uganda health information strategy
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Uganda Health Information Strategy. Eddie Mukooyo , MD, MSc Assistant Commissioner Health Services Dublin, Ireland 13 th September 2010. Presentation Outline. Health Reforms Monitoring & Evaluation of Sector Performance Categories of Health Information Challenges Needs Assessment - PowerPoint PPT PresentationTRANSCRIPT
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Uganda Health Information Strategy
Eddie Mukooyo, MD, MScAssistant Commissioner Health Services
Dublin, Ireland13th September 2010
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Presentation Outline
• Health Reforms• Monitoring & Evaluation of Sector
Performance• Categories of Health Information• Challenges• Needs Assessment• Health system strengthening• Key recommendations
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Health Reforms
To improve efficiency, effectiveness & address equity and inequality:-
• Decentralisation• Health Policy I, II• Health Sector Strategic Plan I, II, III• Sector Wide Approach in implementation• National Minimum Health Care Package
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Monitoring & Evaluation TWG• Sector Performance Monitoring Indicators• HMIS as main source of data/information
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CATEGORIES OF HEALTH INFORMATIONON
Information from other data sources
e.g. surveys, special studies…
Logistics and
commodities
Data on individual clients
Resource Management
e.g. inventories
•Health facilities•Equipment inventory•Staff listing
•In-patient information•Laboratory information •X-ray information•Operating theatre information
•Information on referrals•Outpa
•Antenatal care•Maternity services•Child health services•Family planning services etc.
Information on Preventiveservices
Information on curative services
•Stocks of commodities •Supplies like drugs and vaccines.
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Issues with HMIS
• Data not timely, complete or reliable• Inadequate funding• Paper – based HMIS• Recording keeping & Data capture by
health workers• HMIS not well appreciated • Poor utilisation of data
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Needs Assessment supported by Clover III Project
• Lack of national legislation and policy framework for HIS
• Lack of HMIS skills• Inadequate funding• Inadequate ICT Infrastructure• Lack of records assistants• Inadequate use of Information generated
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Health System Strengthening Clover Project III
Based on assessment results, new interventionswere jointly designed by all stakeholders:• Capacity Building• Improvement in ICT Infrastructure • Provision of Health facility databases• Technical support supervision
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Health System Strengthening Clover Project III - Interventions
• Training 217 Health workers in electronic data management, & utilisation
• Provision of ICT Infrastructure & connectivity– Procured 39 desktop computers (4 for MoH/RC,
11 for District Health Offices + 24 for the HSDs)• Follow-up hands on support supervision &
maintenance plus trouble shooting• Supported Regional & District evidence-based
Planning meetings• Supporting the review process of the HMIS
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Achievements of the Clover Project - 1
• Improved timeliness and completeness of reporting
• Informed decision on effectiveness and appropriateness of eHMIS & wHMIS systems - HMIS Review Process
• Better evidence-based plans & District Performance League Tables)
• Enhanced data capture due to integrated database tools – rather than SILOs
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Achievements: Improved timeliness and completeness of HMIS OUTPATIENT reporting
(an average for the CLOVER III districts)
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Achievements – Improved timeliness and completeness of HMIS INPATIENT reporting (an
average for the CLOVER III districts)
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Achievements of the Clover Project - 2
• Revised HMIS tools and manuals in line with HSSP III
• Increased appreciation, use & demand for information at district level – creation of information department with a budget
• Supported a data validation exercise in 4 CLOVER III districts and 2 NON CLOVER districts to assess the quality of data at district, HSD and selected health facilities.
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Proportion of district HMIS reports matching with reports kept at RC – Mid-West Region
100%100% 100%
80%
67%67%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Kiboga Kibaale Mubende
District
%
2008
2009
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Challenges - 1• Health Information System (HIS) is
fragmented• Information definitions are not harmonized• Methods of collection vary greatly, and • Rules for data sharing do not exist • Significant duplication of effort at all levels, • As a result use of health information is
curtailed
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Challenges - 2
• Inadequate Funding both at national and district level
• Paper – based HMIS for half the districts• Challenges of New Districts – Lack
Capacity, Resources, logistics , etc• A learning process for new
responsibilities
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Health Sector Strategic Plan III
• HMIS has been identified in the Health Sector Master Plan as one of the priority areas of health system strengthening for accelerating achievements of the health sector goals & MDGs.
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National Ownership - 1
• Alignment and Efficient Utilization of Human and Financial Resources– Alignment of processes and integration within
major vertical programs• Increase Efficiency in community and facility-based
Patient Care for Better Health Outcomes – Strengthen patient referral and facilitating data transfer – Capture community based Interventions (case
management & prevention)– Enhance use of information for decision making for better
health outcomes
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National Ownership - 2
• Increase Health Infrastructure Capacity- Linkage of all districts and health units to a functional and efficient electronic health information system for better health outcomes (e-governance initiative & Interoperability – data warehouse)
• Private Sector Engagement–HIS training and other allied health business
opportunities
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Immediate Action
• Establishment of a “HIS Steering Committee” for coordinating a harmonized National Health Information System (NHIS)
• Execute national HIS Forum with key partners including the private sector to facilitate donor and stakeholder engagement
• Mobilize immediate/seed/initial technical and financial support for core preparatory activities - NHIS
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Key recommendations for the future
• Train health workers and end-users on data Management to ensure a culture of Data-driven decision-making
• Consolidate and roll out gains from the Clover III Project districts to cover all 110 districts
• Integrate existing parallel information systems (SILOs) into one national HIS
• Prepare Resource Centre to provide leadership and coordination
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THANK YOU