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DW User Form

This document is a user access request form for Afghanistan's Ministry of Public Health data warehouse. It collects information such as the requesting organization, user details, data access needs, and terms of use. The terms of use specify that the user is responsible for maintaining data security and integrity, complying with applicable laws and policies, protecting their password, only accessing authorized information, and informing officials of any misuse. The form requires signatures from the requesting user, nominating officer, and General Directorate of Monitoring and Evaluation - Health Information System for approval.

Uploaded by

Abdul Hadi Hamidi
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48 views2 pages

DW User Form

This document is a user access request form for Afghanistan's Ministry of Public Health data warehouse. It collects information such as the requesting organization, user details, data access needs, and terms of use. The terms of use specify that the user is responsible for maintaining data security and integrity, complying with applicable laws and policies, protecting their password, only accessing authorized information, and informing officials of any misuse. The form requires signatures from the requesting user, nominating officer, and General Directorate of Monitoring and Evaluation - Health Information System for approval.

Uploaded by

Abdul Hadi Hamidi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Ministry of Public Health

Monitoring & Evaluation-Health Information System General Directorate


Health Management Information System Department
MoPH Data Warehouse User Access Request Form

Date: New existing

Name of requesting Organization:

Department/Program Area:

Details of nominating officer: (Project/Agency Head of Chief of Party or Executive Director):


Surname: Reason for the data access (actual data needs)
First Name:
Designation:
E-mail:
Cell Phone:
New User Information
Surname:
First Name:
Designation:
E-mail:
Cell Phone:

Period for requesting access: From: To:


Type of access required: View Only View/Edit Data Entry/Import
Is this person replacing an employee that currently has an account in the system Yes No

If yes above, Please provide the user name


How to contact you? Geographical coverage of required information:
✓ Email Afghanistan
✓ Phone Province Name of Province:
District Name of District:
Facility Name of Facility:

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Health Management Information System Department
Terms of Services

I understand that I am responsible for maintaining the security and integrity of all information in the
Afghanistan MoPH data warehouse and using the information appropriately:

I acknowledge that I am responsible for reading, understanding and observing all Afghanistan
applicable data security laws, regulations, acts and policies. I further recognize that if I fail to comply
with these policies, I am subject to disciplinary action including deactivation of the DHIS2 access.

I understand that the username is our own individual/organizational code for gaining access to MoPH
data warehouse. I agree to create effective passwords and to change them at the appropriate intervals as
required by Ministry of Public Health policies.

I agree to protect the organizational password appropriately, and not disclose it to or share it with any
other person as required by MoPH policies. I also agree never to use any other person’s password
without MoPH’s approval.

I understand that I may use my password for access to only that information that I have been authorized
to review or use in the performance of my responsibilities. I agree to access, use, store, and dispose
information, which I will use in a manner, which ensures continued security and confidentiality in
accordance with all applicable MoPH Policies.

I understand it is strictly forbidden to may any changes to MoPH data warehouse without the approval
of the M&E-HISDG. This includes changes to the data structures, validation rules, indicator definitions
and reports/visualization created for public use.

In the event of any misuse of the system or the data derived from the system. I agree to inform M&E-
HISDG as soon it brought to my attention.

I understand my access privileges may be revoked if any of the above provisions are violated.

Requesting user signature…………………………………….. Date:

Nominating Officer Signature…………………………………. Date:

GDM&E-HIS Signature for Approval…………………..…….. Date:

Clear From Save Form

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