gabzsmallz/chp-scis-prototype

CHP-SCIS Prototype: Integrating Community Health Promoters into Kenya's National Health Supply Chain Information System. Built on Medic CHT 4.x + OpenHIM FHIR R4 Mediator + DHIS2 Dashboard. University of Nairobi DSR MSc dissertation. # CHP-SCIS Prototype **Improving Community Health Promoter Commodity Management Through FHIR-Based Stock Visibility in Kenya's Community Health Supply Chain** > University of Nairobi · MSc Applied Computing · DSR Dissertation Prototype > Researcher: George Ngambi Githae (P51/6194/2017) > Supervisor: Prof. Peter Waiganjo --- ## The Problem This Solves Community Health Promoters (CHPs) in Nairobi record commodity stock-on-hand largely on paper or in siloed eCHIS records that never reach the facility or county level. Kenya's supply chain (iLMIS/KEMSA) is therefore blind to CHP-level stock status — facilities and counties only learn about a stockout long after it has already disrupted service delivery. **This prototype demonstrates:** CHPs record multi-commodity stock reports in eCHIS (CHT) → a FHIR mediator transforms each report into a FHIR R5 `InventoryReport` → the report is forwarded to the facility LMIS (iLMIS stub), county aggregate reporting (DHIS2 stub), and a PostgreSQL store for the dashboard → any commodity at zero stock is detected and a formal FHIR `SupplyRequest` is escalated to the CHP's attached facility (AfyaKE stub), with an in-app alert written back into eCHIS so the CHA can see and track the escalation. Earlier iterations of this prototype explored a CHP-to-CHP **lateral resupply** mechanism (matching a stockout against a neighbouring CHP's surplus before escalating). Field questionnaire findings (CHP/CHA pre- and post-demo instruments, July 2026) showed stockout duration is driven mainly by upstream supply availability and facility response capacity rather than by CHP-to-CHP data blindness, and that visibility does not, by CHAs' own account, automatically change resupply behaviour. The lateral mechanism was dropped accordingly; the current prototype focuses on stock visibility and formal facility escalation only, consistent with the revised conceptual framework and research questions. --- ## Architecture ``` Android Phone / Browser (CHP) …