in Liberia in November 2014, but before a single SMS message was sent, IntraHealth and UNICEF worked closely with Ministry of Health (MOH) officials to ensure every aspect of the system was designed to meet their needs. This included using the technologies the Ministry was already implementing (iHRIS, DHIS 2, and RapidPro) and creating a series of questions developed into SMS texts that sought information the MOH identified as a priority early in the response. Today, mHero is used in a variety of ways (such as the MOH’s mental health unit using mHero to speak directly with clinicians treating depression), and IntraHealth continues to collaborate with the Ministry of Health to adapt, pivot and adjust its implementation to meet the needs of the different users.
Understand the Ecosystem
There are a several ways that IntraHealth ensures that mHero is aligned with like-minded technologists in the health information system (HIS) ecosystem to communicate technology enhancements and build consensus for data exchange standards. Communication is key, especially in a rapidly evolving technology environment, and we are committed to sharing with our global colleagues how they may embrace the mHero platform. For example, a recent call of the OpenHIE Architecture Group highlighted how mHero could carry out the Mobile Alert Communication Management (mACM) standard: communication for crisis response and providing care reminders for patients with cell phones. These types of discussions–virtual or in person–are important to understanding the needs that mHero can meet in the HIS ecosystem.
By adopting the OpenHIE architecture we allow for the various components of mHero to be swapped out. If the MOH does not use iHRIS to manage their health workforce, they can simply adopt the data exchange standards in the mHero Workflow and enjoy the benefits. Currently, connections with communications platforms such as CommCare and ODKCollect are in the work which gives a Ministry the choice to use the tools they are comfortable as part of their mHero implementations.
Understanding the ecosystem requires appropriate avenues for sharing and engaging with stakeholders. We use many of these communication tools including Google Groups, GitHub, Wikis, Skype channels, Slack and participate in Hackathons.
Design for Scale
Interoperability–the ability of programs to communicate, exchange data and use that data with one another–is the backbone of mHero. This approach ensures that no matter which health worker information system or SMS tool is used in a country, as long as it meets the technology standards, the interoperability layer of OpenHIE can be harnessed to link these components together to instantiate mHero. This systemic approach does not limit a MOH to use any one health information or communication system such as iHRIS or RapidPro; rather mHero provides a roadmap for the MOH to bring these things together.
At the heart of mHero is an Interlinked Health Worker Registry, which brings together facility data and health worker data from all the various sources within in a country–from the MOH itself, from the professional councils, from a Master Facility List. As mHero leverages these existing national scale data systems, mHero lets the MOH connect with the entire health workforce.
Build for Sustainability
IntraHealth’s support for mHero during the Liberia pilot moved at the pace of the MOH. We committed to ensure that the MOH owned the system, determined the direction mHero would grow, and guided its use. Rather than establishing mHero as an IntraHealth project, we built the capacity of the MOH staff to own the entire process. This included providing tools such as templates for standard operating procedures and use case prioritization processes. But ultimately it has been the MOH to utilize these resources and iterate them based on their needs. This has been a success as the MOH has adapted mHero including it recently in the Liberia ICT Strategy and Plan. Building capacity for ownership has been a recipe for success that is being replicated in other mHero implementation countries.
Be Data Driven
mHero is about the communication between MOH and health workers, and that data collected from those communications is the crux of what makes mHero a useful tool. Through mHero implementation, IntraHealth assists the MOH to determine what data they need so that SMS seek to address those needs. This data may be a one-time survey or a routine data collection; it can target a small cohort of health workers or all health workers in a cadre. A key part of this process is for the MOH determine the best way to use that data to respond to health workers’ needs. Building a culture of data demand and use is an ongoing and integral part of the mHero platform.
Use Open Data, Open Source, Open Innovation
As mentioned earlier, mHero embraces open innovation–sharing ideas, resources and knowledge with HIS experts. Open source programs are those whose source code is made available for use or modification as users or other developers see fit. This type of software is usually developed as a public collaboration and made freely available. Open source is a requirement for the technologies operating through mHero. Systems like iHRIS ensure that MOH will avoid software and licensure fees. Our work ensures that we continuously engage with the HIS ecosystem such as OpenHIE to ensure that standards are understood and used through mHero. For example, a new standard mACM and a reference implementation of the standard emNUTT, was unveiled and tested to expand mHero’s reach to a variety of target lists including health providers, patients and health facilities by connecting with Facility Registries, Client Registries and Health Worker Registries.
Reuse and Improve
On the backend, mHero’s modular approach–integrating different systems, linking them with DHIS 2 and other HIS–allows for flexibility that is essential for the future of useful information systems. Sharing specific workflows and country implementation tools allows for users on the front end–those MOH stakeholders involved in the day-to-day running of mHero–to save time and focus on information needs from health workers. This also promotes shared learning experiences and lessons learned of implementation practices from country to country.
Address Privacy and Security
mHero’s data exchange ensures that privacy and security of health worker and MOH data is addressed. Leveraging the OpenHIE’s architectural model of an interoperability layer (in this case the OpenHIM), a component which adds a security later providing access control, and audit log as well as a data router and transformer to ensure systems communicate effectively. In building capacity at MOH to use mHero, we include this important discussion of privacy and security to help stakeholders understand not just that data is secure but how the system works to ensure data privacy and security is addressed.
mHero embraces the spirit of stakeholder collaboration, including national governments, experts in the ICT4D community and donors to plan how best to foster robust communications with health workers. The partnership for mHero extends far and wide to facilitate a meaningful conversation and collaboration to ensure successful operationalization and implementation in country, and continuously adapt the technology behind the platform to meet technology standards and changes. To ensure dissemination, the mHero website shares a plethora of information about mHero including a robust toolkit for implementers.
mHero does not just embrace the 9 Principles for Digital Development–it only works because every day it adheres to these principles. Implementation of mHero has the potential to impact health systems improvement and save lives.
Want to find out more? Join us on Slack.
Cover photo by Ozzy Delaney.
Posted Thu Feb 18, 2016 by John Liebhardt
The Global iHRIS Community will begin using the cloud-based collaboration tool Slack to augment its community communications. You can access Slack on your phone, from a web-browser as well as directly on your computer.
The Global iHRIS Google Group will remain the principal communication tool allowing community members to share news, pose questions and receive feedback.
“Sometimes email is too cumbersome when there needs to be a lot of back and forth discussion so Slack makes this easier, said Luke Duncan, an IntraHealth International Senior Systems Developer and member of the iHRIS Community. “Slack is nice because it keeps a history for others to benefit from.”
Duncan feels Slack could be utilized for implementation (or installation) assistance that often can’t be answered through a single email. This also includes development discussions about new iHRIS features.
To receive an invitation to the iHRIS Slack Community, please follow this link. You will be asked to enter your email and then receive an invitation to join the iHRIS Slack Community.
iHRIS Slack will use channels dedicated to discussions on specific topics. Presently, this list includes the following channels:
#general – this is your starting place where you can ask general questions about iHRIS
#dev – this is for people interested asking questions about iHRIS and related software development
#mhero – for discussion about linking iHRIS in to the mHero communication platform
#francais – si vous pouvez lire ceci, vous savez ce qu’il est pour
#commits – this tracks all committed changes to iHRIS and related software. this gives you a sense of what our team is working on
Countries with iHRIS or iHRIS-product installations (like mHero) will also have their own dedicated channels, such as #DRC, #dominicanrepublic and #kenya.
iHRIS Community managers also point out that compared to email groups, Slack is feature rich. Slack allows users to search all content, including files, conversations and other users. Users can upload files like spreadsheets, images, PDFs and Word processing documents, into Slack conversations. Users can also share files directly with other users. Slack also allows users to send direct messages to others.
Photo, Auklet flock, Shumagins 1986, by.
Posted Wed Dec 02, 2015 by John Liebhardt
Four new countries have recently adopted iHRIS and four more are in the planning stage to use the open-source health information system.
Presently, 23 countries utilize iHRIS to track and manage more than one million health workers. That is up from 18 countries in 2013.
The countries entering the planning stages to adopt iHRIS include:
The possibility that 27 countries could utilize iHRIS illustrates the continued interest in the open-source solution for tracking and managing health care workers. Its growth underscores the fact that the iHRIS Community remains healthy and engaged.
At the same time, the global iHRIS Community is undergoing fundamental changes.
IntraHealth International continues to support the iHRIS Suite, and the US-based organization wants to broaden the community structure so all stakeholders have a greater say in iHRIS’s future direction. IntraHealth is currently working on ways to better engage stakeholders of all levels so everyone has a voice.
We will need everyone’s help to redefine the iHRIS community goals. More coming soon.
Posted Tue Aug 25, 2015 by Joel Ramkhelawan
IntraHealth International announces a major release of the iHRIS health workforce information software. Version 4.2 introduces changes to the core software that improve data presentation and usability.
iHRIS (pronounced “iris”) is a suite of free open source software specifically designed to supply low-resource countries with information to track, manage, deploy, and budget for their health workers. The iHRIS software has had 12 minor releases since version 4.1 was released in April 2012.
iHRIS helps capture data on health worker numbers, skills, qualifications, training, employment history, location, and more. With this information, health workforce managers and other decision-makers can address health workforce shortages and solve other challenges.
Over twenty countries around the world are using iHRIS to manage almost one million health worker records. These countries saved over $226 million in licensing fees alone, compared with similar proprietary systems.
IntraHealth International’s USAID-funded global project, CapacityPlus, supports the core development of iHRIS while several other IntraHealth projects customize the software for specific country needs.
New functionality in iHRIS Version 4.2 now makes it easier to present and analyze health workforce data for decision- and policy-making.
iHRIS can produce a variety of standard or customized reports for analysis by decision-makers to answer a wide variety of policy and management questions. A new dashboard feature allows iHRIS administrators to easily merge, compare, and contrast several reports. Decision-makers then have an overall birds-eye view of the health workforce for more insightful analysis, and for monitoring or identifying health workforce issues.
With new GIS reporting capabilities, users can now easily map geographic data associated with a country’s regions or districts, as well as facilities and training institutions. For example, a decision-maker can quickly see how many and what type of health workers are posted in a particular area or health center or how many health workers are undergoing specialized training in a certain district.
By adopting and adhering to new international data standards and terminology, iHRIS 4.2 better interoperates (or shares health workforce data) with other health information systems. Improved interoperability enables iHRIS health workforce data to be integrated with clinical service data, for instance, and decision-makers to compare health worker numbers and productivity with service delivery needs. As computer systems and languages evolve fast, using standards can also reduce long-term software development and maintenance costs.
The new version also mapped iHRIS data fields to match the WHO’s new Minimum Data Set for Health Worker Registries, which specifies crucial data needed for national health workforce planning and monitoring and for cross-country comparison of health workforce supply and demand.
Posted Fri Sep 12, 2014 by Joel Ramkhelawan
iHRIS and human resource for health information systems(HRIS) like it play a critical role in managing health workforce data. However, curating and maintaining data for the sake of it is not the goal. Using data to inform decisions is one of the primary objectives of the system. The USAID led CapacityPlus project led by IntraHealth recently published a technical brief on the subject and the iHRIS Community believes it is worth sharing.
A strong and well-distributed health workforce is essential for achieving national and global health goals. Effective policies to address workforce challenges, such as retention, should be informed by relevant data; however, the availability of evidence does not guarantee that it will be used for decision-making. A new CapacityPlus technical brief shows national stakeholders how to transform evidence into policy decisions and subsequent action.
In Using Evidence for Human Resources for Health Decision-Making: An Example from Uganda on Health Workforce Recruitment and Retention, authors Rachel Deussom and Wanda Jaskiewicz of IntraHealth International explain how countries can build interest, momentum, and political will to make policy decisions for retention strategies to strengthen the health workforce. Based on a literature review and the authors’ experience in Uganda, they describe six recommendations to help stakeholders turn evidence into effective policy decisions and subsequent action:
Using an example from Uganda, the authors illustrate how the development and sharing of evidence can support decision-making for change in health workforce recruitment and retention policies.
Posted Wed Sep 10, 2014 by Joel Ramkhelawan
IntraHealth International and UNICEF are joining forces to help Liberia’s Ministry of Health and Social Welfare communicate with health workers in real time as the country fights to contain the Ebola outbreak. We are combining two existing technologies—IntraHealth’s iHRIS software and UNICEF’s UNICEF’s mobile phone SMS platform—into a powerful communication tool called mHero (Mobile Health Worker Ebola Response and Outreach).
mHero will allow the ministry to instantly send critical information to health workers’ mobile phones during the outbreak and in the future. The tool allows for:
Since March, the Ebola virus has infected more than 3,600 people and killed over 1,800 in West Africa, including more than 120 health workers. This outbreak is the largest ever recorded. The World Health Organization predicts more than 20,000 cases will emerge before the outbreak is over.
In Liberia, there have been more than 2,000 suspected cases, and 78 health workers have died.
Health workers on the front lines are struggling with a lack of supplies and training, in addition to fear and stress. Some nurses in Liberia are on strike demanding personal protective equipment and higher salaries due to the risk.
Getting information quickly into the hands of the health workers who must diagnose and treat clients who have Ebola-like symptoms can save lives and protect health workers. Regular updates on the latest developments issued directly from the Ministry of Health can also reassure wary health workers who may feel isolated from the coordinated response.
One tool Liberia did not have at the outset of the Ebola crisis was a method for reaching its more than 8,000 public service health workers with late-breaking information. But thanks to the way one if its national health information systems was designed, that’s about to change, and quickly.
In 2013, Liberia’s Ministry of Health and Social Welfare began implementing iHRIS (pronounced “iris”), IntraHealth’s free, open source health workforce information system. iHRIS helps countries track and manage data on their health workers. Nineteen countries are currently using the system.
As of today, the ministry in Liberia has added records for 3,000 health workers to the system, has collected paper records for data entry for an additional 5,000, and is entering records at a rate of 450 per week. Ninety percent of these records include health workers’ mobile phone numbers.
Because iHRIS conforms to the international Care Services Discovery (CSD) and other interoperability standards and is open source, it can quickly be integrated with UNICEF’s SMS platform. During a code-a-thon last week, developers and public health officials from IntraHealth, UNICEF, and ThoughtWorks laid the groundwork for connecting data from iHRIS to UNICEF’s platform to create the mHero application.
mHero is engineered using OpenHIE interoperability technologies. Using open architecture, standards, and approaches means that mHero can access health worker data from any CSD-compliant data source, such as a community health worker registry, and offers a consistent source of health worker information to other mobile platforms that work with OpenHIE.
“I’ve spent a good part of my career advocating for the power of interoperable, open source health information systems,” says Dykki Settle, director of health workforce informatics at IntraHealth. “It’s easy for policymakers to postpone investments in their health sector information systems and focus on more tangible health sector initiatives. The Ebola outbreak is certainly not the type of proving ground I ever wanted for the power of good data and strong information systems, but I am grateful Liberia made the initial investment and hopeful that mHero will not only make it easier for health officials to get the right information to the right people to help control this outbreak, but will also support more resilient health systems once the outbreak is over.”
Liberia’s Ministry of Health and Social Welfare implemented iHRIS with support from the United States Agency for International Development (USAID)-funded Liberia Rebuilding Basic Health Services Project, led by JSI. IntraHealth’s iHRIS software was developed under the Capacity Project and continues to be supported through theCapacityPlus project, which is led by IntraHealth and supported by USAID.
This press release was originally posted at IntraHealth International