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7/30/2019 Health Manage
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HEALTH MANAGEMENTINFORMATION
SYSTEM
Col Naila Azam
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NOTE
• DATA- discrete observations as collected, littlemeaning , no use in planning; NEEDSTRANSFORMATION
• INFORMATION- Data processed by reducing,summarizing, adjusting ; NEEDS PROCESSING
• INTELLIGENCE- integration with perceptionsand socio political values
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M.I.S
•
M--- MANGEMENT = process of designing andmaintaining an environment in which people
working together in groups accomplish defined
objectives efficiently by their decisions
• I--- INFORMATION= processed meaningful data
that conveys some message which is accurate,
complete, concise ,intelligent and timely
• S--- SYSTEM = a collection of components/subsystems that work together to
achieve a common objective
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LEARNING OBJECTIVES
at the end of session
• To be able to identify the functions &objectives for HMIS
• To be able to identify the elements & sources
of HMIS• To be able to enumerate the qualities of an
efficient HMIS
•To be able to understand the FLCF reportingsystem in Pakistan and enumerate the priorityhealth problems identified for reporting
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DEFINITION
An organized system
( of people, procedures and devices)
Designed to
generate, store,process and disseminate
Information on health events to
managers, decision makers, policy makers, planners,healthcare personnel for
DECISION MAKING
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ELEMENTS OF A MANGEMENT
INFORMATION SYSTEM
• INPUT
– Data on selected activities to produce requiredinformation of all events(relevant & standardized)
• PROCESS – Means used to transform data into information.
– Collated, aggregated, analyzed,
–
presented on time, in legible ,understandableformats
• OUTPUT
– Processed information for use at required level for
decision making
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FUNCTION OF HMIS
• Describe and determine nature and extent of disease burden in community
• Provide information on the 18 priority
diseases• Provide information on service related
indicators
•Monitoring and evaluation of the efficiencyand effectiveness of PHC system componentsand programs
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OBJECTIVES OF HMIS
• To provide information support to health
managers at various levels
• To compare performance over time with other
provinces , districts and facilities
• To identify facilities in need of support
•
To monitor trends in disease patterns,coverage, quality and population at risk ; and
record information on health systems
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OBJECTIVES OF HMIS
• To monitor availability of drugs,
contraceptives, functionality of equipment,
repair and maintenance of facilities and
utilities
• To provide monthly, quarterly, annual basis
information on all the events
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PHC management information
community
Community health
worker
Lady health visitor
Individual
records
Aggregation
sheets
DoctorNurse
HMIS
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LEVELS OF INFORMATION•
PRIMARY health centers
Rural health
centre
District
health HQ
Provincial
health HQ
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SOURCES OF HEALTH INFORMATION
• Census
• Registration of vital events
•
Sample registration system• Notification of diseases
• Hospital records
• Disease registers/ record linkage• Epidemiological surveillance
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Sources of health information-contd
• Health service records(OPDs, MCH centres,
GP clinics, school health records,)
• Environmental health data
• Health manpower statistics
• Population health surveys
• Routine health related statistics
(demographic,economic,social securityschemes)
• Non- quantifiable information
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QUALITIES OF EFFICIENT HMIS
• Relevance at design
– Only data essential for monitoring be made partof routine data collection
• Standardization – Quality control achieved by uniformity of
definitions of variables
• DATA collecting and aggregating instruments
– Simple and easy to understand and complete bylay workers
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QUALITIES OF HMIS- contd
• DATA formatting
– Processed data is presented for easyunderstanding
• Timely flow of information – Collection ,processing and flow must be timely for
appropriate action when and where it is required
• Filtration of information
– For use at appropriate levels only be releasedaccordingly
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QUALITIES OF HMIS- contd
• Feedback
– At all levels to create interest among users anddata generators by communicating progress to all
concerned• Choice of indicators
– Valid
– Reliable
– According to goals and objectives
– According to community /country
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HEALTH SYSTEM REPORTING
FLCF in Pakistan
• Facility record keeping system- 19 registers
• Facility reports- 3 comprehensive reports
– Immediate reports for epidemic diseases
– Monthly report
– Yearly report
• Report transmission and data processingsystem on 18 priority diseases
• Feedback mechanism
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PRIORITY HEALTH PROBLEMScomparable reporting
• Standard definitions and Standardized
recording for each problem
• Coding system –
special 3 digit code withprovision for a fourth digit after a dot
– E.g 101.1 for diarrhoea with some dehydration
and 101.2 for diarrhoea with severedehydration,while, 102 for dysentry and 103 for
acute respiratory infections
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WEAKNESS OF HMIS IN PAKISTAN
• Lack of information on management issues
• Poor quality of data
•
Lack of timely reporting and feedback• Inadequate information usage
• Lack of universal launch of HMIS
• Lack of information system for hospitals,personnel, logistics
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TASK
• Enumerate the diseases that in your opinion
should be in priority reporting list in Pakistan
• Enlist at least six categories of indicators for
inclusion in the HMIS
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ASSESS AND REVIEWYOUR ANSWERS
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HMIS/FLCF
CODE
HEALTH PROBLEM
101 Diarrhoea (for children < 5 years)
101.0 Without dehydration
101.1 With some dehydration
101.2 With severe dehydration
101.9 Dehydration status not specified
102 Dysentry103 Acute respiratory infections
104 Fever (clinical malaria)
105 Cough more than 2 weeks
106 Suspected cholera
107 Suspected meningococcal meningitis
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108 Probable poliomyelitis
109 Probable measles
110 Probable/confirmed neonatal tetanus
111 Probable diphtheria
112 Probable whooping cough
113 Goitre
114 Suspected viral hepatitis
115 Suspected AIDS
116 Snake bite with signs & symptoms of poisoning
117 Dog bite
118 scabies
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INDICATORS
• AVAILABILITY OF HEALTHCARE
– Ratio between population under study , the healthfacilities and healthcare manpower
• ACCESSIBILITY OF HEALTH CARE – Percentage of population within 5 Km or 1 hour
walk of trained health worker
• ACCEPTABILITY AND QUALITY OF HEALTHCARE
– Proportion of cases of vaccine preventablediseases with history of immunization /otherwise
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INDICATORS
• SOCIAL AND ECONOMIC INDICATORS RELATEDTO HEALTH
– rate of population increase
–Adult literacy rate
• INDICATORS OF PROVISION OF PRIMARY
HEALTH CARE
–Percentage of pregnant women receiving antenatal care
– Percentage of children 12 months to 5 years fully
immunized or underweight
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GOOD LUCK