Tell us about your DHIS2 system
Do you have a DHIS2 implementation project that you would like to share with the core DHIS2 team and global HISP community? Share the details with us by filling out the form below! We will evaluate your submission for possible inclusion on our global DHIS2 implementation map, and may contact you for further information.

By submitting this form you give DHIS2/HISP UiO permission to use your anonymized responses in research, research publications, and DHIS2-related informational materials. We appreciate your input!
Sign in to Google to save your progress. Learn more
What is the name of your DHIS2 system? *
Describe your DHIS2 implementation / project *
What is DHIS2 being used for? How is it being used?
What is the implementation scale? *
In which country (or countries) is the project based? *
For sub-national projects, select the country in which the project is based and indicate which province, state, city (etc.) in your description above. For regional / multi-country or global projects, select "Multiple Countries / Regional" or "Global" from the bottom of the list below and explain in your description above.
What sector is the project used in? *
What kind of organization manages this project? *
Which DHIS2 data models and applications are used? *
Required
Approximately how many locations and/or people use your DHIS2 system?
This can include users at all levels of your system (including Community Health Workers). If your project includes mobile data entry with the DHIS2 Android Capture App, please also include an approximate number of users or mobile devices in your implementation.
Describe any benefit or positive impact of using DHIS2 for this project
If possible/applicable, please include an approximate number of beneficiaries reached by your project
Please share any links (URL) related to your DHIS2 project
What is your name? *
What is your organization and job title? *
What is your email address? *
DHIS2 / UiO will not share your email address with any outside groups, but may use it to contact you with additional questions about your DHIS2 project and information about DHIS2.
Do you give us permission to add your system to our DHIS2 in Action map? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of DHIS 2.

Does this form look suspicious? Report