Thank you all for your engagement and participation in our August 2024 Round-up call. Here is the link to the recording and below are summarized notes from the call.
Agenda 1 - Community Story Presentation - Using geospatial data to strengthen health service delivery in Uganda.
Agenda 2 - CHT product and Focused Working Groups updates.
a) CHT aggregate target improvements.
The Care Teams has been working on aggregate target updates; aggregate targets are used in supervision to enable supervisors to be able to view aggregate views of CHW targets within the CHT app offline. The team has made improvements to enable supervisors to view the previous month data set and also added a feature that supports aggregate targets for supervisors that manage multiple areas/community health units (CHUs). A filter icon has been added to the target/performance tab to enable a supervisor to view the reporting month (last and this month data), breadcrumbs have been included to show the reporting month, the default view for the aggregate target is the current month data. For supervisors managing multiple CHUs, breadcrumbs have been added to ensure that supervisors can see which CHU data they are looking at, supervisors will also be able to select specific CHU and by default the CHUs are arranged alphabetically.
b) Q2 2024 User Research findings.
Between April and June 2024, the Product Design and User Research team working with different partners and MOHs talked to CHWs about their recent experiences with CHT apps. Some of the CHWs reported challenges including; battery issues, CHT apps were taking a long to load and a few were using a mute feature for unintended purposes. The team is hoping to use these insights to inform the specific areas that CHWs need to be supported and mentored. The team also conducted generative interviews with 23 CHWs to assess ease of use of key CHT workflows, the CHWs rated the workflows on a scale between 1-5, with 1 being extremely difficult and 5 being easy. The results show that learning new changes in the app is still a challenge, the team will be following up with these users to better understand these challenges. The full report of the findings is available here, reach out to @leah and @Ziithe in case you would like to collaborate with the team to conduct user research activities.
c) CHT hosting total cost of ownership.
The Allies team has been working on documenting the total cost of hosting CHT apps, the goal of this initiative is to help partners and Ministries of health (MOHs) be able to estimate the cost of hosting CHT apps. The team conducted a reverse longitudinal analysis of the actual cost of running/hosting CHT using existing Medic hosted instances. The team used an industry standard tool called open cost tool, this tool supports analysis of active containers in the kubernetes cluster. Kubernetes is a multi-tenant solution on which multiple CHT instances can run. Open cost allows one to silo data for one CHT instance to get the resources used (RAM, CPU and disk) and be able to estimate the maximum and minimum resources that might be required for specific deployment. The hosting documentation covers the CPU/RAM/disk use, Watchdog, Ingress and CHT core updates, the hosting costs currently does not cover the fixed cost of running kubernetes cluster, backups and training System Admins. The hosting cost documentation is available here, the Allies team would love to hear any feedback about the hosting documentation, i.e. if you find them helpful or how the documentation can be improved.
d) CHT sync and CHT pipeline updates.
The CHT sync has been revamped to reduce the number of services from 3 to 1, with the updated set up; cough2pg will be used to copy data from Couch to postgres and DBT models will be used to transform data into SQL tables for visualization; this setup ensures that there is only one service to maintain and the correct data replication protocol is used. Superset has also been removed from the bundled containers, but still documentation will be provided to guide partners and the Community on how Postgress can be connected to superset for data modelling. During the presentation, @twier simulated a scenario to showcase how CHT sync functions; a script was used to upload 4000 pregnancy records to the CHT test instance, the synced CHT data moved through the pipeline and the pregnancy metrics were visualized on superset.
If you have any questions, please post them here. We look forward to seeing you at the next Round-up on September 12, 2024.