iHRIS

iHRIS: Open Source Health Workforce Information SystemsNameEventLocation - Date

1AgendaiHRIS System Administrator TrainingAdd your training agenda to this slide or the next slide.2OverviewUsing iHRIS for Human Resources Information SystemsWhat is a database?A collection of records about some entity (persons, countries, cars, animals, etc.)A collection of information organized so that it can be easily accessed, managed, and updatedAn application that manages data (distinct pieces of information organized for use or decision making) and allows fast storage and retrievalThe Paper DatabaseBulky and difficult to store as it growsDifficult to retrieve information from itAnalysis difficult and time-consumingRisk of total destruction by fireRisk of destruction or becoming unusable after floodingHealth workforce data around the world

Health Worker Information SystemMinistry of Health (plus other relevant Ministries: Education, Public Service, etc) Local GovernmentTraining InstitutionsHealth Worker Training DatabaseProfessional CouncilsRegistration and Licensure SystemPublic Service HRISPayroll System National Health Workforce RegistryFBOFBO AssocNGO AssocFor Profit AssocFPFBONGOFPFBONGOFPNGOHRISHRISHRISFacilities & Service ProvidersThis diagram reflects the many different producers and consumers of health workforce information.

Starting with the Ministry of Health and other national policy bodies at the national level, they support public sector health service delivery as well as the national health policies and plans.The primary source, beneficiaries and objective of health workforce information is of course the health workers themselves in facilities and communities around the world.In-between there may be different levels of local government, depending on how decentralized the country is.Often the first electronic source of health worker information is the national HMIS but usually this information is aggregate imagine a table with cadres across the top, and districts down the side, for example, with numbers in the cells that might tell you the number of doctors or nurses or midwives in a given district, but little else this information might help a country look at deployment issues or inequities, but none of the granular information essential to supporting the health workforce.Another source of health worker data most countries have is the national public service HRIS usually a simple payroll system designed to ensure public sector workers get paid. These payroll systems usually have large gaps for example they usually dont include health specific information, such as cadre or health competencies. They also often dont include the duty station e.g. what community or facility health workers are working in they would instead favor the duty station where health workers get paid perhaps the district health office, for example. Finally the public sector payroll system almost never includes non-public sector employees.This data is usually only captured by the different non-public sector organizations themselves. Usually grouped into FBOs, NGOs and for-profit providers and organizations, these groups will have their own payroll systems at a minimum. These organizations often have an umbrella organization or association that may provide services to all of their member organizations. Christian health associations, such as CHAK, CHAG, and CHAM in Kenya, Ghana, and Malawi respectively are good examples.So this largely rounds out the health service delivery sub-domains. As you can see, many different stakeholders have many different pieces of the puzzle. The ideal situation for policy, planning and support to different consumers of data, would be to develop a National Health Workforce Registry, to capture a minimum data set on all health workers in a country. This involves a lot of work to establish data sharing agreements and effective interoperability.There are two other important sources of data for a national health workforce registry. One of these is the training institutions, who can provide data on the incoming pipeline of health workers from pre-service educaiton, as well as improvements to competencies through in-service education.Finally, one of the most powerful sources of information are the professional councils. These regulatory bodies seek to register and license all health professionals of a particular cadre medical boards for doctors, nursing councils for nurses and midwives, and so on. They are powerful for two reasons first they capture all health workers regardless of the sector they are working in, and second, they gather data directly from the health workers themselves, not through any complex and error-prone management structure.

7Good Health Worker Data is Needed forEducation and Training to make sound decisions about education and training, quantity and typeRegistration to ensure qualified supplyDeployment to meet needsManagement of personnel; tracking movementsPlanning right person, right place, right skills, right time

8This slide should be self-explanatory there are many aspects to the health workforce, and data is needed for all of themAll About Open source health workforce information software

The iHRIS SuiteOpen source software developed by the USAID-funded Capacity Project and CapacityPlus, both led by IntraHealth InternationalWeb-based application built on Ubuntu server but can be accessed from any Web browserIn use by countries in Africa, Asia, and South America

iHRIS Manage is for health service delivery

iHRIS Qualify is for health professional councils

iHRIS Plan is for workforce planning and modeling

iHRIS Retain helps plan and cost retention interventions

iHRIS Train tracks pre-service and in-service trainingiHRIS Manage is used to support health service delivery organizations, whether Ministries of Health or non-public institutionsiHRIS Qualify is used to support health worker registration and licensure authorities such as Medical Boards and Nursing CouncilsiHRIS Plan creates health workforce supply projections based on known inflows and outflows and allows for the modeling of what-if scenariosiHRIS Retain supports the planning and costing of rural retention interventions, effectively automating the WHO Guidelines for Rural RetentioniHRIS Train the first iHRIS product fully developed by local in-country teams supports national tracking and management of pre-service and in-service training

11Local Innovation!

Countries are leveraging the power of open source to use the iHRIS platform to create all kind of new technologies to meet local needs. For example:

iHRIS Train was developed in Uganda to meet needs to track in-service training tracking.The University of Dar es Salaam in Tanzania adapted iHRIS to track community social workers. They are now leveraging this work to roll out iHRIS for the entire social services workforce in Tanzania.Finally, UDSM has not only taken iHRIS past the health sector, but they have taken it past the workforce entirely. They have used iHRIS to develop an asset tracking system to keep up with furniture and equipment at the University.12Countries actively using iHRIS

We define active use of iHRIS as a country currently using records in a customized iHRIS system to support their health workforce at any level. If a country is currently evaluating, customizing or testing the software, but are not yet actively using it, we count these countries as in the pipeline.

This may be out of date - if Senegal has active records in iHRIS, there may instead by 16 iHRIS countries and only 3 in the pipeline.13iHRIS global community www.ihris.org150 active participants in open source community

Nearly 300 issues raised, addressed and resolved in one year of operation

Six donorsUSAIDCDCCanadaDFID WHOWorld BankSeven implementersIntraHealthAbtBaylorFSDIMAJSIMSH

All supporting over over a million health worker recordsiHRIS is developed, implemented, owned and supported by a network of iHRIS experts around the world.

14Pilot TestObjectivesDetermine the systemsCapacity to accept HR dataAbility to generate needed reportsEase of implementation

Identify potential challenges associated with system implementation and use.iHRIS ManageOverviewiHRIS Manage Home Page

At this point in the presentation, you may want to go to a live demonstration of iHRIS, or add screenshots from your implementation. We suggest logging in as a System Administrator and demonstrating any of the following actions that are applicable:Welcome screenChange passwordSet up a new userAdd a PositionAdminister ListsAdd a Person Record and supporting informationView a RecordSearch People or PositionsView ReportsConfigure Reports

If iHRIS Train or Qualify are in use, add similar screenshots for those applications or present them in live demonstrations.18iHRIS AdministrationAdvanced Topics19iHRIS Case StudiesUnderstanding Open Source SoftwareEssential Linux CommandsLinux Scripts ProgrammingBazaar and LaunchpadiHRIS Forms CustomizationiHRIS Reports CustomizationiHRIS Interoperability (Importing and Exporting Data)iHRIS Database Backups and RestoreiHRIS Advanced Tricks (XML Imports, Report Exports, Backup Scripts, etc.)These are suggested advanced topics to include in the training, which can be refined depending on the level of technical knowledge and needs of the administrators.20Thank you very much!For more information join ihris@googlegroups.com or contact: hris@capacityplus.org