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