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For the complete DHIS2 documentation index, see llms.txt.
Applications optionnelles
L'application Bottleneck Analysis
Mise en œuvre par les utilisateurs

Guide de mise en œuvre de l'application BNA

This guide will provide a detailed overview of the different facets of the BNA App implementation.

Principes directeurs relatifs à la mise en œuvre de l'application BNA

The BNA App implementation is part of a comprehensive approach to analyse key health barriers, identify and prioritize the most significant health system bottlenecks, determine their causes and develop realistic actions to address priority constraints at the sub-national level. To achieve this, Ministries of Health and other bottleneck analysis users should consider taking up the following guiding principles to successfully implement the application.

  1. Ensure that before implementation (within the Ministry of Health) inclusive discussions with all stakeholders are undertaken to streamline the process, i.e. MoH (Program & data managers, ICT, M&E teams), stakeholders (Implementing and development partners)
  2. For the case of MoH, ensure that there exists a functional DHIS2 instance at the national level with required datasets that provide data for at least the 6 determinants of coverage (Commodities, Human Resource, Geographical Access, Initial Utilization, Continuous Utilization and Effective Coverage )
  3. Work with MoH teams (M&E, Program and Data Managers) to develop the BNA list of indicators. Important to ensure that indicators can easily be generated from the DHIS2 or other nationally available sources.

For sources such census, and survey reports, plan to create a dataset with the DHIS2 system to facilitate import.

For systems that are not integrated within the DHIS2 system, data can be exported in spreadsheets and subsequently imported for purposes of generating the bottleneck analysis charts.

Lookout for denominator issues and indicators that require complex calculations. You could opt to use proxies or any other relevant indicator that provide data for the bottleneck analysis.

  1. Once the BNA indicator list has been completed, work with the MoH technical teams to map indicators to the DHIS2 system data elements / Indicators.
  2. Ensure that the DHIS2 instance has been upgraded to at least dhis2 2.28 and above. The BNA app works well in DHIS2 instances starting with v2.28 - v2.33.
  3. Obtain the BNA app installer from Dhis2 app store by either downloading directly from the site and installing the app in the DHIS2 system or installing from with the DHIS2 app management module ( follow the installation manual to complete the setup)
  4. Use the BNA configuration guide to complete setup for the BNA charts, sub-level and root-cause analysis. Part of the configuration includes sharing the BNA charts with national and district users, setting permissions and protocols for access.
  5. To ensure the quality of data generated by the BNA charts, both technical, program and data managers need to validate the data outputs by comparing with other DHIS2 tools in the system such as pivot tables, data visualizers and dataset reports.
  6. Plan and conduct BNA app trainings at both national (ToT) and the district levels.