View source for Global goods and vaccinations

=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: February 5, 2021''' 

{| style="border-style: solid; border-width: 3px" class="wikitable"
| style="width: 10%;" | '''Global Good'''
| style="width: 60%;" | '''Adaptation'''
| style="width: 30%;" | '''Resources'''
|-
| '''CommCare'''
||
: 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).
||
:* [https://www.youtube.com/watch?v=Lt7qxPfsQBY&t=2s Demo video]
:* [https://superset-demo.dimagi.com/superset/dashboard/13/?preselect_filters=%7B%22219%22%3A%20%7B%22__time_range%22%3A%20%22No%20filter%22%7D%2C%20%22222%22%3A%20%7B%22__time_range%22%3A%20%22No%20filter%22%7D%7D Sample dashboard]
:* [https://docs.google.com/presentation/d/1JtbhGzMkFeXydA0ufNhrgWleUICxd9t_efUXU2Jky4s/edit#slide=id.ga61d863167_2_0 More information]
|-
| '''DHIS2'''|| 
: 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. 
||
:* [https://dhis2.org/covid-vaccine-delivery/ COVID-19 vaccine delivery page]
:* [https://dhis2.org/who-package-downloads/#covac Downloads and documentation]
:* [https://youtube.com/playlist?list=PLo6Seh-066Rybrx3gT5TxhJ6KXUgiQ0q8 Video overview]
:* [https://who-demos.dhis2.org/covid-19 Interactive demo]
:* [https://dhis2.org/category/covid-success-stories/ User stories from national implementations]
:* [https://docs.dhis2.org/en/topics/metadata/covid-19-vaccine-delivery/covac-immunization-registry-tracker-design.html System design documentation]
:* [https://docs.dhis2.org/en/topics/metadata/covid-19-vaccine-delivery/covac-immunization-registry-tracker-installation.html Installation guide]
:* [https://dhis2.org/covid-training-material/ Training materials]
|-
|'''iHRIS'''
||
: 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 vaccination needs of health workers across justifications and align vaccination efforts.  
||
:* [https://www.ihris.org/ iHRIS website]
|- 
| '''Instant OpenHIE'''
|| 
: 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 containerised set of components and configuration scripts enabling demonstration of patient and COVID-19 immunization tracking within a health information exchange.
||
:* [https://github.com/jembi/covid19-immunization-tracking-package Instant OpenHIE COVID-19 Immunization Tracking Package''']
|- 
| '''mHero'''
||
: mHero has been launched in 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). 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 reporting standards, and is also working with FLOIP to ensure that FLOIP results from FHIR-compliant workflows can be accessed in mHero.
||
:* [https://www.mhero.org/ mHero website]
|-
| '''OpenHIM'''
||
:The OpenHIM has been adapted to support with COVID-19 vaccination tracking within a health information exchange, through a set of custom mediators supporting ingestion of patient and immunization data, persistence to a FHIR data repository and interfacing with a Client Registry.
||
:* [https://docs.google.com/document/d/1hcQbfBLG6KLHyNXJPCJJto85vVl0npQVNHkJ9ltQIW4/ COVID-19 Immunization OpenHIM Architecture]
|- 
| '''SanteIMS'''
||
: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
||
:For an overview of SanteIMS's capabilities please see the [https://www.youtube.com/watch?v=NGRCLpk4cGs&feature=emb_logo 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'''
||
: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.
||
:* [https://santesuite.com/ SanteSuite website]
|-
| '''Tamanu'''
||
:* New vaccine recording screens for COVID-19 vaccines (part of our existing vaccine campaigns module)
:* New forms for capturing COVID-19 specific Adverse Events Following Immunisation
:* Vaccination certificate
:* New reports
:* New visualisations including; number vaccinated by village, % vaccinated by village, disaggregation by age and sex.
||
:* [https://www.tamanu.io/ Tamanu website]
|-
|}

=COVID-19 Community Coordination=

Digital Square is pleased to share resources sourced from the Digital Health Community to facilitate alignment and coordination in the COVID-19 response, and to support countries choosing digital tools to aid in their own response efforts.  If you have a resource you would like us to host on the wiki, please contact [mailto:abendor@path.org Amanda BenDor].

===UNICEF Country Mapping for COVID-19 Response===

UNICEF has initiated a '''country mapping''' of relevant Digital Health solutions that can be leveraged to support frontline health workers in their response to COVID-19 and that can be used by countries to support Risk Communication and Community Engagement on COVID-19. The mapping can be accessed [https://docs.google.com/spreadsheets/d/1GbM1nuHxnCvoc1hLLcQAt7QOoQxnAXdI3hdP3Qt7KUg/edit?usp=sharing here].  If you want to update the country mapping, please use the comment function and the UNICEF team will update the information accordingly. 

Likewise, a '''partnership landscaping''' has also been done to map where implementing partners are working to support digital tools for frontline health workers and which digital solutions they are supporting. This mapping can be accessed [https://docs.google.com/spreadsheets/d/1Y6fl3Uqvn0lcFhBlYPXLKKi2HXi79kw8pWR_h8PwE3s/edit?usp=sharing here]. If your organization is missing from the partnership landscaping, you can add the information directly in the spread sheet.
 
Both these mapping tools are free to use by anyone who wish to know which solutions already exist at country level and that can be deployed for frontline health workers for COVID-19 response and recovery efforts.

=Comparison of Digital Tools used in the COVID-19 Response=

Countries have access to a large, complex ecosystem of digital platforms that can support COVID-19 response. The process of selecting the most appropriate platform for a country's specific needs or context can be overwhelming without clear information about the benefits and limitations of the options. Several new resources have been developed to support in-country assessment and decisions about digital technologies for COVID response. 

===Johns Hopkins assessment===
In July 2020, Johns Hopkins published an assessment of digital platforms that have an established presence in several low- and middle-income countries (LMIC), and either have been or could be rapidly reconfigured to address COVID-19 related case management and contact tracing needs.  The assessment includes a review of the following tools: CommCare, Community Health Toolkit (CHT), DHIS2 Tracker, Go.Data, ODK, OpenSRP, RapidPro, SORMAS, and WelTel. The platforms were selected based on their existing deployment, flexibility, and adaptability for COVID-19 use cases, their ability to support multiple languages, and stakeholder interest in how these applications can be leveraged in response to COVID-19. The full report can be accessed [https://drive.google.com/file/d/1yCP7t1di_ofQ0YhuPAD1Oqcj1aTo74k5/view here]. 

===Digital Square efforts===
In recognition that this is a rapidly evolving landscape, Digital Square has been working across donors to collate a comparison of digital tools that are currently used in the COVID-19 response. Included in the comparison is an analysis of a number of functional and non-functional requirements.  Including in this document are the following digital health tools: DHIS2, SORMAS, Go.Data, EpiInfo, CommCare, ODK, Kobo Toolbox, Excel and non-digital paper tools. This comparison is a dynamic document meant for community updates that can be accessed [https://docs.google.com/spreadsheets/d/1cMQAZO94uTe4HULLmBRN80fPnNUwayqw3e2UT-voJbw/edit?usp=sharing here].  If you would like to make updates including adding additional tools or information to tools included, please contact [mailto:cfourie@path.org Carl Fourie].

====Map & Match====
The USAID-funded Map & Match project helps countries, donors, implementing partners, and the global digital health community at large to leverage and adapt existing digital tools in response to the COVID-19 pandemic. As the world learned during the West Africa Ebola outbreak response, prioritizing the reuse and adaptation of existing digital tools is vital to quickly scale access to time-sensitive disease information and data. 
[https://digitalsquare.org/covid19-map-match '''Find Map & Match resources on the Digital Square website here.''']

*In March 2021, Digital Square published the [https://static1.squarespace.com/static/59bc3457ccc5c5890fe7cacd/t/603d549f3e5f2c2800651483/1614632096462/DATEC-FINAL.pdf ''Digital Applications and Tools Across an Epidemiological Curve'']. This resource provides a strategic framework for governments, investors, implementing organizations, and the digital health community to better understand how existing digital tools can be adapted and used during different phases of an outbreak.

=Country Support=

==Mali==
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, [mailto:cbowman@path.org please contact Caitlin Bowman]. 


=Additional COVID Resources=

==COVID-19 Webinars==
'''October 28, 2020 | Global Good COVID-19 Adaptations Part III (OpenLMIS and OpenELIS)'''

This webinar focuses on how both OpenLMIS and OpenELIS have adapted their technologies to respond to the COVID-19 pandemic.

*[https://wiki.digitalsquare.io/images/f/fe/Digital_Square_Webinar_Global_Good_COVID-19_Adaptations_Part_III_%28OpenLMIS_and_OpenELIS%29.pdf Find the slides here]
*[https://lib.digitalsquare.io/handle/123456789/77711 Watch the recording]

'''October 7, 2020 | Global Good COVID-19 Adaptations Part II  (DHIS2 and mHero)'''

This webinar focuses on how both DHIS2 and mHero have adapted their technologies to respond to the COVID-19 pandemic.

*[https://wiki.digitalsquare.io/images/e/e5/Digital_Square_Webinar_Global_Good_COVID-19_Adaptations_Part_II_%28DHIS2_and_mHero%29.pdf Find the slides here]
*[https://lib.digitalsquare.io/handle/123456789/77709 Watch the recording]

'''June 16, 2020 | Can Image-based AI Meaningfully Impact COVID-19 Response in Low Resource Settings'''

This webinar explores the opportunities and challenges for the use of imaged-based AI tools in the COVID-19 response. Panelists discuss the broader context for the application of these tools; explore how they are being developed and evaluated; and identify what steps need to be taken to maximize the potential of image-based AI while mitigating the risks.

*[https://www.youtube.com/watch?v=O8ZV2T5P9GU Watch the recording]

'''June 15, 2020 | Understanding the Unique Challenges & Opportunities of Combating COVID-19 in LMICs'''

*[https://www.amia.org/sites/default/files/AMIA%20COVID19%20Webinar%20Series_GHI_2_0.pdf Find the slides here]
*[https://vimeo.com/429736624/d2aa6b5c88 Watch the recording]

'''April 30, 2020 | Private Sector Digital Adaptations for COVID-19 Response'''

In this webinar, leaders from the Digital Impact Alliance, Facebook, mClinica, Microsoft, and Tableau shared how to leverage private sector tools and technologies to strengthen health systems in COVID-19 response efforts.

*[https://wiki.digitalsquare.io/images/f/f5/Digital_Square_Webinar_Private_Sector_Digital_Adaptations_for_COVID-19_Response.pdf Find the slides here]
*[https://lib.digitalsquare.io/handle/123456789/77710 Watch the recording]

'''April 7, 2020 | Managing the Global COVID-19 Pandemic with Health Informatics'''

In partnership with AMIA, this webinar shares informatics responses and challenges within the COVID-19 pandeimc. 

*[https://www.amia.org/sites/default/files/AMIA-COVID19-Webinar-Series-Global-Health-East-Asia.pdf Find the slides here]
*[https://vimeo.com/405504903/3ee88a5139 Watch the recording]

'''March 30, 2020 | Global Goods Adaptation for COVID-19 Response Part I'''

This webinar features a set of Digital Square-approved digital health global goods that have adapted their technologies to respond to the COVID-19 pandemic. 

*[https://drive.google.com/file/d/14bqGbDwXnMNWSAZMNUmGLCbcFkIsjPVU/view?usp=sharing Find the slides here]

'''March 26, 2020 | Re-utilizing PEPFAR Investments during the COVID-19 Response'''
This webinar showcases how PEPFAR investments can be re-utilized in the COVID-19 response. During this session, we will feature a mix of digital tools including DATIM, Patient Level Monitoring, and the Global Open Facility Registry, and how they can be harnessed in the COVID-19 global response.

*[https://wiki.digitalsquare.io/images/0/0a/Digital_Square_Webinar_Reutilizing_PEPFAR_Investments_during_the_COVID-19_Response.pdf Find the slides here]

==Digital Square Web Articles==

*[https://digitalsquare.org/blog/2020/3/4/global-goods-addressing-outbreaks-sormas-and-covid-19 Global Goods Addressing Outbreaks: SORMAS and COVID-19]
*[https://digitalsquare.org/blog/2020/5/21/lego-lessons-for-covid-19-making-data-click LEGO lessons for COVID-19: Making data click]
*[https://digitalsquare.org/blog/2020/6/1/will-covid-19-accelerate-digital-transformation-5-ways-the-development-community-can-build-back-better Will COVID-19 accelerate digital transformation? 5 ways the development community can "build back better"]
*[https://digitalsquare.org/blog/2020/5/21/using-dhis2-for-covid-19-point-of-entry-screening-and-travel-pass-printing-in-uganda Using DHIS2 for COVID-19 point of entry screening and travel pass printing in Uganda]