Digital solutions for malaria surveillance: DHIS2 and NMDR
DHIS2
Surveillance is a core malaria intervention. To help countries strengthen routine surveillance systems and promote data use for decision-making across all transmission settings, WHO has developed a suite of digital tools, standards and training materials.
These tools are implemented through malaria modules in DHIS2, which reflect WHO recommendations and best practices. Countries already using DHIS2 – or planning to adopt it – can apply these tools directly. Others can use the modules as guidance to develop or enhance their own surveillance systems.
The DHIS2 malaria modules include 3 main branches with multiple components (see boxes below for more information on the routine and entomology modules).
DHIS2 malaria modules
Routine
Aggregate module + Case-based module
→ Supports routine reporting and analysis of service delivery, treatment and other activities, with datasets and indicators tailored to both burden reduction and elimination settings.
Entomology and vector control
Entomological surveillance & vector control interventions
→ Supports countries in improving the collection and use of entomological and vector control data to inform programmatic decisions.
Additional modules/dashboards
- Seasonal malaria chemoprevention (SMC)
- Facility stock monitoring and triangulation
- Malaria vaccine module
- Data quality dashboard
- District dashboard
Each module provides a standardized set of data elements, indicators, validation rules and dashboards for visualizing core epidemiological and data quality metrics. The visualizations – such as charts, tables, and maps – enable rapid dissemination of information to decision-makers. The modules are configurable and can be used independently or in combination, depending on the public health response required. They are supported by comprehensive guidance and training materials to facilitate implementation and use at facility and programme levels.
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National malaria data repositories (NMDR)
The National Malaria Data Repository (NMDR) is a country-owned digital platform that brings together malaria-related data from multiple sources into a single, structured system. It improves the availability, accessibility and use of high-quality data for decision-making at all levels of the health system.
An NMDR serves as a centralized location to store, manage and access malaria-related data across domains such as epidemiology, entomology, vector control, chemoprevention and finance. It also includes contextual information, such as population denominators. The NMDR is typically structured as a data warehouse or integrated information system, and supports national malaria programmes by organizing and visualizing this information through indicators and dashboards.
Rather than replacing existing systems, the NMDR acts as a unifying layer that connects and harmonizes data from platforms such as DHIS2 and LMIS. It includes tools for analysis, mapping, and visualization, and is a key component of modern malaria surveillance architecture.
NMDR guidance
The initial version of the NMDR guidance focuses on implementation using DHIS2. It outlines a phased approach to help countries plan, build, and operationalize their NMDR in alignment with WHO recommendations and national priorities.
Development phases
Developing and institutionalizing an NMDR typically takes several years, involving multiple iterations and the addition of modules. However, an NMDR can begin adding value within the first year, once the first module is completed.
Broadly, NMDR development follows 4 phases:
- Planning the NMDR
→ Establish the vision, scope and objectives. This includes conducting a readiness assessment, engaging stakeholders, and identifying existing systems and data sources. - Initial NMDR setup and data integration
→ Configure the platform, integrate initial datasets (often starting with routine health facility data) and establish basic dashboards and metadata. - Intermediate NMDR development
→ Expand through iterative integration of additional modules, such as entomology, vector control, stock monitoring and case-based surveillance. This phase includes training, roll-out and early use of the system. - Advanced NMDR development
→ Focus on governance, sustainability and continued improvement. This includes supervision, refinement of data flows and institutionalization of the NMDR within national systems.
Phases 3 and 4 are repeated as modules are progressively prioritized, installed, customized, rolled out and institutionalized.
Readiness assessment
A readiness assessment is a critical first step. It helps countries understand their current digital landscape, identify gaps and determine the feasibility and scope of NMDR implementation. This includes reviewing existing surveillance platforms, data standards, human resources and governance structures.
Annexes included in the guidance
The NMDR guidance includes several annexes that provide practical tools and reference materials
- Workplan and budget templates
- Readiness assessment
- Modules listing
- Master indicator listing