Transcript Service Availability and Readiness Assessment

TANZANIA HEALTH MAGEMENT INFORMATION
SYSTEM (HMIS)
PRESENTED AT THE NATIONAL MNCH/HIV
INTEGRATION STAKEHOLDERS MEETING
24 – 25 GIRAFFE HOTEL DSM
BY: CLAUD JOHN KUMALIJA
Ag. Assistant Director Monitoring and Evaluation
(M&E)
Outlines
• Tanzania HMIS
– Introduction to HMIS
– HMIS Implementation status
– Massages and Recommendations
• RCH Service Availability and Redness Assessment (SARA)
–
–
–
–
–
Family planning
ANC
BEmOC services
Immunization
PMTCT Services
• RMNCH Outcome Indicator Trends
– Maternal Mortality Ratio (MMR)
– Delivery in Health Facilities
– New-born and Child Health
Tanzania HMIS
• HMIS is the National routine data system implemented in
government and non Government Health facilities
• Currently the system implement revised new MTUHA tools
and DHIS2 software
• DHIS2 is the national data warehouse for HMIS accommodate
all RCH services and other vertical programs including
HIV/AIDS, Malaria, TB and CCHP indicators
Average Regional Reporting Levels all HMIS
Forms by January - June 2014
60.0
40.0
20.0
0.0
Source: DHIS2 July 2014
96.1
96.0
95.0
94.0
93.8
93.5
93.4
93.2
92.6
92.1
90.0
89.2
86.6
83.6
83.5
81.0
79.4
76.7
75.7
74.4
73.7
72.1
71.5
70.7
80.0
68.7
100.0
86.4
120.0
Best and Poor Performing Districts HMIS-DHIS2 Reporting January – June 2014
Labour
and
Delivery
ANC
DTC
Child Family
Healt Plannin
h
g
Tracer
PMTC PMTC
Avera
OPD
Medic
T MC T PCR
ge
ine
No
Facility Name
Postn
atal
1
Meru D. Council
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
2
Mlele D. Council
100.0
100.0
100.0
103.3
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
3
Kyela Council
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
4
Masasi T. Council
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
5
Mafia D. Council
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
6
Ushetu D. Council
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
7
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
99.5
100.0
100.0
100.0
100.0
9
Itilima D. Council
Ruangwa D.
Council
Hai D. Council
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
99.2
100.0
100.0
99.9
10
Kibaha D. Council
100.0
99.1
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
99.9
10
Missenyi D. Council
36.0
93.9
100.0
31.8
24.0
98.4
86.8
61.6
9
Mufindi D. Council
Nyamagana M.
Council
Kilindi D.. Council
71.1
77.2
82.9
36.7
62.4
85.2
45.8
53.8
64.3
15.1
61.0
58.7
77.4
76.8
9.6
94.0
80.6
56.7
78.7
0.8
48.0
58.1
50.5
65.2
69.5
50.5
55.2
63.2
56.2
55.7
57.1
49.5
57.3
68.5
69.6
70.8
44.2
65.3
87.3
35.0
53.7
23.1
30.8
80.3
57.1
65.7
60.9
66.7
63.4
68.2
74.7
75.0
63.0
13.4
11.6
49.5
55.6
4
Tarime D. Council
Ukerewe D.
Council
Igunga D. Council
65.4
79.5
81.4
55.4
49.4
85.5
35.7
37.4
27.7
21.5
60.9
54.5
3
Mbarali D. Council
59.8
79.3
76.4
44.4
66.3
77.5
53.3
67.0
30.2
25.2
12.6
53.8
2
Ludewa D. Council
78.3
90.3
84.6
51.2
35.8
87.8
51.9
39.4
32.3
26.1
7.2
53.2
1
Lushoto D. Council
37.8
40.5
50.5
20.1
43.1
32.2
38.1
42.5
63.8
64.8
7.3
40.1
8
8
7
6
5
IPD
22.1
76.4
Use of HMIS/DHIS2 data.
(Current evidence examples )
•
•
•
•
•
•
RMNCH Score card
Result Based Financing (RBF)
mHealth reporting
Comprehensive Council Health Plan (CCHP)
Big Results Now (BRN)
MDG/MKUKUTA and HSSP III indicator
tracking
• Health Program reports
Messages/Recommendations
• RCH supervisor assist facility staff on quality data
collection. Ensure registers, tally sheets and
summary forms are available and filled
appropriately
• During supervision facilitate data summary report
compilation for accuracy, completeness and timely
reporting to district/council
• At district/Regional levels RCHco are requested to
work with HMIS FP on data cleaning, supervise
data entry and validation
Massages/Recommendations…
• Ensure feed back report is send to councils/facilities
to encourage data quality utilization
• Mobilize implementing partners to support data
collection through HMIS (Financially, TAs on
planning, implementation assessing performances)
• Encourage RHMT/CHMT to discuss HMIS-DHIS2 data
report on weekly bases and facility to use HMIS data
for planning
RCH Service Availability
and
Reediness Assessment (SARA)
2012
Availability of Family Planning services
Offers FP services
83%
Offers at least two modern methods of FP
70%
Combined oral contraceptives
69%
Male condoms
68%
Progestin-only injectable contraceptives
54%
Progestin-only contraceptives
54%
Emergency contraceptive pills
44%
Combined injectable contraceptives
37%
Cycle beads for standard days method
Percent of family
planning services
26%
Implant
23%
IUCD
18%
Female condoms
9%
Female sterilization
8%
Male sterilization
6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90% 100%
Source: SARA Tanzania 2012
Readiness to provide ANC services
Staff and training
Equipement
Diagnostics
Medicines and commodities
Guidelines available antenatal care
Readiness score
60%
At least one trained staff antenatal care
49%
Blood pressure apparatus
88%
Urine dipstick- protein test
17%
Haemoglobin test
8%
Folic acid tablets
92%
Tetanus toxoid vaccine
91%
Iron tablets
90%
Mean availability of tracer items
58%
0%
20%
80% of Health Facilities offer ANC Services
40%
60%
80%
100%
Source: SARA Tanzania 2012
Readiness to provide BEmOC services
Staff and training
20%
Equipment
44%
Medicines and commodities
74%
Readiness
53%
0%
10%
20%
30%
40%
50%
Basic Emergency Obstetric Care and new born 25
60%
70%
80%
Source: SARA Tanzania 2012
Availability of child Immunization services
Offers child immunization services
73%
Routine BCG immunization
73%
Routine polio immunization
73%
Routine DPT-Hib+HepB immunization
73%
Routine measles immunization
73%
0%
20%
40%
60%
80%
100%
Source: SARA Tanzania 2012
Key Message for PMTCT
• 78% of facilities offered PMTCT services
• More than 70% had staff and guidelines for PMTCT
services
• Only 13% had the necessary equipment (auditory &
visual)
• 44% overall, had medicines and commodities
• Readiness for PMTCT services was in 55% of facilities
Source: SARA Tanzania 2012
RMNCH Performance Trend
The trend in the Maternal Mortality per 100,000
Live Births
16
The Trend of Delivery in Health Facilities
17
Trend in New-born and Child Health
Contraceptive prevalence rate, modern and other methods,
among currently married women (%), TDHS 1991–2010