OpenHEXA: first layer of interoperability management between health platforms in Niger

September 4, 2025

Niger’s digital health environment is characterized by fragmented systems and multiple siloed databases. To address this issue, Bluesquare supported the organization of a workshop for the local hosting of the OpenHEXA platforms on the servers of the Ministry of Health and Public Hygiene (MSHP).

A workshop to meet an interoperability need

From June 30 to July 6, 2025, Bluesquare supported the organization of a strategic workshop alongside the Directorate of e-Health of Niger’s Ministry of Health and Public Hygiene. The goal was to locally deploy the OpenHEXA platform on national servers while strengthening the technical capacities of local teams (Linux, Docker, PostgreSQL, data pipelines, etc.).

The initial problem: a fragmented digital landscape

The fragmentation of Niger’s digital health environment makes it difficult to consolidate, analyze across systems, and leverage data in a multisectoral perspective. Indeed, more than 32 digital platforms and applications have been identified within the health ecosystem, each developed to meet specific vertical program needs.

In this fragmented digital landscape, OpenHEXA represents a major step forward: a robust open-source interoperability infrastructure capable of collecting, transforming, centralizing, and automating multi-source data flows (DHIS2, OpenIMIS, OpenClinic, etc.).

The country’s authorities are committed to driving a deep digital transformation of the sector and ensuring governance of digital infrastructures, administration of platforms, as well as the integration and sovereignty over health data. The ultimate goal is to guarantee the effective use of Information and Communication Technologies (ICTs) at all levels of the health system to improve the availability, quality, accessibility, and use of data in support of decision-making.

OpenHEXA, an open-source solution developed to address these challenges, enables the orchestration of data processing pipelines while ensuring quality, traceability, and replicability of processes.

A successful workshop

The workshop, which brought together around twenty technicians, concluded with a roadmap for the effective production rollout of this platform. A second workshop will be held between October and November 2025 to set up two concrete use cases around OpenHEXA. It will allow the Directorate of e-Health, along with other departments, programs, and technical/financial partners, to strengthen their ownership of the platforms through the health map (SNIS > OH > Superset) and the climate module (ERA5 > OH > DEDOP/NMDR).

Funded under the Palu Enabel – Gates Foundation project, this first workshop ended on a positive note with the satisfaction of the Director of e-Health, Mr. Ahmed Mamane Alassane.

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Use cases

Niger’s digital health environment is characterized by fragmented systems and multiple siloed databases. To address this issue, Bluesquare supported the organization of a workshop for the local hosting of the OpenHEXA platforms on the servers of the Ministry of Health and Public Hygiene (MSHP).

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