AUTHOR=Reynolds Eileen , Martel Lise D. , Bah Mamadou Oury , Bah Marlyatou , Bah Mariama Boubacar , Boubacar Barry , Camara Nouhan , Camara Yero Boye , Corvil Salomon , Diallo Boubacar Ibrahima , Diallo Ibrahima Telly , Diallo Mamadou Kadiatou , Diallo Mamadou Tafsir , Diallo Telly , Guilavogui Siba , Hemingway-Foday Jennifer J. , Hann Fatoumata , Kaba Abdoulaye , Kaba Almamy Karamokoba , Kande Mohamed , Lamarana Diallo Mamadou , Middleton Kathy , Sidibe N'valy , Souare Ousmane , Standley Claire J. , Stolka Kristen B. , Tchwenko Samuel , Worrell Mary Claire , MacDonald Pia D. M. TITLE=Implementation of DHIS2 for Disease Surveillance in Guinea: 2015–2020 JOURNAL=Frontiers in Public Health VOLUME=9 YEAR=2022 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.761196 DOI=10.3389/fpubh.2021.761196 ISSN=2296-2565 ABSTRACT=

A robust epidemic-prone disease surveillance system is a critical component of public health infrastructure and supports compliance with the International Health Regulations (IHR). One digital health platform that has been implemented in numerous low- and middle-income countries is the District Health Information System Version 2 (DHIS2). In 2015, in the wake of the Ebola epidemic, the Ministry of Health in Guinea established a strategic plan to strengthen its surveillance system, including adoption of DHIS2 as a health information system that could also capture surveillance data. In 2017, the DHIS2 platform for disease surveillance was piloted in two regions, with the aim of ensuring the timely availability of quality surveillance data for better prevention, detection, and response to epidemic-prone diseases. The success of the pilot prompted the national roll-out of DHIS2 for weekly aggregate disease surveillance starting in January 2018. In 2019, the country started to also use the DHIS2 Tracker to capture individual cases of epidemic-prone diseases. As of February 2020, for aggregate data, the national average timeliness of reporting was 72.2%, and average completeness 98.5%; however, the proportion of individual case reports filed was overall low and varied widely between diseases. While substantial progress has been made in implementation of DHIS2 in Guinea for use in surveillance of epidemic-prone diseases, much remains to be done to ensure long-term sustainability of the system. This paper describes the implementation and outcomes of DHIS2 as a digital health platform for disease surveillance in Guinea between 2015 and early 2020, highlighting lessons learned and recommendations related to the processes of planning and adoption, pilot testing in two regions, and scale up to national level.