The electronic Community Event-Based Surveillance system (eCEBS) has the main objective to detect and report any suspected unusual health event that has occurred in the community, at the earliest possible stages of their occurrence by community volunteers. By concept, eCEBS is an integral part of IDSR, which is extended to the community level, and it is designed to integrate animal health in line with the goals of one health. The primary purpose of eCEBS is rapid detection, early warning, and prompt response to unusual events of potential threat to public health, with emphasis on early implementation of basic control measures to reduce the risk of communicable disease spread in communities. HISP Rwanda and the ministry of health have completed the development of a system of disease surveillance and response eCEBs and will undoubtedly help disease surveillance and response at all levels.

For early detection and efficient, timely intervention against communicable diseases, control is a priority in Rwanda, which would help to Timely, detect epidemic outbreaks. DHIS2/eIDSR as an electronic tool was developed in the line of disease surveillance and response. As the system is serving/ being used in all public and private facilities, there are always needs to make it more and more efficient. Based on the eIDSR expectations, HISP Rwanda was assigned by the MOH/RBC to upgrade the system. One of the main enhancement features to be added was the outbreak detection of all case-based diseases and seasonal and non-seasonal diseases.

The Ministry of Health of Rwanda, MCCH/EPI Program expressed the need to improve the vaccination services in all heal facilities, integration of birth notification into the child immunization program, and compliance to the immunization calendar. This has been thought of as a mitigation strategy to not only improve statistical and public health data, but also to ensure immunization services coverage increases and improve monitoring of the dropout for a timely response. In collaboration with HISP Rwanda, the EPI Program adopted the EPI tracker module of DHIS2. The module was designed to capture all children immunized and help in the follow-up of children to comply with the immunization calendar. The EPI system is currently being used across the country

In October 2019, HISP Rwanda in collaboration with the MoH and University of Oslo organized and hosted an international dhis2 level1 dhis2 academy; the aim is to strengthen national and regional capacity to successfully set up, design, and maintain DHIS2 systems

• Number of participants: 71 participants;
• Rwanda had over 15 participants, mainly from MoH and RBC.
• Other Countries represented: Ghana, Kenya, Uganda, Indonesia, Botswana,
• Lesotho, Libyan Arab Jamahiriya, Malawi, the Democratic Republic of the
Congo, Tanzania, Zambia, Sierra Leone, Somalia, Norway, and Ethiopia.
• Organizations/Institutions represented the most: Ministry of Health Rwanda,
• Ministry of Health Ethiopia, Ministry of Health Republic Kenya, and UNICEF Rwanda.

The Vaccine Management Information System(VMIS) is a logistic system that was developed for the Immunization Program in Rwanda to address the challenges faced by the logistics department i.e. stock-out and auditing.
VMIS provides features of supply chain management ranging from products requisition, distribution, request approval and stock reporting for vaccine stock management. The system has also been successful integrated with Immunization tracker to provide real time stock status to the immunization tracker system for analysis and decision making.

HISP RWANDA to implement WHO Vaccine Preventable Disease(VPD) package in Rwanda, a metadata assessment was performed to compare the existing IDSR Instance with WHO VPD standard Package for better guidance on whether to create a new instance or integrate with Rwanda existing IDSR Instance. After the assessment there was a high percentage of similarity in the metadata and the findings were presented to RBC/ Public Health Surveillance and Emergency Preparedness and Response(PHSEPR) team for approval on moving forward with integrating WHO VPD Package within IDSR Instance.

Implementation of WHO VPD Package has enhanced PHSEPR team data access and data use after transitioning from paper based data collection that would take time to be accessed or analyzed to real time data entry. In addition to real time alerts and responses the system dashboards have been configured to monitor key indicators that support informed decision making. With refresher training for Central level, data managers & end users a significant increase in data completeness and timeliness is guaranteed and to be expected.

HISP Rwanda was tasked to develop a system, which will help the management of all clinical staff applicants’ files. The expectations of the system are to respond to management of hard copies, the big burden of files of clinical staff across the country archived for decision-making. The system will integrate all applications for new jobs of clinical staff, annual leave, maternity leave, study leave, and transfers of health staff from one facility to another. The files uploaded into the system will be analyzed by human resources managers and applicants shall receive feedback/response from the system once the application is up.