Health Management Information System (HMIS).pptx

Health Management
Information System
(HMIS)
Presented By:
Estomih Mafie

Session : Objectives
By the end of this session, the students will be able
to appreciate:
Basic concepts and definitions around HIS & HMIS
Information cycle
Describe historical background of HMIS in
Tanzania – milestones
Objectives of HIS
Data sources
The importance of HIS/HMIS at different level of
care
Key issues in practicing HMIS
Challenges within HMIS/HIS

Brain storming
What is data
What is information
What is a system?
What are the examples of body system?
What system do you know at your place of
work?
What are they composed of ?
What is health information?
What is an information system?

More sessions on brain storming
Do all systems require data?
What is HIS?
What is HMIS

Definition of terms
Data: Is raw facts/real-world observations, events,
transactions and so on which have been
recorded
•Facts obtained by reading, observation, counting,
measuring, weighing, etc which are then recorded
•The input raw materials from which information is
produced.
•Data, in and of themselves, often have little value and
take on meaning only after they are sorted, tabulated,
and processed into a more usable format.
Information: Is processed data for use
•Is knowledge and understanding that is usable by the
recipient

Definition of terms cont..
Health information: is information about
people’s heath status, resources, activities and
events as related to health
System: A collection of components that work
together in a regular or orderly manner, to
achieve a common objective.
Information System (IS): Is an integrated set of
components for collecting, processing and
storing data and for delivering information,
knowledge, and digital products.
The entire infrastructure or organization that
collect, process, store, analyze and distribute
information for a dedicated purpose

• Health Information System (HIS): is defined as
a comprehensive and integrated structure
that collects, collates, analyses, evaluates,
stores, disseminates, health and health-related
data and information for use by all.
• A paper-based information system uses a
combination of forms, procedures, and
analytical tools to convert routine anonymous
data into useful management information that
can by used by local programmes and facility
managers. It collects data from all facilities
providing health services in all levels/tiers

• Health Management Information System (HMIS) is
defined as a comprehensive and integrated
structure that collects, collates, analyses, evaluates,
stores, disseminates, health and health-related data
and information for use by all (improving health
service effectiveness and efficiency through better
management at all levels of health services).
• HMIS is a combination of people, equipment and
data collection processing methods that are
coordinated to produce useful information needed
for planning of health care.
• In other words is a combination of Health
Information system and Management Information
processes. The system collects information on health
(Morbidity and mortality statistics, Service statistics)
and on management (human resources, financial,
fixed assets and infrastructure, drugs and supplies
logistics) and performs comparative analysis with
population- based data from various surveys.

Historical Background of HMIS in
Tanzania
• The idea of developing HMIS originated
from the gaps observed in forms D2
and D3 that were used by Essential
Drugs programme (EPD) in health
services facilities. These forms were used
to gather information or data on
diseases and the use of drugs. It was
observed that these forms did not meet
the data needs of the health sector in
general

Background cont…….
• HMIS development started in early
1985 after comments were collected
from different stakeholders and
health data users, based on the
need to have a good system for
collecting and managing health
sector data. Taking these comments
into consideration, the first edition
was published officially in 1993 after
being pre-tested in two Districts

Mbeya rural in Mbeya Region
Mafinga district in Iringa Region
The second edition was printed in 1997
after reviewing and updating the first
edition, which had restricted its data
and information to health centers and
dispensaries only. The second edition
had data from dispensaries, health
centers and hospitals. By the end o 1997,
HMIS had been rolled out throughout the
Country

In 2007, the MoHSW developed
recommendations for a plan to strengthen
HMIS countrywide to cover new areas and
new aspects of services provision.
Consequently, a new computerized system
known as District health Information System
(DHIS2) was developed to replace the older
HMIS edition. The test/trials were conducted
in the coast Region in 2010 and later
extended to the rest of the Country.

Background of HMIS Cont…
This system is set up specifically to enable
health supervisors to oversee the health services
at their work place. This system is in use in all
health facilities run by Government, Private
person, Government Parastatals, faith-based
organization (FBOs) and Non-Governmental
Organization (NGOs)

Broad objectives of HIS
1. To generate/provide data (qualitative and
quantitative) quality and timey required for planning,
M&E, efficient management of health services and
decision making
2. To facilitate/help information dissemination, feedback
(horizontal and vertical) and use of information for
evidence- based decision making.
3. To create and maintain health information data base
4. To create an open continuous dialogue between
those who collect and users of information with the
aim of improving health services
5. To determine end-user information needs at the
various levels of the health system.

Overall Goal of the HMIS
• The purpose of training is to enhance
knowledge and skills on how to use the
Health Management Information
System (HMIS) and train students in their
respective Health Training Institution.
Furthermore, upon return participants
will be able to use the knowledge
acquired on how to store, report,
access, share and use data and
information available on the health
management information system.

Specific objectives to HMIS
–To empower HIS student on how
to use the correct data and
information available on the
system
–Use different techniques to
teach students in health colleges
–Use HMIS system on their daily
work

Specific objectives to HMIS
• To gain knowledge and skills how to
collect and fill in data, generate the
report and use data and information
from HMIS database
• To analyse data and information in the
HMIS system
• To empower tutors on how to conduct
audits, management and monitoring
of HMIS system

Definition of HMIS
• HMIS is the system designed to collect facility
based health and health related data,
compile, store and retrieve for data analysis to
produce report which in turn inform service
providers, health managers, decision
markers/policy makers and the public to make
informed decision on health planning,
monitoring and evaluation and provision of
services at all levels of health care delivery.
• HMIS in Swahili is called MTUHA which stands
for “Mfumo wa Taarifa za Uendeshaji wa
Huduma za Afya”.

PURPOSE OF HMIS
• The purpose of HMIS is to enable
everyone involved in the health sector
at the health facility, District, regional
and MoH levels to access and use
reliable data
• The data will be used to evaluate the
implementation of policies and
guideline for planning and providing
quality services of treatment and
prevention at affordable cost.

IMPORTANCE OF DATA
• Preparing various health sector policies
• Planning and making correct decisions in the
health sector
• Assessing the quality of standards in health
service provision
• Managing and evaluating the implementation
of different health plans
• Assisting in initiating different research
• Following up on the trends of different diseases,
health commodities consumption.

Sources of HMIS/Health Care Data
HMIS data will be extracted from the following
main areas:
• Outpatient department (including dental and eye clinics)
• Inpatient department (IPD)
• Diagnostics services (laboratory and Radiology)
• Reproductive and Child Health (RCH) services
• Pharmacy
• Pathology department
• Medical records department
• Administration
• Accounts
• Information from the Community as per Book 3
• Procurement and supplies department

KEY ISSUES IN HMIS/Health Care
PRACTICE
Confidentiality – all services providers are
subjected to confidentiality regarding to
HMIS data
Health facility management – HMIS facilitate
good management of the facility through;
oMonitoring of staffs
oMonitoring of workloads
oMonitoring and discussing problems,
ideas for improvements e.t.c
oMonitoring of income and other
resources

KEY ISSUES IN HMIS/Health Care
PRACTICE
• Tools and equipment – in the context of
HMIS this used to meet the following
goals
oTo meet the cost of training and
repair of essential equipment
oTo ensure the availability of
medicine and supplies used
routinely

KEY ISSUES IN HMIS/Health care
PRACTICE
• Quality of health care – HMIS facilitate
improvements of the quality of health
care provided through;
oImproving coverage and quality of
preventive services
oLowering the morbidity and
mortality in served population
oImprove community services such
as outreach activities

Challenges within HMIS/HIS
• Delay submission of data/information
• Delay dissemination of HMIS tools to
implementers
• Inadequate staff capacity in analysis and
management of data
• Difficulty in preparing/ filling the HMIS tools,
particularly at lower level of implementation
• Implementing HMIS activities at different
levels
• Inadequate supervision of HMIS at district
and regional levels

END OF SESSION
THANKS FOR
LISTERNING
ANY QUESTION????

1.1.1 COLLECT DATA USING DIFFERENT FORMS (HIS)
 State types of data
 Identify types of data collection methods
 State types of data collection tools
 Principle of designing data collection tools
 Purpose of pre-testing tools for data collection
 Procedure for pretesting data collection tools
 Design various data collection tools
 Collect health care data using designed tools

COLLECTION OF DATA BY USING
DIFFERENT FORMS (HIS)

TYPES OF DATA
1. Qualitative (Categorical data) either nominal
or ordinal (Not measurable you can only
describe, i.e. descriptive)
2. Quantitative (Measurement/Numerical data)
either discrete/interval or continuous (It is
measurable)

EXAMPLE OF DATA
 Activity data
 MCH/FP attendance
 ANC attendance
 Post natal attendance
 Outpatient attendance
 Inpatient attendance
 Epidemiological
surveillance
 AFP surveillance
 Measles surveillance
 NNT surveillance
 Semi permanent data
 Population target to be
served
 Facility staffing
 Volunteers
 Program data
 Stock cards
 Lab specimens
 No of CBD’s

DATA SOURCES
 There are # of sources of health data/inf. namely:
 outpatient records
 Registration of persons
 Surveys
 Disease surveillance
 Community based project
 In-patient records etc
 Two broad sources of data
 Primary: where the investigator is the first to collect
the data. Sources include: medical examinations,
interviews, observations, etc. Merits: less
measurement error, suits objectives of the study
better. Disadvantage: costly, may not be feasible.

SOURCES OF DATA CONT..
 Secondary: where the data is collected by
OTHERS, for other purposes that those of the
current study. Sources include: individual
records (medical / employment); group
records (census data, vital statistics)

OTHER TYPES OF DATA THAT SHOULD BE
ROUTINELY COLLECTED
 Administrative data such as stock card for
supplies ,lab specimens.
 Human resource e.g. number of staff, workload and
absenteeism.
 Logistical data e.g. transport
 Organizational data e.g. infrastructure and
equipment

DATA COLLECTION METHODS
 The selection of data collection methods the
Choice of techniques varies with purpose of
the data and objectives
 The following are the most common data
collection methods;
 Interview
 Questionnaire and survey
 Observation
 Abstraction of information from existing records.

INTERVIEW
 Interviews can be conducted in person or over
the telephone
 Interviews can be done formally (structured),
semi-structured, or informally
 Questions should be focused, clear, and
encourage open-ended responses
 Interviews are mainly qualitative in nature
 Example One-on-one conversation with parent
of at-risk youth who can help you understand
the issue

DATA COLLECTION METHODS
 Interview schedule
Advantages of Interviews:
 Depth of response
 Basis for developing a questionnaire
 Clarification is possible
 No items overlooked
 Greater amount of flexibility
Disadvantages of Interviews:
 Time consuming
 Costly
 Questionnaire
 Observation

QUESTIONNAIRES AND SURVEYS
 Responses can be analyzed with quantitative
methods by assigning numerical values to
Likert-type scales
 Results are generally easier (than qualitative
techniques) to analyze
 Pretest/Posttest can be compared and
analyzed

OBSERVATIONS
 Allows for the study of the dynamics of a
situation, frequency counts of target behaviors,
or other behaviors as indicated by needs of the
evaluation
 Good source for providing additional
information about a particular group, can use
video to provide documentation
 Can produce qualitative (e.g., narrative data)
and quantitative data (e.g., frequency counts,
mean length of interactions, and instructional
time)

ADVANTAGES TO OBSERVATION:
 They are free of the biases inherent in the self-
report data.
 They put the practitioner directly in touch with
the behaviors in question.
 They involved real-time data, describing
behavior occurring in the present rather than
the past.
 They are adapting in that they can be
modified depending on what is being
observed.

PROBLEMS WITH OBSERVATION
 Difficulties interpreting the meaning underlying
the observations.
 Observers must decide which people to
observe; choose time periods, territory and
events
 Failure to attend to these sampling issues can
result in a biased sample of data.

ABSTRACTION OF INFORMATION FROM
EXISTING RECORDS
 Consists of examining existing data in the form
of databases, meeting minutes, reports,
attendance logs, financial records, newsletters,
etc.
 This can be an inexpensive way to gather
information but may be an incomplete data
source

PROCEDURE OF DATA COLLECTION
 Data collection begins only after a problem
has been defined and research design
finalized.
 Primary data are collected for the first time
hence original in character
 Secondary data are those which have already
been collected by someone else and have
already been passed through statistical
process.
 In collecting data, one must decide;
 What data to collect
 How to collect the data
 Who will collect the data
 When to collect the data

SELECTION OF APPROPRIATE METHOD
FOR DATA COLLECTION
 The following should be taken into
considerations;
 Nature of scope and the objectives of
study/problem
 Level of precision required
 Availability of funds and involvement of time
 Level of efforts and expertise.

DATA COLLECTION
INSTRUMENTS/TOOLS
 The type of instrument used depends on the
data collection method selected
 An instrument is described as a device used to
collect data
 Instrument facilitates variable observation and
measurement

DATA COLLECTION TOOLS
 Checklists - Checklists structure a person’s
observation or evaluation of a performance or
artifact. They can be simple lists of criteria that
can be marked as present or absent, or can
provide space for observer comments. These
tools can provide consistency over time or
between observers. Checklists can be used for
evaluating databases, the use of library
space, or for structuring peer observations of
instruction sessions.

DATA COLLECTION TOOLS CONT…….
 Interviews schedule - In-Depth Interviews
include both individual interviews (e.g., one-on-
one) as well as “group” interviews (including
focus groups). The data can be recorded in a
wide variety of ways including stenography,
audio recording, video recording or written
notes. In depth interviews differ from direct
observation primarily in the nature of the
interaction. In interviews it is assumed that there
is a questioner and one or more interviewees.
The purpose of the interview is to probe the
ideas of the interviewees about the
phenomenon of interest

DATA COLLECTION TOOLS CONT…….
 Questionnaires - Questionnaires is instrument
used for collecting data in survey research.
They usually include a set of standardized
questions that explore a specific topic and
collect information about demographics,
opinions, attitudes, or behaviors.

PRINCIPLE OF DESIGNING
QUESTIONNAIRES
1. Keep the questionnaire as short as possible.
2. Ask short, simple, and clearly worded
questions.
3. Start with demographic questions to help
respondents get started comfortably.
4. Use dichotomous (yes/no) and multiple
choice questions.
5. Use open-ended questions cautiously.
6. Avoid using leading-questions.
7. Pretest a questionnaire on a small number of
people.
8. Think about the way you intend to use the
collected data when preparing the
questionnaire

PRE-TESTING/PILOT TEST
 Pre-testing is the administration of the data
collection instrument with a small set of
respondents from the population for the full
scale survey. If problems occur in the pre-test, it
is likely that similar problems will arise in full-
scale administration

PURPOSE OF PRE-TESTING DATA
COLLECTION TOOLS
 To identify problems with the data collection instrument
and find possible solutions, it is not possible to anticipate
all of the problems that will be encountered during data
collection. Terminology used in questionnaires or
interviews may not be understood by respondents and
information to be retrieved from documents may not be
readily available.
 Reducing error to acceptable levels requires the pre-
testing of data collection instruments because
standardized procedures are essential for ensuring that
general statements can be made, it is advisable to
make as few adjustments as possible to data collection
instruments once data collection has actually started

PRINCIPLES FOR PRE-TESTING
 Pre-testing should be conducted in circumstances
that are as similar as possible to actual data
collection and on population members as similar
as possible to those that will be sampled.
 Careful notes should be taken on the problems
encountered and possible solutions should be
identified.

COURSE WORK
 Suppose your working at ANC clinic and your
role is to prepare the clinic report monthly,
prepare the data collection tool which you will
use to capture the information on ANC clinic,
then state the reason why do you think the
designed tool is suitable to that specific clinic.

LEANING OBJECTIVES
By the end of this session, the student will be
able to;
 Define the data collection tools in relation to HMIS
 Identify the different HMIS books/register and other
departmental registers
 Describe five groups of HMIS
 Describe different HMIS books/register and other
departmental registers used in data collection
 Explain the purpose of books/registers used in the
collection of HMIS data

DATA COLLECTION TOOLS IN RELATION
TO HMIS
 These are the instruments used to collect
health related data for the purpose of future
analysis and decision making in health.
 The HMIS tool is the set of local standard
established by the Government of Tanzania
 HMIS comprise fifteen (16) books/register
 At the level of each hospital, departmental
registers are also used in collection of data.

DIFFERENT HMIS BOOKS/REGISTER & OTHER
DEPARTMENTAL REGISTERS
• Book 1: HMIS Guidelines
• Book 2: Health Facility information Book
• Book 3: Community book
• Book 4: Ledger book
• Book 5: Out-patient register
• Book 6: Antenatal care register
• Book 7: Child register
• Book 8: Family planning register
• Book 9: Diarrhoea treatment corner
• Book 10: Facility annual Report book
• Book 11: Dental and oral health register
• Book 12: Labour & Delivery book
• Book 13: Postnatal Register
• Book 14: In-patient Department Register
• Book 15: Human Resource Register
• Book 16: Eye Register

DIFFERENT HMIS BOOKS/REGISTER &
OTHER DEPARTMENTAL REGISTERS
 Currently HMIS has added other registers which
are yet to be numbered, these are:
• Malaria laboratory investigation
register
• Dispensing register
• Monthly Tracer medicine register
• Death notification form/register

OTHERS DEPARTMENTAL REGISTERS
 Diagnostic/Laboratory
 Physiotherapy
 Mortuary
 Pathology
 HIV and AIDS
 TB and LP
 Safe blood services

GROUPS OF HMIS
 The HMIS books are divided in several main groups as follows;
 HMIS Guideline - This is Book No. 1. It is used as an instruction
manual and reference to other books/registers, i.e., Books
No. 2–16. Each facility should have at least one copy. The
HMIS Programme will ascertain that each division in each
health service delivery facility obtains at least one copy.
 Data collection books/register - These books are used to
collect data on different aspects of health (Books No. 2, 3,
4, 5, 6, 7, 8, 9, 11, 12, 13, 14, 15 and 16). New books and
registers have been added to this list. They include the
malaria laboratory investigations register, dispensing
register, monthly tracer medicine register and death
notification form/register.

GROUPS OF HMIS
 Tally sheet forms - These forms are used to track
data for analysis. This is then used in report writing.
Each HMIS register/book should have a tally sheet
which will be used jointly with some register/book
for collecting data. Form F204, this form used to
record deaths of infant who are under the age of
one month that occur within the community
 Monthly report forms - The HMIS uses monthly report
forms to collect data each month. These forms are
in duplicate: one copy is sent to the district while
the other is kept at the health facility

GROUPS OF HMIS
 Facility and hospital record book – This is
number 2 is used to document important
records of the facility or hospital. It has various
charts or tables with information about the
facility. It is kept by the person in-charge of the
facility alongside with the Monthly and annual
report book and is used for the reference
whenever the need arise. Compute
programmes are used at the district level for
analysis and storage of data.
 Annual Report Book – This is book number 10
which used to summarise data from the Facility
health information register (book 2) and
community register (book 3)

DIFFERENT HMIS BOOKS/REGISTER
HMIS uses fourteen (14) data collection books/registers (Books 2-
9 &11-16) as follows;
 Health facility information register/book (Book No. 2) - This is
used to collect data regarding supervision visit meetings, staff
absence, and procurement of buildings, transport facilities,
fixed assets, building renovations or maintenance, unit of
blood in the blood bank, radiology and pathology services.
 Community Data Book (Book No 3) – This book is used to
obtain data related to host community by the health facility
in question. The data used, in this regard is provided by NBS.
Health service areas that are not entitled (without specific
service area) will not use this book/register.

 Ledger Book (Book No 4) - Ledger book records medicines
and medical supplies used each day. These records
are the basis for new or fresh requisition. These books
are used by the store keepers at the health facility
 Out-Patient Department (OPD) Register (Book No. 5) -
The OPD register records patients or clients
attendances at the OPD department
 Antenatal Care (ANC) Register (Book No 6) - This
register is a record for pregnant women from their first
to their last visit for ANC services.
 Child Register (Book No7) - This register is for children who
are under 5 years of age including infants. All infants
who visit the health facility/ child clinic, for reasons
such as immunisation and medicine for treatment are
registered here.

 Family Planning: (FP) Register (Book No 8) - This
register records data of the new and re
attended clients who visits the health facility for
family planning services
 Diarrhoea Treatment Corner (DTC) Register
(Book No 9) - This register records the details of
infants referred to the DTC Unit
 Dental and oral health Register (Book No.11) -
This register has the details of clients who visit
dental clinics.
 Labour & Delivery Register (Book No.12) - This
register has the details of all cases during
labour and immediately after delivery.

 Postnatal Register (Book No.13) - This register
records the visits of the mother and infant
during all visits within 42 days of delivery.
 In-patient Department Register (Book No.14) -
This register records the details of in-patients.
 Human Resources Register (Book No.15) - This
register is used by the Human Resource Unit to
record all cadres of personnel in the health
sector.
 Eye Register (Book No. 16) - This register is used
to collect data regarding Eye service at the
health facilities.

HMIS TOOLS
 HMIS uses three main tools in collection,
analysis. Storage, management and reporting
health care data
 Books/registers
 Tally sheet forms
 Monthly report forms

HMIS TOOLS
 Register – This used to track/capture the information
about patients/clients together with the services
provided.
 Tally sheet form – This used to track data for easy
analysis, also this form are used alongside the register to
ensure that the information for patients/clients required
to be reported at higher level is classified correctly and
later totaled in easy manner to aid report writing.
Note: fill out the register concurrently with the tally sheet
form for the accuracy. Start with the tally sheet form.
 Monthly report form – This form is filled out during the first
week of the month following the report month after
been summarized and compiled together. The original is
sent to the District while the copy remain at the facility.

PURPOSE OF BOOKS/REGISTERS USED IN
THE COLLECTION OF HMIS DATA
 These books/registers are used in collecting
essential data for the health sector for the
following;
 Monitoring of illnesses, including infectious
diseases
 Evidence on the trend/incidence of diseases
over time
 Various researches in the health and social
welfare sector
 Helping to determine areas that require
additional efforts
 Planning and management of health services
 Decision making in the health and social welfare
sector.

SCENARIO
 On 17th
November, 2017 Amina Aman Mwakipesile from
Rungwe District born on 5th
May, 2015 with birth
registration number 0468823, was brought to the hospital
by her mother, Ada Akaro Mwakipesile, for her
scheduled clinic visit. She has got all vaccination as per
EPI. During this visit she was given measles vaccine and
vitamin A. During the visit the mother reported that her
kid has the history of Diarrhea for past one day and her
body weight is 8kg. Her mother was tested for HIV and
she was negative, and she got TT immunization.
 QUESTIONS
 Under which data collection tools does the
information about this patient appear?
 State the reason why?

SCENARIO
 Mwantumu Mustafa Pesambili is 28 years old lady, para 4
who had delivered a female baby with body weight of
3.5kg at Mkwawa hospital 14 days ago. During ANC visit,
she was tested for HIV and found negative. She comes at
RCH clinic on 22nd
June, 2013 for routinely check-up,
physical examination and Hb level estimation were done to
both mother and child, findings were normal. She was
cancelled on family planning her choice was LAM
(Lactation Amenorrhea Method) and 3rd
dose of TT was
given
 QUESTIONS
 Under which data collection tools does the information
about this patient appear?

DEFINITION OF IMPORTANT TERMS USED
IN HMIS
 First Attendance: The visit by a patient to the hospital for the first
time is referred to as ‘First Attendance’. Each first attendance is
given a number beginning each month with number ‘1’. The total
number of first attendances determines the workload at the
hospital especially in OPD.
 Diagnoses: “Diagnosis” is the problem identified by a doctor from
the patient whether confirmed in the laboratory or not. This
problem may be an actual disease or related to another disease.
A diagnosis will be written down at each attendances. The
relationship between actual disease and problems associated
with it might not be obvious to the doctor. Nevertheless, there
must be a written diagnosis for each attendance. If for example, a
patient presents both Malaria and Anemia, the two diagnosis must
be note down (one attendance can therefore reveal multiple
diagnoses)
 Long illness: A patient’s visit to a facility for the first time in a year,
even with a long illness, should be regarded as first attendance.
Subsequent visits, in that year, are referred to as return visits.

IN HMIS
 Return-visits may be seen in the category below;
 Patients carrying on with long term treatment (for
example for management of tuberculosis or
hypertension, chronic diarrhoea or Diabetes mellitus)
 Re-attendance for condition determined in previous
diagnosis but which were not dealt with satisfactorily
by the treatment given or any other reason such as
diarrhoea
 Patients visits the facility, in the same year for the
treatment or management of long term illness such as
diabetes mellitus where the visits is not the first time on
that specific year
 All return-visits will be tallied in the tallied at the space
provided at the bottom of each page. Detailed
description will not be recorded. There is no provision
for the registration of such patients

IN HMIS
 Case – A diagnosis may be described as a case. A
clinician may, for example refer case of Measles. The
term case may also be to refer to an attendances that
had diagnoses of both Measles and Malnutrition. Case
history is the term used in reference to detailed
explanation of the patient visiting a facility over a period
of time
 Referral - this is a visit occurs when the patient is
transferred or advised to go to higher level of facility for
investigation or further management. Referral also
includes receiving of a patients form lower level facility.
The data of the patients should be recorded correctly in
the line provided. The patients who visit the hospital but
end up with admission in the wards should not be
recorded in the OPD register such patient should be
recorded in the IPD register.

IN HMIS
 Treatment – as a rule of comprehensive
treatment is provided to patients after
diagnosis. It is however, different where the
patient has a long term illness
 A notifiable disease is any disease that is
required by law to be reported to government
authorities. The collation of information allows
the authorities to monitor the disease, and
provides early warning of possible outbreaks.
 The collation of information allows the
authorities to monitor the disease, and
provides early warning of possible outbreaks.

LIST OF NOTIFIABLE DISEASES IN TANZANIA
 Cholera
 Dysentery
 Meningitis
 Plague
 Anthrax
 Rabies
 Animal bites
 Yellow fever
 Rift valley fever
 Viral hemorrhagic fever
 Vaccine preventable disease such as Measles, Polio, AFP e.t.c
 Human influenza caused by a new subtype
 Small pox
 Epidemic viral kerato-conjuctivitis

SCENARIO
 Mr Ally Kibanga Chakupewa 42 years old, living at Mtakuja
Village attend the OPD at facility X with registration number
00-05-13. The following test were done MRDT, Cerebral spinal
fluid analysis, HB and random blood glucose .
 The results were as follows
 Malaria was Positive
 HB was 8.0g/dl
 Blood glucose 2.5 mmol/L
 CSF was normal
 The patient referred to Medical ward on 06/03/2013
with the provisional diagnosis of Severe Malaria and he
was given IV quinine 600mg 8hourly for 48 hours then
tabs 600mg for five days.
 QUESTIONS
 Under which data collection tools does the information
about this patient appear?

Health Management Information System (HMIS).pptx

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Health Management Information System (HMIS).pptx