Updated May 01, 2020

Carl Leitner

iHRIS, a suite of free open-source software, is used by countries to address health workforce challenges by improving their ability to manage and utilize health workforce information. iHRIS Manage supports service delivery organizations to track and deploy their health workforce. iHRIS Qualify enables professional councils to maintain a databas...
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iHRIS, a suite of free open-source software, is used by countries to address health workforce challenges by improving their ability to manage and utilize health workforce information. iHRIS Manage supports service delivery organizations to track and deploy their health workforce. iHRIS Qualify enables professional councils to maintain a database of registered and licensed health professionals. iHRIS Train manages health worker pre- and in-service training.
How does your innovation work?
iHRIS is open source health information software that supplies health-sector leaders with information to track, manage, and plan the health workforce. It is designed for use by ministries of health, professional health councils, and similar organizations in low-resource countries. Using iHRIS, managers and other decision makers can identify health workforce issues and plan interventions. The iHRIS software is made available under the GPL V3 license and is free to download, use, and modify. The core iHRIS development is lead by IntraHealth International. iHRIS supports many international and open-standards related to health workforce information including norms such as the International Standard Classification of Occupations or WHO's Minumum Data Set for Health Worker Registries as well as data exchange standards such as Care Services Discovery and HL7 FHIR.
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Data
  

Stage 5: Scaling

To date, iHRIS has save countries over $229 million in license fees alone for using comprable human resource software. Millions saved around the world, identifying and eliminating ghost workers and redundant staff and positi\ ons. Helping to sustain iHRIS is the, iHRIS Global Community, a group of caring and talented people from all walks of life: from Jharkand, India, to Kampala, Uganda, to Chapel Hill, North Carolina. With over 270 participants, The community has a common belief that everyone can play a significant role in improving the health of a nation. We believe that open-source technologies and approaches are the best way we can contribute to the achievement of universal health access. The commnuity is connected through Google groups, online courses, academies and a flourishing Slack channel. An important feature of iHRIS is its integration into the larger Health Information System through connections with Health Worker Registry, DHIS2 and OpenHIE. This integration is enabling ministries to link improved management of the health workforce. This integration also provides additional value to countries for the health workforce information they are managing.
iHRIS is being actively used by national ministries of health, nursing and midwifery councils, professional associations, and district-level health service providers. Since 2009, implementation support has come from countries as well as USAID, CDC, WHO, CIDA, DFID and Johnson & Johnson. iHRIS support has been provided by eight implementing organizations (IntraHealth Abt, Baylor, FSD, IMA, JSI, MSH, and Jhpiego.) to solve health workforce challenges . Information on more than 1,000,000 health workers are captured in various iHRIS applications in over twenty countries.
Evidence of the utility of iHRIS in multiple areas abounds. For example:
  • Advocacy Uganda used iHRIS data in 2013 to advocate for a $20 million recruitment fund, filling more than 7,200 identified vacancies
  • Workforce Planning Uganda uses iHRIS Train to better manage the training of nearly 30,000 health students
  • Regulation Uganda Medical Council used iHRIS Qualify to increase re-licensure compliance from less than 100 to more than 2,700 doctors – increasing revenue from USD $100,000 to more than $500,000 per year
  • Deployment for better services and efficiency The state of Jharkhand, India used iHRIS to identify & address staffing shortages in OB/GYN & clinical officers in 60% of their facilities providing services to 900,000 additional people. The Malawi MOH found only 4 mechanics serving 700 drivers in their motor fleet. Increased recruitment to avoid moving people and tools throughout country
For a bit more detailed case study, IntraHealth International, through the Acèss aux Soins de Sante Primaires (ASSP) project led by IMA World Health and funded by DFID, supported the MOH in Kasai Central and Kasai provincesto deploy iHRIS, an open source human resources information system. MOH teams interviewed health workers and entered data including identification, photo, job, and employment/education history. The project identified 6713 active health workers in Kasai Central and 4,721 active health workers in Kasai province. iHRIS deployment revealed 9% fewer health workers than reported on the official HR employee list in Kasai Central and 6% less in Kasai. Kasai Central has only 7.8 qualified health workers per 10,000 population and Kasai only 6.9, compared to the World Health Organization’s recommended density ratio of 23. Health workers are inequitably distributed; most rural health zones have a density ratio of less than 8, while urban zones have a ratio of more than 12. The majority (57%) of health workers reported no government compensation, relying solely on a portion of funds generated by the facility; most health workers reporting government salaries and/or bonuses were located in urban areas. Analyses found that almost 10% of health workers in Kasai Central and 5% in Kasai should have retired by 2015, but were still in the workforce. The central and provincial MOH can use the up-to-date information on health worker numbers, locations and qualifications to realign compensation and better distribute, deploy and manage the health workforce, especially in times of crisis or outbreaks. As devolution progresses, the reinforced capacity of provinces to track, manage and pay their health workforce will contribute toward having the right health worker with the right skills in the right place at the right time to address shocks and maintain gains.
Registered in United Statesin United States

Focus Areas:

Health, Digital Development, GIS/Mapping and 2 MoreSEE ALL

Health, Digital Development, GIS/Mapping, Data/Analytics and TechnologySEE LESS

Implemented In:

Uganda, Togo, Tanzania and 18 MoreSEE ALL

Uganda, Togo, Tanzania, Sierra Leone, Nigeria, Namibia, Mali, Malawi, Liberia, Kenya, Zimbabwe, Guinea, Guatemala, Ghana, Congo, Democratic Republic of the, Chad, Burundi, Lesotho, Botswana, India and RwandaSEE LESS

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Countries Implemented In
Verified Funding
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Planned Goals and Milestones

The demand for iHRIS is high. At the same time the demand for increased iHRIS expanded functionality is also high. To date, most of the software development for iHRIS is funded through specifc country needs. These new features and functionality are then shared with other countries through the global community. This allows iHRIS development to leverage changing needs and priorities while constantly exapnding the functionality. Unfortunately some of these features are too big to be supported through a single country and project, and this is where the need for core iHRIS development and investment comes in. We are launching the iHRIS Foundation to help:
  • facilitate and coordinate investment and devlopment in core iHRIS software development
  • provide resources for a global help desk for iHRIS support
  • support iHRIS Academies

Through the iHRIS Foundation, we would like to expand iHRIS functionality and features based on country needs. These features include:
  • Improve linkages to analytical tools such as GIS platforms and DHIS2
  • Provide tools to customize iHRIS through the web interface
  • Design for mobile interactions and offline support
  • Provide RESTful API endpoints for data management
  • Provide linkages to mobile payment platforms (e.g. mPesa)
We would also like to provide routine iHRIS Academies to share best practices and new features and provide networking opportunities for the global iHRIS community.
Funding Goal350,000

Milestone

Mar 2017
Date Unknown
Created
Date Unknown
New Country Implemented In
Uganda
Date Unknown
New Country Implemented In
Rwanda