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Lecture 12 Health Management Information System

The document discusses health management information systems (HMIS) and their development and use in Pakistan. It provides definitions of key terms and outlines the components that should be included in an HMIS. The development of HMIS in Pakistan is described, including its objectives, information sources, strengths and weaknesses. More recently, Pakistan has implemented the District Health Information System (DHIS) to improve data collection and utilization at the facility level to better manage health services.

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Kamran Sheikh
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66 views

Lecture 12 Health Management Information System

The document discusses health management information systems (HMIS) and their development and use in Pakistan. It provides definitions of key terms and outlines the components that should be included in an HMIS. The development of HMIS in Pakistan is described, including its objectives, information sources, strengths and weaknesses. More recently, Pakistan has implemented the District Health Information System (DHIS) to improve data collection and utilization at the facility level to better manage health services.

Uploaded by

Kamran Sheikh
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Health Management Information

System
Important Definitions
• SYSTEM: A collection of components that work together to achieve a common
objective
• INFORMATION SYSTEM: A system that provides information support to the
decision-making process at each level of an organization
• HEALTH INFORMATION SYSTEM: A system that integrates data collection,
processing, reporting, and use of the information necessary for improving health
service effectiveness and efficiency through better management at all levels of
health services
• HEALTH MANAGEMENT INFORMATION SYSTEM: An information
system specially designed to assist in the management and planning of health
programmes, as opposed to delivery of care
What Components Should Be Part Of HMIS?
• Demography and vital events
• Environmental health statistics
• Health status: Morbidity, Mortality, Disability & Quality of life
• Health Resources: like facilities, Beds, manpower
• Utilization and non-utilization of health services: attendance, admissions
• Financial statistics ( cost expenditure)
Steps In Developing HMIS?
• Review the existing system
• Define the data needs of relevant units within the health system
• Determine the most appropriate and effective data flow
• Design the data collection and reporting tools
• Develop the procedures and mechanisms for data processing
• Develop and implement a training programme for data providers and data users
• Pre-test, and if necessary, redesign the system for data collection, data flow, data processing and data
utilization
• Monitor and evaluate the system
• Develop effective data dissemination and feedback mechanisms
• Enhance the HMIS
History of HMIS in Pakistan
• Health Management Information System (HMIS) was developed in Pakistan in
the early 1990s
• Was initiated by the Basic Health Services Cell
• International agencies like USAID, UNICEF and WHO extended both technical
and financial support
• World Bank supported the establishment and institutionalization of HMIS in all
the provinces
Objectives of HMIS in Pakistan
• To record information on health events
• To monitor the availability of critical items of first level care facilities.
• To provide information on monthly / quarterly and annual basis
• To provide information on service-related indicators such as facility utilization
rate, referrals, immunization, maternal care and family planning
Sources of Information in Pakistan
Large Scale Surveys:
 PSLM-for monitoring progress on MDGs
 MICS-for tracking progress on MCH and other indicators
 PDHS-for tracking multiple health indicators
Surveillance Systems:
 Facility based- DHIS previously HMIS
 Community & facility based vertical programmes-EPI MIS, TB MIS
 Others- cancer registries, mortality surveillance
Strengths & Weakness of HMIS
Strengths of HMIS Weaknesses of HMIS

• Powerful tool for the planning and • “Data-driven” instead of “Action-driven”


management of health services. • Lack of information on management
• Was Generating tremendous amount of issues
information, which flows directly from • HMIS was limited to the first level care
the peripheral health facilities facilities only
• Focus on priority health issues • Lack of resources (human and material)
• Well planned and developed through • Capacity building issues (unable to make
consensus use of information)- Untrained staff
DHIS History
• Devolution in 2001-GoP felt need of revamping the centralized information
system covering only first-level health facilities.
• JICA -Study on Improvement of Management Information Systems in Health
Sector (2004-2007)
• A new health system-DHIS
DHIS Definition & Vision
• DHIS is a system that provides information about performance of Health
facilities in the District
• It improves the Health services through evidence-based management of Health
Service Delivery System, to achieve the overall goal i-e, to improve the health
status of the population, and provide key routine health information from the
health facilities to managers for improvement of Health Services Delivery
System
Objectives of DHIS
• Collect quality and relevant data about health services and resources.
• Convert data into information for health-related decision-making for improving
the health system.
• Provide information about disease trends and generate feedback.
• Support district and health facility managers for management, tracking targets,
planning, distribution of resources to improve services and health status of
population.
• Support and promote research.
• Cater routine information needs of Provincial managers for policy formulation,
planning and M&E of health programs.
DHIS Instruments / Tools
•Registers (R), Forms (F), Cards (C) & Charts
•DHIS Instruments Used in BHUs, MCHCs, GDs, RHCs, THQs, DHQs / Civil
Hospitals for Preventive & Curative Health Services
Reporting Mechanism
Summary
• Health management information system
• Action-driven
• Integrated approach
• Utilization of information at the facility level

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