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MIS
Solodoukhina D.P.,Department of Public
Health KSMU
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Students should be able to:
Understand the existing MIS
internationally
Interpret the strength andweaknesses of the systems
Conceptualize Theory versusPracticality
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Learning MIS?
What is Information System?
Can we manage withoutinformation system?
Why is it necessary to have an
MIS? What can be possible methods?
Examples
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Example :Hardware Framework
Internet
Headquarters
Centre 1 Centre 3
Centre 2
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HEALTH MANAGEMENT
INFORMATION SYSTEM
The HMIS has been definedas
a system that provides anappropriate information
support to each decision
making level of the healthcare delivery system.
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MIS Application
Communication for better management
Effective Communication
Flows of Communication
Communication Networks
Characteristics of information
Quantity of information
Quality of Information
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Sharing the Information:
COMMUNICATION
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Contd..+
Information is data which has been
organized
Communication is transmission of
information (conveying meanings
to others), added with feelings and
other human elements
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Contd..
Communicate = Make known, Announce,
Break the news, Advise, Transmit, Bestow
When managers communicate one or
combination of the following occurs:
information transmission motivation
control
emotive expression
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Effective Communication
Desire of communicator (values andexpectations)
Understanding of how others learn
Receivers clarity about purpose Manner according to content,
importance, and complexity of intended
message trust of receiver on sender (ascribed
and achieved credibility)
time frame (availability and allocation)
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Contd..
For Instance.
Sender Message Receiver
Feedback
Encode Decode
Barriers Barriers
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Flows of Communication
Downwards (info, verbal orders, instructions)
upward flow (reports, complaints, proposals)
Horizontal and Diagonal (interdependence)
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Communication Networks
Chain (follows authority relationships)
Y-shaped (2 to 1 reporting)
Wheel pattern (4 to 1 reporting)
Circle pattern (1 to 2 reporting)
All-channel (wheel with all to report to each Other)
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Information
Information is data which has beenorganized
Information is the content of
communication Information tends to be formal,
abstract and impersonal, when
feelings and other human elementsare added to transmission ofinformation , it is called as
communication
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Characteristics of information
Reach relevant persons at right
time Reduce uncertainty for making
decisions
Assist relevant persons to act on it
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Quantity of Information
Neither too much nor too little
Information generation implies costs
(time money and energy) Paradoxically less information lead to
higher quality costs
Desired quantity of information is abalance with tradeoffs (difficult but
inevitable)
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Quality of Information
Exact, Authenticated, well-timed
Should complyOriented in time ,place and person
Reliable and Validate-able
Meets the international standards
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Information withoutmeaning for receiver isnothing but noise, energyand time (wasted)
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Classification of Information
Action Vs Non-action
Recurring Vs Non-recurring Documentary Vs Non-documentary
Formal Vs Informal
Historical Vs Future projections
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Designing an Information
System What info should flow?
To whom it should flow?
When or at what frequency?
How and through what channel?
Who will do what?
How it will be put together and summarized?
How and when it will reported and to whom?
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Health Sector Related MIS Ministry of Health. National Programme for PHC and FP Expanded Programme of Immunisation. Acute Respiratory Infections Control Programme. Malaria Control Programme. National Tuberculosis Control Programme. AIDS Prevention and Control Programme. Ministry of Population Welfare.
Local Bodies (Municipal Corporations)
Census and Surveys
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Relationships and Flow of Information in the Different MIS
Provincial DG Health Services
Federal Director General HealthNational Programme
Managers, EPI, Malaria, AIDS
Provincial ProgrammeManagers, EPI, Malaria, AIDS
Divisional Director Health Services
Vaccinator/ CDC LHWMalaria / TB, ARI, etc.
District Health Offices
First Level Care Facility
District Programme
Implementation Unit(NP-PHC/FP)
National ProgrammeManagers, NP-PHC/FP
Provincial ProgrammeManagers, NP-PHC/FP
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Problems Data is often delayed and is not analysed promptly
Weak Vital Event Registration System Multiple information systems organized through
public health programs work independently Dis-integrated Hospital-based information
Missing information about private sector Quality of information generated not reliable Non-utilization of information at micro and macro
levels
MIS component missing from regular training andeducation programmes. The current information systems is becoming
difficult to sustain given the available level of
financial and human resources.
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Challenges
Consolidation
(of what is already achieved)
Initiate Modifications
(Focus on client orientation,effectiveness and efficiency)
Further System Expansion
Improve Data QualityPromote Information Use
HospitalsPrivate CareOther Department Facilities
User-friendly computerization
Electronic info. sharingIncorporate new technology(GIS)
Integrate of Multiple MIS
Integrate of MIS with Devolution Plans
Research & Development
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THANK YOU VERY MUCH