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

Global Good	Adaptation	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).	Demo video Sample dashboard 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.	COVID-19 vaccine delivery page Downloads and documentation Video overview Interactive demo User stories from national implementations System design documentation Installation guide 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.	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.	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.	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.	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 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.	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.	Tamanu website

Additional Resources

• Digital Tools Supporting Vaccine Deployment: This document (developed as part of Digital Square's Map & Match project) illustrates how digital tools can support activities aligned to five use cases focused on vaccines.