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Lesson 7 HIS - HMIS Monitoring and Evaluation

This module discusses HMIS monitoring and evaluation. It explains that monitoring involves systematically collecting and analyzing program information to support learning, accountability, and decision making, while evaluation assesses programs to determine relevance, effectiveness, efficiency, impact and sustainability. The module then discusses HMIS indicators related to various health programs and interventions, such as maternal and child health, immunizations, and tuberculosis treatment. Key indicators track metrics like healthcare utilization rates and health outcomes.

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Kauline Joseph C. Briones
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86 views

Lesson 7 HIS - HMIS Monitoring and Evaluation

This module discusses HMIS monitoring and evaluation. It explains that monitoring involves systematically collecting and analyzing program information to support learning, accountability, and decision making, while evaluation assesses programs to determine relevance, effectiveness, efficiency, impact and sustainability. The module then discusses HMIS indicators related to various health programs and interventions, such as maternal and child health, immunizations, and tuberculosis treatment. Key indicators track metrics like healthcare utilization rates and health outcomes.

Uploaded by

Kauline Joseph C. Briones
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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Module 7

HMIS MONITORING
AND EVALUATION
MLS 1103 | Health Information System for Medical Laboratory Science
College of Medical Laboratory Science | Central Philippine University
LEARNING OUTCOMES
REFERENCE At the end of this module, the learner should
Health Information System for have been be able to:
Medical Laboratory Science 1. explain the purpose, framework,
and plan of an HMIS monitoring
Lesson 7 and evaluation system

HMIS Monitoring and Evaluation


pp. 67 – 72 2. describe the relationship of
monitoring and evaluation with
HMIS indicators

3. establish the relationship of HMIS


indicators with health programs
Monitoring and Evaluation (M&E)
• M & E are complementary

• M & E is a core component of


current efforts to scale up for better
health.
• Global partners and countries have
developed a general framework for
M&E of health system strengthening
(HSS).
Monitoring
• Systematic collection, analysis and use
of information from programs

• Three basic purposes:


1. Learning from the experiences acquired
(learning function)
2. Accounting internally and externally for
the resources used
3. The results obtained (monitoring
function) and taking decisions (steering
function).
Evaluation
• Assessing an ongoing or completed program or
policy as systematically and as objectively as
possible.

• The object is to be able to make statements


about relevance, effectiveness, efficiency,
impact and sustainability.

• Has both learning function and monitoring


function
WHO Framework for Monitoring and Evaluation
of Health Systems Reform/Strengthening
HMIS Indicators
• INDICATOR can be defined as
a variable whose value
changes. It is a measurement
that measures the value of
the change in meaningful
units that can be compared to
past and future units.
HMIS
Indicators
• There are different HMIS
indicators which can be
use for monitoring of key
aspects of the health
system performance.
These are from among
the five broad
categories…
Indicators for monitoring
FP/Immunization
integration
HMIS Indicators Related To Pregnancy Care
Interventions
1. 1st antenatal care attendances
2. 4th antenatal care attendances
3. Cases of abnormal pregnancies attended at
out-patient departments (OPD) of health
facilities
4. Institutional cases of maternal morbidity and
mortality due to Antepartum hemorrhage
(APH), hypertension and edema reported by In-
patient departments (IPD) of health facilities
5. Cases of abortion attended at health facilities
6. Cases of medical (safe) abortions conducted at
health facilities
Maternal Survival Strategies and HMIS indicators
INTRAPARTUM CARE POST-PARTUM CARE INTER-PARTUM CARE

• Deliveries by skilled • 1st postnatal care • Family planning


attendance (at health attendance method acceptors
facilities) • Institutional cases of • Family planning
• Deliveries by Health maternal morbidity methods issued by
Extension Workers and mortality due to type of method
(HEW) PPH and Puerperal
• Institutional cases of sepsis
maternal morbidity
and mortality due to
obstructed labor
Child Mortality and Child Survival Interventions
• Ethiopia is one of those
countries who have made great
strides towards reducing the
under-5 mortalities based on
Ethiopia Maternal and Child
Health Data
Child Mortality and Child Survival Interventions
Interventions targeting under 5-year-old children (Ethiopia):
1. Universal Immunization Coverage
2. Nutrition program
3. Integrated Management of Childhood Illnesses and the Community
Case Management of Childhood Illnesses
4. Health Development Army
• Improve water, sanitation and hygiene
• Malaria prevention through Integrated Household Spraying and distribution
of Insecticide Treated Nets
Child Mortality and Child Survival Interventions
Related HMIS indicators:
1. Number of treatments for children under five provided by health
facility by disease : Diarrhea, dysentery, pneumonia, measles,
malaria, neonatal tetanus
2. Number of infants immunized for measles
3. Latrine coverage
4. Safe water coverage
5. Household with ITN
Latrine
a toilet or outhouse,
especially a communal
one in a camp or
barracks.
STOP TB Program (STP)
• Vision: to have a TB free world
• Goal: dramatically reduce the global burden of TB by 2015

• Achieve universal access to high-quality care (i.e. universal access to


high quality diagnosis and patient centered treatment) for all people
with TB (including those co-infected with HIV and those with drug-
resistant TB).
HMIS indicators in the context of the STOP TB
Program (in green shaded boxes)
TB-DOTS
• Directly observed treatment, short-course is the
name given to the tuberculosis (TB) control strategy
recommended by the WHO.
• "The most cost-effective way to stop the spread of TB in
communities with a high incidence is by curing it. The best
curative method for TB is known as DOTS.” (WHO)

• DOTS have five main components:


1. Government commitment
2. Case detection by sputum smear microscopy
3. Standardized treatment regimen directly of six to nine
months observed by a healthcare worker or community
health worker for at least the first two months
4. A drug supply
5. A standardized recording and reporting system that
allows assessment of treatment results

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