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Health management information system
The document discusses Nepal's Health Management Information System (HMIS). It provides background on how HMIS was established in 1993 to integrate separate vertical reporting systems. The objectives of HMIS are to collect, store, process and report health service delivery statistics to assist monitoring, evaluation and policymaking. However, reviews found issues like irregular reporting, unused data aggregation, and discrepancies. The reform aims to strengthen HMIS to meet data needs, improve quality, and minimize duplication across health programs and facilities.
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Health management information system
- 1. Health Management InformationSystem (HMIS) in Nepal PRESENTED BY: PRAKASH GHIMIRE 1
- 2. Management information system (MIS) It is a system designed to provide managing an organization. A system which provide the requirement information to each level of management at the right time, in the right form, covering desired quantity and quality, so that it may form the basis of decision making. 12/21/2015BPH Ist Batch, CMC 2
- 3. It isan information system that integrates data from all the departments it serves and provides operations and management with the information they require. It can be computer- based or manual system that transforms data into information useful in the support of decision making. Contd.. 12/21/2015BPH Ist Batch, CMC 3
- 4. Before theintegration of all health programme in 1993, various vertical projects were using their own information system using separate recording and reporting formats. Those programs specific recording/reporting resulted in; lack of uniformity and standardization, duplication, need of more resources, unnecessary information collection etc. Health Management Information System 12/21/2015BPH Ist Batch, CMC 4
- 5. Contd.. To addressthis issues integrated health management system was established in 1993. It is organized system of collecting, storing, processing, recording, reporting and feedback of information. HMIS, one of the nine routine information systems, provides service statistics related to the health program. 12/21/2015BPH Ist Batch, CMC 5
- 6. HMIS isonly one component of a large program of monitoring and evaluation (M&E) within the health sector. It monitors performance of health programs, health facilities and health work force, provides monthly, quarterly and annual reports. It has been one of the key sources for monitoring and evaluation of health programs and health policy formulation. Contd.. 12/21/2015BPH Ist Batch, CMC 6
- 7. Objectives of HMIS To manage and collect the health service delivery statistics from grassroot health service delivery points to the center. To review the collected data for data processing, analysis and drawing inferences through appropriate indicators. 12/21/2015BPH Ist Batch, CMC 7
- 8. To assistin monitoring of program performances by providing the periodical feedback regarding achievement, coverage, continuity and quality of services through co-ordination with program divisions/centers, managers and service provides. To provide necessary information to policy-makers for developing appropriate health policies. Contd.. 12/21/2015BPH Ist Batch, CMC 8
- 9. To publisha comprehensive annual report. To enhance the dissemination of health information to all concerned authorities using efficient methods and technologies. To support PME(planning, monitoring and evaluation) of all health programs. Contd.. 12/21/2015BPH Ist Batch, CMC 9
- 10. Process of HMIS Collection Transmission Storage Retrieval Analysis Interpretation Preparation for utilization Presentation of information 12/21/2015BPH Ist Batch, CMC 10
- 11. Important of HMIS For the periodic revision of objectives. Identification and allocation of manpower and other resources. Effective and efficiency use of resources. Process implementation. Performance evaluation of a programme. Timely warnings about emerging health process. 12/21/2015BPH Ist Batch, CMC 11
- 12. Institutional framework ofHMIS NPC Ministry of health Central Hospital Department of health services MD/HMIS Centers/Divisions RHD Regional / Zonal hospital Hospital DHO Reporting Line Feedback Line PHC/HP SHP VHW/MCHW Level National / Central Regional District Catchment area and community 12/21/2015BPH Ist Batch, CMC 12
- 13. Department of HealthServices Management Information Section DPHO/DHO HMIS 33a District Reporting FormRegional Health Directorate Ilaka HP/PHC HMIS 32 PHC/HP/SHP reporting form (SAHW or HA) Districts Hospitals HMIS 34 Hospital Based Reporting Form (Medical Recorder) Regional/ Zonal Hospitals HMIS 34 Hospital Based Reporting Form (Medical Recorder) VHW/MCHW HMIS 31 VHW/MCHW Reporing Form FCHV HMIS 27 FCHV Register Sub HP/Non-Ilaka HP HMIS 32 PHCC/HP/SHP Reporting Form (AHW,VHW or MCHW) 12/21/2015BPH Ist Batch, CMC 13
- 14. HMIS TOOLS HMIS 1Master Register HMIS 2 Multipurpose Contact card HMIS 3 Child Health Card HMIS 4 OPD Ticket HMIS 5 Immunization Register HMIS 6 TT Register HMIS 7 <5 Nutrition Register HMIS 8 Referral Slip 12/21/2015BPH Ist Batch, CMC 14
- 15. HMIS 9 MaternalHealth Card HMIS 10 Maternal Health Register HMIS 11 Abortion Register HMIS 12 Family Planning Service card (Face Sheet) HMIS 13 Family Planning Service Register HMIS 14 Sterilization Register HMIS 15 IUD/Norplant Removal Register HMIS 16.a CBIMCI Register HMIS 16.b OPD Register Contd.. 12/21/2015BPH Ist Batch, CMC 15
- 16. HMIS 17 OutreachClinic Register HMIS 18.a Specimen collection and result information form of malaria, kalazar and leprosy HMIS 18.b TB Sputum Specimen collection and result information form HMIS 19 Laboratory Examination Register HMIS 20.a TB treatment Card(HF) HMIS 20.b TB Treatment Card (Patient) HMIS 21 TB Treatment Register HMIS 22 Leprosy Examination and Treatment Card HMIS 23 Leprosy Treatment Register Contd.. 12/21/2015BPH Ist Batch, CMC 16
- 17. HMIS 24 MalariaClassification and Treatment Register HMIS 25.a National Health Training Program HMIS 25.b National IEC program Register HMIS 26 Defaulter Follow-up Slip HMIS 27 FCHV Ward Register HMIS 28 VHW/MCHW Diary HMIS 29 Closed Tally Sheet HMIS 30 Open Tally Sheet Contd.. 12/21/2015BPH Ist Batch, CMC 17
- 18. HMIS 31 VHW/MCHWreporting form HMIS 32 PHCc/HP/SHP Reporting form HMIS 33 DPHO/DHO Reporting form(monthly) HMIS 34 Hospital monthly Reporting Form HMIS 35 Admission Register HMIS 36 Discharge Register HMIS 37 Hospital Tally Sheet HMIS 38 Emergency Service Register Contd.. 12/21/2015BPH Ist Batch, CMC 18
- 19. Key findings ofthe reviews, assessments and feedback Reporting: irregular, incomplete and inconsistent Weak coverage of non-government sector Mere collection and reporting of data to higher level Aggregation of unused data Discrepancy between data reported and recorded in registers in the health facilities Independent data collection and reporting requirements of different programmes and partners Inconsistency of information in HMIS and programmes 12/21/2015BPH Ist Batch, CMC 19
- 20. Duplication ofefforts Different definitions of indicators among different programmes and partners Weak practice of evidence based planning, monitoring and evaluation Learning by doing: no HMIS training to health work force Software is not efficient and user-friendly for data entry and report generation Urgent need of expanding and improving use of ICT Contd.. 12/21/2015BPH Ist Batch, CMC 20
- 21. The objectives ofHMIS reform Strengthen HMIS Meet data demands of NHSP2 and different programmes; and Have improved single health management information system across all 75 districts Have a health management information system across all 75 districts 12/21/2015BPH Ist Batch, CMC 21
- 22. Key features ofrevised HMIS Address needs of NHSP-II, policy & programmes Enable selected indicators to be disaggregated by caste/ethnicity Enable health facility level data reporting Integrate vertical reporting systems : EOC, Aama, CB-NCP, TB, HIV, population activities Enable electronic data entry at district and hospital level and web-based reporting to central level Improve hospital information system 12/21/2015BPH Ist Batch, CMC 22
- 23. Ensure allpublic and non-public facilities report to HMIS Improve data quality Minimise any duplication of work and burden on staff Improve use of HMIS data at different levels for PME Improve review process Link HMIS to other MIS using a uniform coding system Contd.. 12/21/2015BPH Ist Batch, CMC 23
- 24. Revised HMIS Tools 1.Common tools 1.1 Master Register 1.2 Health Service Card 1.3 Outpatient Register 1.4 Referal/Transfer Slip 1.5 Defaulter/Discomtinuation Slip 12/21/2015BPH Ist Batch, CMC 24
- 25. 2. Infant andChild Health 2.1 Child health Card 2.2 Immunization Register 2.3 Nutrition Register 2.4 IMCI Register 2.5 IMAM Child health Card 2.6 IMAM Register 2.7 IMAM Register Hospital Contd.. 12/21/2015BPH Ist Batch, CMC 25
- 26. 3. Family Health 3.1FP Face Sheet 3.2 Pills, Depo Service Register 3.3 IUCD/Implant Service Register 3.4 Sterilization 3.5 Maternal and Newborn health Card 3.6 Maternal and Newborn health service Register 3.7 Safe Abortion Service Register Contd.. 12/21/2015BPH Ist Batch, CMC 26
- 27. 4. Community Services 4.1ORC Register 4.2 FCHV Service Register 4.3 Vitamin A Register Contd.. 12/21/2015BPH Ist Batch, CMC 27
- 28. 5. Malaria, Kalazar,,Leprosy 5.1 Malaria, Kalazar,, Leprosy Sample Collection Form 5.2 Malaria, Kalazar, Leprosy Laboratory Register 5.3 Malaria, Kalazar Treatment Register 5.4 Leprosy Examination and Treatment Card 5.5 Leprosy Treatment Contd.. 12/21/2015BPH Ist Batch, CMC 28
- 29. 6. Tuberculosis 6.1 SputumSample Collection Form 6.2 TB Laboratory Register 6.3 TB Treatment Card(HF) 6.4 TB Treatment Card(Patient) 6.5 TB Treatment Register 6.6 PAL: Smoking Cessation Register 6.7 DR TB Laboratory Register 6.8 DR TB Treatment Register Contd.. 12/21/2015BPH Ist Batch, CMC 29
- 30. 7. HIV/AIDS andSTI 7.1 HIV Testing and Counselling Register 7.2 STI Treatment Register 7.3 PMTCT of HIV Service Register 7.4 HIV Treatment and Care Register 7.5 HIV Patient Treatment Card 7.6 OST Register Contd.. 12/21/2015BPH Ist Batch, CMC 30
- 31. 8. Hospital 8.1 EmergencyService Register 8.2 Admission Register 8.3 Discharge Register Contd.. 12/21/2015BPH Ist Batch, CMC 31
- 32. 9. Monthly ReportingForm 9.1 FCHV Reporting Form 9.2 ORC Reporting Form 9.3 PHCC/HP/SHP Reporting form 9.4 Public Hospital Reporting form 9.5 Private and NGO Health Facility Reporting Form Contd.. 12/21/2015BPH Ist Batch, CMC 32
- 33. 12/21/2015BPH Ist Batch,CMC 33
- 34. 12/21/2015BPH Ist Batch,CMC 34