global goods and vaccinations - DigitalSQR/static-wiki GitHub Wiki
Digital technologies can act as accelerators for the introduction,
deployment, and scale-up of vaccines in countries to assist health
workers, communities, and other stakeholders. The use of digital tools
and the data they enable facilitate rapid, iterative, and scalable
approaches to ensure vaccines are safely delivered to health facilities,
that health workers are equipped to administer them, and that
communities are informed and confident in their efficacy.
Global Good Adaptations for COVID-19 Vaccine Introduction
The following table summarizes the adaptions made by global goods to
support COVID-19 vaccine introduction, including COVAX.
Last update: July 14, 2022
Global Good
Adaptation
Resources
CommCare
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Dimagi has developed a template solution for Equitable and Effective
COVID-19 Vaccine Delivery. The solution tracks and supports every client
before, during, and after the vaccination process while providing
analytics and visualizations to monitor the progression of vaccine
delivery. It provides direct digital support to health providers
administering vaccines (via apps), people getting vaccinated (via
messaging), vaccine managers and supervisors (via analytics and
dashboards), and community advocates (via apps or messaging).
DHIS2 has several ready-to-install digital data packages to support
COVID-19 vaccine delivery (including for COVAX) based on WHO guidelines.
All packages are optimized for Android or web-based data collection,
including in offline mode. The DHIS2 toolkit for COVID-19 vaccine
delivery expands field-tested designs and tools from the WHO DHIS2
immunization data toolkit to enable countries to rapidly update existing
systems to support the equitable delivery of COVID-19 vaccines at scale,
while strengthening existing national DHIS2-based immunization systems
for sustainable impact across all aspects of vaccine-preventable disease
interventions. The toolkit supports:
Measure uptake, coverage & equitable distribution over time, by
geography and across risk groups: The DHIS2 WHO EPI module has been
expanded for COVID-19 vaccine data for routine facility data on
vaccination utilization, wastage, cold chain & outreach data
Supply chain readiness & traceability of vaccines down to points
of service delivery: Facility & last-mile logistics data module: WHO
approved health logistics metadata with barcode/QR scanning
capabilities
Ensure that individuals can be monitored for the full course of
multi-dose regimen: Immunization eRegistry (EIR) package for
longitudinal tracking & follow-up of individuals
Provide a personal vaccination record/certificate: Electronic Health
Certificates linked with Immunization eRegistry and integration with
digital vaccination cards
Multiple distribution strategies; novel & innovative
distribution approaches: Mass campaigns & supplemental immunization
activities monitoring adapted for COVID-19 distribution strategies
Vaccine safety monitoring: Adverse Events Following Immunization
(AEFI) Tracker: WHO approved module for strengthening vaccine safety
surveillance
The DHIS2 team has created training materials for the EIR and AEFI
packages. Packages translations are available in French, Spanish, and
Portuguese. Additional languages can be added on demand.
iHRIS, used to track and manage health workforce data to improve access
to services, is being adapted to track health worker vaccination data.
Data can be used to help determine the vaccination needs of health
workers across justifications and align vaccination efforts. Using data
from iHRIS, Demographic and Health Surveys, and other national data to
World Health Organization planning tools, governments have been able to
model the timing and magnitude of the COVID-19 pandemic. As a result,
ministries of health can determine when and where frontline health
workers should be available and how many are needed. Having accurate and
available health workforce data allows the
government to rapidly mobilize and prepare health workforces to
address COVID-19 while minimizing the negative impact on essential
health services such as HIV/AIDS, family planning, and maternal and
child health.
Instant OpenHIE has been adapted to include a COVID-19 immunization
tracking package that extends off the core Instant OpenHIE solution,
with scripts to set up a containerized set of components and
configuration scripts enabling the demonstration of patient and COVID-19
immunization tracking within a health information exchange and case
reporting aligned with WHO standards and submission of laboratory
results within a health information exchange
mHero has been launched in Liberia, Kenya, and Uganda (and soon DRC) for
COVID-19 communication between health workers and ministries of health
(or other institution that oversees cadres of health workers, such as
UNICEF). In Kenya, mHero is being used as part of an information
campaign to promote uptake of the COVID-19 vaccine among health workers
in two counties. Additionally, the mHero team has also collaborated with
the OpenHIE COVID-19 Task Force to build a library of FHIR-compliant
workflows that align with global COVID-19 reporting standards, and is
also working with FLOIP to ensure that FLOIP results from FHIR-compliant
workflows can be accessed in mHero.
ODK-X developed a vaccine cold chain information system using the ODK-X
frameworks to help countries track and improve their vaccine cold chain
equipment used to store vaccines (e.g., COVID-19 vaccines) for Gavi, the
Vaccine Alliance and WHO. During COVID-19 shutdowns, Red Cross used
ODK-X to track beneficiaries and distribute money and goods to
vulnerable populations affected by COVID-19 in several countries.
For COVID-19 vaccine support, OpenFn implementations are configured to
connect vaccine eligibility, request, and delivery data across systems
and to facilitate the transfer of vaccine-related supply chain data
between systems.For COVID-19 response, OpenFn implementations are
adjusted to connect online and offline community health worker tools
with cloud-based health information systems, facilitating better disease
surveillance.
The OpenHIM is adapted to support COVID-19 vaccination tracking within
an HIE through a set of custom mediators supporting ingestion of patient
and immunization data, persistence to an FHIR data repository, and
interfacing with a Client Registry. The OpenHIM is adapted to support
COVID-19 data exchange within a health information exchange through a
set of mediators covering COVID-19 case reporting aligned with WHO
standards and submission of laboratory results, supporting ingestion of
case reports and laboratory data, and persistence to both an FHIR data
repository and DHIS2.
SanteIMS is a proven highly scalable immunization and vaccination
program management platform that is used for national EPI programs and
supports any type of vaccine delivery, including C-19 vaccines, to an
entire country's population. It's key features include:
Offline-First Design enabling seamless uninterrupted work offline
without any loss of functionality when internet connectivity is
interrupted or not available
Once and done point of care data entry which eliminates the
need for manual indicator gathering and reporting and automatically
updates stock management data
Full functionality and UI consistency across multiple platforms
(tablet, desktop etc.) and operating systems, allowing leveraging of
existing technology investments and use of the most appropriate hardware
platform to support each workflow and context
Supports cloud based, hybrid or on premise implementations*
Real-time implementation of clinical decision and care guidelines
Intelligent facility visit scheduling and forecasting
Extended problem reporting (AEFI, COD, FEVER, etc.)
Facility planning tools
Stock & Order Management which fully integrates with national
logistics management systems to help eliminate stock-outs and maximize
cost effective use of vaccines and related supplies
Facility level dashboards and automated data feeds to data
visualization tools like DHIS2
Built-in support for interoperability following OpenHIE standards
and out-of-the-box integration with the SanteMPI Client Registry
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For an overview of SanteIMS's capabilities please see the GAVI
produced video of Tanzania's TiMR EIR (part of the PATH led BID
initiative). TiMR is based on the initial version of our software.
SanteMPI
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SanteMPI has been adapted to support national COVID-19 response through
implementation of national unique health ID's for vaccination
registration, generation of vaccination "Yellow Card" and facilitation
of data sharing and interoperability with other supporting solutions.
OpenBoxes is an open-source supply chain management system used to
manage supplies and medications for healthcare facilities and disaster
relief efforts. This ensures that health workers have the right
quantities at the right time to save lives. Beyond supply chain
management, OpenBoxes has diversified its functionality to include the
ability to track cold chain items. This includes icons that flag an item
as cold chain and the ability to indicate temperature requirements and
create bin locations, which are pivotal features in the effective
delivery of COVID-19 vaccines.
With funding from USAID Mali, Digital Square is working closely with the
Mali Ministry of Health and partners such as CDC, Gavi, UNICEF and
Global Fund to support adaptation and scale of digital health tools to
support the rollout of the COVID-19 vaccine. Through the end of 2021,
Digital Square is specifically supporting the following activities:
Adapt and scale existing health information systems for COVID-19
vaccine rollout to enable real-time monitoring of vaccine
availability and vaccine coverage.
Support MOH to transition existing paper-based systems to digital
platforms (focus on digital tools for monitoring adverse side
effects).
Harness digital tools to identify and locate persons eligible for
vaccination.
Identify tools and applications to be made interoperable.
Contribute to an evaluation of a vaccination campaign in Bamako.
For more information on these activities or to coordinate with the
Digital Square team, please contact Caitlin
Bowman.
UNICEF/WHO Digital Health Center of Excellence (DICE)
Many countries do not have fully functioning digital systems or
solutions required to address health and information systems priorities
in the context of the COVID-19 pandemic, as well as post-pandemic
health systems’ needs. Digital Square and the newly formed UNICEF/WHO
Digital Health Center of Excellence (DICE) are proactively looking for
opportunities to collaborate to support countries’ wanting to invest in
sustainable and scalable deployments of carefully chosen digital
solutions for COVID-19 pandemic response plans. DICE is committed to
supporting countries harness appropriate digital public goods, many of
which are mature and already integrated into national systems, to
provide substantial multilayered support to the COVID-19 pandemic using
a health system strengthening lens; from planning distribution of
commodities and vaccines, tracking supplies, surveillance and case
detection, monitoring coverage of services, and communicating to
generate demand and reduce misinformation. . Digital Square’s Mission is
to connect health leaders with the resources they need for digital
transformation. Through our collective partnership, we aim to not only
support country needs now, but also to help country leaders build
stronger, more sustainable digital systems, which will improve health
outcomes beyond the current pandemic.”