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DHIS2 for Climate & Health

Strengthen national health systems with innovative tools for climate and environmental data integration and predictive modeling, enabling data-driven decisions to address a wide range of climate-sensitive health risks and impacts

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    Strengthening climate-resilient health systems

    The potential effects of climate change and related ecosystem disruptions are dramatic and wide-ranging, touching every part of life on our planet, including human health. In many health programs – such as infectious disease surveillance, maternal and child health, and nutrition and food security – health outcomes can be directly and indirectly impacted by environmental factors, including local climate variation and extreme weather events like floods and heat waves that are linked to global climate change. Urgent action is needed to protect at-risk communities and prevent negative health effects, particularly among populations most vulnerable to the impacts of climate change and variation on population health. Planning and prioritizing that action requires accurate and actionable data on the specific correlations between climate and environmental factors and health outcomes.

    To help strengthen climate resilience, DHIS2 for Climate & Health leverages the widespread adoption of DHIS2 as a Health Management Information System – currently used by 75+ low- and middle-income countries at national scale – and enhances them through the integration of climate, weather, environmental, and earth observation data; the development of flexible and user friendly predictive modeling tools; and the design of climate services and dynamic dashboards to support effective and timely analysis and decision making in response to climate-sensitive health risks.

    Since early 2024, 10 countries have partnered with local groups in the HISP network on co-designing and implementing DHIS2 Climate & Health interventions and innovations, helping inform our global work on this initiative and laying the groundwork to bring these tools to routine operational use. In recognition of its potential to support climate-resilient health systems at national scale, DHIS2 has been officially designated a Global Good for Climate and Health.

    On this page, you can learn about the innovative DHIS2 tools that support the effective use of climate and health data, explore a selection of programmatic climate-health use cases, read updates and lessons learned from the ongoing action research being conducted by the HISP network, and find resources to help get started with DHIS2 for climate and health. If you would like support with a national or regional climate and health project, contact us at: climate@dhis2.org

    Support for a range of climate & health use cases

    Countries can support a wide variety of climate and health use cases depending on local priorities, health risks, and data availability. Below are some examples of how countries and health stakeholders can potentially leverage DHIS2 to strengthen climate resilience.

    The use cases below are exploratory, and this list is not exhaustive. We encourage countries and other stakeholders to contact us for help implementing DHIS2 in these areas, or to explore how DHIS2 can support additional climate-health use cases not listed here.

    Climate-sensitive infectious diseases

    • Build on existing disease surveillance systems by integrating climate and weather data to improve early warning and response for climate-sensitive infectious diseases (vector, water, and food borne), such as malaria, dengue, diarrhea, cholera, and zika.
    • Map disease risk and suitability using data on relevant climactic conditions and historical epidemiological data, and set thresholds to facilitate risk categorization and follow-up.
    • Develop predictive models and generate forecasts based on relationships between environmental factors and the corresponding likelihood of disease outbreaks in specific geographies, including the spread of diseases to new areas.
    • Plan interventions and resource allocation around established seasonal patterns, forecasts, stratification methodologies, and early warning projections.
    • Respond to localized early warnings with targeted interventions to maximize effectiveness and reduce cost.
    • Generate evidence to show the impact of climate change on disease burden, which can be used for national strategic policy and climate change adaptation plans.

    Extreme weather events:

    • Incorporate early warnings for extreme weather events, such as heat waves and floods into routine and emergency health systems based on DHIS2.
    • Support planning, preparedness and response to reduce health impacts related to extreme weather events.
    • Help plan mitigation actions and targeted outreach by leveraging data vulnerable populations.
    • Minimize routine service disruption during extreme weather events by providing oversight over which facilities and populations are effected and supporting redistribution of health commodities and personnel.

    Air quality, heat & health

    • Assess impacts of air quality on health through integration of air quality data into DHIS2 and analysis with historical data on morbidity and mortality for respiratory diseases.
    • Analyze effects of heat on vulnerable populations such as pregnant women, children, or workers in exposed sectors by combining weather data, socioeconomic information, and routine health data from programs such as maternal and child health.
    • Monitor and respond to mitigate impacts using forecasts and dynamic models to plan targeted interventions.
    • Inform national policy and strategies by generating evidence on the linkages between air pollution, other environmental factors, and health impacts.

    Nutrition & food security

    • Build on existing nutrition and agriculture systems to support early warning and response to weather events such as droughts and storms, changing climate patterns, and seasonal variation that affect crop production and prevalence of malnutrition.
    • Improve nutrition programs by helping identify climate risks and plan mitigation actions, outreach activities, and resource prioritization.
    • Support food security and agriculture production programs with better weather and seasonal forecast data to help authorities plan large-scale interventions where they are most urgently needed and share information with local farmers.
    Lead farmers monitor crop development at a plantation in rural Malawi.

    Climate data product warehouse

    • Consolidate, harmonize & serve locally curated climate products from national meteorological agencies by leveraging DHIS2 as a national climate data product warehouse
    • Share climate services and products across sectors by providing access to key stakeholders in health, agriculture, environment, and more.

    Innovative DHIS2 tools to support climate data integration & predictive modeling

    Explore the new DHIS2 tools designed to support Climate & Health systems:

    DHIS2 Climate App

    The DHIS2 Climate app allows you to import daily and monthly temperature, precipitation and humidity data – as well as a variety of climate, elevation, and other environmental data sets – into DHIS2 data elements and aggregates them to DHIS2 organisation units. The app uses several data sources, including ERA5-Land, which is considered the most accurate and complete climate dataset available with worldwide coverage.

    Learn more

    DHIS2 Modeling App (Experimental)

    The DHIS2 Modeling app provides seamless integration with the Chap Modeling Platform, offering a user-friendly interface within DHIS2 for selecting data – drawing on DHIS2 health data and data from the Climate app – to train predictive models, evaluate model accuracy, and generate and visualize predictions.

    This experimental app is currently undergoing testing and iterative development.

    Learn more

    Chap Modeling Platform (Experimental)

    The Chap Modeling Platform is an open-source software platform for climate-sensitive disease forecasting that allows you to develop, access, import, train, tune, run, assess, and share predictive models leveraging the power of machine learning/AI with DHIS2 data.

    Chap is currently undergoing iterative development based on real-world testing with our LMIC partners.

    Learn more

    Build on existing DHIS2 systems to strengthen climate resilience

    Using DHIS2 for Climate & Health allows you to leverage existing locally owned health information systems, incorporating the climate data and predictive modeling features described above into a robust and sustainable platform that is already supported by local infrastructure and capacity, making it easier to operationalize climate and health approaches.

    Here are some of the common uses of DHIS2 in the health sector that can serve as the basis for climate-informed health interventions.

    Health Management Information System (HMIS)

    National-scale HMIS based on DHIS2 are used in 75+ countries to collect and analyze routine monthly reporting data on health outcomes and service delivery, supporting monitoring, budgeting, and intervention planning across health programs, all the way down to the facility level.

    Learn more

    Disease surveillance, early warning & response

    Many countries use DHIS2 as a platform for Integrated Disease Surveillance and Response (IDSR) and Event-Based Surveillance (EBS), providing granular data and infectious diseases and supporting real-time monitoring during outbreaks and other emergencies.

    Learn more

    Electronic disease registries & case surveillance

    DHIS2 supports collecting and monitoring health data for patients over time. It is used as an electronic registry for health programs such as testing and treatment for both infectious diseases like malaria and non-communicable diseases like hypertension.

    Learn more

    Health logistics & supply chain

    When used to collect facility-level stock reporting data, DHIS2 provides visibility into the availability of essential medicines and helps countries monitor stock levels, triangulate with health data, and more effectively distribute and redistribute stock items.

    Learn more

    Community health systems

    Community health workers act as an extension of the health system to provide critical interventions to the most vulnerable and hardest-to-reach populations. DHIS2 supports collection of community health data and integration with routine health data for comprehensive analysis and planning.

    Learn more

    Countries around the world exploring DHIS2 for Climate & Health

    Several countries around the world have begun to explore the potential of incorporating climate, weather, and environmental data into DHIS2 systems. Explore the map below to see recent pilots and ongoing projects.

    Country stories and project updates on DHIS2 for Climate & Health

    Read the selection of stories below for examples of countries exploring the use of climate, weather, or environmental data in DHIS2 to improve outcomes in health programs and beyond, how the HISP network is collaborating with local partners to develop and test innovative Climate & Health tools, and other news and updates.

    Browse Climate & Health Updates

    Additional resources

    Explore these resources for more information about Climate & Health and guidance on how to implement and use DHIS2 tools:

    Overview Presentation

    An overview on DHIS2 for Climate & Health from the 2025 DHIS2 Annual Conference.

    Watch on YouTube

    DHIS2 Documentation

    Helpful guides on using the DHIS2 Climate app and implementing specific use cases.

    Read the documentation

    Chap & Modeling Portal

    Read technical guidance on the Chap Modeling Platform and learn about developing and sharing models with DHIS2.

    Explore the portal

    Video Playlist

    Browse a selection of videos and presentations on DHIS2 for Climate & Health.

    Watch on YouTube

    WHO Climate & Health framework

    Fact sheet and additional resources on climate change and health from WHO.

    Read on WHO website

    WMO/WHO ClimaHealth

    Global Knowledge for Climate and Public Health – Informing action to protect populations from the health risks of climate change.

    Learn more

    DHIS2 Climate & Health research and relevant publications

    HISP’s work on DHIS2 for Climate & Health is organized through participatory action research projects, which feature collaborations between HISP UiO, our network of local HISP groups, national Ministries of Health and Meteorological Institutes and other local stakeholders, and an international network of academic institutions, research institutes, and global organizations. These ongoing projects produce research outputs that include the digital tools and shared innovations described on this page, as well as knowledge on how these solutions can be effectively implemented, scaled, and sustained in practice.

    In addition to responding to local needs and knowledge, our work is informed global climate and health research, such as these publications:

    Join our Community of Practice to learn, share, and collaborate

    The DHIS2 Community of Practice (CoP) is an online forum for DHIS2 discussion, support and innovation sharing. Both the use of climate data and predictive modeling in DHIS2 are rapidly developing fields, and the CoP offers a platform for experts from around the world to share innovative approaches, ideas, and needs. You can also use the CoP to ask questions, get support for technical issues, participate in webinars and other informational events, as well as connect with other members of the global DHIS2 implementer community working on climate-related projects.

    Join the discussion in these categories:

    • Climate & Health: For general discussions on using DHIS2 for Climate & Health
    • Chap & Modeling: For technical discussions on predictive modeling and disease forecasting
    • Climate Tools: For technical discussions on local climate data integration

    Working in collaboration with global partners

    The DHIS2 for Climate & Health project is led by the HISP Centre at the University of Oslo (HISP UiO), which develops and maintains the DHIS2 software platform and coordinates the global HISP network. This work began in early 2024 with funding from the Wellcome Trust, and builds on long-term investments into DHIS2 as a platform for health information management from our network of global public health partners.

    HISP UiO collaborates on this work with local and global partners, including national Ministries of Health, Meteorological Institutes, and other local stakeholders; local HISP groups based in-country; subject matter experts from the Global Health Resilience group at the Barcelona Supercomputing Center, the International Research Institute for Climate and Society (IRI) at the Columbia Climate School, and the CICERO Center for International Climate Research.

    HISP UiO is a member of the Alliance for Transformative Action on Climate and Health (ATACH) and engages with the WHO Climate Change and Health Unit and the WHO/WMO Joint Office to ensure that our work is informed by and contributes to the global body of knowledge on climate and health.