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Table 2 Key features of E+TRA health system

From: Demand sensing and digital tracking for maternal child health (MCH) in Uganda: a pilot study for ‘E+TRA health’

Feature

Detail

Cloud-based

Any device with a web browser can use this system, including computers, smart phones, and tablets, with no installation or software updates. All maintenance and updates are done at the server side

Coded in open-source language

The website is coded in an open-source language, PHP, which is relatively easy to develop and maintain. As of 2019, 79% of all server-side websites use PHP [39]. And it is the most-used open-source software within enterprises [40]

Offline-compatible

In developing countries, different departments of a healthcare facility are quite far from each other. Some locations are not covered by wi-fi signals. There are power outages that shut down the routers. Open-source data collection software (e.g., OpenDataKit) provides offline function (Additional file 1: Appendix Fig. S1). Data is stored locally on the devices not covered by wi-fi signals and is uploaded and synchronized automatically when they get access to the local network

Cross-platform

Accessible in different operating systems, e.g., Windows, Mac OS, Android, iOS, etc

transparency

Track any item from receiving from national/district medical stores to dispensing to patients. All transactions/movements and manual adjustments are recorded

Automatic report generation

Generate monthly standardized reports in real time, which are required to submit to the Ministry of Health of Uganda every month, would take one week for staff to manually generate (Additional file 1: Appendix Fig. S2). Visualize data collected (Additional file 1: Appendix Fig. S3) to support decision making

Full patient record

Once admitted during their first visit, future visit histories will be connected automatically via patient ID that is assigned

Automatic inventory level updates

Supply data is extracted from the sourcing forms. Consumption data is extracted from patient prescriptions and lab activities. Store managers no longer manually update and track stock levels on paper or spreadsheets. Full history of transactions of each commodity is recorded in the system and visualized (Additional file 1: Appendix Fig. S4)

Generation of order quantities

Triangulates data collected from MCH, lab, and main store to forecast the order quantities to the national store, based on maximum stock levels of the health facility