the district health information system
DESCRIPTION
The District Health Information System. Health systems Framework Role and rationale for District Health Information Complexity and dynamic of health services Components of DHIS Current & proposed information systems practices Conclusion. Health Systems Framework. (WHO, 2007). - PowerPoint PPT PresentationTRANSCRIPT
The District Health Information System
Health systems Framework
Role and rationale for District Health Information
Complexity and dynamic of health services
Components of DHIS
Current & proposed information systems practices
Conclusion
Health Systems Framework
(WHO, 2007)
Role of District Health Information-IPivotal role well functioning & efficient information system is:Tracking the performance of Health systemEffective management of health services Restructuring and aligning of health services within the
Health system locally and globallyAllows continuous Review and assessment of Health for
All as was stated by Alma Ata, 1978
Role of District Health Information-II
Supports decision making and resource allocation
Informs program designs and needed reforms
Supports feeding information to the users
at community, health facility, district and national level
Session 3 5
Complexity of Health Service
What is Information system
• A system that provides information that supports decision making process at each level of an organization
• Integrates data collection, processing, reporting and use for improving health service effectiveness and efficiency
• (WHO, 2004)
District health system
PROVINCIAL
DISTRICT
SUB-DISTRICT
FACILITY 7
District Health Information System -DHIS
• Process of handling data (collect, process, present, interpret & use)
• On health issues (status, activities, services – supplies, finance, administration, staff)
• For purposes of– monitoring performance (targets reached)
– rationalising decision making• planning (priority setting, resource allocation, target setting)
• implementation (coordinate, supervise, train, supply, follow-up,
monitor) • In order to improve coverage & quality of health services
Components of a DHIS Epidemiological surveillance monitor common disease patterns (TB, notifiable diseases, STI, HIV/AIDS)
Service reports monitor utilisation & human resource patterns (headcount, personnel)
Special programmes monitor coverage & quality of service delivery (maternal health, child health, nutrition)
Administration & finance monitoring & control (staff working days, training, drugs, supplies)
Population knowing population numbers & distribution (census, surveys, environment, risk, etc)
Software
Aim of a DHIS
Health information systems provide the mechanisms needed to monitor the translation of health policy into practice – this cascades down from national through provincial, district and facility levels
The DHIS enables districts to assess whether the goals,
objectives, indicators and targets, based on both strategic and operational plans are being achieved
Information is central to all service delivery and management
The Primary Health Care Approach Accessible – Appropriate – Acceptable – Affordable
Principles Focus on prevention Appropriate technology Community involvement in
health Inter-sectoral collaboration Equity Responsiveness
Elements Nutrition Water & sanitation MCWH Essential drug use Treatment of local common
conditions communicable diseases Housing, education, environment
etc
COLLECTION OF DATA Indicator based essential
dataset Data elements-standard
definitions Data sources & tools defined
Data capture streamlined
PROCESSING THE DATA Collation Data quality checks
(manual) Data validation
(computer)
ANALYSING THE DATA Indicators
PRESENTING THE DATA Flow of information Format of tables, graphs
& reports Feedback mechanisms
INTERPRETING THE DATA Making sense of
information Possible interpretation
USING THE INFORMATION Regular review of data Relate to operational
plans Monitor service coverage
& quality
Data flow
Feed back
High speed Connectivity
Information, M&E, Research, Data management etc!
Case based surveillance: Patient level data (Medical
Records Plus referral)
Management Dashboards/ Routine Data (Policy &
Decision makers)
FS DoH Senior
Management
Management Reports
Graphical User Interface (Flexible &
User friendly)
Front End view Back end View
HTTP:
Data ware house infrastructure/ Automated back ups
Central Database/
SQL/Cloud computing
Web-based application architecture /Content Management system
DHIS dbase
PADS (PAADS)
Tier.NET
ETR.Net
MEDITECH
Pharmacy &Other dbase systems
Data captu
rer
Paper based
systems/ &
referral
Data security
Data security
Data security
Access security
User defined queries
Access
security:
Login
Aspired Information System
14
HOME AFFAIRS DATABSE
NDoH CENTRAL
DATARepository
Expected Benefits
Improved healthcare provision in the province based on good quality data
Real-time healthcare data monitoring Improved case based monitoring of patient through referral
facilities and Improved data/ resource sharing Improved use of GIS information for planning, disease
mapping & informs fiscal/monetary planningEffective use of ICT infrastructure to support service delivery Improved patient Information Management systems that
enables effective patient careThis supports the FSDoH to move towards a case-based
surveillance system
CONCLUSIONEssential component of Health care
Depends heavily on outside factors
Health Information system need to be responsive
Very complex
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