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Global Good Adaptations to COVID-19 (updated February 5, 2021)

The following table summarizes the adaptions made by global goods to support COVID-19 response activities. These updates are provided by our global good partners and updated regularly.

Last update: February 5, 2021

Global Good Adaptation Resources
Digital Health Atlas
As part of the global COVID19 response, the WHO has enhanced the Digital Health Atlas to provide support for governments and investors focused on scaling effective digital health implementations. Key features:
  • 1. Enhanced MOH pages, able to store reference documents of national relevance (policies, investment plans, maturity assessments, etc)
  • 2. Documentation of Project Phases providing DHA users with insights regarding the progress of a project along the software development life cycle (from ideation to scaled implementation)
  • 3. Facilitating the labeling and description of multi-country deployments as "Global Initiatives".
  • 4. Facilitating the labeling of a project as research-focused and time-bound, allowing researchers to share time-critical insights and progress into Covid-19 and digital health directly with Ministries of Health and Investors
OpenHIE COVID-19 Task Force (Cross-cutting for all global goods)
  • Identify and collate information relating to data standards and exchange relevant to the COVID-19 response.
  • Identify gaps in and establish standards for data exchange priorities.
  • Provide documentation and guidance (to both the global good community as well as proprietary software tools) to improve adherence to these standards.
  • Ensure that rapidly deployed solutions can be integrated into the national digital health architectures.
  • Outputs: HL7 FHIR profile / implementation guide for case reporting & contact tracing.

In Nepal, Bahmni has been adapted for COVID-19 response in a few government hospitals:

  • Creation of a COVID-19 screening template
  • Data is synced in near-real time to dashboards.
  • Creation of a template application which provides a full implementation of the WHO FFX Contact Tracing protocol which is available for immediate adoption and customization through the platform. Currently working on ensuring that there is a wide array of translations available for the text.
  • Working on additional template applications for further response and recovery workflows that will become available as they are validated.
  • The team is trying to secure free messaging for COVID-19 response to support self-reporting workflows for positive cases once cases overcome the tracing capacity of health systems.
  • CommCare will be releasing a WhatsApp integration in the near future.
Community Health Toolkit (CHT)
  • Developing CHT reference applications as starter apps for implementers to contextualize, and readily deploy and scale for their needs. These are as follows:
    • Surveillance and Detection: Port of Entry Screening, Event-Based Surveillance, Contact Tracing, and Community-Based Symptom Screening Apps and systems
    • Patient Care: Rapid Diagnostic Testing App, Referral systems, and Isolation Messaging systems, and
    • Protecting Community Health Workers: PPE Projections and Daily Health Checks
  • Accompaniment through secondment of technical staff, supporting our colleagues in Ministries of Health.
  • Continue expanding the use cases and workflows supported by the CHT for COVID-19 response efforts.
  • Coordination with the wider digital health community between existing digital health tools, systems, and standards.

The CHT Team has created two use case demonstrations: Port of Entry (PoE Screening and CHT Rapid Diagnostic Teat (RDT) workflow for community health workers.

  • DHIS2 has several ready-to-install digital data packages to support COVID-19 surveillance & response based on WHO guidelines. All packages are optimized for Android or web-based data collection. The COVID-19 digital data package includes standard metadata aligned with the WHO’s technical guidance on COVID-19 surveillance and case definitions and implementation guidance to enable rapid deployment in countries. Ready-to-install DHIS2 digital data packages to support COVID-19 surveillance & response based on WHO guidelines. All packages are optimized for Android or web-based data collection. The packages support:
    • 1) Case-based Surveillance: DHIS2 has released a digital data package to accelerate case detection, situation reporting, active surveillance and response for COVID-19. The package is inspired by the Ministry of Health Sri Lanka’s pioneering design of DHIS2 tracker for COVID-19 case detection and draws on years of collaboration with the World Health Organization (WHO) to develop information system standards for case-based disease surveillance.;
    • 2) Contact tracing program to facilitate operations of contact tracing and with built in relationships to the case-based tracker for enhanced analysis;
    • 3) Ports of entry screening and follow up
    • 4) Automated analysis of core indicators & dashboards for response planning. The package also includes options for aggregate and event-based surveillance; countries can transition between data models according to realities on the ground while still capturing most critical data points.
  • Team has created training materials and videos for the above configurations
  • Packages translations are now available in French, Spanish, Portuguese, Arabic, Russian and Norwegian. Additional languages can be added on demand.
  • Existing immunization registries can rapidly be adapted for COVID vaccine deployment. Information on the immunization registries can be found here The newly released DHIS2 Vaccine Delivery Toolkit can be found here.
  • Logistimo SCM has been adapted to include data capture for the COVID-19 supply chain (about 70 products and equipment), which has been deployed across a few states in India.
  • Additional data capture available for supplies to laboratories for tests.
  • Logistimo has created specific COVID-19 dashboards (that we call bulletin boards) which help in easy surveillance for control towers.
  • Several partners have been assessing how effectively COVID-19 bio-medical waste is being handled and disposed using Logistimo Snapshot.
  • Overview of GOFR tool for facility reconciliation
  • Deployed in Liberia in support of the COVID-19 response.
  • New mHero architecture has been developed.
  • Adding additional features including:
    • COVID-19 disease surveillance workflows
    • Ability to send messages from any FHIR compliant database such as OpenMRS
    • Ability to update any FHIR compliant database with new respondent information
    • Ability to respond to messages via WhatsApp and Facebook Messenger
Mobile WACh
  • Provide up-to-date guidance by SMS (push messaging) on symptoms, social distancing, and care-seeking to the general population, as well as HCWs in need of guidance.
  • Provide interactive triage of patient symptoms by 2-way SMS with a HCW, based on international guidance to determine whether and how patients should seek care, and avoid unnecessary risk and strain on the medical system.
  • Continue supporting pregnant and postpartum women, neonates and people living with HIV or other chronic conditions with SMS curricula we have already developed at a time when they will experience even more pronounced shortages of in-person medical care.
  • ODK's lead developer, Nafundi, is offering pro-bono help to anyone working on the COVID-19 response.
  • Rapidly digitizing forms from the WHO and CDC protocols and making them available for others to use and build on.
  • Offering support for ODK for contact tracing, decision support, community education, strategic mapping, and case management.
  • Demo available on how the WHO minimum reporting form running in ODK Collect (Android) and Enketo (Web) send data to an ODK Central server, which then flows data to a live updating dashboard in PowerBI and a spreadsheet in Excel.
OpenConcept Lab
  • Published a value set, "COVID-19 Starter Set," based on the Columbia International eHealth Laboratory (CIEL) interface terminology
  • Rushed multiple large terminology curation and import processes to support publication of this value set.
  • OpenELIS Global has added COVID-19 metadata for laboratory testing and resulting, including LOINC codes for interoperability via HL7 2.5. Metadata will be included in the default test catalog with the next release of OpenELIS.
  • Users can immediately use the Administration Menu: Test Management function in the software to add tests for the corona virus (SARS-CoV-2) to their laboratory test catalog to facilitate tracking of laboratory tests and results.
  • Coming soon - generic support for COVID-19 data exchange with the OpenHIM by extending the OpenHIM Mapping Mediator offerings, supporting a range of use cases around case reporting, surveillance and contact tracing that require an exchange of data between information systems.
  • OpenHIM will support standardized data schema that supports the WHO standards, and in turn FHIR.
  • openIMIS was customized to act as a management information system to manage a government to people cash transfer scheme as a part of the COVID-19 response of the Government of The Gambia. openIMIS has been used to enrol beneficiary households into the system and keep track of the payments being made to these households. The scheme currently covers 80,000 households in The Gambia, but is slated for a nationwide scaleup soon, and it is anticipated that the openIMIS based tool will be continued to be used for the management.
  • OpenLMIS is responding by supporting OpenLMIS countries to optimize their use of the software to encourage good supply chain management of COVID supplies. A separate, simplified OpenLMIS instance has been launched called OpenLMIS COVID-19 Edition, which is a lighter weight and quicker start up tool to help countries get started right away to manage COVID-related commodities (based on the WHO product list). In addition, the OpenLMIS team continues to conduct outreach to existing users to ensure they know how to quickly:
    • Add new Products
    • Initiate emergency requisitions
    • Configure and manage inventory of Kits (anticipating the need for COVID kits)
  • The OpenLMIS core team will prioritize any configuration or work related to these functions. Future product committee meetings could be used to share lessons across countries to see how they are preparing their supply chains for COVID.
  • The OpenMRS community's goal is to support extension of current functionality that will make it easier for 5,500 existing implementations to a) screen, test, and manage patients and b) report data out efficiently to DHIS2 for public health surveillance.
  • Active COVID-19 Response Squad is working to identify existing work within the OpenMRS community that can be rapidly adapted by implementers and packaged as a suite of COVID-19 Public Health Response Tools. Informatics experts, business analysts, UI/UX designers, developers, and implementers are encouraged to join the conversation, weekly meetings, design forums, and work with the COVID-19 Response Squad.
  • The following OpenMRS COVID-19 Public Health Response Tools under development and discussion include:
    • CIEL concept dictionary with COVID-19 concepts
    • COVID-19 Public Health Response Module
    • COVID-19 Public Health Reporting System Interfaces
  • Standard content related to COVID-19 included in the recent release of Reference Application 2.10.0.
  • Develop use of Ona Data/RapidPro + Canopy for secondary response.
  • Create OpenSRP/Reveal and an RDT reader for contact tracing and Akuko data storytelling platform for data viz platform for information sharing.
  • Working with clients in Malawi government to adapt the ODP module for COVID-19 in the future
  • Modified forms to incorporate COVID-related data
  • Modifications completed for the planning module to support Reveal's ability to get resources to vulnerable populations (food aid, economic aid, sanitation resources as well as routine health resources), which is crucial given the quarantine and lock-down restrictions many countries are facing.
  • Support to attain high vaccination coverage achieving last mile delivery
  • Ensuring availability of validated real time surveillance data which would in turn lower the disease burden through enabled contact tracing while monitoring the potential for future cases.
  • Offering easy-to-use, multifunctional mobile health (mHealth) and electronic health (eHealth) applications, which provide real-time data availability and compatibility with standard surveillance systems.