Digital technologies for real-time health data and decision-making

UNDP’s approach

Among the applications of digital technologies that UNDP promotes in the health sector are those aimed at strengthening real-time capture, monitoring, and use of data within national HIV, malaria, tuberculosis and other health programmes. This support ranges from the digitalization of national health information systems, such as through the roll-out of the electronic district health information system (DHIS-2), and the use of mobile technologies within disease surveillance and tracking systems. UNDP likewise helps countries to identify and adapt open-source digital tools suitable for resource constrained contexts, including those to support disease monitoring, prevention, diagnosis, and recovery efforts in COVID-19 and beyond. This page provides some examples of digital health technologies that have supported countries to leverage data to enhance the coverage and quality of disease prevention and treatment efforts. Visit the Health information systems section for more information on UNDP’s broader capacity development support to strengthen health management information systems.

UNDP’s support to data systems and tools in the health sector is informed by its digital strategy to harness the potential of digital transformation for development, as well as guided by core Principles for Digital Development. It is important to ensure that amidst the heightened interest in the potential benefits of digital health, all people enjoy the benefits of innovation and that digital technologies help to reduce inequalities. To achieve this, UNDP is committed to ensuring that efforts in utilizing digital technologies are anchored in the values and obligations defined by the United Nations Charter and the Universal Declaration of Human Rights.

Cross-border platform to prevent tuberculosis

As part of the UNDP-managed Global Fund to fight AIDS, Tuberculosis and Malaria (Global Fund) multi-country tuberculosis grant for migrants, refugees and returnees in Afghanistan, Iran, and Pakistan, UNDP is working with Dure Technologies on a digital application (app) and dashboard to monitor and provide tuberculosis continuum of care. The app captures data on client registration, risk assessment, specimen collection, referral and linkages, sample testing, treatment initiation, treatment adherence, cross border case transfer, and contact tracing. It is able to support cross-border tracking of lost follow up cases through a quick response (QR) code.

Real-time monitoring of the malaria response in Guinea Bissau

In Guinea Bissau, where malaria is the leading cause of illness, the health information management system is weak and consequently, the data reported not only are of low quality but also arrives late at point of analysis and decision making at the regional and central levels. With financial support from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and the World Bank, UNDP supported the government to introduce real-time monitoring using mobile tablets to digitize malaria data, track malaria outbreaks, and digitally map available medicines and bed-nets. Technological considerations in developing the technology focused on ensuring its linkage to the national health management information system database, the electronic district health information system DHIS2. UNDP received support from the University of Oslo to develop the application as an extension of DHIS2 and configure the tablets with DHIS2 capture, which captures aggregated routine health data, and a DHIS2 tracker, for individual-level patient data. The tool focuses on data related to case management and prevention, mosquito net distribution, availability of malaria medicines, and weekly surveillance for World Health Organization (WHO) notifiable diseases.

Through support of the Global Fund and the World Bank, UNDP has supported the government to operationalize some 300 tablets for digital data collection and reporting. It has likewise provided training to health personnel and data clerks at hospitals and health centres. By contributing to improved completeness, promptness, and quality of data for decision making and the number of times products are out of stock, the introduction of the new digitized reporting systems contributed to a 16 percent decrease in the number of malaria related deaths in Guinea-Bissau between 2017 and 2018.

UNDP has also helped to decentralize the tracker for data collection at the community level, at the point of service. Importantly, health facilities have assumed ownership over the tool, recognizing the value of real-time reporting, as they continue to self-finance the internet payments for the tablets to ensure their continued use.

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Building on existing health information systems to monitor COVID-19

A well-functioning health information system is essential to understanding and responding to the COVID-19 pandemic. The circumstances of the current crises, however, pose significant challenges for data collection. It is therefore critical for countries to strengthen and adapt established health information systems to inform the trajectory of the epidemic.

UNDP has supported governments in Guinea Bissau, Zimbabwe, Burundi, and Djibouti to integrate COVID-19 trackers into their existing national health information systems that use the electronic district health information system 2 (DHIS2) software. Having previously worked with Oslo University to help numerous countries roll out DHIS2 to enhance routine health information, during the pandemic, UNDP provided technical assistance to help ministries of health adapt and install the DHIS2 COVID-19 module. This digital data package supports surveillance workflows and automated analysis for key components of routine and active surveillance including:

  • COVID-19 case-based surveillance
  • contact registration and follow-up programme
  • ports of entry screening and follow-up programme
  • COVID-19 surveillance event Programme
  • COVID-19 aggregate surveillance

Many countries have been able to leverage previous investments from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and UNDP technical assistance to develop mobile applications for the surveillance and reporting of disease outbreaks to adapt to the COVID-19 response. For example, in Zimbabwe, UNDP had helped the government to strengthen its weekly disease surveillance system by piloting Frontline SMS, in which data captured on cell phones are automatically sent to a computer database in real-time, transmitting the surveillance data from service delivery points to the district, provincial, and national levels. UNDP has also supported governments to harness mobile technology for sharing COVID-19 information with the public. For instance in Guinea Bissau, it partnered with WhatsApp and other agencies to establish the WhatsApp Coronavirus Information Hub, to improve communication during the crisis and establish a reliable platform for accurate information sharing.

Key resources

COVID-19 Open-Source Digital Toolkit
UNDP Singapore Global Centre for Technology, Innovation and Sustainable Development

UNDP COVID-19 Data Futures Platform
United Nations Development Programme
The COVID-19 Data Futures Platform pulls together data from the UN system, nonprofit partners, academia, development partners and countries around the world. Interactive tools provide unique opportunities for data analysis, insights identification, and collaboration around strategies and solutions.

UNDP Digital Strategy (2022 – 2025)
United Nations Development Programme