Metadata Package Downloads

Vital Events Notification

The Vital Events (VE) Tracker is a tool designed to expand coverage of the reporting of vital events from health facilities such as birth, stillbirths, and death to the national CRVS. The VE tracker program allows triggering of real time notifications directly from the point of care. Notifications alone will not replace the official National CRVS or the legal framework of implementing countries, but it is expected to improve and strengthen the foundation of a reliable demographic statistical repository that provides key denominator data for many health performance indicators in the HMIS such as vaccination coverage.

This package was developed with UNICEF in support of Health Sector Contributions Towards Improving The Civil Registration of Births and Deaths in Low-Income Countries with support from Gavi. Watch our short video overview for more information on this package.

Cause of Death (Mortality) – Legacy

Two standard configuration packages are available for reporting of causes of death using ICD-10-SMoL, one configured as a DHIS2 Tracker program, one as DHIS2 Event program (also known as Tracker without registration). ICD-10-SMoL is described further here.

Rapid Mortality Surveillance

The Rapid Mortality Surveillance (RMS) package uses the DHIS2 event data model (tracker program without registration) to record line-listed fact-of-death reporting from communities and health facilities. Combined with historical data on total deaths (captured in the HMIS, or modeled and imported), the RMS module provides powerful analyses for calculating excess deaths and understanding the true impact of epidemics in near real-time.

This package is aligned to the WHO’s Technical Package for Rapid Mortality Surveillance and Epidemic Response (2020) for assessing the toll of COVID-19 in countries and was developed with support from US CDC.

Expanded Program on Immunization (EPI)

DHIS2 metadata packages for EPI programs were developed to support the WHO Health Facility Analysis Guide for Immunization Programs. Dashboards are designed to support programmatic decision making to increase immunization coverage and programmatic efficiencies. Analyses include immunization coverage maps, dropout rates, health facility stock indicators, wastage rates, and cold chain monitoring.

In addition, an Immunization Analysis DHIS2 web app has been developed to provide enhanced analytical outputs. The app can be downloaded from the DHIS2 App hub. The user manual describes how to install, configure and use the Immunization Analysis app.

Triangulation Dashboard for Immunization Programmes

Triangulation dashboards for immunization programmes synthesize data from across routine immunization, stock, case-based and aggregate surveillance data sources. The dashboard package provides practical examples of visualizations for data triangulation recommended by subject matter experts at CDC, UNICEF and WHO in the Triangulation for improved decision-making in immunization programs guidelines. This dashboard is modeled using standard recommended indicators from the Immunization and Integrated Disease Surveillance packages also available on this page.

Adverse Events Following Immunization (AEFI) Tracker Package

The AEFI tracker package supports the notification, reporting, investigation and analysis of adverse events following immunization. The package includes data collection forms for facility, district and national levels and standard dashboards for analysis. The package can be installed as stand-alone or used alongside the Immunization eRegistry.

Immunization Registry

Using the DHIS2 tracker model, an electronic immunization registry (EIR) was configured to improve completion of national immunization schedules, reduce under-immunized children, and enhance facility-level workflows for individual level tracking of children through immunization schedules. The electronic tracker also enhances the capability for linking individual vaccine records to adverse events investigations.

The Immunization Registry tracker is designed based on the WHO Position Papers-Recommendations for Routine Immunization (2018) in collaboration with the Norwegian Institute of Public Health.

Aggregate HIV package

The HIV dashboard packages include tailored analyses for national, district and facility data users accompanied by the WHO Analysis and Use of Facility Data for HIV Programme Managers. The dashboard enables analysis along the cascade of interventions with benchmarks for reaching the 95-95-95 targets. Routine facility level data forms and data elements are included to facilitate standardization of data collection, including the use of a common logistics data framework for facility-level stock reporting.

This package was developed in collaboration with the WHO Global HIV Programme with support from The Global Fund.

HIV case surveillance package

The HIV Case surveillance package is designed to follow people living with HIV through their treatment. It records the sentinel events outlined in the WHO’s consolidated guidelines on person-centered HIV patient monitoring and case surveillance (2017) and the updated 2020 Consolidated HIV Strategic Information Guidelines: Driving Impact Through Programme Monitoring and Management.

This package includes a Tracker program for recording of individual and longitudinal data on PLHIV, including antiretroviral therapy, viral load testing, and TB preventive therapy; a set of dashboards and indicators for users to monitor the local epidemic based on case surveillance data and programmatic needs; and an aggregate dataset to record the national HIV estimates. The dashboard enables analysis along the cascade of HIV treatment interventions with benchmarks for reaching the 95-95-95 targets.

This package was developed in collaboration with the WHO Global HIV Programme and with support from The Global Fund.

Malaria HMIS

The aggregate malaria module is optimized for routine reporting and analysis within an integrated HMIS. The package contains the following components, which can be implemented according to context and national stratification:

• Burden reduction: core routine reporting, indicators & dashboards optimized for geographies in burden reduction phase
• Elimination settings: core routine reporting, indicators & dashboards optimized for geographies transitioning to elimination
• Dashboards for testing & diagnosis, treatment and intervention coverage indicators
• Malaria data quality dashboard
• Stock reporting: logistics data reporting from service delivery site (e.g. facility) level and integrated analysis with service delivery data
• Cross-border, mobile & migrant populations: optional data elements that can be used to track cross-border malaria and malaria in mobile and migration populations

Malaria Surveillance: Case & Foci Trackers

The Malaria Elimination Case Surveillance & Foci Investigation package supports the Global technical strategy for malaria of transforming surveillance into a core intervention. The malaria surveillance tracker package contains two tracker programs that support critical workflows for improving surveillance activities in elimination-targeted geographies:

• Case notification, investigation & classification
• Foci investigation, classification & response

The package supports countries to implement the recommendations contained in the WHO Malaria Surveillance, Monitoring & evaluation: a reference manual (2018). The design allows for cases to be linked to foci and analyzed on a map; and optimizes decentralized workflows where data collection and reporting may be carried out by numerous actors at health facility, district surveillance officer or national program level. The package was developed with support from the Bill & Melinda Gates Foundation, with technical leadership provided by the WHO Global Malaria Programme and inputs from the Digital Solutions for Malaria Elimination Community of Practice.

Antenatal Care (ANC) Tracker package

A DHIS2 Tracker for Antenatal Care (ANC), or care during pregnancy at primary healthcare level. This DHIS2 Tracker configuration is designed to match as closely as possible to the World Health Organization (WHO) Digital Adaptation Kit (DAK) for Antenatal Care, part of the WHO’s SMART guidelines initiative. The WHO ANC DAK provides a comprehensive list of data elements for various services and stages in a typical ANC program, as well as nine indicators. After installing, implementers should only keep the relevant metadata according to local contexts and national health guidelines. We also recommend users to refer to the DAK documentation and Web Annexes for a broader conceptual understanding of this use case.

An adapted version of this ANC Registry is currently being implemented as a part of a research project in primary health care centers across two districts of Uganda, in collaboration between the Makerere University School of Public Health, HISP Uganda, Norwegian Institute of Public Health, University of Oslo and the University of Bergen. This configuration, derived from the recommended ANC DAK data elements list, was used as a baseline demo configuration of DHIS2 during partner consultations before being contextualized to the Ugandan setting.

The download includes a dashboard presenting the nine core indicators, concept mappings for data elements and Tracked Entity attributes to other coding systems, and program rules for skip logics and data validations, including an example decision support system for hypertension.

TB aggregate package

The aggregate TB package supports routine data collection from health facilities and household prevention activities, and dashboards optimized for monitoring programme performance within an integrated HMIS. The aggregate package was developed with technical leadership from the WHO Global TB Programme with support from The Global Fund. It includes the following components:

• TB notifications and treatment outcomes
• TB logistics data (health facility reporting)
• TB prevention (household contact tracing)
• TB Laboratory

TB – COVID-19 Impact Assessment

In early 2021, a new partnership between the Robert Koch Institute (RKI), the West and Central African network for TB Research (WARN/CARN TB), the Special Programme for Research and Training in Tropical Diseases (TDR) and the Global TB Programme at WHO was established to strengthen the capacity of national TB programmes (NTPs) in West and Central Africa to monitor and mitigate the impact of COVID-19 and future Public Health Emergencies (PHEs) on TB service provision.

As a result, an impact assessment framework has been developed which outlines a common methodology to monitor and evaluate the impact of COVID-19 and future PHE on TB service provision across different epidemiological and process indicators. The framework is designed to strengthen routine TB surveillance by NTPs and to facilitate the identification and implementation of appropriate mitigation strategies to ensure the continued functionality of TB services during periods of significant disruption.

The DHIS2 TB – COVID-19 Impact Assessment package has been designed to identify the core activities undertaken by TB programmes and to conduct a risk assessment with hypotheses about the potential points of disruption due to COVID-19 or other future PHEs and their consequences. For each possible disruption, one or more indicators have been developed to enable the measurement and monitoring of the potential impact of COVID-19.

TB Case Surveillance

The TB case surveillance package is a DHIS2 tracker program configuration that supports individual-level, longitudinal data collection and program indicators.

Anti-Tuberculosis Drug Resistance Survey (TB DRS)

The TB DRS Module in DHIS2 is a data collection tool designed specifically for anti-tuberculosis (TB) drug resistance surveys (DRS), which are discrete studies measuring drug resistance among a selected sample of individuals who are representative of an entire population with TB. Surveys are implemented periodically until capacity for a continuous routine surveillance system is established. The TB DRS module allows countries to fully configure the survey data capture tool, by specifying the study design and the laboratory algorithm used for identification and speciation of TB, and phenotypic and/or genotypic resistance profiling to anti-TB drugs. This module can be implemented in addition to the TB case-based surveillance tracker with guidance provided by the WHO publication on electronic recording and reporting for tuberculosis care and control.

This package was developed in collaboration with the WHO Global TB Programme with support from WHO and The Global Fund.

Vaccine preventable disease (VPD) case surveillance

The vaccine preventable disease (VPD) case surveillance Tracker program supports case-based reporting of nine (9) commonly notifiable diseases, analysis and alerts. Diseases covered include Congenital Rubella Syndrome (CRS), Invasive Bacterial Vaccine Preventable Disease (IBVPD), Measles/Rubella (MR), Meningitis, Neonatal Tetanus, Polio (Acute Flaccid Paralysis), Rotavirus, Rotavirus Impact and Yellow Fever. The program links clinical, laboratory, case investigation and case outcome data to a case, and can facilitate centralized or centralized reporting flows. Dashboards support analysis across diseases. The program is intended for implementation alongside the IDSR package.

This package was developed in collaboration with WHO World Health Emergencies, WHO AFRO, and US CDC with support from Gavi.

Acute Febrile Illness (AFI) Toolkit

The Acute Febrile Illness (AFI) Toolkit enables the electronic capture of individual/case-based surveillance data from the point of care.The predefined dashboards allow the analysis at national and subnational level on the monitoring of AFI suspected and confirmed cases, trends, pathogens patterns, and quality of the data collected

The toolkit was developed in partnership with CDC’s Division of Global Health Protection (DGHP) Global Epidemiology, Laboratory, and Surveillance Branch (GELSB).

COVID-19 Case-based surveillance and Contact Tracing programs

Enrolls & tracks suspected cases; captures symptoms, demographics, risk factors & exposures; creates lab requests; links confirmed cases with contacts; and monitors patient outcomes. This package can be installed as a standalone COVID-19 package or can be integrated into a country’s existing integrated disease surveillance & response tracker. The contact registration and follow up program strengthens active case detection through contact tracing activities, such as identification and follow-up of contacts of a suspected or confirmed COVID-19 case. These two programs are packaged together, but you can choose to install one or the other.

[DISCONTINUED] Ports of Entry screening & follow-up program

Enrolls travelers who have visited high-risk locations at Ports of Entry for 14-day monitoring and follow-up.

COVID-19 Aggregate Surveillance

An aggregate reporting dataset that captures minimum necessary data points for daily or weekly reporting.

COVID-19 Electronic Immunization Registry (EIR)

The EIR for COVID-19 vaccines uses the tracker data model to facilitate the registration, vaccination and longitudinal tracking of individuals. This package includes workflow support such as notifications and working lists to ensure that individuals complete a multi-dose regimen. The program includes program indicators that enable aggregate reporting of individual level data according to WHO’s recommendations for monitoring vaccine delivery.

COVID-19 Vaccination Core Analysis & Datasets

The aggregate COVID-19 vaccination package includes datasets, standard indicators and dashboards aligned to the WHO’s monitoring guidance for COVID-19 vaccine deployment.

This package can be used for aggregate reporting directly from vaccination sites or at higher levels. It also supports the aggregation of data for analysis where hybrid paper-based and electronic systems are used. For example, individual level data from DHIS2 tracker or other frontline health worker apps can be pushed to these datasets to enable monitoring of complete datasets across the country.

Adverse Events Following Immunization (AEFI) Tracker Package

The AEFI tracker package supports the notification, reporting, investigation and analysis of adverse events following immunization. The package includes data collection forms for facility, district and national levels and standard dashboards for analysis. The package can be installed as stand-alone or used alongside the Immunization eRegistry.

Hypertension Control Package

The DHIS2 Hypertension Control Package supports management of hypertension control programs at the primary care level. Since high blood pressure affects a high proportion of the population, this tracker is designed as a limited dataset on routine hypertension care to improve facility-level analysis, while still minimizing reporting burden on care providers. The configuration is appropriate for national-scale hypertension management programs with high patient-load clinical environments, and is tailored for seamless use with the Android Capture app.

This package is based on a DHIS2 Tracker for hypertension care configured and deployed in Kano and Ogun states in Nigeria in 2021-2022, in collaboration between the Federal Ministry of Health Nigeria, National Primary Health Care Development Agency, HISP Nigeria, WHO and Resolve to Save Lives. Indicators for the package dashboard were derived from the WHO HEARTS Technical package for hypertension management.

Sensory Function: Eye and Ear Care

The sensory function (SF) toolkit supports routine collection and analysis of eye and ear care data typically reported from health facilities. Indicators are aligned to WHO recommended analysis standards and can be used to track progress towards the objectives of national strategic or operational plans.

Dashboards support analysis at national and subnational levels for:

• Morbidity patterns
• Service utilization estimates
• Patterns of quality for interventions
• Distribution, availability and coverage of eye and ear care services and workforce to inform national planning and decision-making in health policy, management, and clinical care.

Insecticide Treated Nets (ITNs)

Insecticide treated nets (ITNs) are the most widely used vector control intervention and have substantially reduced the burden of Malaria in Africa in recent decades. ITN packages for DHIS2 are designed to support various aspects of planning, implementing and monitoring ITN distribution campaigns.

• ITN Bioefficacy: an event program in DHIS2 that supports data collection for measuring bioefficacy of ITNs according to the WHO cone bioassay testing guideline

Indoor Residual Spraying (IRS)

Along with ITNs, Indoor Residual Spraying (IRS) is one of two malaria vector control interventions recommended by WHO for large scale deployment.

• IRS Residual Efficacy Monitoring: an event program in DHIS2 to collect data for measuring IRS efficacy according to the WHO cone bioassay procedure

Breeding site monitoring

Larviciding is recommended by WHO as a supplementary intervention to ITNs or IRS in areas with ongoing malaria transmission where aquatic habitats are few, fixed and findable.

Larviciding: a tracker program in DHIS2 that allows users to collect data during implementation and monitoring of larviciding campaigns